234 research outputs found

    Transoral glossoepiglottopexy in the treatment of adult obstructive sleep apnoea: A surgical approach [Glossoepiglottoplastica con approccio trans-orale nel trattamento delle apnee ostruttive notturne nell\u2019adulto]

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    The treatment of obstructive sleep apnoea syndrome (OSAS) is still a matter of debate; among the different therapeutic alternatives, both surgical and conservative, treatment with continuous positive airway pressure (CPAP) is considered the \u201cgold standard\u201d. The recent scientific literature reports that even if CPAP represents an effective solution for sleep apnoeas, 12% of patients do not benefit from its use. In most cases, primary collapse of the epiglottis is responsible for failure. We developed a surgical technique that provides a stable support to the epiglottis without influencing its function during swallowing while preserving laryngeal anatomy and physiology. The procedure we propose is based on that conceived by Monnier for children affected by laryngomalacia. We analysed a group of 20 patients who underwent glossoepiglottopexy between January 2015 and September 2016 and compared data (AHI, ODI, t90, ESS, EAT10, etc.) collected before and 6 months after surgery to demonstrate the safety and effectiveness of our glossoepiglottopexy (GEP). The results allow us to consider GEP as a valid choice to treat adults who suffer from sleep apnoeas

    Accounting for meteorological biases in simulated plumes using smarter metrics

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    In the next few years, numerous satellites with high-resolution instruments dedicated to the imaging of atmospheric gaseous compounds will be launched, to finely monitor emissions of greenhouse gases and pollutants. Processing the resulting images of plumes from cities and industrial plants to infer the emissions of these sources can be challenging. In particular traditional atmospheric inversion techniques, relying on objective comparisons to simulations with atmospheric chemistry transport models, may poorly fit the observed plume due to modelling errors rather than due to uncertainties in the emissions. The present article discusses how these images can be adequately compared to simulated concentrations to limit the weight of modelling errors due to the meteorology used to analyse the images. For such comparisons, the usual pixel-wise ℒ2 norm may not be suitable, since it does not linearly penalise a displacement between two identical plumes. By definition, such a metric considers a displacement as an accumulation of significant local amplitude discrepancies. This is the so-called double penalty issue. To avoid this issue, we propose three solutions: (i) compensate for position error, due to a displacement, before the local comparison; (ii) use non-local metrics of density distribution comparison; and (iii) use a combination of the first two solutions. All the metrics are evaluated using first a catalogue of analytical plumes and then more realistic plumes simulated with a mesoscale Eulerian atmospheric transport model, with an emphasis on the sensitivity of the metrics to position error and the concentration values within the plumes. As expected, the metrics with the upstream correction are found to be less sensitive to position error in both analytical and realistic conditions. Furthermore, in realistic cases, we evaluate the weight of changes in the norm and the direction of the four-dimensional wind fields in our metric values. This comparison highlights the link between differences in the synoptic-scale winds direction and position error. Hence the contribution of the latter to our new metrics is reduced, thus limiting misinterpretation. Furthermore, the new metrics also avoid the double penalty issue.</p

    Comprehensive tissue-specific proteome analysis of drought stress responses in Pennisetum glaucum (L.) R. Br. (Pearl millet)

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    Pearl millet is the fifth most important cereal crop worldwide and cultivated especially by small holder farmers in arid and semi-arid regions because of its drought and salt tolerance. The molecular mechanisms of drought stress tolerance in Pennisetum remain elusive. We have used a shotgun proteomics approach to investigate protein signatures from different tissues under drought and control conditions. Drought stressed plants showed significant changes in stomatal conductance and increased root growth compared to the control plants. Root, leaf and seed tissues were harvested and 2281 proteins were identified and quantified in total. Leaf tissue showed the largest number of significant changes (120), followed by roots (25) and seeds (10). Increased levels of root proteins involved in cell wall-, lipid-, secondary- and signaling metabolism and the concomitantly observed increased root length point to an impaired shoot–root communication under drought stress. The harvest index (HI) showed a significant reduction under drought stress. Proteins with a high correlation to the HI were identified using sparse partial least square (sPLS) analysis. Considering the importance of Pearl millet as a stress tolerant food crop, this study provides a first reference data set for future investigations of the underlying molecular mechanisms

    Eurodelta multi-model simulated and observed particulate matter trends in Europe in the period of 1990-2010

