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The Iliac Sandwich is an off-label technique that uses parallel stent grafts to treat aortoiliac aneurysms. The purpose of this experimental study is to evaluate the conformability and juxtaposition of stent grafts combinations used in this technique through in-vitro mechanical evaluation, computed tomography (CT) analyses, and a controlled pulsatile flow system.The combinations of two Viabahn® ("V-V") or Viabahn® and Excluder® iliac extension ("V-E") were analysed using CT imaging with measurement of the gutter area by two independent analysts before and after balloon angioplasty. In a second phase, the parallel stent combinations were also evaluated using CT imaging after being implanted in the aortic aneurysm model with a pulsatile flow system with controlled temperature, viscosity, and density.The "V-E" group had a better conformability when compared to the "V-V" group, ensuring smaller gutter areas (0.0064 cmThe combination of Viabahn® and Excluder® iliac extension device ("V-E") had a smaller gutter area compared to two Viabahn® parallel stents for the Iliac Sandwich Technique. Post dilatation using a non-compliant balloon for the internal iliac device and a compliant balloon for the external iliac provided superior conformability and juxtaposition.

Polymorphid acanthocephalans are parasites of marine mammals, waterfowl and ichthyophagous birds. Among these, the genus Profilicollis is known to use exclusively decapods as intermediate hosts. Here, we report the first record of living cystacanths of Profilicollis parasitizing the body cavity of a fish host, Oligosarcus jenynsii, inhabiting the freshwater section of an estuarial system, Mar Chiquita coastal lagoon, in south-east Buenos Aires Province, Argentina. In this environment, cystacanths of Profilicollis chasmagnathi have been previously recorded infecting decapod crabs and as transient accidental infections in the gut of some carcinophagous fishes. In the present study, larvae from the crab Neohelice granulata, from the intestine of the estuarine fish Odontesthes argentinensis and from the body cavity of O. jenynsii were morphologically and genetically compared, confirming their identity as P. chasmagnathi, a species characteristic of estuaries and marine coasts along Argentina, Uruguay and Chile. These findings can be interpreted as a possible case of incipient paratenicity for Profilicollis, and a colonization event of freshwater habitats, probably promoted by the highly variable conditions, typical of ecotonal environments. In addition, cystacanths of the genus Polymorphus were also found in O. jenynsii, representing the first record of this genus in Oligosarcus from Argentina. Fil: Levy, Eugenia. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Mar del Plata. Instituto de Investigaciones Marinas y Costeras. Universidad Nacional de Mar del Plata. Facultad de Ciencias Exactas y Naturales. Instituto de Investigaciones Marinas y Costeras; Argentina Fil: Rossin, Maria Alejandra. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Mar del Plata. Instituto de Investigaciones Marinas y Costeras. Universidad Nacional de Mar del Plata. Facultad de Ciencias Exactas y Naturales. Instituto de Investigaciones Marinas y Costeras; Argentina Fil: Braicovich, Paola Elizabeth. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Mar del Plata. Instituto de Investigaciones Marinas y Costeras. Universidad Nacional de Mar del Plata. Facultad de Ciencias Exactas y Naturales. Instituto de Investigaciones Marinas y Costeras; Argentina Fil: Timi, Juan Tomas. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Mar del Plata. Instituto de Investigaciones Marinas y Costeras. Universidad Nacional de Mar del Plata. Facultad de Ciencias Exactas y Naturales. Instituto de Investigaciones Marinas y Costeras; Argentina

