High prevalence of muscular ventricular septal defect in neonates

Objectives.This study sought to use echocardiography to evaluate the prevalence of muscular ventricular septal defect in neonates.Background.Ventricular septal defect is usually asymptomatic and closes spontaneously. An increase in its prevalence has been noted recently. One reason is the improved detection of small defects, especially with the increased use of echocardiography. Therefore, one would expect a higher prevalence in neonates on the basis of echocardiographic screening.Methods.Color Doppler echocardiography was performed in 1,053 consecutive neonates 6 to 170 h old at Western Galilee Hospital, Israel. Data on the neonates, parents and family were obtained to analyze the influencing factors. The identified patients were followed up for 1 to 10 months or until ventricular septal defect closure.Results.Muscular ventricular septal defect was found in 56 (25 male, 31 female) of the 1,053 neonates, a prevalence of 53.2/1,000 live births. All neonates were asymptomatic. Six had a systolic murmur. Electrocardiographic findings were normal in 44 (97.8%) of 45 neonates followed up, and left ventricular hypertrophy occurred in 1 (2.2%). By echocardiography, 50 ventricular septal defects (89.3%) were single and 6 (10.7%) were multiple. The defects (range 1 to 5 mm in diameter, mean [±sd]2.3 ± 0.8) occurred anywhere along the muscular septum; 43 (76.8%) were detectable only on color Doppler imaging. The left atrium and left ventricle were mildly dilated. Of 45 neonates who were followed up for 6 to 10 months or until closure of the defects, 40 (88.9%) had defects that closed spontaneously. The risk of ventricular septal defect was not significantly associated with gestational age, birth weight, birth order, maternal age, diabetes, smoking, exposure to drugs or infection, paternal age, familial congenital heart disease, religion or consanguinity.Conclusions.There is a prevalence of muscular ventricular septal defect in neonates of 53.2/1,000 live births. The patients were asymptomatic, and 88.9% had defects that closed spontaneously within 1 to 10 months. These defects may be caused by environmental factors. In many cases, muscular ventricular septal defect may also result from delayed physiologic development

Relationship between canopy temperature at flowering stage and soil water content, yield components in rice. Rice Sci

Abstract: The canopy temperature of rice at the flowering stage and the soil water content were investigated under different soil water treatments (the soil water contents were 24%, 55%, 90% and 175% at the flowering stage). The canopy temperature was lower than air temperature, and the soil water content significantly influenced the canopy temperature. The lower the soil water content, the higher the canopy temperature, the less the accumulative absolute value of canopy-air temperature difference. Moreover, the maximum difference between treatments and CK in the accumulative absolute value of canopy-air temperature difference appeared at 13:00 p.m. in a day, thus, it could be considered as a suitable measuring time. Under the lowest water content treatment, the peak flowering occurred in the first three days (about 70% of panicles flowered), resulting in shortened and lightened panicle of rice. As to the CK and the high water content treatments, the peak flowering appeared in the middle of flowering duration, with longer panicle length and higher panicle weight. Results indicated the lower the soil water content, the less the filled grain number and grain yield. Key words: rice; canopy temperature; soil water content; yield components Water deficit is one of the most important factors limiting crop yield, and the monitoring of crop water status is important for reasonable irrigation and water saving cultivation. Using crop canopy temperature to characterize crop water status is a new method for the monitoring. Tanner et al Turner et al [5] studied the relationships among rice canopy temperature, water stress, leaf rolling and growth, and found that drought stress increased the canopy-air temperature difference and leaf rolling, whereas reduced dry matter of rice. Chauham et a

Effect of Hairpin Diagram on Two-body Nonleptonic B Decays and CP Violation

A careful quark-diagram analysis shows that a number of two-body nonleptonic $B$ decays can occur through the so-called hairpin diagram, a QCD loop-induced graph different from penguin in final-state hadronization of valence quarks. Using the two-loop renormalization-group-improved effective Hamiltonian and the naive factorization approximation, we demonstrate the effect of the hairpin diagram on decay rates and $CP$ asymmetries for a few interesting channels such as $B^{0}_{d},\bar{B}^{0}_{d} \rightarrow \psi K_{S}$ and $B^{\pm}_{u}\rightarrow \phi K^{\pm}$. Branching ratios of some pure hairpin decay modes, e.g., $B^{-}_{u}\rightarrow \phi \pi^{-},\phi \rho^{-}$ and $\bar{B}^{0}_{d}\rightarrow \phi \pi^{0},\phi \rho^{0}, \phi \omega, \phi \eta,$ etc., are estimated to be on the order of $10^{-7}$.Comment: 14 pages (Latex, 2 figures available), BIHEP-TH-93-25 (accepted for publication in Phys. Lett. B

