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2.
Phys Rev Lett ; 132(15): 154101, 2024 Apr 12.
Article in English | MEDLINE | ID: mdl-38682971

ABSTRACT

We report direct observations of surface waves from a stereo camera system along with concurrent measurements of wind speed during an expedition across the Southern Ocean in the austral winter aboard the South African icebreaker S.A. Agulhas II. Records include water surface elevation across a range of wave conditions spanning from early stages of wave growth to full development. We give experimental evidence of rogue seas, i.e., sea states characterized by heavy tails of the probability density function well beyond the expectation based on bound mode theory. These conditions emerge during wave growth, where strong wind forcing and high nonlinearity drive wave dynamics. Quasiresonance wave-wave interactions, which are known to sustain the generation of large amplitude rogue waves, capture this behavior. Wave statistics return to normality as the wind forcing ceases and waves switch to a full developed condition.

3.
Anaesthesia ; 79(7): 725-734, 2024 Jul.
Article in English | MEDLINE | ID: mdl-38385772

ABSTRACT

Non-steroidal anti-inflammatory drugs (NSAIDs) are one of the mainstays of multimodal pain management. While effective for acute pain control, recent pre-clinical evidence has raised concerns regarding an association between NSAIDs and chronic pain and potential opioid use. Our objective was to explore the association between peri-operative use of prescription NSAIDs and the need for continued opioid prescriptions lasting 90-180 days in previously opioid-naïve patients undergoing total knee arthroplasty. A database of health claims in the USA was used to identify all opioid-naïve adult patients who underwent primary knee arthroplasty between January 2010 and October 2021. We evaluated the magnitude of association between peri-operative prescription NSAID claims and claims for opioids at 90 days postoperatively using multivariable logistic regression models. Secondary outcomes included: the magnitude of association between peri-operative NSAID prescription and claims for opioids at 180 days postoperatively; and identifying other potential factors associated with opioid claims at 90 days postoperatively. After risk adjustment using multivariable logistic regression models in the 789,736-patient cohort, the adjusted odds ratio (95%CI) for a continuous claim of opioids at 90 and 180 days postoperatively among patients with a peri-operative NSAID prescription within 30 days was 1.32 (1.30-1.35), p < 0.001; and 1.12 (1.10-1.15), p < 0.001, respectively. This estimate of effect remained robust at 90 days after accounting for known potential confounders, including pre-existing knee pain and acute postoperative pain severity. Similar analysis of other pain medications (e.g. paracetamol) did not detect such an association. This population-based cohort study suggests that peri-operative prescription NSAID use may be associated with continued opioid prescription claims at 90 and 180 days after knee arthroplasty, even after adjusting for other observed covariates for continuous opioid claims. These novel findings can inform clinical decision-making for post-surgical pain management, risk-benefit discussions with patients and future research.


Subject(s)
Analgesics, Opioid , Anti-Inflammatory Agents, Non-Steroidal , Arthroplasty, Replacement, Knee , Pain, Postoperative , Humans , Analgesics, Opioid/therapeutic use , Anti-Inflammatory Agents, Non-Steroidal/therapeutic use , Female , Male , Retrospective Studies , Pain, Postoperative/drug therapy , Aged , Middle Aged , Cohort Studies , Drug Prescriptions/statistics & numerical data , Adult , Perioperative Care/methods
4.
Nat Commun ; 14(1): 8070, 2023 Dec 06.
Article in English | MEDLINE | ID: mdl-38057312