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    The Eurodelta-Trends (EDT) multi-model experiment, aimed at assessing the efficiency of emission mitigation measures in improving air quality in Europe during 1990-2010, was designed to answer a series of questions regarding European pollution trends; i.e. were there significant trends detected by observations? Do the models manage to reproduce observed trends? How close is the agreement between the models and how large are the deviations from observations? In this paper, we address these issues with respect to particulate matter (PM) pollution. An in-depth trend analysis has been performed for PM10 and PM2.5 for the period of 2000-2010, based on results from six chemical transport models and observational data from the EMEP (Cooperative Programme for Monitoring and Evaluation of the Long-range Transmission of Air Pollutants in Europe) monitoring network. Given harmonization of set-up and main input data, the differences in model results should mainly result from differences in the process formulations within the models themselves, and the spread in the model-simulated trends could be regarded as an indicator for modelling uncertainty.The model ensemble simulations indicate overall decreasing trends in PM10 and PM2.5 from 2000 to 2010, with the total reductions of annual mean concentrations by between 2 and 5 (7 for PM10) mu g m(-3) (or between 10 % and 30 %) across most of Europe (by 0.5-2 mu g m(-3) in Fennoscandia, the north-west of Russia and eastern Europe) during the studied period. Compared to PM2.5, relative PM10 trends are weaker due to large interannual variability of natural coarse PM within the former. The changes in the concentrations of PM individual components are in general consistent with emission reductions. There is reasonable agreement in PM trends estimated by the individual models, with the inter-model variability below 30 %-40 % over most of Europe, increasing to 50 %-60 % in the northern and eastern parts of the EDT domain.Averaged over measurement sites (26 for PM10 and 13 for PM2.5), the mean ensemble-simulated trends are - 0.24 and -0.22 mu g m(-3) yr(-1) for PM10 and PM2.5, which are somewhat weaker than the observed trends of - 0.35 and -0.40 mu g m(-3) yr(-1) respectively, partly due to model underestimation of PM concentrations. The correspondence is better in relative PM10 and PM2.5 trends, which are -1.7 % yr(-1) and -2.0 % yr(-1) from the model ensemble and -2.1 % yr(-1) and -2.9 % yr(-1) from the observations respectively. The observations identify significant trends (at the 95 % confidence level) for PM10 at 56 % of the sites and for PM2.5 at 36 % of the sites, which is somewhat less that the fractions of significant modelled trends. Further, we find somewhat smaller spatial variability of modelled PM trends with respect to the observed ones across Europe and also within individual countries.The strongest decreasing PM trends and the largest number of sites with significant trends are found for the summer season, according to both the model ensemble and observations. The winter PM trends are very weak and mostly insignificant. Important reasons for that are the very modest reductions and even increases in the emissions of primary PM from residential heating in winter. It should be kept in mind that all findings regarding modelled versus observed PM trends are limited to the regions where the sites are located.The analysis reveals considerable variability of the role of the individual aerosols in PM10 trends across European countries. The multi-model simulations, supported by available observations, point to decreases in SO42- concentrations playing an overall dominant role. Also, we see relatively large contributions of the trends of NH4+ and NO3- to PM10 decreasing trends in Germany, Denmark, Poland and the Po Valley, while the reductions of primary PM emissions appear to be a dominant factor in bringing down PM10 in France, Norway, Portugal, Greece and parts of the UK and Russia. Further discussions are given with respect to emission uncertainties (including the implications of not accounting for forest fires and natural mineral dust by some of the models) and the effect of inter-annual meteorological variability on the trend analysis.Peer reviewe

    Adjustment of photosynthetic activity to drought and fluctuating light in wheat

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    Drought is a major cause of losses in crop yield. Under field conditions, plants exposed to drought are usually also experiencing rapid changes in light intensity. Accordingly, plants need to acclimate to both, drought and light stress. Two crucial mechanisms in plant acclimation to changes in light conditions comprise thylakoid protein phosphorylation and dissipation of light energy as heat by non-photochemical quenching (NPQ). Here, we analyzed the acclimation efficacy of two different wheat varieties, by applying fluctuating light for analysis of plants, which had been subjected to a slowly developing drought stress as it usually occurs in the field. This novel approach allowed us to distinguish four drought phases, which are critical for grain yield, and to discover acclimatory responses which are independent of photodamage. In short-term, under fluctuating light, the slowdown of NPQ relaxation adjusts the photosynthetic activity to the reduced metabolic capacity. In long-term, the photosynthetic machinery acquires a drought-specific configuration by changing the PSII-LHCII phosphorylation pattern together with protein stoichiometry. Therefore, the fine-tuning of NPQ relaxation and PSII-LHCII phosphorylation pattern represent promising traits for future crop breeding strategies

    Carotenoid accumulation during tomato fruit ripening is modulated by the auxin-ethylene balance

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    Background : Tomato fruit ripening is controlled by ethylene and is characterized by a shift in color from green to red, a strong accumulation of lycopene, and a decrease in β-xanthophylls and chlorophylls. The role of other hormones, such as auxin, has been less studied. Auxin is retarding the fruit ripening. In tomato, there is no study of the carotenoid content and related transcript after treatment with auxin. Results : We followed the effects of application of various hormone-like substances to “Mature-Green” fruits. Application of an ethylene precursor (ACC) or of an auxin antagonist (PCIB) to tomato fruits accelerated the color shift, the accumulation of lycopene, α-, β-, and δ-carotenes and the disappearance of β-xanthophylls and chlorophyll b. By contrast, application of auxin (IAA) delayed the color shift, the lycopene accumulation and the decrease of chlorophyll a. Combined application of IAA + ACC led to an intermediate phenotype. The levels of transcripts coding for carotenoid biosynthesis enzymes, for the ripening regulator Rin, for chlorophyllase, and the levels of ethylene and abscisic acid (ABA) were monitored in the treated fruits. Correlation network analyses suggest that ABA, may also be a key regulator of several responses to auxin and ethylene treatments. Conclusions : The results suggest that IAA retards tomato ripening by affecting a set of (i) key regulators, such as Rin, ethylene and ABA, and (ii) key effectors, such as genes for lycopene and β-xanthophyll biosynthesis and for chlorophyll degradation
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