Numerical solutions to linear transfer problems of polarized radiation III. Parallel preconditioned Krylov solver tailored for modeling PRD effects

Context. The polarization signals produced by the scattering of anistropic radiation in strong resonance lines encode important information about the elusive magnetic fields in the outer layers of the solar atmosphere. An accurate modeling of these signals is a very challenging problem from the computational point of view, in particular when partial frequency redistribution (PRD) effects in scattering processes are accounted for with a general angle-dependent treatment. Aims. We aim at solving the radiative transfer problem for polarized radiation in nonlocal thermodynamic equilibrium conditions, taking angle-dependent PRD effects into account. The problem is formulated for a two-level atomic model in the presence of arbitrary magnetic and bulk velocity fields. The polarization produced by scattering processes and the Zeeman effect is considered. Methods. The proposed solution strategy is based on an algebraic formulation of the problem and relies on a convenient physical assumption, which allows its linearization. We applied a nested matrix-free GMRES iterative method. Effective preconditioning is obtained in a multifidelity framework by considering the light-weight description of scattering processes in the limit of complete frequency redistribution (CRD). Results. Numerical experiments for a one-dimensional (1D) atmospheric model show near optimal strong and weak scaling of the proposed CRD-preconditioned GMRES method, which converges in few iterations, independently of the discretization parameters. A suitable parallelization strategy and high-performance computing tools lead to competitive run times, providing accurate solutions in a few minutes. Conclusions. The proposed solution strategy allows the fast systematic modeling of the scattering polarization signals of strong resonance lines, taking angle-dependent PRD effects into account together with the impact of arbitrary magnetic and bulk velocity fields. Almost optimal strong and weak scaling results suggest that this strategy is applicable to realistic 3D models. Moreover, the proposed strategy is general, and applications to more complex atomic models are possible

Modeling the scattering polarization of the solar Ca

Context. The correct modeling of the scattering polarization signals observed in several strong resonance lines requires taking partial frequency redistribution (PRD) phenomena into account. Modeling scattering polarization with PRD effects is very computationally demanding and the simplifying angle-averaged (AA) approximation is therefore commonly applied. Aims. This work aims to assess the impact and the range of validity of the AA approximation with respect to the general angle-dependent (AD) treatment of PRD effects in the modeling of scattering polarization in strong resonance lines, with a focus on the solar Ca 

Vitamin D Supply of Multivitamins Commercialized Online by Amazon in Western and Southern Europe: A Labeling Analysis

Multivitamins are commonly used by the general population, often without medical prescription. The purpose of this report is to inform on the daily vitamin D supply provided by multivitamins containing vitamin D that are commercialized online by Amazon in Western and Southern Europe. We surveyed multivitamins aimed at adults using the following marketplaces: amazon.es®, amazon.de®, amazon.it®, and amazon.fr®. We identified 199 vitamin D3-containing multivitamins sold by Amazon marketplaces: 77 from amazon.es®, 73 from amazon.de®, 33 from amazon.it®, and 16 from amazon.fr®. No multivitamin contained vitamin D2. The daily vitamin D3 supply ranged from 16 to 2000 IU: it was less than 400 IU daily in 108 (54%), 400–800 IU daily in 53 (27%), and more than 800 IU daily in the remaining 38 (19%) products. The vitamin D3 supply of products sold by amazon.it® was on average higher (p ®, amazon.fr®, and amazon.es®. In conclusion, the vitamin D supply of multivitamins sold by Amazon may be insufficient, marginally sufficient, or adequate for subjects at high risk of hypovitaminosis D such as subjects 65 years or more of age, pregnant (or lactating) women, or patients on drug treatment or with an underlying disease, where a vitamin D supplementation is advocated

Valproic Acid-Associated Acute Pancreatitis: Systematic Literature Review

Long-term medication with valproic acid has been associated with acute pancreatitis. The purpose of this report is to gain insight into the features of this pancreatitis. A preregistered literature search (CRD42023438294) was performed on the National Library of Medicine, Excerpta Medica, Web of Science, and Google Scholar. Patients with alcohol abuse disorder, gallstone disease, hypertriglyceridemia or hypercalcemia, patients with acute valproic acid intoxication, and patients with a pre-existing pancreatitis were excluded. For the final analysis, we retained 73 reports published between 1979 and 2023, which described 125 subjects (83 children and 42 adults predominantly affected by an epilepsy) with an acute pancreatitis related to valproic acid. The diagnosis was made 11 (3.0–24) months (median and interquartile range) after starting valproic acid. One hundred and five cases (84%) recovered and twenty (16%) died. Sex, age, dosage or circulating level of valproic acid, latency time, prevalence of intellectual disability, and antiepileptic co-medication were similar in cases with and without a lethal outcome. Nineteen subjects were rechallenged with valproic acid after recovery: sixteen (84%) cases developed a further episode of pancreatitis. In conclusion, pancreatitis associated with valproic acid presents at any time during treatment and has a high fatality rate