ABSTRACT

Dung removal by macrofauna such as dung beetles is an important process for nutrient cycling in pasturelands. Intensification of farming practices generally reduces species and functional diversity of terrestrial invertebrates, which may negatively affect ecosystem services. Here, we investigate the effects of cattle-grazing intensification on dung removal by dung beetles in field experiments replicated in 38 pastures around the world. Within each study site, we measured dung removal in pastures managed with low- and high-intensity regimes to assess between-regime differences in dung beetle diversity and dung removal, whilst also considering climate and regional variations. The impacts of intensification were heterogeneous, either diminishing or increasing dung beetle species richness, functional diversity, and dung removal rates. The effects of beetle diversity on dung removal were more variable across sites than within sites. Dung removal increased with species richness across sites, while functional diversity consistently enhanced dung removal within sites, independently of cattle grazing intensity or climate. Our findings indicate that, despite intensified cattle stocking rates, ecosystem services related to decomposition and nutrient cycling can be maintained when a functionally diverse dung beetle community inhabits the human-modified landscape.


Subject(s)
Coleoptera , Ecosystem , Animals , Cattle , Biodiversity , Climate , Farms , Feces
5.
Cell Death Discov ; 9(1): 348, 2023 Sep 20.
Article in English | MEDLINE | ID: mdl-37730761

ABSTRACT

The role of cyclin-dependent kinases (CDKs) that are ubiquitously expressed in the adult nervous system remains unclear. Cdk12 is enriched in terminally differentiated neurons where its conical role in the cell cycle progression is redundant. We find that in adult neurons Cdk12 acts a negative regulator of actin formation, mitochondrial dynamics and neuronal physiology. Cdk12 maintains the size of the axon at sites proximal to the cell body through the transcription of homeostatic enzymes in the 1-carbon by folate pathway which utilize the amino acid homocysteine. Loss of Cdk12 leads to elevated homocysteine and in turn leads to uncontrolled F-actin formation and axonal swelling. Actin remodeling further induces Drp1-dependent fission of mitochondria and the breakdown of axon-soma filtration barrier allowing soma restricted cargos to enter the axon. We demonstrate that Cdk12 is also an essential gene for long-term neuronal survival and loss of this gene causes age-dependent neurodegeneration. Hyperhomocysteinemia, actin changes, and mitochondrial fragmentation are associated with several neurodegenerative conditions such as Alzheimer's disease and we provide a candidate molecular pathway to link together such pathological events.

6.
Front Pharmacol ; 14: 1153584, 2023.
Article in English | MEDLINE | ID: mdl-37089954

ABSTRACT

Although used therapeutically for millennia, cannabis has been a prohibited substance worldwide for most of the 20th Century. With revision of prohibitive regulations in many jurisdictions during the past 2 decades, cannabis is increasingly available to patients as a potential treatment option for various symptoms. Pain relief, sleep promotion and alleviation of distress, depression and anxiety are the most common reasons for cannabis use. Canada has been at the forefront of medical cannabis (MC) legislation revisions to enable and facilitate access for therapeutic use. Although initially viewed with caution and stigma, attitudes to cannabis in general have changed. Medical cannabis is identified as the herbal plant product sourced from a grower/producer and is not at present a regulated pharmaceutical product. Medical cannabis use is currently prevalent in Canada but has bypassed the rigorous study required for usual drug approval. Although uptake has been enthusiastic by patients, the medical community has voiced cautions and concerns. Access to medical cannabis is fairly easy once an approval document is obtained from a healthcare professional, but without obligation for medical or pharmacy oversight. The greatest concern is a dearth of sound clinical evidence for effects and harms. Emerging concerns include prevalent patient self-management with information based on personal research, an abundance of on-line information which may not always be accurate, the emergence of designated "cannabis clinics," potential risks to society due to accidents, and high cost of the legal medical product leading to access via the recreational market. With cannabis now entrenched in Canadian healthcare, physicians must be sufficiently knowledgeable to provide guidance that is evidence-based and will ensure personal and societal harm reduction. Examination of the changing culture of medical cannabis in Canada will provide insight for countries that may be anticipating similar revisions of cannabis regulations to allow cannabis access for their patient population and learn from the issues created by recreational legalization.

