The case of ischemic upper extremity disease caused by guide catheter-induced injury is rare. We present a case of right axillary artery occlusion, after percutaneous coronary intervention (PCI), treated by endovascular stent-grafting successfully.

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Large occurrence datasets provide a sizable resource for ecological analyses, but have substantial limitations. Phenological analyses in Fric et al. (2020) were misleading due to inadequate curation and improper statistics. Our reanalysis of 22 univoltine species with sufficient data for independent analysis found substantive differences in macroscale phenological patterns.

The hybrid impression technique consists of an initial alginate impression that provides a pre-operative cast upon which a diagnostic wax-up and a silicone index impression are made. This work is digitized; thus, the altered final digital impression is limited to absolute minimum time, effort and ensures comfort for the patient.

We report applications of novel high-frame rate blood speckle tracking (BST) echocardiography in a series of infants with congenital heart disease (CHD). BST echocardiography was highly feasible, reproducible, and fast. High-frame rate BST provided complimentary information to conventional color-Doppler data enhancing the visualization and understanding of anomalous blood trajectories (e.g., shunt direction, regurgitant volumes, and stenotic jets) and vortex formation. High-frame rate BST echocardiography is a new, promising imaging tool that may be helpful for deeper understanding of complex CHD physiology.

Purpose: The field of cancer nanomedicine has made significant progress, but its clinical translation is impeded by many challenges, such as the difficulty in analysing intracellular anticancer drug release by the nanocarriers due to the lack of suitable tools. Here, we propose the development of a combinatorial imaging and analysis technique to evaluate anticancer drug such as doxorubicin HCl (DOX) released by a nanocarrier inside the HCT116 colon cancer cells and its subsequent intracellular accumulation. Procedure: Fluorescent cell images were captured and subjected to combined image analysis and machine learning based procedures to assess and quantify the delivery and retention rate of DOX inside the cancer cells by multifunctional CNT-DOX-Fe3O4nanocarrier. Results: We show that DOX in HCT116 cells was higher for multifunctional CNT-DOX-Fe3O4nanocarrierthan free DOX, indicating efficient and steady release of DOX as well as superior retentive property of the nanocarrier. Initially (1 h and 4 h) the luminance intensity of DOX in the cell cytoplasm delivered by CNT-DOX-Fe3O4nanocarrier was ~0.34 times and ~0.42 times lesser than that of free DOX delivered normally. However, at 24 h and 48 h post treatment the luminance intensity of DOX for CNT-DOX-Fe3O4nanocarrier was ~1.98 times and 1.92 times higher than that of free DOX. Furthermore, the luminance intensity of DOX for CNT-DOX-Fe3O4in the whole cell was ~1.35 times and ~1.62 times higher than that of free DOX at 24h and 48 h, respectively. Conclusions: The high-throughput nature of our image analysis workflow allowed us to automate the process of DOX retention analysis, and enabled us to devise machine learning-based modeling to predict the percentage of anticancer drug retention in cells. The development of models to automatically quantify and predict intra-cellular drug release in cancer cells could benefit personalized treatments by optimizing the design of nanocarriers.

Seed dispersal by ants is an important means of migration for plants. Although many 34 myrmecochorous plants have seeds containing elaiosome, a nutritional reward for ants, some 35 non-myrmecochorous seeds without elaiosomes are also dispersed by ant species. However, the 36 mechanism by which seeds without elaiosomes enable efficient dispersal by ants is scarcely 37 investigated. The seeds of the achlorophyllous and myco-heterotrophic herbaceous plant 38 Monotropastrum humile are very small without elaiosomes and require a fungal host for 39 germination and survival. We performed a bioassay using seeds of M. humile and the ant 40 Nylanderia flavipes to demonstrate ant-mediated seed dispersal. We also analyzed the volatile 41 odors emitted from M. humile seeds and conducted bioassays using dummy seeds coated with 42 seed volatiles. Although elaiosomes were absent from the M. humile seeds, the ants carried the 43 seeds to their nests. They also carried the dummy seeds coated with the seed volatile mixture to 44 the nest, and left some dummy seeds inside the nest and discarded the rest of the dummy seeds 45 outside the nest with a bias toward locations with moisture conditions, which might be 46 conducive to germination. We concluded that seeds of M. humile were dispersed by the ants, 47 and that seed odors were sufficient to induce directed dispersal even without elaiosomes. It is 48 probable that the fleshy fruit producing genus Monotropastrum evolved from the related 49 anemochorous genus Monotropa, which produces capsule fruit. This transformation from 50 anemochory to myrmecochory presents a novel evolutionary pathway toward ant-mediated seed 51 dispersal in an achlorophyllous plant.

