First record of the coypu Myocastor coypus (Molina, 1782)for the Arthur Thomas Municipal Park in themunicipality of Londrina, Paraná / Primeiro registro de ratão-do-banhado Myocastor coypus(Molina, 1782) para o Parque Municipal ArthurThomas no município de Londrina, Paraná

Myocastor coypus (coypu or nutria) is considered one of the 100 worst invasive species in the world due to its risk to local wildlife, such as waterfowl, zoonotic risks, and environmental damage, such as riverbank erosion, arising from its habit of constructing burrows along the edge of water bodies. The presence of M. coypus is already known locally in the municipality of Londrina based on records at Igapó Lake. This paper presents the first record of M. coypus in Arthur Thomas Municipal Park, a Conservation Unit of Integral Protection located in the urban area of Londrina. The records were obtained through direct observation of one live individual and one carcass during campaigns to monitor medium and large mammals. Subsequently, ten records were obtained using camera traps, of unknown gender, located near waterbodies. We emphasize the need for continuous fauna monitoring in conservation units to detect and verify potential increases in invasive alien species populations that can result in environmental damage.

A espécie Myocastor coypus (ratão-do-banhado) é considerada uma das 100 piores espécies invasoras do mundo por representar risco para a fauna local, como aves aquáticas, e risco de zoonoses, além de causar danos ambientais, como desbarrancamento de encostas de rios, devido ao seu hábito de construção de tocas nas margens de corpos d'água. A presença de M. coypus já é conhecida localmente no município de Londrina a partir de registros no Lago Igapó. Assim, este estudo apresenta o primeiro registro de M. coypus no Parque Municipal Arthur Thomas, uma Unidade de Conservação de Proteção Integral localizada na zona urbana de Londrina. Os registros foram obtidos através da observação direta de um indivíduo vivo e uma carcaça durante campanhas de monitoramento de mamíferos de médio e grande porte. Posteriormente foram obtidos dez registros por armadilha fotográfica de indivíduos de sexo desconhecido, próximos a corpos d'água. Enfatiza-se a necessidade do monitoramento contínuo da fauna em áreas de conservação para a detecção do potencial aumento na população de espécies exóticas e invasoras que podem causar severos danos ambientais.

Importancia cultural de la flora empleada por la comunidad nativa Asheninka Sheremashe, Ucayali, Perú / Cultural importance of the flora used by the Asheninka Sheremashe native community, Ucayali, Peru

The cultural significance of the flora used by the native Asheninka Sheremashe community in Ucayali, Peru was determined. To do this, a fieldwork of over 4 months was conducted, involving semi-structured interviews with 106 residents through non-probabilistic convenience sampling. The community utilizes 139 plant species in their daily lives, belonging to 120 genera and 52 families, with the most abundant being Fabaceae, Arecaceae, Malvaceae, Solanaceae, Poaceae, and Rutaceae. Furthermore, 25.9% of the species are of significant importance to theinhabitants according to the Cultural Index (CI), such as Manihot esculenta, Theobroma cacao, Bixa orellana, Musa paradisiaca, Ficus insipida, among others. It can be concluded that the flora plays a prominent role in the life of the community, with the categories reporting the highest number of species being: food (29.35%), medicine (28.36%), culture (9.95%), construction (9.45%), lumber (6.97%), commerce (3.48%), craftsmanship (2.49%), toxic (2.49%), and other uses (7.46%)

Se determinó la importancia cultural de la flora empleada por la comunidad nativa Asheninka Sheremashe, en Ucayali, Perú. Para ello, se realizó un trabajo de campo de más de 4 meses, donde se aplicaron entrevistas semiestructuradas a 106 habitantes mediante un muestreo no probabilístico por conveniencia. La comunidad emplea 139 especies vegetales en su día a día, pertenecientes a 120 géneros y 52 familias; siendo las más abundantes las Fabaceae, Arecaceae, Malvaceae, Solanaceae, Poaceae y Rutaceae. Además, el 25.9% de las especies tiene gran importancia para los pobladores según el Índice Cultural (IC): Manihot esculenta, Theobroma cacao, Bixa orellana, Musa paradisiaca, Ficus insipida, entre otras. Se concluye que la flora tiene un rol preponderante en la vida de la comunidad, siendo las categorías que presentaron mayor reporte de especies: alimentación (29.35%), medicina (28.36%), cultura (9.95%), construcción (9.45%), aserrío (6.97%), comercio (3.48%), artesanía (2.49%), tóxico (2.49%) y otros usos (7.46%)

The Efficacy of Continuous Retrograde Cardioplegia for Mitral Annuloplasty in a Case with Total Obstruction at Both Orifices of the Native Coronary Arteries / 日本心臓血管外科学会雑誌

