314 research outputs found

    Modeling viscosity of (Mg,Fe)O at lowermost mantle conditions

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    The viscosity of the lower mantle results from the rheological behavior of its two main constituent minerals, aluminous (Mg,Fe)SiO_3 bridgmanite and (Mg,Fe)O ferropericlase. Understanding the transport properties of lower mantle aggregates is of primary importance in geophysics and it is a challenging task, due to the extreme time-varying conditions to which such aggregates are subjected. In particular, viscosity is a crucial transport property that can vary over several orders of magnitude. It thus has a first-order control on the structure and dynamics of the mantle. Here we focus on the creep behavior of (Mg,Fe)O at the bottom of the lower mantle, where the presence of thermo-chemical anomalies such as ultralow-velocity zones (ULVZ) may significantly alter the viscosity contrast characterizing this region. Two different iron concentrations of (Mg_(1–x)Fe_x)O are considered: one mirroring the average composition of ferropericlase throughout most of the lower mantle (x = 0.20) and another representing a candidate magnesiowüstite component of ULVZs near the base of the mantle (x = 0.84). The investigated pressure-temperature conditions span from 120 GPa and 2800 K, corresponding to the average geotherm at this depth, to core-mantle boundary conditions of 135 GPa and 3800 K. In this study, dislocation creep of (Mg,Fe)O is investigated by dislocation dynamics (DD) simulations, a modeling tool which considers the collective motion and interactions of dislocations. To model their behavior, a 2.5 dimensional dislocation dynamics approach is employed. Within this method, both glide and climb mechanisms can be taken into account, and the interplay of these features results in a steady-state condition. This allows the retrieval of the creep strain rates at different temperatures, pressures, applied stresses and iron concentrations across the (Mg,Fe)O solid solution, providing information on the viscosity for these materials. A particularly low viscosity is obtained for magnesiowüstite with respect to ferropericlase, the difference being around 10 orders of magnitude. Thus, the final section of this work is devoted to the assessment of the dynamic implications of such a weak phase within ULVZs, in terms of the viscosity contrast with respect to the surrounding lowermost mantle

    Modeling viscosity of (Mg,Fe)O at lowermost mantle conditions

    Get PDF
    The viscosity of the lower mantle results from the rheological behavior of its two main constituent minerals, aluminous (Mg,Fe)SiO_3 bridgmanite and (Mg,Fe)O ferropericlase. Understanding the transport properties of lower mantle aggregates is of primary importance in geophysics and it is a challenging task, due to the extreme time-varying conditions to which such aggregates are subjected. In particular, viscosity is a crucial transport property that can vary over several orders of magnitude. It thus has a first-order control on the structure and dynamics of the mantle. Here we focus on the creep behavior of (Mg,Fe)O at the bottom of the lower mantle, where the presence of thermo-chemical anomalies such as ultralow-velocity zones (ULVZ) may significantly alter the viscosity contrast characterizing this region. Two different iron concentrations of (Mg_(1–x)Fe_x)O are considered: one mirroring the average composition of ferropericlase throughout most of the lower mantle (x = 0.20) and another representing a candidate magnesiowüstite component of ULVZs near the base of the mantle (x = 0.84). The investigated pressure-temperature conditions span from 120 GPa and 2800 K, corresponding to the average geotherm at this depth, to core-mantle boundary conditions of 135 GPa and 3800 K. In this study, dislocation creep of (Mg,Fe)O is investigated by dislocation dynamics (DD) simulations, a modeling tool which considers the collective motion and interactions of dislocations. To model their behavior, a 2.5 dimensional dislocation dynamics approach is employed. Within this method, both glide and climb mechanisms can be taken into account, and the interplay of these features results in a steady-state condition. This allows the retrieval of the creep strain rates at different temperatures, pressures, applied stresses and iron concentrations across the (Mg,Fe)O solid solution, providing information on the viscosity for these materials. A particularly low viscosity is obtained for magnesiowüstite with respect to ferropericlase, the difference being around 10 orders of magnitude. Thus, the final section of this work is devoted to the assessment of the dynamic implications of such a weak phase within ULVZs, in terms of the viscosity contrast with respect to the surrounding lowermost mantle

    Community Structure Characterization

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    This entry discusses the problem of describing some communities identified in a complex network of interest, in a way allowing to interpret them. We suppose the community structure has already been detected through one of the many methods proposed in the literature. The question is then to know how to extract valuable information from this first result, in order to allow human interpretation. This requires subsequent processing, which we describe in the rest of this entry