7.
Urology ; 164: 118-123, 2022 06.
Article in English | MEDLINE | ID: mdl-35182588

ABSTRACT

OBJECTIVE: To compare the odds of early and prolonged post-operative opioid use in patients undergoing minimally invasive surgery (MIS) vs open surgery for nephrectomy. METHODS: For opioid-naïve patients in Ontario who underwent nephrectomy for kidney cancer (1994-2017, n = 7900), post-discharge opioid use was determined by prescriptions in the Ontario Drug Benefit database (age ≥65 years) and the Narcotics Monitoring System (all patients from 2012). Early opioid use was defined as ≥1 prescription 1-90 days after surgery. Two separate definitions of prolonged opioid use were examined: (1) prescription(s) for ≥60 days during post-operative days 90-365; (2) ≥1 prescriptions between both of: 1-90 days AND 91-180 days after surgery. Predictors of opioid use were assessed using multivariable generalized estimating equation logistic regression, accounting for surgeon clustering. RESULTS: Overall, 67.4% of patients received early opioid prescriptions; however, prolonged use was low, ranging from 1.6 to 4.4% of patients depending on the definition. In multivariable analysis, open nephrectomy was associated with higher odds of early opioid use compared to MIS nephrectomy (Odds Ratio [OR] 1.36, 95% Confidence Interval [CI] 1.19-1.55). Surgery type was not significantly associated with prolonged opioid use for either definition (OR 1.22, CI 0.79-1.89 and OR 1.06, CI 0.83-1.35). CONCLUSIONS: In this population-level study of patients undergoing nephrectomy for kidney cancer, patients who received open surgery were at increased odds of receiving early post-operative opioids compared to MIS. Prolonged opioid use was low overall and was not significantly with associated with type of surgery.


Subject(s)
Kidney Neoplasms , Opioid-Related Disorders , Aftercare , Aged , Analgesics, Opioid/therapeutic use , Drug Prescriptions , Humans , Kidney Neoplasms/drug therapy , Kidney Neoplasms/surgery , Nephrectomy , Ontario/epidemiology , Pain, Postoperative/drug therapy , Pain, Postoperative/epidemiology , Patient Discharge , Retrospective Studies , Risk Factors
8.
J Dairy Sci ; 104(10): 10654-10668, 2021 Oct.
Article in English | MEDLINE | ID: mdl-34275630

ABSTRACT

Correlating volatile compounds with the sensory attributes of whole milk powder (WMP) is fundamental for appreciating the effect of lipid oxidation (LO) on sensory perception. LO compounds can adversely affect the sensory perception of WMP by imparting rancid, metallic, and painty notes. Whole milk powders derived from milk produced by cows maintained on a pasture diet (grass and grass-clover mix) versus a nonpasture diet [total mixed ration (TMR); concentrates and silage] were stored at room temperature 21°C (ambient storage) and 37°C (accelerated storage) and analyzed for volatile compounds and sensory attributes every 2 mo for a total of 6 mo. Thirteen volatile compounds originating from LO were chosen to track the volatile profile of the WMP during storage. Color, composition, total fatty acid, and free fatty acid profiling were also carried out. Significant variations in the concentrations of 14 fatty acids were observed in WMP based on diet. Concentrations of free fatty acids increased in all sample types during storage. Similar trends in sensory attributes were observed with an increase in painty attributes, corresponding to an increase in hexanal. Buttery/toffee attributes were found to be more closely correlated with TMR WMP. Those WMP derived from pasture diets were found to be more susceptible to LO from a volatile perspective, particularly in relation to aldehyde development, which is likely due to increased concentrations of conjugated linoleic acid and α-linolenic acid found in these samples.


