Accuracy of Intraoperative Transesophageal Echocardiographic Doppler Parameters in Assessing the Right Ventricular Diastolic Function After Repair of Tetralogy of Fallot in Pediatric Patients.

Background: This study aimed to assess the accuracy of tricuspid spectral Doppler (E/A) and tissue Doppler parameters (E/E') to diagnose right ventricular diastolic dysfunction (RVDD) in comparison to American Society of Echocardiography (ASE criteria) in pediatric tetralogy of Fallot (TOF) patients after surgical repair.

Methods: This prospective, observational study was done at a tertiary care hospital involving 40 pediatric TOF patients aged less than 2 years who underwent complete intracardiac repair with cardiopulmonary bypass (CPB). Echocardiographic observations were made using a pediatric transesophageal echocardiography probe after surgical repair in the post-CPB period.

Use of Telehealth for Follow-up Care After Children's Mental Health Hospitalizations.

Objectives: This study measured the extent to which the COVID-19 pandemic disrupted follow-up care for children and adolescents with acute mental health hospitalizations and the use of telehealth to offset barriers to in-person follow-up care.

Methods: The study used statewide claims data from Alabama's Children's Health Insurance Program, ALL Kids, from 2017 to 2022. Logit regressions measured associations between receipt of follow-up care within 30 days of acute mental health hospitalization and patient characteristics, timing of the COVID-19 pandemic, and receipt of care via telehealth.

Cardiac Tamponade After Video-Assisted Thoracoscopy Surgical Diaphragmatic Plication.

Video-assisted thoracoscopy surgical diaphragmatic plication is the standard of care for diaphragmatic eventration. However, it is associated with complications like injuries to the bowel, liver, spleen, and lung parenchyma. We report life-threatening cardiac tamponade after Video-assisted thoracoscopy surgical diaphragmatic plication.

Predicting pack-ice seal occupancy of ice floes along the Western Antarctic Peninsula.

We explore the habitat use of Antarctic pack-ice seals by analyzing their occupancy patterns on pack-ice floes, employing a novel combination of segmented generalized linear regression and fine-scale (∼ 50 cm pixel resolution) sea ice feature extraction in satellite imagery. Our analysis of environmental factors identified ice floe size, fine-scale sea ice concentration and nearby marine topography as significantly correlated with seal haul out abundance. Further analysis between seal abundance and ice floe size identified pronounced shifts in the relationship between the number of seals hauled out and floe size, with a positive relationship up to approximately 50 m2 that diminishes for larger floe sizes and largely plateaus after 500 m2.

Climate Change Impacts Pair-Bond Dynamics in a Long-Lived Monogamous Species.

Climate change can influence populations of monogamous species by affecting pair-bond dynamics. This study examined the impact of climate on widowhood and divorce, and the subsequent effects on individual vital rates and life-history outcomes over 54 years in a snow petrel (Pagodroma nivea) population. We found that environmental conditions can affect pair-bond dynamics both directly and indirectly.

Severe Tricuspid Regurgitation Leads to Underestimation of the Severity of Mitral Stenosis by Doppler.

• RV volume overload causes septal flattening which leads to reduced transmitral flow. • In severe TR, MVA calculated by Doppler techniques is unreliable. • In MS with concomitant TR, 3D MPR planimetry is reliable for MVA calculation.

Alumina-enriched sunflower bio-oil in machining of Hastelloy C-276: a fuzzy Mamdani model-aided sustainable manufacturing paradigm.

With the increasing emphasis on sustainable manufacturing practices, eco-friendly lubricants have gained significant attention to moderate the friction coefficient at the tool-work interface. In line with this, the contemporary study aimed to examine the viability of Alumina-enriched sunflower bio-oil as a metalworking fluid. Different volume fractions of Alumina nanoparticles (varying from 0 to 1 vol%) were mixed with sunflower bio-oil, and the physical properties, for instance, contact angle and dynamic viscosity, were analyzed to determine the optimal concentration of Alumina.

A dispensable SepIVA orthologue in Streptomyces venezuelae is associated with polar growth and not cell division.

Background: SepIVA has been reported to be an essential septation factor in Mycolicibacterium smegmatis and Mycobacterium tuberculosis. It is a coiled-coil protein with similarity to DivIVA, a protein necessary for polar growth in members of the phylum Actinomycetota. Orthologues of SepIVA are broadly distributed among actinomycetes, including in Streptomyces spp.

The potential for species distribution models to distinguish source populations from sinks.

While species distribution models (SDM) are frequently used to predict species occurrences to help inform conservation management, there is limited evidence evaluating whether habitat suitability can reliably predict intrinsic growth rates or distinguish source populations from sinks. Filling this knowledge gap is critical for conservation science, as applications of SDMs for management purposes ultimately depend on these typically unobserved population or metapopulation dynamics. Using linear regression, we associated previously published population level estimates of intrinsic growth and abundance derived from a Bayesian analysis of mark-recapture data for 17 bird species found in the contiguous United States with SDM habitat suitability estimates fitted here to opportunistic data for these same species.

Effect of Global Climate Change Concern on Environmental Sensitivity of Nursing Students.

Objective: This study was conducted to evaluate the effect of global climate change concern on environmental sensitivity in nursing students.

Design: This study was descriptive, cross-sectional, and correlational.

Sample: The study was conducted with undergraduate nursing students (n = 350).

Ruthenium complex based nanocomposite film with enhanced and selective electrochemical sensing of bifenthrin pesticide.