    Qualitative Comparison of Community Detection Algorithms

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    Community detection is a very active field in complex networks analysis, consisting in identifying groups of nodes more densely interconnected relatively to the rest of the network. The existing algorithms are usually tested and compared on real-world and artificial networks, their performance being assessed through some partition similarity measure. However, artificial networks realism can be questioned, and the appropriateness of those measures is not obvious. In this study, we take advantage of recent advances concerning the characterization of community structures to tackle these questions. We first generate networks thanks to the most realistic model available to date. Their analysis reveals they display only some of the properties observed in real-world community structures. We then apply five community detection algorithms on these networks and find out the performance assessed quantitatively does not necessarily agree with a qualitative analysis of the identified communities. It therefore seems both approaches should be applied to perform a relevant comparison of the algorithms.Comment: DICTAP 2011, The International Conference on Digital Information and Communication Technology and its Applications, Dijon : France (2011

    Improving Outcomes of Bariatric Surgery in Patients With Cirrhosis in the United States: A Nationwide Assessment

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    Introduction: With increasing burden of obesity and liver disease in the United States, a better understanding of bariatric surgery in context of cirrhosis is needed. We described trends of hospital-based outcomes of bariatric surgery among cirrhotics and determined effect of volume status and type of surgery on these outcomes. Methods: In this population-based study, admissions for bariatric surgery were extracted from the National Inpatient Sample using International Classification of Diseases, 9th and 10th Revision, Clinical Modification codes from 2004 to 2016 and grouped by cirrhosis status, type of bariatric surgery, and center volume. In-hospital mortality, complications, and their trends were compared between these groups using weighted counts, odds ratios [ORs], and logistic regression. Results: Among 1,679,828 admissions for bariatric surgery, 9,802 (0.58%) had cirrhosis. Cirrhosis admissions were more likely to be in white men, had higher Elixhauser Index, and higher in-hospital complications rates including death (1.81% vs 0.17%), acute kidney injury (4.5% vs 1.2%), bleeding (2.9% vs 1.1%), and operative complications (2% vs 0.6%) (P < 0.001 for all) compared to those without cirrhosis. Overtime, restrictive surgeries have grown in number (12%-71%) and complications rates have trended down in both groups. Cirrhotics undergoing bariatric surgery at low-volume centers (<50 procedures per year) and nonrestrictive surgery had a higher inpatient mortality rate (adjusted OR 4.50, 95% confidence interval 3.14-6.45, adjusted OR 4.00, 95% confidence interval 2.68-5.97, respectively). Discussion: Contemporary data indicate that among admissions for bariatric surgery, there is a shift to restrictive-type surgeries with an improvement in-hospital complications and mortality. However, patients with cirrhosis especially those at low-volume centers have significantly higher risk of worse outcomes (see Visual abstract, Supplementary Digital Content, http://links.lww.com/AJG/B648)

    Karnofsky performance status predicts outcomes in candidates for simultaneous liver-kidney transplant

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    Karnofsky performance status (KPS), a measure of physical frailty, predicts pre-transplant and post-transplant outcomes in liver transplantation, but has not been assessed in simultaneous liver–kidney transplantation (SLKT). We examined the association between KPS and outcomes in SLKT waitlist registrants and recipients (2005-2018) in the UNOS database. KPS was categorized into A (able to work), B (able to provide self-care), and C (unable to provide self-care). Cox regression and competing risk analysis were used to assess the association between KPS groups and outcomes. A total of 10,785 patients were waitlisted (KPS: 19% A, 46% B, 35% C), and 5,516 underwent SLKT (12% A, 36% B, 52% C). One-year waitlist mortality was 17%, 22%, and 32% for KPS A, B, and C, respectively. In adjusted competing risk regression, KPS C was associated with increased waitlist mortality (SHR 1.15, 95%CI 1.04-1.28). One-year post-transplant survival was 92%, 91%, and 87% for KPS A, B, and C, respectively. In adjusted Cox regression, KPS C was associated with increased post-transplant mortality (HR 1.32, 95%CI 1.08-1.61). It was also associated with increased liver and kidney graft losses and with hospital length of stay. Frailty, as assessed by KPS, is associated with poor outcomes in SLKT pre- and post-transplant

    Hospital-Acquired Versus Community-Acquired Acute Kidney Injury in Patients with Cirrhosis: A Prospective Study

