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Purpose: Pseudoaneurysm (PA) of the access artery is a common and potentially severe complication after percutaneous endovascular interventions. Most PA require interventional therapy, including thrombin injection, covered stent implantation, or surgical repair, which are costly and associated with other complications. Treating PA by external compression is uncomfortable and time consuming, with a low success rate. By injecting local tumescence anesthesia around the PA and close to its neck, the tumescence anesthesia and echo-guided compression technique (TACT) aims to improve efficacy and patient’s comfort.Materials and Methods: We retrospectively reviewed all consecutive patients treated for femoral PA in our center from May 2009 to July 2019 and estimated efficacy and safety. Vascular specialists performed TACT according to a standardized protocol including ultrasound-guided injection of tumescence solution (45 ml of 0.9% saline, 15 ml of lidocaine 1%/epinephrine 5 μg/ml) in the soft tissue around the PA and its neck, local compression with the sonography probe until PA closure, and external compression by elastic belt for 3 hours.Results: Among a total of 125 patients with femoral artery PA, 82 (65.6%) were treated by TACT (including 3 patients with haemorrhagic shock), 14 (11.2%) by thrombin injection; 12 (9.6%) by endovascular interventions; 8 (6.4%) by open surgery; and 9 (7.2%) conservatively. In patients treated by TACT, PA neck was short (<1 cm) in 51.8% and mean cavity diameter 30 ± 23 mm. After injection of 58 ± 8 ml of tumescence solution, mean time of echo-guided compression was 12 ± 8 minutes. Pseudoaneurysm was successfully closed in 92.7% after the first attempt and in 96.3% after the second attempt. The intervention was well tolerated, without any adverse event.Conclusion: Tumescence anesthesia and echo-guided compression technique (TACT) is an effective and safe treatment for PA. Compared to other therapies, TACT is minimally invasive and widely available for minimal costs, even for large PA and in unstable patients.Clinical Impact Tumescence anesthesia and echo-guided compression technique seems to be an efficient, safe, and a fair economical choice in comparison with alternative techniques. The implementation of this procedure is simple with low risk of complications. Based on the results of this study, we believe that TACT should be considered as the first-line treatment of most iatrogenic PA.

The southern coastline of SW England is characterized by a number of drowned river valleys (known locally as rias) that contain a range of important estuarine environments including saltmarsh, mud flats, sea grass meadows and open marine sands. All of these ‘rias’ drain catchments with Devonian and Carboniferous rocks that were intruded by granite during the Variscan Orogeny and which were mineralized at that time. The Cornwall and West Devon Mining Heritage UNESCO World Heritage Site records the exploitation of these minerals since Roman times, though mining ceased in the twentieth century. All these mineralized rocks, mining waste and the occasional ‘flood’ of old mine workings have contaminated the estuaries with Cu, Zn, Sn, As, Cr, Hg, Ag, etc., which, in many places, may have left a record of foraminifera with test abnormalities. Since 1973, in a series of student-led projects, the estuaries of the region have been studied for their foraminiferal assemblages, sometimes including sampling strategies that meant monthly, or 3-monthly, suites of samples being collected. The Fal Estuary is one of the largest and most complex of the ‘rias’ and, while draining mineralized areas, also suffered a major release of acidic mine waste during a flood in January 1992. Recovery from that ‘event’ showed that the total absence of foraminifera began to recover within 2 years and assemblages have now returned to pre-incident levels, though still recording malformed individuals. This re-colonization is probably the result of propagule dispersion from more open waters of the Fal Estuary.

