Loancorhynchus catrillancai gen. et sp. nov., a new swordfish (Xiphioidei, Blochiidae) from the Middle Eocene of central Chile

This contribution describes the skull remains of a swordfish (Perciformes, Xiphioidei), recovered from Middle Eocene beds of central Chile. Comparison with known fossil and extant xiphioids reveals derived traits only present in the Neogene swordfish Xiphias gladius (Xiphiidae, Xiphiinae), these being a elongated rostrum composed of premaxillaries and possible prenasals, a dorsoventrally high and slender hyomandibular-metapterygoid complex, and a rounded, convex operculum. Also, strong ridges and sulci are present in the dorsal part of the rostrum, a feature only present in the billfish genera Aglyptorhynchus and Xiphiorhynchus, and in the swordfish genus Blochius. In addition, the specimen also has villiform teeth in the rostrum and lower jaw, a feature previously documented only in the Paleocene genus Hemingwaya. Such a unique combination of characters in the specimen allows classifying it as a new genus and species, Loancorhynchus catrillancai. Phylogenetic analyses obtained Xiphiorhynchus outside the Xiphiidae, suggesting instead narrow relationships to the Paleocene-Eocene genera Hemingwaya + Palaeorhynchus + Homorhynchus. Loancorhynchus is obtained as an intermediate form between Xiphias and Blochius. The specimen represents the first Paleogene swordfish described in the southeastern Pacific

Aristonectes quiriquinensis, sp. nov., a new highly derived elasmosaurid from the upper Maastrichtian of central Chile

This paper describes a new species of elasmosaurid plesiosaur, Aristonectes quiriquinensis, sp. nov., based on a partial skeleton recovered from upper Maastrichtian beds of the Quiriquina Formation of central Chile. The material described here consists of two skeletons, one collected near the village of Cocholgue, and a second juvenile specimen from Quiriquina Island. Prior to these finds, Aristonectes was viewed as a monospecific genus, including only the enigmatic Aristonectes parvidens, the holotype of which consists of an incomplete skull and incomplete postcranium. Other material referred to the genus includes an incomplete juvenile skull and other postcranial material from the upper Maastrichtian of Antarctica, as well as a partial skull from the Quiriquina Formation of central Chile. The relationships of Aristonectes have been controversial, with competing theories assigning the genus to Cryptoclididae, Elasmosauridae, and Aristonectidae; however, there is a developing consensus that Aristonectes is a derived elasmosaurid, and this paper gives strong evidence for this view. Comparison of the specimen here studied with the holotype of A. parvidens demonstrates that A. quiriquinensis is a distinct species. The completeness of the adult skeleton allows the first confident size estimates for adult Aristonectes. It is a large plesiosaurian with a relatively large skull with numerous homodont teeth, a moderately long and laterally compressed neck, and relatively narrow trunk, with slender and elongate forelimbs. The two specimens are restricted to the upper Maastrichtian of central Chile, posing questions concerning the austral circumpolar distribution of different elasmosaurids towards the end of the Cretaceous.Fil: Otero, Rodrigo A.. Universidad de Chile; ChileFil: Soto Acuña, Sergio. Museo Nacional de Historia Natural de Santiago; Chile. Universidad de Chile; ChileFil: O'Keefe, Frank Robin. Marshall University; Estados UnidosFil: O'gorman, Jose Patricio. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata; Argentina. Universidad Nacional de La Plata. Facultad de Ciencias Naturales y Museo; Argentina. Universidad Nacional de La Plata. Facultad de Ciencias Naturales y Museo. División Paleontología Vertebrados; ArgentinaFil: Stinnesbeck, Wolfgang. Heidelberg University; AlemaniaFil: Suárez, Mario E.. Museo Nacional de Historia Natural de Santiago; Chile. Universidad de Chile; ChileFil: Rubilar-Rogers, David. Museo Nacional de Historia Natural de Santiago; Chile. Universidad de Chile; ChileFil: Salazar, Christian. Museo Nacional de Historia Natural de Santiago; Chile. Universidad de Chile; ChileFil: Quinzio Sinn, Luis Arturo. Universidad de Concepción; Chil

