A right colon pouch with a novel efferent channel concept: long-term results of the Turin pouch.

PURPOSE: To report stoma stenosis rates and efferent channel (EC) complications at long term follow-up for Turin pouch (TP). METHODS: This is a retrospective analysis of the prospectively maintained database of patients who underwent TP between March 2006 and May 2018. The TP is a U-shaped right colon pouch. The EC was conceived by the tubularization of 5 cm of the colon wall with the use of a stapler and sutured to the skin (EC-cutaneostomy). The ureters are sutured separately to the last 10 cm of ileum before the ileocecal valve. In literature, catheterization problems have been described on average in 20.3% of patients and stoma stenosis in 19.5% of the patients with flap valve systems. RESULTS: Thirty-eight consecutive patients underwent a TP procedure. The median age was 55 years (IQR: 52-60). Median operative time was 201 min (IQR: 170-210), median reconstructive time was 61 min (IQR: 55-65) and the blood loss was 244 ml (IQR: 150-300) and 4 patients (10.5%) needed blood transfusions. The median follow-up was 52 months (IQR: 37-92). Complete 24h continence was achieved in 34 (89%) patients. Seven (18.4%) patients reported difficulties in EC catheterization and 4 (10.5%) patients had stoma stenosis. This study is limited by the relatively small number of patients. CONCLUSION: In relation to similar systems, the TP seems to offer comparatively good functional results but EC and stoma complications were lower than other pouch variants in literature.

Granite dust application to hemp - variety-specific impacts on growth and cannabinoid production.

The hemp industry has grown exponentially with the recent legalization of Cannabis sativa in Canada. With this new market expansion, there is an increased need for hemp plants, particularly for production of cannabinoids. Growing concerns regarding pesticide residues in commodities for human consumption, as well as global demand for fertilizer has increased consumer demand for natural products as alternatives to synthetic agrochemicals and pest management strategies. The objective of this study was to investigate the potential for using different composite granite dusts applied as soil amendments in improving C. sativa growth, and cannabinoid production (specifically, cannabidiol and cannabidiolic acid). We selected three varieties of industrial hemp with low yield production of cannabidiol (Fibranova, CFX-2, and Katani) and one variety with high yield production of cannabidiol (Cherry Blossom). Varieties were planted in potting soil amended with zero, five or ten percent granite dust mixture, and assayed for growth characteristics, and cannabinoid composition. Among tested cannabis varieties, results suggest that improvements to flower growth (> 44% mass) and cannabinoid production (> 2.5 fold or > 145%) from application of granite dust were evident in one variety of fibre hemp, CFX-2. Overall, this work suggests there may be selective benefits to soil applications of granite dust composites to improve hemp propagation, and that degree of improvement to cannabinoid production vary between varieties of hemp.

Attraction of the Larval Parasitoid Spintherus dubius (Hymenoptera: Pteromalidae) to Feces Volatiles from the Adult Apion Weevil Host.

The behavioral response of the larval parasitoid Spintherus dubius (Hymenoptera: Pteromalidae) to volatile compounds derived from its Apion weevil hosts was investigated in two-choice bioassays. Odor source candidates were the larval and adult stages of weevils, clover flowers, and feces from adult weevils. Despite S. dubius being a larval parasitoid, the odor of weevil larvae isolated from the clover flowers was not attractive to female parasitoids. Surprisingly, S. dubius females were instead attracted by the odor from the feces of adult weevils. The female parasitoids were similarly attracted to the feces produced by the two main hosts, the red clover weevil (A. trifolii) and the white clover weevil (A. fulvipes). Chemical analysis of the volatile composition of feces produced by the two hosts revealed qualitatively similar odor profiles, correlating with the observed attraction by the parasitoid towards both odor sources. Some of the identified volatile compounds are commonly present in clover plant headspace fractions and may function as a kairomone to facilitate orientation by S. dubius to Apion-infested clover flowers. Larval and adult weevils were not attractive for parasitoid females, whereas, for the white clover weevil-plant association, infested flowers were highly attractive. These data show the use by the clover weevil parasitoid of an alternative source of olfactory information for locating its host.

[The safety and efficacy of systemic salvage thrombolysis in acute myocardial infarct]. / Sicurezza ed efficacia della trombolisi di salvataggio per via sistemica nell'infarto miocardico acuto.

