Coral reefs are declining due to anthropogenic warming. Nonetheless, some have recovered quickly from repeated bleaching events. Coral recovery depends on adaptation capabilities, fishing pressure, overall number of stressors, reef conditions before the event, and degree of connectivity.
View Article and Find Full Text PDFAt present, magnetic confinement fusion devices rely solely on absolute neutron counting as a direct way of measuring fusion power. Absolute counting of deuterium-tritium gamma rays could provide the secondary neutron-independent technique required for the validation of scientific results and as a licensing tool for future power plants. However, this approach necessitates an accurate determination of the gamma-ray-to-neutron branching ratio.
View Article and Find Full Text PDFThe ITER Radial Gamma-Ray Spectrometer (RGRS) consists of three gamma-ray detectors observing the plasma through three collimated, coplanar, radial lines of sight (LoS). The system was initially designed to monitor the runaway electron emission and the alpha-particle density profile [Nocente et al., Nucl.
View Article and Find Full Text PDFThe Island Mass Effect (IME) around the Maldives is responsible for intense blooms with distinct seasonal patterns. These blooms sustain the fishing industry of the archipelagic nation, a vital source of income that occupies about 30% of the population. Through high resolution ocean simulations, we explore the physical processes responsible for the increased productivity and its observed variability, and their sensitivity to changes in land distribution.
View Article and Find Full Text PDFThis study critically examines oil spill simulations for a hypothetical 15 day deepwater blowout spill scenario off the east coast of South Africa, coincident with the upper reaches of the Agulhas Current. Our aim is to quantify the impact of submesoscale circulations on the fate of the oil by comparing a submesoscale permitting (2.5 km) versus a mesoscale resolving (7.
View Article and Find Full Text PDFOcean acoustic tomography (OAT) methods aim at estimating variations of sound speed profiles (SSP) based on acoustic measurements between multiple source-receiver pairs (e.g., eigenray travel times).
View Article and Find Full Text PDFThe excited states of unstable ^{20}O were investigated via γ-ray spectroscopy following the ^{19}O(d,p)^{20}O reaction at 8 AMeV. By exploiting the Doppler shift attenuation method, the lifetimes of the 2_{2}^{+} and 3_{1}^{+} states were firmly established. From the γ-ray branching and E2/M1 mixing ratios for transitions deexciting the 2_{2}^{+} and 3_{1}^{+} states, the B(E2) and B(M1) were determined.
View Article and Find Full Text PDFThis work investigates how vertical resolution affects the prediction of ocean sound speed through a suite of regional simulations covering the DeSoto Canyon in the Gulf of Mexico. Simulations have identical horizontal resolution of 0.5 km, partially resolving submesoscale dynamics, and vertical resolution from 30 to 200 terrain-following layers.
View Article and Find Full Text PDFClassical novae are thermonuclear explosions in stellar binary systems, and important sources of Al and Na. While γ rays from the decay of the former radioisotope have been observed throughout the Galaxy, Na remains untraceable. Its half-life (2.
View Article and Find Full Text PDFOur aim is to demonstrate a general-purpose data and knowledge validation approach that enables reproducible metrics for data and knowledge quality and safety. We researched widely accepted statistical process control methods from high-quality, high-safety industries and applied them to pharmacy prescription data being migrated between EHRs. Natural language medication instructions from prescriptions were independently categorized by two terminologists as a first step toward encoding those medication instructions using standardized terminology.
View Article and Find Full Text PDFEven optimistic climate scenarios predict catastrophic consequences for coral reef ecosystems by 2100. Understanding how reef connectivity, biodiversity and resilience are shaped by climate variability would improve chances to establish sustainable management practices. In this regard, ecoregionalization and connectivity are pivotal to designating effective marine protected areas.
View Article and Find Full Text PDFIn the current COVID-19 pandemic, patients diagnosed with multiple sclerosis (MS) are considered to be one of the highest priority categories, being recognized as extremely vulnerable people. For this reason, mRNA-based COVID-19 vaccines are strongly recommended for these patients. Despite encouraging results on the efficacy and safety profile of mRNA-based COVID-19 vaccines, to date, in frail populations, including patients diagnosed with MS, this information is rather limited.
View Article and Find Full Text PDFThe reduced transition probabilities for the 4_{1}^{+}→2_{1}^{+} and 2_{1}^{+}→0_{1}^{+} transitions in ^{92}Mo and ^{94}Ru and for the 4_{1}^{+}→2_{1}^{+} and 6_{1}^{+}→4_{1}^{+} transitions in ^{90}Zr have been determined in this experiment making use of a multinucleon transfer reaction. These results have been interpreted on the basis of realistic shell-model calculations in the f_{5/2}, p_{3/2}, p_{1/2}, and g_{9/2} proton valence space. Only the combination of extensive lifetime information and large scale shell-model calculations allowed the extent of the seniority conservation in the N=50 g_{9/2} orbital to be understood.
View Article and Find Full Text PDFExpert Rev Pharmacoecon Outcomes Res
April 2022
Introduction: The EU Orphan Regulation has successfully stimulated R&D of medicines for rare diseases, resulting in a substantial increase of orphan designations and authorized orphan medicinal products in the EU during last decade. Despite such advances, access to treatment across the 27 EU Member States is still highly variable.
