Objective: to evaluate the effects of excitatory repetitive transcranial magnetic stimulation (rTMS) of the international 10-20 system P3 point (intraparietal sulcus region) in chronic patients with a frontal lesion and parietal sparing due to stroke on the impaired upper (UL) and lower limb (LL) as measured by Fugl-Meyer Assessment (FMA). Methods: three patients (C1: 49.83/2.75, C2: 53.17/3.83, C3: 63.33/3.08 years-old at stroke/ years post-stroke, respectively) received two weeks (five days/ week) of rTMS at 10 Hz of P3. A patient was treated in similar conditions with a sham coil (S1: 56.58/4.33). No complimentary therapy was delivered during the study. Patients were evaluated before, after- and two months post-treatment (A1, A2 and A3, respectively). Results: we found increased scores for LL in motor function subsection for C1 and C3 and in sensory function for C2 by A2 that remained at A3. We also found an increased score for UL motor function for C2 and C3, but the score decreased by A3 for C2. C3 score for UL range of motion increased by A3 compared to A1 and A2. Conclusion: In a variable way, P3 excitatory rTMS increased FMA scores in different upper and lower limb subsections of our three treated patients.

Censoring occurs when complete follow-up time information is unavailable for patients enrolled in a clinical study. The process is considered to be informative (nonignorable) if the likelihood function for the censoring model cannot be partitioned into a set of response parameters that are independent of the censoring parameters. In such cases, estimated survival time probabilities may be biased, prompting the need for special statistical methods to remedy the situation. The problem is especially salient when censoring is skewed toward the early phase of a study. In this paper, we describe a method to impute censored follow-up times using a counting process method.

The overall cost of a hydropower plant is mainly due to the expenses for civil works, mechanical equipment (turbine and control units) and electrical components. The goal of a new draft tube design is to obtain a geometry that reduces investment costs, especially the excavation ones, but the primary driver is to increase the overall machine efficiency allowing for reduced payback time. In the present study, an optimization study of the elbow-draft tube assembly of a Kaplan turbine was conducted. A CFD model for the complete turbine has been developed and validated; next, an optimization of the draft tube alone was performed using a Design of Experiments technique; finally, several optimum solutions for the draft tube were obtained using a Response Surface technique aiming at maximizing pressure recovery and minimizing flow losses. A selection of optimized geometries was subsequently post-checked using the validated model of the entire turbine and a detailed flow analysis on the obtained results could make it possible to provide insight into the improved designs. It was observed that efficiency could be improved by 1% (in relative terms), and the mechanical power increased by 1,8% (in relative terms) with respect to the baseline turbine.

The cell stress response is an essential system present in every cell for responding and adapting to extracellular environmental stimulations. A major program for stress response is the heat shock factor (HSF)–heat shock protein (HSP) system that maintains proteostasis in cells and promotes cancer progression. However, less is known about how the cell stress response is regulated by alternative transcription factors. Here, we show that the SCAN domain-containing transcription factors (SCAN-TFs) are involved in repressing the stress response in cancer. SCAND1 and SCAND2 are SCAN-TFs that can hetero-oligomerize with SCAN-zinc finger transcription factors, such as MZF1(ZSCAN6), for accessing DNA and transcriptionally co-repressing target genes. We found that heat stress induced the expression of both SCAND1 and MZF1(ZSCAN6) bound to HSP90 gene promoter regions in prostate cancer cells. SCAND1 and MZF1 blocked the heat shock responsiveness of HSP90 in prostate cancer cells. Gene expression of SCAND2, SCAND1 and MZF1 was negatively correlated with HSP90 expression in patients-derived prostate adenocarcinoma. MZF1 and SCAND2 were more highly expressed in paired normal tissues than in tumor tissues in several cancer types. High expression of SCAND2, SCAND1 and MZF1 correlated with enhanced prognoses of pancreatic cancer and head and neck cancers. Additionally, high expression of SCAND2 was correlated with better prognoses of lung adenocarcinoma and sarcoma. In contrast, high expression of HSP90AA1 correlated with poorer prognoses in several cancer types. These data suggest that the stress-inducible SCAN-TFs can function as a feedback system, suppressing excessive stress response and inhibiting cancers.

Neutropenia is a common adverse event during myelosuppressive oncological chemotherapy, predisposing to febrile neutropenia (FN). Patients with coexisting moderate-to-severe chronic kidney disease (CKD) have an increased risk of FN, included in the guidelines for the primary prophylaxis of FN. However, this does not include mild kidney function impairment with esti-mated glomerular filtration rate (eGFR) 60–89 ml/min/1.73m2. This prospective study analyzed the risk of neutropenia in patients on chemotherapy without indication for the primary prophy-laxis of FN. The study enrolled 38 patients starting chemotherapy, including 26 (68.4%) patients aged 65 years or more. The median duration of follow-up was 76 days. The methodology of cre-atinine assessment enabled the use of the newly recommended CKD-EPI formula for identifying patients with a mild reduction of glomerular filtration. Sixteen (42.1%) patients developed at least G2 neutropenia without episodes of FN. Only five (13.1%) patients had eGFR<60ml/min/1.73m2, while 15 (62.5%) eGFR< 90ml/min/1.73m2. The relative risk of neutro-penia in patients with impaired eGFR was over six times higher than in patients with eGFR>90 ml/min/1.73m2 (RR=6.08; 95%CI:1.45–27.29; p< 0.01). Our observation indicates that even a mild reduction in eGFR is a risk factor for the development of neutropenia and a potential risk factor for FN.

