Multimodal imaging of congenital pyriform fossa fistula in children

ObjectiveOur aim was to explore the clinical value of multimodal imaging examinations in the diagnosis of congenital pyriform fossa fistula in children, so as to provide clues for the early diagnosis and treatment of congenital pyriform fossa fistula.MethodsThe clinical and imaging data of 55 children with pyriform fossa fistula diagnosed surgically in our hospital from 2015 to 2018 were analyzed retrospectively. All 55 patients underwent a CT scan. Of those patients, contrast enhancement CT was performed in 47 cases, MRI was performed in 2 cases, and barium esophagography was performed in 41 cases.ResultsAmong the 55 cases, there were 24 male patients and 31 female patients. The age ranged from 11 months to 13 years old, and the median age was 3.8 years old. The lesions of 49 cases (89.1%) were located on the left side, and the imaging of CT showed soft tissue mass in the anterior cervical region blurred boundary. There was ipsilateral thyroid involvement in 50 cases (90.9%), trachea and/or carotid sheath extension in 43 cases (78.2%), abscess formation in 39 cases (70.9%), and pneumatosis in 25 cases (45.5%). The CT examination of 22 children after treatment showed a linear or tubular low-density shadow in the thyroid gland, gas accumulation in the anterior cervical region or thyroid, and residual contrast medium, partly. A total of 24 cases underwent barium esophagography during the acute phase, and 15 cases (62.5%) showed sinus formation from the pyriform fossa downward or punctate high-density shadow in the anterior cervical region. The 2 cases where MRI was performed showed abscess formation in one side of the neck and thyroid involvement.ConclusionPyriform fossa fistula is most common in the left anterior cervical region, and it is closely related to the thyroid gland. The plain and enhanced-contrast CT scan can be used as the first choice during the infection stage. It helps to understand the location, extent, and structure of the surrounding tissue. The preliminary diagnosis of pyriform sinus fistula was according to the imaging features. It provided an important basis for clinical diagnosis and reduced the pain caused by repeated infection or surgical incision and drainage

Impact of Lung Function on Exacerbations, Health Care Utilization, and Costs Among Patients with COPD

Objective: To evaluate the impact of lung function, measured as forced expiratory volume in 1 second (FEV1) % predicted, on health care resource utilization and costs among patients with COPD in a real-world US managed-care population. Methods: This observational retrospective cohort study utilized administrative claim data augmented with medical record data. The study population consisted of patients with one or more medical claims for pre- and postbronchodilator spirometry during the intake period (July 1, 2012 to June 30, 2013). The index date was the date of the earliest medical claim for pre- and postbronchodilator spirometry. Spirometry results were abstracted from patients\u27 medical records. Patients were divided into two groups (low FEV1% predicted [\u3c 50%] and high FEV1% predicted [≥ 50%]) based on the 2014 Global Initiative for Chronic Obstructive Lung Disease report. Health care resource utilization and costs were based on the prevalence and number of discrete encounters during the 12-month postindex follow-up period. Costs were adjusted to 2014 US dollars. Results: A total of 754 patients were included (n=297 low FEV1% predicted group, n=457 high FEV1% predicted group). COPD exacerbations were more prevalent in the low FEV1% predicted group compared with the high group during the 12-month pre- (52.5% vs 39.6%) and postindex periods (49.8% vs 36.8%). Mean (standard deviation) follow-up all-cause and COPD-related costs were $27,380 ($38,199) and $15,873 ($29,609) for patients in the low FEV1% predicted group, and $22,075 ($28,108) and $10,174 ($18,521) for patients in the high group. In the multivariable analyses, patients in the low FEV1% predicted group were more likely to have COPD exacerbations and tended to have higher COPD-related costs when compared with patients in the high group. Conclusion: Real-world data demonstrate that patients with COPD who have low FEV1% predicted levels use more COPD medications, have more COPD exacerbations, and incur higher COPD-related health care costs than those with high FEV1% predicted levels

