Relative Volume Research Articles

Positive correlation of hidradenitis suppurativa and ultra-processed foods consumption.

Hidradenitis suppurativa (HS) is a chronic inflammatory skin condition whose pathogenesis is not well established. An association between HS and obesity is suggested but few studies explore specific dietary drivers. Non-Hispanic Blacks have the highest HS prevalence and obesity rates as well as the highest UPFs consumption rates, as opposed to Hispanics who have the lowest prevalence of HS despite having the second highest obesity rates in the US. Instead, Hispanics have the lowest UPFs consumption and highest minimally processed foods consumption rates in the US. Since HS appears to correlate more with processed food intake than obesity, we explored this connection more carefully. To identify correlations, we cross referenced 3 sources: (1) relative search volume (RSV) on Google Searches for HS. (2) Published data on prevalence of HS and UPFs consumption by nation, state, race, and age. (3) NHANES data on variation of diet patterns in the US. We identified a strong correlation of RSV and UPFs and HS by country (r = 0.83, p < 0.0001) and state in the US (r = 0.82, p < 0.0001) compared to a negative control (melanoma with UPFs; r = 0.35, p = 0.14 by country and r = 0.22, p = 0.23 by state). The variation in searches for HS from 2004 till 2018 (p < 0.0001) was strongly correlated with the increase in UPFs consumption (r = 0.79, p = 0.019) and inversely correlated with the decrease in minimally-processed foods consumption in the US (r = - 0.941, p = 0.0005). These results suggest an association between UPFs consumption and HS, and the need for future studies to address whether limiting UPFs might ameliorate HS.

BE-WEL trial (breast: evaluation of weight and exercise for lymphoedema) testing weight control and exercise programmes for women with breast cancer related lymphoedema: a feasibility trial.

A combined body weight loss and upper body/arm exercise programme is a potential strategy for managing Breast cancer related lymphoedema (BCRL), but there is limited data on the best method for delivery or its potential efficacy. Fifty-seven women with overweight/obesity and BCRL were randomised to a 12week supervised (n = 12) or home-based combined weight loss and upper body/arm exercise programme (n = 16), a home-based upper-body arm exercise only programme (n = 17) or standard care (n = 12). Primary outcomes were uptake, retention and changes in weight and change in Relative Arm Volume Increase (RAVI) using analysis of covariance (ANCOVA). Sixteen percent of women invited joined the study and 49 completed the trial (85% retention). Reductions in weight occurred in the supervised and home-based weight control and exercise programmes; Mean (95% CI) change compared to standard care -1.68 (- 4.36 to - 1.00), - 2.47(- 4.99 to - 0.04)Kg. Reductions in perometer assessed RAVI were seen in the supervised and home-based combined weight control and arm exercise groups and the weight stable home-based arm exercise only group: mean (95% CI) change compared to standard care - 2.4 (- 5.0 to + 0.4),- 1.8 (- 4.3 to + 0.7), - 2.5(- 4.9 to - 0.05)%. Women with BCRL and overweight and obesity engaged in diet and exercise weight loss programmes. Both weight loss/arm exercise programmes led to modest changes in weight and BCRL. Comparable reductions in BCRL were reported in the weight stable group undertaking arm exercise only. The independent and combined effects of weight loss and exercise on BCRL need further study. ISRCTN86789850 https://doi.org/10.1186/ISRCTN86789850 , registered 2011.

Unveiling COVID-19’s Influence on Diet-Related Lifestyle: Insights from Google Trends Query Volumes

