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It is shown that the proposed multiscale modeling approach can generate a higher resolution of stress and strain field distributions within the coronary atherosclerotic vulnerable plaque system and allow the assessment of the local concentration stress around the microcalcifications in plaque cap layers. A comparison of stress field distributions within cap layers with and without inclusion of microcalcifications is also presented.In the present study, the effect of physical and operational uncertainties on the hydrodynamic and hemocompatibility characteristics of a centrifugal blood pump designed by the U.S. see more food and drug administration is investigated. Physical uncertainties include the randomness in the blood density and viscosity, while the operational uncertainties are composed of the pump rotational speed, mass flow rate, and turbulence intensity. The non-intrusive polynomial chaos expansion has been employed to conduct the uncertainty quantification analysis. Additionally, to assess each stochastic parameter's influence on the quantities of interest, the sensitivity analysis is utilized through the Sobol' indices. For numerical simulation of the pump's blood flow, the SST [Formula see text] turbulence model and a power-law model of hemolysis were employed. The pump's velocity field is profoundly affected by the rotational speed in the bladed regions and the mass flow rate in other zones. Furthermore, the hemolysis index is dominantly sensitive to blood viscosity. According to the results, pump hydraulic characteristics (i.e., head and efficiency) show a more robust behavior than the hemocompatibility characteristics (i.e., hemolysis index) regarding the operational and physical uncertainties. Finally, it was found that the probability distribution function of the hemolysis index covers the experimental measurements.
In this study, our objective was to determine gender differences in the outcomes of patients with PLD undergoing liver (LT) or liver/kidney transplantation (SLK).
We analyzed the UNOS datasets of all adults who had transplanted for PLD between 1988 and 2018.
During the study period, 663 LT/SLK (51% LT only and 49% SLK) were done for PLD patients and of these 500 (75%) were in women. Women were younger (52.8 vs. 56.7years, p < 0.001), had lower MELD at transplant (16.6 vs. 19.4, p < 0.001), had higher serum albumin (3.7 vs. 3.5, p < 0.001), and had alower CTP class (p < 0.008). During the follow-up, 18% (n = 89)women and 29% (n = 47)men died (p = 0.002). Kaplan-Meier (KM)survival estimates showed similar survival rate for patients who had LT and SLK (p = 0.459), but survival rate was significantly higher for womencompared to men (p < 0.001). Multivariable analysis showed that female gender (aHR 0.54, 95% CI 0.33-0.90) was associated with alower mortality. Moreover, Karnofsky Performance Status was excellent for 70% of women and 55% of men (p = 0.03) after LT. Women had better survival whether they received liver or SLK. The era of transplant, whether they were transplanted with MELD exception points or whether they were on dialysis at the time of transplant, did not have an effect on the gender differences in outcomes.
Women had 46% lower risk of mortality after adjusting for other covariates compared to men after LT/SLK for PLD.
Women had 46% lower risk of mortality after adjusting for other covariates compared to men after LT/SLK for PLD.
The risk factors for hepatic hydrothorax are unknown.
We used data from three randomized trials of satavaptan treatment in patients with cirrhosis and ascites followed for up to 1year. We excluded patients with previous hepatic hydrothorax or other causes for pleural effusion. The candidate risk factors were age, sex, heart rate, mean arterial pressure, diuretic-resistant ascites, a recurrent need for paracentesis, diabetes, hepatic encephalopathy, International Normalized Ratio, creatinine, bilirubin, albumin, sodium, platelet count, use of non-selective beta-blockers (NSBBs), spironolactone, furosemide, proton pump inhibitors, and insulin. We identified risk factors using a Fine and Gray regression model and backward selection. We reported subdistribution hazard ratios (sHR) for hepatic hydrothorax. Death without hepatic hydrothorax was a competing risk.
Our study included 942 patients, of whom 41 developed hepatic hydrothorax and 65 died without having developed it. A recurrent need for paracentesis (sHR 2.55, 95% CI 1.28-5.08), bilirubin (sHR 1.18 per 10µmol/l increase, 95% CI 1.09-1.28), diabetes (sHR 2.49, 95% CI 1.30-4.77) and non-use of non-selective beta-blockers (sHR 2.27, 95% CI 1.13-4.53) were risk factors for hepatic hydrothorax. Development of hepatic hydrothorax was associated with a high mortality-hazard ratio of 4.35 (95% CI 2.76-6.97).
In patients with cirrhosis and ascites, risk factors for hepatic hydrothorax were a recurrent need for paracentesis, a high bilirubin, diabetes and non-use of NSBBs. Among these patients with cirrhosis and ascites, development of hepatic hydrothorax increased mortality fourfold.
In patients with cirrhosis and ascites, risk factors for hepatic hydrothorax were a recurrent need for paracentesis, a high bilirubin, diabetes and non-use of NSBBs. Among these patients with cirrhosis and ascites, development of hepatic hydrothorax increased mortality fourfold.NAC-type transcription factors are crucial players in the abiotic stress responses of plants. Soybean NAC-type transcription factor GmNAC20 was transformed into rice genome via Agrobacterium method of transformation to improve abiotic stress tolerance. Integration and expression of GmNAC20 were verified by the DNA blot hybridization, immunoblotting, RT-PCR, and quantitative RT-PCR in T3 generation of transgenic rice plants. Significant expression of GmNAC20 was found in transgenic plants under salinity, cold, and IAA treatments. The transgenic rice plants expressing GmNAC20 displayed enhanced salinity and cold stress tolerance via upregulating the abiotic stress-responsive genes. Furthermore, T3 transgenic plants retained relative water content, chlorophyll content with enhanced accumulation of proline content than wild-type plants under salinity, and cold stress environments. The decrease in MDA content and electrolyte leakage with a significant increase in antioxidant enzyme activities were noticed in transgenic rice plants under either salinity or cold stress conditions, compared to wild-type plants.
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