A 75-year-old male with a previous history of coronary artery bypass grafting (LITA-LAD, RITA-RA-4PD-14PL) was referred to our hospital for congestive heart failure. Cardiac workup revealed severe ischemic mitral regurgitation which required surgical correction. His preoperative coronary arterial computed tomography demonstrated total occlusion of both orifices of the native coronary arteries, and the complete dependence of his myocardial blood supply on the patent bypass grafts without any evidence of ischemia. Therefore, antegrade cardioplegia could not be applied for cardiac protection during the procedure. Continuous retrograde cardioplegia was planned to be applied in a case where both arterial grafts could be dissected and clamped whereas systemic hyperkalemia and mild hypothermia would be applied in case where the clamp would be impossible. Intraoperatively, both arterial grafts could be dissected and clamped and we performed mitral annuloplasty and tricuspid annuloplasty using continuous retrograde cardioplegia. The patient could be weaned off cardiopulmonary bypass without difficulty, and his postoperative course was uneventful. We conclude that continuous retrograde cardioplegia is a safe and viable option, especially when antegrade cardioplegia is not securely delivered due to an occluded coronary ostia.

Morphophysiological changes of Acca sellowiana (Myrtaceae: Myrtoideae) saplings under shade gradient

Abstract Understanding morphological and physiological changes under different light conditions in native fruit species in juveniles stage is important, as it indicate the appropriate environment to achieve vigorous saplings. We aimed to verify growth and morphophysiological changes under shade gradient in feijoa (Acca sellowiana (O. Berg) Burret) to achieve good quality saplings adequate to improve cultivation in orchards. The saplings were grown for twenty-one-month under four shading treatments (0%, 30%, 50%, and 80%). Growth, photosynthetic pigments, gas exchanges, chlorophyll fluorescence, and leaf anatomy parameters were evaluated. Saplings under full sun and 30% shade had higher height and diameter growth and dry mass accumulation due to higher photosynthesis rate. As main acclimatization mechanisms in feijoa saplings under 80% shade were developed larger leaf area, reduced leaf blade thickness, and enhanced quantum yield of photosystem II. Even so, the net CO2 assimilation and the electron transport rate was lower and, consequently, there was a restriction on the growth and dry mass in saplings under deep shade. Therefore, to obtain higher quality feijoa saplings, we recommend that it be carried out in full sun or up to 30% shade, to maximize the sapling vigor in nurseries and, later, this light environment can also be used in orchards for favor growth and fruit production.

Resumo A verificação de mudanças morfológicas e fisiológicas sob diferentes condições luminosas em espécies frutíferas nativas em estágio juvenil é importante, uma vez que indicam o ambiente adequado para a formação de mudas com alto vigor. Objetivou-se verificar o crescimento e as alterações morfofisiológicas sob gradiente de sombreamento em mudas de feijoa (Acca sellowiana (O. Berg) Burret) para obter mudas de boa qualidade, adequadas para fomentar os plantios da espécie em pomares. As mudas foram cultivadas por vinte e um meses sob quatro tratamentos de sombreamento (0%, 30%, 50% e 80%). Foram avaliados parâmetros de crescimento, pigmentos fotossintéticos, trocas gasosas, fluorescência da clorofila e anatomia foliar. Mudas a pleno sol e 30% de sombra apresentaram maior crescimento em altura, diâmetro e acúmulo de massa seca, devido à maior taxa de fotossíntese. Como principais mecanismos de aclimatação sob 80% de sombra, as mudas desenvolveram maior área foliar, redução da espessura do limbo foliar e aumento do rendimento quântico do fotossistema II. Mesmo assim, a assimilação líquida de CO2 e a taxa de transporte de elétrons foram menores e, consequentemente, houve restrição ao crescimento e acúmulo de massa seca das mudas no maior nível de sombreamento. Portanto, para a obtenção de mudas de feijoa de maior qualidade, recomendamos que seja realizada a pleno sol ou até 30% de sombra, para maximizar o vigor das mudas em viveiros e, posteriormente, este ambiente de luz também pode ser utilizado em pomares para favorecer o crescimento e a produção de frutos.

Morphophysiological changes of Acca sellowiana (Myrtaceae: Myrtoideae) saplings under shade gradient / Alterações morfofisiológicas em mudas de Acca sellowiana (Myrtaceae: Myrtoideae) sob gradiente de sombreamento

Abstract Understanding morphological and physiological changes under different light conditions in native fruit species in juveniles' stage is important, as it indicate the appropriate environment to achieve vigorous saplings. We aimed to verify growth and morphophysiological changes under shade gradient in feijoa (Acca sellowiana (O. Berg) Burret) to achieve good quality saplings adequate to improve cultivation in orchards. The saplings were grown for twenty-one-month under four shading treatments (0%, 30%, 50%, and 80%). Growth, photosynthetic pigments, gas exchanges, chlorophyll fluorescence, and leaf anatomy parameters were evaluated. Saplings under full sun and 30% shade had higher height and diameter growth and dry mass accumulation due to higher photosynthesis rate. As main acclimatization mechanisms in feijoa saplings under 80% shade were developed larger leaf area, reduced leaf blade thickness, and enhanced quantum yield of photosystem II. Even so, the net CO2 assimilation and the electron transport rate was lower and, consequently, there was a restriction on the growth and dry mass in saplings under deep shade. Therefore, to obtain higher quality feijoa saplings, we recommend that it be carried out in full sun or up to 30% shade, to maximize the sapling vigor in nurseries and, later, this light environment can also be used in orchards for favor growth and fruit production.

