Distribution Of Types Research Articles

Frankia [NiFe] uptake hydrogenases and genome reduction: different lineages of loss.

Uptake hydrogenase (Hup) recycles H2 formed by nitrogenase during nitrogen fixation, thereby preserving energy. Among root nodule bacteria, most rhizobial strains examined are Hup-, while only one Hup- Frankia inoculum had been identified. Previous analyses had led to the identification of two different [NiFe] hydrogenase syntons. We analysed the distribution of different types of [NiFe] hydrogenase in the genomes of different Frankia species. Our results show that Frankia strains can contain four different [NiFe] hydrogenase syntons representing groups 1f, 1h, 2a and 3b according to Søndergaard et al. (2016); no more than three types were found in any individual genome. The phylogeny of the structural proteins of groups 1f, 1h and 2a follows Frankia phylogeny; the phylogeny of the accessory proteins does not consistently. An analysis of different [NiFe] hydrogenase types in Actinomycetia shows that under the most parsimonious assumption, all four types were present in the ancestral Frankia strain. Based on Hup activities analysed and the losses of syntons in different lineages of genome reduction, we can conclude that groups 1f and 2a are involved in recycling H2 formed by nitrogenase while group 1h and group 3b are not.

Evaluation of HbA1c, C-peptide and Rf in DM patients related to COVID-19, ABO group and BMI in Babylon, Iraq

Background: A total of 30(100%) cases of diabetes mellitus DM were collected from a private laboratory during the period from October 2023 to February 2024, compared with 30 control to evaluate several parameters in a case-control study. The demographic information of sex distribution for DM cases appear 16(53%) male and 14(47%) and the mean±SD of the age was 45.6±14.7 compared to the control 33.6±10.5 which reveals a significant at P = 0.0006. The mean±SD of the BMI was 29±6.4 in DM cases compared to the control 25.8±3.4 which reveals a significant difference at P = 0.0187. Distribution of DM types appears in 16(53%), and 14(47%) cases of DM type 1 and 2 respectively with no significant difference between the two study groups. The mean±SD of HbA1c Level with DM Patients and was 9.2±2.8 compared to the control 5.6±0.9 which appeared a significant at P = 0.0002. Methods: Evaluation of C-peptide Level appears the mean±SD of the C-peptide for DM cases was 5.7±4.5 compared to the control 3.3±2.4. this case-control study appeared a significant difference at P = 0.0125. RBS Level mean±SD of DM cases was 275.7±121.5 compared to the control 103.7±16.6. this case-control study appeared significant at P = 0.0001. The distribution of DM cases in blood groups O+, A+, B+, AB+, AB-, and O- was 10(33.3%), 8(26.7%), 5(16.7%), 3(10%), 3(10%), 1(3.3%), respectively. Results: All the cases in the present study show negative results for rheumatoid factor and there is no correlation between RF and DM. 2(7%) DM cases have a cardiac problem while the other 28(93%) don’t suffer from any cardiac problem. Relationship between COVID-19 and DM Type-1 Patients appears 15(50%) have positive COVID-19, 12(40%) has DM type 1 and 3(10%) has DM type-2. Conclusion: The study was concluded an appositive relationship between age, HbA1c, C-peptide, RBS, O+ and A+ blood groups and developments of diabetes mellitus.

The Long-Term Dynamics of Shrew Communities: Is There a Downward Trend?

Compared to other small mammals, shrews are understudied due to their limited impact on agriculture, lower biomedical importance, and difficulty to study. Based on trapping data from 1975–2023, we investigated changes in Lithuanian shrews (Sorex araneus, Sorex minutus, Neomys fodiens, and Neomys milleri) over six decades. We analyzed the relative abundance of shrews and the proportion of their species within small mammal communities to assess temporal patterns and distribution in major habitat types. The first main finding was the confirmation of a decrease in S. araneus abundance in the 2020s compared to the 1990s and 2010s. The species proportion in 2020s was lower than in the 1970s–2000s; the decrease started in the 1980s and accelerated in the 2000s. Abundances and proportions of S. minutus and N. fodiens showed no significant trend. The abundance of N. fodiens was very low. The relative abundances and proportions of Sorex species were highest in commensal (human-related) and mixed (including forest, wetland, and meadow) habitats. Shrews were underrepresented in agricultural habitats, with the numbers of both S. araneus and S. minutus 4.1 times lower than expected. While the presence of S. minutus in commensal habitats could be explained by their diet specificity, the capture of N. fodiens and N. milleri in commensal habitats is a novel feature of their ecology.

