Leiomyosarcoma of the Great Saphenous Vein: A Case Report and Review of the Literature

Introduction: Leiomyosarcoma of the venous system is rare, even more so in the greater saphenous vein. In the 85 years since van Ree described the first case in 1919 only 25 cases have been reported in the world

Chronic historical drought legacy exacerbates tree mortality and crown dieback during acute heatwave-compounded drought

Globally, combinations of drought and warming are driving widespread tree mortality and crown dieback. Yet thresholds triggering either tree mortality or crown dieback remain uncertain, particularly with respect to two issues: (i) the degree to which heat waves, as an acute stress, can trigger mortality, and (ii) the degree to which chronic historical drought can have legacy effects on these processes. Using forest study sites in southwestern Australia that experienced dieback associated with a short-term drought with a heatwave (heatwave-compounded drought) in 2011 and span a gradient in long-term precipitation (LTP) change, we examined the potential for chronic historical drought to amplify tree mortality or crown dieback during a heatwave-compounded drought event for the dominant overstory species Eucalyptus marginata and Corymbia calophylla. We show pronounced legacy effects associated with chronically reduced LTP (1951–1980 versus 1981–2010) at the tree level in both study species. When comparing areas experiencing 7.0% and 11.5% decline in LTP, the probability of tree mortality increased from low (0.55) in both species, and probability of crown dieback increased from high (0.74) to nearly complete (0.96) in E. marginata. Results from beta regression analysis at the stand-level confirmed tree-level results, illustrating a significant inverse relationship between LTP reduction and either tree mortality (F = 10.39, P = 0.0073) or dieback (F = 54.72, P < 0.0001). Our findings quantify chronic climate legacy effects during a well-documented tree mortality and crown dieback event that is specifically associated with an heatwave-compounded drought. Our results highlight how insights into both acute heatwave-compounded drought effects and chronic drought legacies need to be integrated into assessments of how drought and warming together trigger broad-scale tree mortality and crown dieback events

Structure, acid-resistance and high-temperature behavior of silica-based one-part geopolymers and geopolymer-zeolite composites

One-part geopolymers (OPGs) are a sort of alkali-activated materials (AAMs) which production avoids the use of highly-alkaline activator-solutions and contributes to a better acceptance of alternative mineral binders in terms of safety-related and economic aspects. In the present contribution OPGs were synthesized by blending silica sources (two industrial silicas and two biogenic silicas) with sodium aluminate and only water must be added to initiate the hardening, i.e. mixing is performed in the same way as for conventional Portland cements. The OPGs were characterized by XRD, and SEM and the degrees of reaction of the silicas were determined by a chemical dissolution method. The industrial silicas led to the formation of geopolymer-zeolite composites, that contained, besides geopolymeric gel, crystalline tectosilicates (e.g. zeolite A and hydrosodalite) and depending on the starting composition also unreacted silica. The biogenic silicas provided a higher reactivity and avoided the formation of crystallite by-products. The differences in the microstructures caused differences in the mechanical strength of the specimens [1, 2]. The treatment of the OPG composites at moderate elevated temperatures revealed promising behavior on thermal dehydration in terms of shrinkage and residual strength up to 700 °C. Above 700 °C sintering and partial melting occurred, and new phase formation commenced. After exposure to 1000 °C the specimens appeared virtually amorphous or formed stuffed silica structures of nepheline- or carnegieite-type type [3]. The investigations of the OPG based mortars on their resistance against sulfuric acid in accordance with DIN 19573 (Appendix A) revealed very high residual strengths up to 78 % after treatment with H2SO4 (pH 1) for 70d. A mechanism of dissolution of the primary aluminosilicate reaction products of the pastes and the precipitation of a silica gel that protects the remaining aluminosilicates and decelerates further corrosion was found to be the main reason for the good performance under acidic conditions. The addition of CaO-containing feedstocks enhanced hardening, but at a certain content the resistance against sulfuric acid decreased, due to the formation of gypsum on exposure to sulfate. In addition, the mortars exhibited excellent shrinkage behavior as well as good bond to concrete substrates with pull-off strength up to \u3e 3 MPa. The workability of the fresh mortars provided very good manual applicability; automatic applications such as sprayed and spun mortars will require further optimization regarding rheological properties. In summary, the studied OPG are promising materials for the construction and the repair of concrete structures, such as sewers, that are affected by biogenic sulfuric acid corrosion. [1] Sturm, P., Greiser, S., Gluth, G. J. G., Jäger, C. & Brouwers, H. J. H. Degree of reaction and phase content of silica-based one-part geopolymers investigated using chemical and NMR spectroscopic methods. J. Mater. Sci. 50, 6768–6778 (2015). [2] Sturm, P., Gluth, G. J. G., Brouwers, H. J. H. & Kühne, H.-C. Synthesizing one-part geopolymers from rice husk ash. Constr. Build. Mater. 124, 961–966 (2016). [3] Sturm, P., Gluth, G. J. G., Simon, S., Brouwers, H. J. H. & Kühne, H.-C. The effect of heat treatment on the mechanical and structural properties of one-part geopolymer-zeolite composites. Thermochim. Acta 635, 41–58 (2016)