As with almost all data, museum collection catalogues are largely unstructured, variable in consistency and overwhelmingly composed of thin records. The form of these catalogues means that the potential for new forms of research, access and scholarly enquiry that range across multiple collections and related datasets remains dormant. In the project Heritage Connector: Transforming text into data to extract meaning and make connections, we are applying a battery of digital techniques to connect similar, identical and related items within and across collections and other publications. In this paper we describe a framework to create a Linked Open Data knowledge graph (KG) from digital museum catalogues, connect entities within this graph to Wikidata, and create new connections in this graph from text. We focus on the use of machine learning to create these links at scale with a small amount of labelled data, on a mid-range laptop or a small cloud virtual machine. We publish open-source software providing tools to perform the tasks of KG creation, entity matching and named entity recognition under these constraints.

Primary effusion lymphoma (PEL) is a distinct disease entity of large B-cell lymphomas most often occurring in immunocompromised patients. We present a rare case of extracavitary PEL primary to the bone marrow in a HIV-positive patient.

The muskrat (Ondatra zibethicus) is an iconic species in Canada, valued for both its fur and its integral role in wetland ecosystems, and widely regarded for its perseverance. However, the resilience of this semi-aquatic mammal seems to be in question now as increasing evidence points to widespread population declines. Recent analyses of harvest data across North America suggest a reduction in their numbers, but this has not been widely corroborated by population surveys. In this study we replicated historic muskrat house count surveys at two large Great Lakes coastal wetlands and present confirmation that declines in muskrat harvest correspond to actual declines in muskrat abundance. At the Point Pelee National Park marsh and the Matchedash Bay-Gray Marsh wetland we found that mean muskrat house counts declined by 93% and 91% respectively between historic surveys 40-50 years ago and contemporary surveys over the past five years. The factors responsible for these dramatic declines remain unclear but there may be a relationship with changes in the habitat quality of these wetlands that have occurred over the same time frame. Not only is the loss of muskrats an issue for the resulting loss of the wetland ecosystem services they provide, but it may be an indication of broader marsh ecosystem degradation. As such, a scarcity of muskrats should be considered a red flag for the state of biodiversity in our wetlands. Continued surveys and ongoing research are needed to shed more light on the current status of muskrat populations and their marsh habitats across their native range. Keywords: Fur harvest; Muskrat; Ondatra; Population decline; Typha; Wetlands

A 53-year-old male undergoing emergency aortic valve replacement for infective endocarditis developed a hypertensive crisis early during the operation. Suspecting a pheochromocytoma, intravenous phentolamine was immediately administered, after which the procedure was completed as scheduled. Although quite rare, a pheochromocytoma can be encountered during emergency open heart surgery, thus early recognition of abnormal blood pressure change and appropriate management are important. Here, we present details of blood pressure control mainly by phentolamine use in this case to demonstrate effective management of a hypertensive crisis during emergency cardiac surgery because of a pheochromocytoma.

