Notes

Targeting ATF4-dependent pro-survival autophagy in order to synergize glutaminolysis inhibition.
Ultrasonography (performed by means of a four-quadrant, focused assessment of sonography for trauma (FAST)) is regarded as a key instrument for the initial assessment of patients with suspected blunt abdominal and thoraco-abdominal trauma in the emergency department setting. FAST has a high specificity but low sensitivity in detecting and excluding visceral injuries. Proponents of FAST argue that ultrasound-based clinical pathways enhance the speed of primary trauma assessment, reduce the number of unnecessary multi-detector computed tomography (MDCT) scans, and enable quicker triage to surgical and non-surgical care. Given the proven accuracy, increasing availability of, and indication for, MDCT among patients with blunt abdominal and multiple injuries, we aimed to compile the best available evidence of the use of FAST-based assessment compared with other primary trauma assessment protocols.

To assess the effects of diagnostic algorithms using ultrasonography including in FAST examinations in the emergendes the best available evidence for clinical practice guidelines and management recommendations. It can only be concluded from the few head-to-head studies that negative US scans are likely to reduce the incidence of MDCT scans which, given the low sensitivity of FAST (or reliability of negative results), may adversely affect the diagnostic yield of the trauma survey. At best, US has no negative impact on mortality or morbidity. Assuming that major blunt abdominal or multiple trauma is associated with 15% mortality and a CT-based diagnostic work-up is considered the current standard of care, 874, 3495, or 21,838 patients are needed per intervention group to demonstrate non-inferiority of FAST to CT-based algorithms with non-inferiority margins of 5%, 2.5%, and 1%, power of 90%, and a type-I error alpha of 5%.
Previously, ethnic inequalities in prognosis after a first acute myocardial infarction were observed in the Netherlands. This might be due to differences in revascularisation rate between ethnic minority groups and ethnic Dutch. Therefore, we investigated inequalities in revascularisation rate after occurrence of an ST-elevation myocardial infarction (STEMI) between first generation ethnic minority groups (henceforth, migrants) and ethnic Dutch.

All STEMI events between 2006 and 2011 were identified in a subset of the Achmea Health Database, which records medical care to persons insured at the Achmea health insurance company, a major health insurance company in the central part of the Netherlands. Ethnic Dutch and migrants from Suriname (Hindustani Surinamese and non-Hindustani Surinamese), Morocco, and Turkey were included (n = 1,765). Multivariable Cox proportional hazards regression analyses were used to identify ethnic inequalities in revascularisation rate (percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG)) after a STEMI event.

On average, 73.2% of STEMI events were followed by a revascularisation procedure. After adjustment for confounders (age, sex, degree of urbanization) no significant differences in revascularisation rate were found between the ethnic Dutch population and Hindustani Surinamese (HR 1.04; 0.85-1.27), non-Hindustani Surinamese (HR 0.98; 0.63-1.51), Moroccan (HR 0.94; 0.77-1.14), and Turkish migrants (HR 1.04; 0.88-1.24). Additional adjustment for comorbidity and neighborhood income did not change our findings.

