Search

Both the increasing salinity levels and the decline of submerged macrophytes represent growing concerns in global freshwater ecosystems, posing a threat to water quality and various aquatic organisms. However, there is a limited understanding of the interactive effects of salinity and submerged macrophytes on zooplankton and benthic Ostracoda in tropical zones. To address this knowledge gap, we conducted a controlled experiment spanning 6 months, comparing the biomass of zooplankton (including copepods, cladocerans, and rotifers) and benthic Ostracoda in mesocosms with three levels of salinity, at the presence or absence of submerged macrophytes. Our results showed that in tropical zones, both zooplankton and benthic Ostracoda biomass exhibited a noteworthy decrease in response to increasing salinity, but the presence of submerged macrophytes did not have a significant influence on the zooplankton biomass. However, the presence of submerged macrophytes had a positive effect on the benthic Ostracoda biomass. Interestingly, submerged macrophytes had a strong interaction with salinity on the Ostracoda biomass, which increased with macrophyte presence under intermediate salinity conditions (2 g/L). In summary, our study sheds light on the interplay between salinity, submerged macrophytes, and the biomass of zooplankton and benthic Ostracoda in tropical freshwater ecosystems. [ABSTRACT FROM AUTHOR]

Purpose: To explore prenatal ultrasonic features and prognosis of the persistent left superior vena cava (PLSVC) complicated with mild narrow aorta. Materials and Methods: A retrospective study was conducted involving 1348 fetuses diagnosed with PLSVC prenatally between January 2016 and December 2019. Forty‐five fetuses with PLSVC associated with mild narrow aorta were selected from the cohort as the study group and 79 fetuses with isolated PLSCV were recruited randomly as the control group. All clinical and ultrasound results, including images and parameters of cardiac structures, were reviewed retrospectively. General conditions, ultrasound (US) measurements, and fetal prognosis were compared between the groups. Results: Aorta valve diameter (AOD), Z‐score of aorta valve (AODz‐score), aortic isthmus diameter (AOIsD), and pulmonary diameter (PAD)/AOD were significantly different in study group than control group no matter in the second or third trimester. Thirty‐eight fetuses in study group were born with favorable outcomes after long‐term follow‐up. A total of 13.16% (5/38) remain mild narrow aorta and 3 of them showed smaller left ventricle after 3 years follow up. Prenatal AODz‐score in infants remains mild narrow aorta after 2 years aged was higher than ones' aorta return to normal (P =.01), especially when AODz‐score >1.725. Moreover, when prenatal ratio of AOIsD/left subclavian artery was <1.12, it was more likely that the aorta would remain mildly narrow at age 2. Conclusion: Fetuses diagnosed with PLSVC with mild narrow aorta had favorable prognosis. AODz‐score and AOIsD/left subclavian artery may be two predictors that reveal the risk of a mildly narrowed aorta remaining after birth. Access the CME test here and search by article title. [ABSTRACT FROM AUTHOR]