Subject(s)
Milk , Silage , Animal Feed/analysis , Animals , Cattle , Diet/veterinary , Fatty Acids , Female , Lactation , Oxidative Stress , Powders
9.
Integr Comp Biol ; 61(3): 969-980, 2021 10 04.
Article in English | MEDLINE | ID: mdl-34050739

ABSTRACT

Engaging students in authentic research increases student knowledge, develops STEM skills, such as data analysis and scientific communication, and builds community. Creating authentic research opportunities in plant biology might be particularly crucial in addressing plant awareness disparity (PAD) (formerly known as plant blindness), producing graduates with botanical literacy, and preparing students for plant-focused careers. Our consortium created four CUREs (course-based undergraduate research experiences) focused on dual themes of plant biology and global change, designed to be utilized by early and late-career undergraduates across a variety of educational settings. We implemented these CURES for four semesters, in a total of 15 courses, at four institutions. Pre- and post-course assessments used the Affective Elements of Science Learning Questionnaire and parts of a "plant blindness" instrument to quantify changes in scientific self-efficacy, science values, scientific identity, and plant awareness or knowledge. The qualitative assessment also queried self-efficacy, science values, and scientific identity. Data revealed significant and positive shifts in awareness of and interest in plants across institutions. However, quantitative gains in self-efficacy and scientific identity were only found at two of four institutions tested. This project demonstrates that implementing plant CUREs can produce affective and cognitive gains across institutional types and course levels. Focusing on real-world research questions that capture students' imaginations and connect to their sense of place could create plant awareness while anchoring students in scientific identities. While simple interventions can alleviate PAD, implementing multiple CUREs per course, or focusing more on final CURE products, could promote larger and more consistent gains in student affect across institutions.


Subject(s)
Biology/education , Botany/education , Curriculum , Plants , Students , Communication , Humans , Research , Universities
10.
Pain Med ; 22(6): 1324-1332, 2021 06 04.
Article in English | MEDLINE | ID: mdl-33594439

ABSTRACT

OBJECTIVE: To evaluate the feasibility and safety of hyperbaric oxygen therapy (HBOT) in patients with fibromyalgia (FM). DESIGN: A cohort study with a delayed treatment arm used as a comparator. SETTING: Hyperbaric Medicine Unit, Toronto General Hospital, Ontario, Canada. SUBJECTS: Eighteen patients diagnosed with FM according to the American College of Rheumatology and a score ≥60 on the Revised Fibromyalgia Impact Questionnaire. METHODS: Participants were randomized to receive immediate HBOT intervention (n = 9) or HBOT after a 12-week waiting period (n = 9). HBOT was delivered at 100% oxygen at 2.0 atmospheres per session, 5 days per week, for 8 weeks. Safety was evaluated by the frequency and severity of adverse effects reported by patients. Feasibility was assessed by recruitment, retention, and HBOT compliance rates. Both groups were assessed at baseline, after HBOT intervention, and at 3 months' follow-up. Validated assessment tools were used to evaluate pain, psychological variables, fatigue, and sleep quality. RESULTS: A total of 17 patients completed the study. One patient withdrew after randomization. HBOT-related adverse events included mild middle-ear barotrauma in three patients and new-onset myopia in four patients. The efficacy of HBOT was evident in most of the outcomes in both groups. This improvement was sustained at 3-month follow-up assessment. CONCLUSION: HBOT appears to be feasible and safe for individuals with FM. It is also associated with improved global functioning, reduced symptoms of anxiety and depression, and improved quality of sleep that was sustained at 3-month follow-up assessment.


Subject(s)
Fibromyalgia , Hyperbaric Oxygenation , Cohort Studies , Fatigue , Fibromyalgia/therapy , Humans , Ontario
11.
Diabetes Res Clin Pract ; 173: 108685, 2021 Mar.
Article in English | MEDLINE | ID: mdl-33548336