Areas Covered: We provide an overview of the current situation of patient access to orphan drugs in the EU.
Background: Cardiovascular magnetic resonance permits assessment of irreversible myocardial fibrosis and contractile function in patients with previous myocardial infarction. We aimed to assess the prognostic value of myocardial fibrotic tissue with preserved/restored contractile activity.
Methods: In 730 consecutive myocardial infarction patients (64 ± 11 years), we quantified left ventricular (LV) end-diastolic (EDV) and end-systolic (ESV) volumes, ejection fraction (EF), regional wall motion (WM) (1 normal, 2 hypokinetic, 3 akinetic, 4 dyskinetic), and WM score index (WMSI), and measured the transmural (1-50 and 51-100) and global extent of the infarct scar by late gadolinium enhancement (LGE).
Background: We aimed to determine predictors and the additive prognostic role of moderate to severe (MS) ischemic mitral regurgitation (MR) in myocardial infarction (MI).
Methods: Four hundred twenty-two patients with previous MI underwent cardiac magnetic resonance (CMR) imaging for the assessment of left ventricular (LV) ejection fraction (EF), end-diastolic (EDV) and end-systolic volume (ESV), sphericity index, wall motion score index (WMSI), and late gadolinium enhancement (LGE). Echocardiography was performed to assess MR.
A foundational paradigm in marine ecology is that Oceans are divided into distinct ecoregions demarking unique assemblages of species where the characteristics of water masses, and quantity and quality of environmental resources are generally similar. In most of the world Ocean, defining these ecoregions is complicated by data sparseness away of coastal areas and by the large-scale dispersal potential of ocean currents. Furthermore, ocean currents and water characteristics change in space and time on scales pertinent to the transitions of biological communities, and predictions of community susceptibility to these changes remain elusive.
View Article and Find Full Text PDFSubmesoscale structures fill the ocean surface, and recent numerical simulations and indirect observations suggest that they may extend to the ocean interior. It remains unclear, however, how far-reaching their impact may be-in both space and time, from weather to climate scales. Here transport pathways and the ultimate fate of the Irminger Current water from the continental slope to Labrador Sea interior are investigated through regional ocean simulations.
View Article and Find Full Text PDFThe low-spin structure of the semimagic ^{64}Ni nucleus has been considerably expanded: combining four experiments, several 0^{+} and 2^{+} excited states were identified below 4.5 MeV, and their properties established. The Monte Carlo shell model accounts for the results and unveils an unexpectedly complex landscape of coexisting shapes: a prolate 0^{+} excitation is located at a surprisingly high energy (3463 keV), with a collective 2^{+} state 286 keV above it, the first such observation in Ni isotopes.
View Article and Find Full Text PDFBackground: Late gadolinium enhancement (LGE) is an important prognostic marker in hypertrophic cardiomyopathy and an extent >15% it is associated with high risk of sudden cardiac death. We proposed a novel method, the LGE-dispersion mapping, to assess heterogeneity of scar, and evaluated its prognostic role in patients with hypertrophic cardiomyopathy.
Methods: One hundred eighty-three patients with hypertrophic cardiomyopathy and a low- or intermediate 5-year risk of sudden cardiac death underwent cardiac magnetic resonance imaging.
Spectroscopic factors of neutron-hole and proton-hole states in ^{131}Sn and ^{131}In, respectively, were measured using one-nucleon removal reactions from doubly magic ^{132}Sn at relativistic energies. For ^{131}In, a 2910(50)-keV γ ray was observed for the first time and tentatively assigned to a decay from a 5/2^{-} state at 3275(50) keV to the known 1/2^{-} level at 365 keV. The spectroscopic factors determined for this new excited state and three other single-hole states provide first evidence for a strong fragmentation of single-hole strength in ^{131}Sn and ^{131}In.
View Article and Find Full Text PDFWe report a rare case of iatrogenic right coronary artery (RCA) dissection complicated by a retrograde subtle aortic dissection, which occurred during a primary percutaneous transluminal coronary angioplasty (PTCA). A 65-year-old female, with acute anterior ST-elevation myocardial infarction (STEMI), promptly underwent primary PTCA in the left anterior descending artery. After 5 h, the patient's condition becomes worse with recurrence of chest pain and new electrocardiogram modifications suggestive of inferior STEMI.
View Article and Find Full Text PDFEarly risk stratification after ST-segment-elevation myocardial infarction (STEMI) is of major clinical importance. Strain quantifies myocardial deformation and can demonstrate abnormal global and segmental myocardial function in acute ischaemia. Native T1-mapping allows assessment of the severity of acute ischemic injury, however its clinical applicability early post MI is limited by the complex dynamic changes happening in the myocardium post MI.
View Article and Find Full Text PDFObjectives: This study sought to investigate the clinical utility and the predictive relevance of absolute rest myocardial blood flow (MBF) by cardiac magnetic resonance (CMR) in acute myocardial infarction.
Background: Microvascular obstruction (MVO) remains one of the worst prognostic factors in patients with reperfused ST-segment elevation myocardial infarction (STEMI). Clinical trials have focused on cardioprotective strategies to maintain microvascular functionality, but there is a need for a noninvasive test to determine their efficacy.