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03), rheumatic heart disease (p = 0.008), pulmonary hypertension (p = 0.01), redo operations (p = 0.002), mitral valve procedures (p = 0.001), tricuspid valve procedures (p = 0.0003) and combined mitral and tricuspid valve procedures (p = 0.0001). Average length of intensive care unit (ICU)/high-dependency unit (HDU) stay was significantly prolonged for patients who required a PPM post-cardiac surgery. Conclusion As clinicians, it can be challenging to provide our patients with accurate information on the risk of PPM implantation relative to their operation. A unit-specific data may be a more accurate method of informing our patients on this risk.Background The rate of ACL injury in adolescents has been rising in recent years. Surgical options include transphyseal and physeal-sparing ACL reconstruction. Aims In this study, we performed a transphyseal ACL reconstruction and followed up patients to assess functional outcomes and to assess for growth disturbance. Method There were 22 patients seen at follow-up between the age of 12 and 16. Skeletal age assessment was performed using an MRI atlas with an average skeletal age of 14.7 (range 12-16). The mean follow-up time was 36 months (range 14-63 months). Clinical examination was performed to assess for leg length discrepancy, and leg length radiographs were used to assess for angular deformity. Patients' post-surgery functionality was assessed with the IKDC score and the Tegner Lysholm score. Results The mean IKDC and Lysholm scores at follow-up were found to be 91 and 94, respectively. The median Tegner score prior to injury was 8.5 and postoperatively was 7.5. There were no cases of leg length discrepancy found on clinical examination, and there were no cases of significant angular deformity. Four patients ruptured again and went on to have repeat ACL reconstruction. Conclusions Midterm results at an average follow-up of 3 years after the surgery showed good functional outcomes using the transphyseal ACL reconstruction technique with good return to activity. There were no cases of leg length discrepancy or angular deformity. Transphyseal ACL reconstruction is a viable method of treatment for adolescent ACL tears.Herein, we studied light induced interactions between two well-known luminescent materials, SrAl2O4Eu2+, Dy3+ and nano-scale TiO2 in poly(methyl methacrylate) (PMMA). These two materials were chosen due to their stable nature, efficient spectral properties and more specifically, overlapping excitation/emission bands. When these materials were used together in 11 ratio by weight (w/w), the composite exhibited 76% enhancement in the emission intensity with respect to the individual phosphor. Although the luminescence mechanism of both materials is clarified in the literature, spectral interactions of them have not been studied up to now. In our opinion, the TiO2 nano-particles (TiO2 NPs) act as light-harvesting agents for the phosphor particles creating a substantial enhancement on the light absorption efficiency of the phosphor. Additionally, the TiO2 nanoparticles suggest a promising way to boost the phosphorescent activity of the SrAl2O4Eu2+, Dy3+ by a cost-effective way and further investigation of the mechanism may be subject of future studies.Background Obsessive healthy eating and its extreme form orthorexia nervosa are epidemiologically significant problems. Mindfulness, the focused, non-judgmental attention to and awareness of present events, may be an important psychological contributor to (orthorexic) eating habits. Methods In this cross-sectional survey-based study, 314 women and 75 men (mean agetotal sample = 27.17 years, SD = 10.64) provided data on mindfulness (Freiburg Mindfulness Inventory, presence and acceptance subscale) and orthorexic eating (Teruel Orthorexia Scale, healthy orthorexia and orthorexia nervosa subscale). S-Adenosyl-L-homocysteine price Results In this study, we found a positive relation between mindfulness and healthy orthorexia, the non-pathological interest in eating healthy. By contrast, orthorexia nervosa, the pathological obsession with healthy eating, was negatively associated with mindfulness. Gender differences appeared neglectable. Conclusion Taken together, these results confirm previous research showing that mindfulness encourages eating healthy and may protect against eating-related pathologies. Result also support the notion that orthorexia has two dimensions, healthy and nervosa, which are differently related to psychological factors, herein mindfulness. Level of evidence Level III, cohort study.Purpose Orthorexia Nervosa (ON) is defined as a pathological eating behaviour stemming from being "healthy" or "pure". Survey-based studies typically rely on the ORTO-15 questionnaire or its variations to detect orthorexia. However, frequent post-hoc adjustments to the ORTO-15 suggest psychometric problems. In this study, we explored people's cognitions about the ORTO-15 items to (1) identify problems specific to ORTO-15 items and (2) explore participants' understanding of ON symptoms. Methods Fifty adult participants (40% male, mean age = 34.0 ± 14.4 years) completed the ORTO-15, the Eating Attitudes Test (EAT-26) and the Obsessive-Compulsive Inventory-Revised edition (OCI-R). Qualitative data were collected using the modified "think aloud" protocol, which asked participants to 'verbalise' their responses to the ORTO-15 items. These qualitative responses were first analysed conjunctively with the quantitative responses; then subjected to thematic analysis. Results ORTO-15 identified 64% of the participants fidence V (cross-sectional descriptive study with qualitative analysis).We present the results of hydrodynamic simulations using the method of multi-particle