Aim: This study aimed to showcase the particular lifestyle and behavioural pattern changes during the pandemic using Google Trends (GT). Background: The pandemic hit by the Coronavirus Disease 2019 (COVID-19) globally has brought basic living into the context of surprise. Since the lockdown and social restrictions, the population has faced many changes in their daily routine. objective: To demonstrate how COVID-19 affects eating habits and lifestyle in India. Objective: The purpose of the study was to demonstrate how COVID-19 has affected eating habits and lifestyle in India. Method: A retrospective analysis was carried out with the aid of Google Trend Relative Search Volume (RSV) data obtained for interest areas, such as COVID-19 cases, symptoms, preference of medicines, choice of nutrients, reduced physical activity, and watching varied Over-the-top media service (OTT) platforms as the source of entertainment; these were the variables that were taken into consideration to derive correlation coefficient values. Results: There was a strong positive correlation found between zinc and vitamin C, zinc and vitamin D, and vitamin C and D, which was 0.83, 0.78, and 0.72, respectively. Symmetrical observation has been observed in Netflix and Amazon Prime as 0.81; a notable negative correlation was found between COVID-19 and gym as -0.32. Conclusion: This study can be used as a checkpoint list for future predictions and past timelines and how they have a cohabitant role in the spread of the epidemic and its line of mitigation strategies. other: NIL

How to evaluate perfusion imaging in post-treatment glioma: a comparison of three different analysis methods.

Dynamic susceptibility contrast (DSC) perfusion weighted (PW)-MRI can aid in differentiating treatment related abnormalities (TRA) from tumor progression (TP) in post-treatment glioma patients. Common methods, like the 'hot spot', or visual approach suffer from oversimplification and subjectivity. Using perfusion of the complete lesion potentially offers an objective and accurate alternative. This study aims to compare the diagnostic value and assess the subjectivity of these techniques. 50 Glioma patients with enhancing lesions post-surgery and chemo-radiotherapy were retrospectively included. Outcome was determined by clinical/radiological follow-up or biopsy. Imaging analysis used the 'hot spot', volume of interest (VOI) and visual approach. Diagnostic accuracy was compared using receiving operator characteristics (ROC) curves for the VOI and 'hot spot' approach, visual assessment was analysed with contingency tables. Inter-operator agreement was determined with Cohens kappa and intra-class coefficient (ICC). 29 Patients suffered from TP, 21 had TRA. The visual assessment showed poor to substantial inter-operator agreement (κ = -0.72 - 0.68). Reliability of the 'hot spot' placement was excellent (ICC = 0.89), while reference placement was variable (ICC = 0.54). The area under the ROC (AUROC) of the mean- and maximum relative cerebral blood volume (rCBV) (VOI-analysis) were 0.82 and 0.72, while the rCBV-ratio ('hot spot' analysis) was 0.69. The VOI-analysis had a more balanced sensitivity and specificity compared to visual assessment. VOI analysis of DSC PW-MRI data holds greater diagnostic accuracy in single-moment differentiation of TP and TRA than 'hot spot' or visual analysis. This study underlines the subjectivity of visual placement and assessment.

Reservoir quality of Upper Cretaceous limestones (Ahlen-Fm., Beckum Member, Münsterland Cretaceous Basin): effects of cementation and compaction on the compactable depositional volume

AbstractThe Upper Cretaceous limestones unconformably overlie Upper Carboniferous coal-bearing lithologies and are studied to assess their effect on rising mine-water levels in the Ruhr mining district. Upper Cretaceous sedimentary rocks from the Münsterland Cretaceous Basin have previously been studied regarding their sedimentary structures and fossil content. However, understanding the petrophysical and petrographic heterogeneity in regard to sedimentary properties and their effect on fluid migration pathways is yet missing. Utilizing He-pycnometry, Klinkenberg-corrected air permeabilities, p-wave velocities, transmitted and reflected light analyses, point-counting and cathodoluminescence, we assess the petrophysical, geomechanical and mineralogical properties. Porosity ranges from 1.0 to 18.7% and permeability ranges from &lt; 0.0001 to 0.2 mD, while p-wave velocity ranges between 2089 and 5843 m/s. Mechanical compaction leads to grain rearrangement, deformation of calcispheres, foraminifera and ductile clay mineral laminae. Above and below clay laminae, compaction bands of deformed calcispheres develop. Early diagenetic mineral precipitation of ferroan calcite in inter- and intragranular pores reduces porosity and permeability and influences geomechanical properties. An underestimated aspect of limestone petrography is the relationship of the original primary compactable depositional volume and the influence of compaction, deformation and cementation during early and late diagenesis on reservoir properties. The detrital dominated limestones show an originally high compactable depositional volume (CDV). Overall, reservoir qualities are poor and indicate the sealing potential of the studied lithologies. The Upper Cretaceous (Campanian) limestones thus may act as a barrier for increasing mine-water levels from dismantled, post-mining subsurface hard coal mines in the region. Graphical abstract

Apert syndrome: neurosurgical outcomes and complications following posterior vault distraction osteogenesis.

