Tissue characteristics of residual lesion in patients with acute coronary syndrome caused by plaque rupture versus plaque erosion: a single-center, retrospective, observational study.

Patients with acute coronary syndrome (ACS), frequently caused by plaque rupture (PR), often have vulnerable plaques in residual lesions as well as in culprit lesions. However, whether this occurs in patients with plaque erosion (PE) as well is unknown. We retrospectively analyzed the data of 88 patients with ACS who underwent both optimal coherence tomography (OCT) and intravascular ultrasound (IVUS). Based on plaque morphology of the culprit lesions identified using OCT, patients were classified into PE (n=23) and PR (n=35) groups. The tissue characteristics of residual lesions evaluated using integrated backscatter IVUS were compared between both groups after percutaneous coronary intervention. The PE group had a significantly lower percent lipid volume and a higher percent fibrous volume than the PR group (35.0±17.8% vs 49.2±13.4%, p<0.001; 63.2±17.1% vs 50.3±13.1%, p=0.002, respectively). Receiver operating characteristic curve analysis revealed that percent lipid volume in the residual lesions was a significant discriminant factor in estimating the plaque morphology of the culprit lesion (optimal cut-off value, <43.5%; sensitivity and specificity values were 73.9% and 68.6%, respectively). In conclusion, patients with PE had a significantly lower percent lipid volume and a significantly higher percent fibrous volume in the residual lesions than those with PR, suggesting that the nature of coronary plaques in patients with PE is different from that of those with PR.

Coastal erosion and flooding risk assessment based on grid scale: A case study of six coastal metropolitan areas.

Coastal areas, situated at the critical juncture of sea-land interaction, are confronted with significant challenges from coastal erosion and flooding. It is imperative to evaluate these risks and offer scientific guidance to foster regional sustainable development. This article developed a coastal risk assessment model based on grid scale, integrating both coastal exposure and socio-ecological environment. Fourteen indicators were selected, aiming to offer a systematic approach for estimating and comparing disaster risks in coastal areas. This risk assessment model was applied to Shanghai, New York, Sydney, San Francisco, Randstad, and Tokyo metropolitan areas. The results indicate: (1) Accounting for the protective role of habitat types like mangroves and the distance attenuation effect offered a more precise representation of hazard situation; (2) The integration of the Game Theory weighting method with both subjective Analytic Hierarchy Process and objective CRITIC weighting enhanced the scientific validity and rationality of the results by minimizing deviations between subjective and objective weights; (3) Shanghai exhibited the highest average hazard and vulnerability, San Francisco had the lowest average hazard and Sydney had the lowest average vulnerability; In terms of comprehensive risk, Shanghai possessed the highest average risk, while Sydney presented the lowest. The proposed model framework is designed to swiftly identify high-risk zones, providing detailed information references for local governments to devise efficacious risk management and prevention strategies.

Slope protection effect of typical vegetation in the Three Gorges reservoir area under extreme rainfall.

In recent years, vegetation plays a key role in landslide stability under extreme rainfall in the Three Gorges Reservoir area, so it is very important to identify the mechanism of vegetation slope protection. This study takes wildcat landslide in Three Gorges Reservoir area as the research object, using indoor landslide model test and building monitoring systems such as stress field, displacement field, and soil erosion, to illustrate the protective effect of typical vegetation. Furthermore, Bermuda cover effectively reduces pore water pressure, pore soil pressure, displacement, and turbidity. In particular, the three stages of interception and buffering of rainfall by stems and leaves, infiltration and absorption of rainfall by the root system, and the reinforcement of the slope against sliding forces by the root system have been divided. Moreover, these findings offer valuable preliminary insights for guiding landslide mitigation strategies in the Three Gorges Reservoir area.

Yardangs sculpted by erosion of heterogeneous material.