ABSTRACT

AIMS: Pre-gestational diabetes mellitus (PGDM) is associated with adverse outcomes. We aimed to examine pregnancies affected by PGDM; report on these pregnancy outcomes and compare outcomes for patients with type 1 versus type 2 diabetes mellitus; compare our findings to published Irish and United Kingdom (UK) data and identify potential areas for improvement. METHODS: Between 2016 and 2018 information on 679 pregnancies from 415 women with type 1 Diabetes Mellitus and 244 women with type 2 diabetes was analysed. Data was collected on maternal characteristics; pregnancy preparation; glycaemic control; pregnancy related complications; foetal and maternal outcomes; unscheduled hospitalisations; congenital anomalies and perinatal deaths. RESULTS: Only 15.9% of women were adequately prepared for pregnancy. Significant deficits were identified in availability and attendance at pre-pregnancy clinic, use of folic acid, attaining appropriate glycaemic targets and appropriate retinal screening. The majority of pregnancies (n = 567, 83.5%) resulted in a live birth but the large number of infants born large for gestational age (LGA) (n = 280, 49.4%), born prematurely <37 weeks and requiring neonatal intensive care unit (NICU) admission continue to be significant issues. CONCLUSIONS: This retrospective cohort study identifies multiple targets for improvements in the provision of care to women with pre-gestational DM which are likely to translate into better pregnancy outcomes.


Subject(s)
Pregnancy Outcome , Pregnancy in Diabetics/diagnosis , Pregnancy in Diabetics/epidemiology , Adult , Cohort Studies , Female , Humans , Ireland , Pregnancy , Retrospective Studies
12.
Appl Physiol Nutr Metab ; 45(12): 1345-1352, 2020 Dec.
Article in English | MEDLINE | ID: mdl-32574506

ABSTRACT

Neuroplasticity and recovery after stroke can be enhanced by a rehabilitation program pertinent to upper limb motor function exercise and mental imagery (EMI) as well as hyperbaric oxygen therapy (HBOT). We assessed feasibility and safety of the combined approach utilizing both HBOT and EMI, and to derive preliminary estimates of its efficacy. In this randomized controlled trial, 27 patients with upper extremity hemiparesis at 3-48 months after stroke were randomized to receive either a complementary rehabilitation program of HBOT-EMI (intervention group), or EMI alone (control group). Feasibility and safety were assessed as total session attendance, duration of sessions, attrition rates, missing data, and intervention-related adverse events. Secondary clinical outcomes were assessed with both objective tools and self-reported measures at baseline, 8 weeks (end of treatment), and 12-weeks follow-up. Session attendance, duration, and attrition rate did not differ between the groups; there were no serious adverse events. Compared with baseline, there were significant sustained improvements of objective and subjective outcomes' measures in the intervention group, and a single improvement in an objective measure in the control group. Between-group outcome comparisons were not statistically significant. This study demonstrated that the combination HBOT-EMI was a safe and feasible approach in patients recovering from chronic stroke. There were also trends for improved motor function of the affected upper limb after the treatments. ClinicalTrials.gov registration no.: NCT02666469. Novelty HBOT combined with an upper limb exercise and mental imagery rehabilitation program is feasible and safe in chronic stroke patients. This combined approach showed trends for improved functional recovery.


Subject(s)
Exercise Therapy , Hyperbaric Oxygenation , Imagination , Recovery of Function , Stroke Rehabilitation , Upper Extremity/physiology , Aged , Feasibility Studies , Female , Humans , Male , Middle Aged , Prospective Studies , Single-Blind Method
13.
Zootaxa ; 4728(3): zootaxa.4728.3.4, 2020 Jan 23.
Article in English | MEDLINE | ID: mdl-32230563

ABSTRACT

Upsa centennial Deschodt, Sole Scholtz, new genus and species is described, celebrating a century of entomology at the University of Pretoria. This new genus in the dung beetle tribe Endroedyolini (Scarabaeidae: Scarabaeinae) occurs in the Albany Coastal Mistbelt forest in the Eastern Cape Province in South Africa. A distribution map and key for all genera and species in the tribe are provided.[Genus Zoobank url: urn:lsid:zoobank.org:act:92A64613-A8CE-48DF-84D9-7450EA1D40AA].


