Neurally adjusted ventilatory assist can improve arterial oxygenation

INTRODUCTION. Neurally Adjusted Ventilatory Assist (NAVA) [1] is a new spontaneousassisted ventilatory mode which uses the diaphragmatic electrical activity (Eadi) to pilot the ventilator. Eadi is used to initiate the ventilator's pressurization and cycling off. Delivered inspiratory assistance is proportional to Eadi. NAVA can improve patient-ventilator synchrony [2] compared to pressure support (PS), but little is known about its effect on minute ventilation and oxygenation. OBJECTIVES. To compare the effects of NAVA and PS on minute ventilation and oxygenation and to analyze potential determinant factors for oxygenation. METHODS. Comparison between two 20-min periods under NAVA and PS. NAVA gain (proportionality factor between Eadi and delivered pressure) set as to obtain the same peak pressure as in PS. FIO2 and positive end-expiratory pressure (PEEP) were the same in NAVA and PS. Blood gas analyses were performed at the end of both recording periods. Statistical analysis: groups were compared with paired t tests or non parametric Wilcoxon signed-rank tests. p\0.05 was considered significant. RESULTS. [Mean ± SD]: 22 patients (age 66 ± 12 year, 7 M/15F, BMI 23.4 ± 3.1 kg/m2), 8 patients with COPD. Initial settings: PS 13 ± 3 cmH2O, PEEP 7 ± 2 cmH2O, NAVA gain 2.2 ± 1.8. Minute ventilation and PaCO2 were the same with both modes (p = 0.296 and 0.848, respectively). Tidal volume was lower with NAVA (427 ± 102 vs. 477 ± 102 ml, p\0.001). In contrast respiratory rate was higher with NAVA (25.6 ± 9.5 vs. 22.3 ± 8.9 cycles/min). Arterial oxygenation was improved with NAVA (PaO2 85.1 ± 28.9 vs. 75.8 ± 11.9 mmHg, p = 0.017, PaO2/FIO2 210 ± 53 vs. 195 ± 58 mmHg, p = 0.019). Neural inspiratory time (Tin) was comparable between NAVA and PS (p = 0.566). Among potential determinant factors for oxygenation, mean airway pressure (Pmean) was lower with NAVA (10.6 ± 2.6 vs. 11.1 ± 2.4 cmH2O, p = 0.006), as was the pressure time product (PTP) (6.8 ± 3.0 vs. 9.2 ± 3.5 cmH2O 9 s, p = 0.004). There were less asynchrony events with NAVA (2.3 ± 2.0 vs. 4.4 ± 3.8, p = 0.009).Tidal volume variability was higher with NAVA (variation coefficient: 30 ± 19.5 vs. 13.5 ± 8.6, p\0.001). Inspiratory time in excess (Tiex) was lower with NAVA (56 ± 23 vs. 202 ± 200 ms, p = 0.001). CONCLUSION. Despite lower Pmean and PTP in NAVA, arterial oxygenation was improved compared to PS. As asynchronies may be associated with an increased work of breathing and a higher oxygen consumption, their decrease in number with NAVA could be an explanation for oxygenation improvement. Another explanation could be the increase in VT variability. Further studies should now be performed to confirm the potential of NAVA in improving arterial oxygenation and explore the underlying mechanisms.

Ecological assembly rules in plant communities--approaches, patterns and prospects.

Understanding how communities of living organisms assemble has been a central question in ecology since the early days of the discipline. Disentangling the different processes involved in community assembly is not only interesting in itself but also crucial for an understanding of how communities will behave under future environmental scenarios. The traditional concept of assembly rules reflects the notion that species do not co-occur randomly but are restricted in their co-occurrence by interspecific competition. This concept can be redefined in a more general framework where the co-occurrence of species is a product of chance, historical patterns of speciation and migration, dispersal, abiotic environmental factors, and biotic interactions, with none of these processes being mutually exclusive. Here we present a survey and meta-analyses of 59 papers that compare observed patterns in plant communities with null models simulating random patterns of species assembly. According to the type of data under study and the different methods that are applied to detect community assembly, we distinguish four main types of approach in the published literature: species co-occurrence, niche limitation, guild proportionality and limiting similarity. Results from our meta-analyses suggest that non-random co-occurrence of plant species is not a widespread phenomenon. However, whether this finding reflects the individualistic nature of plant communities or is caused by methodological shortcomings associated with the studies considered cannot be discerned from the available metadata. We advocate that more thorough surveys be conducted using a set of standardized methods to test for the existence of assembly rules in data sets spanning larger biological and geographical scales than have been considered until now. We underpin this general advice with guidelines that should be considered in future assembly rules research. This will enable us to draw more accurate and general conclusions about the non-random aspect of assembly in plant communities.