Knowledge, perceptions, and perspectives of medical students regarding the use of antibiotics and antibiotic resistance: a qualitative research in Galicia, Spain

Antibiotic resistance is a significant public health concern, with numerous studies linking antibiotic consumption to the development of resistance. As medical students will play a pivotal role in prescribing antibiotics, this research aimed to identify their perceptions of current use and factors that could influence future inappropriate use of antibiotics. The study employed a qualitative research approach using Focus Group discussions (FGs) consisting of students from the final theoretical course of the Medicine degree. The FGs were conducted based on a pre-script developed from factors contributing to antibiotic misuse identified in previous studies. All sessions were recorded and transcribed for analysis by two independent researchers, with all participants signing informed consent. Seven focus groups were conducted, with a total of 35 participants. The study identified factors that could influence the future prescription of antibiotics, including the low applicability of knowledge, insecurity, clinical inertia, difficulties in the doctor-patient relationship, unawareness of available updates on the topic, and inability to assess their validity. The students did not perceive antibiotic resistance as a current problem. However, the study found several modifiable factors in medical students that could explain the misuse of antibiotics, and developing specific strategies could help improve their useThis research was supported in part by the Instituto de Salud Carlos III (ISCIII) (PI081239, PI09/90609) Spanish State Plan for Scientific and Technical Research and Innovation and co-funded by The European Union (ERDF)S

A late Eocene age proposal for the Loreto Formation (Brunswick Peninsula, southernmost Chile), based on fossil cartilaginous fishes, paleobotany and radiometric evidence

We present new data on the paleoichthyology, paleobotany and radiometric results of the Loreto Formation in the Brunswick Peninsula of southernmost Chile, that allow us to propose a Late Eocene age. The rich diversity of fossil cartilaginous fishes (Chondrichthyes, Elasmobranchii) recognized in upper levels of this unit includes the taxa Carcharias aff. 'hopei' (Agassiz), Odontaspis sp., Carcharoides catticus (Philippi), Striatolamia macrota (Agassiz), Anomotodon sp., Macrorhizodus praecursor (Leriche), Galeorhinus sp., Abdounia sp., Hexanchus sp., Squatina sp., Hexanchidae indet., Myliobatis sp., Myliobatoidea indet., and Ischyodus dolloi Leriche. This assemblage has clear ecological affinities with Eocene Tethyan fauna previously described in the Northern Hemisphere, and also has common elements with Eocene cartilaginous fishes from Antarctica. Additionally, a paleobotanic study of this unit identified leaf imprints of Asplenium sp., Pteris sp., Podocarpus sp., and abundant angiosperms including Nothofagus lanceolata Dusén, N. simplicidens Dusén, N. variabilis Dusén, N. cf. alessandri Espinosa, N. subferruginea (Dusén), Hydrangea sp. and Phyllites spp. Wood remains of Nothofagoxylon scalariforme Gothan and Araucariaceae cf. Araucarioxylon Kraus were also identified. Additionally, pollen grains indicate gymnosperms and angiosperms: Podocarpidites otagoensis Couper, Retitricolpites sp., Tricolpites sp., Liliacidites sp., Polyporina sp., Nothofagidites cincta Cookson, and Nothofagidites cranwellae Couper, having affinities with Eocene florae, and being consistent with the age of the fossil fishes. Finally, a SHRIMP U-Th-Pb analysis of two samples collected from the studied beds provided thirty-eight and sixty zircon grains, indicating a clear main peak at 36.48±0.47 Ma (MSWD=1.5) and 36,73±0.50 Ma (MSWD=0.65). The integrated results indicate that the upper part of the Loreto Formation has a minimum Priabonian age, supporting previous reassignations of this part of the formation into the Late Eocene, and differing from the Oligocene age proposed in its original definition

Prevalence and progression of chronic kidney disease after a liver transplant: a prospective, real-life, observational, two-year multicenter study

