Efficacy of Ultrasound-guided Radiofrequency Ablation of Parathyroid Hyperplasia: Single Session vs. Two-Session for Effect on Hypocalcemia

To evaluate safety and efficacy of one- vs. two-session radiofrequency ablation (RFA) of parathyroid hyperplasia for patients with secondary hyperparathyroidism (SHPT) and to compare the outcome of both methods on hypocalcemia. Patients with secondary hyperparathyroidism underwent ultrasound guided RFA of parathyroid hyperplasia. Patients were alternately assigned to either group 1 (n = 28) with RFA of all 4 glands in one session or group 2 (n = 28) with RFA of 2 glands in a first session and other 2 glands in a second session. Serum parathyroid hormone (PTH), calcium, phosphorus and alkaline phosphatase (ALP) values were measured at a series of time points after RFA. RFA parameters, including operation duration and ablation time and hospitalization length and cost, were compared between the two groups. Mean PTH decreased in group 1 from 1865.18 ± 828.93 pg/ml to 145.72 ± 119.27 pg/ml at 1 day after RFA and in group 2 from 2256.64 ± 1021.72 pg/ml to 1388.13 ± 890.15 pg/ml at 1 day after first RFA and to 137.26 ± 107.12 pg/ml at 1 day after second RFA. Group 1\u27s calcium level decreased to 1.79 ± 0.31 mmol/L at day 1 after RFA and group 2 decreased to 1.89 ± 0.26 mmol/L at day 1 after second session RFA (P \u3c 0.05). Multivariate analysis showed that hypocalcemia was related to serum ALP. Patients with ALP ≥ 566 U/L had lower calcium compared to patients with ALP \u3c 566 U/L up to a month after RFA (P \u3c 0.05). Group 1\u27s RFA time and hospitalization were shorter and had lower cost compared with Group 2. US-guided RFA of parathyroid hyperplasia is a safe and effective method for treating secondary hyperparathyroidism. Single-session RFA was more cost-effective and resulted in a shorter hospital stay compared to two sessions. However, patients with two-session RFA had less hypocalcemia, especially those with high ALP

Improving the eco-environment in the western-China by applying local tree species: Issues and implications for global arid areas

Local tree species would perform an important role in forestation, because they have more advantages than exotic species in terms of the physiological and adaptation aspects. In this article, we discussed some main factors which affect the drought resistance of trees and depict some anti-droughtcharacteristics and mechanisms of some local species. These factors include osmoregulation, antioxidant system, transpiration and the shape and structure of trees. At the same time, we also make some suggestions and discussions for the application of typical local tree species in the west-China for improving regional, national and international environmental quality

1H-Pyrrole-2-carboxylic acid

In the title compound, C5H5NO2, the pyrrole ring and its carboxyl substituent are close to coplanar, with a dihedral angle of 11.7 (3)° between the planes. In the crystal structure, adjacent mol­ecules are linked by pairs of O—H⋯O hydrogen bonds to form inversion dimers. Additional N—H⋯O hydrogen bonds link these dimers into chains extending along the a axis

Absolute Stability of a Class of Nonlinear Singular Systems with Time Delay

This paper deals with the absolute stability for a class of nonlinear singular systems with time delay. By employing a new Lyapunov-Krasovskii functional with the idea of partitioning delay length, improved delay-dependent stability criteria are established. The resulting condition is formulated in terms of linear matrix inequalities (LMIs), which is easy to be verified by exiting LMI optimization algorithms. A numerical example is given to show the effectiveness of the proposed technique and its improvements over the existing results

Modulation of the thermodynamic, kinetic and magnetic properties of the hydrogen monomer on graphene by charge doping

The thermodynamic, kinetic and magnetic properties of the hydrogen monomer on doped graphene layers were studied by ab initio simulations. Electron doping was found to heighten the diffusion potential barrier, while hole doping lowers it. However, both kinds of dopings heighten the desorption potential barrier. The underlying mechanism was revealed by investigating the effect of doping on the bond strength of graphene and on the electron transfer and the coulomb interaction between the hydrogen monomer and graphene. The kinetic properties of H and D monomers on doped graphene layers during both the annealing process (annealing time $t_0 =$300 s) and the constant-rate heating process (heating rate $\alpha =$1.0 K/s) were simulated. Both electron and hole dopings were found to generally increase the desorption temperatures of hydrogen monomers. Electron doping was found to prevent the diffusion of hydrogen monomers, while the hole doping enhances their diffusion. Macroscopic diffusion of hydrogen monomers on graphene can be achieved when the doping-hole density reaches $5.0\times10^{13}$ cm$^{-2}$. The magnetic moment and exchange splitting were found to be reduced by both electron and hole dopings, which was explained by a simple exchange model. The study in this report can further enhance the understanding of the interaction between hydrogen and graphene and is expected to be helpful in the design of hydrogenated-graphene-based devices.Comment: Submitte

Methyl 3-[(1-butyl-1H-indol-3-yl)carbonyl­amino]propionate

In the title mol­ecule, C17H22N2O3, the mean plane of the terminal (C=O)OMe fragment and the indole plane form a dihedral angle of 78.94 (3)°. Inter­molecular N—H⋯O hydrogen bonds link the mol­ecules into chains extended along the c axis. The crystal packing exhibits π–π inter­actions, indicated by the short distance of 3.472 (2) Å between the centroids of the five-membered heterocycles of neighbouring mol­ecules

1-Ethyl-1H,6H-pyrrolo[2,3-c]azepine-4,8(5H,7H)-dione

The title compound, C10H12N2O2, was synthesized by cyclization of 3-(1-ethyl­pyrrole-2-carboxamido)propanoic acid in the presence of polyphospho­ric acid and diphospho­rus pentoxide. In the crystal structure, adjacent mol­ecules are linked by N—H⋯O hydrogen bonds, forming chains extending along the b axis

Physics-informed machine learning for understanding rock moisture dynamics in a sandstone cave

Rock moisture, which is a hidden component of the terrestrial hydrological cycle, has received little attention. In this study, frequency domain reflectometry is used to monitor fluctuating rock water content (RWC) in a sandstone cave of the Yungang Grottoes, China. We identified two major cycles of rock moisture addition and depletion, one in summer affected by air vapour concentration and the other in winter caused by freezing-thawing. For the summer-time RWC, by using the long short-term memory (LSTM) network and the SHapley Additive exPlanations (SHAP) method, we find relative humidity, air temperature and wall temperature have contributions to rock moisture, and there is a good match between predicted and measured RWC using the three variables as model inputs. Moreover, by using summer-time vapour concentration and the difference between dew point temperature and wall temperature as input variables of the LSTM network, which belongs to physics-informed machine learning, the predicted RWC has a better agreement with the measured RWC, with increased Nash-Sutcliffe efficiency (NSE) and decreased mean absolute error (MAE) and root mean square error (RMSE). After identifying the causal factors of RWC fluctuations, we also identified the mechanism controlling the inter-day fluctuations of vapour condensation. The increased vapour concentration accompanying a precipitation event leads to transport of water vapour into rock pores, which is subsequently adsorbed onto the surface of rock pores and then condensed into liquid water. With the aid of the physics-informed deep learning model, this study increases understanding of sources of water in caves, which would contribute to future strategies of alleviating weathering in caves.</p