Aspiration of mediastinal hydatid cyst – A case report

Mediastinal hydatid cyst is very rare and has been only anecdotally reported in the literature. Because of surrounding vital structures, the cyst should be treated without delay, surgery being the mainstay of treatment. Here we report a case of hydatid cyst of the mediastinum which was managed by trans-thoracic aspiration followed by albendazole therapy

Оборудование для испытания листовых конструкционных материалов при двухосном растяжении. Сообщение 1. Испытания односторонним давлением рабочей среды

Рассмотрены конструктивные особенности оборудования для исследования прочности и закономерностей разрушения листовых конструкционных материалов при двухосном растяжении путем нагружения образцов односторонним давлением рабочей среды. Предложены решения ряда проблем методического характера, связанных с испытаниями при высоких уровнях давления рабочей среды, что позволяет обеспечить необходимые режимы охлаждения образцов, снизить уровень энергии разрушения, повысить надежность и безопасность испытаний.Розглянуто конструктивні особливості устаткування для дослідження міцності і закономірностей руйнування листових конструкційних матеріалів при двовісному розтязі зразків одностороннім тиском робочого середовища. Запропоновано рішення ряду проблем методичного характеру, що пов’язані з випробуваннями при високих рівнях тиску робочого середовища. Це дозволить забезпечити необхідні режими охолодження зразків, знизити рівень енергії руйнування, підвищити надійность та безпеку випробувань.Design features of the equipment for studying strength and regularities of fracture of sheet structural materials in biaxial tension by subjecting specimens to one-sided pressure of a working medium are considered. Solutions were suggested for a number of methodological problems related to testing at high levels of pressure of a working medium. These solutions make it possible to provide necessary conditions of cooling of specimens, lower the level of fracture energy, and improve reliability and safety of the tests

Transition Metal Doping in CdS Quantum Dots: Diffusion, Magnetism, and Ultrafast Charge Carrier Dynamics

Transition metal (TM) doping in pristine II-VI semiconductor quantum dots (QDs) is known to add several otherwise unavailable properties by introducing midgap states in the host material. Albeit being extensively investigated, the periodicity of the observed properties with respect to the electronic structure has not been attempted so far. In this work, we investigate CdS QDs doped with several different TM ions (Mn, Fe, Co, Ni, and Cu) using extended X-ray absorption fine structure spectroscopy to study dopant-induced structural perturbations and femtosecond transient absorption (TA) spectroscopy to study the ultrafast charge carrier dynamics. This provides solid evidence for the origin of magnetization in doped QDs that has been lacking despite extensive studies. Further, we demonstrate that the ionic radius and the dopant oxidation state play crucial roles in determining the dopant-anion bond lengths. Based on the investigation of the relaxation pathways of excited charge carriers using ultrafast TA spectroscopy, we hypothesize that there exists photoinduced switching between multiple oxidation states in some dopants

Long-Term Follow-Up of a High Risk Cohort After Stent Implantation in Saphenous Vein Grafts