Introduction: chronic kidney disease is a frequent complication after liver transplantation. The use of calcineurin inhibitors is one of the causes of this complication. Current immunsuppression regimens that reduce the use of calcineurin inhibitors may be associated with an improved preservation of renal function. Objective: the study aimed to assess the evolution of renal function after liver transplantation in the current routine clinical practice. Methods: an observational, prospective, multicenter study in adult liver transplant recipients was performed. Two hundred and thirty patients with a good renal function before transplantation were assessed six months post-transplantation (baseline) and every six months until month 30. Results: at baseline, 32% of the patients had a reduction in the glomerular filtration rate below < 60 ml/min/1.73 m2. The mean glomerular filtration rate increased from 72.3 to 75.6 ml/min/1.73 m2 at baseline and month 30 respectively (p < 0.01). The mean serum creatinine levels (mg/dl) decreased from 1.13 to 1.09 (p < 0.01). The percentage of patients with stage 3 chronic kidney disease decreased from 31.7% to 26.4%, whereas the percentage of patients with stage 4 remained unchanged (0.4% at baseline and 0.5% at month 30). No patients progressed to end-stage kidney disease that required dialysis or renal transplantation. Conclusion: in the routine clinical practice, a moderate deterioration of renal function is frequent after liver transplantation. However, advanced chronic kidney disease is infrequent in patients with a good pre-transplant renal function

Una edad eocena tardía propuesta para la Formación Loreto (península de Brunswick, extremo sur de Chile), basada en peces cartilaginosos fósiles, paleobotánica y evidencia radiógena

Indexación: Web of Science; ScieloABSTRACT. We present new data on the paleoichthyology, paleobotany and radiometric results of the Loreto Formation in the Brunswick Peninsula of southernmost Chile, that allow us to propose a Late Eocene age. The rich diversity of fossil cartilaginous fishes (Chondrichthyes, Elasmobranchii) recognized in upper levels of this unit includes the taxa Carcharías aff. 'hopef (Agassiz), Odontaspis sp., Carcharoides catticus (Philippi), Striatolamia macrota (Agassiz), Anomotodon sp., Macrorhizoduspraecursor (Leriche), Galeorhinus sp., Abdounia sp., Hexanchus sp., Squatina sp., Hexanchidae indet.,Myliobatis sp., Myliobatoidea indet., and Ischyodus dolloi Leriche. This assemblage has clear ecological affinities with Eocene Tethyan fauna previously described in the Northern Hemisphere, and also has common elements with Eocene cartilaginous fishes from Antarctica. Additionally, a paleobotanic study of this unit identified leaf imprints ofAsplenium sp., Pteris sp., Podocarpus sp., and abundant angiosperms including Nothofagus lanceolata Dusén, N. simplicidens Dusén, N. variabilis Dusén, N. cf. alessandri Espinosa, N. subferruginea (Dusén), Hydrangea sp. and Phyllites spp. Wood remains of Nothofagoxylon scalariforme Gothan and Araucariaceae cf. Araucarioxylon Kraus were also identified. Additionally, pollen grains indicate gymnosperms and angiosperms: Podocarpidites otagoensis Couper, Retitricolpites sp., Tricolpites sp., Liliacidites sp., Polyporina sp., Nothofagidites cincta Cookson, and Nothofagidites cranwellae Couper, having affinities with Eocene florae, and being consistent with the age of the fossil fishes. Finally, a SHRIMP U-Th-Pb analysis of two samples collected from the studied beds provided thirty-eight and sixty zircon grains, indicating a clear main peak at 36.48±0.47 Ma (MSWD=1.5) and 36,73±0.50 Ma (MSWD=0.65). The integrated results indicate that the upper part of the Loreto Formation has a minimum Priabonian age, supporting previous reassignations of this part of the formation into the Late Eocene, and differing from the Oligocene age proposed in its original definition.RESUMEN. El presente estudio integra nueva evidencia paleoictiológica, paleobotánica y resultados radiométricos que en conjunto permiten proponer una edad eocena tardía para la Formación Loreto, en la península de Brunswick del extremo sur de Chile. La rica diversidad de peces cartilaginosos fósiles (Chondrichthyes, Elasmobranchii) reconocida en niveles superiores de la mencionada unidad incluye los taxa Carcharias aff. hopei (Agassiz), Odontaspis sp., Carcharoides catticus (Philippi), Striatolamia macrota (Agassiz), Anomotodon sp., Macrorhizoduspraecursor (Leriche), Galeorhinus sp., Abdounia sp., Hexanchus sp., Squatina sp., Hexanchidae indet., Myliobatis sp., Myliobatoidea indet., e Ischyodus dolloi Leriche. Este conjunto muestra claras afinidades ecológicas con ictiofaunas del Eoceno tethyano previamente descritas en el Hemisferio Norte, a la vez que presenta elementos comunes con peces cartilaginosos del Eoceno de Antártica. Adicionalmente, el estudio paleobotánico en esta unidad identificó improntas referidas a Asplenium sp., Pteris sp. Podocarpus sp., y abundantes angiospermas, incluyendo Nothofagus lanceolata Dusén, N. simplicidens Dusén, N. variabilis Dusén, N. cf. alessandri Espinosa, N. subferruginea (Dusén), Hydrangea sp. y Phyllites spp. Además, se identificaron restos de troncos fósiles de Nothofagoxylon scalariforme Gothan y Araucariaceae cf. Araucarioxylon Kraus. Adicionalmente, se reconoció polen de las gimnospermas y angiospermas: Podocarpidites otagoensis Couper, Retitricolpites sp., Tricolpites sp., Liliacidites sp., Polyporina sp., Nothofagidites cincta Cookson y Nothofagidites cranwellae Couper, las que presentan afinidades con floras de edad eocena, siendo consistente con la edad de los peces fósiles. Finalmente, el análisis SHRIMP U-Th-Pb de dos muestras colectadas desde los estratos estudiados, han proporcionado 38 y 60 granos de circón respectivamente, indicando claros peaks principales en 36,48±0,47 Ma (MSWD=1,5) y 36,73±0,50 Ma (MSWD=0,65). Los resultados integrados indican que los estratos superiores de la Formación Loreto pueden ser acotados a una mínima edad priabo-niana, siendo consistente con reasignaciones previas al Eoceno Tardío para esta parte de la formación, y difiriendo de la edad oligocena originalmente propuesta en su definición.http://ref.scielo.org/x2rn6