BACKGROUND: Thrombolysis reduces mortality in patients with acute myocardial infarction hospitalized within 6 hours of the symptom onset. Infarctions involving a small area of the myocardium show a lower mortality in comparison to those involving a large area. The aim of this study was to evaluate the safety and efficacy of rescue thrombolysis in patients with large acute myocardial infarction who had failed standard thrombolysis. METHODS: From January 1995 to December 1997, ninety patients (69 males, 21 females, mean age 56.7 +/- 9 years), hospitalized for suspected acute myocardial infarction within 4 hours of the symptom onset, suitable for thrombolysis (first episode), and who experienced pain and showed persistent ST segment elevation 120 min after starting thrombolysis, were randomized (single blind) into two groups: Group A (n = 45) received an additional thrombolytic treatment (rt-PA 50 mg), 10 mg as a bolus plus 40 mg in 60 min; Group B (n = 45) received conventional therapy. Positive non-invasive markers were defined as follows: resolution of chest pain; > 50% reduction in ST segment elevation; double marker of creatine phosphokinase (CPK) and CK-MB activity 2 hours after the start of thrombolysis; occurrence of reperfusion arrhythmias within the first 120 min of thrombolytic therapy. Blood pressure, heart rate and ECG were continuously monitored. Echocardiogram was carried out at entry and before discharge to control ejection fraction and segmental wall motion. Adverse events such as death, reinfarction, recurrent angina, incidence of major and minor bleeding, and emergency bypass surgery or coronary angioplasty were checked. RESULTS: Thirty-five patients (77.7%) showed reperfusion (10-50 min) after the start of additional rt-PA. In patients who did not receive additional thrombolysis, only 12 (26.6%) showed reperfusion 65-115 min after the end of rt-PA infusion. Group A showed an earlier and lower CK and CK-MB peak than Group B (p = 0.0001, p = 0.009, and p = 0.002, respectively). Mortality (n = 16, 17.7%) was higher in Group B (n = 13) than in Group A (n = 3) (28.8 vs 6.6%, p = 0.041). Seven patients from Group A showed non-fatal reinfarction. Angina was observed in 18 (40%) patients from Group A and 3 (6.6%) from Group B (p = 0.006). Ten of these patients underwent urgent coronary angioplasty (9 from Group A and 1 from Group B) and 3 from Group A urgent bypass surgery. Minor bleeding was higher in Group A than in Group B (44.4 vs 15.5%, p = 0.047). A major bleeding was observed in Group A (non-fatal stroke). At predischarge echocardiogram ejection fraction was higher in Group A than in Group B (46 +/- 8 vs 38 +/- 7%, p = 0.0001). CONCLUSIONS: Our data suggest that an additional dose of a thrombolytic drug in patients with unsuccessful thrombolysis is feasible, and the bleeding increase is an acceptable risk in comparison with the advantages obtained from a reduced infarct extension. Rescue thrombolysis could save time and allow mechanical revascularization to be carried out in patients admitted to a hospital without interventional cardiology laboratory or in those who have to be refereed to other hospitals for urgent bypass surgery.

Electrophysiological and behavioral responses of oriental fruit moth to the monoterpenoid citral alone and in combination with sex pheromone.

The monoterpenoid citral synergized the electroantennogram (EAG) response of male Grapholita molesta (Busck) antennae to its main pheromone compound Z8-12:OAc. The response to a 10-µg pheromone stimulus increased by 32, 45, 54, 71 and 94% with the addition of 0.1, 1, 10, 100 and 1,000 µg of citral, respectively. There was no detectable response to 0.1, 1, or 10 µg of citral; the response to 100 and 1,000 µg of citral was 31 and 79% of the response to 10 µg of Z8-12:OAc. In a flight tunnel, citral affected the mate-seeking behavior of males. There was a 66% reduction in the number of males orientating by flight to a virgin calling female when citral was emitted at 1,000 ng/min ≍1 cm downwind from a female. Pheromone and citral induced sensory adaptation in male antennae, but citral did not synergize the effect of pheromone. The exposure of antennae to 1 ng Z8-12:OAc/m(3) air, 1 ng citral/m3 air, 1 ng Z8-12:OAc + 1 ng citral/m3 air, or to 1 ng Z8-12:OAc + 100 ng citral/m3 air for 15 min resulted in a similar reduction in EAG response of 47-63%. The exposure of males to these same treatments for 15 min had no effect on their ability to orientate to a virgin calling female in a flight tunnel. The potential for using citral to control G. molesta by mating disruption is discussed.

Sensory adaptation of antennae and sex pheromone-mediated flight behavior in male oriental fruit moths (Leptidoptera: Tortricidae) after prolonged exposure to single and tertiary blends of synthetic sex pheromone.

Sensory adaptation has been measured in the antennae of male Grapholita molesta (Busck) after 15 min of exposure to its main pheromone compound (Z)-8-dodecen-1-yl acetate (Z8-12:OAc) at the aerial concentration of 1 ng/m(3) measured in orchards treated with pheromone for mating disruption. Exposing males to this aerial concentration of Z8-12:OAc for 15 min, however, had only a small effect on their ability to orientate by flight to virgin calling females in a flight tunnel. Experiments were undertaken to determine if exposure to the main pheromone compound in combination with the two biologically active minor compounds of this species, (E)-8-dodecen-1-yl acetate (E8-12:OAc) and (Z)-8-dodecen-1-ol (Z8-12:OH) would induce greater levels of sensory adaptation and have a greater effect on male sexual behavior. The exposure of male antennae to 0.5 g/m(3) air of one of the three pheromone compounds induced sensory adaptation to this compound and to the other two pheromone compounds demonstrating cross adaptation. Average percentage sensory adaptation to a pheromone compound was similar after 15 min of exposure to 1 ng/m(3) air of Z8-12:OAc, or to 1 ng/m(3) air of a 1:1:1 or 93:6:1 blend of Z8-12:OAc, E8-12:OAc, and Z8-12:OH. The exposure of males to 1 ng/m(3) air of Z8-12:OAc or the two ratios of Z8-12:OAc, E8-12:OAc, and Z8-12:OH for 15 min had no effect on their ability to orientate to a virgin calling female. The implications of these results for the operative mechanisms of sex pheromone-mediated mating disruption of this species are discussed.

Fast firing of tiles containing paper mill sludge, glass cullet and clay.

The paper describes results obtained in the development of a previous research. We study here, in fast firing, the sintering behaviour and measure some properties of tiles containing a mixture of 60 wt% of paper mill sludge and 40 wt% of glass cullet. The behaviour of this material is compared to those displayed by materials obtained by the same mixture added with 10, 20 and 30 wt% of a natural red clay. In parallel, the same properties are measured also on a reference blend, which is presently used to produce commercial tiles. We show that powders containing 60 wt% of paper sludge and 40 wt% of glass cullet to which 30 wt% of clay is added give rise to materials that display a stable sintering process and have good hardness and strength and therefore could be used for the industrial production of tiles.