Outcomes following off-site remote systemic cancer therapy administration.

The Veterans Affairs Nebraska Western Iowa Health Care System (VA-NWIHCS) uses teleoncology and remote systemic cancer therapy services to expand care to veterans in rural Nebraska via remote sites in Lincoln and Grand Island. This study compares clinical outcomes in patients receiving care at these remote sites to those at the primary site in Omaha. Data were retrospectively reviewed for 151 patients who received first-line systemic therapy at VA sites in Omaha, Lincoln, or Grand Island between January 1, 2018, and December 31, 2020. This included patient demographics, malignancy type and stage, survival, systemic therapy received, treatment intent and toxicities, missed or delayed cycles, and frequency of hospitalizations or emergency department visits. SAS version 9.4 was used for analysis. The study population included 108 patients who received their systemic therapy in Omaha, whereas 43 received therapy at the remote sites. The demographic of both populations was predominantly male with a median age of 69 years and Eastern Cooperative Oncology Group Performance Status of 0 to 1. The two groups were comparable in terms of comorbidities. Both populations had a similar distribution of cancer types, proportion of patients with stage IV disease, and treatment with curative intent. There was no difference in 1- and 2-year survival, systemic therapy-related toxicity classification and prevalence, number of delayed/missed cycles, and hospitalization/emergency department visits. Evaluated outcomes in patients treated in Omaha versus remote sites via teleoncology under the same providers were similar. Effective oncology care, including systemic therapy, can be provided via teleoncology, and this model can help mitigate issues with access to care.

Inversion Model for Permeability Coefficient Based on Random Forest–Secretary Bird Optimization Algorithm: Case Study of Lower Reservoir of C-Pumped Storage Power Station

The geological complexity of the karst regions presents significant challenges, with the permeability coefficient being a critical parameter for accurately analyzing seepage behavior in hydraulic engineering projects. To overcome the limitations of traditional inversion methods, which often exhibit low computational efficiency, poor accuracy, and instability, this study utilizes a finite-element forward model and orthogonal experimental design to establish a sample set for permeability-coefficient inversion. A surrogate model for seepage calculation based on the Random Forest (RF) algorithm is subsequently developed. Furthermore, the Secretary Bird Optimization Algorithm (SBOA) is incorporated to propose an intelligent RF–SBOA inversion method for permeability-coefficient estimation, which is validated through a case study of the C-pumped storage power station. The results demonstrate that the RF model’s predictions for water levels at four boreholes closely align with the measured data, outperforming models such as CART, BP, and SVR. The SBOA effectively identifies the optimal geological permeability coefficient, with the borehole water-level inversion achieving a maximum relative error of only 0.128%, which meets the accuracy requirements for engineering applications. Additionally, the computed distribution of the natural seepage field is consistent with the typical distribution patterns observed in mountain seepage systems. During the normal water-storage phase, both the calculated seepage flow and gradient comply with engineering standards, while the seepage-field distribution aligns with empirical observations. This inversion model provides a rapid and accurate method for estimating the permeability coefficient of strata in the project area, with potential applicability to permeability inversion in other engineering geology contexts, thus demonstrating considerable practical value for engineering applications.