The recognizable shapes of landforms arise from processes such as erosion by wind or water currents. However, explaining the physical origin of natural structures is challenging due to the coupled evolution of complex flow fields and three-dimensional (3D) topographies. We investigate these issues in a laboratory setting inspired by yardangs, which are raised, elongate formations whose characteristic shape suggests erosion of heterogeneous material by directional flows. We combine experiments and simulations to test an origin hypothesis involving a harder or less erodible inclusion embedded in an outcropping of softer material. Optical scans of clay objects fixed within flowing water reveal a transformation from a featureless mound to a yardang-like form resembling a lion in repose. Phase-field simulations reproduce similar shape dynamics and show their dependence on the erodibility contrast and flow strength. Through visualizations of the flow fields and analysis of the local erosion rate, we identify effects associated with flow funneling and the turbulent wake that are responsible for carving the unique geometrical features. This highly 3D scouring process produces complex shapes from simple and commonplace starting conditions and is thus a candidate explanation for natural yardangs. The methods introduced here should be generally useful for geomorphological problems and especially those for which material heterogeneity is a primary factor.

Influence of bottled salad dressings on the development of enamel erosion in the presence or absence of salivary pellicle - An in vitro study.

Background: Acidic beverages are believed to elevate the risk of enamel surface erosion. In addition to the intake of soft drinks, the increased consumption of salad dressings has been linked to a higher prevalence of dental erosion. Therefore, the current study aimed to investigate the influence of bottled salad dressings on the development of enamel erosion in the presence or absence of pellicle through in vitro experiment. Methods: Preliminary pH and calcium analyses of solutions were performed. Highest pH and calcium content was found for sandwich spread i.e., 4.69 and 55.4 mg/100 g grams, respectively. Eighty tooth specimens (measuring 4 × 4 × 3 mm) were prepared from extracted human premolars and randomly assigned to four groups (group 1: orange juice; group 2: eggless plain mayonnaise; group 3: sandwich spread; and group 4: thousand island dressing) with 20 samples in each group. Ten tooth specimens from each group were immersed in 20 ml of the respective solutions for 5 min (control group). The remaining ten tooth specimens from each group were submerged in 5 mL saliva vials for 3 min to facilitate salivary pellicle formation before being immersed in their respective solutions for 5 min (saliva-covered group). Pre and post-experimental assessments of enamel roughness and hardness were conducted using a surface roughness tester and Knoop Hardness indenter, respectively. Results: Overall, enamel roughness was notably elevated in the control group, with the eggless plain mayonnaise (0.52 ± 0.38) and thousand island dressing groups (0.57 ± 0.29) showing a significant increase in surface roughness post-test (p = 0.05). Nevertheless, there was no significant difference in the enamel roughness between the groups. On the other hand, regardless of the presence/absence of the salivary pellicle, a marked decrease in enamel hardness was observed among all groups except for group 3 (sandwich spread) with a mean score of 311.5 ± 82.6 (p < 0.05). Conclusion: A significant increase in surface roughness and reduction in enamel hardness was observed with salad dressings. However, in vitro formed salivary pellicle showed a protective effect against tooth erosion.

When birds of a feather flock together: Severe genomic erosion and the implications for genetic rescue in an endangered island passerine.

The Seychelles magpie-robin's (SMR) five island populations exhibit some of the lowest recorded levels of genetic diversity among endangered birds, and high levels of inbreeding. These populations collapsed during the 20th century, and the species was listed as Critically Endangered in the IUCN Red List in 1994. An assisted translocation-for-recovery program initiated in the 1990s increased the number of mature individuals, resulting in its downlisting to Endangered in 2005. Here, we explore the temporal genomic erosion of the SMR based on a dataset of 201 re-sequenced whole genomes that span the past ~150 years. Our sample set includes individuals that predate the bottleneck by up to 100 years, as well as individuals from contemporary populations established during the species recovery program. Despite the SMR's recent demographic recovery, our data reveal a marked increase in both the genetic load and realized load in the extant populations when compared to the historical samples. Conservation management may have reduced the intensity of selection by increasing juvenile survival and relaxing intraspecific competition between individuals, resulting in the accumulation of loss-of-function mutations (i.e. severely deleterious variants) in the rapidly recovering population. In addition, we found a 3-fold decrease in genetic diversity between temporal samples. While the low genetic diversity in modern populations may limit the species' adaptability to future environmental changes, future conservation efforts (including IUCN assessments) may also need to assess the threats posed by their high genetic load. Our computer simulations highlight the value of translocations for genetic rescue and show how this could halt genomic erosion in threatened species such as the SMR.

