The FeSi phase diagram to 150 GPa

The melting curve of FeSi has been determined to 150 GPa in the laser-heated diamond anvil cell (LH-DAC) on the basis of discontinuities in the power versus temperature function. A multianvil experimental cross-check at 12 GPa using textural criteria as a proxy for melting is in good agreement with our LH-DAC results. The melting point of FeSi reaches ∼4000 K at the core mantle boundary and an extrapolated value of 4900 K at the inner-core boundary (ICB). We also present the melting curve as determined by the Lindemann melting law; this agrees well with our experimental curve to 70 GPa and then diverges to higher temperatures, reaching 6200 K at the ICB. These temperatures are substantially higher than previous LH-DAC determinations. The boundary of the ε-FeSi → CsCl-FeSi subsolidus transition has also been determined by synchrotron-based X-ray diffraction at high pressures, and the results confirm a negative Clapeyron slope for the transition. We conclude that if present, FeSi is likely to be solid within the D″ layer and is unlikely to be present within the inner core for any plausible bulk core silicon content.9 page(s

Duke Activity Status Index and Liver Frailty Index predict mortality in ambulatory patients with advanced chronic liver disease:A prospective, observational study

BACKGROUND: There remains a lack of consensus on how to assess functional exercise capacity and physical frailty in patients with advanced chronic liver disease (CLD) being assessed for liver transplantation (LT). Aim To investigate prospectively the utility of the Duke Activity Status Index (DASI) and Liver Frailty Index (LFI) in ambulatory patients with CLD.AIM: To investigate prospectively the utility of the Duke Activity Status Index (DASI) and Liver Frailty Index (LFI) in ambulatory patients with CLD.METHODS: We recruited patients from outpatient clinics at University Hospitals Birmingham, UK (2018-2019). We prospectively collated the DASI and LFI to identify the prevalence of, respectively, functional capacity and physical frailty, and to evaluate their accuracy in predicting overall and pre-LT mortality.RESULTS: We studied 307 patients (57% male; median age 54 years; UKELD 52). Median DASI score was 28.7 (IQR 16.2-50.2), mean LFI was 3.82 (SD = 0.72), and 81% were defined either 'pre-frail' or 'frail'. Female sex and hyponatraemia were significant independent predictors of both DASI and LFI. Age and encephalopathy were significant independent predictors of LFI, while BMI significantly predicted DASI. DASI and LFI were significantly related to overall (HR 0.97, p = 0.001 [DASI], HR 2.04, p = 0.001 [LFI]) and pre-LT mortality (HR 0.96, p = 0.02 [DASI], HR 1.94, p = 0.04 [LFI]).CONCLUSIONS: Poor functional exercise capacity and physical frailty are highly prevalent among ambulatory patients with CLD who are being assessed for LT. The DASI and LFI are simple, low-cost tools that predict overall and pre-LT mortality. Implementation of both should be considered in all outpatients with CLD to highlight those who may benefit from targeted nutritional and exercise interventions.</p

Duke Activity Status Index and Liver Frailty Index predict mortality in ambulatory patients with advanced chronic liver disease:A prospective, observational study

BACKGROUND: There remains a lack of consensus on how to assess functional exercise capacity and physical frailty in patients with advanced chronic liver disease (CLD) being assessed for liver transplantation (LT). Aim To investigate prospectively the utility of the Duke Activity Status Index (DASI) and Liver Frailty Index (LFI) in ambulatory patients with CLD.AIM: To investigate prospectively the utility of the Duke Activity Status Index (DASI) and Liver Frailty Index (LFI) in ambulatory patients with CLD.METHODS: We recruited patients from outpatient clinics at University Hospitals Birmingham, UK (2018-2019). We prospectively collated the DASI and LFI to identify the prevalence of, respectively, functional capacity and physical frailty, and to evaluate their accuracy in predicting overall and pre-LT mortality.RESULTS: We studied 307 patients (57% male; median age 54 years; UKELD 52). Median DASI score was 28.7 (IQR 16.2-50.2), mean LFI was 3.82 (SD = 0.72), and 81% were defined either 'pre-frail' or 'frail'. Female sex and hyponatraemia were significant independent predictors of both DASI and LFI. Age and encephalopathy were significant independent predictors of LFI, while BMI significantly predicted DASI. DASI and LFI were significantly related to overall (HR 0.97, p = 0.001 [DASI], HR 2.04, p = 0.001 [LFI]) and pre-LT mortality (HR 0.96, p = 0.02 [DASI], HR 1.94, p = 0.04 [LFI]).CONCLUSIONS: Poor functional exercise capacity and physical frailty are highly prevalent among ambulatory patients with CLD who are being assessed for LT. The DASI and LFI are simple, low-cost tools that predict overall and pre-LT mortality. Implementation of both should be considered in all outpatients with CLD to highlight those who may benefit from targeted nutritional and exercise interventions.</p