Pregnancy and inherited cardiomyopathies: insights from specialized care

Abstract Background Pregnancy and postpartum represent periods of increased risk of cardiovascular complications. Management of women with modified World Health Organization (mWHO) class II–III, III, and IV during pregnancy and around delivery should be conducted at an expert centre by a multidisciplinary team. Purpose Our objective was to analyze the impact of pregnancy on cardiomyopathy outcomes in a centre specialized in inherited cardiovascular conditions in the United Kingdom. Methods All women with cardiomyopathy referred due to pregnancy to our centre between 2016 and 2023 were retrospectively analyzed. Demographic, clinical, obstetric, genetic, electrocardiographic, and multimodal imaging variables were collected. Results Between 2016 and 2023, follow-up and delivery planning were initiated for 86 pregnancies in women with cardiomyopathies referred to our centre, resulting in 81 live births and 5 miscarriages, all in the first trimester. Among the full-term pregnancies, 17 (21%) were in patients in mWHO class I or II, 22 (27.2%) in II-III, 34 (42%) in III, and 8 (9.8%) in IV. The distribution of cardiomyopathy types among different mWHO classification is represented in Table 1. Women in mWHO class ≥ II-III had more pregnancy-related events than patients in mWHO I or II [28 (34.6%) vs 1 (1.2%); p = 0.004]. The most common complication in the first group was supraventricular tachycardia in 11 pregnancies (13.6%), followed by gestational diabetes in 9 (11.1%), left ventricular ejection fraction impairment in 4 (4.9%), preeclampsia in 3 (3.7%), and 1 (1.2%) ventricular tachycardia. One patient in the second group developed gestational diabetes. The distribution of the type of delivery among different mWHO classification is represented in Table 2. Only one patient with hypertrophic cardiomyopathy in mWHO II-III who underwent a caesarean section presented a post-delivery complication related to retroperitoneal haematoma, with no statistical significative differences between the groups (p = 0.604). 100% of the patients survived pregnancy and postpartum period. Conclusions Pregnant women with cardiomyopathy face an increased risk of adverse events. Despite the presence of cardiovascular and obstetric complications, careful monitoring at a specialized centre leads to favourable outcomes particularly concerning mortality rates for both the mother and fetus. This highlights the importance of a comprehensive risk assessment and meticulous pregnancy and delivery planning to ensure optimal maternal and fetal health.Table 1.Cardiomyopathy and mWHOTable 2.Type of delivery and mWHO

Comparison of pulsed field ablation versus cryoballon and radiofrequency ablation for pulmonary vein isolation in atrial fibrillation patients with heart failure

Abstract Background Pulmonary vein isolation (PVI) is the gold standard for atrial fibrillation (AF) ablation and can be achieved by a variety of technical methodes. While thermal ablation modalities (TA), such as cryoballon (CB) and radiofrequency ablation (RF) have been established as the standard approaches, PFA has been introduced as a nvel non-thermal modality showing comparable safety and procedural efficiency. Despite the high incidence of AF in heart failure (HF) patients, data comparing outcomes of HF patients undergoing PVI by either PFA or thermal ablation (RFA/CB) are limited. Purpose This study’s aim was to compare the efficacy and safety of PFA for AF ablation versus CB/RFA in HF patients. Methods Consecutive HF patients with preserved (HFpEF), mildly reduced (HFmrEF) and reduced (HFrEF) ejection fraction undergoing PVI for AF by either PFA or CB/RFA at our institution were included. The primary end-point was time to death or recurrence of AF. Secondary end-points were periprocedural complications and clinical and echocardiographic parameters. Results We included 140 HF patients who underwent PVI either by PFA (PFA group, 76 patients) or thermal ablation approaches (TA group, 64 patients). Our patients had a mean age of 69 years and were predominantly male (62%). There was no significant difference in the baseline characteristics and in the type of AF between both groups (42% with ParAF, 45% with PersAF) and 13% LSPersAF). The distribution of heart failure types was similar between both groups: HFpEF (PFA: 71%, TA: 75%), HFmrEF (PFA: 21%, TA: 20%) and HFrEF (PFA: 8 %, TA: 5%). After the 365-days follow-up period we observed no significant difference for the primary end-point between both groups (HR: 0.79, 95% CI 0.35-1.78; p=0.575). In total 58% of the PFA patients and 59% of the TA group were still free from AF. While symptom improvement was documented in both groups, patients in the PFA group showed significant improvement of left atrial volume index (p = 0.014), NT-pro BNP levels (p = 0.046), and left ventricular ejection fraction (LVEF) (p = 0.005). Conclusion In this study, PFA and thermal ablation modalities showed comparable results in terms of safety and procedural efficiency in patients with heart failure. Since previous studies have shown that HF patients with AF benefit from PVI using thermal ablation modalities, our results suggest that PFA might also be a promising ablation method in this vulnerable population, inducing left atrial reverse remodeling and thereby contributing to improvement of left ventricular systolic function.