Resumo A verificação de mudanças morfológicas e fisiológicas sob diferentes condições luminosas em espécies frutíferas nativas em estágio juvenil é importante, uma vez que indicam o ambiente adequado para a formação de mudas com alto vigor. Objetivou-se verificar o crescimento e as alterações morfofisiológicas sob gradiente de sombreamento em mudas de feijoa (Acca sellowiana (O. Berg) Burret) para obter mudas de boa qualidade, adequadas para fomentar os plantios da espécie em pomares. As mudas foram cultivadas por vinte e um meses sob quatro tratamentos de sombreamento (0%, 30%, 50% e 80%). Foram avaliados parâmetros de crescimento, pigmentos fotossintéticos, trocas gasosas, fluorescência da clorofila e anatomia foliar. Mudas a pleno sol e 30% de sombra apresentaram maior crescimento em altura, diâmetro e acúmulo de massa seca, devido à maior taxa de fotossíntese. Como principais mecanismos de aclimatação sob 80% de sombra, as mudas desenvolveram maior área foliar, redução da espessura do limbo foliar e aumento do rendimento quântico do fotossistema II. Mesmo assim, a assimilação líquida de CO2 e a taxa de transporte de elétrons foram menores e, consequentemente, houve restrição ao crescimento e acúmulo de massa seca das mudas no maior nível de sombreamento. Portanto, para a obtenção de mudas de feijoa de maior qualidade, recomendamos que seja realizada a pleno sol ou até 30% de sombra, para maximizar o vigor das mudas em viveiros e, posteriormente, este ambiente de luz também pode ser utilizado em pomares para favorecer o crescimento e a produção de frutos.

Dents natales et néonatales, quelle prise en charge: revue systématique de littérature / Natal and neonatal teeth, which management: systematic literature review

Les dents « natales et néo natales ¼ sont des phénomènes rares mais assez bien documentées dans la littérature. Ces dents apparaissent avant l'âge de l'éruption dentaire et sont à l'origine de nombreuses complications. Leur prise en charge est donc une priorité absolue afin de maintenir un état buccal compatible avec les besoins physiologiques du nouveau-né. A cet égard, de nombreux traitements ont été décrits. Objectif : faire le point sur la prise en charge des dents natale et néo natale afin de mieux comprendre et exploiter les modalités thérapeutiques de ce phénomène décrit comme « rare ¼. Les dents natales et néo natales ont longtemps suscité de nombreuses interrogations quant à leurs étiologies, leurs diagnostics et leurs prises en charge. Que ce soit le médecin pédiatre ou le médecin dentiste, l'implication diagnostique et thérapeutique relève de l'unanimité et la collaboration actives entre les équipes médicales. Le traitement allant d'un simple polissage à l'extraction de la dent natale ou néo natale, il est judicieux d'instaurer une thérapeutique adaptée à la situation clinique tout en sensibilisant les parents de l'importance d'un suivi clinique et radiologique de l'état bucco-dentaire de l'enfant présentant cette anomalie particulièrement rare et pouvant être associée à un état pathologique d'ordre général.

"Natal and neonatal" teeth are rare phenomena but fairly well documented in the literature. These teeth appear before the age of dental eruption and are the cause of many complications. Their management is therefore an absolute priority in order to maintain an oral condition compatible with the physiological needs of the newborn. In this regard, many treatments have been described. Aim: to review the management of natal and neonatal teeth in order to better understand and achieve the best therapeutic modalities of this phenomenon described as "rare". Natal and neonatal teeth have long raised many questions about their etiologies, their diagnosis and their treatment. Whether it is the pediatrician or the dentist, the diagnosis and the treatment involvement is based on unanimity and active collaboration between the medical teams. The treatment, ranging from a simple polishing to the extraction of the natal or neonatal tooth, it is wise to establish a therapy adapted to the clinical situation while sensitizing the parents of the importance of a clinical and radiological follow-up of the oral condition of the child with this particularly rare anomaly and which may be associated with a general pathological condition

Endocarditis infecciosa de válvula nativa: factores asociados a resultados adversos / Mortality predictors in patients with native valve infec tive endocarditis

