Adefovir Dipivoxil for the Treatment of Hepatitis B e Antigen–Positive Chronic Hepatitis B

BACKGROUND In preclinical and phase 2 studies, adefovir dipivoxil demonstrated potent activity against hepatitis B virus (HBV), including lamivudine-resistant strains. METHODS We randomly assigned 515 patients with chronic hepatitis B who were positive for hepatitis B e antigen (HBeAg) to receive 10 mg of adefovir dipivoxil (172 patients), 30 mg of adefovir dipivoxil (173), or placebo (170) daily for 48 weeks. The primary end point was histologic improvement in the 10-mg group as compared with the placebo group. RESULTS After 48 weeks of treatment, significantly more patients who received 10 mg or 30 mg of adefovir dipivoxil per day than who received placebo had histologic improvement (53 percent [P CONCLUSIONS In patients with HBeAg-positive chronic hepatitis B, 48 weeks of 10 mg or 30 mg of adefovir dipivoxil per day resulted in histologic liver improvement, reduced serum HBV DNA and alanine aminotransferase levels, and increased the rates of HBeAg seroconversion. The 10-mg dose has a favorable risk–benefit profile for long-term treatment. No adefovir-associated resistance mutations were identified in the HBV DNA polymerase gene

Complications of the spine in ankylosing spondylitis with a focus on deformity correction

NKYLOSING spondylitis is a systemic inflammatory disease of unknown origin. Affected patients are predominantly but not exclusively male. Chronic inflammatory back pain is the most common presenting symptom and typically develops between the ages of 20 and 40 years. 65 Patients with AS can also have extra-articular manifestations such as ocular, cardiac, pulmonary, gastrointestinal, and renal involvement. A patient's susceptibility to the disease is largely genetically determined. 60 Because there is no single suitable laboratory test, clinicians must know as many of the characteristic signs and symptoms as possible to make a diagnosis. Even though AS is a systemic disease, the presenting symptoms, treatment, and morbidity are largely dependent on how the disease affects the spine. Thus, we believe that a review on spinal disease in AS will be of great value. In this review, we first describe the latest published algorithm to diagnose early disease and the classic inflammatory lesions. We then explore the diseased spine's susceptibility to noninflammatory lesions such as microfractures and deformity. We also describe other sequelae of AS, such as early osteoporosis and CES. Both the medical and surgical approaches to treatment are summarized. There is a special focus on osteotomy techniques. By the conclusion of the article, the clinician should have a better understanding of the diagnostic and treatment possibilities in AS spinal disease. Diagnosis of Inflammatory Back Pain and AS Because AS can markedly respond to the newer biological agents (discussed later), effective treatment of the disease requires early diagnosis. However, the high prevalence of back pain in the general population and the lack of radiographically demonstrated characteristic lesions in early AS often delay recognition of the disease. To make an early diagnosis, it is important to distinguish inflammatory from mechanical back pain on presentation. Factors consistent with inflammatory back pain include morning stiffness lasting longer than 30 minutes, onset of chronic back pain at an early age (before 35 years of age), improvement in pain with physical activity rather than with rest, awakening with back pain during the 2nd half of the night, alternating buttock pain, and a prolonged period of back pain. 48 One factor by itself does not have sufficient sensitivity or specificity to determine if the back pain is inflammatory. Note, however, that in a study of European patients with AS in which only 4 factors were considered, if 2 symptoms Abbreviations used in this paper: AS = ankylosing spondylitis; CES = cauda equina syndrome; DEXA = dual energy x-ray absorptiometry; HLA = human leukocyte antigen; MR = magnetic resonance; NSAID = nonsteroidal antiinflammatory drug; PSO = pedicle subtraction osteotomy; SPO = Smith-Peterson osteotomy; TNF = tumor necrosis factor

Genomic prediction of crown rust resistance in Lolium perenne

peer-reviewedBackground Genomic selection (GS) can accelerate genetic gains in breeding programmes by reducing the time it takes to complete a cycle of selection. Puccinia coronata f. sp lolli (crown rust) is one of the most widespread diseases of perennial ryegrass and can lead to reductions in yield, persistency and nutritional value. Here, we used a large perennial ryegrass population to assess the accuracy of using genome wide markers to predict crown rust resistance and to investigate the factors affecting predictive ability. Results Using these data, predictive ability for crown rust resistance in the complete population reached a maximum of 0.52. Much of the predictive ability resulted from the ability of markers to capture genetic relationships among families within the training set, and reducing the marker density had little impact on predictive ability. Using permutation based variable importance measure and genome wide association studies (GWAS) to identify and rank markers enabled the identification of a small subset of SNPs that could achieve predictive abilities close to those achieved using the complete marker set. Conclusion Using a GWAS to identify and rank markers enabled a small panel of markers to be identified that could achieve higher predictive ability than the same number of randomly selected markers, and predictive abilities close to those achieved with the entire marker set. This was particularly evident in a sub-population characterised by having on-average higher genome-wide linkage disequilibirum (LD). Higher predictive abilities with selected markers over random markers suggests they are in LD with QTL. Accuracy due to genetic relationships will decay rapidly over generations whereas accuracy due to LD will persist, which is advantageous for practical breeding applications.This work received funding from the Irish Department of Agriculture Food and the Marine DAFM (RSF 11/S/109) and Teagasc core funding. SKA is supported by a Teagasc PhD Walsh Fellowship. SLB has received funding from the European Union’s Horizon 2020 research and innovation programme under the Marie Sklodowska-Curie grant agreement No. 658031