Hypomagnesemia Induced by Long-Term Treatment with Proton-Pump Inhibitors

In 2006, hypomagnesemia was first described as a complication of proton-pump inhibitors. To address this issue, we systematically reviewed the literature. Hypomagnesemia, mostly associated with hypocalcemic hypoparathyroidism and hypokalemia, was reported in 64 individuals on long-term proton-pump inhibitors. Hypomagnesemia recurred following replacement of one proton-pump inhibitor with another but not with a histamine type-2 receptor antagonist. The association between proton-pump inhibitors and magnesium metabolism was addressed in 14 case-control, cross-sectional studies. An association was found in 11 of them: 6 reports found that the use of proton-pump inhibitors is associated per se with a tendency towards hypomagnesemia, 2 found that this tendency is more pronounced in patients concurrently treated with diuretics, carboplatin, or cisplatin, and 2 found a relevant tendency to hypomagnesemia in patients with poor renal function. Finally, findings likely reflecting decreased intestinal magnesium uptake were observed on treatment with proton-pump inhibitors. Three studies did not disclose any relationship between magnesium metabolism and treatment with histamine type-2 receptor antagonists. In conclusion, proton-pump inhibitors may cause hypomagnesemia. In these cases, switching to a histamine type-2 receptor antagonist is advised

Acute Pancreatitis Associated with Atypical Bacterial Pneumonia: Systematic Literature Review

Background: Extra-pulmonary features sometimes occur in association with atypical bacterial pneumonia and include neurologic manifestations, diarrhea, rashes, altered liver enzymes, or kidney injury, among other conditions. Acute pancreatitis has been associated with atypical pneumonias since 1973. Methods: We performed a systematic review of the literature in the Excerpta Medica, National Library of Medicine, and Web of Science databases. We retained 27 reports published between 1973 and 2022 describing subjects with an otherwise unexplained pancreatitis temporally associated with an atypical pneumonia. Results: The reports included 33 subjects (19 males, and 14 females; 8 children and 25 adults) with acute pancreatitis temporally associated with atypical pneumonia caused by Mycoplasma pneumoniae (n = 18), Legionella species (n = 14), or Coxiella burnetii (n = 1). Approximately 90% of patients (n = 29) concurrently presented with respiratory and pancreatic diseases. No cases associated with Chlamydophila pneumoniae, Chlamydophila psittaci, or Francisella species were found. Conclusions: Acute pancreatitis has been associated with various infectious agents. The present review documents the association with atypical pneumonia induced by Mycoplasma pneumoniae, Legionella species, and Coxiella burnetii

Hungarian

<div><p>Background & Aims</p><p>Genetic variations near the interferon lambda 3 gene (<i>IFNL3, IL28B</i>) are the most powerful predictors for sustained virologic response (SVR) in patients with chronic hepatitis C virus (HCV) infection, compared to other biochemical or histological baseline parameters. We evaluated whether the interplay of both <i>IFNL3</i> polymorphisms rs12979860 and rs8099917 together with non-genetic clinical factors contributes to the predictive role of these genetic variants.</p><p>Methods</p><p>The cohort comprised 1,402 patients of European descent with chronic HCV type 1 infection. 1,298 patients received interferon-based antiviral therapy, and 719 (55%) achieved SVR. The <i>IFNL3</i> polymorphisms were genotyped by polymerase chain reaction and melting curve analysis.</p><p>Results</p><p>A significant correlation was found between the <i>IFNL3</i> polymorphisms and biochemical as well as virologic predictors of treatment outcome such as ALT, GGT, cholesterol, and HCV RNA levels. In multivariate regression analysis, <i>IFLN3</i> SNPs, HCV RNA levels, and the GGT/ALT ratio were independent predictors of SVR. Dependent on the GGT/ALT ratio and on the HCV RNA concentration, significant variations in the likelihood for achieving SVR were observed in both, carriers of the responder as well as non-responder alleles.</p><p>Conclusions</p><p>Our data support a clear association between <i>IFNL3</i> genotypes and baseline parameters known to impact interferon responsiveness. Improved treatment outcome prediction was achieved when these predictors were considered in combination with the <i>IFNL3</i> genotype.</p></div

Patients’ characteristics of the evaluation and replication cohort.

a<p>median plus interquartile range (25^th, 75^th percentile), SVR: sustained virologic response, NR: non-response, IU: international units.</p