A Perspective on Pharmaceutical Marketing Practices: Message Development, Media Selection, Medication Adherence and Health Literacy

According to the National Action Plan to Improve Health Literacy issued in 2010 by the U.S. Department of Health and Human Services, health literacy is a multi-faceted concept and has importance for multiple sectors. Stakeholders typically involved in the health literacy discussion include government, public health officials, practitioners and those concerned with health promotion (U.S. Department of Health and Human Services 2010). In addition to these stakeholders, there is the opportunity for the pharmaceutical industry to be an active participant in the health literacy discussion. Given the variation in health literacy levels among the U.S. population and the impact of low levels of health literacy on the pharmaceutical industry in the areas of marketing communications and medication adherence, the industry should recognize health literacy as an important criterion in the development and delivery of marketing messages as well as adherence strategies. Each of these areas has an economic impact for the pharmaceutical industry as well as the health care industry as a whole. This paper highlights important considerations for the pharmaceutical industry related to health literacy definitions, variations in health literacy levels among particular populations, and marketing practices in the areas of messaging, media selection and medication adherence

The postcranial skeleton of monolophosaurus jiangi (dinosauria: Theropoda) from the Middle Jurassic of Xinjiang, China, and a review of Middle Jurassic Chinese theropods

The Middle Jurassic was a critical time in the evolution of theropod dinosaurs, highlighted by the origination and radiation of the large-bodied and morphologically diverse Tetanurae. Middle Jurassic tetanurans are rare but have been described from Europe, South America and China. In particular, China has yielded a number of potential basal tetanurans, but these have received little detailed treatment in the literature. Here we redescribe the postcranial skeleton of one of the most complete Chinese Middle Jurassic theropods, Monolophosaurus. Several features confirmthe tetanuran affinities of Monolophosaurus, but the possession of ‘primitive’ traits such as a double-faceted pubic peduncle of the ilium and a hood-like supracetabular crest suggest a basal position within Tetanurae. This conflicts with most published cladistic analyses that place Monolophosaurus in a more derived position within Allosauroidea.We review the Middle Jurassic record of Chinese theropods and compare Monolophosaurus to other Middle Jurassic theropods globally. These comparisons suggest that Monolophosaurus and Chuandongocoelurus formed an endemic theropod clade limited to the Middle Jurassic of Asia. Other Middle Jurassic Chinese theropods deserve further study

Histological evidence for a supraspinous ligament in sauropod dinosaurs

Supraspinous ossified rods have been reported in the sacra of some derived sauropod dinosaurs. Although different hypotheses have been proposed to explain the origin ofthis structure, histological evidence has never been provided to support or reject any of them. In order to establish its origin, we analyse and characterize the microstructure of thesupraspinous rod of two sauropod dinosaurs from the Upper Cretaceous of Argentina. The supraspinous ossified rod is almost entirely formed by dense Haversian bone. Remains ofprimary bone consist entirely of an avascular tissue composed of two types of fibre-like structures, which are coarse and longitudinally (parallel to the main axis of the element) oriented. These structures are differentiated on the basis of their optical properties under polarized light. Very thin fibrous strands are also observed in some regions. These small fibres are all oriented parallel to one another but perpendicular to the element main axis. Histological features of the primary bone tissue indicate that the sacral supraspinous rod corresponds to an ossified supraspinous ligament. The formation of this structure appears to have been a non-pathological metaplastic ossification, possibly induced by the continuous tensile forces applied to the element.Fil: Cerda, Ignacio Alejandro. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Patagonia Norte. Instituto de Investigación en Paleobiología y Geología; Argentina. Universidad Nacional de Río Negro; ArgentinaFil: Casal, Gabriel. Universidad Nacional de la Patagonia; ArgentinaFil: Martínez, Rubén Darío. Universidad Nacional de la Patagonia ; ArgentinaFil: Ibiricu, Lucio Manuel. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Nacional Patagónico; Argentin