A quantitative analysis of bestrophin 1 cellular localization in mouse cerebral cortex.

Calcium-activated ligand-gated chloride channels, beyond their role in maintaining anion homeostasis, modulate neuronal excitability by facilitating nonvesicular neurotransmitter release. BEST1, a key member of this family, is permeable to γ-aminobutyric acid (GABA) and glutamate. While astrocytic BEST1 is well-studied and known to regulate neurotransmitter levels, its distribution and role in other brain cell types remain unclear. This study aimed to reassess the localization of BEST1 in the mouse cerebral cortex. We examined the localization and distribution of BEST1 in the mouse parietal cortex using light microscopy, confocal double-labeling with markers for astrocytes, neurons, microglia, and oligodendrocyte precursor cells, and 3D reconstruction techniques. In the cerebral cortex, BEST1 is more broadly distributed than previously thought. Neurons are the second most abundant BEST1+ cell type in the cerebral cortex, following astrocytes. BEST1 is diffusely expressed in neuronal somatic and neuropilar domains and is present at glutamatergic and GABAergic terminals, with a prevalence at GABAergic terminals. We also confirmed that BEST1 is expressed in cortical microglia and identified it in oligodendrocyte precursor cells, albeit to a lesser extent. Together, these findings suggest that BEST1's role in controlling neurotransmission may extend beyond astrocytes to include other brain cells. Understanding BEST1's function in these cells could offer new insights into the molecular mechanisms shaping cortical circuitry. Further research is needed to clarify the diverse roles of BEST1 in both normal and pathophysiological conditions.

Prognostic outcome of ACS in HTX patients after PCI

Abstract Background Cardiovascular disease (CVD) is the leading cause of mortality and morbidity worldwide, particularly in countries with limited access to healthcare [1,2]. Acute coronary syndrome is a collective term for several clinical conditions resulting from narrowing or occlusion of the coronary arteries [3,4]. Another group of patients affected by cardiovascular disease are those who have undergone heart transplantation. Long-term survival after transplantation is limited by cardiac allograft vasculopathy, a condition that affects the coronary arteries of the donor heart and causes diffuse narrowing [5,6]. Our retrospective analysis aims to compare the prognostic outcomes of HTX patients with ACS who underwent PCI with patients without a history of HTX. Results A total of 3194 patients with ACS were enrolled, of whom 1.16% (37) had a previous heart transplant. Patients with prior transplantation were on average younger (52.54 ± 15.13 vs. 69.76 ± 12.16, p < 0.001), had less dyspnea (p < 0.001) and a different distribution of ACS types (p < 0.001), as shown in Figure 1. There were no differences in sex (p = 0.287), BMI (p = 0.123), hypertension (p = 0.557), diabetes mellitus (p = 0.188) and previous myocardial infarction (p = 0.681). The majority of HTX patients were diagnosed with ISHLT CAV III (58.54%) and the average time to PCI was 12 years after transplantation. Multi-vessel disease was more common in HTX patients (p < 0.001). In addition, calcification was less frequent in the HTX group than in the control group (p < 0.001), and the lesion morphology was more diffuse in the HTX group (p < 0.001). On the other hand, there was no difference in the distribution of target vessels (p = 0.424), with the left anterior descending being the most frequently treated coronary artery, followed by the left circumflex and right coronary arteries. HTX patients received more stents (p < 0.001). There was also a difference in post-procedural TIMI flow achieved (p = 0.047), with less TIMI 3 flow achieved after PCI in the HTX group (80% vs. 93.59%). Technical success was less likely to be achieved in the HTX group (62.50% vs. 96.29%, p < 0.001), as was procedural success (47.06% vs. 89.68%, p < 0.001). There was no difference in the incidence of complications, which include perforation and bleeding (p = 0.284). All-cause mortality at three years (39.02% vs. 17.50%, p < 0.001), stroke (7.32% vs. 1.59%, p = 0.035) and myocardial infarction (p = 0.026) were higher in the HTX group. Over a period of three years, MACCE was more likely to occur in the HTX sub-group, which is shown graphically in Figure 2. Conclusion Interventional treatment of ACS in HTX patients is an option with a complication rate comparable to non-HTX patients and with a lower technical and procedural success - partly due to the diffuse nature of CAV and the involvement of distal and microvascular vessels. Overall MACCE and survival are inferior to the control population.Figure 1Figure 2

