Specific Combinations Research Articles

Two Against One: Deterrence in the Triad

Abstract This essay explores a deterrence relationship between one defender and two challengers that are interconnected game-theoretically but are otherwise acting independently. In the double deterrence game model, the primary challenger makes the first move, defender, the second, and the secondary challenger makes its move only after the defender and the primary challenger have made their choices. In other words, the threat of the secondary challenger is both latent and contingent. There are four types of defenders, and three types of the two challengers. These preference assumptions define 36 distinct strategic environments, or games. These games are analyzed under both complete and incomplete information. The results are highly sensitive to the specific combination of player types. Deterrence is most likely to succeed when a defender’s threat is highly credible, and to fail when it is low. The secondary challenger is most likely to have an impact on play only at intermediate levels of the defender’s and the primary challenger’s credibility. Assuming a rising challenger, or a declining defender, or both, a danger zone will exist just prior to, or immediately after, the primary challenger has achieved parity with the defender, that is, when a balance of capabilities exists. The principal aim of a defender of the status quo facing two challengers acting independently should be on preventing a challenge by its primary opponent. This conclusion is robust no matter what configuration of player types one assumes.

Single threshold adaptive deep brain stimulation in Parkinson's disease depends on parameter selection, movement state and controllability of subthalamic beta activity

BackgroundDeep brain stimulation (DBS) is an invasive treatment option for patients with Parkinson's disease. Recently, adaptive DBS (aDBS) systems have been developed, which adjust stimulation timing and amplitude in real-time. However, it is unknown how changes in parameters, movement states and the controllability of subthalamic beta activity affect aDBS performance. ObjectiveTo characterize how parameter choice, movement state and controllability interactively affect the electrophysiological and behavioral response to single threshold aDBS. MethodsWe recorded subthalamic local field potentials in 12 patients with Parkinson's disease receiving single threshold aDBS in the acute post-operative state. We investigated changes in two aDBS parameters: the onset time and the smoothing of real-time beta power. Electrophysiological patterns and motor performance were assessed while patients were at rest and during a simple motor task. We further studied the impact of controllability on aDBS performance by comparing patients with and without beta power modulation during continuous stimulation. ResultsOur findings reveal that changes in the onset time control the extent of beta power suppression achievable with single threshold adaptive stimulation during rest. Behavioral data indicate that only specific parameter combinations yield a beneficial effect of single threshold aDBS. During movement, action induced beta power suppression reduces the responsivity of the closed loop algorithm. We further demonstrate that controllability of beta power is a prerequisite for effective parameter dependent modulation of subthalamic beta activity. ConclusionOur results highlight the interaction between single threshold aDBS parameter selection, movement state and controllability in driving subthalamic beta activity and motor performance. By this means, we identify directions for the further development of closed-loop DBS algorithms.

Long-term second primary cancer risk in adolescent and young adult (15-39 years) cancer survivors: a population-based study in the Netherlands between 1989 and 2018

Few studies have comprehensively investigated the long-term second cancer risk among adolescent and young adult (AYA, aged 15-39 years) cancer survivors. This study investigated the long-term second cancer risk by including the full range of first and second cancer combinations with at least 10 observations in the Netherlands between 1989 and2018. First and second primary cancer data of all 6-month AYA cancer survivors were obtained from the nationwide population-based Netherlands Cancer Registry. Excess cancer risk compared to the general population was assessed with standardized incidence ratio (SIR) and absolute excess risk (AER) statistics up to 25 years after diagnosis. Cumulative incidences were estimated, using death as a competing risk factor. Analyses were carried out with and without applying multiple cancer rules. The cohort included 99 502 AYA cancer survivors. Male survivors had a 2-fold higher risk of developing any cancer compared to the general population, whereas this was around 1.3-fold in females. AERs were 17.5 and 10.1 per 10 000 person-years for males and females. The long-term excess risk of cancer was significantly higher for most first and second primary cancer combinations, but comparable and lower risk estimates were also observed. Application of the multiple cancer rules resulted in a noticeable risk underestimation in melanoma, testicular, and breast cancer survivors. Risk outcomes remained similar in most cases otherwise. The cumulative incidence of second cancer overall increased over time up to 8.9% in males and 10.3% in females at 25 years' follow-up. Highest long-term cumulative incidences were observed among lymphoma survivors (13.3% males and 18.9% females). AYA cancer survivors have a higher cancer risk compared to the general population for most cancers up to 25 years after their initial cancer diagnosis. Additional studies that investigate risk factors for the specific cancer type combinations are needed to develop personalized follow-up strategies.