Atomic diffusion induced by stress relaxation in InGaAs/GaAs epitaxial layers

The origin of the microscopic inhomogeneities in InxGa12xAs layers grown on GaAs by molecular beam epitaxy is analyzed through the optical absorption spectra near the band gap. It is seen that, for relaxed thick layers of about 2.8 mm, composition inhomogeneities are responsible for the band edge smoothing into the whole compositional range (0.05,x,0.8). On the other hand, in thin enough layers strain inhomogeneities are dominant. This evolution in line with layer thickness is due to the atomic diffusion at the surface during growth, induced by the strain inhomogeneities that arise from stress relaxation. In consequence, the strain variations present in the layer are converted into composition variations during growth. This process is energetically favorable as it diminishes elastic energy. An additional support to this hypothesis is given by a clear proportionality between the magnitude of the composition variations and the mean strain.

Equilibrium points and central configurations for the Lennard-Jones 2-and 3-body problems

Abstract. In this paper we study the relative equilibria and their stability for a system of three point particles moving under the action of a Lennard{Jones potential. A central con guration is a special position of the particles where the position and acceleration vectors of each particle are proportional, and the constant of proportionality is the same for all particles. Since the Lennard{Jones potential depends only on the mutual distances among the particles, it is invariant under rotations. In a rotating frame the orbits coming from central con gurations become equilibrium points, the relative equilibria. Due to the form of the potential, the relative equilibria depend on the size of the system, that is, depend strongly of the momentum of inertia I. In this work we characterize the relative equilibria, we nd the bifurcation values of I for which the number of relative equilibria is changing, we also analyze the stability of the relative equilibria.

Relation between plaque type, plaque thickness, blood shear stress, and plaque stress in coronary arteries assessed by X-ray Angiography and Intravascular Ultrasound

Purpose: Atheromatic plaque progression is affected, among others phenomena, by biomechanical, biochemical, and physiological factors. In this paper, the authors introduce a novel framework able to provide both morphological (vessel radius, plaque thickness, and type) and biomechanical (wall shear stress and Von Mises stress) indices of coronary arteries. Methods: First, the approach reconstructs the three-dimensional morphology of the vessel from intravascular ultrasound(IVUS) and Angiographic sequences, requiring minimal user interaction. Then, a computational pipeline allows to automatically assess fluid-dynamic and mechanical indices. Ten coronary arteries are analyzed illustrating the capabilities of the tool and confirming previous technical and clinical observations. Results: The relations between the arterial indices obtained by IVUS measurement and simulations have been quantitatively analyzed along the whole surface of the artery, extending the analysis of the coronary arteries shown in previous state of the art studies. Additionally, for the first time in the literature, the framework allows the computation of the membrane stresses using a simplified mechanical model of the arterial wall. Conclusions: Circumferentially (within a given frame), statistical analysis shows an inverse relation between the wall shear stress and the plaque thickness. At the global level (comparing a frame within the entire vessel), it is observed that heavy plaque accumulations are in general calcified and are located in the areas of the vessel having high wall shear stress. Finally, in their experiments the inverse proportionality between fluid and structural stresses is observed.

