Oxidized (non)-regenerated cellulose affects fundamental cellular processes of wound healing.

In this study we investigated how hemostats such as oxidized regenerated cellulose (ORC, TABOTAMP) and oxidized non-regenerated cellulose (ONRC, RESORBA CELL) influence local cellular behavior and contraction of the extracellular matrix (ECM). Human stromal fibroblasts were inoculated in vitro with ORC and ONRC. Cell proliferation was assayed over time, and migration was evaluated by Live Cell imaging microscopy. Fibroblasts grown in collagen-gels were treated with ORC or ONRC, and ECM contraction was measured utilizing a contraction assay. An absolute pH decline was observed with both ORC and ONRC after 1 hour. Mean daily cell proliferation, migration and matrix contraction were more strongly inhibited by ONRC when compared with ORC (p < 0.05). When control media was pH-lowered to match the lower pH values typically seen with ORC and ONRC, significant differences in cell proliferation and migration were still observed between ONRC and ORC (p < 0.05). However, in these pH conditions, inhibition of matrix contraction was only significant for ONRC (p < 0.05). We find that ORC and ONRC inhibit fibroblast proliferation, migration and matrix contraction, and stronger inhibition of these essential cellular processes of wound healing were observed for ONRC when compared with ORC. These results will require further validation in future in vivo experiments to clarify the clinical implications for hemostat use in post-surgical wound healing

Electron-scattering form factors for 6Li in the ab initio symmetry-guided framework

We present an ab initio symmetry-adapted no-core shell-model description for $^{6}$Li. We study the structure of the ground state of $^{6}$Li and the impact of the symmetry-guided space selection on the charge density components for this state in momentum space, including the effect of higher shells. We accomplish this by investigating the electron scattering charge form factor for momentum transfers up to $q \sim 4$ fm$^{-1}$. We demonstrate that this symmetry-adapted framework can achieve significantly reduced dimensions for equivalent large shell-model spaces while retaining the accuracy of the form factor for any momentum transfer. These new results confirm the previous outcomes for selected spectroscopy observables in light nuclei, such as binding energies, excitation energies, electromagnetic moments, E2 and M1 reduced transition probabilities, as well as point-nucleon matter rms radii.Comment: 10 pages, 7 figures; accepted to Physical Review

Interpretation of interbasin exchange in an isopycnal ocean model

This work concerns an analysis of inter-basin and inter-layer exchanges in the component ocean part of the coupled ECHAM4/OPYC3 general circulation model, aimed at documenting the simulation of North Atlantic Deep Water (NADW) and related thermohaline circulations in the Indian and Pacific Oceans. The modeled NADW is formed mainly in the Greenland-Iceland-Norwegian Seas through a composite effect of deep convection and downward cross-isopycnal transport. The modeled deep-layer outflow of NADW can reach 16 Sv near 30°S in the South Atlantic, with the corresponding upper-layer return flow mainly coming from the 'cold water path' through Drake Passage. Less than 4 Sv of the Agulhas 'leakage' water contributes to the replacement of NADW along the 'warm water path'. In the South Atlantic Ocean, the model shows that some intermediatte isopycnal layers with potential densities ranging between 27.0 and 27.5 are the major water source that compensate the NADW return flow and enhance the Circumpolar Deep Water (CDW) flowing from the Atlantic into Indian Ocean. The modeled thermohaline circulations in the Indian and Pacific Oceans indicate that the Indian Ocean may play the major role in converting deep water into intermediate water. About 16 Sv of the CDW-originating deep water enters the Indian Ocean northward of 31°S, of which more than 13 Sv 'upwell' mainly near the continental boundaries of Africa, South Asia and Australia through inter-layer exchanges and return to the Antarctic Circumpolar Current (ACC) as intermediate-layer water. As a contrast, only 4 Sv of Pacific intermediate water is connected to 'upwelling' flow southward across 31°S while the magnitude of northward deep flow across 31°S in the Pacific Ocean is significantly greater than that in the Indian Ocean. The model suggests that a large portion of the deep waters, entering the Pacific Ocean (about 14 Sv) 'upwells' continually into some upper layers through the thermocline, and becomes the source of the Indonesian throughflow. Uncertainties in these results may be related to the incomplete adjustment of the model's isopycnal layers and the sensitivity of the Indonesian throughflow to the model's geography and topography

Emergence of Simple Patterns in Complex Atomic Nuclei from First Principles

We study the structure of low-lying states in 6Li, 6He, 8Be, 8B, 12C, and 16O, using ab initio symmetry-adapted no-core shell model. The results of our study demonstrate that collective modes in light nuclei emerge from first principles. We investigate the impact of the symmetry-adapted model space on spectroscopic properties and, in the case of the ground state of 6Li, on elastic electron scattering charge form factor. The results confirm that only a small symmetry-adapted subspace of the complete model space is needed to accurately reproduce complete-space observables and the form factor momentum dependence