Cytonuclear interactions modulate the plasticity of photosynthetic rhythmicity and growth in wild barley.

In plants, the contribution of the plasmotype (mitochondria and chloroplast) in controlling the circadian clock plasticity and possible consequences on cytonuclear genetic makeup have yet to be fully elucidated. A genome-wide association study in the wild barley (Hordeum vulgare ssp. spontaneum) B1K collection identified overlap with our previously mapped DRIVERS OF CLOCKS (DOCs) loci in wild-cultivated interspecific population. Moreover, we identified non-random segregation and epistatic interactions between nuclear DOCs loci and the chloroplastic RpoC1 gene, indicating an adaptive value for specific cytonuclear gene combinations. Furthermore, we show that DOC1.1, which harbours the candidate SIGMA FACTOR-B (SIG-B) gene, is linked with the differential expression of SIG-B and CCA1 genes and contributes to the circadian gating response to heat. High-resolution temporal growth and photosynthesis measurements of B1K also link the DOCs loci to differential growth, Chl content and quantum yield. To validate the involvement of the Plastid encoded polymerase (PEP) complex, we over-expressed the two barley chloroplastic RpoC1 alleles in Arabidopsis and identified significant differential plasticity under elevated temperatures. Finally, enhanced clock plasticity of de novo ENU (N-Ethyl-N-nitrosourea) -induced barley rpoB1 mutant further implicates the PEP complex as a key player in regulating the circadian clock output. Overall, this study highlights the contribution of specific cytonuclear interaction between rpoC1 (PEP gene) and SIG-B with distinct circadian timing regulation under heat, and their pleiotropic effects on growth implicate an adaptive value.

Genetic susceptibility to low-level lead exposure in men: Insights from ALAD polymorphisms

The genetic susceptibility to low-level lead (Pb) exposure in general populations has been poorly investigated and is limited to the single nucleotide polymorphism (SNP) rs1800435 in the delta-aminolevulinic acid dehydratase gene (ALAD). This study explored associations between ten selected ALAD SNPs with Pb concentrations in blood (BPb) and urine (UPb) among 281 men aged 18–49 years from Slovenia, including 20 individuals residing in a Pb-contaminated area. The geometric mean (range) of BPb and UPb were 19.6 (3.86–84.7) μg/L and 0.69 (0.09–3.82) μg/L SG, respectively. The possible genetic influence was assessed by examining SNP haplotypes, individual SNPs, and the combination of two SNPs using multiple linear regression analyses. While no significant associations were found for haplotypes, the presence of variant alleles of rs1800435 and rs1805312 resulted in an 11% and 13% decrease in BPb, respectively, while the presence of variant allele of rs1139488 (homozygous only) exhibited significant 20% increase in BPb, respectively. Additionally, variant allele of rs1800435 resulted in lower UPb. Individual SNPs in the model explained only around 1 additional percentage point of BPb variability. In contrast, combination analyses identified six combinations of two SNPs, which significantly explained 3–22 additional percentage points of BPb variability, with the highest explanatory power observed for the rs1800435-rs1139488 and rs1139488-rs1805313 combinations. Moreover, excluding participants from the Pb-contaminated area indicated that exposure level influenced SNPs-Pb associations.Our results confirm the importance of the ALAD gene in Pb kinetics even at low exposure levels. Additionally, we demonstrated that identifying individuals with specific combinations of ALAD SNPs explained a larger part of Pb variability, suggesting that these combinations, pending confirmation in other populations and further evaluation through mechanistic studies, may serve as superior susceptibility biomarker in Pb exposure compared to individual SNPs.