Impact of sex and age on culprit plaque type of acute coronary syndrome in Japanese patients from TACTICS registry

Abstract Background In acute coronary syndrome (ACS), plaque rupture (PR) is the most frequent etiology followed by plaque erosion (PE) while calcified nodule (CN) is the least etiology. These three are known as major etiologies of ACS. Traditionally, it has been believed that sex and age have impact on etiology of ACS. For example, plaque erosion was thought to often occur in young female while calcified nodule often occur in elderly patients. However, impact of sex and age have not been well described. Methods This is a sub-study from TACTICS registry which consist of 702 Japanese ACS patients who underwent primary percutaneous coronary intervention under optical coherence tomography (OCT) from multicenter. Based on the OCT findings, patients were divided into PR, PE, CN and others. These data were stratified by sex and ages (<50, 50s, 60s, 70s, 80 or over). In this sub-study, we mainly focused on 3 major etiologies of ACS (PR, PE, CN) and compared incidence and clinical characteristics based on sex and ages. Results Distribution of culprit plaque type in ACS patients are shown in figure 1A (male) and 1B (female). PR remained top etiology of ACS in any sex and any age category. However, trend of PE was different between male and female. In male, as patients get younger, incidence of PE increased. In male patients under 50, incidence of PE was almost similar as PR. On the other hand, in female, incidence of PE was greatest in 70s followed by 80 or over. Surprisingly, young female showed the least incidence of PE. CN was the least etiology of three but increased especially from 80. Clinical characteristics are shown in table 1A (male) and 1B (female). In male, most of the baseline characteristics differ between different ages while in female, most of the baseline characteristic did not differ between different ages. Conclusion In our data, PE was more distinct in younger male ACS patients while PE was not that distinct in younger female ACS patients. The impact of sex and age on culprit plaque type of ACS might be variable depending on population.

Twenty-year trends in peripheral artery disease, lower extremity revascularization, and lower extremity amputation in newly diagnosed type 2 diabetes

Abstract Background Trends in risk of lower extremity complications in patients with newly diagnosed type 2 diabetes (T2DM) are largely unexplored. Purpose To examine the 5-year risk trends of peripheral artery disease (PAD), lower extremity revascularization (LER), and lower extremity amputation (LEA) in patients with newly diagnosed T2DM over a 25-year study period. Methods We conducted a cohort study that included all patients in Denmark diagnosed with T2DM from 1996 to 2015, who had no prior hospital diagnosis of atherosclerotic cardiovascular disease. These patients were age- and sex-matched with up to three comparisons from the general population. Individuals were assigned to 5-year calendar periods based on their year of inclusion and were followed for 5 years. The primary outcomes were the 5-year risks of PAD, LER, and LEA. Age- and sex-adjusted hazard ratios (aHR) were computed using Cox regression analysis. Results The study cohort consisted of 288,825 newly diagnosed T2DM patients (52% males; median age 61 years) and 782,232 comparisons from the general population. From 1996-2000 to 2015-2020, the 5-year risk of PAD decreased from 2.2% to 1.2% (aHR 0.56 [95% CI 0.52-0.61]), LER from 0.7% to 0.5% (aHR 0.73 [95% CI 0.63-0.84]), and LEA from 1.0% to 0.4% (aHR 0.44 [95% CI 0.38-0.50]) in T2DM patients (Figure). Compared with the general population, the 5-year risk differences decreased from 1.4% to 0.5% for PAD, from 0.4% to 0.2% for LER, and from 0.8% to 0.3% for LEA. The distribution of LEA types (hip/thigh, knee/lower leg, or ankle/foot/toe amputation) remained largely stable over time in T2DM patients. Use of prophylactic cardiovascular medications in T2DM patients increased notably during the study period, especially use of statins (5% to 50%) and multiple antihypertensive drugs (18% to 33%). Conclusions Over recent decades, the risks of PAD, LER, and LEA have decreased in patients with newly diagnosed T2DM, approaching the risk levels observed in the general population. This coincided with a great increase in use of prophylactic cardiovascular medications among T2DM patients.Trends in lower extremity complications.

