[Electromagnetic stimulation in diaphragm dysfunction: repetitive peripheral magnetic stimulation as a method of choice during the rehabilitation period after stroke. (Literature review)].

Unlabelled: Diaphragm dysfunction develops in central nervous system damage, chest injuries, complications of cardiac surgery, long-term artificial lung ventilation, respiratory diseases. Anatomical morphological features of phrenic nerves allow to effectively use electromagnetic stimulation methods for functional recovery of the diaphragm in different pathological conditions. Invasive and non-invasive, electric and magnetic methods of stimulation are used depending on the severity of manifestations of the diaphragm dysfunction and its genesis.

Spine and Sacroiliac Joint Involvement in Newly Diagnosed Patients With Inflammatory Bowel Disease: Clinical and MRI Findings From a Population-Based Cohort.

Introduction: In patients with inflammatory bowel disease (IBD), co-occurring spondyloarthritis (SpA) leads to poorer outcomes and impaired quality of life, highlighting the importance of early detection and effective treatment. This is the first study to assess the prevalence and distribution of axial symptoms and magnetic resonance imaging (MRI)-detected involvement of the spine and sacroiliac joints (SIJs) in early IBD.

Methods: Newly diagnosed patients with IBD from a prospective, population-based cohort were consecutively recruited.

Peripheral Joint and Enthesis Involvement in Patients With Newly Diagnosed Inflammatory Bowel Disease: Symptoms, and Clinical and Ultrasound Findings - A Population-Based Cohort Study.

Objectives: Musculoskeletal [MSK] manifestations in patients with inflammatory bowel disease [IBD] are common and associated with poorer outcomes. Hence, early detection is important to optimally tailor treatment. We aimed to determine the prevalence and distribution of inflammatory lesions in peripheral joints and entheses in newly diagnosed IBD patients.

Validation of SPARCC MRI-RETIC e-tools for increasing scoring proficiency of MRI sacroiliac joint lesions in axial spondyloarthritis.

Background: The Spondyloarthritis Research Consortium of Canada (SPARCC) developers have created web-based calibration modules for the SPARCC MRI sacroiliac joint (SIJ) scoring methods. We aimed to test the impact of applying these e-modules on the feasibility and reliability of these methods.

Methods: The SPARCC-SIJ e-modules contain cases with baseline and follow-up scans and an online scoring interface.

High vaccine confidence and strong approval of the mandatory immunization schedule among Bulgarian general practitioners in 2022.

In a context of recently decreasing childhood immunization coverage and low uptake of COVID-19 vaccines in Bulgaria, this study measures vaccine hesitancy among general practitioners (GPs) in the country, as they are central to forming patients' attitudes. In 2022, a face-to-face survey was conducted through a simple random sample from an exhaustive national database of Bulgarian GPs. This study measured attitudes on vaccine importance, safety, and effectiveness, and attitudes toward the Bulgarian immunization schedule.

Bulgarian General Practitioners' Communication Styles about Child Vaccinations, Mainly Focused on Parental Decision Making in the Context of a Mandatory Immunization Schedule.

The communication practices of general practitioners in relation with vaccines have not been a topic of wide scientific interest. In this article, we outline them in the context of Bulgaria. A representative, cross-sectional, quantitative, face-to-face survey was conducted among 358 Bulgarian general practitioners in 2022 using simple random sampling.

Multimode correlations and the entropy of turbulence in shell models.

We suggest a new focus for turbulence studies-multimode correlations-which reveal the hitherto hidden nature of turbulent state. We apply this approach to shell models describing basic properties of turbulence. The family of such models allows one to study turbulence close to thermal equilibrium, which happens when the interaction time weakly depends on the mode number.

Predicting the Potentiometric Sensitivity of Membrane Sensors Based on Modified Diphenylphosphoryl Acetamide Ionophores with QSPR Modeling.

While potentiometric, plasticized membrane sensors are known as convenient, portable and inexpensive analytical instruments, their development is time- and resource-consuming, with a poorly predictable outcome. In this study, we investigated the applicability of the QSPR (quantitative structure-property relationship) method for predicting the potentiometric sensitivity of plasticized polymeric membrane sensors, using the ionophore chemical structure as model input. The QSPR model was based on the literature data on sensitivity, from previously studied, structurally similar ionophores, and it has shown reasonably good metrics in relating ionophore structures to their sensitivities towards Cu, Cd and Pb.

The Effect of Bean Seed Treatment with Entomopathogenic Fungus on Soil Microarthropods (Acari, Collembola).

The treatment of agricultural crops with entomopathogenic fungi may disturb the structure of soil microarthropod communities, which can have an adverse impact on soil fertility and, ultimately, on the yield. The effect of the treatment of broad bean ( L.) seeds, with the entomopathogenic fungus , on the abundance and community structure of soil microarthropods in the rhizosphere was assessed in different phases of plant vegetation in a two-year experiment.

Emerging scale invariance in a model of turbulence of vortices and waves.

This note is devoted to broken and emerging scale invariance of turbulence. Pumping breaks the symmetry: the statistics of every mode explicitly depend on the distance from the pumping. And yet the ratios of mode amplitudes, called Kolmogorov multipliers, are known to approach scale-invariant statistics away from the pumping.

Second-harmonic generation as a minimal model of turbulence.

When two resonantly interacting modes are in contact with a thermostat, their statistics is exactly Gaussian and the modes are statistically independent despite strong interaction. Considering a noise-driven system, we show that when one mode is pumped and another dissipates, the statistics of such cascades is never close to Gaussian, no matter what is the relation between interaction and noise. One finds substantial phase correlation in the limit of strong interaction or weak noise.