Atmospheric Metallicity and C/O of HD 189733 b from High-resolution Spectroscopy

We present high-resolution K-band emission spectra of the quintessential hot Jupiter HD 189733 b from the Keck Planet Imager and Characterizer. Using a Bayesian retrieval framework, we fit the dayside pressure–temperature profile, orbital kinematics, mass-mixing ratios of H2O, CO, CH4, NH3, HCN, and H2S, and the 13CO/12CO ratio. We measure mass fractions of and , and place upper limits on the remaining species. Notably, we find logCH4 < −4.5 at 99% confidence, despite its anticipated presence at the equilibrium temperature of HD 189733 b assuming local thermal equilibrium. We make a tentative (∼3σ) detection of 13CO, and the retrieved posteriors suggest a 12C/13C ratio similar to or substantially less than the local interstellar value. The possible 13C enrichment would be consistent with accretion of fractionated material in ices or in the protoplanetary disk midplane. The retrieved abundances correspond to a substantially substellar atmospheric C/O = 0.3 ± 0.1, while the carbon and oxygen abundances are stellar to slightly superstellar, consistent with core-accretion models which predict an inverse correlation between C/O and metallicity. The specific combination of low C/O and high metallicity suggests significant accretion of solid material may have occurred late in the formation process of HD 189733 b.

Alzheimer's Disease: Models and Molecular Mechanisms Informing Disease and Treatments.

Alzheimer's Disease (AD) is a complex neurodegenerative disease resulting in progressive loss of memory, language and motor abilities caused by cortical and hippocampal degeneration. This review captures the landscape of understanding of AD pathology, diagnostics, and current therapies. Two major mechanisms direct AD pathology: (1) accumulation of amyloid β (Aβ) plaque and (2) tau-derived neurofibrillary tangles (NFT). The most common variants in the Aβ pathway in APP, PSEN1, and PSEN2 are largely responsible for early-onset AD (EOAD), while MAPT, APOE, TREM2 and ABCA7 have a modifying effect on late-onset AD (LOAD). More recent studies implicate chaperone proteins and Aβ degrading proteins in AD. Several tests, such as cognitive function, brain imaging, and cerebral spinal fluid (CSF) and blood tests, are used for AD diagnosis. Additionally, several biomarkers seem to have a unique AD specific combination of expression and could potentially be used in improved, less invasive diagnostics. In addition to genetic perturbations, environmental influences, such as altered gut microbiome signatures, affect AD. Effective AD treatments have been challenging to develop. Currently, there are several FDA approved drugs (cholinesterase inhibitors, Aß-targeting antibodies and an NMDA antagonist) that could mitigate AD rate of decline and symptoms of distress.

Permissible domain walls in monoclinic MAB ferroelectric phases.

The concept of monoclinic ferroelectric phases has been extensively used over recent decades for the understanding of crystallographic structures of ferroelectric materials. Monoclinic phases have been actively invoked to describe the phase boundaries such as the so-called morphotropic phase boundary in functional perovskite oxides. These phases are believed to play a major role in the enhancement of such functional properties as dielectricity and electromechanical coupling through rotation of spontaneous polarization and/or modification of the rich domain microstructures. Unfortunately, such microstructures remain poorly understood due to the complexity of the subject. The goal of this work is to formulate the geometrical laws behind the monoclinic domain microstructures. Specifically, the result of previous work [Gorfman et al. (2022). Acta Cryst. A78, 158-171] is implemented to catalog and outline some properties of permissible domain walls that connect `strain' domains with monoclinic (MA/MB type) symmetry, occurring in ferroelectric perovskite oxides. The term `permissible' [Fousek & Janovec (1969). J. Appl. Phys. 40, 135-142] pertains to the domain walls connecting a pair of `strain' domains without a lattice mismatch. It was found that 12 monoclinic domains may form pairs connected along 84 types of permissible domain walls. These contain 48 domain walls with fixed Miller indices (known as W-walls) and 36 domain walls whose Miller indices may change when free lattice parameters change as well (known as S-walls). Simple and intuitive analytical expressions are provided that describe the orientation of these domain walls, the matrices of transformation between crystallographic basis vectors and, most importantly, the separation between Bragg peaks, diffracted from each of the 84 pairs of domains, connected along a permissible domain wall. It is shown that the orientation of a domain wall may be described by the specific combination of the monoclinic distortion parameters r = [2/(γ - α)][(c/a) - 1], f = (π - 2γ)/(π - 2α) and p = [2/(π - α - γ)] [(c/a) - 1]. The results of this work will enhance understanding and facilitate investigation (e.g. using single-crystal X-ray diffraction) of complex monoclinic domain microstructures in both crystals and thin films.