Posterior vault distraction osteogenesis (PVDO) has been utilized during the past 15 years to treat a variety of clinical features commonly presented by patients with Apert syndrome. The objective of this study is to determine the efficacy of PVDO in addressing both elevated intracranial pressure (ICP) and ectopia of the cerebellar tonsils (ECT) in young Apert patients. In addition, we aimed to determine the prevalence of hydrocephalus in Apert syndrome patients who underwent PVDO. A retrospective study was made with a cohort of 40 consecutive patients with syndromic craniosynostosis (SC), previously diagnosed with Apert syndrome, who underwent PVDO between 2012 and 2022, and thereafter received at least 1 year of follow-up care. Demographic data and diagnosis, along with surgical and outcome data, were verified using medical records, clinical photographs, radiologic examination, and interviews with the parents of all cohort patients. The average patient age when PVDO was performed was 12.91 ± 10 months. The average posterior advancement distance achieved per patient was 22.68 ± 5.26mm. The average hospital stay per patient was 3.56 ± 2.44 days. The average absolute and relative blood transfusion volumes were 98.47ml and 17.63ml/kg, respectively. Although five patients (14%) presented ECT preoperatively, this condition was completely resolved by PVDO in three of these five patients. One of the three patients whose ECT had completely resolved presented syringomyelia postoperatively, requiring subsequent extra dural foramen magnum decompression. All of the remaining four patients were asymptomatic for ECT for at least 1 year of follow-up, and none of these four patients required any additional treatments to address ECT. Two patients presented hydrocephalus requiring ventriculoperitoneal shunt placement. This study demonstrates that PVDO both reduces diagnosed elevated ICP symptoms and is partially effective in treating ECT in Apert syndrome patients. Hydrocephalus in Apert syndrome is an uncommon feature. The effectiveness of PVDO in addressing hydrocephalus is uncertain.

The Contribution of Some Anthropometric Measurements and Pulmonary Volumes to The Digital achievement of the Sprint 400-meter Competition Among Elite Runners in Palestine

The study aimed to identify the contribution of some anthropometric measurements and pulmonary volumes to the digital achievement of the sprint 400-meter running distance among elite runners in Palestine. To achieve this, the study was conducted on a purposely-defined sample of (18) elite runners in Palestine, aged between (18-22) years. The researchers used the descriptive analytical method because it suits the nature of the study. Anthropometric measurements were conducted related to (age, body mass, height, arm length, leg length, thigh length, lower leg length, instep length, chest circumference, chest circumference with inspiration, abdominal circumference, thigh circumference, calf (Gastrocnemius) muscle circumference, upper arm circumference, and related Pulmonary volume measurements. Related Pulmonary volume measurements were taken (VC, FVC, FEV1, FWV1/FVC%, MVV, TV, RV, IC). After data was collected, it was processed statistically using Statistical Packages for Social Sciences (SPSS) software. The results of the study showed that the most contributing anthropometric measurements to the digital achievement of the sprint 400-meter running competition among elite runners in Palestine was the Thigh circumference, which explained (59.8%) of the achieved time. The study also found that the Pulmonary measurement that most contributed to the digital achievement of the sprint 400-meter running competition among elite runners in Palestine was the Vital Capacity (VC), as it was able to explain (61.6%) of the completion time.

MRI Scoring Systems for Predicting Isocitrate Dehydrogenase Mutation and Chromosome 1p/19q Codeletion in Adult-type Diffuse Glioma Lacking Contrast Enhancement.

