The tailor-made treatment in a particular case of pulmonary hypertension in thalassaemia intermedia: A case report

Background: Pulmonary hypertension (PH) is a haemodynamic condition, secondary to different causes. Thalassaemia may lead to PH of different origin and needs a comprehensive analysis to be correctly characterized and possibly treated. Case summary: We present a case study of a patient with a non-transfusion-dependent thalassaemia and a previous diagnosis of group 5 PH. A complete diagnostic assessment led to a specific diagnosis of chronic thromboembolic PH. Thus, we were able to start a specific therapy with riociguat that provided an improvement in terms of haemodynamic, imaging, and functional status. Discussion: A correct characterization and treatment of PH are essential in order to change the patient's prognosis. Chronic thromboembolic PH is a treatable cause of PH in thalassemic patients and should be investigated

Soil Components in Heterogeneous Impact Glass in Martian Meteorite EETA79001

Martian soil composition can illuminate past and ongoing near-surface processes such as impact gardening [2] and hydrothermal and volcanic activity [3,4]. Though the Mars Exploration Rovers (MER) have analyzed the major-element composition of Martian soils, no soil samples have been returned to Earth for detailed chemical analysis. Rao et al. [1] suggested that Martian meteorite EETA79001 contains melted Martian soil in its impact glass (Lithology C) based on sulfur enrichment of Lithology C relative to the meteorite s basaltic lithologies (A and B) [1,2]. If true, it may be possible to extract detailed soil chemical analyses using this meteoritic sample. We conducted high-resolution (~0.3 m/pixel) element mapping of Lithology C in thin section EETA79001,18 by energy dispersive spectrometry (EDS). We use these data for principal component analysis (PCA)

A High Resolution Microprobe Study of EETA79001 Lithology C

Antarctic meteorite EETA79001 has received substantial attention for possibly containing a component of Martian soil in its impact glass (Lithology C) [1]. The composition of Martian soil can illuminate near-surface processes such as impact gardening [2] and hydrothermal and volcanic activity [3,4]. Impact melts in meteorites represent our most direct samples of Martian regolith. We present the initial findings from a high-resolution electron microprobe study of Lithology C from Martian meteorite EETA79001. As this study develops we aim to extract details of a potential soil composition and to examine Martian surface processes using elemental ratios and correlations

Artroplastia total no cementada en la coxartrosis secundaria a displasia y luxación congenita de cadera

Se revisan 13 prótesis no cementadas implantadas en 12 paciente s que presentaban una coxartrosis secundaria a una displasia congénita de cadera. Los paciente s han sido seguidos más de 2 años de evolución. En todos los casos se utilizó la via de abordaje postero-lateral. Se implantó siempre la prótesis tipo PCA procediéndose en 7 casos a la realización, a nivel acetabular, de un alo o autoinjerto complementario. A nivel femoral se utilizaron 7 vástagos estándar, 3 medianos y 3 largos para facilitar la restauración del centro rotatorio original de la cadera. En los pacientes que presentaban una luxación importante se llevaron a cabo osteotomías de acortamiento a nivel subtrocantérico. Los pacientes han sido evaluados pre y post-operatoriamente tanto desde el punto de vista radiográfico como clínico. Desde el punto de vista clínico, se obtuvieron 8 resultados excelentes, 3 buenos, 1 discreto y 1 malo. Todos los pacientes estaban plenamente satisfechos con el resultado de la operación habiendo aumentado drásticamente su nivel de actividad. Solamente en un caso fue necesario practicar una intervención de revisión a los 4 años de la artroplastia primitiva, a causa de una grave osificación periprotésica. Solamente se tuvo una complicación intraoperatoria consistente en una fractura de la diálisis femoral.Thirteen non-cemented hips prostheses implanted in 12 patients with an osteoartritis secundar y to congenita l dislocation and dysplasi a of the hip wer e reviewed . Patients had a more than 2 years follow-up. The postero-lateral surgical approach was employed in all cases. On the acetabular side, we always used the PCA socket type. On the femoral side we implanted a PCA standard stem in 7 cases, mid stem in 3 cases and a long stem in 3. Acetabular bone autograft was added in 7 patients. In order to restore the original center of rotacion of the hip, in patients with a severe dislocation we perfomed also a shortening sub-trochanteric osteotomy; all the patients wer e evaluated pre and post-operatively with two separate forms. The first regarding the clinical evaluation, the second for radiographic assessment. All the patients were fully satisfied with the operation increasing dramatically their activity level. We obtained 8 excellent results, 3 good, 1 fair and 1 poor. One case required a revision for a severe heterotopic bone formation about 4 years after the first implant. We had a diaphyseal femoral fracture as the sole inly an intraoperative complication

Investigation of Squaramide Catalysts in the Aldol Reaction En Route to Funapide

Funapide is a 3,3’-spirocyclic oxindole with promising analgesic activity. A reported pilot-plant scale synthesis of this chiral compound involves an asymmetric aldol reaction, catalyzed by a common bifunctional thiourea structure. In this work, we show that the swapping of the thiourea unit of the catalyst for a tailored squaramide group provides an equally active, but rewardingly more selective, catalyst for this aldol reaction (from 70.5 to 85 % ee). The reaction was studied first on a model oxindole compound. Then, the set of optimal conditions was applied to the target funapide intermediate. The applicability of these conditions seems limited to oxindoles bearing the 3-substituent of funapide. Exemplifying the characteristics of target-focused methodological development, this study highlights how a wide-range screening of catalysts and reaction conditions can provide non-negligible improvements in an industrially viable asymmetric transformation

Necrodes littoralis (Coleoptera: Silphidae) visiting and breeding on a carcass in Italy

The community that progressively colonizes a decaying corpse can be considered a small ecosystem mostly composed of sarcosaprophagous arthropods belonging to the orders Diptera and Coleoptera. Studies on these species are often performed through animal models to obtain data on their succession, behaviour and life cycle, together with information on habitat, corpse conditions, season and association with other species. These data may be relevant for forensic investigations, especially concerning the estimation of Post Mortem Interval (PMI). An investigation on the sarcosaprophagous insect community in a rural area was set in Calabria (Southern Italy), using a pig, Sus scrofa Linnaeus, 1758 (Artiodactyla: Suidae) as experimental model. Analyses of the community of Diptera and Coleoptera revealed the massive presence of Necrodes littoralis (Linnaeus, 1758) (Coleoptera: Silphidae). Adults of this species reached the carcass during the bloated stage and a large amount of larvae was detected from the decay stage onwards, simultaneous to the sharp decrease in dipteran larvae and pupae. The occurrence and the activity of N. littoralis should be considered to avoid misinterpretation and errors in estimating PMI in forensic investigation