Phenomenology of DSR-relativistic in-vacuo dispersion in FLRW spacetime

Studies of in-vacuo dispersion are the most active area of quantum-gravity phenomenology. The way in which in-vacuo dispersion produces redshift-dependent corrections to the time of flight of astrophysics particles depends on the model-dependent interplay between Planck-scale effects and spacetime curvature/expansion, and we here derive the most general formula for the leading order redshift-dependent correction to the time of flight for the scenario in which relativistic symmetries are deformed at the Planck scale (DSR) for the constant-curvature case. We find that, contrary to the broken symmetries scenario (LIV), where in principle any arbitrary form of redshift dependence could be allowed, for the DSR scenario only linear combinations of three possible forms of redshift dependence are allowed. We also derive a generalization of our results to the FRW case, and discuss some specific combinations of the three forms of redshift dependence whose investigation might deserve priority from the quantum-gravity perspective.

Common Pathogeneses Underlying Asthma and Chronic Obstructive Pulmonary Disease -Insights from Genetic Studies.

Neither asthma nor chronic obstructive pulmonary disease (COPD) is a single disease consisting of a uniform pathogenesis; rather, they are both syndromes that result from a variety of basic distinct pathogeneses. Many of the basic pathogeneses overlap between the two diseases, and multiple basic pathogeneses are simultaneously involved at varying proportions in individual patients. The specific combination of different basic pathogeneses in each patient determines the phenotype of the patient, and it varies widely from patient to patient. For example, type 2 airway inflammation and neutrophilic airway inflammation may coexist in the same patient, and quite a few patients have clinical characteristics of both asthma and COPD. Even in the same patient, the contribution of each pathogenesis is expected to differ at different life stages (eg, childhood, adolescence, middle age, and older), during different seasons (eg, high seasons for hay fever and rhinovirus infection), and depending on the nature of treatments. This review describes several basic pathogeneses commonly involved in both asthma and COPD, including chronic non-type 2 inflammation, type 2 inflammation, viral infections, and lung development. Understanding of the basic molecular pathogeneses in individual patients, rather than the use of clinical diagnosis, such as asthma, COPD, or even asthma COPD overlap, will enable us to better deal with the diversity seen in disease states, and lead to optimal treatment practices tailored for each patient with less disease burden, such as drug-induced side effects, and improved prognosis. Furthermore, we can expect to focus on these molecular pathways as new drug discovery targets.

Demographic Segmentation in the Travel Market: A CHAID Analysis of Traveler Profiles and Trip Attributes Among Indian Prospective Visitors

Demographics are central to market segmentation, as underscored in consumer behavior research. This study examines the associations between demographic factors and traveler preferences of trip attributes using 919 online surveys of prospective Indian travelers sampled conveniently but purposefully using specific filtering questions at the beginning of the questionnaire. Utilizing CHAID analysis, the study evaluates the correspondence between age, gender, marital status, income, and educational attainment with trip attributes such as outbound vs. domestic travel, accommodation type, transportation mode, travel companions, and trip duration. Distinctly, choices of travel companions correlate with education, age, marital status, and gender. Trip type, duration, accommodation, and transport have ties to specific combinations of income, education, and age. The study emphasizes the potential for leveraging these insights for precise demographic- based market segmentation in the travel sector.

