Cryptogenic postpartum stroke

An estimated 25–40% of ischemic strokes are classified as cryptogenic, which means the cause of the cerebral infarction remains unidentified. One of the potential pathomechanisms – especially among young patients with no cardiovascular risk factors – is paradoxical embolism through a patent foramen ovale. Pregnancy, cesarean delivery and the postpartum period are associated with an increased risk of cerebrovascular events. Factors that may contribute to ischemic strokes during gestation and puerperium include classic cardiovascular risk factors, changes in hemostaseology/hemodynamics, and pregnancy-specific disorders such as pre-eclampsia, eclampsia, postpartum cerebral angiopathy or peripartum cardiomyopathy. In this case report, we present a 36-year-old thrombolysis candidate undergoing mechanical thrombectomy 3 weeks after a cesarean section due to HELLP-syndrome. After evaluation of anamnestic and diagnostic parameters, closure of the patent foramen ovale has been performed. In the absence of specific guidelines, diagnostic work-up for cryptogenic stroke should be oriented after the suspected pathomechanism based on patient history and clinical picture. As long as definite evidences emerge, management of cryptogenic stroke patients with pathogenic right-to-left shunt remains individual based on the mutual decision of the patient and the multidisciplinary medical team

Antimicrobials: a global alliance for optimizing their rational use in intra-abdominal infections (AGORA)

Intra-abdominal infections (IAI) are an important cause of morbidity and are frequently associated with poor prognosis, particularly in high-risk patients. The cornerstones in the management of complicated IAIs are timely effective source control with appropriate antimicrobial therapy. Empiric antimicrobial therapy is important in the management of intra-abdominal infections and must be broad enough to cover all likely organisms because inappropriate initial antimicrobial therapy is associated with poor patient outcomes and the development of bacterial resistance. The overuse of antimicrobials is widely accepted as a major driver of some emerging infections (such as C. difficile), the selection of resistant pathogens in individual patients, and for the continued development of antimicrobial resistance globally. The growing emergence of multi-drug resistant organisms and the limited development of new agents available to counteract them have caused an impending crisis with alarming implications, especially with regards to Gram-negative bacteria. An international task force from 79 different countries has joined this project by sharing a document on the rational use of antimicrobials for patients with IAIs. The project has been termed AGORA (Antimicrobials: A Global Alliance for Optimizing their Rational Use in Intra-Abdominal Infections). The authors hope that AGORA, involving many of the world's leading experts, can actively raise awareness in health workers and can improve prescribing behavior in treating IAIs

Comprehensive compositional study of torrefied wood and herbaceous materials by chemical analysis and thermoanalytical methods

In this work the torrefaction of three biomass materials: black locust wood, wheat and rape straw was studied at various temperatures: 200, 225, 250, 275 and 300 °C. The thermal stability and the formation of the decomposition products of the untreated and treated samples were measured by TG/MS method. The degree of hemicellulose and cellulose decomposition during torrefaction at different temperatures were characterized by compositional analysis of the torrefied and untreated samples. The cellulose, hemicellulose and Klason-lignin contents of the raw and torrefied biomass samples were determined by acidic hydrolysis and subsequent HPLC analysis. The inorganic ion contents of the untreated samples were measured by ICP-OES method. The joint evaluation of the results obtained by various analytical methods revealed that the acidic side groups of hemicellulose were partially split off, while the main mass of hemicellulose did not degrade at 225 °C torrefaction temperature. About 40% of hemicellulose degrades at 250 °C torrefaction temperature and the remainder decomposes at higher temperature. Although hemicellulose has different chemical structure in the hardwood and the straws, no significant differences were observed in the thermal stability of hemicelluloses in the three studied samples. Taking into consideration the significantly higher alkali ion content of the straw samples it was concluded that the alkali ion content of the samples did not modify the thermal stability of hemicellulose. Statistical analysis (PCA) have been used to present correlations between the torrefaction temperature, chemical composition and thermal parameters of the samples. The PCA calculations revealed substantial changes in the chemical composition and thermal properties of biomass materials as a result of torrefaction at 275-300°C temperatures

