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Complete Framework and Two-Dimensional Heisenberg Antiferromagnetic Components of Arylamine-Based Manganese Chloride Split Organic-Inorganic Perovskites.
Estuaries are focal points for coastal cities worldwide, their habitats frequently transformed into engineered shorelines abutting waters with elevated nutrients in an urbanised landscape. Here we test for relationships between shoreline armouring and nutrients on the diversity and trophic composition of fish assemblages across 22 estuaries in eastern Australia. Urbanisation was associated with fish diversity and abundance, but there were differences in the effects of shoreline armouring and nutrient level on the trophic composition of fish assemblages. Fish diversity and the abundance of most trophic groups, particularly omnivores, zoobenthivores and detritivores, was greatest in highly urban estuaries. We show that estuarine fish assemblages are associated with urbanisation in more nuanced ways than simple habitat transformation would suggest, but this depends on the broader environmental context. Our findings have wider implications for estuarine conservation and restoration, emphasizing that ecological benefits of habitat measures may depend on both landscape attributes and water quality in urban settings. To assess the effects of environmental changes on phytoplankton community structure in a mangrove ecosystem, phytoplankton distribution in Matang mangrove, Malaysia was examined. Phytoplankton and water samples, and in situ environmental parameters from three estuaries with differing levels of disturbance were examined monthly for one year. Two species, Cyclotella choctawhatcheeana and Skeletonema costatum, were dominant in the least disturbed and moderately disturbed areas, respectively. Skeletonema costatum was also the most dominant in the most disturbed area. Significant differences in phytoplankton density and biodiversity between the least and most disturbed areas were also observed. Rabusertib Principle component 1 (salinity, conductivity, total solids/water transparency and nitrogenous compounds) and PC2 (dissolved oxygen, pH and temperature) explained 60.4% of the total variance. This study illustrated that changes in phytoplankton community structure in Matang mangrove estuaries were significantly correlated with environmental parameters which were in turn influenced by ecosystem disturbance levels as well as seasonal changes. BACKGROUND Nocturnal hypoxemia adversely affects outcomes in patients with cystic fibrosis (CF). Although an early detection of this abnormality may be desirable, still its predictability remains uncertain. The Lung Clearance Index (LCI) is a measure of lung ventilation distribution obtained from a multiple-breath washout technique (MBW), recently implemented in patients with CF. This study aimed to establish whether the LCI predicts nocturnal hypoxemia in patients with stable CF, with mild to moderate disease, and normal diurnal gas exchange. METHODS 31 stable patients (15 males, mean age 17.4 ± 5.2 years) with mild to moderate CF, normoxic when awake, were enrolled. In all patients we performed nocturnal cardio-respiratory polygraphy, lung function measurement, and MBW test to derive LCI values. RESULTS LCI was abnormal in most of the patients and inversely correlated with mean nocturnal SpO2 (r = -0.880 p less then 0.01). A receiver operating characteristic (ROC) analysis, performed to assess whether LCI predicted nocturnal hypoxemia, revealed a high predictive accuracy of LCI for nocturnal desaturation (AUC = 0.96; Youden index = 0.79). Forced expiratory volume in 1 s (FEV1) was predictive only in patients with more severe airway obstruction, with a moderate degree of accuracy (AUC 0.71). CONCLUSIONS The LCI showed a high effectiveness in predicting nocturnal hypoxemia in stable patients with CF, particularly when compared with a traditional parameter of lung function such as FEV1. BACKGROUND Asthma is a common chronic disease in childhood, resulting in high costs for health care systems and society. As of June 2011, the Brazilian Unified Health System (SUS) provides free asthma medications for the population. This study evaluated the impact of this program on asthma admissions in the population aged 1-19 years. In addition, a cost-benefit analysis compared data before and after the introduction of the program. METHODS This descriptive study was based on information from SUS Information Technology Department (DATASUS). Admission rates and costs of patients aged 1-19 years with diagnosed asthma were compared before (2008-2010) and after (2012-2017) the provision of free inhaled corticosteroid. RESULTS The asthma admission rate reduced by 28.4% when comparing the two periods (OR 0.71; 95% CI 0.64-0.79). Children aged 1-4 years had a 27.3% reduction in asthma admissions (OR 0.72; 95% CI 0.63-0.82), while those aged 15-19 years had a 39.65% decrease (OR 0.59; 95% CI 0.37-0.95). Asthma admission costs decreased when comparing the two periods (OR 0.68; 95% CI 0.62-0.74). After the introduction of the program, mean cost savings reached US $27,865,905.08 in children aged 1-4 years and US $21,350,660.63 in those aged 5-19 years. CONCLUSION The economic burden of pediatric asthma on Brazil's public health care system is significant. From 2012 to 2015, free provision of inhaled corticosteroid was cost-effective in all age groups. In 2017, no cost-benefit effect was observed in this population, but asthma admission rate decreased. Aspergilloma, also known as mycetoma or fungus ball, is the most common manifestation of pulmonary involvement by Aspergillus species. The fungal ball typically forms within preexisting cavities of the lungs. Diagnosis requires both radiographic evidence along with serologic or microbiologic evidence of Aspergillus species involvement. While clinical features such as hemoptysis, chest pain, shortness of breath, cough, and fever are helpful in diagnosis, they are non-specific symptoms. Surgery is currently the mainstay of treatment for aspergilloma but is associated with considerable mortality and morbidity. Alternative options exist for patients who are poor surgical candidates and for those who prefer a less invasive treatment modality. Systemic treatment with amphotericin B is ineffective and is not recommended as a monotherapy, but systemic azoles is effective in approximately 50-80% of patients. Potential alternatives to surgery include intracavitary instillation or endobronchial administration of antifungal medication, as well as direct transbronchial aspergilloma removal.
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