Glasgow Coma Scale and Its Components on Admission: Are They Valuable Prognostic Tools in Acute Mixed Drug Poisoning?

Introduction. The verbal, eye, and motor components of Glasgow coma scale (GCS) may be influenced by poisoned patients' behavior in an attempted suicide. So, the values of admission GCS and its components for outcomes prediction in mixed drugs poisoning were investigated. Materials and Methods. A followup study data was performed on patients with mixed drugs poisoning. Outcomes were recorded as without complications and with complications. Discrimination was evaluated by calculating the area under the receiver operating characteristic curves (AUC). Results. There was a significant difference between the mean value of each component of GCS as well as the total GCS between patients with and without complication. Discrimination was best for GCS (AUC: 0.933 ± 0.020) and verbal (0.932 ± 0.021), followed by motor (0.911 ± 0.025), then eye (0.89 ± 0.028). Conclusions. Admission GCS and its components seem to be valuable in outcome prediction of patients with mixed drug poisoning

Rapid planetesimal formation in turbulent circumstellar discs

The initial stages of planet formation in circumstellar gas discs proceed via dust grains that collide and build up larger and larger bodies (Safronov 1969). How this process continues from metre-sized boulders to kilometre-scale planetesimals is a major unsolved problem (Dominik et al. 2007): boulders stick together poorly (Benz 2000), and spiral into the protostar in a few hundred orbits due to a head wind from the slower rotating gas (Weidenschilling 1977). Gravitational collapse of the solid component has been suggested to overcome this barrier (Safronov 1969, Goldreich & Ward 1973, Youdin & Shu 2002). Even low levels of turbulence, however, inhibit sedimentation of solids to a sufficiently dense midplane layer (Weidenschilling & Cuzzi 1993, Dominik et al. 2007), but turbulence must be present to explain observed gas accretion in protostellar discs (Hartmann 1998). Here we report the discovery of efficient gravitational collapse of boulders in locally overdense regions in the midplane. The boulders concentrate initially in transient high pressures in the turbulent gas (Johansen, Klahr, & Henning 2006), and these concentrations are augmented a further order of magnitude by a streaming instability (Youdin & Goodman 2005, Johansen, Henning, & Klahr 2006, Johansen & Youdin 2007) driven by the relative flow of gas and solids. We find that gravitationally bound clusters form with masses comparable to dwarf planets and containing a distribution of boulder sizes. Gravitational collapse happens much faster than radial drift, offering a possible path to planetesimal formation in accreting circumstellar discs.Comment: To appear in Nature (30 August 2007 issue). 18 pages (in referee mode), 3 figures. Supplementary Information can be found at 0708.389

Differences in the gas and dust distribution in the transitional disk of a sun-like young star, PDS 70

This is the author accepted manuscript. The final version is available from the publisher via the DOI in this recordThe American Astronomical Society. All rights reserved. We present ALMA 0.87 mm continuum, HCO + J = 4-3 emission line, and CO J = 3-2 emission line data of the disk of material around the young, Sun-like star PDS 70. These data reveal the existence of a possible two-component transitional disk system with a radial dust gap of 0.″42 ±0.″05, an azimuthal gap in the HCO + J = 4-3 moment zero map, as well as two bridge-like features in the gas data. Interestingly these features in the gas disk have no analog in the dust disk making them of particular interest. We modeled the dust disk using the Monte Carlo radiative transfer code HOCHUNK3D using a two-disk component. We find that there is a radial gap that extends from 15 to 60 au in all grain sizes, which differs from previous work.This work is supported supported by the NASA XRP grants NNX17AF88G and NNX16AJ75G. MC thanks the support from the Centro de Astrofísica de Valparaíso. S.K. acknowledges support from an STFC Rutherford Fellowship (ST/J004030/1) and ERC Starting Grant (Grant Agreement No. 639889). This work is supported by the Astrobiology Center Program of National Institutes of Natural Sciences (NINS) (Grant Number: AB281013) and by MEXT KAKENHI No. 17K05399 (EA). Y.H. is currently supported by Jet Propulsion Laboratory, California Institute of Technology, under a contract from NASA. This paper makes use of the following ALMA data: ADS/JAO.ALMA#2015.1.00888.S. ALMA is a partnership of ESO (representing its member states), NSF (USA) and NINS (Japan), together with NRC (Canada), MOST and ASIAA (Taiwan), and KASI (Republic of Korea), in cooperation with the Republic of Chile. The Joint ALMA Observatory is operated by ESO, AUI/NRAO, and NAOJ. The National Radio Astronomy Observatory is a facility of the National Science Foundation operated under cooperative agreement by Associated Universities, In

A concordant scenario to explain FU Orionis from deep centimeter and millimeter interferometric observations