Background According to 2021 World Health Organization criteria, adult-type diffuse gliomas include glioblastoma, isocitrate dehydrogenase (IDH)-wildtype; oligodendroglioma, IDH-mutant and 1p/19q-codeleted; and astrocytoma, IDH-mutant, even when contrast enhancement is lacking. Purpose To develop and validate simple scoring systems for predicting IDH and subsequent 1p/19q codeletion status in gliomas without contrast enhancement using standard clinical MRI sequences. Materials and Methods This retrospective study included adult-type diffuse gliomas lacking contrast at contrast-enhanced MRI from two tertiary referral hospitals between January 2012 and April 2022 with diagnoses confirmed at pathology. IDH status was predicted primarily by using T2-fluid-attenuated inversion recovery (FLAIR) mismatch sign, followed by 1p/19q codeletion prediction. A visual rating of MRI features, apparent diffusion coefficient (ADC) ratio, and relative cerebral blood volume was measured. Scoring systems were developed through univariable and multivariable logistic regressions and underwent calibration and discrimination, including internal and external validation. Results For the internal validation cohort, 237 patients were included (mean age, 44.4 years ± 14.4 [SD]; 136 male patients; 193 patients in IDH prediction and 163 patients in 1p/19q prediction). For the external validation cohort, 35 patients were included (46.1 years ± 15.3; 20 male patients; 28 patients in IDH prediction and 24 patients in 1p/19q prediction). The T2-FLAIR mismatch sign demonstrated 100% specificity and 100% positive predictive value for IDH mutation. IDH status prediction scoring system for tumors without mismatch sign included age, ADC ratio, and morphologic characteristics, whereas 1p/19q codeletion prediction for IDH-mutant gliomas included ADC ratio, cortical involvement, and mismatch sign. For IDH status and 1p/19q codeletion prediction, bootstrap-corrected areas under the receiver operating characteristic curve were 0.86 (95% CI: 0.81, 0.90) and 0.73 (95% CI: 0.65, 0.81), respectively, whereas at external validation they were 0.99 (95% CI: 0.98, 1.0) and 0.88 (95% CI: 0.63, 1.0). Conclusion The T2-FLAIR mismatch sign and scoring systems using standard clinical MRI predicted IDH and 1p/19q codeletion status in gliomas lacking contrast enhancement. © RSNA, 2024 Supplemental material is available for this article. See also the editorial by Badve and Hodges in this issue.

Google Search Trends to Assess Public Interest and Concern About Pegcetacoplan for the Treatment of Geographic Atrophy.

To assess global trends in interest surrounding the newly Food and Drug Administration (FDA)-approved treatment for geographic atrophy, (GA), Syfovre (pegcetacoplan), and related searches. We utilized Google Trends, in order to gauge the public interest in "Syfovre" from October 16, 2022, to October 8, 2023. Notable spikes in relative search volumes (RSV)s for "Syfovre" were observed in mid-to-late February 2023, and in March and April 2023, coinciding with the drug's FDA approval and introduction to the market. Of the various side effects, retinal vasculitis garnered the most significant attention, with a sharp rise in RSV in mid-July 2023. Geographic variation was evident, with the highest RSVs for "Syfovre" originating from users on the East Coast. Google Trends proves to be a useful tool for gaining insight into public interest in pegcetacoplan as a treatment for GA. [Ophthalmic Surg Lasers Imaging Retina 2024;55:XX-XX.].