Mapping and quantifying medium-term soil loss rates in mountain olive groves using unmanned aerial vehicle technology.

Olive groves are one of the main agroecosystems in the Mediterranean region, but water erosion, aggravated by inappropriate soil management, is compromising the environmental sustainability of these crops. National and international public organisations, including the European Union via its Common Agricultural Policy, have acknowledged the problem and recognise the need to quantify the effects of this process. However, the variability of currently available short-term soil erosion measurements, together with limited understanding of the underlying processes, mean there is considerable uncertainty about the long-term effects of soil erosion. This paper presents an innovative procedure called SERHOLIVE4.0 designed to measure and model long-term soil erosion rates in olive groves, by means of structure-from-motion (SfM) techniques by which image information is obtained from unmanned aerial vehicles (UAVs). For the present study, the procedure was evaluated in mountain olive groves, where the erosion rate was calculated from historical surface reconstructions. Overall, this approach was found to be practical and effective. The method includes the following steps: [1] measure the current relief using UAV technology; [2] reconstruct the historical relief from field measurements; [3] calculate soil truncation (h) and obtain a soil erosion rate map; [4] determine the erosive dynamics of the slope and establish the relation between tree truncation, slope and mounds. The method we describe presents the following advantages:•it quantifies soil losses by reference to existing tree mounds;•it is straightforward to apply;•its application enhances the calibration of erosion models.

Bank erosion drastically reduces oyster reef filtration services in estuarine environments.

Oyster reefs near estuarine channels have experienced substantial mortality over the last decades, primarily due to bank erosion, potentially exacerbated by boat activity. Using aerial imagery, we measured bank erosion along the Intracoastal Waterway and its main tributaries in the Guana-Tolomato-Matanzas estuary, finding that erosion outweighs progradation. This notably threatens oyster reefs and their filtration capabilities. By modeling the impact of bank erosion on oyster habitats and filtration using hydrodynamic, water quality, and particle tracking models, we observed a 12% filtration reduction due to reef mortality. Erosion results in an exponential decrease in reef area and filtration services, due to the removal of channel-adjacent reefs, which play a critical role in water filtration. If current erosion rates continue, simulations suggest a potential 20% filtration reduction over 100 years, potentially worsening water quality. Our findings highlight the urgency to protect and restore reefs near banks to mitigate erosion and maintain filtration services.

Evaluating the impact of soil erosion on soil quality in an agricultural land, northeastern China.

The impact of soil erosion on soil quality is still not systematically understood. The purpose of this study was thus to quantify the impact of soil erosion on soil quality and its change with slope morphology in an agricultural field, northeastern China based on radionuclide 137Cs, unmanned aerial vehicle derived high resolution digital elevation model, and soil sampling. 137Cs method yielded an average soil erosion rate of - 275 t km-2 yr-1 ranging from - 1870 to 1557 t km-2 yr-1. The soil quality index derived from total dataset (SQI_TDS) can be well explained by that derived from minimum data set (SQI_MDS) with a determination coefficient R2 of 0.874. SOM, sand, and cation exchange capacity in the MDS play more important roles than other soil indicators. Soil quality was significantly affected by soil erosion, with Adj. R2 of 0.29 and 0.33 for SQI_TDS and SQI_MDS, respectively. The spatial variations of soil erosion and soil quality were both affected by slope topography. Soil erosion must be controlled according to topographic and erosion characteristics in northeastern China.

The Nitroplast and Its Relatives Support a Universal Model of Features Predicting Gene Retention in Endosymbiont and Organelle Genomes.

Endosymbiotic relationships have shaped eukaryotic life. As endosymbionts coevolve with their host, toward full integration as organelles, their genomes tend to shrink, with genes being completely lost or transferred to the host nucleus. Modern endosymbionts and organelles show diverse patterns of gene retention, and why some genes and not others are retained in these genomes is not fully understood. Recent bioinformatic study has explored hypothesized influences on these evolutionary processes, finding that hydrophobicity and amino acid chemistry predict patterns of gene retention, both in organelles across eukaryotes and in less mature endosymbiotic relationships. The exciting ongoing elucidation of endosymbiotic relationships affords an independent set of instances to test this theory. Here, we compare the properties of retained genes in the nitroplast, recently reported to be an integrated organelle, two related cyanobacterial endosymbionts that form "spheroid bodies" in their host cells, and a range of other endosymbionts, with free-living relatives of each. We find that in each case, the symbiont's genome encodes proteins with higher hydrophobicity and lower amino pKa than their free-living relative, supporting the data-derived model predicting the retention propensity of genes across endosymbiont and organelle genomes.