Background: Vegan diets have recently gained popularity in Switzerland as well as globally. The aim of the present study was to develop a diet quality score for vegans (DQS-V) based on the Swiss dietary recommendations for vegans. Methods: The dataset included 52 healthy vegan adults. Dietary intake data were assessed by three-day weighed food records. Body weight and height were measured, and a venous blood sample for the analysis of vitamin and mineral status was collected. Spearman rank correlation coefficients were used due to not-normally distributed data. Dietary patterns were identified using principal component analysis (PCA). Results: The DQS-V score (mean ± SD) was 48.9 ± 14.7. Most vegans adhered to the recommended portions of vegetables, vitamin C-rich vegetables, fruits, omega-3-rich nuts, fats and oils, and iodized salt. However, the intake of green leafy vegetables, vitamin C-rich fruits, wholegrains, legumes, nuts and seeds, selenium-rich nuts, zero caloric liquid, and calcium-fortified foods was suboptimal. The sample overconsumed sweet-, salty-, fried foods, and alcohol. The DQS-V had a significantly positive correlation with intakes of fibre, polyunsaturated fatty acids, potassium, zinc, and phosphorus intakes (p’s &lt; 0.05) but was negatively correlated with vitamin B12 and niacin intakes (p’s &lt; 0.05). Two dietary patterns were derived from PCA: 1) refined grains and sweetsand 2) wholegrains and nuts. The correlation between the DQS-V and the first dietary pattern was negative (− 0.41, p= 0.004) and positive for the second dietary pattern (0.37, p= 0.01). The refined grains and sweetsdietary pattern was inversely correlated with beta-carotene status (− 0.41, p = 0.004) and vitamin C status (r= − 0.51, p= 0.0002). Conclusion: The newly developed DQS-V provides a single score for estimating diet quality among vegan adults. Further validation studies examining the DQS-V in relation to an independent dietary assessment method and to biomarkers of nutritional intake and status are still needed before the general application of the DQS-V.

Among strategies to reduce the remaining risk of cardiovascular disease, interest has focused on using infusions of synthetic high-density lipoprotein (sHDL).

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Este estudo teve por objetivo comparar os efeitos do exercício agudo com carga de trabalho relativa em gastrocnêmio de ratos Wistar com três e 18 meses. Os animais foram divididos em quatro grupos (n = 6): controle de três e 18 meses; exercício de três e 18 meses. Os grupos exercitados foram submetidos a uma única sessão de corrida na esteira com 60 minutos em velocidade de 0,8km/h e 1,2km/h. Foram analisados parâmetros do metabolismo (níveis de lactato, conteúdo de glicogênio, níveis de succinato desidrogenase, citocromo c oxidase e de estresse oxidativo (SOD, CAT e GPX). Os resultados mostraram um aumento nos marcadores metabólicos após o exercício agudo independentemente da idade dos animais e similaridade nos danos oxidativos apesar de as enzimas antioxidantes apresentarem modulação diferenciada nos animais mais velhos em comparação com animais jovens.

Shallow or near-shore environments, such as ponds, estuaries and intertidal zones, are among the most physiologically challenging of all aquatic settings. Animals inhabiting these environments experience conditions that fluctuate markedly over relatively short temporal and spatial scales. Living in these habitats requires the ability to tolerate the physiological disturbances incurred by these environmental fluctuations. This tolerance is achieved through a suite of physiological and behavioural responses that allow animals to maintain homeostasis, including the ability to dynamically modulate their physiology through reversible phenotypic plasticity. However, maintaining the plasticity to adjust to some stresses in a dynamic environment may trade off with the capacity to deal with other stressors. This paper will explore studies on select fishes and invertebrates exposed to fluctuations in dissolved oxygen, salinity and pH. We assess the physiological mechanisms these species employ to achieve homeostasis, with a focus on the plasticity of their responses, and consider the resulting physiological trade-offs in function. Finally, we discuss additional factors that may influence organismal responses to fluctuating environments, such as the presence of multiple stressors, including parasites. We echo recent calls from experimental biologists to consider physiological responses to life in naturally fluctuating environments, not only because they are interesting in their own right but also because they can reveal mechanisms that may be crucial for living with increasing environmental instability as a consequence of climate change.