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    Introduction: In patients with cirrhosis, differences between acute kidney injury (AKI) at the time of hospital admission (community-acquired) and AKI occurring during hospitalization (hospital-acquired) have not been explored. We aimed to compare patients with hospital-acquired AKI (H-AKI) and community-acquired AKI (C-AKI) in a large, prospective study. Methods: Hospitalized patients with cirrhosis were enrolled (N = 519) and were followed for 90 days after discharge for mortality. The primary outcome was mortality within 90 days; secondary outcomes were the development of de novo chronic kidney disease (CKD)/progression of CKD after 90 days. Cox proportional hazards and logistic regressions were used to determine the independent association of either AKI for primary and secondary outcomes, respectively. Results: H-AKI occurred in 10%, and C-AKI occurred in 25%. In multivariable Cox models adjusting for significant confounders, only patients with C-AKI had a higher risk for mortality adjusting for model for end-stage liver disease-Na: (hazard ratio 1.64, 95% confidence interval [CI] 1.04-2.57, P = 0.033) and adjusting for acute on chronic liver failure: (hazard ratio 2.44, 95% CI 1.63-3.65, P < 0.001). In univariable analysis, community-acquired-AKI, but not hospital-acquired-AKI, was associated with de novo CKD/progression of CKD (odds ratio 2.13, 95% CI 1.09-4.14, P = 0.027), but in multivariable analysis, C-AKI was not independently associated with de novo CKD/progression of CKD. However, when AKI was dichotomized by stage, C-AKI stage 3 was independently associated with de novo CKD/progression of CKD (odds ratio 4.79, 95% CI 1.11-20.57, P = 0.035). Discussion: Compared with H-AKI, C-AKI is associated with increased mortality and de novo CKD/progression of CKD in patients with cirrhosis. Patients with C-AKI may benefit from frequent monitoring after discharge to improve outcomes

    Extra-hepatic comorbidity burden significantly increases 90-day mortality in patients with cirrhosis and high model for endstage liver disease

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    Background We examined how extra-hepatic comorbidity burden impacts mortality in patients with cirrhosis referred for liver transplantation (LT). Methods Adults with cirrhosis evaluated for their first LT in 2012 were followed through their clinical course with last follow up in 2019. Extra-hepatic comorbidity burden was measured using the Charlson Comorbidity Index (CCI). The endpoints were 90-day transplant free survival (Cox-Proportional Hazard regression), and overall mortality (competing risk analysis). Results The study included 340 patients, mean age 56 ± 11, 63% male and MELD-Na 17.2 ± 6.6. The CCI was 0 (no comorbidities) in 44%, 1–2 in 44% and > 2 (highest decile) in 12%, with no differences based on gender but higher CCI in patients with fatty and cryptogenic liver disease. Thirty-three (10%) of 332 patients not receiving LT within 90 days died. Beyond MELD-Na, the CCI was independently associated with 90-day mortality (hazard ratio (HR), 1.32 (95% confidence interval (CI) 1.02–1.72). Ninety-day mortality was specifically increased with higher CCI category and MELD ≥18 (12% (CCI = 0), 22% (CCI = 1–2) and 33% (CCI > 2), (p = 0.002)) but not MELD-Na ≤17. At last follow-up, 69 patients were alive, 100 underwent LT and 171 died without LT. CCI was associated with increased overall mortality in the competing risk analysis (Sub-HR 1.24, 95%CI 1.1–1.4). Conclusions Extra-hepatic comorbidity burden significantly impacts short-term mortality in patients with cirrhosis and high MELD-Na. This has implications in determining urgency of LT and mortality models in cirrhosis and LT waitlisting, especially with an ageing population with increasing prevalence of fatty liver disease

    Generation of a High Number of Healthy Erythroid Cells from Gene-Edited Pyruvate Kinase Deficiency Patient-Specific Induced Pluripotent Stem Cells

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    Pyruvate kinase deficiency (PKD) is a rare erythroid metabolic disease caused by mutations in the PKLR gene. Erythrocytes from PKD patients show an energetic imbalance causing chronic non-spherocytic hemolytic anemia, as pyruvate kinase defects impair ATP production in erythrocytes. We generated PKD induced pluripotent stem cells (PKDiPSCs) from peripheral blood mononuclear cells (PB-MNCs) of PKD patients by non-integrative Sendai viral vectors. PKDiPSCs were gene edited to integrate a partial codon-optimized R-type pyruvate kinase cDNA in the second intron of the PKLR gene by TALEN-mediated homologous recombination (HR). Notably, we found allele specificity of HR led by the presence of a single-nucleotide polymorphism. High numbers of erythroid cells derived from gene-edited PKDiPSCs showed correction of the energetic imbalance, providing an approach to correct metabolic erythroid diseases and demonstrating the practicality of this approach to generate the large cell numbers required for comprehensive biochemical and metabolic erythroid analyses.info:eu-repo/semantics/publishedVersio
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