In this study, we followed an integrative taxonomy approach to describe two new species of Gyrodactylus von Nordmann, 1832, and to identify specimens of G. breviradix Vega, Razzolini, Arbetman, and Viozzi, 2019, all three collected from ten spotted live-bearer Cnesterodon decemmaculatus (Jenyns, 1842), an endemic and widespread poeciliid from the Pampean region, which is the southernmost occurring species of the Poeciliidae in the Americas. Gyrodactylids were first characterized morphologically and mophometrically, and when possible, sequences of the Internal Transcribed Spacers (ITS1-5.8S-ITS2) and the cytochrome oxidase II (COII) were used to delimit species. Gyrodactylus breviradix, Gyrodactylus marplatensis n. sp., and Gyrodactylus pampeanus n. sp. were found on the fins and body surface of C. decemmaculatus in La Tapera Creek, Mar del Plata, Buenos Aires province, Argentina. A phylogenetic analysis combining newly generated sequences of one of the new species, G. marplatensis n. sp., and of G. breviradix, along with those available in GenBank for a further 36 species of Gyrodactylus, revealed that G. marplatensis n. sp. is a sister taxon of Gyrodactylus decemmaculati Vega, Razzolini, Arbetman, and Viozzi, 2019. Genetic distances for the ITS and COII gene were estimated among Gyrodactylus spp. and further supported the validity of the new species. Overall, morphometric and molecular data coincided in delimiting the new taxa, thus demonstrating the value of integrative taxonomy for the erection of new species of Gyrodactylus and species identification. Fil: Taglioretti, Verónica. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Mar del Plata. Instituto de Investigaciones Marinas y Costeras. Universidad Nacional de Mar del Plata. Facultad de Ciencias Exactas y Naturales. Instituto de Investigaciones Marinas y Costeras; Argentina Fil: García Vásquez, Adriana. Instituto de Ecología; México Fil: Rossin, Maria Alejandra. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Mar del Plata. Instituto de Investigaciones Marinas y Costeras. Universidad Nacional de Mar del Plata. Facultad de Ciencias Exactas y Naturales. Instituto de Investigaciones Marinas y Costeras; Argentina Fil: Pinacho Pinacho, Carlos Daniel. Instituto de Ecología; México Fil: Rubio Godoy, Miguel. Instituto de Ecología; México Fil: Timi, Juan Tomas. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Mar del Plata. Instituto de Investigaciones Marinas y Costeras. Universidad Nacional de Mar del Plata. Facultad de Ciencias Exactas y Naturales. Instituto de Investigaciones Marinas y Costeras; Argentina

Industrial robots are increasingly used as alternatives for specialized machine tools; however, the correct choice of a robot for a specific task or even programing the robot may present a problem if the robot’s structural properties and its accuracy throughout the workspace are unknown. In the article, an approach to improve the robot’s accuracy based on its structural properties is described. Manipulability, structural stiffness, structural inertia, damping ratios, and natural frequencies are chosen as the considered kinematic, static, and dynamic properties. Surrogate models to associate each property with the robot’s posture are established, and the relevant robot postures to machine a set of representative parts are derived. Analysis of the machined parts shows that machining accuracy depends on all considered property measures. By adjusting the robot’s posture, the machining accuracy for milling a hole was improved in diameter from 1.86 to 0.23 mm and in cylindricity from 0.87 to 0.16 mm. To evaluate robotic accuracy, a unique quality criterion is introduced and a predictive robotic machining accuracy model is established.

We report herein the photocatalytic activity of undoped carbon nanodots (CD) and phosphorus doped carbon nanodots (P-CD), which effectively degrades methylene blue (MB) dye under continuous irradiation of sunlight. The P-CD and CD were synthesized by the hydrothermal method using d-glucose anhydrous as the precursor. The morphological and structural characterization of P-CD was done using transmission electron microscopy (TEM), Fourier transform infrared spectroscopy (FT-IR), and X-ray photoelectron spectroscopy (XPS). UV–Visible spectroscopic studies of CD and P-CD showed maximum optical absorption at 252 nm and 283 nm and interestingly P-CD exhibited an intense emission at 520 nm. The average radius of P-CD was found to be 2.19 nm. Use of P-CD and CD as photocatalysts in the degradation of methylene blue under direct sunlight irradiation yielded favourable results with a dye degradation rate of 0.02736 min−1 (standard error 0.00612) in presence of P-CD and a rate of 0.01645 min−1 (standard error 0.00342) in presence of CD. The self-degradation rate of MB was feeble compared to the rate of degradation with photocatalysts P-CD and CD.

Present study focusses to report the tunable thermal properties of phosphorus-doped carbon nanodot (PCND) using dual-beam mode matched thermal lens spectroscopic technique. The morphological, structural, and optical characterization of prepared carbon nanodot was probed by transmission electron microscopic technique (TEM), X-ray photoelectron spectroscopic technique (XPS), UV–visible absorption spectroscopic technique and photoluminescence spectroscopic technique. The average size of PCND was found to be 4.02 ± 0.13 nm. To date, there have been a few reports the thermal diffusivity and thermal conductivity of carbon dot by Dual-beam mode matched thermal lens spectroscopic technique. Among them, the present system has high value of thermal diffusivity (9.1139 ± 1.8644)*10−8 m2/s) and thermal conductivity (0.3807 ± 0.0778 W/mK). The variation in thermal diffusivity and thermal conductivity of sample with different concentration was also recorded.The variation in thermal diffusivity values ranging from (9.1139 ± 1.8644)*10−8 m2/s to (2.9532 ± 0.8547)*10−8 m2/s indicates the tuning in heat transfer property of the present system by altering their concentration.These extend their application potential in microelectronic cooling as well as thermal insulation.