Resumen Introducción : La mortalidad de la endocarditis infec ciosa (EI) en Argentina continúa siendo elevada. El obje tivo del trabajo fue describir las características clínicas e identificar factores asociados a mortalidad en pacientes con EI de válvula nativa. Métodos : Estudio de cohorte retrospectiva que inclu yó pacientes adultos con diagnóstico de EI de válvula nativa internados durante 2011-2021. Resultados : Se incluyeron 129 pacientes con una edad promedio de 66±17 años. El organismo responsa ble más frecuente (38.8%, n = 50) fue el Staphylococcus aureus (SA). El 63.6% presentó criterios de indicación quirúrgica. La mortalidad durante la internación fue del 22.5%. En el análisis multivariado que incluyó índice de comorbilidad Charlson, infección por SA y la presencia de criterios de indicación quirúrgica, se observó un OR ajustado de mortalidad de 1.32 (IC95% 1.10-1.57; p = 0.003), 2.75 (IC95% 1.11-6.8; p = 0.028) y 4.14 (IC95% 1.34-12; p = 0.013), respectivamente. En el análisis mul tivariado para mortalidad alejada que agregó el criterio quirúrgico y la realización de cirugía durante la inter nación, se observó un OR ajustado de 1.62 (IC95% 1.31- 2.00; p < 001), 0.77 (IC95% 0.31-1.93; p = 0.58), 7.49 (IC95% 2.07-27.07; p = 0.002) y 0.21 (IC95% 0.06-0.70; p = 0.01), respectivamente. Conclusiones : La mortalidad de la EI se asoció al grado de comorbilidad previa, a la forma de presenta ción y, en relación inversa, a la realización oportuna del tratamiento quirúrgico.

Abstract Introduction : Mortality of infective endocarditis (IE) in Argentina continues to be high. The aim objective was to describe the clinical characteristics and identify factors associated with in-hospital and long-term mortality in patients with native valve IE. Methods : Retrospective cohort study including adult patients with diagnosis of native valve IE, hospitalized during 2011-2021. Results : A total of 129 patients with a mean age of 66±17 years were included. The most frequent respon sible organism was Staphylococcus aureus (SA) (38.8%). Surgical indication criteria were present in 63.6% of the patients. Mortality during hospitalization was 22.5% .In the multivariate analysis that included Charlson comorbidity index, SA infection and the presence of surgical indication criteria, an adjusted OR of mor tality of 1.32 (95%CI 1.10-1.57; p = 0.003), 2.75 (95%CI 1.11-6.8; p = 0.028) and 4.14 (95%CI 1.34-12; p = 0.013), respectively, was observed. In the multivariate analysis for long term mortality, that added surgical indication criteria and the performance of surgery during hospitalization, an adjusted OR of 1.62 (CI95% 1.31-2.00; p<001), 0.77 (95%CI 0.31-1.93; p = 0.58), 7.49 (95%CI 2.07-27.07; p = 0.002) and 0.21 (95%CI 0.06-0.70; p = 0.01), respec tively, was observed. Conclusions : Mortality in IE was associated with the degree of previous comorbidity, with the presence of surgical indication criteria and, inversely, with the timely completion of surgical treatment.

Identificación y selección de Saccharomyces cerevisiae nativas para mejorar el proceso productivo del Pisco a partir de uva Quebranta

El Pisco es el destilado del Perú, elaborado a partir de mostos recientemente fermentados con uvas criollas denominadas "pisqueras". Las levaduras son los microorganismos clave en la fermentación y el uso de cepas nativas seleccionadas presenta ventajas competitivas para la tipicidad del producto, así como también para la estandarización del producto y el control microbiológico del proceso. El objetivo fue identificar y seleccionar las cepas de levaduras nativas para la producción del Pisco de uva Quebranta aisladas de procesos productivos de Pisco en el valle de Ica. Para ello, se emplearon técnicas microbiológicas y moleculares mediante el análisis de ITS1-5.8S-ITS2 PCR-RFLP para la identidad taxonómica. La evaluación de las cepas para producir Pisco consistió en el análisis fisicoquímico y organoléptico del destilado obtenido con las cepas seleccionadas. Se evaluaron 3 aislados para la producción de Pisco identificados como Saccharomyces cerevisiae: UNA SC - 25, UNA SC - 49 y UNA SC - 54, de los cuales la cepa UNA SC-49 destacó por mostrar aptitudes enológicas diferentes a las otras cepas. Este trabajo constituye el primer registro de levaduras nativas del Perú para mostos procedentes de uva Quebranta.

El Pisco stands as Peru's distilled spirit, crafted from recently fermented musts derived from native grape varieties known as "pisqueras". Yeasts serve as decisive microorganisms in the fermentation process, and the utilization of selected native strains confers competitive advantages for product typicity, standardization, and microbiological control within the production process. The aim was to identify and select native yeast strains for Quebranta grape Pisco production, isolated from Pisco production processes in the Ica Valley. Microbiological and molecular techniques were employed, utilizing ITS1-5.8S-ITS2 PCR-RFLP analysis for taxonomic identification. The assessment of yeast strains for Pisco production involved the physicochemical and organoleptic analysis of the distilled product obtained using the selected strains. Three isolates were evaluated for Pisco production, identified as Saccharomyces cerevisiae: UNA SC - 25, UNA SC - 49, and UNA SC - 54. Among these, the UNA SC-49 strain stood out due to displaying oenological characteristics distinct from the other strains. This work is the first documentation of native yeasts in Peru for musts derived from Quebranta grapes.