Our study suggests no ethnic inequalities in revascularisation rate after a STEMI event. This finding is in agreement with the universally accessible health care system in the Netherlands.
Our study suggests no ethnic inequalities in revascularisation rate after a STEMI event. This finding is in agreement with the universally accessible health care system in the Netherlands.Sewage sludge, in particular from the food industry, is characterized by fertilizing properties, due to the high content of organic matter and nutrients. The application of sewage sludge causes an improvement of soil parameters as well as increase in cation exchange capacity, and thus stronger binding of cations in the soil environment, which involves the immobilization of nutrients and greater resistance to contamination. In a field experiment sewage sludge has been used as an additive to the soil supporting the phytoremediation process of land contaminated with heavy metals (Cd, Zn, and Pb) using trees species Scots pine (Pinus silvestris L.), Norway spruce (Picea abies L.), and oak (Quercus robur L.). The aim of the research was to determine how the application of sewage sludge into the soil surface improves the phytoremediation process. The conducted field experiment demonstrated that selected trees like Scots pine and Norway spruce, because of its excellent adaptability, can be used in the remediation of soil. Oak should not be used in the phytoremediation process of soils contaminated with high concentrations of trace elements in the soil, because a significant amount of heavy metals was accumulated in the leaves of oak causing a risk of recontamination.The epithelial to mesenchymal transition (EMT) is an essential process that occurs repeatedly during embryogenesis whereby stably adherent cells convert to an actively migrating state. While much is known about the factors and events that initiate the EMT, the steps that cells undergo to become directionally migratory are far less well understood. Zebrafish embryos lacking the transcription factors Tbx16/Spadetail and Mesogenin1 (Msgn1) are a valuable system for investigating the EMT. Mesodermal cells in these embryos are unable to perform the EMT necessary to leave the most posterior end of the body (the tailbud) and join the pre-somitic mesoderm, a process that is conserved in all vertebrates. It has previously been very difficult to study this EMT in vertebrates because of the multiple cell types in the tailbud and the morphogenetic changes the whole embryo undergoes. Here, we describe a novel tissue explant system for imaging the mesodermal cell EMT in vivo that allows us to investigate the requirements for cells to acquire migratory properties during the EMT with high spatio-temporal resolution. This method revealed that, despite the inability of tbx16;msgn1-deficient cells to leave the tailbud, actin-based protrusions form surprisingly normally in these cells and they become highly motile. However, tbx16;msgn1-deficient cells have specific cell-autonomous defects in the persistence and anterior direction of migration because the lamellipodia they form are not productive in driving anteriorward migration. Additionally, we show that mesoderm morphogenesis and differentiation are separable and that there is a migratory cue that directs mesodermal cell migration that is independent of Tbx16 and Msgn1. This work defines changes that cells undergo as they complete the EMT and provides new insight into the mechanisms required in vivo for cells to become mesenchymal.We present an erratum regarding a few small errors in our manuscript.A largely simplified and highly efficient all-fiber-based synchronously pumping scheme is proposed. The synchronization between pump light and the cavity round-trip can be achieved by adjusting the repetition rate of pumping light without the requirement of altering the cavity length. UNC3866 nmr Based on this scheme, we achieved generating narrow linewidth highly efficient 1120 nm pulse directly from an all-fiber Raman cavity. By pump repetition rate detuning and pump duration adjustment, the duration of the 1120 nm pulse can be widely tuned from 18 ps to ~1 ns, and the repetition rate can be adjusted from 12.41 MHz to 99.28 MHz by harmonic pumping. Up to 4.3 W high power operation is verified based on this scheme. Owing to the compact all-fiber configuration, the conversion efficiency of the 1066 nm pump light to the 1120 nm Stokes light exceeds 80% and the overall conversion efficiency (976 nm-1066 nm-1120 nm) is as high as 53.7%. The nonlinear output dynamics of the Raman laser are comprehensively explored. Two distinct operation regimes are investigated and characterized.A low-complexity optical phase noise suppression approach based on recursive principal components elimination, R-PCE, is proposed and theoretically derived for CO-OFDM systems. Through frequency domain principal components estimation and elimination, signal distortion caused by optical phase noise is mitigated by R-PCE. Since matrix inversion and domain transformation are completely avoided, compared with the case of the orthogonal basis expansion algorithm (L = 3) that offers a similar laser linewidth tolerance, the computational complexities of multiple principal components estimation are drastically reduced in the R-PCE by factors of about 7 and 5 for q = 3 and 4, respectively. The feasibility of optical phase noise suppression with the R-PCE and its decision-aided version (DA-R-PCE) in the QPSK/16QAM CO-OFDM system are demonstrated by Monte-Carlo simulations, which verify that R-PCE with only a few number of principal components q ( = 3) provides a significantly larger laser linewidth tolerance than conventional algorithms, including the common phase error compensation algorithm and linear interpolation algorithm. Numerical results show that the optimal performance of R-PCE and DA-R-PCE can be achieved with a moderate q, which is beneficial for low-complexity hardware implementation.Gold nanoparticle (GNP) possesses saturable absorption bands in the visible region induced by surface plasmon resonance (SPR). We firstly applied the GNP as a visible saturable absorber (SA) for the red Q-switched pulse generation. The GNPs were embedded in polyvinyl alcohol (PVA) for film-forming and inserted into a praseodymium (Pr(3+))-doped fiber laser cavity to achieve 635 nm passive Q-switching. The visible 635 nm Q-switched fiber laser has a wide range of pulse-repetition-rate from 285.7 to 546.4 kHz, and a narrow pulse width of 235 ns as well as the maximum output power of 11.1 mW. The results indicate that the GNPs-based SA is available for pulsed operation in the visible spectral range.Two families of gap and twisted surface lattice solitons in diffusive nonlinear periodic media with spatially modulated nonlinearity are reported. It is shown that the existence and stability of such solitons are extremely spatially modulated nonlinearity sensitive. For self-focusing nonlinearity, gap surface solitons belonging to the semi-infinite gap are stable in whole existence domain, twisted surface solitons are also linearly stable in low modulated strength region and a very narrow unstable region near the upper cutoff appears in high modulated strength region. In the self-defocusing case, surface gap solitons belonging to the first gap can propagate stably in whole existence domain except for an extremely narrow region close to the Bloch band, twisted solitons belonging to this gap are unstable in the entire existence domain.We demonstrate optical parametric oscillation in a millimeter-sized whispering gallery resonator suitable for broadband infrared spectroscopy. This nonlinear-optical process is quasi-phase-matched using a radial domain pattern with 30 µm period length, inscribed by calligraphic poling. The output wavelengths are selected in a controlled way over hundreds of nanometers. We achieve this by increasing the temperature of the resonator in steps such that the azimuthal mode number of the pump wave rises by one. As a proof-of-principle experiment, we measure a characteristic resonance of polystyrene in the spectral range of 2.25 - 2.45 µm.
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