Temperature Dependence of the Electroclinic Effect in the Twist-Bend Nematic Phase

Funding Information: This research was funded by the Croatian Science Foundation (Grant No. IP-2019-04-7978); by the Agence Nationale pour la Recherche ANR (France) through Grant BESTNEMATICS, No. ANR-15-CE24-0012; by the French-Croatian bilateral program COGITO; by the Université de Picardie Jules Verne, Amiens, France. Publisher Copyright: © 2023 by the authors.Peer reviewedPublisher PD

Implicações técnicas e ecossistêmicas do manejo inadequado da arborização urbana: o caso das podas drásticas em oitis na cidade de Ilha Solteira - SP

Oiti is a large species, recommended for urban afforestation. However, it is often implemented in inappropriate places, which can cause conflicts with some factors in cities and with the population in general. Thus, inadequate pruning is carried out, causing great damage to the plant and to public management. The objective of this work was to analyze the drastic pruning performed on Oiti trees used in urban afforestation in the municipality of Ilha Solteira - SP. Oiti specimens diagnosed with drastic pruning were diagnosed and data related to location, presence of electriclal cables and pruning order were collected from the City Hall. The reasons for pruning were listed, the trees were registered using digital photos, which were compared to images from Google Street View® prior to the pruning. It was concluded that Oiti trees received drastic pruning in several neighborhoods in the city of Ilha Solteira, which were carried out with no justification nor request/consent from the City Hall, resulting in some cases in the death of the tree and consequent loss of urban green.O Oiti é uma espécie de grande porte, recomendada para arborização urbana. Contudo, muitas vezes é implantada em locais inadequados, o que pode ocasionar conflitos com alguns fatores nas cidades e com a população em geral. Assim, podas inadequadas são realizadas, ocasionando grandes prejuízos na planta e para a gestão pública. O objetivo deste trabalho foi analisar as podas drásticas realizadas em árvores de Oiti utilizadas na arborização urbana no município de Ilha Solteira - SP. Foram diagnosticados exemplares de Oiti consideradas com poda drástica e coletados dados referentes à localização, presença de fiação e pedido de poda junto a Prefeitura Municipal. Foram elencados os motivos para a realização da poda, o registro das árvores por fotos digitais, que foram comparadas com imagens do Google Street View® anteriores à realização da poda. Concluiu-se que árvores de Oiti receberam poda drástica em diversos bairros da cidade de Ilha Solteira, sendo estas realizadas sem justificativa e solicitação/anuência da Prefeitura Municipal, resultando em alguns casos na morte da árvore e consequente perda do verde urbano

Quantitative analysis of soft-bottom molluscs in the Bellingshausen Sea and around Peter I Island

Macrobenthic soft-bottom molluscs were sampled in 30 stations located in the Bellingshausen Sea at depths ranging from 90 to 3304 m. The samples were collected using a quantitative grab box-corer during the cruises BENTART 03, from 24 January to 3 March 2003, and BENTART 06, from 2 January to 16 February 2006. Molluscs represent 1074 specimens belonging to 62 species of Polyplacophora, Gastropoda, Bivalvia and Scaphopoda. The bivalve Cyamiocardium denticulatum was the most abundant species (448 specimens). The abundance per station varied between 1 and 446 specimens. The Shannon–Wiener diversity index ranged between one specimen and 2.36, the Pielou evenness index ranged between 0.00 and 1 and species richness ranged from 1 to 14 species. Diversity showed great variations at different stations. After multivariate analysis (cluster analysis and nonmetrical multidimensional scaling) based on Bray–Curtis similarities, we were able to separate two principal clusters. The first cluster groups together species from shallower bottoms near Peter I Island and the Antarctic Peninsula, and the second cluster groups together species from deeper bottoms in the Bellingshausen Sea. The combination of environmental variables with the highest correlations with faunistic data was that of depth and coarse sand at the surface.Publicado