Hypotensive Response to Angiotensin II Type 2 Receptor Stimulation in the Rostral Ventrolateral Medulla Requires Functional GABA-A Receptors

Objectives: Angiotensin II, glutamate and gamma-aminobutyric acid (GABA) interact within the rostral ventrolateral medulla (RVLM) and the paraventricular nucleus (PVN) modulating the central regulation of blood pressure and sympathetic tone. Our aim was to assess the effects of local angiotensin II type 2 receptor stimulation within the RVLM and the PVN on neurotransmitter concentrations and mean arterial pressure (MAP).Methods:In vivo microdialysis was used for measurement of extracellular glutamate and GABA levels and for local infusion of the angiotensin II type 2 receptor agonist Compound 21 in the RVLM and the PVN of conscious normotensive Wistar rats. The MAP response to local Compound 21 was monitored with a pressure transducer under anaesthesia. Angiotensin II type 2 receptor selectivity was assessed using the angiotensin II type 2 receptor antagonist PD123319; the GABA-A receptor antagonist bicuculline was used to assess the involvement of GABA-A receptors.Results: Infusion of Compound 21 (0.05 μg/μl/h) in the RVLM significantly increased GABA levels and lowered blood pressure. These effects were abolished by co-infusion with PD123319. No changes in neurotransmitter levels or effects on blood pressure were seen with PD123319 infusion alone. Co-infusion of bicuculline abolished the Compound 21 evoked decrease in MAP. Infusion of Compound 21 within the PVN did not change extracellular neurotransmitter levels nor MAP.Conclusion: Selective stimulation of angiotensin II type 2 receptor within the RVLM by local Compound 21 infusion reduces blood pressure and increases local GABA levels in normotensive rats. This hypotensive response requires functional GABA-A receptors, suggesting that GABAergic neurons are involved in the sympatho-inhibitory action underlying this hypotensive response

Pauli graphs, Riemann hypothesis, Goldbach pairs

Let consider the Pauli group $\mathcal{P}_q=$ with unitary quantum generators $X$ (shift) and $Z$ (clock) acting on the vectors of the $q$-dimensional Hilbert space via $X|s> =|s+1>$ and $Z|s> =\omega^s |s>$, with $\omega=\exp(2i\pi/q)$. It has been found that the number of maximal mutually commuting sets within $\mathcal{P}_q$ is controlled by the Dedekind psi function $\psi(q)=q \prod_{p|q}(1+\frac{1}{p})$ (with $p$ a prime) \cite{Planat2011} and that there exists a specific inequality $\frac{\psi (q)}{q}>e^{\gamma}\log \log q$, involving the Euler constant $\gamma \sim 0.577$, that is only satisfied at specific low dimensions $q \in \mathcal {A}=\{2,3,4,5,6,8,10,12,18,30\}$. The set $\mathcal{A}$ is closely related to the set $\mathcal{A} \cup \{1,24\}$ of integers that are totally Goldbach, i.e. that consist of all primes $p2$) is equivalent to Riemann hypothesis. Introducing the Hardy-Littlewood function $R(q)=2 C_2 \prod_{p|n}\frac{p-1}{p-2}$ (with $C_2 \sim 0.660$ the twin prime constant), that is used for estimating the number $g(q) \sim R(q) \frac{q}{\ln^2 q}$ of Goldbach pairs, one shows that the new inequality $\frac{R(N_r)}{\log \log N_r} \gtrapprox e^{\gamma}$ is also equivalent to Riemann hypothesis. In this paper, these number theoretical properties are discusssed in the context of the qudit commutation structure.Comment: 11 page

STUDENTS' PERCEPTIONS OF THE INCIDENCE OF BURN-OUT AMONG THEIR TEACHERS

research paperThe aim was to explore students' perceptions of teacher burn-out in relation to the incidence of disruptive student classroom behaviour and teachers' competence to cope with it. A random sample of students from a Regional Training Centre participated. First, it was shown that the Maslach Burnout Inventory, the Coping with Disruptive Behaviour Scale and the Perceived Disruptive Behaviour Scale could be adapted for students to report symptoms of burn-out perceived among their teachers, the occurrence of perceived disruptive student behaviour and the students' perception of their teachers' ability to cope with such behaviour. Second, students' perceptions do not differ according to their age. Third, a significant difference was found between the perceptions of male and female students in respect of emotional exhaustion and depersonalisation, but not in respect of personal achievement. Finally, a considerable percentage of variance on each of the three burn-out dimensions is explained by teachers' ability to cope with student disruptive behaviour and perceived disruptive student behaviour. Students' perceptions of their teachers appear to contribute valid information on the mental health of the latter. It is advisable for future research into teacher burn-out to be based both on the teachers' self-reports and on the students' reports

Return to work trajectories among employees with mental health problems:Insights from longitudinal sickness absence data and a multi-stakeholder expert meeting

IOSH, the Chartered body for health and safety professionals, is committed to evidence-based practice in workplace safety and health. We maintain a Research Fund to support research and inspire innovation as part of our work as a thought leader in health and safet

RAMESES publication standards: realist syntheses

PMCID: PMC3558331This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited