Search Results (114)

Objectives: Several conditions associated with type A aortic dissection may require preoperative invasive mechanical ventilation (IMV). The current literature lacks data on this subset of patients’ prevalence and postoperative outcomes. This study aims to investigate this unexplored issue in a multicenter European registry. Methods: Data from 3735 patients included in the European Registry of Type A Aortic Dissection (ERTAAD) were the subject of this analysis. Bootstrapped Least Absolute Shrinkage and Selection Operator (LASSO) logistic regression was performed for variable selection to identify key predictors of hospital death. In the second step, a multilevel multivariable logistic regression (MMLR) was carried out, given the clustered structure of the data. Results: A total of 346 (9.3%) out of 3735 patients required preoperative IMV. Compared to the non-IMV patients, patients requiring IMV had a significantly higher rate of organ malperfusion (52% vs. 35%, p < 0.001) and a higher proportion of tears in the aortic root (p = 0.048). The in-hospital mortality rate among IMV patients was 38% vs. 15% in non-IMV patients (p < 0.001), without a difference in post-discharge survival (p = 0.84). At the MMLR, patients who required IMV had 135% higher odds of in-hospital death compared to the remaining patients. IMV yielded the second highest odds in the prediction model for in-hospital mortality (OR 2.13, CI 1.60 to 2.85, p < 0.001). Among IMV patients, the extension of surgery to the aortic arch was significantly associated with increased in-hospital mortality (p < 0.001, OR 2.98). In multivariable analysis, preoperative IMV was independently associated with increased odds of in-hospital mortality. Conclusions: The need for invasive mechanical ventilation before surgical repair for type A aortic dissection is not infrequent. In this subpopulation, the in-hospital mortality rate was twofold compared to patients who did not require IMV. The awareness of the preoperative risk profile and outcomes of this subset of patients should urge surgeons to tailor the surgical strategy more appropriately to improve the immediate postoperative results. Full article

Background: Several targeted drugs have been recently approved for the treatment of PIK3CA-mutated hormone receptor-positive (HR+)/HER2-negative (HER2−) breast cancer (BC). This study aimed at a comprehensive evaluation of the spectrum of PIK3CA alterations in Russian BC patients. Methods: The tumor material from 1872 patients with ER+/HER2− BC was tested by a combination of PCR-based methods. Results: Mutations were detected in 693/1872 (37%) cases, including 46 BC with two PIK3CA lesions. The three most common substitutions (E542K, E545K, and H1047R) were identified in 542/693 (78%) PIK3CA-mutated cases, while as many as 5.5–12% of identified mutations were not potentially detectable by common commercial kits. The study included patients of Slavic and non-Slavic ethnicities residing in regions with different climate conditions, however, these factors did not influence the distribution of PIK3CA mutations. The presence of PIK3CA variants was associated with older patient age at diagnosis (p = 0.0002), smaller tumor size (p = 0.005), lower grade (p = 0.005), Ki67 <20% (p = 0.0001) and progesterone receptor-positive status (p = 0.002) at the initial disease diagnosis, and fewer distant metastases at the time of the detection of BC spread (p = 0.0001). In a subgroup of 413 BC patients who received adjuvant tamoxifen or aromatase inhibitors, PIK3CA mutations were not associated with resistance to either type of treatment. Conclusions: The results of this study highlight the need to extend the PIK3CA testing beyond the hotspot regions of this gene. Although PIK3CA alterations contribute to the pathogenesis of HR+/HER2− BC and represent a target for several novel drugs, they are not intrinsically associated with unfavorable clinical characteristics of this subtype of cancer disease. Full article

This study revealed a significant reduction in tree growth across northern Fennoscandia following the 1600 AD eruption of Huaynaputina in Peru, the most powerful volcanic event in South America over the past two millennia. In the analysis, we utilized six tree-ring chronologies, which included the Finnish super-long chronology (5634 BC–2004 AD), the Kola Peninsula chronology (1445–2004 AD), and historical chronologies derived from old wooden churches in Finnish Lapland and Karelia, Russia. Using a superposed epoch analysis across these chronologies revealed a significant 24% (p < 0.01) decline in tree-ring growth in 1601 compared to the previous six years. The northernmost records, the Finnish super-long chronology (72%, p < 0.001) and the Sodankylä Old Church chronology (67%, p < 0.001), showed the most pronounced decreases. Statistical analysis confirmed significant (p < 0.05) similarities in tree-ring responses across all chronologies from 1601 to 1608. These findings underscore the reliability of using the 1600 Huaynaputina eruption as a chronological marker for dating historic wooden churches in northern Fennoscandia that were likely built between the late 17th and early 18th centuries. Additionally, analyzing church wood may provide insights into past climate patterns and environmental conditions linked to the eruption. Full article

This study was performed on the territory of Northern Europe in the Middle taiga subzone of Karelia. The work was conducted at two test sites (Site I, Site II) located in a pine forest in the coastal area of Lake Segozero. In these territories, areas under juniper (UCB) and under lingonberry-blueberry plant microgroups (CB) were isolated. This article presents the results of the effect of juniper on the properties of the upper soil horizon, forest litter (O), and mineral podzolic horizon (E (UCB)). The forest floor (O), and the mineral podzolic horizon (E) of soils located under the lingonberry-blueberry plant microgroup (CB) were selected as controls. The volume weight; acidity; content of total C, total N, total K, and total P had differences in different horizons (O, E) of the soils at the studied sites (Site I, Site II; CB, UCB). The results showed a tendency for C and N reserves to increase in the upper soil horizon under juniper. K and P reserves in this soil horizon tended to decrease. An increase in catalase activity was found in soils under juniper (Site I, II—UCB), which indicates a change in redox conditions. An increase in the rate of cellulose decomposition was noted in UCB sites compared with CB, which is consistent with the results of other studies. Mathematical and statistical analysis confirmed the formation of vegetative microgroups (CB and UCB) in cranberry pine (Site I, Site II) and also allowed us to identify conjugate pairs of chemical parameters (nitrogen reserves, C, catalase activity, and cellulose-destroying ability of soils) that differ in these sites. Full article

Lake ice has a major impact on the functioning of lake ecosystems, the thermal and gas regimes of lakes, habitat conditions, socio-economic aspects of human life, local climate, etc. The multifaceted influence of lake ice makes it important to study its changes associated with global warming, including lake ice phenology, ice thickness, and the snow–ice fraction. This article presents a study of lake ice changes in different regions of Eurasia: the Arctic (Lake Imandra in the Murmansk region and Lake Kilpisjärvi in Finland), the temperate zone (six small and medium lakes in Karelia, Mozhaysk Reservoir in the Moscow region, and Lake Pääjärvi in Finland), the arid zone (Lake Ulansuhai in China), and the highlands (lakes Arpi and Sevan in Armenia). In the study regions, a statistically significant increase in winter air temperature has been recorded over the past few decades. The number of days with thaw (air temperature above 0 °C) has increased, while the number of days with severe frost (air temperature below −10 °C and −20 °C) has decreased. The share of liquid or mixed precipitation in winter increases most rapidly in the temperate zone. For two Finnish lakes, lakes Vendyurskoe and Vedlozero in Karelia, and Mozhaysk Reservoir, a decrease in the duration of the ice period was revealed, with later ice-on and earlier ice-off. The most dramatic change occurred in the large high-mountain Lake Sevan, where the water area has no longer been completely covered with ice every winter. In contrast, the small high-mountain Lake Arpi showed no significant changes in ice phenology over a 50-year period. Changes in the ice composition with an increase in the proportion of white ice and a decrease in the proportion of black ice have occurred in some lakes. In the temperate lakes Pääjärvi and Vendyurskoe, inverse dependences of the thickness of black ice on the number of days with thaw and frost in December–March for the first lake and on the amount of precipitation in the first month of ice for the second were observed. In the arid study region of China, due to the very little winter precipitation (usually less than 10 mm) only black ice occurs, and significant interannual variability in its thickness has been identified. Full article