Subject(s)
Coleoptera , Animals , Forests , South Africa
14.
Diabet Med ; 37(12): 2044-2049, 2020 12.
Article in English | MEDLINE | ID: mdl-30710451

ABSTRACT

AIMS: The purpose of this study was to identify the number of pregnancies affected by pre-gestational diabetes in the Republic of Ireland; to report on pregnancy outcomes and to identify areas for improvement in care delivery and clinical outcomes. METHODS: Healthcare professionals caring for women with pre-gestational diabetes during pregnancy were invited to participate in this retrospective study. Data pertaining to 185 pregnancies in women attending 15 antenatal centres nationally were collected and analysed. Included pregnancies had an estimated date of delivery between 1 January and 31 December 2015. RESULTS: The cohort consisted of 122 (65.9%) women with Type 1 diabetes and 56 (30.3%) women with Type 2 diabetes. The remaining 7 (3.8%) pregnancies were to women with maturity-onset diabetes of the young (MODY) (n = 6) and post-transplant diabetes (n = 1). Overall women were poorly prepared for pregnancy and lapses in specific areas of service delivery including pre-pregnancy care and retinal screening were identified. The majority of pregnancies 156 (84.3%) resulted in a live birth. A total of 103 (65.5%) women had a caesarean delivery and 58 (36.9%) infants were large for gestational age. CONCLUSIONS: This audit identifies clear areas for improvement in delivery of care for women with diabetes in the Republic of Ireland before and during pregnancy.


Subject(s)
Diabetes Mellitus, Type 1/drug therapy , Diabetes Mellitus, Type 2/therapy , Preconception Care/statistics & numerical data , Pregnancy Outcome/epidemiology , Pregnancy in Diabetics/therapy , Abortion, Spontaneous/epidemiology , Adult , Aspirin/therapeutic use , Cesarean Section , Clinical Audit , Delivery of Health Care , Delivery, Obstetric , Diabetes Mellitus, Type 1/metabolism , Diabetes Mellitus, Type 2/metabolism , Diabetic Retinopathy/diagnosis , Female , Fetal Macrosomia/epidemiology , Folic Acid/therapeutic use , Glycated Hemoglobin/metabolism , Humans , Hypoglycemic Agents/therapeutic use , Infant, Newborn , Infusion Pumps, Implantable , Insulin/therapeutic use , Insulin Infusion Systems , Intensive Care Units, Neonatal/statistics & numerical data , Ireland/epidemiology , Live Birth/epidemiology , Mass Screening , Metformin/therapeutic use , Platelet Aggregation Inhibitors/therapeutic use , Pregnancy , Premature Birth/epidemiology , Retrospective Studies , Stillbirth/epidemiology , Vitamin B Complex/therapeutic use
15.
Zootaxa ; 4674(5): zootaxa.4674.5.4, 2019 Sep 27.
Article in English | MEDLINE | ID: mdl-31715986

ABSTRACT

Phoberus ntlenyanae Strümpher, new species is described from Lesotho and South Africa and is placed in the southern African Phoberus caffer group of species. The P. caffer species group is redefined to include the new species. One taxonomic status change is proposed: Phoberus lilianae (Scholtz, 1980) from the Eastern Highlands of Zimbabwe and the eastern escarpment of South Africa is elevated to species level. Phoberus caffer (Harold, 1872) is recorded for the first time from Eastern Cape and North West Province of South Africa. A key is provided for the identification of the members of the group. Photographs illustrate the species, and a map shows their geographical distributions. [Zoobank URL: urn:lsid:zoobank.org:act:0CB1BAD0-F9C2-4303-B746-487BCADF0D07].