Equivalent roughness of gravel-bed rivers

The relation between the equivalent roughness and different grain size percentiles of the sediment in gravel-bed rivers was determined under the hypothesis that the vertical distribution of the flow velocity follows a logarithmic law. A set of 954 data points was selected from rivers with gravel size sediment or larger, with a non-sinuous alignment and free of vegetation or obstacles. According to the results, the ks roughness is equivalent to approximately 2.4D90, 2.8D84, and 6.1D50. No correlation was detected between the sediment sorting and the sediment mobility index on one hand, and, on the other, the coefficient of proportionality of each grain size percentile.

Relation between plaque type, plaque thickness, blood shear stress, and plaque stress in coronary arteries assessed by X-ray Angiography and Intravascular Ultrasound

Purpose: Atheromatic plaque progression is affected, among others phenomena, by biomechanical, biochemical, and physiological factors. In this paper, the authors introduce a novel framework able to provide both morphological (vessel radius, plaque thickness, and type) and biomechanical (wall shear stress and Von Mises stress) indices of coronary arteries. Methods: First, the approach reconstructs the three-dimensional morphology of the vessel from intravascular ultrasound(IVUS) and Angiographic sequences, requiring minimal user interaction. Then, a computational pipeline allows to automatically assess fluid-dynamic and mechanical indices. Ten coronary arteries are analyzed illustrating the capabilities of the tool and confirming previous technical and clinical observations. Results: The relations between the arterial indices obtained by IVUS measurement and simulations have been quantitatively analyzed along the whole surface of the artery, extending the analysis of the coronary arteries shown in previous state of the art studies. Additionally, for the first time in the literature, the framework allows the computation of the membrane stresses using a simplified mechanical model of the arterial wall. Conclusions: Circumferentially (within a given frame), statistical analysis shows an inverse relation between the wall shear stress and the plaque thickness. At the global level (comparing a frame within the entire vessel), it is observed that heavy plaque accumulations are in general calcified and are located in the areas of the vessel having high wall shear stress. Finally, in their experiments the inverse proportionality between fluid and structural stresses is observed.

JNK controls the onset of mitosis of planarian stem cells and triggers apoptotic cell death required for regeneration and remodeling

Regeneration of lost tissues depends on the precise interpretation of molecular signals that control and coordinate the onset of proliferation, cellular differentiation and cell death. However, the nature of those molecular signals and the mechanisms that integrate the cellular responses remain largely unknown. The planarian flatworm is a unique model in which regeneration and tissue renewal can be comprehensively studied in vivo. The presence of a population of adult pluripotent stem cells combined with the ability to decode signaling after wounding enable planarians to regenerate a complete, correctly proportioned animal within a few days after any kind of amputation, and to adapt their size to nutritional changes without compromising functionality. Here, we demonstrate that the stress-activated c-jun-NH2-kinase (JNK) links wound-induced apoptosis to the stem cell response during planarian regeneration. We show that JNK modulates the expression of wound-related genes, triggers apoptosis and attenuates the onset of mitosis in stem cells specifically after tissue loss. Furthermore, in pre-existing body regions, JNK activity is required to establish a positive balance between cell death and stem cell proliferation to enable tissue renewal, remodeling and the maintenance of proportionality. During homeostatic degrowth, JNK RNAi blocks apoptosis, resulting in impaired organ remodeling and rescaling. Our findings indicate that JNK-dependent apoptotic cell death is crucial to coordinate tissue renewal and remodeling required to regenerate and to maintain a correctly proportioned animal. Hence, JNK might act as a hub, translating wound signals into apoptotic cell death, controlled stem cell proliferation and differentiation, all of which are required to coordinate regeneration and tissue renewal.

Mind the Gap. Do Proportional Electoral Systems Foster a More Equal Representation of Women and Men, Poor and Rich ?

Female gender and low income are two markers for groups that have been historically disadvantaged within most societies. The study explores two research questions related to their political representation: 1) Are parties ideologically biased towards the ideological preferences of male and rich citizens? 2) Does the proportionality of the electoral system moderate the degree of underrepresentation of women and poor citizens in the party system? A multilevel analysis of survey data from 24 parliamentary democracies indicates that there is some bias against those with low income and, at a much smaller rate, women. This has systemic consequences for the quality of representation, as the preferences of the complementary groups differ. The proportionality of the electoral system influences the degree of underrepresentation: specifically, larger district magnitudes help closing the considerable gap between rich and poor.