The Nephrocheck Bedside System for Detecting Stage 3 Acute Kidney Injury After Open Thoracoabdominal Aortic Repair

Acute kidney injury (AKI) is a common complication after complex aortic procedures and it is associated with relevant mortality and morbidity. Biomarkers for early and specific AKI detection are lacking. The aim of this work is to investigate the reliability of the NephroCheck bedside system for diagnosing stage 3 AKI following open aortic surgery. In this prospective, multicenter, observational study,- https://clinicaltrials.gov/ct2/show/NCT04087161 -we included 45 patients undergoing open thoracoabdominal aortic repair. AKI risk (AKIRisk-Index) was calculated from urine samples at 5 timepoints: baseline, immediately postoperatively and at 12, 24, 48, and 72 h post-surgery. AKIs were classified according to the KDIGO criteria. Contributing factors were identified in univariable and multivariable logistic regression. Predictive ability was assessed with the area under the receiver operator curve (ROCAUC). Among 31 patients (68.8%) that developed AKIs, 21 (44.9%) developed stage-3 AKIs, which required dialysis. AKIs were correlated with increased in-hospital mortality (p = .006), respiratory complications (p \u3c .001), sepsis (p \u3c .001), and multi-organ dysfunction syndrome (p \u3c .001). The AKIRisk-Index showed reliable diagnostic accuracy starting at 24 h post-surgery (ROCAUC: .8056, p = .001). In conclusion, starting at 24 h after open aortic repair, the NephroCheck system showed adequate diagnostic accuracy for detecting the patients at risk for stage 3 AKIs

Dissociating the semantic function of two neighbouring subregions in the left lateral anterior temporal lobe

AbstractWe used fMRI in 35 healthy participants to investigate how two neighbouring subregions in the lateral anterior temporal lobe (LATL) contribute to semantic matching and object naming. Four different levels of processing were considered: (A) recognition of the object concepts; (B) search for semantic associations related to object stimuli; (C) retrieval of semantic concepts of interest; and (D) retrieval of stimulus specific concepts as required for naming. During semantic association matching on picture stimuli or heard object names, we found that activation in both subregions was higher when the objects were semantically related (mug–kettle) than unrelated (car–teapot). This is consistent with both LATL subregions playing a role in (C), the successful retrieval of amodal semantic concepts. In addition, one subregion was more activated for object naming than matching semantically related objects, consistent with (D), the retrieval of a specific concept for naming. We discuss the implications of these novel findings for cognitive models of semantic processing and left anterior temporal lobe function

Use of the AFX Stent Graft in Patients with Extremely Narrow Aortic Bifurcation: A Multicenter Retrospective Study

Introduction This study analyzed the patient outcomes following endovascular aortic aneurysm repair (EVAR) for infrarenal aortic pathologies with very narrow aortic bifurcations using the AFX stent graft. Methods The data was retrieved from the archived medical records of 35 patients treated for abdominal aortic aneurysm (AAA) (48.6%) or penetrating aortic ulcer (PAU) (51.4%) with very narrow aortic bifurcation between January 2013 and May 2020. Patient survival, freedom from endoleak (EL), and limb occlusion were estimated applying the Kaplan-Meier method. Results The mean follow-up time was 20.4 ± 22.8 months. The mean aortic bifurcation diameter was 15.8 ± 2.2 mm. Technical success was 100%, and no procedure-related deaths occurred. Two type II ELs occurred within 30-day follow-up. We observed one common iliac artery stenosis at four months and one type III EL at 54 months in the same patient, both of which required re-intervention. Overall patient survival was 95 ± 5% (AAA: 100%; PAU: 89 ± 10%), freedom from limb occlusion was 94 ± 5% (AAA: 91 ± 9%; PAU: 100%), freedom from type II EL was 94 ± 4% (AAA: 88 ± 8%; PAU: 100%), and freedom from EL type III was 83 ± 15% (AAA: 80 ± 18%; PAU: 100%) at the end of the follow-up period. Conclusions Very narrow aortic bifurcations may predispose patients to procedure-related complications following EVAR. Our results suggest a safe use of the AFX stent graft in such scenarios. The overall short- and long-term procedure-related patient outcomes are satisfying albeit they may seem superior for PAU when compared to AAA

Accurate calculation of polarization-related quantities in semiconductors

We demonstrate that polarization-related quantities in semiconductors can be predicted accurately from first-principles calculations using the appropriate approach to the problem, the Berry-phase polarization theory. For III-V nitrides, our test case, we find polarizations, polarization differences between nitride pairs, and piezoelectric constants quite close to their previously established values. Refined data are nevertheless provided for all the relevant quantities.Comment: RevTeX 4 pages, no figure