Predictors for presence and abundance of small mammals in households of villages endemic for commensal rodent plague in Yunnan Province, China

<p>Abstract</p> <p>Background</p> <p>Ninety-one rodent plague epidemics have occurred in Lianghe county, Yunnan Province, China, between 1990 and 2006. This study aimed to identify predictors for the presence and abundance of small mammals in households of villages endemic for rodent plague in Lianghe county.</p> <p>Results</p> <p><it>Rattus flavipectus </it>and <it>Suncus murinus </it>were the two species captured in 110 households. Keeping cats decreased the number of captures of <it>R. flavipectus </it>by one to two thirds and the chance of reported small mammal sightings in houses by 60 to 80%. Food availability was associated with fewer captures. Keeping food in sacks decreased the small mammal captures, especially of <it>S. murinus </it>4- to 8-fold. Vegetables grown around house and maize grown in the village reduced the captures of <it>S. murinus </it>and <it>R. flavipectus </it>by 73 and 45%, respectively. An outside toilet and garbage piles near the house each reduced <it>R. flavipectus </it>captures by 39 and 37%, respectively, while raising dogs and the presence of communal latrines in the village increased <it>R. flavipectus </it>captures by 76 and 110% but were without detectable effect on small mammal sightings. Location adjacent to other houses increased captures 2-fold but reduced the chance of sightings to about half. In addition, raising ducks increased the chance of sighting small mammals 2.7-fold. Even after adjusting for these variables, households of the Dai had higher captures than those of the Han and other ethnic groups.</p> <p>Conclusion</p> <p>Both species captures were reduced by availability of species-specific foods in the environment, whereas other predictors for capture of the two species differed. Other than the beneficial effect of cats, there were also discrepancies between the effects on small mammal captures and those on sightings. These differences should be considered during the implementation and interpretation of small mammal surveys.</p

Serum ApoB levels in depressive patients: associated with cognitive deficits

Cognitive deficits have been regarded as one of the most significant clinical symptoms of depressive disorder. Accumulating evidence has shown that apolipoprotein B (ApoB) levels, which are responsible for inducing neurodegeneration, may be involved in cognitive deficits. This study examines cognitive deficits, and the correlation of serum ApoB levels with cognitive deficits of depressive disorder. 90 depressive patients and 90 healthy controls with matched age and gender were recruited. Cognition was assessed using the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS). Serum ApoB levels in depressive patients were measured by immunoturbidimetric method. Our results showed that depressive patients had lower scores of cognition including RBANS total score and subscales of language and delayed memory (all, p \u3c 0.001) than healthy controls after controlling for the variables. The differences in cognitive functions also passed Bonferroni corrections. Serum ApoB levels were negatively correlated with delayed memory score in depressive patients (r = −0.30, p = 0.01). Furthermore, stepwise multivariate regression analysis indicated that serum ApoB levels independently contributed to delayed memory in depressive patients (t = −2.68, p = 0.01). Our findings support that serum ApoB levels may be involved in delayed memory decline in depressive patients. Depressive patients also experience greater cognitive deficits, especially in delayed memory and language than healthy controls

Plasma Lipoprotein-associated Phospholipase A2 in Patients with Metabolic Syndrome and Carotid Atherosclerosis

