Ceftaroline fosamil achieved high clinical cure and microbiological response rates in patients hospitalized with CAP of PORT risk class III or IV. Ceftaroline fosamil was well tolerated, with a safety profile that is similar to that of ceftriaxone and other cephalosporins. Ceftaroline fosamil is a promising agent for the treatment of CAP.
Introduction. There are limited studies on simultaneous evaluation of liver and renal blood flow using Doppler methods. We evaluated and compared the changes of liver and renal Doppler US parameters in patients with liver cirrhosis according to the degree of liver disease. Material and Methods. We assessed a large spectrum of liver and renal Doppler US parameters in 67 patients with liver cirrhosis. Results. Significant differences between Child's classes or score, as well as MELD score, were observed in all investigated intrarenal blood flow Doppler US parameters, except renal artery peak systolic velocity, but only in some of the hepatic ones. The deviations of renal Doppler US parameters were also related with the complications of liver cirrhosis, as well as serum urea and creatinine levels. There was relationship between Doppler US parameters of hepatic artery and the corresponding renal artery Doppler US parameters. The changes of Doppler US parameters were age independent. Conclusion. Our results show, renal Doppler US parameters correlate with the severity and complications of liver cirrhosis. Because of dynamic deviations of renal Doppler US parameters with advance of liver cirrhosis, we recommend Doppler US of renal artery as a part of follow up of these patients.
ABSTRACT. Suppose that f is a real univariate polynomial of degree D with exactly 4 monomial terms. We present a deterministic algorithm of complexity polynomial in log D that, for most inputs, counts the number of real roots of f . The best previous algorithms have complexity super-linear in D. We also discuss connections to sums of squares and Adiscriminants, including explicit obstructions to expressing positive definite sparse polynomials as sums of squares of few sparse polynomials. Our key theoretical tool is the introduction of efficiently computable chamber cones, which bound regions in coefficient space where the number of real roots of f can be computed easily. Much of our theory extends to n-variate (n + 3)-nomials.
Incidental catch in fishing gear (often known as bycatch) is a major mortality factor for the Black Sea harbour porpoise (Phocoena phocoena relicta), an endemic subspecies listed as Endangered in the IUCN Red List. The primary gear, responsible for porpoise bycatch in the Black Sea are bottom gillnets and trammel nets targeting turbot (Scophthalmus spp.), the most valuable commercial fish species in the Black Sea. From 2019 to 2021, a study was conducted in Bulgaria, Romania, Türkiye and Ukraine, to estimate the bycatch level in light of new information on porpoise distribution and abundance obtained from aerial surveys (CeNoBS) undertaken in 2019 as part of ACCOBAMS Survey Initiative (ASI). Bycatch data were collected by independent observers onboard turbot fishing boats (Bulgaria and Romania), complemented by questionnaire surveys and examination of stranded carcasses (in all countries). Some 48 monitoring trips took place (63 hauls by 11 different vessels). Cetaceans were caught on just over half of the trips (55%): 182 harbour porpoises, 4 bottlenose dolphins and 3 common dolphins. The median number of porpoises bycaught per trip was 1 (maximum 41) and the number of porpoises per km of net varied between 0 and 3.66 (median 0.1). Bycatch rates showed seasonal variation with marked increase in summer, compared to spring. The total annual bycatch of harbour porpoises in the Black Sea was roughly estimated as between 11 826 and 16 200 individuals. These numbers were the product of median values for effort (days/trips and vessels) and bycatch rate. Given the new estimates of porpoise abundance based on the CeNoBS survey of 2019 and reconciling abundance and bycatch estimates, harbour porpoise bycatch in the Black Sea represents between 4.6% - 17.2% of the estimated total population, depending on assumptions used. Even the most conservative estimate is among the highest worldwide and far exceeds the probable sustainable levels of around 1.0-1.7%. This study confirms that bycatch poses the most serious threat to the Black Sea harbour porpoises and that all riparian countries engaged in turbot fisheries must implement urgent measures to reduce it immediately, if the population is to survive in the long-term.
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