A New Perspective on the Evaluation of Comorbidity Indices on Survival in Non-Small Cell Lung Cancer

Objective: Mortality studies are interpreted by considering comorbid diseases related to the main disease. Existence, number, and type of comorbid diseases can have an important effect on prognosis. There are various comorbidity indices to include the effects of comorbid diseases in the model. With a new perspective, we aimed to emphasize the importance of evaluating the combination of comorbid diseases in cancer survival.&#x0D; Methods: Retrospective cohort, data were collected from cases with Non-Small Cell Lung Cancer treated in Department of Chest Diseases. Initially, the effects of their comorbid diseases on the duration of survival were calculated with univariate analysis, then examined according to number of comorbidities, lastly their specific combinations' Hazar Ratio were calculated with Cox multivariate analysis. The most used comorbid indices in the literature were also included.&#x0D; Results: Out of 247 non-small cell lung cancer (NSCLC) cases analysis, 220 (89%) were men. Median duration of follow-up was 277 days, at the end of the follow-up 197 cases had died. HR of two comorbid diseases in cases was 1.80, but 59.52 for the combination of “diabetes and interstitial lung disease” and 3.76 for “diabetes and previously cancer”. Existing comorbid indices had no significant effect on survival time (p:0.684; 0.101; 0.273; 0.567, respectively).&#x0D; Conclusion: We have offered a new perspective which takes into comorbid diseases related to main disease and specially their combinations when the risk is estimated in survival research. Accurate assessments of the list of comorbid diseases related to main disease hold significant importance in advancing this field.

When direction matters: Neural correlates of interlimb coordination of rhythm and beat

In a previous experiment, we found evidence for a bodily hierarchy governing interlimb coordination of rhythm and beat, using five effectors: 1) Left foot, 2) Right foot, 3) Left hand, 4) Right hand and 5) Voice. The hierarchy implies that, during simultaneous rhythm and beat performance and using combinations of two of these effectors, executing the task by performing the rhythm with an effector that has a higher number than the beat effector is significantly easier than vice versa. To investigate the neural underpinnings of this proposed bodily hierarchy, we here scanned 46 professional musicians using fMRI as they performed a rhythmic pattern with one effector while keeping the beat with another. The conditions combined the voice and the right hand (V + RH), the right hand and the left hand (RH + LH), and the left hand and the right foot (LH + RF). Each effector combination was performed with and against the bodily hierarchy. Going against the bodily hierarchy increased tapping errors significantly and also increased activity in key brain areas functionally associated with top-down sensorimotor control and bottom-up feedback processing, such as the cerebellum and SMA. Conversely, going with the bodily hierarchy engaged areas functionally associated with the default mode network and regions involved in emotion processing. Theories of general brain function that hold prediction as a key principle, propose that action and perception are governed by the brain's attempt to minimise prediction error at different levels in the brain. Following this viewpoint, our results indicate that going against the hierarchy induces stronger prediction errors, while going with the hierarchy allows for a higher degree of automatization. Our results also support the notion of a bodily hierarchy in motor control that prioritizes certain conductive and supportive tapping roles in specific effector combinations.

Engineering the Outcoupling Pathways in Plasmonic Tunnel Junctions via Photonic Mode Dispersion for Low-Loss Waveguiding.