Subject(s)
Coleoptera , Africa, Southern , Animals , South Africa , Zimbabwe
16.
Zootaxa ; 4608(1): zootaxa.4608.1.7, 2019 May 17.
Article in English | MEDLINE | ID: mdl-31717164

ABSTRACT

The monophyletic, dung beetle subfamily, Scarabaeinae, has a long history of subdivision into tribes and subtribes represented by groups of genera unified by designated characters. Various tribal names have been proposed although only 11 or 12 were considered valid in recent reviews. Three of these 12 tribes have now been invalidated due to extensive polyphyly indicated by both morphological and molecular phylogenies. Although partial revision of tribal classification was proposed in the most recent global molecular phylogeny of the subfamily, this was primarily limited to redefinition of membership or provision of support for pre-existing tribes. Complete revision was not attempted as the phylogeny examined interrelationships between only ~52% of the valid described genera. It was also hampered by inconsistencies in topology using different analytical methods, weakened by limited bootstrap support for many basal nodes, as well predicting several phylogenetic relationships that seemed anomalous with regards to biogeographical hypotheses. Nevertheless, using this phylogeny, we propose further revision of tribal classification in a clade of primarily African genera included within a group defined as "basal Scarabaeinae". Using three different methods, the sister lineages of this clade were consistently recovered, mostly with strong bootstrap support for their molecular relatedness. Therefore, we provide a number of defining morphological characters to support their proposed designation as three new tribes: Byrrhidiini, Endroedyolini and Odontolomini. We also discuss approaches to a full tribal revision as well as the implications for historical biogeography of the Scarabaeinae.


Subject(s)
Coleoptera , Animals , Feces , Phylogeny
17.
Mol Hum Reprod ; 25(11): 706-716, 2019 11 30.
Article in English | MEDLINE | ID: mdl-31588500

ABSTRACT

The reproductive lifespan of a woman is determined by the gradual recruitment of quiescent follicles into the growing pool. In humans, ovarian tissue removal from its in vivo environment induces spontaneous activation of resting follicles. Similarly, pharmacological activation of the PI3K/Akt pathway leads to accelerated follicle recruitment, but has been associated with follicular damage. Recent findings demonstrate that everolimus (EVE), an mTORC1 inhibitor, limits primordial follicle activation. However, its potential benefit regarding growing follicle integrity remains unexplored. Ovarian cortical fragments were exposed to ± EVE for 24 h and cultured for an additional 5 days. After 0, 1 and 6 days of culture, fragments were either processed for ultrastructural analysis or subjected to follicular isolation for gene expression and immunofluorescence assessments. Data from transmission electron microscopy showed that growing follicles displayed similar ultrastructural features irrespective of the conditions and maintained close contacts between germinal and stromal compartments. Establishment of intra-follicular communication was confirmed by detection of a gap junction component, Cx43, in both groups throughout culture, whereas transzonal projections, which physically link granulosa cells to oocyte, formed later in EVE-treated follicles. Importantly, levels of GJA1 mRNA, encoding for the Cx43 protein, significantly increased from Day 0 to Day 1 in the EVE group, but not in the control group. Given that EVE-treated follicles were smaller than controls, these findings suggest that EVE might facilitate the establishment of appropriate intercellular communications without impairing follicle ultrastructure. Therefore, mTORC1 inhibitors might represent an attractive tool to delay the culture-induced primordial follicle activation while maintaining follicles in a functionally integrated state.


Subject(s)
Cell Communication/physiology , Connexin 43/metabolism , Mechanistic Target of Rapamycin Complex 1/antagonists & inhibitors , Ovarian Follicle/growth & development , Ovarian Follicle/ultrastructure , Adult , Connexin 43/genetics , Cryopreservation , Everolimus/pharmacology , Female , Granulosa Cells/metabolism , Humans , Oocytes/metabolism , Organ Culture Techniques , RNA, Messenger/genetics
18.
World J Surg ; 43(10): 2579-2586, 2019 10.
Article in English | MEDLINE | ID: mdl-31187246