Understanding the mechanisms that create phenotypic variation within and among populations is a major goal of physiological ecology. Variation may be a consequence of functional trade-offs (i.e. improvement in one trait comes at the expense of another trait) or alternatively may reflect the intrinsic quality of an organism (i.e. some individuals are simply better overall performers than others). There is evidence for both ideas in the literature, suggesting that environmental context may mediate whether variation results from trade-offs or differences in individual quality. We tested this overarching ‘context dependence’ hypothesis by comparing the aquatic and terrestrial athletic performance of the amphibious fish Kryptolebias marmoratus captured from two contrasting habitats, a large pond and small burrows. Overall, pond fish were superior terrestrial athletes but burrow fish were better burst swimmers, suggestive of a performance trade-off at the population level. Within each population, however, there was no evidence of a performance trade-off. In burrow fish, athletic performance was positively correlated with muscle content and body condition, consistent with the individual quality hypothesis. In pond fish, there was only a relationship between glycolytic white muscle and aquatic burst performance. Notably, pond fish were in better body condition, which may mask relationships between condition and athletic performance. Overall, our data highlight that population-level trends are insufficient evidence for the existence of phenotypic trade-offs in the absence of similar within-population patterns. Furthermore, we only found evidence for the individual quality hypothesis in one population, suggesting that patterns of phenotypic covariance are context dependent.

Habitat choice can either speed up or slow rates of phenotypic evolution, depending on which trait is measured. We suggest that habitat choice plays an analogous, and generally overlooked, role in shaping patterns of phenotypic plasticity. Using our work with an amphibious fish, we discuss two case studies that demonstrate how habitat choice can both promote and constrain expression of plasticity. First, habitat choice during the dry season accentuates adaptive metabolic plasticity and minimizes maladaptive changes to muscle, ultimately increasing survival time out of water. Second, a trade-off between water- and air-breathing drives matching habitat choice, resulting in positive feedback that reinforces respiratory specialization and environmental preference. Overall, these case studies demonstrate that we must consider the interactions between plasticity and habitat choice to fully understand how animals survive in the face of environmental change. Without considering both processes simultaneously, the performance of animals in challenging conditions can be either under- or over-estimated. Finally, because habitat choice shapes the frequency and predictability of environmental changes that animals experience, feedback between habitat choice and expressions of phenotypic plasticity may be an important factor that influences how plasticity evolves.

In fish, vision may be impaired when eye tissue is in direct contact with environmental conditions that limit aerobic ATP production. We hypothesized that the visual acuity of fishes exposed to hydrogen sulfide (H2S)-rich water would be altered owing to changes in cytochrome c oxidase (COX) activity. Using the H2S-tolerant mangrove rivulus (Kryptolebias marmoratus), we showed that a 10 min exposure to greater than or equal to 200 µM of H2S impaired visual acuity and COX activity in the eye. Visual acuity and COX activity were restored in fish allowed to recover in H2S-free water for up to 1 h. Since K. marmoratusare found in mangrove pools with H2S concentrations exceeding 1000 µM, visual impairment may impact predator avoidance, navigation and foraging behaviour in the wild.

The interaction between developmental plasticity and the capacity for reversible acclimation (phenotypic flexibility) is poorly understood, particularly in organisms exposed to fluctuating environments. We used an amphibious killifish (Kryptolebias marmoratus) to test the hypotheses that organisms reared in fluctuating environments (i) will make no developmental changes to suit any one environment because fixing traits to suit one environment could be maladaptive for another, and (ii) will be highly phenotypically flexible as adults because their early life experiences predict high environmental variability in the future. We reared fish under constant (water) or fluctuating (water–air) environments until adulthood and assessed a suite of traits along the oxygen cascade (e.g. neuroepithelial cell density and size, cutaneous capillarity, gill morphology, ventricle size, red muscle morphometrics, terrestrial locomotor performance). To evaluate the capacity for phenotypic flexibility, a subset of adult fish from each rearing condition was then air-exposed for 14 days before the same traits were measured. In support of the developmental plasticity hypothesis, traits involved with O2sensing and uptake were largely unaffected by water–air fluctuations during early life, but we found marked developmental changes in traits related to O2transport, utilization and locomotor performance. In contrast, we found no evidence supporting the phenotypic flexibility hypothesis. Adult fish from both rearing conditions exhibited the same degree of phenotypic flexibility in various O2sensing- and uptake-related traits. In other cases, water–air fluctuations attenuated adult phenotypic flexibility despite the fact that phenotypic flexibility is hypothesized to be favoured when environments fluctuate. Overall, we conclude that exposure to environmental fluctuations during development in K. marmoratuscan dramatically alter the constitutive adult phenotype, as well as diminish the scope for phenotypic flexibility in later life.