Geographical analysis of groundwater type distribution in Khabat district, using geographical information system (GIS)

Geographical analysis of groundwater type distribution in Khabat district, using geographical information system (GIS)

Anatomy and Immunohistochemistry of Woodpecker Tail Muscles.

Woodpeckers (Order Piciformes) belong to a group of birds characterized by their hammering capabilities in which the bill is utilized as a tool to probe for food and to excavate nest cavities. They have numerous specializations for this behavior, including their bill and tongue, feet for gripping vertical tree trunks, and tail feathers with thickened shafts to provide stability as a postural appendage. We hypothesized that (1) woodpecker tail musculature is also modified for clinging behaviors with a heterogeneous distribution of fast and slow muscle fibers, and that (2) the tree-trunk foraging Hairy Woodpeckers would have more slow muscle fibers in their M. depressor caudae than Northern Flickers, which forage on the ground where they probe the substrate for insects. We performed immunohistochemistry to identify the fiber type distributions for tail muscles Mm. caudofemoralis pars caudalis, lateralis caudae, levator caudae, and depressor caudae in four Hairy Woodpeckers and five Northern Flickers. Our results show that these tail muscles in the two woodpecker species are comprised of a majority of fast muscle fibers common among dynamic locomotor muscles. Interestingly, we report a functionally-significant distribution of slow muscle fibers in M. depressor caudae predicted to be utilized in propping of the tail during tree climbing and support. Further, we found more slow fibers (13.80% ± 4.49%) in the trunk-foraging Hairy Woodpeckers compared with the ground-foraging Northern Flicker (7.40% ± 4.95%), which we interpret to be related to the trunk-foraging habits of Hairy Woodpeckers.

Collapsible tree: interactive web app to present collapsible hierarchies.

A crucial component of intuitive data visualization is presenting a hierarchical tree structure with interactive functions. For example, single-cell transcriptomics studies may generate gene expression values with developmental trajectories or cell lineage structures. Two common visualization methods, t-SNE and UMAP, require two separate figures to depict the distribution of cell types and gene expression data, with low-dimension projections that may not capture the hierarchical structures among cells. Here, we present a JavaScript framework and an interactive web app named Collapsible Tree, which presents values jointly with interactive, expandable, and collapsible lineage structures. For example, the Collapsible Tree presents cellular states and gene expression from single-cell transcriptomics within a single hierarchical plot, enabling comparisons of gene expression across lineages and subtle patterns between sub-lineages. Our framework can facilitate the exploration of complicated value patterns that are not evident in UMAP or t-SNE plots. The Collapsible Tree web interface is available at https://collapsibletree.data2in.net. The JavaScript library source code is available at https://github.com/data2intelligence/collapsible_tree.

The Invertebrates of The Romualdo Formation, Araripe Basin: Analysis of Paleoecological and Paleogeographical Data

Fossil invertebrates are good paleoenvironmental indicators due to their sensitivity to abiotic conditions, which contributes to the understanding of the Aptian-Albian of the Araripe Basin. However, much of the paleoecological and paleobiogeographical information on these organisms is scarce in the literature. The aim of this paper is to compile relevant data on the macroinvertebrates of the Romualdo Formation and to analyze and point out gaps in knowledge. To achieve this, extensive bibliographical research was carried out, using scientific publications based on the families of Spinicaudata, echinoids, gastropods, bivalves, shrimps and crabs of the Romualdo Formation and their distribution in Brazil and globally throughout the Aptian-Albian, using specialized online databases. Paleoecological and paleogeographical data were compiled for 46 invertebrate taxa, highlighting those with better studied routes of origin. Thus, it was possible to highlight the lack of data regarding the way of life of certain mollusc families and systematic problems regarding the identification of the families of several species of shrimp. Finally, the predominance of taxa from marine (34), brackish (7) and lacustrine (5) waters was shown. Of these, 18 taxa have a typical tethyan distribution and another 12 also present occurrences in the Austral, Boreal or both domains. The only typical freshwater group was Spinicaudata, marking environments with little or no marine influence and with rare occurrences during the Aptian-Albian.