Drug Cost Avoidance Resulting from Participation in Clinical Trials: A 10-Year Retrospective Analysis of Cancer Patients with Solid Tumors

Pharmaceutical expenditure; Solid cancer tumors; SponsorDespesa farmacèutica; Tumors cancerígens sòlids; PatrocinadorGasto farmacéutico; Tumores cancerígenos sólidos; PatrocinadorThe objective of this single-center retrospective study was to describe the clinical characteristics of adult patients with solid tumors enrolled in cancer clinical trials over a 10-year period (2010–2019) and to assess drug cost avoidance (DCA) associated with sponsors’ contributions. The sponsors’ contribution to pharmaceutical expenditure was calculated according to the actual price (for each year) of pharmaceutical specialties that the Vall d’Hebron University Hospital (HUVH) would have had to bear in the absence of sponsorship. A total of 2930 clinical trials were conducted with 10,488 participants. There were 140 trials in 2010 and 459 in 2019 (228% increase). Clinical trials of high complexity phase I and basket trials accounted for 34.3% of all trials. There has been a large variation in the pattern of clinical research over the study period, whereas, in 2010, targeted therapy accounted for 79.4% of expenditure and cytotoxic drugs for 20.6%; in 2019, immunotherapy accounted for 68.4%, targeted therapy for 24.4%, and cytotoxic drugs for only 7.1%. A total of four hundred twenty-one different antineoplastic agents were used, the variability of which increased from forty-seven agents in 2010, with only seven of them accounting for 92.8% of the overall pharmaceutical expenditure) to three hundred seventeen different antineoplastic agents in 2019, with thirty-three of them accounting for 90.6% of the overall expenditure. The overall expenditure on antineoplastic drugs in clinical care patients not included in clinical trials was EUR 120,396,096. The total cost of antineoplastic drugs supplied by sponsors in a clinical trial setting was EUR 107,306,084, with a potential DCA of EUR 92,662,609. Overall, clinical trials provide not only the best context for the progress of clinical research and healthcare but also create opportunities for reducing cancer care costs