Outcoupling of plasmonic modes excited by inelastic electron tunneling (IET) across plasmonic tunnel junctions (TJs) has attracted significant attention due to low operating voltages and fast excitation rates. Achieving selectivity among various outcoupling channels, however, remains a challenging task. Employing nanoscale antennas to enhance the local density of optical states (LDOS) associated with specific outcoupling channels partially addressed the problem, along with the integration of conducting 2D materials into TJs, improving the outcoupling to guided modes with particular momentum. The disadvantage of such methods is that they often involve complex fabrication steps and lack fine-tuning options. Here, we propose an alternative approach by modifying the dielectric medium surrounding TJs. By employing a simple multilayer substrate with a specific permittivity combination for the TJs under study, we show that it is possible to optimize mode selectivity in outcoupling to a plasmonic or a photonic-like mode characterized by distinct cutoff behaviors and propagation length. Theoretical and experimental results obtained with a SiO2-SiN-glass multilayer substrate demonstrate high relative coupling efficiencies of (62.77 ± 1.74)% and (29.07 ± 0.72)% for plasmonic and photonic-like modes, respectively. The figure-of-merit, which quantifies the tradeoff between mode outcoupling and propagation lengths (tens of μm) for both modes, can reach values as high as 180 and 140. The demonstrated approach allows LDOS engineering and customized TJ device performance, which are seamlessly integrated with standard thin film fabrication protocols. Our experimental device is well-suited for integration with silicon nitride photonics platforms.

Poetics of the northern space in poems by А. A. Bestuzhev-Marlinsky

The relevance of the topic is dictated by the fact that the problem of the northern space in the poems by A. A. Bestuzhev, written during the period of exile in Yakutsk, has almost not been considered. The subject of interest of researchers, both Yakut and Russian, has become the prose works and lyric-epic poems of the writer. Meanwhile, it is the small forms of the Decembrist poet’s lyrics that demonstrate the beginning of the formation of the sacred image of Yakutia in Russian literature. The purpose of the article is to consider the poetics of the northern space in the poems by A. A. Bestuzhev-Marlinsky. The northern locus becomes the spatial point at which the lyrical hero opens up the prospect of mythological otherness. A textual analysis for the purpose of studying the poetics of’ lyrics by A. A. Bestuzhev-Marlinsky allows us to write out a system of images in the author’s artistic picture of the world, which are determined both by the worldview and the worldview of the romantic poet. The poet uses a variety of techniques as tools for creating a system of images: from tropes to the author’s words. The specific combination of the categories of time and space, subordinated to the main motives of the author’s poetic works, is also of considerable importance. This work examines not only how the means of artistic expression convey a picture of the poetic world of the lyrical hero, but also form the attribution of northern spaces. Northern spaces, through the prism of romanticism, represent an ideal situation in which the category of home is most often conveyed through the categories of memories or dreams. It is through the contrast of the topoi of the house and the North that the final picture of the surrounding world is built, within which the lyrical hero finds himself. Also in the poet’s artistic world, one can trace the difference between external (real) and internal (perceptual) space. However, in this case, the space of reality often merges with the pictures of introspection, blurring the boundaries between the external and the internal. Associations that endow the ideal inner world of the lyrical hero with real pictures of nature (the space of the North) perform the function of achieving harmony between the internal and external spaces.

Dissection of protein and RNA regions required for SPEN binding to XIST A-repeat RNA.

XIST noncoding RNA promotes the initiation of X chromosome silencing by recruiting the protein SPEN to one X chromosome in female mammals. The SPEN protein is also called SHARP (SMRT and HDAC-associated repressor protein) and MINT (Msx-2 interacting nuclear target) in humans. SPEN recruits N-CoR2 and HDAC3 to initiate histone deacetylation on the X chromosome, leading to the formation of repressive chromatin marks and silencing gene expression. We dissected the contributions of different RNA and protein regions to the formation of a human XIST-SPEN complex in vitro and identified novel sequence and structure determinants that may contribute to X chromosome silencing initiation. Binding of SPEN to XIST RNA requires RRM 4 of the protein, in contrast to the requirement of RRM 3 and RRM 4 for specific binding to SRA RNA. Measurements of SPEN binding to full-length, dimeric, trimeric, or other truncated versions of the A-repeat region revealed that high-affinity binding of XIST to SPEN in vitro requires a minimum of four A-repeat segments. SPEN binding to XIST A-repeat RNA changes the accessibility of the RNA at specific nucleotide sequences, as indicated by changes in RNA reactivity through chemical structure probing. Based on computational modeling, we found that inter-repeat duplexes formed by multiple A-repeats can present an unpaired adenosine in the context of a double-stranded region of RNA. The presence of this specific combination of sequence and structural motifs correlates with high-affinity SPEN binding in vitro. These data provide new information on the molecular basis of the XIST and SPEN interaction.