Mechanism Analysis and Potential Applications of Atomic Oxygen Erosion Protection for Kapton-Type Polyimide Based on Molecular Dynamics Simulations.

Polyimide (PI) is widely used in aerospace applications due to its excellent properties. However, the high concentration of atomic oxygen (AO) in low-earth orbit (LEO) significantly degrades its performance. This study employs reactive molecular dynamics (MD) simulations to analyze the AO erosion resistance of fluorinated polyimide (FPI) and polyhedral oligomeric silsesquioxane (POSS) composite polyimide models. The 35 ps simulation results indicate that the PI/POSS composite exhibits the best protective performance. The protection mechanism involves the formation of an SiO2 carbonized layer that prevents the transmission of AO and heat to the polyimide matrix, resulting in a normalized mass of 84.1% after erosion. The FPI model shows the second-best protective effect, where the introduction of -CF3 groups enhances the thermal stability of the polyimide matrix, resulting in a normalized mass of 80.7% after erosion. This study explores the protective effects and mechanisms of different polyimide protection methods at the molecular level, providing new insights for the design of AO erosion protection systems.

The structural evolution of undisturbed loess due to water infiltration.

Loess structure is the physical key factor that determines its stability and consists of macro-pores, loose texture, and water sensitivity. The structural change characteristics and effects of the undisturbed loess before and after water infiltration are studied using mechanical CT and simulation tests in order to study the structural change process within the undisturbed loess caused by water infiltration. The change in particle state is as follows: the peak frequency point of the equivalent diameter of the loess particles after infiltration ranged from 16.75 to 23.76 µm, and the eroded fine particles consisted primarily of fine particles. The smaller loess particles are removed by water infiltration resulting in coarsening of soil particles. The sphericity of the loess particles gradually changes from spherical pores to angular and dendritic pores. The particle inclination angle transitions to a range greater than 70°, and its proportion is approximately 61%. The change in pore structure is as follows: The loess porosity after infiltration increased by approximately 20%, and the increase in the pore area ratio of the mesopores and the macropores was higher than that of the micropores. Additionally, the small pores increased by more than 5 times the original state of the undisturbed loess. The connected pores expanded less than 60% of the initial state to more than 90% after infiltration, thus, increasing the dominant seepage channel of the undisturbed loess. These changes in particle and porosity further increase the water filtration intensity and promote the migration of fine particles (mainly silt particles), linking loess catastrophes and are the leading cause of loess settlement and slope instability. The process of water infiltration into the loess, the mechanism of loess collapsibility, and the influence of salinity on the loess structure and strength are discussed in this study.

Influence of AWJ Process Parameters on Erosion Groove Formation in Additively Manufactured Stainless Steel.

The presented manuscript focuses on the influence of process parameters of abrasive water jet technology on the creation of non-transient erosive grooves. The processed stainless steel SS 316L is additively manufactured using the selective laser melting (SLM) method. Due to the distinct mechanical properties of this material resulting from the production process, the material was machined in two planes according to the direction of the printing layers. The experimental part employed a planned experiment utilizing the DoE (Design of Experiment) method. Experiments aimed at varying process parameters (traverse speed, standoff distance, abrasive mass flow) were conducted at a water pressure of 50 MPa, assessing the parameters' impact on the removed material and the properties of the resulting non-transient erosion groove. The properties of the erosion groove, such as shape and the material removal (area of erosion groove), were evaluated. The influences of process parameters on the observed parameters were assessed using the analysis of variance (ANOVA) method. Experiment preparation and setup were based on a thorough theoretical analysis of the machining process with the abrasive water jet (AWJ) method. The experiment also highlights the diverse properties of the SS 316L material prepared using the SLM method when machined with AWJ technology.