The impact of multiple driving factors on forest ecosystem services in karst desertification control

In the fragile karst desertification ecosystem, forests are the providers of eco-multifunctionality. And the ecosystem service (ES) supply capacity of forests is directly or indirectly affected by various driving factors. The aim of this study is to explore the driving role of forest spatial structure, species diversity, and functional diversity on ecosystem services. In this study, four forest types, namely, broad-leaved monoculture forest (planted economic forest) (F1), broad-leaved mixed forest (F2), coniferous and broad-leaved mixed forest (F3), and coniferous mixed forest (F4), were investigated in karst plateau mountain (KPM), karst plateau canyon (KPC), and karst mountain canyon (KMC) landforms. Variance analysis, correlation analysis and redundancy analysis were used to compare the differences of spatial structure, species diversity, functional diversity, and ES of different forest types and to clarify the driving role of spatial structure, species diversity, and functional diversity on ES. The results showed that the wood supply service of F3 was at least 4.27% higher than that of other forest types; carbon sequestration and oxygen release are at least 4.57 and 3.89% higher; the water holding capacity of litter and soil is higher by 6.24 and 2.26%, respectively; the soil OC, TN, TP, and TK were higher than 6.01, 1.22, 25.55, and 13.34%, respectively. The coniferous mixed forest and broadleaved mixed forest with a more complete spatial structure has a higher level of diversity, which can generate more wood and provide more soil nutrient sources, as well as stronger regulation capacity. Spatial structure affects plant productivity through interspecific relationships; soil fertility is restricted by the level of diversity; gas and water regulation are influenced by both spatial structure and diversity levels. There is a progressive driving relationship among spatial structure, diversity, and ES. In forest management, it is helpful to improve the forest ecosystem’s functioning by adjusting the forest structure using close-to-natural management measures

Dynamic resonance fluorescence in solid-state cavity quantum electrodynamics

The coherent interaction between a two-level system and electromagnetic fields serves as a foundation for fundamental quantum physics and modern photonic quantum technology. A profound example is resonance fluorescence, where the non-classical photon emission appears in the form of a Mollow-triplet when a two-level system is continuously driven by a resonant laser. Pushing resonance fluorescence from a static to dynamic regime by using short optical pulses generates on-demand emissions of highly coherent single photons. Further increasing the driving strength in the dynamical regime enables the pursuit of exotic non-classical light emission in photon number superposition, photon number entanglement, and photon bundle states. However, the long-sought-after spectrum beyond the Mollow-triplet, a characteristic of dynamic resonance fluorescence under strong driving strength, has not been observed yet. Here we report the direct observation and systematic investigations of dynamic resonance fluorescence spectra beyond the Mollow-triplet in a solid-state cavity quantum electrodynamic system. The dynamic resonance fluorescence spectra with up to five pairs of side peaks, excitation detuning induced spectral asymmetry, and cavity filtering effect are observed and quantitatively modeled by a full quantum model with phonon scattering included. Time-resolved measurements further reveal that the multiple side peaks originate from interference of the emission associated with different temporal positions of the excitation pulses. Our work facilitates the generation of a variety of exotic quantum states of light with dynamic driving of two-level systems.Comment: Manuscript submitted on 19th May 202