Del orden de las milicias al orden de las instituciones: agencias de control y nuevas disciplinas en Santa Fe y Entre Ríos entre 1860 y 1880

El presente artículo se propone reseñar los principales hallazgos del proyecto en el que investigamos las nuevas configuraciones del orden jurídico durante la segunda mitad del siglo XIX en el territorio santafesino y entrerriano, período durante el cual la región participó de un acelerado proceso de institucionalización de su estructura estatal en tanto progresaba la formación de un régimen moderno de dominación y su incorporación plena al sistema capitalista.Con el objeto de aproximarnos a aquel régimen de gobierno y modernización estatal que subyace en las formas institucionales y en las prácticas sociales de las nuevas agencias estatales, analizaremos comparativamente la instrumentación jurídica y práctica de aquellas agencias que capilarmente constituyen a los nuevos órdenes provinciales en Santa Fe y Entre Ríos entre 1860 y 1880, antes de la definitiva consolidación de la dominación en la forma moderna del estado nacional. Y en un apartado final, a modo de conclusión, reflexionaremos sobre la experiencia de investigación desde una perspectiva teórico-metodológica

MetroMMC: Electron-Capture Spectrometry with Cryogenic Calorimeters for Science and Technology

Accurate decay data of radionuclides are necessary for many fields of science and technology, ranging from medicine and particle physics to metrology. However, data that are in use today are mostly based on measurements or theoretical calculation methods that are rather old. Recent measurements with cryogenic detectors and other methods show significant discrepancies to both older experimental data and theory in some cases. Moreover, the old results often suffer from large or underestimated uncertainties. This is in particular the case for electron-capture (EC) decays, where only a few selected radionuclides have ever been measured. To systematically address these shortcomings, the European metrology project MetroMMC aims at investigating six radionuclides decaying by EC. The nuclides are chosen to cover a wide range of atomic numbers Z, which results in a wide range of decay energies and includes different decay modes, such as pure EC or EC accompanied by γ- and/or β+-transitions. These will be measured using metallic magnetic calorimeters (MMCs), cryogenic energy-dispersive detectors with high-energy resolution, low-energy threshold and high, adjustable stopping power that are well suited for measurements of the total decay energy and X-ray spectrometry. Within the MetroMMC project, these detectors are used to obtain X-ray emission intensities of external sources as well as fractional EC probabilities of sources embedded in a 4 π absorber. Experimentally determined nuclear and atomic data will be compared to state-of-the-art theoretical calculations which will be further developed within the project. This contribution introduces the MetroMMC project and in particular its experimental approach. The challenges in EC spectrometry are to adapt the detectors and the source preparation to the different decay channels and the wide energy range involved, while keeping the good resolution and especially the low-energy threshold to measure the EC from outer shells. © 2019, The Author(s)

Osteology and phylogenetic relationships of Tehuelchesaurus benitezii (Dinosauria, Sauropoda) from the Upper Jurassic of Patagonia

The diversification and early evolution of neosauropod dinosaurs is mainly recorded from the Upper Jurassic of North America, Europe, and Africa. Our understanding of this evolutionary stage is far from complete, especially in the Southern Hemisphere. A partial skeleton of a large sauropod from the Upper Jurassic Cañadón Calcáreo Formation of Patagonia was originally described as a 'cetiosaurid' under the name Tehuelchesaurus benitezii. The specimen is here redescribed in detail and the evidence presented indicates that this taxon is indeed a neosauropod, thus representing one of the oldest records of this clade in South America. A complete preparation of the type specimen and detailed analysis of its osteology revealed a great number of features of phylogenetic significance, such as fully opisthocoelous dorsal vertebrae, the persistence of true pleurocoels up to the first sacral vertebra, associated with large camerae in the centrum and supraneural camerae, and an elaborate neural arch lamination, including two apomorphic laminae in the infradiapophyseal fossa. The phylogenetic relationships of this taxon are tested through an extensive cladistic analysis that recovers Tehuelchesaurus as a non-titanosauriform camarasauromorph, deeply nested within Neosauropoda. Camarasauromorph sauropods were widely distributed in the Late Jurassic, indicating a rapid evolution and diversification of the group. © 2011 The Linnean Society of London.Fil: Carballido, José Luis. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Museo Paleontológico Egidio Feruglio; ArgentinaFil: Rauhut, Oliver Walter Mischa. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Museo Paleontológico Egidio Feruglio; Argentina. Ludwig-Maximilians-University; AlemaniaFil: Pol, Diego. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Museo Paleontológico Egidio Feruglio; ArgentinaFil: Salgado, Leonardo. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Patagonia Norte. Instituto de Investigaciones en Biodiversidad y Medioambiente. Universidad Nacional del Comahue. Centro Regional Universidad Bariloche. Instituto de Investigaciones en Biodiversidad y Medioambiente; Argentin