Coronavirus disease 2019, immune-mediated inflammatory diseases and immunosuppressive therapies - A Danish population-based cohort study.

Background: Limited data exist regarding the disease course of coronavirus disease 2019 (COVID-19) and its relationship with immunosuppressants among patients with immune-mediated inflammatory diseases (IMIDs). Therefore, this study aims to investigate the association between COVID-19, frequent rheumatological, dermatological, gastrointestinal, and neurological IMIDs and immunosuppressants.

Methods: We conducted a Danish population-based cohort study including all residents living within Capital Region of Denmark and Region Zealand from January 28th, 2020 until September 15th, 2020 with the only eligibility criterion being a test for SARS-CoV-2 via reverse transcription-polymerase chain-reaction.

Formation of Ordered Honeycomb-like Structures of Manganese Oxide 2D Nanocrystals with the Birnessite-like Structure and Their Electrocatalytic Properties during Oxygen Evolution Reaction upon Water Splitting in an Alkaline Medium.

In this work, a chemical reaction between gaseous ozone and aqueous solution of Mn(CHCOO) in drops has been researched. It has been shown that the formation of H MnO·nHO nanocrystals with a morphology of nanosheets and a birnessite-like crystal structure with a thickness of 5-8 nm is observed on the surface of drops. These nanocrystals are oriented spontaneously to the solution-gas interface and constitute peculiar ribbons with a width of 1-2 μm, some of which form ordered honeycomb structures (OHS) with a 5-20 μm cell size.

The Forest Observation System, building a global reference dataset for remote sensing of forest biomass.

Forest biomass is an essential indicator for monitoring the Earth's ecosystems and climate. It is a critical input to greenhouse gas accounting, estimation of carbon losses and forest degradation, assessment of renewable energy potential, and for developing climate change mitigation policies such as REDD+, among others. Wall-to-wall mapping of aboveground biomass (AGB) is now possible with satellite remote sensing (RS).

Q fever in Bulgaria: Laboratory and epidemiological findings on human cases and outbreaks, 2011 to 2017.

BackgroundQ fever is a zoonosis, included in category B of particularly dangerous infectious agents and as such merits careful surveillance and regular updating of the information about its distribution.AimThis observational retrospective study aimed to provide an overview of Q fever incidence in Bulgaria in the period 2011 to 2017.MethodsAggregated surveillance data from Bulgaria's mandatory surveillance system, laboratory data on individual samples received at the National Reference Laboratory Rickettsiae and Cell Cultures and outbreak reports sent by the regional health authorities to the National Centre of Infectious and Parasitic Diseases, were used in this analysis.

Meningococcal serogroups and surveillance: a systematic review and survey.

Background: Meningococcal disease continues to be a global public health concern due to its epidemic potential, severity, and sequelae. The global epidemiological data on circulating meningococcal serogroups have never been reviewed concurrently with the laboratory capacity for meningococcal surveillance at the national level. We, therefore, aimed to conduct a country-level review of meningococcal surveillance, serogroup distribution, and vaccine use.

Turbulence Appearance and Nonappearance in Thin Fluid Layers.

Flows in fluid layers are ubiquitous in industry, geophysics, and astrophysics. Large-scale flows in thin layers can be considered two dimensional with bottom friction added. Here we find that the properties of such flows depend dramatically on the way they are driven.

Evolution of inverse cascades and formation of precondensate in Gross-Pitaevskii turbulence in two dimensions.

Here we study how coherence appears in a system driven by noise at small scales. In the wave turbulence modeled by the Gross-Pitaevskii or the nonlinear Schrödinger equation, we observe states with correlation scales smaller than the system size but much larger than the excitation scale. We call a such state precondensate to distinguish it from condensate defined as a systemwide coherent state.

Preliminary findings indicate nosocomial transmission and Roma population as most affected group in ongoing measles B3 genotype outbreak in Bulgaria, March to August 2017.

From March to August 2017, 165 measles cases were reported from three regions in Bulgaria. The age range was 0-55 years and 66% of the cases were under 9 years. The Roma population was disproportionally affected (89% of cases), 41% cases were unvaccinated and in 24 cases there was nosocomial transmission mostly in paediatric departments.

Modeling of nonlinear combining of multiple laser beams in Kerr medium.

We model combining of multiple laser beams into a single near diffraction-limited beam by beam self-focusing (collapse) in a Kerr medium. The beams with the total power above critical are combined in the near field and then propagated in the Kerr medium. Nonlinearity results in self-focusing event, combining multiple beams into nearly a diffraction-limited beam that carries the critical power.

Pain Sensitisation in Women with Active Rheumatoid Arthritis: A Comparative Cross-Sectional Study.

Objectives. In some rheumatoid arthritis (RA) patients, joint pain persists without signs of inflammation. This indicates that central pain sensitisation may play a role in the generation of chronic pain in a subgroup of RA.

Cascades in nonlocal turbulence.

We consider developed turbulence in the two-dimensional Gross-Pitaevskii model, which describes wide classes of phenomena from atomic and optical physics to condensed matter, fluids, and plasma. The well-known difficulty of the problem is that the hypothetical local spectra of both inverse and direct cascades in the weak-turbulence approximation carry fluxes that are either zero or have the wrong sign; Such spectra cannot be realized. We analytically derive the exact flux constancy laws (analogs of Kolmogorov's 4/5 law for incompressible fluid turbulence), expressed via the fourth-order moment and valid for any nonlinearity.