Introducción a cultivo de vitroplantas de "Peperina de las Lomas" (Hedeoma multiflora Benth) como contribución para su conservación ex situ / Field establishment of vitroplants of "Peperina de las Lomas" (Hedeoma multiflora Benth) as a contribution to its ex situ conservation

Hedeoma multiflora Benth. (Lamiaceae) is an aromatic-medicinal species native to Argentina, Uruguay and southern Brazil that is in a state of vulnerability due to overexploitation. It is used in the preparation of flavored yerba mate and in popular medicine, mainly in abdominal conditions. The objective of this work was to adjust the micropropagation technique, study the field behavior of vitroplants, compare the seeds generated and close their cultivation cycle. Different concentrations of growth regulators were evaluated on Murashige-Skoog medium. The implantation was successful. There are no differences between the evaluated plants. It was possible to efficiently close the complete cycle in vitro, with 100% survival, flowering and production of viable seeds. This methodology will serve for its introduction to the field, subsequent domestication, reintroduction into its natural environment and mitigate the process of degradation of the populations.

Hedeoma multiflora Benth. (Lamiaceae) es una especie aromatico-medicinal nativa de Argentina, Uruguay y sur de Brasil que se encuentra en estado de vulnerabilidad debido a la sobreexplotación. Es utilizada en la elaboración de yerba mate saborizada y en medicina popular, principalmente en afecciones abdominales. El objetivo de este trabajo fue ajustar la técnica de micropropagación, estudiar el comportamiento a campo de vitroplantas, comparar las semillas generadas y cerrar su ciclo de cultivo. Se evaluaron diferentes concentraciones de reguladores de crecimiento sobre medio de cultivo Murashige-Skoog. La implantación se realizó exitosamente, sin deterioro ni muerte de las plantas. No existen diferencias entre las plantas evaluadas. Se logró cerrar eficientemente el ciclo completo in vitro, con un 100% de supervivencia, floración y producción de semillas viables. Esta metodología servirá para su introducción a campo, posterior domesticación, reintroducción en su ambiente natural y mitigar el proceso de degradación de las poblaciones.

Cacería para autoconsumo durante la pandemia de COVID-19: el caso de las comunidades Matsigenkas del Parque Nacional del Manu

En este trabajo, se hipotetiza el periodo de aislamiento, la inmovilización y la migración inversa que sucedidos durante la pandemia del COVID-19 (años 2020 y 2021) incrementaron la capacidad de caza de las comunidades Matsigenkas asentadas en el Parque Nacional del Manu (PN Manu). Para esto, evaluamos los cambios en los patrones del volumen de extracción de la caza a través de un monitoreo participativo utilizando el modelo de monitoreo de la intensidad de cacería. Se evidenció que hubo un incremento de la capacidad de caza de las comunidades nativas. Los volúmenes más altos de extracción y el mayor incremento del número de cazadores, esfuerzo y área de cacería se dieron en el periodo 2020 - 2021, cuando las medidas de aislamiento e inmovilización fueron establecidas. Sin embargo, hubo una disminución de los indicadores para la temporada 2021 - 2022, año en que se flexibilizaron las medidas de aislamiento y se dio la reactivación económica, permitiendo que las personas retornaran a sus actividades económicas y educativas fuera del PN Manu. Se debe considerar que los efectos de solo un año de pandemia sobre los medios de subsistencia de las comunidades pudieron afectar la abundancia de la fauna silvestre, donde el mono maquisapa y mono choro (especies vulnerables) tuvieron altos incrementos de extracción. Por otro lado, nuestros resultados indicarían que el buen estado de conservación del PN Manu permitió la provisión de alimentos a las comunidades durante la pandemia. Se recomienda la planificación de programas que mitiguen los efectos negativos de pandemias o eventos semejantes, además se señala la importancia de medir el grado de resiliencia de las principales especies de caza, ya que el incremento de caza también podría tener efectos sobre la seguridad alimentaria de estas comunidades.

In this work, we hypothesize that the period of isolation, immobilization, and reverse migration that occurred during the COVID-19 pandemic (years 2020 and 2021) increased the hunting capacity of the Matsigenka communities settled in Manu National Park (PN Manu). To evaluate this, we assessed changes in hunting volume patterns through participatory monitoring using the hunting intensity monitoring model. It was evident that there was an increase in the hunting capacity of Matsigenka communities. The highest extraction volumes and the greatest increase in the number of hunters, hunting effort, and hunting area occurred in the 2020-2021 period, the year in which isolation and immobilization measures were established. However, there was a decrease in the indicators for the 2021-2022 period, the year in which isolation measures were relaxed and economic reactivation occurred, allowing people to return to their economic and educational activities outside PN Manu. It should be considered that the effects of only one year of the pandemic on the livelihoods of the communities could have affected the abundance of wildlife, with vulnerable species such as maquisapa monkeys and choro monkeys experiencing high extraction rates. On the other hand, our results indicate that the good conservation status of PN Manu provided food provisions for the communities during the pandemic. Planning programs to mitigate the negative effects of pandemics or similar events is recommended, and the importance of measuring the resilience of key hunting species is emphasized, as increased hunting could also have effects on the food security of these communities.

