Project description:Telecoupling interactions between social-ecological systems across large, often global distances drive negative impacts from the forest-based carbon market. However, these negative impacts have been underreported and, therefore, have likely been vastly underestimated. We identify how these unintended negative impacts may occur and provide recommendations for the forest-based carbon market to better account for externalities by prioritizing positive social impact, expanding comprehensive ecological outcomes, and improving the transparency of investments. We call for a carbon market that is designed to account for its global interconnectedness.
Project description:Purpose of the ReviewCoronavirus disease 2019 (COVID-19), a new infectious disease caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), has reached a pandemic status. Although SARSCoV-2 causes primarily respiratory problems, concurrent cardiac injury cannot be ignored since it may be an independent predictor for adverse outcomes. To resolve these issues, we aim to summarize the prevalence and its underlying mechanisms of acute cardiac injury in the setting of SARS-CoV-2 infection.Recent FindingsThe main clinical manifestation of SARS-CoV-2 infection is pneumonia, cardiovascular complications have also been identified in the earliest reported cases from Wuhan, the epicenter of the outbreak. Given the SARS-CoV-2 likely uses the angiotensin-converting enzyme-2 (ACE2) receptors as its host receptor, ACE2-related signaling pathways may play a key role in mediating myocardial injury.SummarySARS-CoV-2 infection related acute cardiac injury cannot be ignored, and its underlying mechanisms remain speculated. We would suggest that health professionals investigate cardiac function as part of the routine care.
Project description:BackgroundSurgical stainless wire has been widely used to stabilize pectus bar and ribs in Nuss procedure for pectus excavatum correction. However, wire fracture and its secondary complications are problems easily to be ignored but very important. The purpose of this article was to describe a series of cases with wire breakage, hoping to arouse the attention of worldwide thoracic surgeons to this potential threat, and to share our modifications on the fixation patterns and materials in Nuss procedure.MethodsFrom September 2011 to January 2020, 44 patients underwent Nuss procedure at Chongqing University Three Gorges Hospital. In the initial 25 patients (Group A), each bar was secured by stainless wires, and the latter 19 patients (Group B) received stainless wires and polyblend polyethylene sutures (PDS) in the bar fixation. Patient demographics, Haller index (HI), wire fracture rate, characteristics of the broken wires, and operation time were recorded.ResultsThe mean operation age was 8.1±4.3 years in group A and 10.4±2.9 years in group B. There was no statistical difference in HIs between the two groups (P>0.05). The wire fracture occurred in 88.0% of the patients in Group A, while the wires in Group B were all intact. There was no bar displacement or other serious complication requiring surgical intervention in the two groups. The mean operation time of bar removal when encountering wire fracture was 104.6±42.8 minutes, which was significantly higher than that in Group B (P≤0.001).ConclusionsThe wire fracture in the bar fixation could pose potential hazards to patients deserving special attention from thoracic surgeons. Cancel the wire fixation in the non-stabilizer side while simultaneously using wires and PDS in the pectus bar fixation may achieve the pectus bar stability while overcoming the problem of wire fracture.
Project description:Phytoplasmas are phloem-restricted plant-pathogenic bacteria transmitted by insects. They cause diseases in a wide range of host plants, resulting in significant economic and ecological losses worldwide. Research on phytoplasmas has a long history, with significant progress being made in the past 30 years. Notably, with the rapid development of phytoplasma research, scientists have identified the primary agents involved in phytoplasma transmission, established classification and detection systems for phytoplasmas, and 243 genomes have been sequenced and assembled completely or to draft quality. Multiple possible phytoplasma effectors have been investigated, elucidating the molecular mechanisms by which phytoplasmas manipulate their hosts. This review summarizes recent advances in phytoplasma research, including identification techniques, host range studies, whole- or draft-genome sequencing, effector pathogenesis and disease control methods. Additionally, future research directions in the field of phytoplasma research are discussed.
Project description:Information processing in the nervous system critically relies on temporally precise spiking activity. In the auditory system, various degrees of phase-locking can be observed from the auditory nerve to cortical neurons. The classical metric for quantifying phase-locking is the vector strength (VS), which captures the periodicity in neuronal spiking. More recently, another metric, called the correlation index (CI), was proposed to quantify the temporally reproducible response characteristics of a neuron. The CI is defined as the peak value of a normalized shuffled autocorrelogram (SAC). Both VS and CI have been used to investigate how temporal information is processed and propagated along the auditory pathways. While previous analyses of physiological data in cats suggested covariation of these two metrics, general characterization of their connection has never been performed. In the present study, we derive a rigorous relationship between VS and CI. To model phase-locking, we assume Poissonian spike trains with a temporally changing intensity function following a von Mises distribution. We demonstrate that VS and CI are mutually related via the so-called concentration parameter that determines the degree of phase-locking. We confirm that these theoretical results are largely consistent with physiological data recorded in the auditory brainstem of various animals. In addition, we generate artificial phase-locked spike sequences, for which recording and analysis parameters can be systematically manipulated. Our analysis results suggest that mismatches between empirical data and the theoretical prediction can often be explained with deviations from the von Mises distribution, including skewed or multimodal period histograms. Furthermore, temporal relations of spike trains across trials can contribute to higher CI values than predicted mathematically based on the VS. We find that, for most applications, a SAC bin width of 50 ms seems to be a favorable choice, leading to an estimated error below 2.5% for physiologically plausible conditions. Overall, our results provide general relations between the two measures of phase-locking and will aid future analyses of different physiological datasets that are characterized with these metrics.