collision dynamics for a system of squirmer microswimmers moving under the influence of gravity at low Reynolds numbers. In addition, the squirmers are bottom-heavy so that they experience a torque which aligns them along the vertical. The squirmers interact hydrodynamically by the flow fields of a stokeslet and rotlet, which are initiated by the acting gravitational force and torque, respectively, and by their own flow fields. By varying the ratio of swimming to bulk sedimentation velocity and the torque, we determine state diagrams for the emergent collective dynamics of neutral squirmers as well as strong pushers and pullers. For low swimming velocity and torque we observe conventional sedimentation, while the sedimentation profile becomes inverted when their values are increased. For neutral squirmers we discover convective rolls of circulating squirmers between both sedimentation states, which sit at the bottom of the system and are fed by plumes made of collectively sinking squirmers. At larger torques porous clusters occur that spawn single squirmers. The two latter states can also occur transiently starting from a uniform squirmer distribution and then disappear in the long-time limit. For strong pushers and pullers only weak plume formation is observed.Interactions between different pest control methods can affect Integrated Pest Management efficiency. This study sought to evaluate (1) if Si accumulation is related to the level of constitutive resistance in sorghum genotypes, (2) the level of Si induces resistance by antibiosis in sorghum genotypes with different levels of constitutive resistance to Schizaphis graminum (Rondani) (reared individualized or in colonies), and (3) the fitness of Lysiphlebus testaceipes (Cresson) in aphids reared on Si-treated and untreated plants. Several experiments were conducted under greenhouse conditions, using sorghum genotypes with different levels of resistance grown in pots with or without the addition of Si to the soil. The susceptible (BR007B), moderately resistant (GB3B), and highly resistant (TX430XGR111) genotypes all absorbed more Si when it was added to the soil compared with when it was not amended. However, the final Si content of treated plants was not related to the level of constitutive resistance among treated genotypes. While Si soil application did reduce the fecundity of individualized aphids reared on the susceptible and moderately resistant sorghum plants, it did not reduce populational growth of aphid colonies, independent of the level of plant's constitutive resistance. Parasitoid (L. testaceipes) had higher weight when reared from aphids fed on plants with added Si. Sorghum × constitutive resistance × S. graminum interactions were affected by plant Si content only for individualized aphids but not for aphid colonies. Sorghum × S. graminum × L. testaceipes interactions suggest that Si can have, overall, a positive effect on the biological control of S. graminum.Colonies of leaf-cutting ants of the genus Atta need to collect large quantities of vegetal substrate in their environment to ensure their growth. They do so by building and extending over time a foraging network that consists of several underground tunnels extending above ground by physical trails. This paper presents a longitudinal study of the foraging network of two mature colonies of the grass-cutting ant Atta capiguara (Gonçalves) located in a pasture in central Brazil. Specifically, we investigated whether the extension of the foraging area of the colonies required to reach new resources occurs by building new and longer underground tunnels or by building new and longer physical trails. Each nest was surveyed at intervals of approximately 15 days during 1 year. At each survey we mapped the position of the tunnel entrances and foraging trails at which activity was observed. In addition, we assessed the excavation effort of the colonies since the last survey by the number and distance to the nest of new tunnel entrances, and the physical trail construction effort by the number and length of newly built physical trails. Our study reveals that in A. capiguara the collection of new resources around the nest required to ensure the continuous growth of the colonies is achieved mainly through the excavation of new underground tunnels, opening at greater distance from the nest, not through the building of longer aboveground physical trails.The sugarcane hairy borer, Hyponeuma taltula (Schaus, 1904), attacks the base of sugarcane and causes the death of the apical bud, a symptom known as "dead heart." In recent years, there has been significant infestation in Brazilian sugarcane crops. With the purpose of finding methods for controlling and/or monitoring the pest for the sustainable cultivation of sugarcane, we characterized the mating behavior of H. taltula and confirmed the release of a sex pheromone by this insect. Sexual activity was observed between the second and ninth hour of scotophase, during which female calling caused the onset of male courtship behaviors and increased their frequency. An ethogram was built showing that males perform seven observable steps (1) wing flapping, (2) walking with wing flapping, (3) flying, (4) flying towards the female, (5) landing near the female and walking around her, (6) attempting copulation, and (7) copulation (mating). Female sex gland extracts also triggered attraction and male courtship behaviors. These results thus confirm that the female abdominal gland produces a sex pheromone and that the presence of this pheromone in the air is needed to initiate the male courtship sequence. The sexual behavior of H. taltula is compatible with control and/or monitoring methods using female sex pheromones.

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