Integrating field surveys and remote sensing to optimize phosphorus resource management for rainfed rice production in the Central plateau of Burkina Faso.

Rice production in sub-Saharan Africa (SSA) is restricted by low water availability, soil fertility, and fertilizer input, and phosphate rock (PR) application is expected to increase production. Soil water conditions and soil types affect the efficacy of phosphorus fertilization in improving productivity. However, these factors are rarely discussed together. In this study, we aimed to investigate the soil types and soil water conditions in the fields, as well as their effects on rice productivity after phosphorus fertilization, and optimize the findings using remote sensing techniques. A soil profiling survey, followed by a field experiment in seven farmer fields, was performed in the Central plateau of Burkina Faso. The following treatments were applied: nitrogen and potassium fertilization without phosphorus (NK), PR application with NK (NK+PR), and triple super phosphate (TSP) application with NK (NK+TSP). Submergence duration and cumulative water depth were recorded manually. The inundation score, estimated using a digital elevation model, explained the distribution of soil types and soil water conditions and correlated negatively with sand content and positively with silt and clay content, indicating an illuvial accumulation of fine soil particles with nutrient transportation. The field experiment showed that although grain yield was significantly restricted by phosphorus deficiency, the increase in yield after phosphorus fertilization was higher in Lixisols and Luvisols than in Cambisols because of the low Bray-2-phosphorus content of Lixisols and Luvisols. The inundation score correlated positively with grain yields after NK+PR and NK+TSP treatments. In conclusion, soils with low inundation scores (mainly Lixisols and Luvisols) showed a drastic increase in grain yield after TSP application, whereas those with high inundation scores showed comparable yields after PR and TSP application despite the low phosphorus fertilization effect. Our findings would help optimize fertilization practices to increase rice productivity in SSA.

Statistics of Solar White-light Flares. I. Optimization and Application of Identification Methods

White-light flares (WLFs) are energetic activity in the stellar atmosphere. However, observed solar WLFs are relatively rare compared to stellar WLFs or solar flares observed at other wavelengths, which limits our further understanding of solar/stellar WLFs through statistical studies. By analyzing flare observations from the Solar Dynamics Observatory, here we improve WLF identification methods to obtain more solar WLFs and their accurate light curves from two aspects: (1) imposing constraints defined by the typical temporal and spatial distribution characteristics of WLF-induced signals; and (2) setting the intrinsic threshold for each pixel in the flare ribbon region according to its inherent background fluctuation rather than a fixed threshold for the whole region. Applying the optimized method to 90 flares (30 C-class flares, 30 M-class flares, and 30 X-class flares) for a statistical study, we identified a total of nine C-class WLFs, 18 M-class WLFs, and 28 X-class WLFs. The WLF identification rate of C-class flares reported here reaches 30%, which is the highest to date to our best knowledge. It is also revealed that in each GOES energy level the proportion of WLFs is higher in confined flares than that in eruptive flares. Moreover, a power-law relation is found between the WLF energy (E) and duration (τ): τ ∝ E 0.22, similar to those of solar hard/soft X-ray flares and other stellar WLFs. These results indicate that we could recognize more solar WLFs through optimizing the identification method, which will lay a base for future statistical and comparison study of solar and stellar WLFs.

Trends in Phototherapy Utilization, Payments, and Geographic Distribution: An Analysis of United States Medicare Part B From 2000 to 2021.