Understanding where and how genetic variation is maintained within populations is important from an evolutionary and conservation perspective. Signatures of past selection suggest that pathogen-mediated balancing selection is a key driver of immunogenetic variation, but studies tracking contemporary evolution are needed to help resolve the evolutionary forces and mechanism at play. Previous work in a bottlenecked population of Seychelles warblers (Acrocephalus sechellensis) show that functional variation has been maintained at the viral-sensing Toll-like receptor 3 (TLR3) gene. Here, we characterise evolution at this TLR3 locus over a 25-year period within the original remnant population of the Seychelles warbler, and in four other derived, contained populations. Results show a significant and consistent temporal decline in the frequency of the TLR3C allele in the original population, and that similar declines in the TLR3C allele frequency occurred in all the derived populations. Individuals (of both sexes) with the TLR3CC genotype had lower survival, and males - but not females - that carry the TLR3C allele had significantly lower lifetime reproductive success than those with only the TLR3A allele. These results indicate that positive selection, caused by an as yet unknown agent, is driving TLR3 evolution in the Seychelles warblers. No evidence of heterozygote advantage was detected. However, whether the positive selection observed is part of a longer-term pattern of balancing selection (through fluctuating selection or rare-allele advantage) cannot be resolved without tracking the TLR3C allele in the populations over an extended period of time.

Abstract: 1. In our paper four events of blood sucking on human by Placobdella costata were described. 2. Human blood was sucked by both adults and juvenile specimens of P. costata. 3. The feeding strategies of juveniles under parental care are presented. 4. New data of juvenile specimens body form are presented. 5. Information on the potential role of mammals in species dispersion and habitat preferences of leeches are under consideration.

17,846 PPNs with the diamond-like topology were computationally screened to identify the optimal adsorbents for the removal of H2S and CO2 from humid natural gas based on the combination of molecular simulation and machine learning algorithms. The top-performing PPNs with the highest adsorption performance scores (APS) were identified based on their adsorption capacities and selectivity for H2S and CO2. The strong affinity between water molecules and the framework atoms has a significant impact on the adsorption selectivity of acid gases. We proposed two main design paths (LCD ≤ 4.648 Å, Vf ≤ 0.035, PLD ≤ 3.889 Å or 4.648 Å ≤ LCD ≤ 5.959 Å, ρ ≤ 837 kg·m-3) of high-performing PPNs. We also found that artificial neural network (ANN) could accurately predict the APS of PPNs. N-rich organic linkers and highest isosteric adsorption heat of H2S and CO2 are main factors that could enhance natural gas sweetening performance.

Foreign bodies’ impact in paranasal sinuses are unusual clinical conditions and most often occur in the maxillary sinus. Odontogenic sources induce maxillary sinusitis in approximately 10 to 12% of cases. Iatrogenic dental manipulation is the most common cause of foreign bodies’ impaction in the maxillary sinus.

We report the case of an undiagnosed descending aortic aneurysm, combined with coarctation and persistent left brachiocephalic truncus in a 59-years old male. This case underscores the increased necessity for aortic imaging while facing a poorly controlled hypertension, erroneously considered as of essential origin.

Commentary to JOCS-2020-OA-1345

OBJECTIVES: The primary objective of this study was to compare the therapeutic predictive value of area under the curve (AUC24) versus maximum concentration (Cmax) in cystic fibrosis (CF) patients receiving intravenous (IV) tobramycin for a Pseudomonas aeruginosa (PsA) acute pulmonary exacerbation (APE). Acute kidney injury (AKI) incidence and the relationship between time undetectable and efficacy were also assessed. METHODS: A retrospective review was conducted in patients aged at least one month with a diagnosis of CF receiving IV tobramycin for treatment of a PsA APE and admitted to the University of Kentucky between August 2015 and August 2019 . Patients were excluded if they had no growth of PsA on sputum culture or if two post-dose tobramycin levels were not obtained following a dose adjustment of ≥20%. RESULTS: A total of 44 pediatric and 107 adult patient encounters met inclusion criteria. In patients with therapeutic success (n=91), 75.8% had an AUC24 ≥80 and 80.3% had a Cmax ≥8 times the highest PsA minimal inhibitory concentration (MIC). There was a significant correlation between AUC24 and Cmax (r2 = 0.727; p<0.001). AKI incidence was significantly higher in patients receiving IV tobramycin dosed multiple times daily versus at least every 24 hours (50% versus 28.7%; p=0.047). CONCLUSIONS: The results of this study indicate that both AUC24 and Cmax serve as relatively accurate predictors of tobramycin efficacy. Additionally, given the significant increase in incidence of AKI, multi-daily dosing of IV tobramycin should be used only in select pediatric and adult patients with CF.