The Impact of Slice Interval and Equation on the Accuracy of Magnetic Resonance Image Estimation of Quadriceps Muscle Volume in End Stage Liver Disease

INTRODUCTION: End stage liver disease (ESLD) is associated with loss of muscle mass and function, known as sarcopenia, which can increase the risk of complications of ESLD, hospitalization and mortality. Therefore, the accurate assessment of muscle mass is essential to evaluate sarcopenia in ESLD. However, manual segmentation of muscle volume (MV) can be laborious on cross-sectional imaging, due to the number of slices that require analysis. This study aimed to investigate the impact of reducing the number of slices required for MV estimation. Further, we aimed to compare two equations utilized in estimating MV (cylindrical and truncated cone). METHODS: Thirty eight ESLD patients (23 males; 54.8 ± 10.7 years) were recruited from the Queen Elizabeth University Hospital Birmingham. A 3T MRI scan was completed of the lower limbs. Quadriceps MV was estimated utilizing 1-, 2-, 3-, and 4 cm slice intervals with both cylindrical and truncated cone equations. Absolute and relative error (compared to 1 cm slice interval) was generated for 2-, 3-, and 4 cm slice intervals. L3 skeletal muscle index (SMI) was also calculated in 30 patients. RESULTS: Relative error increased with slice interval using the cylindrical (0.45 vs. 1.06 vs. 1.72%) and truncated cone equation (0.27 vs. 0.58 vs. 0.74%) for 2, 3, and 4 cm, respectively. Significantly, the cylindrical equation produced approximately twice the error compared to truncated cone, with 3 cm (0.58 vs. 1.06%, P < 0.01) and 4 cm intervals (0.74 vs. 1.72%, P < 0.001). Finally, quadriceps MV was significantly correlated to L3 SMI (r(2) = 0.44, P < 0.0001). CONCLUSION: The use of the truncated equation with a 4 cm slice interval on MRI offers an efficient but accurate estimation of quadricep muscle volume in ESLD patients

Subsolidus phase relations and perovskite compressibility in the system MgO–AlO_1.5–SiO₂ with implications for Earth's lower mantle

Experimentally determined phase relations in the system MgO-AlO₁․₅-SiO₂ at pressures relevant to the upper part of the lower mantle indicate that Mg-silicate perovskite incorporates aluminum into its structure almost exclusively by a charge-coupled reaction. MgSiO₃-rich bulk compositions along the joins MgSiO₃-MgAlO₂․₅ and MgSiO₃-MgAl₂O₄ crystallize assemblages of perovskite coexisting with periclase. MgO-saturated perovskites along these joins have ambient unit cell volumes consistent with those measured and calculated for aluminous perovskite along the charge-coupled substitution join, MgSiO₃-AlO₁․₅. The compressibility of aluminous perovskite along the MgO-saturated joins is not anomalously low as predicted for oxygen-defect perovskites. The bulk moduli, however, are consistent with previous measurements made for aluminous perovskites along the charge-coupled substitution join. These results agree with first-principles calculations showing very limited stability of O-defects in Mg-perovskite at pressures and temperatures corresponding to lower mantle conditions, but are inconsistent with earlier experimental results showing unusually compressive aluminous perovskite. The maximum solubility of alumina in perovskite is ∼25 mol% along the MgSiO₃-AlO₁․₅ join within the ternary MAS-system (i.e. pyrope composition), and the join is apparently binary. Although primitive mantle peridotite compositions are MgO-saturated and fall nearly on the oxygen vacancy join, alumina substitution into perovskite is expected to occur primarily by charge-coupled substitution throughout the lower mantle. The compressibility of aluminous perovskite in primitive mantle is expected to be only a few percent lower than for end member MgSiO₃ perovskite.13 page(s