AbstractObjectives. We sought to provide short- and long-term clinical outcomes of a high risk cohort treated with stents in saphenous vein grafts (SVGs).Background. Data on the long-term outcome of SVG stenting in high risk patients are limited.Methods. Johnson & Johnson stents were implanted in the SVGs of 186 patients (302 stents, 244 lesions). Ninety percent of patients presented with myocardial infarction (MI) or unstable angina (mean ±SD ejection fraction [EF] 44 ± 11%, patient age 71 ± 9 years, graft age 9.4 ± 5 years). Using a risk score classification, 155 patients (83%) were defined as high risk for repeat surgical repair or angioplasty.Results. The procedural success rate was 97.3%, with 2.7% major complications (death, Q wave MI, coronary artery bypass graft surgery [CABG]). Clinical follow-up was obtained in 177 patients (mean 19.1 ± 13.5 months, range 7 to 59). Event rates were 10% for death; 9% for MI; 11% for repeat CABG; and 15% for repeat angioplasty (total events 45%). Kaplan-Meier estimated survival and event-free survival at 4 years were 0.79 ± 0.06 and 0.29 ± 0.07, respectively. Predictors of death were congestive heart failure (p < 0.01) and EF <44% (p < 0.05). Predictors of combined events of death, MI and CABG were low EF (p < 0.01) and high SVG age (>10 years, p < 0.01). There were 66 revascularization procedures (35% of patients), 24% of which were in nontarget lesions. Fifty-three percent of the cardiac events occurred during the first year of follow-up. Of the 160 survivors, 36% were free of angina, 49% were in Canadian Cardiovascular Society functional class I or II, and 15% were in class III or IV. Sixty-nine percent of patients were in class I or II according to the Specific Activity Scale, and 31% of patients were in class III or IV.Conclusions. Balloon-expandable stent implantation in the SVGs of high risk patients is associated with a low early complication rate. Expected survival rates are good, as are the anginal and functional classifications, but there is a high rate of recurrent events and need for repeat revascularization. Vein graft stenting is an acceptable palliative option in many high risk patients

Acacia saligna as a supplementary feed for grazing desert sheep and goats

Acacia saligna, a leguminous tree, has a high crude protein content, remains green all year and can be grown in deserts using only runoff water. However, dry matter intake (DMI) by sheep and goats of A. saligna is low, presumably due to its high tannin content. It has been suggested that DMI could be increased by such methods as wilting of the forage and by neutralizing the negative effects of tannins by tannin-complexing agents. The purpose of this study was to determine DMI of supplementary A. saligna (phyllodes and small stems) by grazing sheep (∼ 50 kg) and goats (∼ 37 kg) when the animals were (1) offered wilted or fresh material (Expt 1); and (2) administered with polyethylene glycol (PEG), a tannin-binding agent (Expt 2). In this second experiment, there were three 14-day periods in which one group each of sheep and goats was on a regime of: No PEG–PEG–No PEG, whereas another group was on a regime of: No PEG–No PEG–PEG. In Expt 1, the DMI of A. saligna was statistically higher in goats than in sheep, but there was no difference in intake between fresh and wilted material. Average DMI of A. saligna, both fresh and wilted, was 124·1 g/day or 8·41 g/kg0·75 per day for goats and 94·1 g/day or 5·05 g/kg0·75 per day for sheep. Goats and sheep consuming fresh A. saligna gained more body mass than their respective controls; the difference was significantly greater in goats but not in sheep. In Expt 2, DMI of fresh A. saligna in the first period (before PEG) was 104·1 g/day or 7·16 g/kg0·75 per day for goats and 84·8 g/day or 4·51 g/kg0·75 per day for sheep. Administration of PEG during the second period resulted in an increase in DMI of 62% in goats and 83% in sheep. These animals maintained a high A. saligna intake in the third period when PEG was withdrawn. Goats and sheep that did not receive PEG in the second period had similar A. saligna intake as in the first period, but increased intake by 62% and 47%, respectively, with PEG in the third period. Overall, the two goat groups and two sheep groups consuming A. saligna lost less body mass than their respective controls; the difference was significantly less in sheep but not in goats. It was concluded that wilting A. saligna did not increase DMI. Administration of PEG increased A. saligna intake and the intake remained high after PEG was withdrawn. Offering A. saligna as a supplement had a positive effect on body mass change

Evaluation of anti-inflammatory activity of ethanolic extract of Derris brevipes (benth.) Baker leaves