Bifenthrin (BF), a widely used pyrethroid pesticide in farming, lacks highly sensitive and selective sensors despite its extensive application. Ruthenium complexes are very effective for selective sensing applications but suffer from structural instability at elevated conditions, electrochemical activity, and the use of costly electrolytes. This work improves their electrochemical activity and mechanical strength by incorporating silver nanowires and replacing the costly electrolyte with abundant KCl + PBS, resulting in enhanced signal performance.

Design, Synthesis, and Characterization of Polyoxotungstate-Decorated Ionic Liquid-Based Hybrid Material, [BmIm][SiWO] toward Rapid Adsorption of Dye and Antibacterial Activities.

A multifunctional polyoxometalate-ionic liquid (POM-IL)-based hybrid material comprising silicotungstic acid, [BmIm][SiWO], has been synthesized and demonstrated its efficiency toward methylene blue removal and as an antibacterial agent. Single-crystal XRD analysis confirms that the material crystallizes in monoclinic symmetry (SG: ), with lattice parameters = 13.1396(5) Å, = 16.

Reporting Hormone Receptor Expression in Breast Carcinomas: Which Method has the Highest Prognostic Power and What Should be the Optimal Cut-off Value?

.: Hormone receptor (HR) expression is a critical marker that plays a role in the treatment and management of breast cancer. Even if patients receive hormone treatment with a hormone positivity rate of over 1%, it is controversial at what level of positivity they benefit from treatment and contribute positively to their prognosis.

Recent advances in managing obstructive sleep apnea.

Obstructive sleep apnea (OSA) is a rapidly increasing global concern. If it remains untreated, it can lead to cardiovascular, metabolic, and psychiatric complications and may result in premature death. The efficient and effective management of OSA can have a beneficial effect and help reduce the financial burden on the health sector.

Hypoxia decreases mitochondrial ROS production in cells.

We re-examined the reported increase in mitochondrial ROS production during acute hypoxia in cells. Using the Amplex Ultrared/horseradish peroxidase assay we found a decrease, not increase, in hydrogen peroxide release from HEK293 cells under acute hypoxia, at times ranging from 1 min to 3 h. The rates of superoxide/hydrogen peroxide production from each of the three major sites (site I in complex I and site III in complex III in mitochondria, and NADH oxidases (NOX) in the cytosol) were decreased to the same extent by acute hypoxia, with no change in the cells' ability to degrade added hydrogen peroxide.

Pathfinder experiments with atom interferometry in the Cold Atom Lab onboard the International Space Station.

Deployment of ultracold atom interferometers (AI) into space will capitalize on quantum advantages and the extended freefall of persistent microgravity to provide high-precision measurement capabilities for gravitational, Earth, and planetary sciences, and to enable searches for subtle forces signifying physics beyond General Relativity and the Standard Model. NASA's Cold Atom Lab (CAL) operates onboard the International Space Station as a multi-user facility for fundamental studies of ultracold atoms and to mature space-based quantum technologies. We report on pathfinding experiments utilizing ultracold Rb atoms in the CAL AI.

Excellent adsorption of toxic Cd (II) ions from water with effective antibacterial activity by novel GO-ZnO-curcumin composite.

A significant health risk arises from the bioaccumulation of harmful Cd (II) in drinking water. Here, we report the unique Cd (II) remediation from drinking water by using novel GO-ZnO-curcumin composite. The composites were tailored by varying the ratio of GO-ZnO and curcumin.

Hospital-based skilled nursing facility survival: Organizational and market-level predictors.

Background: Rising health care costs and consequent increases in Medicare reimbursements have led to many payment reforms over the years. Implementation of the prospective payment system (PPS) for hospitals in 1983 incentivized hospitals to either purchase skilled nursing facilities (SNFs) or utilize their excess capacity to establish one within the hospital. With PPS reimbursement being applied to SNFs in 1998, prior monetary incentives for hospitals to own an SNF disappeared.

Semantic learning from keyframe demonstration using object attribute constraints.

Learning from demonstration is an approach that allows users to personalize a robot's tasks. While demonstrations often focus on conveying the robot's motion or task plans, they can also communicate user intentions through object attributes in manipulation tasks. For instance, users might want to teach a robot to sort fruits and vegetables into separate boxes or to place cups next to plates of matching colors.

Cone beam computed tomography evaluation of c-shaped canal morphology in mandibular premolar teeth.

Purpose: The aim of this study was to evaluate the prevalence and the morphology of c-shaped root canal(s) in mandibular premolars using cone beam computed tomography (CBCT) images.

Materials And Methods: CBCT images of 1095 mandibular premolars were examined at coronal, middle, and apical levels of the root canals. The type, the level, and the position (buccal or lingual) of the c-shaped anatomy were recorded.

Effects of Dexmedetomidine on Perioperative Glycemic Control in Adult Diabetic Patients Undergoing Cardiac Surgery.

Background And Objective: To study the effects of dexmedetomidine (DEX) on perioperative blood glucose levels in adult diabetes mellitus (DM) patients undergoing cardiac surgery.

Methods And Material: A prospective, observational study was conducted on 100 adult diabetic patients aged between 18 and 75 years undergoing cardiac surgery with cardiopulmonary bypass (CPB). The patients were divided into two groups (group D and group C) of 50 each.

Characterization of the family-level Borreliaceae pan-genome and development of an episomal typing protocol.

Background: The family includes many obligate parasitic bacterial species which are etiologically associated with a myriad of zoonotic borrelioses including Lyme disease and vector-borne relapsing fevers. Infections by the are difficult to detect by both direct and indirect methods, often leading to delayed and missed diagnoses. Efforts to improve diagnoses center around the development of molecular diagnostics (MDx), but due to deep tissue sequestration of the causative spirochaetes and the lack of persistent bacteremias, even MDx assays suffer from a lack of sensitivity.