COVID-19 vaccination and web search on mental health: a worldwide infodemiological study

BackgroundThe association between worldwide COVID-19 vaccination and mental health has been largely unexplored by means of infodemiological studies. ObjectiveTo explore how global public interest in different mental health topics changed between the pre-vaccination pandemic stage and the different periods of the COVID-19 vaccination campaign. MethodsIn this study were examined the relative search volume (RSV) in Google Trends for ‘anxiety’, ‘depression’, ‘stress’, and ‘suicide’ between 1 March 2020 and 1 January 2023. The RSV for each term was compared with respect to 4 periods: the pre-vaccination pandemic stage; the period from initiation of vaccination until 50% of the population was fully vaccinated (FV); the period from 50% FV to 60% FV; and the period after 60% FV. ResultsA significant lower mean RSV on anxiety, depression, and suicide was found once 60% of the world population had been FV compared to different previous vaccination periods and with the pre-vaccination pandemic stage. ConclusionsThere seems to be less need for information worldwide on anxiety, depression, and suicide topics once 60% of the population is FV against COVID-19. Overcoming this vaccination milestone may have had a positive impact on public interest in specific mental health issues.

What Canadians search about asthma: a 10-year Google Trends study on asthma and related topics

BackgroundGoogle Trends (GTr) is now becoming an important tool in epidemiological studies to assess the trend of online searches by people of any geographical location. While previous studies assessed trends in searches for some allergic conditions, very few studies reported search patterns for asthma and asthma-related topics. MethodsWe took monthly Canadian GTr data for asthma-related keywords such as ‘asthma’, ‘shortness of breath’, ‘wheeze’, ‘asthma emergency’, ‘asthma hospital’, and ‘asthma medication’ between January 1, 2014, and December 31, 2023. We assessed the trend of yearly relative search volume (RSV) for the past 10 years. We also assessed the trend by influenza and wildfire seasons. ResultsWe observed a marginal increase in searches for some asthma-related topics such as ‘asthma’ ‘shortness of breath’, and ‘wheeze’ in Canada between 2014 to 2023 but not other topics such as ‘asthma emergency’, ‘asthma hospital’, and ‘asthma medication’. The pattern of searches for ‘asthma’, ‘shortness of breath’, and ‘wheeze’ did not change by influenza of wildfire seasons across the years. ConclusionOur study is the first to demonstrate searches for asthma and related topics by Canadians in the past 10 years and indicates GTr as an emerging tool in epidemiology that can be used in planning the implementation of public health policies.

A comparative study of diffusion kurtosis imaging and diffusion tensor imaging in detecting corticospinal tract impairment in diffuse glioma patients.

This study aimed to investigate the diagnostic performance of diffusion kurtosis imaging (DKI) and diffusion tensor imaging (DTI) in identifying aberrations in the corticospinal tract (CST), whilst elucidating the relationship between abnormalities of CST and patients' motor function. Altogether 21 patients with WHO grade II or grade IV glioma were enrolled and divided into Group 1 and Group 2, according to the presence or absence of preoperative paralysis. DKI and DTI metrics were generated and projected onto the CST. Histograms of the CST along x, y, and z axes were developed based on DKI and DTI metrics, and compared subsequently to determine regions of aberrations on the fibers. The receiver operating characteristic curve was performed to investigate the diagnostic efficacy of DKI and DTI metrics. In Group 1, a significantly lower fractional anisotropy, radial kurtosis and mean kurtosis, and a higher mean diffusivity were found in the ipsilateral CST as compared to the contralateral CST. Significantly higher relative axial diffusivity, relative radial diffusivity, and relative mean diffusivity (rMD) were found in Group 1, as compared to Group 2. The relative volume of ipsilateral CST abnormalities higher than the maximum value of mean kurtosis combined with rMD exhibited the best diagnostic performance in distinguishing dysfunction of CST with an AUC of 0.93. DKI is sensitive in detecting subtle changes of CST distal from the tumor. The combination of DKI and DTI is feasible for evaluating the impairment of the CST.