Atomic diffusion induced by stress relaxation in InGaAs/GaAs epitaxial layers

The origin of the microscopic inhomogeneities in InxGa1-xAs layers grown on GaAs by molecular beam epitaxy is analyzed through the optical absorption spectra near the band gap. It is seen that, for relaxed thick layers of about 2.8μm, composition inhomogeneities are responsible for the band edge smoothing into the whole compositional range (0.05proportionality between the magnitude of the composition variations and the mean strain

Backpressure effects on the flow-pressure relation of driplines

ABSTRACT For drip irrigation design and management, it is necessary to know the relation between flow and pressure acting on emitters. In the case of subsurface drip irrigation, the backpressure phenomenon may change the hydraulic characteristics of emitters. Thus, this study aimed at determining such relationship between flow and pressure of different driplines in surface and subsurface conditions; aiming to find possible differences in hydraulic behavior. We tested four emitter types; two pressure compensating (D5000 and Hydro PCND) and two non-pressure compensating (TalDrip and Jardiline). Emitter flow rates were attained in atmospheric conditions and submerged in water, in which submergence levels represented backpressure. Assays were performed using inlet pressures of 80, 100, 120, and 150 kPa for the Hydro PCND dripline and 25, 50, 100, and 150 kPa for the other ones; the backpressures were of 0.49, 1.47, 2.45, 4.41 and 6.37 kPa with four replications. The emitters had their proportionality constants and discharge exponents changed in submerged applications, representing backpressure effect. Non-pressure compensating emitters had their discharge exponent decreased, while in pressure compensating ones, it was increased. Backpressure reduced emitter flow rates at all evaluated pressures.

Euroopan unionin sisämarkkinoiden toiminnan varmistamiseksi asetettujen vero-oikeudellisten toimien vaikutukset Suomen arvonlisäverojärjestelmään

Tämän tutkimuksen tarkoituksena on selvittää EU:n jäsenyyden ja EU-oikeuden vaikutuksia Suomen arvonlisäverojärjestelmään; mikä on voimassa olevan oikeuden sisältö yhteisötasolla sekä kansallisessa arvonlisäverojärjestelmässä ja millainen on vallitseva arvonlisäverotusta koskeva oikeusjärjestelmä EU kontekstissa. Päätavoitteena on tutkia EU-oikeuden vaikutusta KHO:n laintulkintoihin ja Euroopan unionin tuomioistuimen arvonlisäverotukseen liittyviä tulkintoja sekä sitä, kuinka nämä tulkinnat ovat vaikuttaneet Suomen arvonlisäverojärjestelmän normeihin ja niiden soveltamiseen. Tutkimuksessa aiheen tarkastelu on rajattu sekundäärioikeuden puolelta vaikutusten tutkimiseen arvonlisäveron vähennysoikeuden osalta. Tutkimuksen pääteemoina ovat vähennysoikeuden syntyminen ja laajuus, vähennysoikeuden suhdeluku ja vähennysoikeuden rajoitukset. Tavoitteena on oikeusdogmaattisesti tulkita ja systematisoida arvonlisäverojärjestelmän soveltamisalaan liittyvää oikeusjärjestystä vähennysoikeuden osalta ja tavoitella ristiriidattomuutta unionin järjestelmän ja Suomen arvonlisäverojärjestelmän välillä. Tutkimuksessa selvisi, että EU:lla on ollut vaikutusta sekä varsinaiseen verotukseen että veropoli-tiikan muotoutumiseen. Arvonlisäverotuksen eurooppalaistuminen on näyttäytynyt jatkuvana oikeuslähdepohjan muutoksena ja sen vaikuttamisena etenkin oikeuden soveltamiseen. Yhteisessä arvonlisäverojärjestelmässä vallankäyttö on siirtynyt osittain pois kansallisista poliittisista ja oikeudellisista rakenteista EU-tason rakenteisiin. Tutkimuksen perusteella voidaan todeta, että yhteinen arvonlisäverojärjestelmä ja EUT:n oikeuskäytäntö on vähinten vaikuttanut Suomessa vähennysoikeuden rajoituskysymyksiin. Sitä vastoin suhdelukua koskevaan käytäntöön EUT:lla on ollut vaikutusta. Näkyvimmin EU:n tuomioistuimen oikeuskäytännön mukanaan tuoma vaikutus liittyy arvonlisäveron vähennysoikeuden syntymiseen ja laajuuteen.