Leveraging the digital layer: the strength of weak and strong ties in bridging geographic and cognitive distances

Abstract Firms may seek non-redundant information through inter-firm relations beyond their geographic and cognitive boundaries (i.e., relations with firms in other regions and active in different fields). Little is known about the conditions under which firms benefit from this high-risk/high-gain strategy. We created a digital layer of 600,000 German firms by using their websites’ textual and relational content. Our results suggest that strong relations (relations with common third partners) between firms from different fields and inter-regional relations are positively associated with a firm’s innovation level. We also found that a specific combination of weak and strong relations confers greater innovation benefits.

Resilience of tropical invertebrate community assembly processes to a gradient of land use intensity

Understanding how community assembly processes drive biodiversity patterns is a central goal of community ecology. While it is generally accepted that ecological communities are assembled by both stochastic and deterministic processes, quantifying their relative importance remains challenging. Few studies have investigated how the relative importance of stochastic and deterministic community assembly processes vary among taxa and along gradients of habitat degradation. Using data on 1645 arthropod species across seven taxonomic groups in Malaysian Borneo, we quantified the importance of ecological stochasticity and of a suite of community assembly processes across a gradient of logging intensity. The relationship between logging and community assembly varied depending on the specific combination of taxa and stochasticity metric used, but, in general, the processes that govern invertebrate community assembly were remarkably robust to changes in land use intensity.

Suspended particulate matter affects the distribution and migration of heavy metals in the Yellow River

Suspended particulate matter (SPM) is an important heavy metal transporter in water. As a well-known high-SPM river, its impact on the distribution and migration of heavy metals in the Yellow River (YR) deserves special attention. In this study, the spatial distributions of heavy metals in surface water and SPM of the YR were investigated. The results indicate that the concentrations (dissolved and particulate phases) and bioavailability (particulate phase) of most heavy metals were higher during the rainy season than during the dry season. A considerable proportion of heavy metals (>70 %) was transported by SPM and fine particles (clay) controlled the pollution status of heavy metals in the YR. This could lead to higher heavy metal concentrations in the SPM midstream and downstream during the rainy season and higher heavy metal concentrations in upstream during the dry season. Heavy metal adsorption experiments showed that specific combination methods (such as binding with carbonate) between Cd and SPM may cause SPM to act as a source of Cd midstream and downstream. This study provides a new perspective on the effects of SPM on heavy metal distribution and migration in the YR.

MICROFOCUSED ULTRASOUND ASSOCIATION X SCULPTRA A DESCRIPTIVE OBSERVATIONAL STUDY

The search for a healthier way of aging reflects the growing understanding that longevity alone is not enough. Advances in aesthetic technologies have brought with them the increasing use of ultrasound-emitting equipment to deliver thermal energy not only to the superficial dermis but also to the deep dermal connective tissue. Studying the application of microfocused ultrasound associated with Sculptra® Poly-L-lactic Acid (Galderma - Switzerland) is justifiable, as it directly addresses the growing concerns related to skin aging at all ages. The objective of this work is to evaluate the effectiveness of the combination of microfocused ultrasound and Sculptra® in a case study. Materials and methods: case study that demonstrates a stereophotogrammetric evaluation using the Vectra H2 Software (Canfield – USA) whose clinical case is a facial clinical association of Microfocused Ultrasound with Poly-L-lactic Acid. The case was carried out on patient KBS, brown, 61 years old. The specific combination of Microfocused Ultrasound and Poly-L-lactic Acid, as collagen biostimulators, represents a promising approach in the treatment of sagging. Stereophotogrammetric analysis with 3D Vectra H2 software offers an objective, visually detailed and scientifically validated assessment of the results of this therapeutic combination. The inclusion of measurements both at baseline and 120 and 240 days after treatment allows for a more complete understanding of the results, evolution and durability of effects.