Endometriosis classification, staging and reporting systems: a review on the road to a universally accepted endometriosis classification,

BACKGROUND: In the field of endometriosis, several classification, staging and reporting systems have been developed. However, endometriosis classification, staging and reporting systems that have been published and validated for use in clinical practice have not been systematically reviewed up to now. OBJECTIVES: The aim of the current review is to provide a historical overview of these different systems based on an assessment of published studies. MATERIALS AND METHODS: A systematic Pubmed literature search was performed. Data were extracted and summarised. RESULTS: Twenty-two endometriosis classification, staging and reporting systems have been published between 1973 and 2021, each developed for specific and different purposes. There is still no international agreement on how to describe the disease. Studies evaluating different systems are summarised showing a discrepancy between the intended and the evaluated purpose, and a general lack of validation data confirming a correlation with pain symptoms or quality of life for any of the current systems. A few studies confirm the value of the Enzian system for surgical description of deep endometriosis. With regards to infertility, the endometriosis fertility index has been confirmed valid for its intended purpose. CONCLUSIONS: Of the 22 endometriosis classification, staging and reporting systems identified in this historical overview, only a few have been evaluated, in 46 studies, for the purpose for which they were developed. It can be concluded that there is no international agreement on how to describe endometriosis or how to classify it, and that most classification/staging systems show no or very little correlation with patient outcomes. WHAT IS NEW? This overview of existing systems is a first step in working towards a universally accepted endometriosis classification

Slowly rotating black holes in the Horava-Lifshitz gravity

We investigate slowly rotating black holes in the Ho\v{r}ava-Lifshitz (HL) gravity. For $\Lambda_W=0$ and $\lambda=1$, we find a slowly rotating black hole of the Kehagias-Sfetsos solution in asymptotically flat spacetimes. We discuss their thermodynamic properties by computing mass, temperature, angular momentum, and angular velocity on the horizon.Comment: 12 pages, no figures, version to appear in EPJ

Active Galaxies in the UV

In this article we present different aspects of AGN studies demonstrating the importance of the UV spectral range. Most important diagnostic lines for studying the general physical conditions as well as the metalicities in the central broad line region in AGN are emitted in the UV. The UV/FUV continuum in AGN excites not only the emission lines in the immediate surrounding but it is responsible for the ionization of the intergalactic medium in the early stages of the universe. Variability studies of the emission line profiles of AGN in the UV give us information on the structure and kinematics of the immediate surrounding of the central supermassive black hole as well as on its mass itself.Comment: 29 pages, 13 figures, Ap&SS in pres

Cross-L* coherence of the outer radiation belt during 2 storms and the role of the plasmapause

The high energy electron population in Earth’s outer radiation belt is extremely variable, changing by multiple orders of magnitude on timescales that vary from under an hour to several weeks. These changes are typically linked to geomagnetic activity such as storms and substorms. In this study, we seek to understand how coherent changes in the radiation belt are across all radial distances, in order to provide a spatial insight into apparent global variations. We do this by calculating the correlation between fluxes on different L* measured by the PET instrument aboard the SAMPEX spacecraft for times associated with 15 large storms. Our results show that during these times, variations in the 0.63 MeV electron flux are coherent outside the minimum plasmapause location and also coherent inside the minimum plasmapause location, when flux is present. However, variations in the electron fluxes inside the plasmapause show little correlation with those outside the plasmapause. During storm recovery and possibly main phases, flux variations are coherent across all L* regardless of plasmapause location, due to a rapid decrease, followed by an increase in radiation belt fluxes across all L*

Anthropogenic Space Weather

Anthropogenic effects on the space environment started in the late 19th century and reached their peak in the 1960s when high-altitude nuclear explosions were carried out by the USA and the Soviet Union. These explosions created artificial radiation belts near Earth that resulted in major damages to several satellites. Another, unexpected impact of the high-altitude nuclear tests was the electromagnetic pulse (EMP) that can have devastating effects over a large geographic area (as large as the continental United States). Other anthropogenic impacts on the space environment include chemical release ex- periments, high-frequency wave heating of the ionosphere and the interaction of VLF waves with the radiation belts. This paper reviews the fundamental physical process behind these phenomena and discusses the observations of their impacts.Comment: 71 pages, 35 figure