Concomitant Transcatheter Transfemoral Double Native Valve Replacement for Severe Aortic Stenosis and Severe Mitral Stenosis with Mitral Annular Calcification

Concomitant mitral and aortic valve stenosis in a patient with mitral annular calcification and porcelain aorta poses a unique problem to the surgical team. Transcatheter aortic and mitral valve replacements in native valves offer a viable option for such selected group of patients. We present the case of a 54-year-old male who presented with severe aortic stenosis (AS) and severe mitral stenosis (MS) but was deemed high risk for surgery owing to intense calcification of the aorta and mitral annular calcification, and successfully underwent transcatheter double native valve replacement.

Antibiotic management of native mitral valve infectious endocarditis in patient with unaffected prosthetic aortic valve: A case report

Infectious endocarditis is a rare but feared condition, most frequently caused by Staphylococcus aureus. We describe the case of an 81-year-old male patient presenting with intermittent fever and dyspnea. Cardiac evaluation with transthoracic echocardiogram showed the presence of heart failure with suspicion of endocarditis. Consequently, a transesophageal echocardiogram demonstrated vegetation on the native mitral valve with an unaffected prosthetic aortic valve. Blood cultures were positive for S. aureus. Literature concerning endocarditis originating from a native valve in patients with a prosthetic valve is limited. We applied a new treatment scheme consisting of intravenous floxapen 12 g/24 h in a continuous infusion combined with intravenous rifampicin 2×300 mg daily for a duration of 6 weeks resulting in complete regression of the vegetation. In addition, we were successful in preventing disease propagation to the prosthetic valve. There is a need for more adequate research to prove the prophylactic benefit of this treatment.valve

The first serological detection of West Nile virus infection among residents living in northern Turkey

Background & objectives: West Nile virus (WNV) is transmitted by a mosquito-borne virus whose natural reservoir is birds. Humans and horses are considered accidental hosts. Even if the vast majority of WNV infections in humans have asymptomatic or mild disease settings, serious neurological disorders with lethal outcomes can also be observed in around 1% of the cases. We aimed to serologically investigate the presence of WNV in humans living in Black sea of Turkey, and to obtain epidemiological data that will contribute to the implementation of public health policies to control and prevent potentially other life-threatening arboviral infections. Methods: In the current study, a total of 416 human sera were collected from native patients of Samsun and its boroughs attending Samsun Training and Research Hospital; these sera were tested for WNV with pooling method, using anti-IgM and IgG ELISA commercial kits. All pools that were found positive for both IgM and IgG were individually retested for the detection of positive WNV sera. After that, all positive samples were tested using realtime PCR to detect the presence of WNV-RNA particles. Results: Total seropositivity rates of WNV in terms of IgM and IgG were found as 0.96% and 0.72%, respectively. No presence of WNV-RNA could be detected in positive samples. Interpretation & conclusion: According to the data, further studies should be conducted to better understand the epidemiological dynamics of WNV in Turkey. It is recommended that other antigenically related flaviviruses which can give cross-reaction with WNV should also be investigated.

Construction of a medical data security system based on domestic cloud native technology / 现代医院

Medical data involves patients'privacy and is an important factor in the healthcare of our nation's people.However,in recent years,with a serious of development trends such as mobile office and cloud-based storage of medical data,the risk of data leakage has further increased.In order to effectively deal with this phenomenon and ensure the security of patients'medical data to the greatest extent,Shantou Central Hospital has established a medical data security system in both managerial and technological dimensions through domestic Cloud Native technology to achieve the security control of the total life-cycle of data,providing a practical application-level solution for the construction of a systematic data security system.

Recent progress of protein glycosylation characterization utilizing native conformer-resolved mass spectrometry / 中国药科大学学报

@#Glycosylation of proteins, one of the most prevalent and complex post-translational modifications occurring in nature, plays a crucial role in regulating protein net charge, conformation, binding properties and, ultimately, biological function.Traditional structural techniques are not amenable for glycoproteins due to the inherent heterogeneity of oligosaccharides.With the advances in analytical technique, mass spectrometry displays an increasingly crucial role in elucidating the structure of glycoproteins.Mass spectrometry-based proteomic technique can dissect the chemical composition and site information of low-abundance glycosylation at the peptide level.Instead, native mass spectrometry (nMS) can analyze intact glycoproteins while maintaining the information for glycan heterogeneity, and the insights into the regulatory effects of glycosylation on protein higher order structures and interactions with other proteins or ligands.As a representative structural mass spectrometry tool, ion mobility-based nMS strategy is powered by its conformer-resolving capability and by the feasibility of conformer manipulation through collision-induced unfolding.Consequently, native IM-MS analysis can provide rich information of dynamic protein conformations, allowing for the rapid identification and differentiation of protein isoforms in an unprecedented manner.In this review, we briefly introduced two emerging native IM-MS analytical modes, dynamic conformer-resolving mode and glycoform-resolving mode.Besides, we also discussed the recent progress of conformational and topological characterization of intact glycoproteins with three typical model systems based on two above-mentioned emerging modes of native IM-MS.