Background Understanding the features of preventive care uptake is critical for assessing the performance and viability of primary care in any healthcare system. There are gaps in previous studies that focused on primary healthcare features, challenges and way forward in Nigeria but were mainly public sector focused and do not characterize the features of preventive care. Since private healthcare sector remains the most accessed and utilized in Nigeria, this study sought to characterize the features of uptake of preventive care to better understand the current preventive healthcare landscape. Method A descriptive cross-sectional study, using survey questionnaire were randomly administered to adult patients attending the Family Medicine Out-Patient Department (OPD) at Nisa Premier Hospital, Jabi Abuja. The study was conducted over a three-month period. (January to June 2017). Data collected were analyzed using SPSS version 23 (IBM SPSS, Chicago, IL, USA). Descriptive statistics in the form of frequency and percentage were used to report the results. Results A total of 381 participants completed the survey. The results revealed that while an over overwhelming majority (> 90%) of participants indicated knowledge of benefits of preventive care, and preferred interventions aimed at preventing a disease before they occur, 48% preferred interventions aimed at reducing disease or injury impact or interventions aimed at ameliorating the impact of ongoing disease or injury with long lasting effect (43%). Unfortunately, less than 40% of respondents would visit the hospital when their health condition is not serious. Important barriers to uptake of preventive care were revealed as cost (45%), distance to the healthcare provider (36%) and lack of health insurance (33%), whereas poor education (19%), social norms (13%) as well as cultural and religious beliefs (10%) towards accessing certain health services appeared to be lesser barriers. Conclusion Although people are aware of the benefits of preventive care, its uptake will greatly be enhanced through improved health insurance coverage, refocusing primary healthcare functions on preventive rather than curative care and instituting policies that mandatorily prescribe uptake for the insured, both at the individual and the insurer’s level.

Avibactam is a non-β-lactam β-lactamase inhibitor that restores the in vitro activity of β-lactams, such as ceftazidime, against bacterial pathogens harboring Ambler class A, C, and some class D β-lactamases. This randomized, double-blind, placebo-controlled, phase I study (NCT01920399) evaluated the safety, tolerability, and pharmacokinetics of single and repeated doses of avibactam and ceftazidime in healthy Chinese subjects. Sixteen healthy Chinese males aged 18–45 years were randomized 3:1 to receive 2000 mg ceftazidime and 500 mg avibactam (n = 12) or matched placebo (n = 4) as a 120-min intravenous infusion, once on Days 1 and 9, and every 8 h on Days 2–8. Avibactam and ceftazidime showed time-independent pharmacokinetics. Plasma exposure to avibactam and ceftazidime was similar following single and multiple dosing and accumulation of either agent was negligible. The majority of the avibactam and ceftazidime dose was recovered in urine. Adverse events were reported in three subjects (25.0 %) in the ceftazidime-avibactam group and one subject (25.0 %) in the placebo group. Two subjects in the ceftazidime-avibactam group had elevations in transaminases and one subject in the placebo group had elevated serum bilirubin levels that were considered causally related to study treatment. All adverse events were of mild intensity. Single and multiple doses of 2000 mg ceftazidime and 500 mg avibactam were well tolerated in healthy Chinese subjects, and the observed pharmacokinetics were comparable to previous studies conducted in Western subjects.

The extent to which the structure of parasite infracommunities and component communities is determined by the composition of the compound community was assessed by determining the importance of unspecific larval parasites relative to the other guilds (ectoparasites and adult endoparasites). This was analyzed under the hypothesis that the infracommunities harbored by any fish species in coastal waters of the northern Argentine sea will be dominated by unspecific larval stages, which also will be the determinants of the infracommunity structure. These predictions were tested in the Atlantic sea robin, Prionotus nudigula. A total of 1,570 metazoans belonging to 11 species were found in the overall sample (total prevalence = 98%). Larval endoparasites, especially Corynosoma australe and Grillotia sp., were the best represented species, with a deep influence on the infracommunity structure, accounting for the highest proportion of individuals, dominating about 60% of the infracommunities, greatly determining all infracommunity descriptors, and producing marked changes in the similarity among infracommunities. Given the abundance and broad distribution of unspecific larval parasites in the compound community, infracommunities can be considered as subsets of the species available regionally. They are obtained by passive sampling of infective stages as fish feed, and lead to predictable assemblages, with a non-random composition and structure modeled mainly by ecological filters.