Trends in phototherapy utilization in the context of new therapeutics have not been evaluated. This study aimed to evaluate phototherapy utilization, payments, and geographic distribution for Medicare beneficiaries from 2000 to 2021. A longitudinal analysis of the Medicare Part B National Summary Data Files was conducted to obtain phototherapy utilization and payment amounts. Medicare Physician & Other Practitioners by Provider and Service datasets were used to determine provider type and geographic distribution. Between 2000 and 2021, total Medicare phototherapy volume increased from 335,152 to 621,850, correlating with a 3.0% annual growth rate (5.0% between 2000 and 2015, -3.1% between 2016 and 2021). Ultraviolet B phototherapy represented the majority of use, rising from 68.1% in 2000 to 78.0% in 2021. Psoralens plus ultraviolet A decreased by 11.3% annually, while laser treatments increased by 17.3%. Between 2013 and 2021, the number of clinics offering phototherapy declined; facilities were available in only 9.9% of counties, mainly clustered along both coasts and east of the Mississippi. Overall, phototherapy continues to be an important therapeutic option. Limited access in non-urban areas remains a significant challenge, and further work is necessary to both evaluate this impact and reduce disparities.

Exploration of the Traffic Safety of Battery Electric Vehicles: A Case Study of Tesla Vehicle-Involved Crashes in Pennsylvania, USA

After decades of efforts, the number of battery electric vehicles (BEV) has increased greatly around the world. Meanwhile, their unique technical features also bring many new traffic safety challenges. Using traffic crash data from Pennsylvania from 2018 to 2021, this study aims to identify characteristics and trends of BEV crashes by comparing those crashes involving Tesla vehicles (the premier BEV brand in the auto market of the United States) with crashes involving internal combustion engine vehicles (ICEV). First, Tesla and ICEV crashes are compared for crash severity, collision type, spatial and temporal distributions, and environmental features. Tesla crashes show no significant difference from those of ICEVs in severity, but they have many more rear-end and angle collisions. In addition, Tesla crashes are found to concentrate in peak hours and around noon, occurring mainly in urban areas, at intersections, and on state roads. A logistic regression model is then built to identify the important factors influencing the severity of Tesla crashes. The findings are expected to provide new insights which will help researchers understand better traffic safety issues around BEVs.

Comparing Traditional and Newer Glaucoma Procedures by Physician Experience and Practice Location in the United States.

Analysis of CMS Physician Payment data found that physician certification year, degree of urbanization, and estimated income by zip code were significant in predicting the proportion of traditional glaucoma procedures performed by each provider in the United States. The prevalence of microinvasive glaucoma surgery (MIGS) compared to traditional procedures has been increasing in glaucoma management. It is important to understand whether the uptake of new glaucoma procedures is associated with aspects of the physician practice. In this cross-sectional study, data on glaucoma procedure distribution, degree of urbanization and physician certification in the United States were extracted from the 2019 Centers for Medicare & Medicaid Services (CMS) Physician Payment and American Board of Ophthalmology databases. The distribution of traditional and MIGS procedure numbers for metropolitan versus non-metropolitan providers were visualized with boxplots and statistically compared using Mann-Whitney U tests. We used two-dimensional histograms and regression analyses to assess the relationship between certification year and volume of traditional versus MIGS procedures. A multivariable linear regression model was created using certification year, rural-urban commuting area (RUCA) code, and estimated income by practice zip code to predict the number and proportion of each type of glaucoma procedure. This study included 2625 providers from the CMS physician payment data who performed only traditional procedures (n=370), MIGS procedures (n=1727), or both procedure types (n=528) in 2019. The median number of MIGS procedures performed by each provider was greater in non-metropolitan areas (31 vs. 29, P=0.015) while the proportion of traditional procedures performed by each provider was greater in metropolitan areas (0.24 vs. 0.08, P<0.001). Regression analysis showed a positive relationship between certification year and the proportion of traditional procedures performed by each provider (P<0.001). Multivariable regression models found that certification year, RUCA code, and estimated income of practice location were all significant predictors (P<0.02) of the proportion of traditional procedures performed by each provider. In the United States, physicians in metropolitan areas and more recent certification years are more likely to perform a larger proportion of traditional procedures. This finding suggests that the distribution of glaucoma procedure types is related to physician factors such as degree of urbanization and duration of practice. More research is needed to better understand how such differences affect patient access and outcomes.