Evaluation of the performances of a single-use duodenoscope: Prospective multi-center national study

Objectives: A single-use duodenoscope (SUD) has been recently developed to overcome issues with endoscopic retrograde cholangiopancreatography (ERCP)-related cross-infections. The aim was to evaluate SUD safety and performance in a prospective multi-centre study. Methods: All consecutive patients undergoing ERCP in six French centers were prospectively enrolled. All procedures were performed with the SUD; in case of ERCP failure, operators switched to a reusable duodenoscope. Study outcomes were the successful completion of the procedure with SUD, safety and operators’ satisfaction based on a VAS 0–10 and on 22 qualitative items. The study protocol was approved by French authorities and registered (ID-RCB: 2020-A00346-33). External companies collected the database and performed statistical analysis. Results: Sixty patients (34 females, median age 65.5 years old) were enrolled. Main indications were bile duct stones (41.7%) and malignant biliary obstruction (26.7%). Most ERCP were considered ASGE grade 2 (58.3%) or 3 (35.0%). Fifty-seven (95.0%) procedures were completed using the SUD. Failures were unrelated to SUD (one duodenal stricture, one ampullary infiltration, and one tight biliary stricture) and could not be completed with reusable duodenoscopes. Median operators’ satisfaction was 9 (7–9). Qualitative assessments were considered clinically satisfactory in a median of 100% of items and comparable to a reusable duodenoscope in 97.9% of items. Three patients (5%) reported an adverse event. None was SUD-related. Conclusions: The use of a SUD allows ERCP to be performed with an optimal successful rate. Our data show that SUD could be used for several ERCP indications and levels of complexity

When things go wrong : intra-season dynamics of breeding failure in a seabird

We thank all fieldworkers who helped monitor nests and deploy/retrieve GPS loggers, notably Muriel Dietrich, Elisa Lobato, Julien Gasparini, Vincent Staszewski and Thierry Chambert. We are grateful to Victor Garcia‐Mattarranz from the Ministerio de Medio Ambiente y Medio Rural y Marino (MARM, Spain) and Jacob Gonzalès‐Solís from University of Barcelona for their help on PTTs functioning and deployment. We thank Nina Dehnhard and two anonymous referees who provided useful comments and suggestions to improve this manuscript and Matthieu Authier for statistical advice. This study was funded by the French Polar Institute (IPEV, programme n°333 PARASITO‐ARCTIQUE), CNRS, ANR, OSU OREME, NINA, University of Tromsø, SEAPOP (www.seapop.no) and CEDREN. All work was carried out in accordance with standard animal care protocols and approved by the Ethical Committee of the French Polar Institute and the Norwegian Animal Research Authority. The PhD thesis of A. P. is partly funded via a Région Languedoc‐Roussillon program ‘Chercheur d'Avenir' support to T. B. and University of Montpellier 2.Peer reviewedPublisher PD

Efficient detection of RNA–protein interactions using tethered RNAs

The diverse localization of transcripts in cells suggests that there are many specific RNA–protein interactions that have yet to be identified. Progress has been limited, however, by the lack of a robust method to detect and isolate the RNA-binding proteins. Here we describe the use of an RNA aptamer, scaffolded to a tRNA, to create an affinity matrix that efficiently pulls down transcript-specific RNA-binding proteins from cell lysates. The addition of the tRNA scaffold to a Streptavidin aptamer (tRSA) increased binding efficiency by ∼10-fold. The tRSA system with an attached G-quartet sequence also could efficiently and specifically capture endogenous Fragile X Mental Retardation Protein (FMRP), which recognizes this RNA sequence. An alternative method, using biotinylated RNA, captured FMRP less efficiently than did our tRSA method. Finally we demonstrate the identification of novel RNA-binding proteins that interact with intron2 or 3′-UTR of the polarity protein Crumbs3 transcript. Proteins captured by these RNA sequences attached to the tRNA scaffold were identified by mass spectrometry. GFP-tagged versions of these proteins also showed specific interaction with either the Crb3 intron2 or 3′-UTR. Our tRSA technique should find wide application in mapping the RNA–protein interactome

Muscular compartment syndrome and in vivo optical spectroscopy monitoring: a new model

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Does rodent management impact the distribution of Rattus rattus and Mastomys natalensis in village settings?

Rodents are significant agricultural and public health pests in rural village settings. Traditional rodent control methods, such as poison baiting and locally made traps, are usually implemented by individual households when rodent abundance is high and often provide only short‐term relief. Moreover, impacts on different pest species may vary, and changes to inter‐specific interactions may have potential ecological consequences. This study examines the impact of community‐wide daily trapping inside houses on the abundance and distribution of Rattus rattus and Mastomys natalensis in Kilombero District, Tanzania. In this area, R. rattus are typically found inside houses, while M. natalensis are found outside. Snap traps were deployed daily inside all houses in treatment villages, while control villages received no intervention. Rhodamine B (RhB) baits in exterior areas monitored the movements of rodents from these areas to houses. Intensive in‐house trapping successfully reduced the abundance of R. rattus but not M. natalensis . M. natalensis increased its use of houses in treatment villages, with a significant rise in the proportion of individuals captured indoors and a significant increase in the proportion of these individuals that had consumed RhB compared to non‐treatment villages. Our results suggest that M. natalensis benefits from the reduced presence of R. rattus by expanding its habitat use to include houses. These findings underscore the effectiveness of intensive trapping in controlling R. rattus but reveal potential ecological readjustments following community ecology principles, with habitat shifts by M. natalensis . This highlights the need for integrated, multi‐species management approaches for sustainable rodent pest control