The transaxillary breast augmentation (TBA) technique has gained popularity because of several advantages. However, the impact of the procedure on breast lymphatic drainage and sentinel node (SN) detection remains controversial. The objective of this study was to evaluate the lymphatic patterns and SN detection rates after TBA by using lymphoscintigraphy (LSG). Twenty patients (40 breasts) who underwent TBA were evaluated by LSG immediately after periareolar injections of phytate-99 mTc at three time points: before TBA (Pre-LSG) and approximately 30 days (Recent-Post-LSG) and 6 months after TBA (Late-Post-LSG). Statistical analysis considered p

Objective Our objective was to learn whether genetic polymorphisms of metabolic enzymes or transport proteins provide a mechanistic understanding of the in vivo disposition of atrasentan, a selective endothelin A receptor antagonist. Methods Atrasentan uptake was measured in HeLa cells transfected to express major alleles of organic anion transporting polypeptide 1B1 (OATP1B1). The results were used to classify individuals as extensive, intermediate, or poor OATP1B1 transporters according to their SLCO1B1 genotypes. Analysis of covariance including genotype, study, age, weight, sex, and ethnicity was used to identify factors influencing atrasentan single-dose (n = 44) and steady-state (n = 38) pharmacokinetic parameters. Genotypes for cytochrome P450 3A5, uridine diphosphate–glucuronosyltransferase (UGT) 1A1, UGT2B4, UGT2B15, adenosine triphosphate–binding cassette subfamily B (ABCB) 1, solute carrier organic anion transporter (SLCO) 1B1, and solute carrier family 22 (SLC22) A2 were each assessed. Results Single-dose atrasentan exposure (P = .0244), steady-state atrasentan exposure (P = .0108), and maximum postdose plasma concentration (P = .0002) were associated with OATP1B1 activity classified by SLCO1B1 genotype. No other tested genotypes were observed to be associated with both single-dose and steady-state atrasentan pharmacokinetics. Conclusions OATP1B1 is a meaningful factor for atrasentan disposition. Individuals may be classified as having extensive, intermediate, or poor OATP1B1 transport phenotypes according to SLCO1B1 genotypes. Increased exposures of OATP1B1 substrates might be expected in individuals who have the poor transporter phenotype or are treated with an OATP1B1 inhibitor. Clinical Pharmacology & Therapeutics (2006) 79, 186–196; doi: 10.1016/j.clpt.2005.11.003

Several factors capable of affecting the amount of resources available to an individual parasite, such as the number of other parasites in the host or host quality, may cause variability in reproductive success among parasites. Variation in egg output and mean egg volume was investigated among adult females of the nematode Graphidioides subterraneus, parasitic in the herbivorous subterranean rodent Ctenomys talarum (Octodontidae). Female nematode body size correlated strongly with the number of eggs produced. However, neither host body mass nor the number of other nematodes per host had any influence on the number or volume of eggs produced by the parasites. There was also no evidence for a trade-off between the number of eggs produced and mean egg volume among female nematodes. All these results suggest that resource supply to individual worms is not limited by host size or by the number of conspecific parasites vying for the same resources, despite the 30-fold variation in intensity of infection and the twofold variation in host body mass observed in the present study. Instead, resource availability does not appear to constrain reproduction in G. subterraneus, with its host providing a stable, predictable environment.

Diplectanum squamatum n. sp. is described from the gills of the sciaenid Cynoscion guatucupa collected off Mar del Plata, Argentina. The new species is distinguished from other species of the genus by the morphology of the hamuli and the male copulatory organ, and presence of scales on the haptor and body. This is the first species of Diplectanum to be reported from southwest Atlantic waters and, with the possible exception of D. cayennense Euzet & Durette-Desset, 1974, the only species from the Atlantic coast of South America.

