unidentified cachexia patients in the oncologic setting cachexia ufo s do exist

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GRAIL, an omni-directional gravitational wave detector

A cryogenic spherical and omni-directional resonant-mass detector proposed by the GRAIL collaboration is described.Comment: 5 pages, 4 figs., contribution to proceedings GW Data Analysis Workshop, Paris, nov. 199

The microbial diversity of the Su Bentu cave, Italy and the influence of human exploration.

Introduction: The microbial diversity in the Su Bentu Cave (Sardinia, Italy) was investigated by means of Illumina MiSeq analysis. The hypogean environment is of great interest for astrobiological research as cave conditions may resemble those in extra-terrestrial regions. Furthermore, they hold high potential to identify novel, extremely adapted organisms to severely oligo-trophic habitats. However, the influence of human is not neglectable and in-depth investigations are needed to determine the impact of exploration on an otherwise mostly pristine ecosystem. The cave investigated in this study develops for several kilometres into the mountain, two hundred metres below the topographic surface and is characterized by a strong air circulation. Its structure is composed of huge passages carved in limestone where an ephemeral underground stream creates some lakes, close to which seven samples of visible calcite rafts, manganese deposits and moonmilk (a hydrated calcium carbonate speleothem), were sampled during an expedition in 2014. Other samples were re-trieved from a frequently used campsite and from some dry cave passages leading deeper into the cave

Saturable elimination of piperacillin in critically ill patients:implications for continuous infusion

The study aimed to evaluate saturation of piperacillin elimination in critically ill adult patients. Seventeen critically ill adult patients received continuous and intermittent infusion of piperacillin/tazobactam. Piperacillin plasma concentrations (n = 217) were analysed using population pharmacokinetic (PopPK) modelling. Post-hoc simulations were performed to evaluate the type I error rate associated with the study. Unseen data were used to validate the final model. The mean error (ME) and root mean square error (RMSE) were calculated as a measure of bias and imprecision, respectively. A PopPK model with parallel linear and non-linear elimination best fitted the data. The median and 95% confidence interval (CI) for the model parameters drug clearance (CL), volume of central compartment (V), volume of peripheral compartment (V-p) and intercompartmental clearance (Q) were 9 (7.69-11) L/h, 6.18 (4.93-11.2) L, 11.17 (7.26-12) L and 15.61 (12.66-23.8) L/h, respectively. The Michaelis-Menten constant (K-m) and the maximum elimination rate for Michaelis-Menten elimination (V-max) were estimated without population variability in the model to avoid overfitting and inflation of the type I error rate. The population estimates for K-m and V-max were 37.09 mg/L and 353.57 mg/h, respectively. The bias (ME) was -20.8 (95% CI -26.2 to -15.4) mg/L, whilst imprecision (RMSE) was 49.2 (95% CI 41.2-56) mg/L. In conclusion, piperacillin elimination is (partially) saturable. Moreover, the population estimate for K-m lies within the therapeutic window and therefore saturation of elimination should be accounted for when defining optimum dosing regimens for piperacillin in critically ill patients. (C) 2019 Elsevier B.V. and International Society of Chemotherapy. All rights reserved

Neoproterozoic tectonic geography of the south-east Congo Craton in Zambia as deduced from the age and composition of detrital zircons

Available online 10 August 2018The Southern Irumide Belt (SIB) is an orogenic belt consisting of a number of lithologically varied Mesoproterozoic and Neoproterozoic terranes that were thrust upon each other. The belt lies along the southwest margin of the Archaean to Proterozoic Congo Craton, and bears a Neoproterozoic tectono-thermal overprint relating to the Neoproterozoic–Cambrian collision between the Congo and Kalahari cratons. It preserves a record of about 500 million years of plate interaction along this part of the Congo margin. Detrital zircon samples from the SIB were analysed for U–Pb and Lu–Hf isotopes, as well as trace element compositions. These data are used to constrain sediment-source relationships between SIB terranes and other Gondwanan terranes such as the local Congo Craton and Irumide belt and wider afield to Madagascar (Azania) and India. These correlations are then used to interpret the Mesoproterozoic to Neoproterozoic affinity of the rocks and evolution of the region. Detrital zircon samples from the Chewore–Rufunsa and Kacholola (previously referred to as Luangwa–Nyimba) terranes of the SIB yield zircon U–Pb age populations and evolved εHf(t) values that are similar to the Muva Supergroup found throughout eastern Zambia, primarily correlating with Ubendian–Usagaran (ca. 2.05–1.80 Ga) phase magmatism and a cryptic basement terrane that has been suggested to underlie the Bangweulu Block and Irumide Belt. These data suggest that the SIB was depositionally connected to the Congo Craton throughout the Mesoproterozoic. The more eastern Nyimba–Sinda terrane of the SIB (previously referred to as Petauke–Sinda terrane) records detrital zircon ages and εHf(t) values that correlate with ca. 1.1–1.0 Ga magmatism exposed elsewhere in the SIB and Irumide Belt. We ascribe this difference in age populations to the polyphase development of the province, where the sedimentary and volcanic rocks of the Nyimba–Sinda terrane accumulated in extensional basins that developed in the Neoproterozoic. Such deposition would have occurred following late-Mesoproterozoic magmatism that is widespread throughout both the Irumide and Southern Irumide Belts, presently considered to have occurred in response to collision between a possible microcontinental mass and the Irumide Belt. This interpretation implies a multi-staged evolution of the ocean south of the Congo Craton during the mid-Mesoproterozoic to late-Neoproterozoic, which ultimately closed during collision between the Congo and Kalahari cratons.Brandon L. Alessio, Alan S. Collins, Peter Siegfried, Stijn Glorie, Bert De Waele, Justin Payne, Donnelly B. Archibal

Guidelines for translational research in heart failure

Heart failure (HF) remains a major cause of death and hospitalization worldwide. Despite medical advances, the prognosis of HF remains poor and new therapeutic approaches are urgently needed. The development of new therapies for HF is hindered by inappropriate or incomplete preclinical studies. In these guidelines, we present a number of recommendations to enhance similarity between HF animal models and the human condition in order to reduce the chances of failure in subsequent clinical trials. We propose different approaches to address safety as well as efficacy of new therapeutic products. We also propose that good practice rules are followed from the outset so that the chances of eventual approval by regulatory agencies increase. We hope that these guidelines will help improve the translation of results from animal models to humans and thereby contribute to more successful clinical trials and development of new therapies for HF.European Union [CardioNeT-ITN-289600, CardioNext-ITN-608027, FP7-IMI-JU-SAFET-115003]; Spanish Ministry of Economy [SAF2012-31451]; Regional Government of Madrid [2010-BMD-2321]; Spanish Ministry of Economy; Pro-CNIC Foundation; NIH [HL-120732, HL100401]; AHA [14SFRN20740000]; CPRIT [RP110486P3]; Leducq Foundation [11CVD04]; MINECO-SAF [2013-42962R]; Instituto Carlos III [TERCEL-RD-12/00190026, RIC12/00420024]S