Many animals occupy microhabitats during dormancy where they may encounter hypoxic conditions (e.g. subterranean burrows). We used the green-striped burrowing frog (Cyclorana alboguttata) to test the hypothesis that animals seek hypoxic microhabitats that accentuate metabolic depression during dormancy. We first measured the partial pressure of oxygen (PO2) within artificial cavities excavated in wet clay soil, which simulated C. alboguttataunderground aestivation chambers, and recorded hypoxic conditions (PO2 as low as 8.9 kPa). Using custom-built tunnels that maintained a longitudinal PO2 gradient (hypoxic to normoxic), we then examined the PO2 preference of C. alboguttatain response to drying habitat conditions. In support of our hypothesis, we found that C. alboguttatachose to spend a greater proportion of time at the hypoxic end of the PO2 gradient compared with the normoxic end. To determine whether hypoxia accentuates metabolic depression in C. alboguttata, we exposed frogs to normoxia (21.0 kPa) or hypoxia (10.5 kPa) for 7 weeks during the transition from an active to an aestivating state. We found that hypoxia exposure accelerated the onset of metabolic depression in C. alboguttataby 2 weeks. Furthermore, we found that frogs exposed to hypoxia exhibited a 66% reduction in O2consumption after 7 weeks compared with active frogs in normoxia, whereas frogs exposed to normoxia reduced O2consumption by only 51%. Overall, our findings indicate that some animals may seek microhabitats to maximally depress metabolic rate during dormancy, and that microhabitat O2availability can have significant implications for energy metabolism.

Several animals enter a state of dormancy to survive harsh environmental conditions. During dormancy, metabolic depression can be critical for economizing on limited endogenous energy reserves. We used two isogenic strains (strain 1 and strain 2) of a self-fertilizing amphibious fish (Kryptolebias marmoratus) to test the hypothesis that animals seek hypoxic microhabitats that, in turn, accentuate metabolic depression during dormancy. Using custom-built tunnels that maintained a longitudinal O2gradient (hypoxic to normoxic), we assessed the O2preference of K. marmoratusduring prolonged air exposure. In support of our hypothesis, we found that one isogenic strain (strain 2) spent more time in hypoxia compared with normoxia after 21 days in air. Prolonged air exposure in both strains resulted in lower O2consumption rates compared with active fish (35% depression), which was accentuated (51% depression) when fish were exposed to aerial hypoxia acutely. We then tested the hypothesis that chronic aerial hypoxia acclimation would protect endogenous energy reserves and skeletal muscle integrity, thereby maintaining locomotor performance, possibly owing to hypoxic hypometabolism. We found that air-acclimated fish from both strains were in poorer body condition relative to fish acclimated to aerial hypoxia. Furthermore, aerial hypoxia acclimation minimized glycogen usage (strain 1), lipid catabolism (strain 2) and white muscle atrophy (strain 2), as well as preserved terrestrial locomotor performance compared with fish in air (strain 2). Overall, our findings suggest that some K. marmoratusstrains seek microhabitats that accentuate metabolic depression during dormancy, and that microhabitat O2availability may have significant implications for energy metabolism, and the structure and function of skeletal muscle. Furthermore, the differential responses between isogenic strains suggests that genetic factors also contribute to phenotypic differences in the emersion behavior and physiology of this species.

Progressive decline of physiological processes with aging is normal. Aging is also associated with decreased functional capacity and onset of many diseases. This study evaluated the changes in physical fitness (PF), body composition (BC), and lipid profile (LP) in elderly men completing different training protocols.