Investigation on Anti-Fuel Erosion Performance of Sasobit/SBS-Modified Asphalt and Its Mixtures.

The fuel leakage of fuel vehicles will exacerbate the occurrence of distresses on asphalt pavements, including peeling, chipping and potholes, especially under the synergistic effect of traffic load and environment. In this research, Sasobit, which is commonly used as a warm agent in asphalt, is selected as the anti-fuel erosion agent and incorporated into SBS-modified asphalt and its mixtures. Diesel and gasoline are selected as the fuel erosion media. Sasobit/SBS-modified asphalt binder and its mixtures are investigated for fuel erosion. The rheological properties of bitumen and the mechanical properties of asphalt mixtures are assessed. The experimental findings show that the dissolution velocity of SBS-modified asphalt with 3% Sasobit is 0.2%/min for diesel erosion, while it is 1.7%/min for gasoline erosion, lower than the control sample without Sasobit. Meanwhile, the rutting factor of Sasobit/SBS-modified asphalt decreases less than that of the control sample without Sasobit. Furthermore, the mass loss ratio after the Cantabro test of Sasobit/SBS-modified asphalt mixtures is 1.2% for diesel erosion, while it is 6.8% for gasoline erosion, lower than that of the control sample without Sasobit. The results of the mechanical properties for asphalt mixtures demonstrate that Sasobit can enhance the anti-fuel erosion performance. Moreover, the research results of the Sasobit modification mechanism show that Sasobit can form a microcrystalline structure in SBS-modified asphalt, which subsequently improves the anti-fuel of asphalt and its mixtures. This research provides a reference for anti-fuel erosion assessment methods and solutions to improve the anti-fuel erosion of asphalt pavement.

Effect of Single Particle High-Speed Impingement on the Electrochemical Step Characteristics of a Stainless-Steel Surface.

In the process of particle erosion and electrochemical corrosion interaction, the electrolyte flow state change, product film destruction, and matrix structure change caused by particle impact affect the electrochemical corrosion process. Such transient, complex physical and electrochemical changes are difficult to capture because of the short duration of action and the small collision area. The peak, step time, and recovery time in this transient step cycle can indirectly reflect the smoothness and reaction rate of the electrochemical reaction system, and thus characterize the resistance to scouring corrosion coupling damage of metals in liquid-solid two-phase flow. In this study, in order to obtain the electrochemical response at the moment of particle impact, electrochemical monitoring experiments using a specially designed miniature three-electrode system were used to test step-critical values, including step potential, current, and resistance, among others. Meanwhile, an electrochemical step model under particle impact considering boundary layer perturbation was developed. The experimental results reflect the effect law of particle impact velocity and particle size on the peak step and recovery period. Meanwhile, the effect of particle impingement on the electrochemical step of stainless steel in different electrolyte solutions was obtained by comparing the step curves in distilled water and Cl-containing water. The connection between the parameters in the electrochemical step model and in the particle impact, as well as the effect of the variation of these parameters on the surface repassivation process are discussed in this paper. By fitting and modeling the test curves, a new mathematical model of electrochemical step-decay under single-particle impact was obtained, which can be used to characterize the change pattern of electrochemical parameters on the metal surface before and after the impingement.

MICP mediated by indigenous bacteria isolated from tailings for biocementation for reduction of wind erosion.