Breast cancer is the most common cause of mortality due to cancer for woman both in Lithuania and worldwide. Chances of survival after diagnosis differ significantly depending on the stage of disease at the time of diagnosis and other factors. One way to estimate survival is to construct a Kaplan-Meier estimate for each factor value separately. However, in cases when it is impossible to observe a large number of patients (for example, in case of countries with lower numbers of inhabitants) dividing data into subsets, say, by stage at diagnosis may lead to results where some subsets contain too little data so that results of Kaplan Meier (or any other) method will become statistically incredible. The problem may become even more acute if the researcher would like to use more risk factors, such as stage at diagnosis, sex, place of living, treatment method, etc. Alternatively, Cox models are used to analyse survival data with covariates, and they don’t require dividing the data into subsets according to chosen risks factors (hazards).

Dry periods and drought are inherent natural occurrences. However, due to the increasing pressures of global warming and climate change, these events become more frequent and severe on a global scale. These phenomena can be traced with various indicators and related indices proposed by various scholars. In general, drought risk assessment is done by modelling these indicators and determining the drought occurrence probabilities. The proposed adaptation introduces the "Kaplan-Meier Estimator," a non-parametric statistic traditionally used in medical contexts to estimate survival functions from lifetime data. The study aims to repurpose this methodology to assess drought risk by treating past droughts as "events" and evaluating the Standardized Precipitation Index (SPI) and Standardized Precipitation Evapotranspiration Index (SPEI) and map these results for a better understanding of the drought risks within larger spatial scales such as a river basin. The adapted method provides the probability of non-occurrence, with inverted results indicating the likelihood of drought occurrence. As a case study, the method is applied to SPI and SPEI values at different time steps (3, 6, and 12 months) across 27 meteorological stations in the Gediz River Basin, located in Western Turkey—a region anticipated to be profoundly affected by global climate change. The results are represented as the generated drought risk maps and curves, which indicate that (i) drought risks increase as the considered period extends, (ii) drought risks decrease as the utilized indicator timescales increase, (iii) locally plotted drought curves indicate higher drought risks as their initial slope get steeper. The method used enables the generation of historical evidence based spatially distributed drought risk maps which expose more vulnerable areas within the river basin.

The available direct gas dynamic tables provide the area ratio and the Prandtl-Meyer(P-M) angle of isentropic expansion of gas as functions of the Mach number. But finding the value of the Mach number in terms of area ratio or P-M angle requires an inverse function. Currently, the Mach number is determined by either interpolation from the direct gas dynamics tables, or the application of non-linear equation solvers using numerical methods. Both methods are approximate. In this paper inverse functions for Mach number in the form of Taylor’s series expansions are reported to develop the so-called inverse tables. The advantage of this approach is that the Mach number with a greater accuracy, referred to as nearly exact can be obtained by reading from the inverse table. In the presentation, the necessary equations and new tables that can be used by the scientific community will be disseminated. The data and computer programs are made available on GitHub through https://github.com/anillals/Inverse-gas-dynamic-tables- and-codes. A paper describing the complete mathematical steps in the derivation of the equations can be found at https://rdcu.be/dgrlf

An empirical investigation was carried out to study the relationship between the soil characteristics, including the Nitrogen (N), Phosphorus (P), Potassium (K), potential of Hydrogen (pH), Electrical conductivity (EC), Sulfur (S,), Zinc (Zn), Iron (Fe), Copper (Cu), Manganese (Mn) and Boron (B) using principal component analysis (PCA), Factor Analysis (FA), and Canonical Correlation analysis (CCA) for data reduction multivariate techniques. The first five main components accounted for 24.22%, 18.52%, 16.1%, 9.97%, and 9.27% of sample variances, respectively. All five principal components (PCs) accounted for 78.07% of the sample variance. The soil characteristics viz., P and K have highly dominated the first PC; the soil characteristics N and pH have dominated the second PC; K, EC, and Cu have dominated the third PC; Fe, Mn, and pH have dominated in the fourth PC; whereas the parameter Cu dominated the fifth PC. The first factor showed a strong negative loading on S and a strong favorable loading on Cu; P, K, and EC have substantial positive loadings in the second factor. Significant positive loadings on Mn, Fe, Cu, pH, N, and K are present in the third component. The fourth factor had a significantly positive pH, Fe, N, P, K, and B loadings. Fe, P, and B have much weight in the fifth factor. The soil characteristics viz., N, Zn, pH, K, Fe, and Mn have dominated the first PC; the soil characteristics B, P, S, Zn, and Fe have dominated the second PC; B and P have dominated the third PC whereas the only character Cu dominated the fourth PC. Cu and OC have much weight in the fourth factor. The canonical redundancies for dependent and independent sets are 12% and 17%, respectively. The Stewart-Love canonical redundancy index is 70.58%, which means that the first linear combination of the X-set explains 70.58% of the total variance in the Y-set.