Objective: Poor fetal and perinatal outcomes in fetuses associated with umbilical artery thrombosis (UAT), such as severe intrauterine growth restriction (IUGR) and intrauterine asphyxia have been reported by some case series. Its hemodynamic impact remains unclear. The aim of this study was to evaluate the hemodynamic changes and perinatal outcome in UAT fetuses with a relatively large sample. Methods: We included singleton fetuses diagnosed with UAT and with at least one available Doppler evaluation before the end of pregnancy in our center from 2016 to 2023. Fetuses with structural abnormalities and with no follow-up results were excluded. Doppler waveforms from the Umbilical artery (UA), middle cerebral artery (MCA), ductus venosus (DV) and uterine artery (UtA) were routinely evaluated according to ISUOG Practice Guidelines from diagnosis. The same sample of GA-matched normal fetuses with Doppler measurements during the same period were randomly selected as control group. Results: Eighty-nine singleton fetuses with UAT with at least one Doppler evaluation before the end of pregnancy were identified, 13 fetuses with no follow-up results were excluded. After comprehensive prenatal counseling, 14 cases received urgent cesarean section, the remaining 55 cases received expectant management, the median day between GA at diagnosis and end of pregnancy was 13 (5–53) days (range, 2-159). 7 (7/76, 9.2%) cases occurred stillbirth, and the incidence of IUGR and Neonatal Intensive Care Unit (NICU) admission were 18.4% (14/76) and 13.2% (10/76) respectively. 49 fetuses (49/76, 64.5%) combined with Doppler abnormalities. UA abnormalities (35/76, 46.1%) and MCA abnormalities (34/76, 44.7%) were the most changes at presentation. Compared to control group, UA-EDV was significantly increased in UAT fetuses [21.84 (15.59–26.64) vs. 16.40 (12.43–20.70) cm/s, p < 0.001], UA-PI and UA-RI significantly decreased [0.68 (0.57–0.84) vs. 0.92 (0.79–1.11), p<0.001; 0.51 (0.44–0.59) vs. 0.62 (0.55–0.68), p < 0.001, respectively]. Both the MCA-PSV and MCA-EDV were significantly higher in UAT fetuses [54.60 (48.00-61.34) vs. 44.47 (29.66–57.60) cm/s, p < 0.001; 11.19 (7.84–17.60) vs. 8.22 (5.21-12.00) cm/s, p < 0.001, respectively], this led to a lower MCA-PI and MCA-RI. Meanwhile, DV-PIV was significantly higher in UAT fetuses [0.6 (0.47–0.87) vs. 0.45 (0.37–0.55), p < 0.001], CPR and UtA-PI were no significant difference between these two groups. Multivariate logistic regression analysis showed that DV-PIV was an independent risk factor for adverse pregnancy outcomes (OR 161.922, p<0.001), the area under the ROC curve (AUC) was 0.792 (95% CI 0.668–0.917; p < 0.001). Conclusion: Our data showed serious adverse pregnancy consequences are combined with UAT fetuses. Hemodynamic changes in UAT fetuses showed the remaining artery for compensation and brain perfusion derangement. With a comprehensive and standardized Doppler evaluation, progression of fetal deterioration may be detailed presented. [ABSTRACT FROM AUTHOR]

This study explores the dynamics of emerging technology innovation ecosystems, viewing them as complex systems comprising social actors and knowledge artifacts engaged in innovation interactions. Employing a multilayer network perspective, we present a Social-Knowledge-Science-Technology (A-K-S-T) framework, examining both homogeneous and heterogeneous interactions among innovators and knowledge elements. Within this framework, we map out the technological landscape, identify ecological niches for specific actors and knowledge elements, and gauge knowledge proximity among innovators, revealing opportunities for collaboration and knowledge innovation. Using 5G technology as an illustrative example, key findings include the potential for innovation development in 5G, the need for enhanced collaboration among organizations in related technological fields, and the complementary nature of scientific and technological knowledge. This research contributes to innovation ecosystem literature, offering insights for management, governance, efficiency, and shared prosperity; meanwhile, it is a valuable reference for decision-makers to shape effective strategies. [ABSTRACT FROM AUTHOR]

Objective:  This study aimed to explore the efficiency of ultrasound (US) in prenatal diagnosis and prognosis of Pierre Robin sequence (PRS) of 18 cases., Study Design:  A total of 79,305 women admitted for prenatal US examinations were recruited from January 2017 to December 2020. Eighteen cases of PRS fetuses were selected form the cohort and 40 cases of isolated micrognathia were recruited randomly as control group. All the clinical and imaging results were retrospectively reviewed. General condition, US measurements, and prognosis of fetuses were compared between groups., Results:  Cleft palate, glossoptosis, and micrognathia were found in all 18 fetuses with PRS by prenatal US. Compared with the isolated micrognathia group, there were no significant differences in the PRS group in examination of maternal age, gestational weeks at assessment, and gender of fetuses, but significant lower measures in inferior facial angle, jaw index, and frontal nasal-mental angle (each p  < 0.05). Twelve fetuses were defined to have other associated malformations. Ear malformations were the most common associated malformations with a prevalence of 44.4% (8/18). All of the18 cases were confirmed with PRS after delivery or autopsy. Two delivered infants were found bucking easily, one baby was spitting up frequently but growth showed normal., Conclusion:  Prenatal detection of PRS with US examination is highly efficient. Even with the triad of malformations, isolated PRS had good outcomes following initial stabilization and management in the neonatal period. Prenatal detection of Pierre Robin syndrome with targeted US examination is efficient in discerning characteristics of this rare syndrome. Even with the triad of malformations, isolated PRS had good outcomes following initial stabilization and management in the neonatal period., Key Points: · Prenatal diagnosis of fetal PRS is of great clinical importance.. · Micrognathia has been identified as the primary feature of PRS.. · Posterior displacement of the tongue may cause acute neonatal respiratory distress.. · Even with triad malformation, isolated PRS seemed to have good outcomes.., Competing Interests: None declared., (Thieme. All rights reserved.)