A HS6ST2 gene variant associated with X-linked intellectual disability and severe myopia in two male twins

X-linked intellectual disability (XLID) refers to a clinically and genetically heterogeneous neurodevelopmental disorder, in which males are more heavily affected than females. Among the syndromic forms of XLID, identified by additional clinical signs as part of the disease spectrum, the association between XLID and severe myopia has been poorly characterized. We used whole exome sequencing (WES) to study two Italian male twins presenting impaired intellectual function and adaptive behavior, in association with severe myopia and mild facial dysmorphisms. WES analysis detected the novel, maternally inherited, mutation c.916G\u2009>\u2009C (G306R) in the X-linked heparan sulfate 6-O-sulfotransferase 2 (HS6ST2) gene. HS6ST2 transfers sulfate from adenosine 3'-phosphate, 5'-phosphosulfate to the sixth position of the N-sulphoglucosamine residue in heparan sulfate (HS) proteoglycans. Low HS sulfation levels are associated with defective optic disc and stalk morphogenesis during mammalian visual system development. The c.916G>C variant affects the HS6ST2 substrate binding site, and its effect was considered "deleterious" by in-silico tools. An in-vitro enzymatic assay showed that the HS6ST2 mutant isoform had significantly reduced sulphotransferase activity. Taken together, the results suggest that mutant HS6ST2 is possibly involved in the development of myopia and cognitive impairment, characteristics of the probands reported here

CT-guided fine-needle aspiration biopsy of solitary pulmonary nodules under 15 mm in diameter : time for an afterthought?

Background: Many studies on fine-needle aspiration biopsy (FNAB) for undetermined pulmonary nodules reported that diagnostic accuracy tended to decline, whereas complication prevalence raised as the size of nodule decreased. Reconsideration on the effectiveness of FNAB would be appropriate considering the dramatic increase in the identification of small nodules with screening programs and new demands of target therapies. The aim of this study was to verify the efficacy of FNAB in pulmonary nodules smaller than 15 mm. Methods: A retrospective, cohort study was conducted on patients with undetermined solitary pulmonary nodules (SPNs) who underwent computer tomography (CT) guided FNAB at our Institution from January 2012 to December 2014. Patients with SPNs with diameter up to 15 mm were considered; inclusion criteria comprised ASA 3, FEV1 <70% of predicted, cardiac comorbidity or previous chest surgery. FNAB diagnostic performance and clinical efficacy were calculated. Results: Out of 225 patients referred for FNAB, 68 covered inclusion criteria. Forty-nine out of 68 smears (72%) were adequate for diagnosis. Specificity was 100% (95% CI: 77\u2013100%), sensitivity was 100% (95% CI: 90\u2013100%). Positive and negative predictive values were 1.0 (95% CI: 0.9\u20131.0) and 1.0 (95% CI: 0.77\u20131.0) respectively. A post-biopsy pneumothorax was detected in 27 cases (39%); the pneumothorax rate was significantly affected by the number of passages (P=0.01). Conclusions: The satisfactory results of our study lead to reconsidering FNAB in patients with pulmonary nodules below 15 mm in diameter, especially in order to avoid unnecessary surgery