We proposed and investigated a refinement of technology for obtaining Mg-doped LiNbO₃ (LN) crystals by co-doping it with B. LN:Mg (5.0 mol%) is now the most widely used material based on bulk lithium niobate. It is suitable for light modulation and transformation. We found that non-metal boron decreases threshold concentrations of the target dopant in many ways. In addition, we earlier determined that the method of boron introduction into the LN charge strongly affects the LN:B crystal structure. So we investigated the point structural defects of two series of LN:Mg:B crystals obtained by different doping methods, in which the stage of dopant introduction was different. We investigated the features of boron cation localization in LN:Mg:B single crystals. We conducted the study using XRD (X-ray diffraction) analysis. We have confirmed that the homogeneous doping method introduces an additional defect (Mg_V) into the structure of LN:Mg:B single crystals. Vacancies in niobium positions (V_Nb) are formed as a compensator for the excess positive charge of point structural defects. According to model calculations, boron is localized in most cases in the tetrahedron face common with the vacant niobium octahedron from the first layer (V_Nb^IO₆). The energy of the Coulomb interaction is minimal in the LN:Mg:B crystal (2.57 mol% MgO and 0.42 × 10⁻⁴ wt% B in the crystal); it was obtained using the solid-phase doping technology. The solid-phase doping technology is better suited for obtaining boron-containing crystals with properties characteristic of double-doped crystals (LN:Mg:B). Full article

Finnish North Karelia is a region with a rich cultural history of ethnomedicinal plant use, shaped by centuries of interactions among various ethnic groups. This study identified both similarities and divergences between local Finns, Karelians war refugees, and individuals of mixed origin compared to historical records. Based on 67 semi-structured interviews, we documented the use of 43 medicinal plant taxa from 25 families, of which 31 remain in use. Notably, the number of medicinal plants continuously used in North Karelia is considerably lower than in other parts of Europe, with less than 25% of historically utilised species still in practice, which reflects the fragile state of this knowledge. Factors such as forced relocation, the loss of traditional lands, and the need to adapt to new environments might have contributed to this decline. Another influencing factor is official healthcare attitudes, which have prompted Finnish residents to shift from traditional herbal remedies to modern medical practices. Understanding the circulation of ethnomedicinal knowledge and its transformation over time is essential for identifying pathways to revitalise these practices within the framework of modern healthcare systems and cultural revitalisation efforts. Full article

This study explores how higher education institutions (HEIs) can foster the relevance of education for sustainable development (ESD) and strategic human resource development for a holistic sustainability transformation. Sharing a case example, it discusses how sustainable and responsible research, development and innovation (RDI) competences can be recognised, described and acknowledged to support the contextualised application of ESD and human resource development in one HEI of the INVEST university alliance and its stakeholders. It compares education professionals’ and stakeholders’ views on current and future competence needs and investigates inter-organisational competence development practices. The methodology encompasses a qualitative and interpretive case study based on focus group interviews. The results on the current sustainable competences indicated that HEI and stakeholder respondents identified disciplinary competences as the most important competence cluster followed by systems-thinking, strategies-thinking and integration competences. Although HEIs and stakeholders jointly regard disciplinary competences as most critical for the future, they have considerably different perspectives on the megatrends influencing these needs and the overall spectrum of the required competences. This study provides methodological means for contextualising sustainability competences and enhancing stakeholder-informed competence development. The results may serve as a point of reference for aligning higher education curricula and human resource development with ESD for more sustainable higher education. Full article

Background: Eastern Finnic populations, including Karelians, Veps, Votes, Ingrians, and Ingrian Finns, are a significant component of the history of Finnic populations, which have developed over ~3 kya. Yet, these groups remain understudied from a genetic point of view. Methods: In this work, we explore the gene pools of Karelians (Northern, Tver, Ludic, and Livvi), Veps, Ingrians, Votes, and Ingrian Finns using Y-chromosome markers (N = 357) and genome-wide autosomes (N = 67) and in comparison with selected Russians populations of the area (N = 763). The data are analyzed using statistical, bioinformatic, and cartographic methods. Results: The autosomal gene pool of Eastern Finnic populations can be divided into two large categories based on the results of the PCA and ADMIXTURE modeling: (a) “Karelia”: Veps, Northern, Ludic, Livvi, and Tver Karelians; (b) “Ingria”: Ingrians, Votes, Ingrian Finns. The Y-chromosomal gene pool of Baltic Finns is more diverse and is composed of four genetic components. The “Northern” component prevails in Northern Karelians and Ingrian Finns, the “Karelian” in Livvi, Ludic, and Tver Karelians, the “Ingrian-Veps” in Ingrians and Veps (a heterogeneous cluster occupying an intermediate position between the “Northern” and the “Karelian” ones), and the “Southern” in Votes. Moreover, our phylogeographic analysis has found that the Y-haplogroup N3a4-Z1927 carriers are frequent among most Eastern Finnic populations, as well as among some Northern Russian and Central Russian populations. Conclusions: The autosomal clustering reflects the major areal groupings of the populations in question, while the Y-chromosomal gene pool correlates with the known history of these groups. The overlap of the four Y-chromosomal patterns may reflect the eastern part of the homeland of the Proto-Finnic gene pool. The carriers of the Y-haplogroup N3a4-Z1927, frequent in the sample, had a common ancestor at ~2.4 kya, but the active spread of N3a4-Z1927 happened only at ~1.7–2 kya, during the “golden” age of the Proto-Finnic culture (the archaeological period of the “typical” Tarand graves). A heterogeneous Y-chromosomal cluster containing Ingrians, Veps, and Northern Russian populations, should be further studied. Full article