Thermoanalytical characterization and catalytic conversion of de-oiled micro algae and jatropha seed cake

The thermal decomposition of the by-products of the biodiesel process was studied by thermoanalytical methods. De-oiled algae cake and jatropha seed de-oiled cake were pyrolyzed and the catalytic effects of silica supported iron catalysts (Fe/FSM-16 and Fe/SBA-15) and magnetite (Fe3O4) were tested. The evolution profiles of the decomposition products as well as the thermal stability of the samples were determined by thermogravimetry/mass spectrometry (TG/MS). The formation of the volatile products was monitored by pyrolysis-gas chromatography/mass spectrometry (Py-GC/MS). The composition and the amounts of the gaseous products changed significantly in the presence of the silica supported iron catalysts: the yield of hydrogen and carbon monoxide considerably increased above the decomposition temperature of 400 °C. Both silica supported iron catalysts had important effects on the yield of the products originating from carbohydrates and lignins. The formation of anhydrosugars and phenolic compounds was hindered, while the evolution of aromatic and aliphatic hydrocarbons was enhanced. Fe/FSM-16 proved to be more efficient than Fe/SBA-15 and Fe3O4 catalysts. The thermal decomposition of the protein content of the samples resulted in the formation of 2,5 diketopiperazines and smaller molecules (e.g., ammonia). The silica supported iron catalysts had a special effect: their presence promoted the reaction of fatty acid esters and ammonia resulting in the formation of alkyl nitriles during the thermal decomposition

GrassPlot - a database of multi-scale plant diversity in Palaearctic grasslands

GrassPlot is a collaborative vegetation-plot database organised by the Eurasian Dry Grassland Group (EDGG) and listed in the Global Index of Vegetation-Plot Databases (GIVD ID EU-00-003). GrassPlot collects plot records (releves) from grasslands and other open habitats of the Palaearctic biogeographic realm. It focuses on precisely delimited plots of eight standard grain sizes (0.0001; 0.001;... 1,000 m(2)) and on nested-plot series with at least four different grain sizes. The usage of GrassPlot is regulated through Bylaws that intend to balance the interests of data contributors and data users. The current version (v. 1.00) contains data for approximately 170,000 plots of different sizes and 2,800 nested-plot series. The key components are richness data and metadata. However, most included datasets also encompass compositional data. About 14,000 plots have near-complete records of terricolous bryophytes and lichens in addition to vascular plants. At present, GrassPlot contains data from 36 countries throughout the Palaearctic, spread across elevational gradients and major grassland types. GrassPlot with its multi-scale and multi-taxon focus complements the larger international vegetationplot databases, such as the European Vegetation Archive (EVA) and the global database " sPlot". Its main aim is to facilitate studies on the scale-and taxon-dependency of biodiversity patterns and drivers along macroecological gradients. GrassPlot is a dynamic database and will expand through new data collection coordinated by the elected Governing Board. We invite researchers with suitable data to join GrassPlot. Researchers with project ideas addressable with GrassPlot data are welcome to submit proposals to the Governing Board

Effects of imatinib and nilotinib on the whole transcriptome of cultured murine osteoblasts.

Numerous clinical observations have confirmed that breakpoint cluster region-abelson fusion oncoprotein tyrosine kinase inhibitors used in leukemia treatment alter bone physiology in a complex manner. The aim of the present study was to analyze the whole transcriptome of cultured murine osteoblasts and determine the changes following treatment with imatinib and nilotinib using Sequencing by Oligonucleotide Ligation and Detection next generation RNA sequencing. This study also aimed to identify candidate signaling pathways and network regulators by multivariate Ingenuity Pathway Analysis. Based on the right-tailed Fisher's exact test, significantly altered pathways including upstream regulators were defined for each drug. The correlation between these pathways and bone metabolism was also examined. The preliminary results suggest the two drugs have different mechanisms of action on osteoblasts, and imatinib was shown to have a greater effect on gene expression. Data also indicated the potential role of a number of genes and signaling cascades that may contribute to identifying novel targets for the treatment of metabolic bone diseases