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Nonoperative management (NOM) has been widely accepted as one of the standard treatments for patients with acute appendicitis. However, predictive factors for the failure of NOM have not been thoroughly investigated.
A total of 196 patients with acute appendicitis underwent NOM between April 2014 and December 2020. Of these 196 patients, 24 patients failed NOM and required emergency surgery (failure group n = 24), while the other 172 patients were successfully treated with NOM (success group n = 172). These two groups were compared, and the predictive factors for the failure of NOM were investigated.
The number of patients who had a previous history of stroke was significantly increased in the failure group (12.5% vs. 2.9%, p = 0.026). Incarceration of an appendicolith on CT images was significantly associated with the failure group (20.8% vs. 1.7%, p < 0.001), while neither the presence of an appendicolith nor abscess was associated. The presence of periappendiceal fluid was significantly associated with the failure group (50.0% vs. 26.7%, p = 0.019). The incarceration of an appendicolith (p < 0.001, odds ratio = 19.85) and periappendiceal fluid (p = 0.009, odds ratio = 3.62) were found to be independent risk factors for failure of NOM. Neither the presence of an appendicolith nor abscess was associated with the recurrence of appendicitis.
The presence of an appendicolith or abscess was not a crucial factor for surgery. Incarceration of an appendicolith and periappendiceal fluid on CT images was predictive factors for the failure of NOM.
The presence of an appendicolith or abscess was not a crucial factor for surgery. Incarceration of an appendicolith and periappendiceal fluid on CT images was predictive factors for the failure of NOM.Arbuscular mycorrhizal fungi (AMF) are ubiquitous in agroecosystems, but their role in mediating agricultural yield remains contested. Field experiments testing effects of realistic agronomic practices of intensification on AM fungus composition and yields are scarce, especially in the low-input systems of sub-Saharan Africa. A large, full-factorial field experiment was conducted in South-Kivu (DR Congo), testing effects of fallow duration (6 vs. 12 months), genotype (landrace vs. improved), and fertilizer management (control vs. five combinations omitting N, P, K, and/or secondary macro- and micronutrients) on yields of cassava, an important staple crop strongly colonized by AMF. Furthermore, we used DNA-metabarcoding to evaluate effects of these agronomic practices on the AM fungal communities on the roots. selleck chemicals llc The shorter fallow duration strongly increased diversity and richness of AMF, but this did not correspond with increased yields. Cassava yield was mainly determined by genotype, being largest for the improved genotype, which coincided with a significantly higher sum of AM fungal sequences. Effects of fertilizer or genotype on community composition were minor to absent. We found no evidence that increased AMF richness and diversity enhanced cassava yields. In contrast, the use of the improved genotype and mineral fertilizers strongly benefitted yields, without compromising richness or diversity of AMF. Cassava-AMF associations in this work appear robust to fertilizer amendments and modern genotype improvement.In this study, SWAT hydrological model was used to differentiate the effects of drought and changes in land use on hydrological balance of the system in Eskandari Watershed area. To this end, The SWAT model was implemented separately using other user maps to investigate the impact of land use changes on the hydrological cycle of the watershed. Additionally, Van Loon model was used to investigate the effects of drought and water scarcity on discharge. The results showed that the watershed area could meet its environmental needs due to an 11% decrease in rainfall and droughts in 2008 and 2009. Additionally, the average monthly simulated flows were 2.4 m3/s and 2.9 m3/s in the natural and turbulent periods, respectively, indicating a decrease of nearly 18%, which is related to the 11% decrease in rainfall in this Watershed. Furthermore, the average observational flow in the turbulent period was 4 mm, which showed a growth of nearly 13% in comparison to the observational flow in the turbulent period. Decreased rainfall and increased discharge in this period indicated the effect of land use change and human activities on the catchment.
Systemic lupus erythematosus (SLE) is a multifactorial systemic autoimmune disease, in which genetic susceptibility plays a pivotal role. The nucleotide oligomerization domain 2 (NOD2) gene is one of the main regulators of chronic inflammatory conditions and could be involved in SLE pathogenesis. Single nucleotide polymorphisms (SNPs) in miRNA binding sites which are located in 3'UTR of the NOD2 gene could be associated with SLE risk by dysregulation of NOD2 expression. In the present study, we assessed the possible association between SNPs rs3135500 and rs3135499 in the NOD2 gene with SLE risk in the Iranian population.
A case-control study using 110 SLE patients and 120 control subjects was undertaken to estimate rs3135500 (G > A) and rs3135499 (A > C) genotypes via real-time PCR high-resolution melting method (HRM).
No significant association was observed between allele and genotype frequencies of rs3135500 and rs3135499 polymorphisms and SLE risk in this population (P > 0.05). However, thergfully correlated with clinicopathological characteristics and disease activity of SLE.
Our results suggest a substantial association between NOD2 polymorphisms with clinicopathological characteristics and SLE disease activity. Key Points • Single nucleotide polymorphisms (SNPs) in miRNA binding sites which are located in 3'UTR of the NOD2 gene could be associated with SLE risk by dysregulation of NOD2 expression. • Our results suggested that two miRSNPs (rs3135500 and rs3135499) in the NOD2 gene were meaningfully correlated with clinicopathological characteristics and disease activity of SLE.The shaping outcomes after instrumentation with rotary and reciprocating glide path and shaping systems were evaluated through micro-computed tomography (Micro-CT). Thirty extracted maxillary first molars were selected. Mesio-buccal canals were randomized into two groups (n = 15) rotary system ProGlider and ProTaper Next X1, X2 (PG-PTN) and reciprocating system WaveOne Gold Glider and WaveOne Gold Primary (WOGG-WOG). Specimens were micro-CT scanned before, after glide path and after shaping. Increase in canal volume and surface area, percentage of removed dentin from the inner curvature, centroid shift and canal geometry variation through ratio of diameter ratios (RDR) and ratio of cross-sectional areas (RA) were measured in the apical and coronal levels and at the point of maximum curvature. The number of pecking motions needed to reach the working length (WL) was recorded. One-way ANOVA and post hoc Turkey-Kramer tests were used (p less then 0.05). Post-glide path analysis revealed that in the coronal third, RDR was more favorable to PG and centroid shift was lower for WOGG in the apical third.
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