Application of biological mass spectrometry in quality control of adeno-associated virus carrier preparations / 中国药科大学学报

@#Adeno-associated virus (AAV) is a common viral vector used in gene therapy.Because of its high safety and its ability to target a variety of cells, it has been widely used in preclinical and clinical studies.However, during the design and production, AAV vectors have many key quality attributes that affect their safety and efficacy.The development and application of biological mass spectrometry technology provides a convenient platform for the research on biological macromolecules, especially in the aspects of protein sequence, structure and interaction.For AAV vectors, mass spectrometry can facilitate the determination or characterization of capsid protein ratio, post-translational modification, serotype, and empty capsid ratio, thus assisting in the quality control of AAV vectors.Compared with the existing methods, mass spectrometry has the advantages of smaller amount of sample size, faster and more sensitive analysis, being more suitable for the analysis of complete AAV vectors with higher mass resolution, and can distinguish empty capsids, full capsids and partial capsids.In the future, mass spectrometry technology is expected to play a more important role in the design and production of AAV vectors through the coupling of more efficient protein separation technology with mass spectrometry, the development of new information processing software platforms and new mass spectrometry detection techniques.

Design of Information System for Whole Life Cycle Management of Medical Equipment / 中国医疗器械杂志

OBJECTIVE@#In order to record the whole life process information of medical equipment and improve the management efficiency, this study proposes an informatization scheme for the whole life cycle management of medical equipment.@*METHODS@#Relying on cloud-native, based on the software architecture of front-end and back-end separation, a mode of sub-account and sub-authority management of medical equipment was designed to integrate maintenance work orders, operation reports and other functions, and manage medical equipment data in a structured and platform-based manner.@*RESULTS@#Comparing the equipment failure rate, maintenance response time, and average inventory time per device before and after the system operation, the differences are statistically significant (P<0.05).@*CONCLUSIONS@#The system can realize the work collaboration of maintenance engineers, equipment users, and equipment management personnel, and can trace the information of the whole life cycle of the equipment.

Rediscovery of presumably extinct species of Aristida in São Paulo State, Brazil / Redescoberta de espécies presumivelmente extintas de Aristida no estado de São Paulo, Brasil

Abstract Two species of Poaceae (Aristidoideae) Aristida ekmaniana Henrard and A. macrophylla Hack. considered "presumably extinct" in the Brazilian state of São Paulo were rediscovered during fieldwork. We hereby describe the location, ecosystem, and habitat type where the species were found. We suggest these grasses be removed from the list of extinct species and be placed in a category compatible with the current knowledge about their conservation status in the state of São Paulo.

Resumo Duas espécies de Poaceae (Aristidoideae), Aristida ekmaniana Henrard e A. macrophylla Hack., consideradas "presumivelmente extintas" no estado de São Paulo, Brasil, foram redescobertas durante trabalho em campo. Descrição, ilustração e observações ecológicas são apresentadas, incluindo locais de observação, ecossistemas e habitats. Sugerimos a revisão do status de conservação das espécies no estado de São Paulo.

Fish fauna of the São Francisco River Interbasin Water Transfer reservoirs / Ictiofauna dos reservatórios do Projeto de Integração do Rio São Francisco

Abstract Artificial impoundments are frequently built to mitigate the water scarcity in the drylands such as the Caatinga region in Brazil. The São Francisco Interbasin Water Transfer (SF-IWT) megaproject implemented many artificial reservoirs for that purpose. A checklist of fish species from the SF-IWT reservoirs is provided based on samples from eight years of monitoring. The collections were conducted semiannually at 28 reservoirs divided into three groups: the East Axis, North Axis, and Agreste Branch. The SF-IWT reservoirs presented a total of 47 species, 46 were recorded in the North Axis, 27 in the East Axis, and only seven in the Agreste Branch. Characids and cichlids represented most of the species. The three analyzed groups of reservoirs presented distinct communities and the reservoirs' age, richness and abundance were relevant variables responsible for fish composition. The SF-IWT reservoirs present a diverse and heterogeneous ichthyofauna, typical of lentic environments. The main colonizers of the SF-IWT reservoirs were fish from the São Francisco donor basin, invasive species anthropically released in those sites, and eventual species from the surrounding receiving basins. As the accumulation curves suggested, a continuous effort could reveal additional species, patterns in long-term colonization, and contribute to data on the reservoirs' future stabilization phase. Since invasive species were present in most reservoirs, along with donor-basin native species with potential to disperse to the receiving basins, a continuous and detailed monitoring is key for management planning and possible impacts assessment.

