Effects of experience and commercialisation on survival in Himalayan mountaineering: retrospective cohort study

Objectives To determine whether previous Himalayan experience is associated with a decreased risk of climbing death, and whether mountaineers participating in commercial expeditions differ in their risk of death relative to those participating in traditional climbs

a follow-up on bone graft stability and implant success

Background Until now, sinus floor elevation represents the gold standard procedure in the atrophic maxilla in order to facilitate dental implant insertion. Although the procedure remains highly predictive, the perforation of the Schneiderian membrane might compromise the stability of the augmented bone and implant success due to chronic sinus infection. The aim of this retrospective cohort study was to show that a membrane tear, if detected and surgically properly addressed, has no influence on the survival of dental implants and bone resorption in the augmented area. Methods Thirty-one patients with 39 perforations could be included in this evaluation, and a control group of 32 patients with 40 sinus lift procedures without complications were compared regarding the radiographically determined development of bone level, peri-implant infection, and implant loss. Results Implant survival was 98.9% in the perforation group over an observation period of 2.7 (± 2.03) years compared to 100% in the control group after 1.8 (± 1.57) years. The residual bone level was significantly lower in the perforation group (p = 0.05) but showed no difference direct postoperatively (p = 0.7851) or in the follow-up assessment (p = 0.2338). Bone resorption remained not different between both groups (p = 0.945). A two-stage procedure was more frequent in the perforation group (p = 0.0003) as well as peri-implantitis (p = 0.0004). Conclusions Within the limits of our study, the perforation of the Schneiderian membrane did not have a negative impact on long-term graft stability or the overall implant survival

Use of Multiple Stream Temperature Logger Models Can Alter Conclusions

Remote temperature loggers are often used to measure water temperatures for ecological studies and by regulatory agencies to determine whether water quality standards are being maintained. Equipment specifications are often given a cursory review in the methods; however, the effect of temperature logger model is rarely addressed in the discussion. In a laboratory environment, we compared measurements from three models of temperature loggers at 5 to 40 °C to better understand the utility of these devices. Mean water temperatures recorded by logger models differed statistically even for those with similar accuracy specifications, but were still within manufacturer accuracy specifications. Maximum mean temperature difference between models was 0.4 °C which could have regulatory and ecological implications, such as when a 0.3 °C temperature change triggers a water quality violation or increases species mortality rates. Additionally, precision should be reported as the overall precision (including a consideration of significant digits) for combined model types which in our experiment was 0.7 °C, not the ≤0.4 °C for individual models. Our results affirm that analyzing data collected by different logger models can result in potentially erroneous conclusions when \u3c1 °C difference has regulatory compliance or ecological implications and that combining data from multiple logger models can reduce the overall precision of results

Dose-finding study of a 90-day contraceptive vaginal ring releasing estradiol and segesterone acetate.

ObjectiveTo evaluate serum estradiol (E2) concentrations during use of 90-day contraceptive vaginal rings releasing E2 75, 100, or 200 mcg/day and segesterone acetate (SA) 200 mcg/day to identify a dose that avoids hypoestrogenism.Study designWe conducted a multicenter dose-finding study in healthy, reproductive-aged women with regular cycles with sequential enrollment to increasing E2 dose groups. We evaluated serum E2 concentrations twice weekly for the primary outcome of median E2 concentrations throughout initial 30-day use (target ≥40 pg/mL). In an optional 2-cycle extension substudy, we randomized participants to 2- or 4-day ring-free intervals per 30-day cycle to evaluate bleeding and spotting based on daily diary information.ResultsSixty-five participants enrolled in E2 75 (n = 22), 100 (n = 21), and 200 (n = 22) mcg/day groups; 35 participated in the substudy. Median serum E2 concentrations in 75 and 100 mcg/day groups were <40 pg/mL. In the 200 mcg/day group, median E2 concentrations peaked on days 4-5 of CVR use at 194 pg/mL (range 114-312 pg/mL) and remained >40 pg/mL throughout 30 days; E2 concentrations were 37 pg/mL (range 28-62 pg/mL) on days 88-90 (n = 11). Among the E2 200 mcg/day substudy participants, all had withdrawal bleeding following ring removal. The 2-day ring-free interval group reported zero median unscheduled bleeding and two (range 0-16) and three (range 0-19) unscheduled spotting days in extension cycles 1 and 2, respectively. The 4-day ring-free interval group reported zero median unscheduled bleeding or spotting days.ConclusionsEstradiol concentrations with rings releasing E2 200 mcg/day and SA 200 mcg/day avoid hypoestrogenism over 30-day use.ImplicationsA 90-day contraceptive vaginal ring releasing estradiol 200 mcg/day and segesterone acetate 200 mcg/day achieves estradiol concentrations that should avoid hypoestrogenism and effectively suppresses ovulation

Probing Yukawa Unification with K and B Mixing

We consider corrections to the unification of down-quark and charged-lepton Yukawa couplings in supersymmetric GUTs, which links the large nu_tau-nu_mu mixing angle to b -> s transitions. These corrections generically occur in simple grand-unified models with small Higgs representations and affect s -> d and b -> d transitions via the mixing of the corresponding right-handed superpartners. On the basis of a specific SUSY-SO(10) model, we analyze the constraints from K-Kbar and B-Bbar mixing on the additional \tilde{d}_R-\tilde{s}_R rotation angle theta. We find that epsilon_K already sets a stringent bound on theta, theta^{max}=O(1 degree), indicating a very specific flavor structure of the correction operators. The impact of the large neutrino mixings on the unitarity triangle analysis is also briefly discussed, as well as their ability to account for the sizeable CP-violating phase observed recently in B_s -> psi phi decays.Comment: 19 pages. Discussion in Sec. 5.2 slightly extended; minor numerical modifications in Secs. 5.1 to 5.4, conclusions unchanged. Version to appear in JHE

Virtual signatures of dark sectors in Higgs couplings

Where collider searches for resonant invisible particles loose steam, dark sectors might leave their trace as virtual effects in precision observables. Here we explore this option in the framework of Higgs portal models, where a sector of dark fermions interacts with the standard model through a strong renormalizable coupling to the Higgs boson. We show that precise measurements of Higgs-gauge and triple Higgs interactions can probe dark fermions up to the TeV scale through virtual corrections. Observation prospects at the LHC and future lepton colliders are discussed for the so-called singlet-doublet model of Majorana fermions, a generalization of the bino-higgsino scenario in supersymmetry. We advocate a two-fold search strategy for dark sectors through direct and indirect observables.Comment: 20 pages, 7 figures, 1 tabl

Analysis of microstructural effects in multi layer lithium ion battery cathodes

A possible way to increase the energy density in lithium-ion batteries, and, at the same time, reduce the production costs, is to use thicker electrodes. However, transport limitations can occur in thick electrodes, leading to a drawback in performance. A way to mitigate this problem is a more sophisticated microstructure of the electrode, using, e.g., structural gradients. This can, for instance, be achieved by multi-layer casting, i.e., casting and drying of a first layer, and then adding a second layer. An important question is how the interface between the two layers is shaped and how the corresponding microstructure influences the electrochemical performance. In the present paper, two different two-layer cathodes are analyzed and compared to single-layer cathodes of the same thickness. The analysis involved tomographic imaging, a statistical analysis of the 3D microstructure of the active material particle systems with a focus on the interface between the layers, and electrochemical characterization of the active material systems using experimental measurements as well as electrochemical simulations. The analysis showed that at the interface the connectivity of active material particles decreases, which results in higher electric resistivity. This effect is stronger if an intermediate calendering step is performed, i.e., the first layer is calendered before casting the second layer