Background: Ethnopharmacological relevance: Derris brevipes (benth.) Baker is widely used as an anti-arthritic agent in traditional medicine. Aims and Objectives: This study evaluated the anti-inflammatory activity of ethanolic extract of D. brevipes (EEDB) leaves, a member of the Leguminosae family in vitro and ex vivo. Materials and Methods: The EEDB leaves of was screened for anti-inflammatory activities by protein denaturation analysis and proteinase inhibition analysis. Prednisolone was used as the standard. EEDB (at doses of 300 mg/kg and 600 mg/kg) was administered through the oral route. Ex vivo analysis was performed by estimating the expression of tumor necrosis factor-alpha (TNF-α) in collagen (chicken sternal collagen)-induced arthritis (CIA) in Sprague–Dawley rats using the reverse transcription polymerase chain reaction method. The data were analyzed using one-way analysis of variance, followed by Dunnet’s multiple comparison tests. Results: Prednisolone (100 mcg/mL) and EEDB (600 mcg/mL) showed percentage inhibition of 80.32% and 80.04%, respectively, in protein denaturation assay. Similarly, prednisolone (600 mcg/mL) and EEDB (600 mcg/mL) showed 66.03% and 56.69% inhibition in the proteinase activity. Synovial tissue TNF-α levels showed a significant decrease in EEDB-treated groups and prednisolone-treated group compared to CIA control rats. Conclusion: From this study, it was concluded that the D. brevipes leaf extract possesses anti-inflammatory activity, which explains its beneficial role in rheumatoid arthritis

Annual Biomass Production, Chemical Composition and In- sacco Degradability of Different Cultivars of Moringa oleifera

Types of plant cultivars and seasons often affect production and productivity of fodder biomass and nutritional quality to animals. Selection of suitable cultivars and better understanding of year round biomass production are indispensable for improving quality feed supply to animals. Black Seed Moringa (BSM-L) and White Seed Moringa (WSM), the two local cultivars and Black Seed Moringa (BSM-T) cultivar of Thailand origin of Moringa oleifera were cultivated in the fodder research field of the Bangladesh Livestock Research Institute (BLRI) during the period of 19 August 2014 to 23 December 2015. An agronomical trial was conducted to determine the biomass yield of the three cultivars in different seasons of a year under common agronomical practices. The effect of the cultivars on the daily relative growth rate (RGR), chemical composition and in-sacco dry matter (DM) degradability were also evaluated. The cultivar response to biomass production performances, chemical composition and nutritional values were analyzed in an ANOVA of a Randomized Block Design (RBD), while the differences in the rate and extent of the DM degradability in-sacco determined using three rumen cannulated bulls were analyzed in an ANOVA of 3x3 Latin Square Design. The annual biomass yield of BSM-L tops (114.5 t/ha fresh; 22.7 t/ha DM) was significantly higher than that of WSM (29.0 t/ha fresh; 5.80 t/ha DM) or BSM-T (83.5 t/ha fresh; 16.0 t/ha DM). No significant difference in chemical composition (224.9, 222.4 & 223.8 g.kg-1 DM of crude protein (CP), respectively, and 450.9, 455.3 & 435.4 g.kg-1 DM of neutral detergent fiber, respectively) or nutritional value (47.4, 46.7 & 45.3% of potential, and 62.8, 64.2 and 63.6% of effective degradability of dry matter) was found for the cultivars. BSM-L had a significantly higher survivability (97.2%), prune number per plant (3.50) and RGR (15.6 mg DM/day) than WSM (25.0%, 2.30 & 4.20 mg DM/day) or BSM-T (55.6%, 3.10 & 10.8 mg DM/day) respectively. The hot and dry, and hot and humid climate having a Heat Index (HI) range of 25o to 35o F and monthly total rainfall of 130 mm to 332 mm were suitable for cultivation of all the Moringa cultivars. It was concluded that considering biomass production and its quality in terms of chemical composition and nutritional values, Black Seed Moringa (Moringa oleifera) may be cultivated as a plant fodder crop for the production of feed for ruminant animals

Policymakers\u27 experience of a capacity-building intervention designed to increase their use of research: A realist process evaluation