Resumo Barramentos artificiais são comumente construídos para mitigar a escassez hídrica em áreas semiáridas como a região da Caatinga brasileira. O Projeto de Integração do Rio São Francisco (PISF) com Bacias Hidrográficas do Nordeste Setentrional implementou muitos reservatórios artificiais com este propósito. Uma lista de espécies de peixes dos reservatórios do PISF foi obtida após amostragens realizadas em oito anos de monitoramento. As campanhas foram realizadas semestralmente em 28 reservatórios divididos em três grupos: Eixo Leste, Eixo Norte e Ramal do Agreste. Os reservatórios amostrados apresentaram um total de 47 espécies, 46 delas foram registradas no Eixo Norte, 27 no Eixo Leste e apenas sete no Ramal do Agreste. Characidae e Cichlidae foram as famílias mais representativas. Os três grupos de reservatórios analisados apresentaram comunidades distintas e a idade, a riqueza e a abundância de cada reservatório foram as variáveis que mais influenciaram a composição das espécies de peixes. Os reservatórios do PISF apresentaram uma ictiofauna diversa e heterogênea, característica de ambientes lênticos. Os principais colonizadores dos reservatórios do PISF foram peixes da bacia doadora do São Francisco, espécies invasoras antropicamente liberadas nesses locais e eventuais espécies das bacias receptoras do entorno. De acordo com o resultado das curvas de acúmulo, um esforço contínuo poderia revelar espécies adicionais, padrões na colonização em longo prazo e contribuir com dados para a fase futura de estabilização dos reservatórios. Visto que espécies invasoras estiveram presentes em quase todos os reservatórios, juntamente com espécies nativas da bacia doadora com potencial de dispersão para as bacias receptoras, um monitoramento continuo e detalhado é essencial para o planejamento de manejo e avaliação de impactos.

Diversidad específica y taxonómica de la ictiofauna del Río Amacuzac, Morelos, México / Specific and taxonomic diversity of the ichthyofauna of the Amacuzac River, Morelos, Mexico

Resumen Introducción: La diversidad de una comunidad biológica es el resultado de procesos ecológicos e históricos, los cuales, analizados en conjunto, producen una mejor comprensión de las causas que la generan. Objetivo: Actualizamos y analizamos la diversidad específica y taxonómica de la ictiofauna del río Amacuzac, México. Métodos: Durante cinco temporadas de muestreo (2019-2020), recolectamos peces de diez sitios en el río y aplicamos un análisis de conglomerados a las variables del hábitat. Resultados: Recolectamos 7 638 individuos, siete de especies nativas y nueve no nativas, incluyendo Copadichromis borleyi, un nuevo registro para el Amacuzac. La riqueza por sitio osciló entre ocho y 13 especies. Las variables del hábitat definieron cuatro grupos. Las especies más abundantes fueron: Poeciliopsis gracilis, Poecilia maylandi y Amatitlania nigrofasciata. Las especies menos abundantes fueron: Pterygoplichtys pardalis, Ilyodon whitei, Copadichromis borleyi e Ictalurus punctatus. Las especies más relevantes fueron: A. nigrofasciata, Amphilophus istlanus, Andinoacara rivulatus, Notropis boucardi, Oreochormis sp., P. maylandi, P. gracilis y Thorichthys maculipinis. Las especies más restringidas fueron: Atherinella balsana, C. borleyi e I. punctatus. Conclusiones: Las especies en peligro de extinción, A. istlanus y N. boucardi, aun prevalecen en el río. Además, se muestra un aumento en el número de especies no nativas. Analizar la diversidad desde dos perspectivas, aporta una visión más completa de los cambios que se dan en el Río Amacuzac como consecuencia del establecimiento de especies, información que es importante para futuras estrategias de conservación.

Abstract Introduction: The diversity of a biological community is the result of ecological and historical processes, which, when analyzed jointly, produce a better understanding of the causes that generate it. Objective: We update and analyze the specific and taxonomic diversity of the ichthyofauna of the Amacuzac River, Mexico. Methods: During five sampling seasons (2019-2020) we collected fishes from ten sites in the river and applied a cluster analysis to habitat variables. Results: We collected 7 638 individuals; seven were native species and nine were non-native, including Copadichromis borleyi, a new record for the Amacuzac. Richness per site ranged from eight to 13 species. Habitat variables defined four groups. The most abundant species were Poeciliopsis gracilis, Poecilia maylandi and Amatitlania nigrofasciata. The least abundant species were: Pterygoplichtys pardalis, Ilyodon whitei, Copadichromis borleyi and Ictalurus punctatus. The most prevalent species were: A. nigrofasciata, Amphilophus istlanus, Andinoacara rivulatus, Notropis boucardi, Oreochormis sp., P. maylandi, P., gracilis and Thorichthys maculipinis. The most restricted species were: Atherinella balsana, C. borleyi and I. punctatus. Conclusions: Endangered species such as A. istlanus and N. boucardi are still prevalent in the river, but non-native species continue to increase. Analyzing the diversity from two perspectives provides a more complete view of the changes taking place in the Amacuzac River as a consequence of species establishment, information that is important for future conservation strategies.