The Use of Prasugrel and Ticagrelor in Pipeline Flow Diversion

Background: Despite the routine clopidogrel/aspirin anti-platelet therapy, complications like thromboembolism, continue to be encountered with PED. We studied the safety and the efficacy of prasugrel in the management of clopidogrel non-responders treated for intracranial aneurysms. Methods: 437 consecutive neurosurgery patients were identified between January 2011 and May 2016. Patients allergic or having \u3c30% platelet-inhibition with a daily 75mg of clopidogrel were dispensed 10mg of prasugrel daily (n=20) or 90mg of ticagrelor twice daily (n=2). The average follow-up was 15.8 months (SD=12.4 months). Patient clinical well being was evaluated with the modified Rankin Scale (mRS) registered before the discharge and at each follow-up visit. To control confounding we used multivariable mixed-effects logistic regression and propensity score conditioning. Results: 26 of 437(5.9%) patients (mean of age 56.3 years; 62 women [14,2%]) presented with a sub-arachnoid hemorrhage. 1 patient was allergic to clopidogrel and prasugrel simultaneously. All the patients receiving prasugrel (n=22) had a mRS\u3c2 on their latest follow-up visit (mean=0.67; SD=1.15). In a multivariate analysis, clopidogrel did not affect the mRS on last follow-up, p=0.14. Multivariable logistic regression showed that clopidogrel was not associated with an increased long-term recurrence rate (odds ratio[OR], 0.17; 95%Confidence Interval [CI95%], 0.01-2.70; p=0.21) neither with an increased thromboembolic accident rate (OR, 0.46; CI95%, 0.12-1.67; p=0.36) nor with an increased hemorrhagic event rate (OR, 0.39; CI95%,0.91-1.64; p=0.20). None of the patients receiving prasugrel deceased or had a long-term recurrence nor a hemorrhagic event, only 1 patient suffered from mild aphasia subsequent to a thromboembolic event. 3 patients on clopidogrel passed during the study: (2) from acute SAH and (1) from intra-parenchymal hemorrhage. Clopidogrel was not associated with an increased mortality rate (OR, 2.18; CI95%,0.11-43.27; p=0.61). The same associations were present in propensity score adjusted models. Conclusion: In a cohort of patients treated with PED for their intracranial aneurysms, prasugrel (10mg/day) is a safe alternative to clopidogrel resistant, allergic or non-responders

Large-Scale Assessment of the Zebrafish Embryo as a Possible Predictive Model in Toxicity Testing

Background: In the drug discovery pipeline, safety pharmacology is a major issue. The zebrafish has been proposed as a model that can bridge the gap in this field between cell assays (which are cost-effective, but low in data content) and rodent assays (which are high in data content, but less cost-efficient). However, zebrafish assays are only likely to be useful if they can be shown to have high predictive power. We examined this issue by assaying 60 water-soluble compounds representing a range of chemical classes and toxicological mechanisms. Methodology/Principal Findings: Over 20,000 wild-type zebrafish embryos (including controls) were cultured individually in defined buffer in 96-well plates. Embryos were exposed for a 96 hour period starting at 24 hours post fertilization. A logarithmic concentration series was used for range-finding, followed by a narrower geometric series for LC 50 determination. Zebrafish embryo LC50 (log mmol/L), and published data on rodent LD50 (log mmol/kg), were found to be strongly correlated (using Kendall’s rank correlation tau and Pearson’s product-moment correlation). The slope of the regression line for the full set of compounds was 0.73403. However, we found that the slope was strongly influenced by compound class. Thus, while most compounds had a similar toxicity level in both species, some compounds were markedly more toxic in zebrafish than in rodents, or vice versa. Conclusions: For the substances examined here, in aggregate, the zebrafish embryo model has good predictivity for toxicit