Unidirectional fiber-reinforced composite as an oral implant abutment material: Experimental studies of E-glass fiber/BisGMA-TEGDMA polymer in vitro

Fiber-reinforced composites (FRCs) are a new group of non-metallic biomaterials showing a growing popularity in many dental and medical applications. As an oral implant material, FRC is biocompatible in bone tissue environment. Soft tissue integration to FRC polymer material is unclear. This series of in vitro studies aimed at evaluating unidirectional E-glass FRC polymer in terms of mechanical, chemical, and biological properties in an attempt to develop a new non-metallic oral implant abutment alternative. Two different types of substrates were investigated: (a) Plain polymer (BisGMA 50%–TEGDMA 50%) and (b) Unidirectional FRC. The mechanical behavior of high fiber-density FRCs was assessed using a three-point bending test. Surface characterization was performed using scanning electron and spinning disk confocal microscopes. The surface wettability/energy was determined using sessile drop method. The blood response, including blood-clotting ability and platelet morphology was evaluated. Human gingival fibroblast cell responses - adhesion kinetics, adhesion strength, and proliferation activity - were studied in cell culture environment using routine test conditions. A novel tissue culture method was developed and used to evaluate porcine gingival tissue graft attachment and growth on the experimental composite implants. The analysis of the mechanical properties showed that there is a direct proportionality in the relationship between E-glass fiber volume fraction and toughness, modulus of elasticity, and load bearing capacity; however, flexural strength did not show significant improvement when high fiber-density FRC is used. FRCs showed moderate hydrophilic properties owing to the presence of exposed glass fibers on the polymer surface. Blood-clotting time was shorter on FRC substrates than on plain polymer. The FRC substrates also showed higher platelet activation state than plain polymer substrates. Fibroblast cell adhesion strength and proliferation rate were highly pronounced on FRCs. A tissue culture study revealed that gingival epithelium and connective tissue established an immediate close contact with both plain polymer and FRC implants. However, FRC seemed to guide epithelial migration outwards from the tissue/implant interface. Due to the anisotropic and hydrophilic nature of FRC, it can be concluded that this material enhances biological events related with soft tissue integration on oral implant surface.