Optimal Treatment of Symptomatic Hemorrhoids

Hemorrhoids are the most common anorectal complaint, and approximately 10 to 20 percent of patients with symptomatic hemorrhoids require surgery. Symptoms of hemorrhoids, such as painless rectal bleeding, tissue protrusion and mucous discharge, vary. The traditional therapeutic strategies of medicine include surgical, as well as non-surgical, treatment. To alleviate symptoms caused by hemorrhoids, oral treatments, such as fiber, suppositories and Sitz baths have been applied to patients. Other non-surgical treatments, such as infrared photocoagulation, injection sclerotherapy and rubber band ligation have been used to fixate the hemorrhoid's cushion. If non-surgical treatment has no effect, surgical treatments, such as a hemorrhoidectomy, procedure for prolapsed hemorrhoids, and transanal hemorrhoidal dearterialization are used

Dynamics of escaping Earth ejecta and their collision probability with different Solar System bodies

It has been suggested that the ejection to interplanetary space of terrestrial crustal material, accelerated in a large impact, may result in the interchange of biological material between Earth and other Solar System bodies. In this paper, we analyze the fate of debris ejected from Earth by means of numerical simulations of the dynamics of a large collection of test particles. This allows us to determine the probability and conditions for the collision of ejecta with other planets of the Solar System. We also estimate the amount of particles falling-back to Earth as a function of time after being ejected. We find that, in general, the collision rates of Earth ejecta with Venus and the Moon, as well as the fall-back rates, are consistent with results reported in the literature. By considering a larger number of particles than in all previous calculations we have also determined directly the collision probability with Mars and, for the first time, computed collision probabilities with Jupiter. We find that the collision probability with Mars is greater than values determined from collision cross section estimations previously reported.Comment: 9 pages, 4 figures & 1 table. Submitted to Icaru

The Impact of Slice Interval and Equation on the Accuracy of Magnetic Resonance Image Estimation of Quadriceps Muscle Volume in End Stage Liver Disease

IntroductionEnd stage liver disease (ESLD) is associated with loss of muscle mass and function, known as sarcopenia, which can increase the risk of complications of ESLD, hospitalization and mortality. Therefore, the accurate assessment of muscle mass is essential to evaluate sarcopenia in ESLD. However, manual segmentation of muscle volume (MV) can be laborious on cross-sectional imaging, due to the number of slices that require analysis. This study aimed to investigate the impact of reducing the number of slices required for MV estimation. Further, we aimed to compare two equations utilized in estimating MV (cylindrical and truncated cone).MethodsThirty eight ESLD patients (23 males; 54.8 ± 10.7 years) were recruited from the Queen Elizabeth University Hospital Birmingham. A 3T MRI scan was completed of the lower limbs. Quadriceps MV was estimated utilizing 1-, 2-, 3-, and 4 cm slice intervals with both cylindrical and truncated cone equations. Absolute and relative error (compared to 1 cm slice interval) was generated for 2-, 3-, and 4 cm slice intervals. L3 skeletal muscle index (SMI) was also calculated in 30 patients.ResultsRelative error increased with slice interval using the cylindrical (0.45 vs. 1.06 vs. 1.72%) and truncated cone equation (0.27 vs. 0.58 vs. 0.74%) for 2, 3, and 4 cm, respectively. Significantly, the cylindrical equation produced approximately twice the error compared to truncated cone, with 3 cm (0.58 vs. 1.06%, P &lt; 0.01) and 4 cm intervals (0.74 vs. 1.72%, P &lt; 0.001). Finally, quadriceps MV was significantly correlated to L3 SMI (r2 = 0.44, P &lt; 0.0001).ConclusionThe use of the truncated equation with a 4 cm slice interval on MRI offers an efficient but accurate estimation of quadricep muscle volume in ESLD patients