Anales de Edafología y Agrobiología Tomo 34 Número 3-4

Estudio de la materia orgánica del ranker atlántico. I. Caracterización general, por P. Rodríguez Seoane, T. Carballas y F. Guitián Ojea.-- Movimiento y distribución de sales solubles en suelos calizos, por F. G. Fernández, M. Caro y A. Cerda.-- The availability of added and native phosphorus to barley grown in sorne Egyptian soils .containing different levels of calciurn carbonate, by M. H. Nafady.-- The measurernent of soil pH in calciurn chloride solutions, by M. H. Nafady.- Nuevas aportaciones al conocimiento del género Mnema (nernatoda) y su distribución en los suelos españoles, por María Arias.-- Estudios bioquímicos y fisiológicos en aceituna. III. Variaciones en el crecimiento de hojas y frutos, por J. P. Donaire, A. J. Sánchez-Raya, J. López Corge y L. Recalde.-- Importancia de la rnicorrización espontánea en ensayos de nutrición vegetal en suelos deficientes en fósforo, por R. Azcón y J. M. Barea.-- Andosoles canarios. J. Características generales de estos suelos, por E. Fernández Caldas y M. L. Tejedor Salguero.-- Andosoles canarios. II. Intergrados andosol-tierra parda oligotrófica. Características morfológicas y quírnkas, por M. L. Tejedor Salguero y E. Fernández Caldas.-- Andosoles canarios. lll. Jntergrados andosol-tierra parda otigotrófica. Catacterísticas físicas, por E. Fernández Caldas y M. L. Tejedor Salguero.-- Andosoles canario;. IV. In ter grados andosol-tierra parda ohgotrófica. Características mineralógicas. Interpretación y clasificación, por C. Rodríguez Pascual, P. Quantin, M. L. Tejedor Salguero y E. Fernández Caldas.-- Estudios recapitualtivos.-- La vid una revisión de las condiciones del cultivo, por C. González O. y M. Lachica.—Notas científicas.-- Nota sobre la determinación del carbono orgánico en suelos, por J. F. Gallardo.—Notas.-- Ampliación de la Comisión Permanente de la Junta de Gobierno del Patronato Alonso de Herrera.-- Nombramiento de Secretario del Centro de Edafología y Biología Aplicada de Tenerife.-- Nombramientos en el Instituto de Alimentación v Productividad Animal.-- Cambio de representantes del Patronato Alonso de Herrera en la Comisión Asesora de la Investigación Científica y Técnica.-- Convenio con ASPA.-- Dimisión del Director del Centro de Edafología y Biología Aplicada del Segura de Murcia.-- Nombramientos de representantes en los C. R. l. D. A. S.-- Designación de Jurados para Premios del C. S. l. C.-- Informes del Secretario Adjunto del C. S. I. C. sobre reuniones en Europa.-- Convenio entre la Estación Experimental del Zaidín y la Universidad de Nápoles.-- Donación de terrenos a la Diputación de Badajoz.-- Seminario Oleícola Internacional.-- Congreso de la Unión Fitopatológica Mediterránea.-- Situaciones de personal.-- Reunión de la Comisión de Protección Vegetal.-- Día Forestal Mundial.-- Congresos y reuniones internacionales y viajes.-- Premio Agrícola Aedos.-- BibliografíaPeer reviewed2019-08.- CopyBook.- Libnova.- Biblioteca ICA

Poverty in Consumer Culture:Towards a Transformative Social Representation

International audienceIn this article, we consider the representations of poverty within consumer culture. We focus on four main themes – social exclusion, vulnerability, pleasure and contentment – that capture some of the associations that contemporary understandings have made with poverty. For each theme, we consider the portrayals of poverty from the perspective of key agents (such as marketers, media, politicians) and then relate this to more emic representations of poverty by drawing on a range of contemporary poverty alleviating projects from around the world. We conclude with a set of guidelines for relevant stakeholders to bear in mind when elaborating their representations of poverty. These guidelines may act as a platform to transform marginalising representations of poverty into more empowering representations