In this study, native ureolytic bacteria were isolated from copper tailings soils to perform microbial-induced carbonate precipitation (MICP) tests and evaluate their potential for biocement formation and their contribution to reduce the dispersion of particulate matter into the environment from tailings containing potentially toxic elements. It was possible to isolate a total of 46 bacteria; among them only three showed ureolytic activity: Priestia megaterium T130-1, Paenibacillus sp. T130-13 and Staphylococcus sp. T130-14. Biocement cores were made by mixing tailings with the isolated bacteria in presence of urea, resulting similar to those obtained with Sporosarcina pasteurii and Bacillus subtilis used as positive control. Indeed, XRD analysis conducted on biocement showed the presence of microcline (B. subtilis 17%; P. megaterium 11. 9%), clinochlore (S. pasteurii, 6.9%) and magnesiumhornblende (Paenibacillus sp. 17.8%; P. megaterium 14.6%); all these compounds were not initially present in the tailings soils. Moreover the presence of calcite (control 0.828%; Paenibacillus sp. 5.4%) and hematite (control 0.989%; B. subtilis 6.4%) was also significant unlike the untreated control. The development of biofilms containing abundant amount of Ca, C, and O on microscopic soil particles was evidenced by means of FE-SEM-EDX and XRD. Wind tunnel tests were carried out to investigate the resistance of biocement samples, accounted for a mass loss five holds lower than the control, i.e., the rate of wind erosion in the control corresponded to 82 g/m2h while for the biocement treated with Paenibacillus sp. it corresponded to only 16.371 g/m2h. Finally, in compression tests, the biocement samples prepared with P. megaterium (28.578 psi) and Paenibacillus sp. (28.404 psi) showed values similar to those obtained with S. pasteurii (27.102 psi), but significantly higher if compared to the control (15.427 psi), thus improving the compression resistance capacity of the samples by 85.2% and 84.1% with respect to the control. According to the results obtained, the biocement samples generated with the native strains showed improvements in the mechanical properties of the soil supporting them as potential candidates in applications for the stabilization of mining liabilities in open environments using bioaugmentation strategies with native strains isolated from the same mine tailing.

Comparative evaluation of remineralization potential of novel bioactive agents on eroded enamel lesions: A single-blinded in vitro study.

Objective: The escalating prevalence of noncarious tooth wear stands as a critical concern in the backdrop of evolving lifestyles and dietary patterns. Dental erosion, a progressive condition induced by both endogenous and exogenous acidic influences, directly impacts enamel integrity, resulting in surface loss. The contemporary surge in carbonated beverage consumption further exacerbates this erosive milieu, underscoring the urgency for dental practitioners to adopt meticulous treatment strategies. Existing literature underscores a noteworthy 94% reduction in tooth erosion risk for individuals abstaining from sweetened soft beverages, emphasizing the imperative for a well-devised remineralization protocol to counter demineralized surfaces. Methodology: Seventy-three enamel specimens were taken. Forty samples were subjected to pre-operative hardness testing, and five samples were subjected to baseline EDX evaluation followed by grouping of samples (Group 1 = control Group; Group 2 = casein phosphopeptide-amorphous calcium phosphate fluoride [CPP-ACPF] Group; Group 3 = Biomin F Group; and Group 4 = self-assembling peptide [SAP] P-114 Group). A demineralization-remineralization cycle was carried out for 5 days followed by testing through Vickers Microhardness Tester, EDX Evaluation, and Scanning Electron Microscopy (SEM) Imaging. Statistical analysis was performed using one-way analysis of variance followed by intergroup analysis using Tukey's post hoc test with SPSS software 25.0 version. Results: The mean percentage change in microhardness values was 30.05% in Group 1, 24.21% in Group 2, 18.85% in Group 3, and 12.08% in Group 4. The mean Ca/P ratio of samples tested through EDAX was 2.20 at baseline, 1.40 in Group 1 (Control Group), 1.62 in Group 2 (CPP-ACPF), 1.82 in Group 3 (Biomin F), and 2.01 in Group 4 (SAP-P114). Postintervention values were statistically significant from baseline values in both parameters. Conclusion: Curodont Protect exhibits superior efficacy, offering valuable insights for future in vivo studies and clinical applications. The multifaceted evaluation, encompassing microhardness testing, SEM analysis, and EDXS assessment, contributes to a nuanced interpretation of the agents' impact, paving the way for informed decisions in clinical practice and future research endeavors.

Human impacts overwhelmed climate as the dominant factor controlling lacustrine organic matter accumulation in Erhai Lake 2000 years ago, Southwest China.