Profile storage of organic/inorganic carbon in soil: From forest to desert

Understanding the distribution of organic/inorganic carbon storage in soil profile is crucial for assessing regional, continental and global soil C stores and predicting the consequences of global change. However, little is known about the organic/inorganic carbon storages in deep soil layers at various landscapes. This study was conducted to determine the soil organic/inorganic carbon storage in soil profile of 0-3 m at 5 sites of natural landscape from forest to desert. Landscapes are temperate forest, temperate grassland, temperate shrub-grassland, temperate shrub desert, and temperate desert. Root mass density and carbon contents at the profile were determined for each site. The results showed that considerable decrease in root biomass and soil organic carbon content at the soil profile of 0-3 m when landscape varied from forest to desert along a precipitation gradient, while soil inorganic carbon content increased significantly along the precipitation gradient. Namely, for density of soil organic carbon: forest > grassland > shrub-grassland > shrub desert > desert; for density of soil inorganic carbon: forest, grassland < shrub-grassland < shrub desert < desert (P<0.05 in all cases). In landscapes other than forest, more than 50% soil carbon storage was found in 1-3 m depth. For grassland and shrub-grassland, the contribution from 1-3 m was mainly in the form of organic carbon, while for shrub desert and desert the contribution from this depth was mainly in the form of inorganic carbon. The comparison of soil C storage between top 0-1 m and 1-3 m showed that the using top 1 m of soil profile to estimate soil carbon storages would considerably underestimate soil carbon storage. This is especially true for organic soil carbon at grassland region, and for soil inorganic carbon at desert region. (C) 2010 Elsevier B.V. All rights reserved

Geographical distribution and determining factors of different invasive ranks of alien species across China

Determination of the geographical distribution and life-form spectra of alien species with different invasive abilities are essential to understand the process of invasion and to develop measures to manage alien species. Based on six classifications of Chinese alien species, environmental and social data, we determined species density, life-form spectrum of alien species, and the relationship between species density of alien species and climatic or social factors. The species density of alien species increased from the northwest to the southeast regions of China for all the six ranks. The boundary line between low and high species density of alien species was consistent with the dividing line of population density (the “Hu Line”). Mean annual precipitation was the most important factor for species density in malignant invaders, serious invaders, local invaders, and species requiring further observation (Ranks I, II, III, and V, respectively). Gross domestic product per square kilometer and annual minimum temperature were the most important factors in mild invaders and cultivated aliens (Ranks IV and VI, respectively). Annual and biennial herbs made up 52.9% to 71.2% of total species in Ranks I to IV; shrubs and trees 3.7% to 14.7%. The annual and biennial herbs were 35.5% and 32.6%, and the shrubs and trees were 25.3% and 31.6% in Ranks IV and VI. Results implied that precipitation was the most important factor on species density for the invasive alien species. However, social factors and temperature were the most important factors for the non-invasive alien species. The invasive alien species had a high proportion of annual and biennial herbs and non-invasive alien had a high proportion of shrubs and trees. It is important to understand the geographical distribution and life-form spectra of various invasive alien species for alien species controls

The efficiency of Vpx-mediated SAMHD1 antagonism does not correlate with the potency of viral control in HIV-2-infected individuals

Background: The presence of a vpx gene distinguishes HIV-2 from HIV-1, the main causative agent of AIDS. Vpx degrades the restriction factor SAMHD1 to boost HIV-2 infection of macrophages and dendritic cells and it has been suggested that the activation of antiviral innate immune responses after Vpx-dependent infection of myeloid cells may explain why most HIV-2-infected individuals efficiently control viral replication and become long-term survivors. However, the role of Vpx-mediated SAMHD1 antagonism in the virological and clinical outcome of HIV-2 infection remained to be investigated. Results: Here, we analyzed the anti-SAMHD1 activity of vpx alleles derived from seven viremic and four long-term aviremic HIV-2-infected individuals. We found that effective Vpx-mediated SAMHD1 degradation and enhancement of myeloid cell infection was preserved in most HIV-2-infected individuals including all seven that failed to control the virus and developed AIDS. The only exception were vpx alleles from an aviremic individual that predicted a M68K change in a highly conserved nuclear localization signal which disrupted the ability of Vpx to counteract SAMHD1. We also found that HIV-2 is less effective than HIV-1 in inducing innate immune activation in dendritic cells. Conclusions: Effective immune control of viral replication in HIV-2-infected individuals is not associated with increased Vpx-mediated degradation of SAMHD1