Aristonectes quiriquinensis, sp. nov., A New Highly Derived Elasmosaurid from the Upper Maastrichtian of Central Chile

This paper describes a new species of elasmosaurid plesiosaur, Aristonectes quiriquinensis, sp. nov., based on a partial skeleton recovered from upper Maastrichtian beds of the Quiriquina Formation of central Chile. The material described here consists of two skeletons, one collected near the village of Cocholgue, and a second juvenile specimen from Quiriquina Island. Prior to these finds, Aristonectes was viewed as a monospecific genus, including only the enigmatic Aristonectes parvidens, the holotype of which consists of an incomplete skull and incomplete postcranium. Other material referred to the genus includes an incomplete juvenile skull and other postcranial material from the upper Maastrichtian of Antarctica, as well as a partial skull from the Quiriquina Formation of central Chile. The relationships of Aristonectes have been controversial, with competing theories assigning the genus to Cryptoclididae, Elasmosauridae, and Aristonectidae; however, there is a developing consensus that Aristonectes is a derived elasmosaurid, and this paper gives strong evidence for this view. Comparison of the specimen here studied with the holotype of A. parvidens demonstrates that A. quiriquinensis is a distinct species. The completeness of the adult skeleton allows the first confident size estimates for adult Aristonectes. It is a large plesiosaurian with a relatively large skull with numerous homodont teeth, a moderately long and laterally compressed neck, and relatively narrow trunk, with slender and elongate forelimbs. The two specimens are restricted to the upper Maastrichtian of central Chile, posing questions concerning the austral circumpolar distribution of different elasmosaurids towards the end of the Cretaceous.Facultad de Ciencias Naturales y Muse

Observation of the Baryonic Flavor-Changing Neutral Current Decay Lambda_b -> Lambda mu+ mu-

We report the first observation of the baryonic flavor-changing neutral current decay Lambda_b -> Lambda mu+ mu- with 24 signal events and a statistical significance of 5.8 Gaussian standard deviations. This measurement uses ppbar collisions data sample corresponding to 6.8fb-1 at sqrt{s}=1.96TeV collected by the CDF II detector at the Tevatron collider. The total and differential branching ratios for Lambda_b -> Lambda mu+ mu- are measured. We find B(Lambda_b -> Lambda mu+ mu-) = [1.73+-0.42(stat)+-0.55(syst)] x 10^{-6}. We also report the first measurement of the differential branching ratio of B_s -> phi mu+ mu- using 49 signal events. In addition, we report branching ratios for B+ -> K+ mu+ mu-, B0 -> K0 mu+ mu-, and B -> K*(892) mu+ mu- decays.Comment: 8 pages, 2 figures, 4 tables. Submitted to Phys. Rev. Let

Search for the standard model Higgs boson decaying to a bbˉb\bar{b} pair in events with no charged leptons and large missing transverse energy using the full CDF data set

We report on a search for the standard model Higgs boson produced in association with a vector boson in the full data set of proton-antiproton collisions at $\sqrt{s} = 1.96$ TeV recorded by the CDF II detector at the Tevatron, corresponding to an integrated luminosity of 9.45 fb$^{-1}$. We consider events having no identified charged lepton, a transverse energy imbalance, and two or three jets, of which at least one is consistent with originating from the decay of a $b$ quark. We place 95% credibility level upper limits on the production cross section times standard model branching fraction for several mass hypotheses between 90 and $150 \mathrm{GeV}/c^2$. For a Higgs boson mass of $125 \mathrm{GeV}/c^2$, the observed (expected) limit is 6.7 (3.6) times the standard model prediction.Comment: Accepted by Phys. Rev. Let