Background: An intervention’s success depends on how participants interact with it in local settings. Process evaluation examines these interactions, indicating why an intervention was or was not effective, and how it (and similar interventions) can be improved for better contextual fit. This is particularly important for innovative trials like Supporting Policy In health with Research: an Intervention Trial (SPIRIT), where causal mechanisms are poorly understood. SPIRIT was testing a multi-component intervention designed to increase the capacity of health policymakers to use research. Methods: Our mixed-methods process evaluation sought to explain variation in observed process effects across the six agencies that participated in SPIRIT. Data collection included observations of intervention workshops (n = 59), purposively sampled interviews (n = 76) and participant feedback forms (n = 553). Using a realist approach, data was coded for context-mechanism-process effect configurations (retroductive analysis) by two authors. Results: Intervention workshops were very well received. There was greater variation of views regarding other aspects of SPIRIT such as data collection, communication and the intervention’s overall value. We identified nine inter-related mechanisms that were crucial for engaging participants in these policy settings: (1) Accepting the premise (agreeing with the study’s assumptions); (2) Self-determination (participative choice); (3) The Value Proposition (seeing potential gain); (4) ‘Getting good stuff’ (identifying useful ideas, resources or connections); (5) Self-efficacy (believing ‘we can do this!’); (6) Respect (feeling that SPIRIT understands and values one’s work); (7) Confidence (believing in the study’s integrity and validity); (8) Persuasive leadership (authentic and compelling advocacy from leaders); and (9) Strategic insider facilitation (local translation and mediation). These findings were used to develop tentative explanatory propositions and to revise the programme theory. Conclusion: This paper describes how SPIRIT functioned in six policy agencies, including why strategies that worked well in one site were less effective in others. Findings indicate a complex interaction between participants’ perception of the intervention, shifting contextual factors, and the form that the intervention took in each site. Our propositions provide transferable lessons about contextualised areas of strength and weakness that may be useful in the development and implementation of similar studies

Leaflet thrombosis in transcatheter aortic valve intervention: mechanisms, prevention, and treatment options

IntroductionTranscatheter aortic valve intervention (TAVR) has emerged as a promising alternative to surgical aortic valve replacement for patients with severe aortic stenosis. However, leaflet thrombosis has raised concerns about the long-term durability and outcomes of TAVR. This study aims to provide an overview of the mechanisms, prevention strategies, and treatment options for leaflet thrombosis in TAVR.Clinical evidenceLeaflet thrombosis refers to the formation of blood clots on bioprosthetic valve leaflets, leading to impaired leaflet mobility, early valve degeneration and dysfunction, and potential clinical implications. While the mechanisms underlying thrombus formation on valve leaflets are not fully understood, several factors, such as altered blood flow patterns within valve neosinuses, prothrombotic surfaces, and patient-related causes, have been implicated. Two distinct entities have been identified, namely, hypoattenuated leaflet thickening and restricted leaflet motion. Their occurrence appears dynamic over time and is related to the valve type. Imaging, including transesophageal echocardiography and multidetector computed tomography, plays a crucial role in the diagnosis and follow-up of leaflet thrombosis.Prevention and treatment optionsPreventing leaflet thrombosis requires a comprehensive and tailored approach involving identifying high-risk patients, close monitoring, and antithrombotic therapy. Antithrombotic therapy with dual antiplatelet agents or anticoagulation is commonly employed in TAVR patients, although the optimal regimen is yet to be defined. Novel antithrombotic agents, such as direct oral anticoagulants, are being investigated for their efficacy and safety in preventing leaflet thrombosis. When leaflet thrombosis is detected, treatment options include intensified antithrombotic therapy, valve-in-valve intervention, or balloon valvuloplasty. The long-term outcomes and impact of leaflet thrombosis on valve durability and patient prognosis are areas of ongoing research.SummaryLeaflet thrombosis in TAVR is a considerable complication affecting valve function and patient outcomes. Understanding the mechanisms underlying thrombus formation and implementing appropriate prevention strategies are essential for mitigating this risk. Treatment options aim to restore leaflet mobility and optimize valve performance. Further research is needed to establish standardized protocols for antithrombotic therapy, identify high-risk patient populations, and determine the long-term consequences of leaflet thrombosis on TAVR outcomes