© ESO, 2017. Aims. The aim of this work is to constrain properties of the disk around the archetype FU Orionis object, FU Ori, with as good as ~25 au resolution. Methods. We resolved FU Ori at 29-37 GHz using the Karl G. Jansky Very Large Array (JVLA) in the A-Array configuration, which provided the highest possible angular resolution to date at this frequency band (~0\hbox{\farcs}07). We also performed complementary JVLA 8-10 GHz observations, Submillimeter Array (SMA) 224 GHz and 272 GHz observations, and compared these with archival Atacama Large Millimeter Array (ALMA) 346 GHz observations to obtain the spectral energy distributions (SEDs). Results. Our 8-10 GHz observations do not find evidence for the presence of thermal radio jets, and constrain the radio jet/wind flux to at least 90 times lower than the expected value from the previously reported bolometric luminosity-radio luminosity correlation. The emission at frequencies higher than 29 GHz may be dominated by the two spatially unresolved sources, which are located immediately around FU Ori and its companion FU Ori S, respectively. Their deconvolved radii at 33 GHz are only a few au, which is two orders of magnitude smaller in linear scale than the gaseous disk revealed by the previous Subaru-HiCIAO 1.6 μm coronagraphic polarization imaging observations. We are struck by the fact that these two spatially compact sources contribute to over 50% of the observed fluxes at 224 GHz, 272 GHz, and 346 GHz. The 8-346 GHz SEDs of FU Ori and FU Ori S cannot be fit by constant spectral indices (over frequency), although we cannot rule out that it is due to the time variability of their (sub)millimeter fluxes. Conclusions. The more sophisticated models for SEDs considering the details of the observed spectral indices in the millimeter bands suggest that the >29 GHz emission is contributed by a combination of free-free emission from ionized gas and thermal emission from optically thick and optically thin dust components. We hypothesize that dust in the innermost parts of the disks (â0.1 au) has been sublimated, and thus the disks are no longer well shielded against the ionizing photons. The estimated overall gas and dust mass based on SED modeling, can be as high as a fraction of a solar mass, which is adequate for developing disk gravitational instability. Our present explanation for the observational data is that the massive inflow of gas and dust due to disk gravitational instability or interaction with a companion/intruder, was piled up at the few-Au scale due to the development of a deadzone with negligible ionization. The piled up material subsequently triggered the thermal instability and the magnetorotational instability when the ionization fraction in the inner sub-Au scale region exceeded a threshold value, leading to the high protostellar accretion rate

Unexpected High Digestion Rate of Cooked Starch by the Ct-Maltase-Glucoamylase Small Intestine Mucosal α-Glucosidase Subunit

For starch digestion to glucose, two luminal α-amylases and four gut mucosal α-glucosidase subunits are employed. The aim of this research was to investigate, for the first time, direct digestion capability of individual mucosal α-glucosidases on cooked (gelatinized) starch. Gelatinized normal maize starch was digested with N- and C-terminal subunits of recombinant mammalian maltase-glucoamylase (MGAM) and sucrase-isomaltase (SI) of varying amounts and digestion periods. Without the aid of α-amylase, Ct-MGAM demonstrated an unexpected rapid and high digestion degree near 80%, while other subunits showed 20 to 30% digestion. These findings suggest that Ct-MGAM assists α-amylase in digesting starch molecules and potentially may compensate for developmental or pathological amylase deficiencies

Sexually dimorphic gene expression in the heart of mice and men

The prevalence and clinical manifestation of several cardiovascular diseases vary considerably with sex and age. Thus, a better understanding of the molecular basis of these differences may represent a starting point for an improved gender-specific medicine. Despite the fact that sex-specific differences have been observed in the cardiovascular system of humans and animal models, systematic analyses of sexual dimorphisms at the transcriptional level in the healthy heart are missing. Therefore we performed gene expression profiling on mouse and human cardiac samples of both sexes and young as well as aged individuals and verified our results for a subset of genes using real-time polymerase chain reaction in independent left ventricular samples. To tackle the question whether sex differences are evolutionarily conserved, we also compared sexually dimorphic genes between both species. We found that genes located on sex chromosomes were the most abundant ones among the sexually dimorphic genes. Male-specific expression of Y-linked genes was observed in mouse hearts as well as in the human myocardium (e.g. Ddx3y, Eif2s3y and Jarid1d). Higher expression levels of X-linked genes were detected in female mice for Xist, Timp1 and Car5b and XIST, EIF2S3X and GPM6B in women. Furthermore, genes on autosomal chromosomes encoding cytochromes of the monoxygenase family (e.g. Cyp2b10), carbonic anhydrases (e.g. Car2 and Car3) and natriuretic peptides (e.g. Nppb) were identified with sex- and/or age-specific expression levels. This study underlines the relevance of sex and age as modifiers of cardiac gene expression