Predicting glioblastoma recurrence using multiparametric MR imaging of non-enhancing peritumoral regions at baseline

BackgroundTo assess the feasibility of multiparametric magnetic resonance imaging in predicting tumor recurrence in nonenhancing peritumoral regions in patients with glioblastoma at baseline. MethodsFifty-eight patients with recurrent glioblastoma underwent multiparametric magnetic resonance imaging, including T2-weighted fluid-attenuated inversion recovery, diffusion-weighted imaging, and dynamic susceptibility contrast perfusion-weighted imaging. Nonenhancing peritumoral regions with glioblastoma recurrence were identified by coregistering preoperative and post-recurrent magnetic resonance images. Regions of interest were placed in nonenhancing peritumoral regions with and without tumor recurrence to calculate the apparent diffusion coefficient value, and relative ratios of T2-weighted fluid-attenuated inversion recovery signal intensity, apparent diffusion coefficient, and cerebral blood volume values. ResultsSignificant lower relative T2-weighted fluid-attenuated inversion recovery signal intensity, apparent diffusion coefficient, and relative apparent diffusion coefficient but higher relative cerebral blood volume values were found in the nonenhancing peritumoral regions with tumor recurrence than without recurrence (all P < 0.05). The threshold values ≥ 0.89 for relative cerebral blood volume provide the optimal performance for predicting the nonenhancing peritumoral regions with future tumor recurrence, with the sensitivity, specificity, and accuracy of 84.7%, 83.6%, and 85.8%, respectively. The combination of relative T2-weighted fluid-attenuated inversion recovery signal intensity, apparent diffusion coefficient, and relative cerebral blood volume can provide better predictive performance than relative cerebral blood volume (P = 0.015). ConclusionThe combined use of T2-weighted fluid-attenuated inversion recovery, diffusion-weighted imaging, and dynamic susceptibility contrast perfusion-weighted imaging can effectively estimate the risk of future tumor recurrence at baseline.

Sex Differences in Muscle Morphology between Male and Female Sprinters.

There is a marked difference between males and females in sprint running performance, yet a comprehensive investigation of sex differences in the muscle morphology of sprinters remains to completed. This study compared muscle volumes of 23 individual leg muscles/compartments and five functional muscle groups, assessed with 3T magnetic resonance imaging, between male (n=31) and female (n=22) sprinters, and sub-groups of elite males (EM, n=5), elite females (EF, n=5), and performance matched (to elite females) males (PMMEF, n=6). Differences in muscle volume distribution between EM, EF and unathletic male controls (UM) were also assessed. For the full sprint cohorts, males were more muscular than females, but the differences were non-uniform and anatomically variable, with the largest differences in the hip extensors and flexors. However, amongst elite sprinters the sex differences in the volume of the functional muscle groups were almost uniform (absolute volume +47-53%), and the muscle volume distribution of EM was more similar to EF than UM (P<0.039). For PMMEF relative hip extensor volume, but not stature or percent body fat, differentiated for performance (PMMEF and EF < EM) rather than sex. In conclusion, whilst the full cohorts of sprinters showed a marked sex difference in the amount and distribution of muscle mass, elite sprinters appeared to be selected for a common muscle distribution phenotype that for these elite sub-groups was a stronger effect than that of sex. Relative hip extensor muscle volume appeared to be the primary determinant of the sex difference in performance.

Transient deoxyhemoglobin formation as a contrast for perfusion MRI studies in patients with brain tumors: a feasibility study.

Background: Transient hypoxia-induced deoxyhemoglobin (dOHb) has recently been shown to represent a comparable contrast to gadolinium-based contrast agents for generating resting perfusion measures in healthy subjects. Here, we investigate the feasibility of translating this non-invasive approach to patients with brain tumors. Methods: A computer-controlled gas blender was used to induce transient precise isocapnic lung hypoxia and thereby transient arterial dOHb during echo-planar-imaging acquisition in a cohort of patients with different types of brain tumors (n = 9). We calculated relative cerebral blood volume (rCBV), cerebral blood flow (rCBF), and mean transit time (MTT) using a standard model-based analysis. The transient hypoxia induced-dOHb MRI perfusion maps were compared to available clinical DSC-MRI. Results: Transient hypoxia induced-dOHb based maps of resting perfusion displayed perfusion patterns consistent with underlying tumor histology and showed high spatial coherence to gadolinium-based DSC MR perfusion maps. Conclusion: Non-invasive transient hypoxia induced-dOHb was well-tolerated in patients with different types of brain tumors, and the generated rCBV, rCBF and MTT maps appear in good agreement with perfusion maps generated with gadolinium-based DSC MR perfusion.