Poliisin salaiset tiedonhankintakeinot ja yksityiselämän suoja

Tutkimuksessa selvitetään ensinnäkin, mitä vaatimuksia yksityiselämän suoja osana perusoikeusjärjestelmää asettaa poliisin salaisia tiedonhankintakeinoja koskevalle lainsäätämiselle. Tutkimuksessa selvitetään lisäksi, miten nykyinen lainsäädäntö vastaa yksityiselämän suojasta seuraaviin vaatimuksiin, ja miten lainsäädäntöä tulisi mahdollisesti kehittää, jotta se paremmin vastaisi näihin vaatimuksiin. Perus- ja ihmisoikeuksien merkitys on lisääntynyt myös lain soveltamisen osalta, ja tästä syystä tutkimuksessa selvitetään, mitä vaatimuksia perusoikeusjärjestelmä asettaa salaisia tiedonhankintakeinoja koskevalle lain soveltamiselle. Tutkimuksen kohteena on pakkokeinolain (806/2011) 10 luvussa säädetyt keinot, joita käytetään rikosten selvittämiseen sekä poliisilain (872/2011) 5 luvussa säädetyt keinot, joita käytetään rikosten estämiseen ja paljastamiseen. Tässä tutkimuksessa perusoikeusjärjestelmän kokonaisuuden perusteella määrittyy se, millä ehdoilla ja missä laajuudessa salaisten tiedonhankintakeinojen käyttö on mahdollista. Tutkimuksessa selviää, että salaisia tiedonhankintakeinoja koskevaa sääntelyä tarvitaan nimenomaisesti tietyistä asiakokonaisuuksista. Kun tiedonhankintakeinojen käyttöön liittyviä intressejä pyritään sovittamaan yhteen, pelkkä punninta ei ole riittävää, vaan tärkeää on havaita, mitkä konkreettisemmat tekijät vaikuttavat ratkaisun tekemiseen lainsäätämisessä ja lain soveltamisessa. Ihmisarvon loukkaamattomuutta kunnioittavassa oikeusvaltiossa sääntelylle asettuu myös tiettyjä ehdottomia rajoja. Tutkimuksessa selviää myös, että tutkimustietoa eri tiedonhankintakeinojen tehokkuudesta tulisi saada lisää, jotta voidaan paremmin arvioida eri keinojen oikeasuhtaisuutta. Joidenkin tiedonhankintakeinojen edellytykset on muotoiltu niin, että on kyseenalaista, toteutuvatko luottamuksellisen viestin salaisuutta koskevan lakivarauksen vaatimukset. Tulisi myös pohtia, tarvitaanko ainakin joidenkin keinojen osalta hankittujen tietojen käsittelemistä ja hävittämistä valvomaan jokin poliisin nähden ulkopuolinen taho, jotta yksilön oikeusturva voitaisiin turvata paremmin. Jatkossa tulisi edelleen kiinnittää huomiota myös siihen, että tiedonhankintakeinoja koskevien lupapäätösten ja -hakemusten perustelut ovat riittävät. Eduskunnan oikeusasiamiehen suorittama valvonta on ollut merkittävää yksilön oikeusturvan toteutumisen kannalta. Vaikuttaa kuitenkin siltä, että erillisen valvontaelimen perustaminen olisi tärkeää, jotta voitaisiin varmistaa tiedonhankintakeinojen riittävän perusteellinen valvonta.

High expression of the circadian gene mPer2 diminishes the radiosensitivity of NIH 3T3 cells

Period2 is a core circadian gene, which not only maintains the circadian rhythm of cells but also regulates some organic functions. We investigated the effects of mPeriod2 (mPer2) expression on radiosensitivity in normal mouse cells exposed to 60Co-γ-rays. NIH 3T3 cells were treated with 12-O-tetradecanoylphorbol-13-acetate (TPA) to induce endogenous mPer2 expression or transfected with pcDNA3.1(+)-mPer2 and irradiated with 60Co-γ-rays, and then analyzed by several methods such as flow cytometry, colony formation assay, RT-PCR, and immunohistochemistry. Flow cytometry and colony formation assay revealed that irradiated NIH 3T3 cells expressing high levels of mPer2 showed a lower death rate (TPA: 24 h 4.3% vs 12 h 6.8% and control 9.4%; transfection: pcDNA3.1-mPer2 3.7% vs pcDNA3.1 11.3% and control 8.2%), more proliferation and clonogenic survival (TPA: 121.7 ± 6.51 vs 66.0 ± 3.51 and 67.7 ± 7.37; transfection: 121.7 ± 6.50 vs 65.3 ± 3.51 and 69.0 ± 4.58) both when treated with TPA and transfected with mPer2. RT-PCR analysis showed an increased expression of bax, bcl-2, p53, c-myc, mre11, and nbs1, and an increased proportionality of bcl-2/bax in the irradiated cells at peak mPer2 expression compared with cells at trough mPer2 expression and control cells. However, no significant difference in rad50 expression was observed among the three groups of cells. Immunohistochemistry also showed increased protein levels of P53, BAX and proliferating cell nuclear antigen in irradiated cells with peak mPer2 levels. Thus, high expression of the circadian gene mPer2 may reduce the radiosensitivity of NIH 3T3 cells. For this effect, mPer2 may directly or indirectly regulate the expressions of cell proliferation- and apoptosis-related genes and DNA repair-related genes.