Project description:BackgroundIn the environment of orthopaedic rehabilitation, isometric strength testing is part of the monitoring in order to document the success of the therapy. For clinical applications, reference values, or at least orientation benchmarks, are needed for every single device, because of serious concerns for direct inter-device comparisons. According to functional ratios, there is only little literature covering comparability concerns. This study aimed to demonstrate reference values for two strength diagnosis systems for trunk and knee-joint flexion and extension as well as resulting functional ratios along with analyses of reproducibility and vice-versa comparisons.Materials and methodsIn a cross-sectional design, reference values (M, SD, Median, IQR, 5 and 95% percentiles) of 98 healthy adults (47 females, age 25.7±8.2 years, BMI 23.3±2.6 kg/m2) were assessed for trunk and knee flexion and extension and the according functional ratios using either the Myoline or the Frei medical system. For a sub-sample of 20 persons (50% females), the mutual explained total variance (r2) and reliability (ICC3.1, SEM, VK%) were analyzed.ResultsBoth systems were shown to be reliable (ICC3.1 0.76-0.95), while functional ratios demonstrated a lower reliability (ICC3.1 0.62-0.92). For peak forces, the mutual total explained variance (r2) ranged between 19-68%, for functional ratios on an even lower level (5-21%).ConclusionThe resulting strength test values, and especially the related functional ratios, obtained with the two strength test devices are not comparable at all, but each device was shown to be a reliable tool. Distributions of body weight adjusted peak forces and functional ratios may serve as device specific benchmark values for strength testing in clinical environments.
Project description:The two-parameter of exponentiated Gumbel distribution is an important lifetime distribution in survival analysis. This paper investigates the estimation of the parameters of this distribution by using lower records values. The maximum likelihood estimator (MLE) procedure of the parameters is considered, and the Fisher information matrix of the unknown parameters is used to construct asymptotic confidence intervals. Bayes estimator of the parameters and the corresponding credible intervals are obtained by using the Gibbs sampling technique. Two real data set is provided to illustrate the proposed methods.
Project description:BackgroundSyphilis is a sexually transmitted infection causing significant global morbidity and mortality. To inform policymaking and economic evaluation studies for syphilis, we summarised utility and disability weights for health states associated with syphilis.MethodsWe conducted a systematic review, searching six databases for economic evaluations and primary valuation studies related to syphilis from January 2000 to February 2022. We extracted health state utility values or disability weights, including identification of how these were derived. The study was registered in the international prospective register of systematic reviews (PROSPERO, CRD42021230035).FindingsOf 3401 studies screened, 22 economic evaluations, two primary studies providing condition-specific measures, and 13 burden of disease studies were included. Fifteen economic evaluations reported outcomes as disability-adjusted life years (DALYs) and seven reported quality-adjusted life years (QALYs). Fourteen of 15 economic evaluations that used DALYS based their values on the original Global Burden of Disease (GBD) study from 1990 (published in 1996). For the seven QALY-related economic evaluations, the methodology varied between studies, with some studies using assumptions and others creating utility weights or converting them from disability weights.InterpretationWe found a limited evidence base for the valuation of health states for syphilis, a lack of transparency for the development of existing health state utility values, and inconsistencies in the application of these values to estimate DALYs and QALYs. Further research is required to expand the evidence base so that policymakers can access accurate and well-informed economic evaluations to allocate resources to address syphilis and implement syphilis programs that are cost-effective.
Project description:IntroductionEquations can calculate pulse wave velocity (ePWV) from blood pressure values (BP) and age. The ePWV predicts cardiovascular events beyond carotid-femoral PWV. We aimed to evaluate the correlation between four different equations to calculate ePWV.MethodsThe ePWV was estimated utilizing mean BP (MBP) from office BP (MBPOBP) or 24-hour ambulatory BP (MBP24-hBP). We separated the whole sample into two groups: individuals with risk factors and healthy individuals. The e-PWV was calculated as follows: [Formula: see text] [Formula: see text] We calculated the concordance correlation coefficient (Pc) between e1-PWVOBP vs e2-PWVOBP, e1-PWV24-hBP vs e2-PWV24-hBP, and mean values of e1-PWVOBP, e2-PWVOBP, e1-PWV24-hBP and e2-PWV24-hBP. The multilevel regression model determined how much the ePWVs are influenced by age and MBP values.ResultsWe analyzed data from 1541 individuals; 1374 ones with risk factors and 167 healthy ones. The values are presented for the entire sample, for risk-factor patients and for healthy individuals respectively. The correlation between e1-PWVOBP with e2-PWVOBP and e1-PWV24-hBP with e2-PWV24-hBP was almost perfect. The Pc for e1-PWVOBP vs e2-PWVOBP was 0.996 (0.995-0.996), 0.996 (0.995-0.996), and 0.994 (0.992-0.995); furthermore, it was 0.994 (0.993-0.995), 0.994 (0.994-0.995), 0.987 (0.983-0.990) to the e1-PWV24-hBP vs e2-PWV24-hBP. There were no significant differences between mean values (m/s) for e1-PWVOBP vs e2-PWVOBP 8.98±1.9 vs 8.97±1.8; p = 0.88, 9.14±1.8 vs 9.13±1.8; p = 0.88, and 7.57±1.3 vs 7.65±1.3; p = 0.5; mean values are also similar for e1-PWV24-hBP vs e2-PWV24-hBP, 8.36±1.7 vs 8.46±1.6; p = 0.09, 8.50±1.7 vs 8.58±1.7; p = 0.21 and 7.26±1.3 vs 7.39±1.2; p = 0.34. The multiple linear regression showed that age, MBP, and age2 predicted more than 99.5% of all four e-PWV.ConclusionOur data presents a nearly perfect correlation between the values of two equations to calculate the estimated PWV, whether utilizing office or ambulatory blood pressure.