Late Changes in Renal Volume and Function after Proton Beam Therapy in Pediatric and Adult Patients: Children Show Significant Renal Atrophy but Deterioration of Renal Function Is Minimal in the Long-Term in Both Groups.

To compare late renal effects in pediatric and adult patients with malignancies after PBT involving part of the kidney. A retrospective study was conducted to assess changes in renal volume and function in 24 patients, including 12 children (1-14 years old) and 12 adults (51-80 years old). Kidney volumes were measured from CT or MRI images during follow-up. Dose-volume histograms were calculated using a treatment planning system. In children, the median volume changes for the irradiated and control kidneys were -5.58 (-94.95 to +4.79) and +14.92 (-19.45 to +53.89) mL, respectively, with a relative volume change of -28.38 (-119.45 to -3.87) mL for the irradiated kidneys. For adults, these volume changes were -22.43 (-68.7 to -3.48) and -21.56 (-57.26 to -0.16) mL, respectively, with a relative volume change of -5.83 (-28.85 to +30.92) mL. Control kidneys in children exhibited a marked increase in size, while those in adults showed slight volumetric loss. The percentage of irradiated volume receiving 10 Gy (RBE) (V10) and 20 Gy (RBE) (V20) were significantly negatively associated with the relative volume change per year, especially in children. The CKD stage based on eGFR for all patients ranged from 1 to 3 and no cases with severe renal dysfunction were found before or after PBT. Late effects on the kidneys after PBT vary among age groups. Children are more susceptible than adults to significant renal atrophy after PBT. V10 and V20 might serve as predictors of the degree of renal atrophy after PBT, especially in children. PBT has a minimal impact on deterioration of renal function in both children and adults.

Worm‐like ordered mesoporous carbon from liquefied wood: Morphological manipulation by varying hydrothermal temperature

AbstractThe hydrothermal/soft templating method is an effective way to synthesize ordered mesoporous carbon (OMC), yet the mechanism of this strategy is not well illustrated. Herein, a hydrothermal temperature‐controlled approach is developed to precisely synthesize OMCs with well‐defined morphologies from liquefied wood (LW). As the hydrothermal temperature increases from 130 to 210°C, the hydrophilicity of the hydrophilic blocks decreases accompanied by the increase of the relative volume of the hydrophobic block, resulting in the packing parameter p of micelles changing from p ≤ 1/3 to 1/3 &lt; p &lt; 1/2, which transforms the micelle's structure from spherical to cylindrical. Additionally, accelerated nucleation occurred with the increased hydrothermal temperature. When the rate of nucleation is matched to the self‐assembly of the composite micelles, the composite micelles grow into worm‐like morphology and an ordered p6m mesostructure. This hydrothermal temperature‐controlled strategy provides a straightforward and effective approach for synthesizing OMCs with various morphologies from LW, addressing the previously insufficiently elucidated micelle formation mechanism in the hydrothermal/soft templating method.

Intrinsic mechanisms of right ventricular autoregulation

To elucidate the adaptation of the right ventricle to acute and intermittently sustained afterload elevation, targeted preload reductions and afterload increases were implemented in a porcine model involving 12 pigs. Preload reduction was achieved via balloon occlusion of the inferior vena cava before, immediately and 5 min after acute afterload elevation induced by pulmonary artery occlusion or thromboxane A2 analog (U46619) infusion. Ventricular response was monitored by registration of pressure–volume (PV) loops using a conductance catheter. The end-systolic pressure–volume relationship (ESPVR) during pure preload reduction was adequately described by linear regression (mean and SEM slope of ESPVR (Ees) 0.414 ± 0.064 mmHg/ml), reflecting the classical Frank-Starling mechanism (FSM). The ESPVR during acute afterload elevation exhibited a biphasic trajectory with significantly distinct slopes (mean and SEM Ees bilin1: 1.256 ± 0.066 mmHg ml; Ees bilin2: 0.733 ± 0.063 mmHg ml, p < 0.001). The higher slope during the first phase in the absence of ventricular dilation could be explained by a reduced amount of shortening deactivation (SDA). The changes in PV-loops during the second phase were similar to those observed with a preload intervention. The persistent increase in afterload resulted in an increase in the slopes of ESPVR and preload recruitable stroke work (PRSW) with a slight decrease in filling state, indicating a relevant Anrep effect. This effect became more pronounced after 5 min or TXA infusion. This study demonstrates, for the first time, the relevance of intrinsic mechanisms of cardiac autoregulation in the right ventricle during the adaptation to load. The SDA, FSM, and Anrep effect could be differentiated and occurred successively, potentially with some overlap. Notably, the Anrep effect serves to prevent ventricular dilation.