An alternative approach to separating trapped and radiogenic helium, and assessing the mobility of the latter in He-retentive minerals implemented in the present work, has been developed on the basis of helium extraction patterns obtained via incremental heating of mineral samples. We used these data both to estimate helium mobility in concentrates of various ore minerals (pyrite, magnetite, and hematite) and to assess the contribution of in situ-produced ⁴He in the total helium budget. The rocks of uranium-ore and gold mineralization of the Salla-Kuolajarvi belt (northern Karelia, Fennoscandian Shield) were used as test materials for the new approach. The method allowed such parameters as diffusivity, activation energy, closure temperature, and the contribution of the trapped helium to be obtained for all samples. The latter was used for the correction of apparent U-Th-He bulk ages. The interpretation of the calculated values was performed taking into account the closure temperatures of the U-Th-He system, as well as the peculiarities of each individual sample. Full article

The balance between photosynthetic carbon accumulation and respiratory loss in plants varies depending on temperature. This leads to a situation where the increased need for carbon is not met when a certain temperature threshold is reached. Over the last two decades, temperature thresholds in carbon metabolism in autotrophic systems have been widely studied. However, it remains unclear how these thresholds manifest themselves in the natural growth of individual plant species. To address this issue, we used data from an extensive monitoring of the growth of peat moss Sphagnum riparium over 9 years in mires in Karelia (Russia). We measured the growth of shoots in sample plots and obtained 1609 estimates of growth rates during the monitoring period. Investigating the relationship between growth rate and temperature, we identified two distinct intervals in response to temperature. These two intervals are separated by the temperature threshold of 13.2 °C. The first interval, which covers 42% of the growing season, exhibits a strong exponential dependence of growth rate on temperature, with a coefficient Q₁₀ = 4.01. This indicates that growth is most sensitive to changes in temperature within this range. In contrast, the second interval (58% of the growing season) shows a weaker dependence, with a Q₁₀ coefficient of 1.21, suggesting that growth is less responsive to changes within this temperature range. The temperature threshold was found to be negatively related to May (r = −0.76; p = 0.018) and September (r = −0.78; p = 0.012) temperatures of the previous growing season, and together they best explain (r = −0.91; p = 0.0007) the temperature threshold. Overall, our findings suggest that the temperature threshold does exist in the growth of S. riparium and can be identified in different years. The negative correlation between temperature threshold and May and September temperatures from the previous year indicates that intervals in the growing season with temperatures near the temperature threshold have an impact on subsequent carbon balance and are particularly significant for the further growth and development of Sphagnum mosses. Full article