Objective: To screen the inhibitory effects of H1-antihistamines on hepatic bufuralol 1′-hydroxylation and on tolbutamide 4-methylhydroxylation in human liver microsomes. Methods: Bufuralol 1′-hydroxylation and tolbutamide 4-methylhydroxylation were used as index reactions for CYP2D6 and CYP2C9, respectively. The metabolites of both reactions were measured using high-performance liquid chromatography and were used as indicators of whether CYP2D6 or CYP2C9 activities were inhibited or unaffected by the agents. Results: All five H1-antihistamines studied showed a concentration-dependent inhibition of CYP2D6-mediated bufuralol 1′-hydroxylation with 50% inhibitory concentration (IC50) values of 32–109 µM. Cyclizine and promethazine showed inhibitory effects on tolbutamide 4-methylhydroxylation with IC20 values of 85 µM and 88 µM, respectively. Tripelennamine, chlorpheniramine, and diphenhydramine showed no inhibitory effects on CYP2C9. Conclusion: All five H1-antihistamines studied inhibited CYP2D6 markedly, but only cyclizine and promethazine inhibited CYP2C9 at concentrations above that usually seen in plasma. Promethazine and chlorpheniramine inhibited CYP2D6 at concentrations that are very close to their therapeutic plasma concentrations. Further studies in humans, especially in poor metabolizers of CYP2D6, will be required to confirm these findings.

Improved microvascular perfusion using the TIMI myocardial perfusion grade (TMPG) has been related to reduced in hospital, 30-day and 2-year mortality following thrombolytic administration. We sought to validate this measure using the more quantitative technique of digital subtraction angiography (DSA) and to correlate TMPG with ST segment resolution. DSA was used to analyze films from the LIMIT AMI acute myocardial infarction trial of front loaded r-tPA and rhuMAb CD18. Dye kinetics were also characterized using DSA in 88 arteries from patients without acute coronary syndromes in the absence of an obstructive lesion. Compared to normal patients, microvascular perfusion was reduced in acute myocardial infarction patients on DSA as demonstrated by a reduction in peak Gray (brightness) (p < 0.0001), the rate of rise in Gray/sec (p < 0.0001), the blush circumference (p < 0.0001), and the rate of growth in circumference (cm/sec) (p < 0.0001). However, while DSA perfusion was impaired overall in the setting of acute myocardial infarction, TMPG grade 3 in the setting of acute myocardial infarction did not differ from that in normal patients when studied quantitatively as shown by similar rates of growth in brightness and circumference (p = NS). ST resolution and the TMPG were significantly associated (p = 0.04). Compared to normal patients, acute myocardial infarction reduces the peak brightness of the myocardium, the rate of rise in brightness, the circumference of blush and the rate of growth in circumference as assessed using digital subtraction angiography. However, acute myocardial infarction patients with TMPG 3 had rates of growth in brightness and circumference that were nearly identical to normal patients. Thus, DSA validates that TMPG 3 is associated with normal kinetics of myocardial perfusion, and this likely accounts for the low (0.7%) 30 day mortality observed among those patients with TFG 3 and TMPG 3.

Recently collected copepod parasites on the narrownose smooth-hound shark Mustelus schmitti Springer revealed enough similarities with Perissopus galeorhini (Yamaguti, 1936) to be considered conspecific. Comparison of these specimens with the types of P. oblongus (Wilson, 1908) showed that P. galeorhini and P. oblongus are distinct species. Therefore, P. galeorhini is considered a valid species rather than a synonym of P. oblongus, as it has been treated since the revision of Cressey (1967). Descriptions of P. galeorhini from M. schmitti and type-material of P. oblongus are provided along with a discussion on their taxonomic status. P. galeorhini differs from P. oblongus in features relating to the anterior margin of cephalothorax, the dorsal plates of the third pedigerous segment and details of the segmentation and armature of the appendages. In addition, an amended diagnosis of Perissopus Steenstrup & and Lutken, 1861 is given, including characters not previously considered by Cressey (1967) such as: the dorsal plate of segment 2 can be small, widely separated, covered by the posterior end of the lateral processes of the cephalothorax and not always extending to the posterior border of the plates of segment 3; and the rami of legs 3 can be 2-segmented.

Background: Two large-scale phase III clinical trials, the Efficacy and Safety of Subcutaneous Enoxaparin in Non-Q-wave Coronary Events (ESSENCE) trial and the Thrombolysis in Myocardial Infarction (TIMI) 11B study, have shown the low-molecular-weight heparin, enoxaparin, to be more effective than unfractionated heparin (UFH) in reducing the risk of death and severe cardiac events in patients with rest unstable angina and/or non-ST-segment elevation myocardial infarction (NSTEMI). However, patients with NSTEMI acute coronary syndromes are a heterogeneous group.