Baseline parenchymal blood volume is a potential prognostic imaging biomarker in patients with malignant liver tumors treated with transarterial chemoembolization.

To assess the prognostic value of Parenchymal Blood Volume (PBV) in predicting survival, tumor response, and PBV response after transarterial chemoembolization (TACE). A total of 137 patients with malignant liver tumors who were treated with TACE between 07/2016 and 07/2018 were evaluated. Computed tomography illustrations were reworked at a dedicated workstation to create a PBV map which was overlapped with the associated magnetic resonance image to determine tumor diameter and PBV. Patients were divided into two groups according to their initial PBV value: PBV < 50 or ≥ 50ml/l. Retrospectively, for patients with at least 2 TACE and initial PBV < 50ml/l (n = 27), the tumor volume, regardless of the primary tumor type, decreased by 13.26%, and PBV showed a decrease of 23.11%. For 84 patients with PBV ≥ 50ml/l, the tumor volume decreased by 24.01%, and PBV showed a more substantial decrease of 44.69% (both p < 0.001). In the overall study population (n = 137), patients with an initial PBV ≥ 50ml/l (n = 101) survived for an average of 15.05months, while patients with an initial PBV < 50ml/l (n = 36) survived for 10.01months (p < 0.002). Subgroup analysis indicated that median survival in the HCC group was longer at PBV ≥ 50ml/l. For CRC and other primary tumors, the survival time for high and low initial PBV was almost identical. Our study reveals a noteworthy correlation between high initial PBV values and a significant reduction in both relative and absolute tumor volume. This association suggests a potential prognostic indicator, indicating that elevated PBV may signify a more favorable response to transarterial chemoembolization (TACE). Additionally, patients with high initial PBV values experienced an extended overall survival time. Notably, the subgroup analysis highlighted a prolonged survival time in the HCC group with elevated initial PBV values. These findings underscore the potential significance of assessing PBV as a predictive factor in the context of TACE, especially in specific tumor entities such as HCC. Further investigations are essential to validate and extrapolate these observations to optimize patient outcomes.

Safe Operating Conditions of isoperiodic Homogeneous Semi-Batch Reaction Based on Parameter Uncertainties Analysis

Proper operating conditions have a significant impact on the process state of semi-batch reaction. However, various error and bias lead to the uncertainties of parameter, which affect process safety of the semi-batch reaction. In this work, the effect of dimensionless parameters dimensionless adiabatic temperature rise (), Westerterp number (Wt), , dimensionless activation energy (γ), volumetric heat capacity ratio (RH) and relative volume increase (ε) on the temperature of the isoperiodic homogeneous semi-batch reaction are investigated by local sensitivity analysis. The sensitivity of the dimensionless maximum temperature to global parameters is analyzed using the scatter plot method based on Monte-Carlo sampling. Parameter sensitivity results are further quantitatively calculated by the eFAST method. The results indicate that there is a strong linear relationship between the maximum reaction temperature and △τad,0, which exhibits the highest sensitivity index compared to the other parameters. The safety boundary diagram and adiabatic temperature diagram are constructed by considering parameter uncertainty and the effect of parameter uncertainty on the critical criteria is analyzed.