Background: Type A aortic dissection (TAAD) is a life-threatening condition which requires prompt diagnosis and surgical treatment. When TAAD involves the aortic root, aortic valve-sparing or Bentall procedures are the main surgical treatment options. Method: The subjects of this analysis were 3735 patients included in the European Registry of Type A Aortic Dissection (ERTAAD). Propensity score matching was performed by estimating a propensity score from being treated with the Bentall or the David procedure using multilevel mixed-effects logistics, considering the cluster effect of the participating hospitals. Results: A Bentall procedure was performed in 862 patients, while a David operation was performed in 139 patients. The proportion of aortic root replacement, as well as the different techniques of aortic root replacement, varied significantly between the participating hospitals (p < 0.001). After propensity score matching, we obtained two groups of 115 patients each, and no statistical differences were reported in terms of postoperative outcomes, except for the rate of dialysis, which was higher in the patients requiring a Bentall procedure (17.4% vs. 7.0%, p-value 0.016). In the unmatched cohorts, the David procedure was associated with a lower 10-year mortality rate compared to the Bentall procedure (30.1% vs. 45.6%, p-value 0.004), but no difference was observed after matching (30.0% vs. 43.9%, p-value 0.082). After 10 years, no differences were observed in terms of proximal aortic reoperation (3.9% vs. 4.1%, p-value 0.954), even after propensity score matching (2.8% vs. 1.8%, p-value 0.994). Conclusions: The David and Bentall procedures are durable treatment methods for TAAD. When feasible, it is advisable that the David procedure is performed for acute TAAD by surgeons with experience with this demanding surgical technique. Full article

The Alattu–Päkylä gold occurrence is located in the Northern Lake Ladoga area, in the Raaha-Ladoga suprasubduction zone, at the Karelian Craton (AR)—Svecofennian foldbelt (PR₁) boundary. Its gold ore mineral associations are of two types of mineralization: (1) copper–molybdenum–porphyry with arsenopyrite and gold (intrusion-related) and (2) gold–arsenopyrite–sulfide in shear zones. Optical and scanning electron microscopy, X-ray fluorescence spectrometry, inductively coupled plasma mass spectrometry (ICP-MS), instrumental neutron activation analysis (INAA) and fire analysis with AAS finishing were used to study them. Type 1 was provoked by shallow-depth tonalite intrusion (~1.89 Ga) and type 2 by two stages of Svecofennian metamorphism (1.89–1.86 and 1.83–1.79 Ga) with the possible influence of the impactogenesis of the Janisjärvi astrobleme (age ~1 Ga). Intrusive and host rocks were subjected to shearing accompanied by the formation of ore-bearing metasomatic rocks of the propylite-beresite series (depending on substrate) and quartz–sericite, quartz and sericite–tourmaline veins and streaks. Ore mineralization is present as several consecutive mineral associations: pyritic–molybdenite with arsenopyrite and gold; gold–arsenopyrite; quartz–arsenopyrite with antimony sulfosalts of lead; gold–polysulfide with tetrahedrite –argentotetrahedrite series minerals and gold–antimony with Pb–Sb–S system minerals and native antimony. Arsenopyrite contains invisible (up to 234 ppm) and visible gold. Metamorphosed domains in arsenopyrite and rims with visible gold around it are usually enriched in As, indicating higher (up to >500 °C) temperatures of formations than original arsenopyrite with invisible gold (<500 °C). A paragenetic sequence associated with the deposition of invisible and visible gold established at the Alattu–Päkylä ore occurrence: pyrrhotite + unaltered arsenopyrite (with invisible gold) → altered arsenopyrite (As-enriched) + pyrite ± pyrrhotite + visible gold. Gold, associated with gudmundite, sphalerite and native antimony, seems to be due to cainotypic rhyodacitic porphyry cutting tonalite intrusion or with a retrograde stage in post-Svecofennian metamorphism. The isotopic composition of Pb and ²³⁸U/²⁰⁴Pb (9.4–9.75) for the feldspar of the tonalite intrusion and the pyrite of gold mineralization, εNd (−4 up to −5) for tonalites and ẟ³⁴S values of −2.10–+4.99 for arsenopyrite, indicate the formation of gold occurrence provoked by Svecofennian magmatic and tectono-thermal processes with the involvement of matter from a mantle-lower crustal reservoir into magma formation and mineralization. Full article

Complex microvascular techniques and in-depth knowledge of blood rheology and microanastomosis function are required for success in microvascular flap surgery. Substantial progress has been achieved in preventing complications, but the rate of flap loss is still significant and can have significant adverse effects on the patient. Flap thrombosis, flap hematoma, and flap loss are the most frequent and severe major surgical complications. Advances in understanding the pathophysiology of different flap complications, the use of preoperative risk assessment and new treatment concepts could improve the perioperative care of microvascular flap surgery patients. Our aim was to outline novel avenues for best practice and provide an outlook for further research of anesthesia and perioperative care concepts in microvascular flap surgery. Full article