Climate and human activity are two important factors in regulating organic matter (OM) accumulation in the lake environment. However, when and how anthropogenic impacts have affected lacustrine OM accumulation in southwest China during the late Holocene have not yet been well defined. Here, a 16.3-kyr n-alkane record derived from Erhai Lake was used to trace OM sources and explore their connections to climate and human activity. The n-alkane distributions indicated that the dominant sediment sources shifted from terrestrial and aquatic plants to algae in the late Holocene. OM accumulation was closely related to catchment soil erosion, sediment transport, and deposition processes regulated by climate conditions before 5.0 cal. kyr B.P., following the patterns that stronger monsoon precipitation favoured more terrestrial and less aquatic OM input, and vice versa. From 5.0 to 2.0 cal. kyr B.P., the synchronous downwards trends in terrestrial OM input and precipitation intensity indicated that climate remained a major driving force for OM accumulation. However, sediment sources experienced large-magnitude and centennial-scale oscillations between allochthonous and autochthonous inputs, reflecting early human impacts appeared and lake ecosystems retained the self-regulated ability to recover from the basin-wide early moderate human disturbances. Afterwards, the increased (decreased) OM contributions from terrestrial (aquatic) plants contradicted the weakening monsoon precipitation since 2.0 cal. kyr B.P., indicating a dominant effect of human activities on OM accumulation. This change was accompanied by highly improved algae productivity and gradually elevated lacustrine trophic status, and the lake ecosystem eventually shifted into another state largely deviating from its climate-driven background due to intensified deforestation and agricultural cultivation. Regional comparison indicated that anthropogenic disturbances have temporal differences in southwest China. This study will further improve our understanding of past climate-human-environment interactions in southwest China.

A Novel Technique of Laparoscopic Transabdominal Cerclage after a Mersilene Tape Erosion in a Prior Laparoscopic Radical Trachelectomy and Transvaginal Cerclage Patient.

A case of a 32-year-old patient who presented with vaginal bleeding 2 years after undergoing laparoscopic radical trachelectomy and vaginal cerclage was noted to have Mersilene tape erosion. Subsequent management includes the removal of displaced Mersilene tape and a repeat cerclage through a new technique of laparoscopic abdominal cerclage to avoid repeat tape erosion. The novel technique of laparoscopic abdominal cerclage to lower the incidence of preterm delivery among pregnant patients who underwent laparoscopic radical trachelectomy for early-stage cervical cancer is described.

Oro-dental manifestations of eating disorders: a systematic review.

BACKGROUND: Eating disorders (EDs) pose a significant risk to health, especially when not diagnosed early. For several years EDs and oral health has been extensively studied, and now it is quite clear the existence of a correlation between specific oral manifestations and these disorders. While these oral signs could potentially aid early diagnosis of EDs, their identification and the eventual establishment of a correlation is currently heavily limited to the clinician's experience. The present systematic review critically examines existing literature, offering an updated overview of oro-dental manifestations associated with EDs. METHOD: MEDLINE (via PubMed), Web of Science, Scopus, and grey literature were searched, and relevant epidemiological comparative studies were screened using the Rayyan software. No limitations have been imposed on the research regarding oro-dental outcomes, encompassing all medically diagnosed EDs. The quality of the studies was valuated using AXIS appraisal tool for cross-sectional studies. RESULT: Out of 3990 studies, 32 fulfilled the eligibility criteria and were included in the synthesis. The identified eating disorders include Anorexia Nervosa, Bulimia Nervosa and/or Eating Disorders Not Otherwise Specified, predominantly among female subjects, primarily originating from Europe. The evaluated oro-dental outcomes include dental erosion, caries, saliva assessment, hygiene-periodontal parameters, and mucosal tissue appearance. The association with erosion is confirmed while gingival recession, dentinal hypersensitivity, salivary flow thresholds and aspects relating to oral pathology are receiving increasing support from emerging evidence. DISCUSSION: This trend emphasizes the critical role of the complete intraoral examination to detect significant oro-dental signs that may indicate the onset of an ED.

The article is a review of existing studies that explores the link between eating disorders and oral health issues. It found that people with eating disorders, including anorexia nervosa and bulimia nervosa, may experience dental problems such as tooth erosion, cavities, and altered saliva production. The review findings emphasize the importance of dental care providers recognizing these signs early and suggests better training for dental professionals. By doing so, they can help diagnose eating disorders sooner and recommend appropriate treatment. This approach aims to improve patients' overall wellbeing by addressing both the oral health issues and the underlying eating disorders, making it essential for patients and medical teams to be aware of the interconnectedness between oral health and eating disorders.