Ohio Strip Mine Spoils: Physico-Chemical and Microbiological Characterization and Changes Due to Liming and Organic Additions

Author Institution: Department of Zoological and Biomedical Sciences, Ohio UniversitySoutheastern Ohio strip mine spoils and garden soil were characterized physico-chemically and microbiologically. Spoils, limed spoils and garden soil that had been sterilized were amended with cellulose or sucrose and some minerals, including ammonium-nitrogen. The samples were inoculated with microbes from a garden compost infusion and incubated for 3 wk at 25 C. Soil water content was held at 80% field capacity. Changes in microbial populations, nitrate concentration and soil aggregation were followed for 3 wk. Microbial populations and soil aggregation increased mostly during the first week in all samples. Molds predominated in acid spoils while bacteria and actinomycetes declined. In limed spoils and garden soil bacteria and actinomycetes outgrew the molds. In spite of the inoculation with nitrifying bacteria, nitrification did not occur in acid spoils but continued for 3 wk in the other samples. It was shown that liming and proper amendments did improve the characteristics of acid spoils

Global Strong Solutions for a Class of Heterogeneous Catalysis Models

We consider a mathematical model for heterogeneous catalysis in a finite three-dimensional pore of cylinder-like geometry, with the lateral walls acting as a catalytic surface. The system under consideration consists of a diffusion-advection system inside the bulk phase and a reaction-diffusion-sorption system modeling the processes on the catalytic wall and the exchange between bulk and surface. We assume Fickian diffusion with constant coefficients, sorption kinetics with linear growth bound and a network of chemical reactions which possesses a certain triangular structure. Our main result gives sufficient conditions for the existence of a unique global strong $L^2$-solution to this model, thereby extending by now classical results on reaction-diffusion systems to the more complicated case of heterogeneous catalysis.Comment: 30 page

Bail‐out treatment of pulmonary embolism using a large‐bore aspiration mechanical thrombectomy device

We report on thefirst pulmonary embolism treatment via the large-bore aspiration mechanical thrombectomy device (InariFlowTriever®) outside the USA, in a resuscitated patient on veno-arterial extracorporeal membrane oxygenation (VA-ECMO)suffering from severe and acute right heart failure. In this particular high-risk patient population, where thrombolysis is mostlynot applicable, this new technology could be a promising solution as the combination of large-bore thrombus aspiration andextraction successfully removes large emboli. In our case, right ventricular function improved rapidly after the procedure,ECMO could be weaned, and the patient was dismissed 2 weeks after. In summary, we provide a new therapeutic optionfor the often difficult treatment of pulmonary embolism in high-risk patients on VA-ECMO

Female Patients With Sleep-Disordered Breathing Display More Frequently Heart Failure With Preserved Ejection Fraction

Objective: Sleep-disordered breathing (SDB) is a widespread disease that is often associated with heart failure (HF) with preserved ejection fraction (HFpEF). HFpEF is more frequent in women than in men, but detailed pathomechanisms remain unclear. We investigated HFpEF in women and men in a high-risk cohort with SDB monitoring. Methods and Results: Three hundred twenty-seven patients (84.4% men) undergoing elective coronary artery bypass grafting were prospectively subjected to SDB monitoring, and an apnea–hypopnea index (AHI) ≥15/h defined SDB. HF was classified according to current guidelines. HFpEF was significantly more frequent in SDB patients compared to those without SDB (28 vs. 17%, P = 0.016). This distribution was driven by an increased frequency of HFpEF in female SDB patients (48% vs. only 25% in male, P = 0.022). In accordance, female patients with SDB exhibited significantly more impaired diastolic left ventricular filling compared to men (echocardiographic E/e′). In contrast to men, in women, minimum oxygen saturation (O2min, measured by polygraphy, R2 = 0.470, P < 0.001) and time of oxygen saturation <90% (R2 = 0.165, P = 0.044) were significantly correlated with E/e′. Moreover, the correlation between O2min and E/e′ was significantly different in women compared to men (P < 0.001). Intriguingly, this association remained independent of clinical covariates in women [age, body mass index, systolic contractile dysfunction, diabetes mellitus, and glomerular filtration rate (GFR), R2 = 0.534, P = 0.042, multivariate regression analysis]. Since angiotensin II signaling has been mechanistically linked to HF, we measured protein expression of its cleavage enzyme ACE2 in human right atrial appendage biopsies (Western blot). Intriguingly, we found a significantly decreased ACE2 expression preferentially in women with SDB (2.66 ± 0.42 vs. 4.01 ± 2.47 in men with SDB, P = 0.005). In accordance, left ventricular mass index was significantly increased in women with SDB compared to women without SDB. Conclusion: In patients with SDB, HFpEF and diastolic dysfunction were more frequent in women compared to men. In contrast to men, the severity of SDB was associated with the degree of diastolic dysfunction in women. These insights might help to find sex-specific therapies for patients with sleep-disordered breathing and heart failure. Clinical Trial Registration: Unique identifier: NCT02877745, URL: http://www.clinicaltrials.gov

Self-rated health in multimorbid older general practice patients: a cross-sectional study in Germany

Background: With increasing life expectancy the number of people affected by multimorbidity rises. Knowledge of factors associated with health-related quality of life in multimorbid people is scarce. We aimed to identify the factors that are associated with self-rated health (SRH) in aged multimorbid primary care patients. Methods: Cross-sectional study with 3, 189 multimorbid primary care patients aged from 65 to 85 years recruited in 158 general practices in 8 study centers in Germany. Information about morbidity, risk factors, resources, functional status and socio-economic data were collected in face-to-face interviews. Factors associated with SRH were identified by multivariable regression analyses. Results: Depression, somatization, pain, limitations of instrumental activities (iADL),age, distress and Body Mass Index (BMI) were inversely related with SRH. Higher levels of physical activity, income and self-efficacy expectation had a positive association with SRH. The only chronic diseases remaining in the final model were Parkinson's disease and neuropathies. The final model accounted for 35% variance of SRH. Separate analyses for men and women detected some similarities;however, gender specific variation existed for several factors. Conclusion: In multimorbid patients symptoms and consequences of diseases such as pain and activity limitations, as well as depression, seem to be far stronger associated with SRH than the diseases themselves. High income and self-efficacy expectation are independently associated with better SRH and high BMI and age with low SRH