ABSTRACT

BACKGROUND: Post-operative pain management is a critical component of perioperative care. Patients at risk of poorly controlled post-operative pain may benefit from early measures to optimize pain management. We sought to identify risk factors for post-operative pain and opioid consumption in patients undergoing liver resection. METHODS: This is a multi-institutional prospective nested cohort study of patients undergoing open liver resection. Opioid consumption and pain scores were collected following surgery. To estimate the effects of patient factors on opioid consumption (oral morphine equivalents-OME) and on pain scores (NRS-11), we used generalized linear models and multivariable linear regression model, respectively. RESULTS: One hundred and fifty-three patients who underwent open liver resection between 2013 and 2016 were included in the study. The mean patient age was 62.2 years, and 43.3% were female. Younger patients were significantly more likely to use more opioids in the early post-operative period (16.7 OME/10 years, p < 0.001). Patient factors that were significantly associated with increased NRS-11 pain scores also included younger patient age (difference in pain score of 0.3/10 years with cough and 0.2/10 years at rest, p < 0.01 for both) as well as a history of analgesic use (difference in pain score of 0.9 with cough and 0.6 at rest, p < 0.01 and p = 0.07, respectively). CONCLUSION: Younger patients and those with a history of analgesic use are more likely to report higher post-operative pain and require higher doses of opioids. Early identification of these patients, and measures to better manage their pain, may contribute to optimal perioperative care.


Subject(s)
Analgesics, Opioid/therapeutic use , Hepatectomy , Pain, Postoperative/etiology , Adult , Aged , Female , Humans , Male , Middle Aged , Pain, Postoperative/drug therapy , Prospective Studies
19.
Zootaxa ; 4544(4): 548-556, 2019 Jan 14.
Article in English | MEDLINE | ID: mdl-30647257

ABSTRACT

Bostrichoclerus bicornus Van Dyke is known from southwest United States and northwest Mexico. To date, only two specimens have been captured: the holotype, collected on Isla Angel de la Guarda, in the Gulf of California, Mexico, and a second individual collected in San Bernardino County, California, United States. The original description of B. bicornus is brief and lacks any images. Considering its rarity, we present the redescription of this species based on the examination of the holotype and compare this taxon to similar genera of New World Tillinae. Images of the holotype and the Bostrichoclerus specimen collected in southern California are given. We conclude that B. bicornus is undoubtedly a member of the subfamily Tillinae with unclear intergeneric relations in the group.


Subject(s)
Coleoptera , Animals , California , Mexico , Southwestern United States
20.
Zootaxa ; 4544(1): 113-118, 2019 Jan 10.
Article in English | MEDLINE | ID: mdl-30647277

ABSTRACT

Phacosoma basilewskyi Balthasar, 1960 was described for a peculiar East African deltochiline dung beetle species. Years later, Paulian (1975) erected the deltochiline genus Madaphacosoma Paulian, 1975 for two new Malagasy species, namely Madaphacosoma humberti Paulian, 1975, as the type species, and M. betschi Paulian, 1975. Phacosoma basilewskyi was transferred to Madaphacosoma in that same publication. Later, Paulian (1991) added Madaphacosoma major Paulian, 1991 to the genus for a total of three Madagascan and one mainland African species. Recently, Madaphacosoma together with three other genera occurring in Madagascar, namely Aleiantus Olsoufieff, 1947, Phacosomoides Martinez Pereira, 1959 and Sikorantus Paulian, 1976, were synonymized with Epactoides Olsoufieff, 1947 by Wirta Montreuil (2008). Although Madaphacosoma basilewskyi (Balthasar, 1960) is not specifically mentioned as a new combination with three other species, M. major, M. humberti and M. betschi, catalogued on pages 661-662 in Wirta Montreuil (2008), and the genus is treated as valid by Tarasov Dimitrov (2016) and Tarasov (2017), it is currently lumped with the other Malagasy species in the genus Epactoides. The current accepted name for the species is thus Epactoides basilewskyi (Balthasar, 1960).


Subject(s)
Coleoptera , Animals , Madagascar
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