<p>Abstract</p> <p>Background</p> <p>Lipoprotein-associated phospholipase A₂(Lp-PLA₂) is a recently identified and potentially useful plasma biomarker for cardiovascular and atherosclerotic diseases. However, the correlation between the Lp-PLA₂activity and carotid atherosclerosis remains poorly investigated in patients with metabolic syndrome (MetS). The present study aimed to evaluate the potential role of Lp-PLA₂as a comprehensive marker of metabolic syndrome in individuals with and without carotid atherosclerosis.</p> <p>Methods</p> <p>We documented 118 consecutive patients with MetS and 70 age- and sex-matched healthy subjects served as controls. The patients were further divided into two groups: 39 with carotid plaques and 79 without carotid plaques to elucidate the influence of Lp-PLA₂on carotid atherosclerosis. The plasma Lp-PLA₂activity was measured by using ELISA method and carotid intimal-media thickness (IMT) was performed by ultrasound in all participants.</p> <p>Results</p> <p>Lp-PLA₂activity was significantly increased in MetS subgroups when compared with controls, and was higher in patients with carotid plaques than those without plaques (<it>P </it>< 0.05). Furthermore, we found that significant difference in Lp-PLA₂was obtained between patients with three and four disorders of metabolic syndrome (<it>P </it>< 0.01). Age (β = 0.183, <it>P </it>= 0.029), LDL-cholesterol (β = 0.401, <it>P </it>= 0.000) and waist-hip ratio (β = 0.410, <it>P </it>= 0.000) emerged as significant and independent determinants of Lp-PLA₂activity. Multiple stepwise regression analysis revealed that LDL-cholesterol (β = 0.309, <it>P </it>= 0.000), systolic blood pressure (β = 0.322, <it>P </it>= 0.002) and age (β = 0.235, <it>P </it>= 0.007) significantly correlated with max IMT, and Lp-PLA₂was not an independent predictor for carotid IMT.</p> <p>Conclusions</p> <p>Lp-PLA₂may be a modulating factor for carotid IMT via age and LDL-cholesterol, not independent predictor in the pathophysiological process of carotid atherosclerosis in patients with MetS.</p

Perioperative, oncologic, and functional outcomes of robot-assisted partial nephrectomy for special types of renal tumors (hilar, endophytic, or cystic): an evidence-based analysis of comparative outcomes

PurposeThis study aims to perform a pooled analysis to compare the outcomes of robot-assisted partial nephrectomy (RAPN) between complex tumors (hilar, endophytic, or cystic) and non-complex tumors (nonhilar, exophytic, or solid) and evaluate the effects of renal tumor complexity on outcomes in patients undergoing RAPN.MethodsFour databases were systematically searched, including Science, PubMed, Web of Science, and Cochrane Library, to identify relevant studies published in English up to December 2022. Review Manager 5.4 was used for statistical analyses and calculations. The study was registered with PROSPERO (Registration number: CRD42023394792).ResultsIn total, 14 comparative trials, including 3758 patients were enrolled. Compared to non-complex tumors, complex tumors were associated with a significantly longer warm ischemia time (WMD 3.67 min, 95% CI 1.78, 5.57; p = 0.0001), more blood loss (WMD 22.84 mL, 95% CI 2.31, 43.37; p = 0.03), and a higher rate of major complications (OR 2.35, 95% CI 1.50, 3.67; p = 0.0002). However, no statistically significant differences were found between the two groups in operative time, length of stay, transfusion rates, conversion to open nephrectomy and radical nephrectomy rates, estimated glomerular filtration rate (eGFR) decline, intraoperative complication, overall complication, positive surgical margins (PSM), local recurrence, and trifecta achievement.ConclusionsRAPN can be a safe and effective procedure for complex tumors (hilar, endophytic, or cystic) and provides comparable functional and oncologic outcomes to non-complex tumors.Systematic review registrationhttps://www.crd.york.ac.uk/prospero/display_record.php?RecordID=394792, identifier CRD42023394792

Plasmoid ejection and secondary current sheet generation from magnetic reconnection in laser-plasma interaction

Reconnection of the self-generated magnetic fields in laser-plasma interaction was first investigated experimentally by Nilson {\it et al.} [Phys. Rev. Lett. 97, 255001 (2006)] by shining two laser pulses a distance apart on a solid target layer. An elongated current sheet (CS) was observed in the plasma between the two laser spots. In order to more closely model magnetotail reconnection, here two side-by-side thin target layers, instead of a single one, are used. It is found that at one end of the elongated CS a fan-like electron outflow region including three well-collimated electron jets appears. The ($>1$ MeV) tail of the jet energy distribution exhibits a power-law scaling. The enhanced electron acceleration is attributed to the intense inductive electric field in the narrow electron dominated reconnection region, as well as additional acceleration as they are trapped inside the rapidly moving plasmoid formed in and ejected from the CS. The ejection also induces a secondary CS