A Cytoplasmic Complex Mediates Specific mRNA Recognition and Localization in Yeast

The localization of ash mRNA in yeast requires the binding of She2p and the myosin adaptor protein She3p to its localization element, which is highly specific and leads to the assembly of stable transport complexes

Role of gastrointestinal endoscopy in the screening of digestive tract cancers in Europe: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement

In Europe at present, but also in 2040, 1 in 3 cancer-related deaths are expected to be caused by digestive cancers. Endoscopic technologies enable diagnosis, with relatively low invasiveness, of precancerous conditions and early cancers, thereby improving patient survival. Overall, endoscopy capacity must be adjusted to facilitate both effective screening programs and rigorous control of the quality assurance and surveillance systems required

Treatment of post-cholecystectomy biliary strictures with fully-covered self-expanding metal stents - results after 5 years of follow-up

BACKGROUND: Endoscopic treatment of post-cholecystectomy biliary strictures (PCBS) with multiple plastic biliary stents placed sequentially is a minimally invasive alternative to surgery but requires multiple interventions. Temporary placement of a single fully-covered self-expanding metal stent (FCSEMS) may offer safe and effective treatment with fewer re-interventions. Long-term effectiveness of treatment with FCSEMS to obtain PCBS resolution has not yet been studied. METHODS: In this prospective multi-national study in patients with symptomatic benign biliary strictures (N = 187) due to various etiologies received a FCSEMS with scheduled removal at 6-12 months and were followed for 5 years. We report here long-term outcomes of the subgroup of patients with PCBS (N = 18). Kaplan Meier analyses assessed long-term freedom from re-stenting. Adverse events were documented. RESULTS: Endoscopic removal of the FCSEMS was achieved in 83.3% (15/18) of patients after median indwell of 10.9 (range 0.9-13.8) months. In the remaining 3 patients (16.7%), the FCSEMS spontaneously migrated and passed without complications. At the end of FCSEMS indwell, 72% (13/18) of patients had stricture resolution. At 5 years after FCSEMS removal, 84.6% (95% CI 65.0-100.0%) of patients who had stricture resolution at FCSEMS removal remained stent-free. In addition, at 75 months after FCSEMS placement, the probability of remaining stent-free was 61.1% (95% CI 38.6-83.6%) for all patients. Stent or removal related serious adverse events occurred in 38.9% (7/18) all resolved without sequalae. CONCLUSIONS: In patients with symptomatic PCBS, temporary placement of a single FCSEMS intended for 10-12 months indwell is associated with long-term stricture resolution up to 5 years. Temporary placement of a single FCSEMS may be considered for patients with PCBS not involving the main hepatic confluence. TRIAL REGISTRATION NUMBERS: NCT01014390; CTRI/2012/12/003166; Registered 17 November 2009

Dynamic movement patterns of commensal rodents Mastomys natalensis and Rattus rattus: determining differential habitat use using Rhodamine B

BACKGROUND: Understanding movement patterns of rodent pests is essential for planning management strategies. Currently, for many rural village contexts, there is limited information on how rodents move between domestic and peridomestic areas, and the surrounding habitats. We investigated movement of the multimammate rat, Mastomys natalensis and the black rat, Rattus rattus in nine villages in Kilombero District, Tanzania. We used Rhodamine B (RhB) baits placed inside houses (R. rattus preferred habitat) in five villages and placed outside (M. natalensis preferred habitat) in four villages. RESULTS: Whilst both species were rarely captured in their nonpreferred habitat (5% M. natalensis inside houses; 23% R. rattus outside houses), evidence of RhB consumption when bait was in nonpreferred habitat was high for both species (50% M. natalensis; 57% R. rattus), indicating frequent movement to nonpreferred habitats. Whilst R. rattus movement distances were consistent with previous studies (maximum 81 m), within ou

Site-specific labeling of nucleotides for making RNA for high resolution NMR studies using an E. coli strain disabled in the oxidative pentose phosphate pathway

Escherichia coli (E. coli) is a versatile organism for making nucleotides labeled with stable isotopes (13C, 15N, and/or 2H) for structural and molecular dynamics characterizations. Growth of a mutant E. coli strain deficient in the pentose phosphate pathway enzyme glucose-6-phosphate dehydrogenase (K10-1516) on 2-13C-glycerol and 15N-ammonium sulfate in Studier minimal medium enables labeling at sites useful for NMR spectroscopy. However, 13C-sodium formate combined with 13C-2-glycerol in the growth media adds labels to new positions. In the absence of labeled formate, both C5 and C6 positions of the pyrimidine rings are labeled with minimal multiplet splitting due to 1JC5C6 scalar coupling. However, the C2/C8 sites within purine rings and the C1′/C3′/C5′ positions within the ribose rings have reduced labeling. Addition of 13C-labeled formate leads to increased labeling at the base C2/C8 and the ribose C1′/C3′/C5′ positions; these new specific labels result in two- to three-fold increase in the number of resolved resonances. This use of formate and 15N-ammonium sulfate promises to extend further the utility of these alternate site specific labels to make labeled RNA for downstream biophysical applications such as structural, dynamics and functional studies of interesting biologically relevant RNAs