Investigation of Ammonia Transport Pathways in the Anal Papillae of Larval Aedes Aegypti Mosquito

The anal papillae of Aedes aegypti larvae, are important sites of ammonia/ammonium excretion. They express three putative ammonia (NH3/NH4+) transporters, Rhesus proteins AeRh50-1, AeRh50-2 and AeAmt. Ammonium concentration gradients were measured adjacent to the anal papillae using scanning ion-selective electrode technique (SIET). Results suggest that the ionomotive pumps V-type H+ ATPase (VA) and Na+/K+ ATPase (NKA) as well as cation / H+ exchanger, isoform 3 (NHE3) participate in ammonia excretion at the anal papillae. VA is involved in ammonia trapping at the exterior unstirred layer of the anal papillae, while basal NKA and apical NHE3 facilitate the transport of NH4+. Quantitative RT-PCR analysis revealed differential abundances of AeRh-2 and Amt in the anal papillae relative to the abundance of AeRh50-1. In presence of HEA both Rhs were down regulated but Amt was up regulated. It is the conclusion of this study that these transporters work in consortium to regulate ammonia

Physiological Impacts of Lampricides on Invasive Sea Lamprey (Petromyzon marinus) and Non-target Fishes

Parasitic sea lamprey (Petromyzon marinus) ingest large quantities of blood from fishes using their oral disc and rasping tongue, most often killing the host. In the early 1900s, sea lamprey invaded the Laurentian Great Lakes, decimating sport, commercial and culturally significant fisheries. Since the early 1960s, chemical control using the lampricides 3- trifluoromethyl-4-nitrophenol (TFM) and niclosamide have helped to reduce sea lamprey populations by 90%. Lampricides are applied to larval lamprey nursery streams targeting many generations of lamprey at once. However, there is concern about the potential adverse effects of lampricides on other fishes, particularly vulnerable lake sturgeon (Acipenser fulvescens) populations. In larval lamprey and rainbow trout (Oncorhynchus mykiss), TFM disrupts mitochondrial function, reducing ATP supply and depleting essential energy reserves such as glycogen and phosphocreatine (PCr), leading to death. Yet, little is known about the physiological effects of niclosamide. The goals of this thesis were to better understand how lampricide exposure adversely affected the physiology of the lake sturgeon, and to compare the physiological effects of niclosamide to TFM in larval lamprey, rainbow trout and lake sturgeon. Accordingly, brain, liver and muscle were collected from larval lamprey, trout and sturgeon exposed to TFM or niclosamide, followed by determination of tissue energy reserves (glycogen, glucose), high energy phosphates (ATP, PCr), and acid-base balance. In larval lamprey, brain was most sensitive to niclosamide, resulting in significant reductions in glycogen. In sturgeon and trout, liver was most sensitive to niclosamide and TFM as characterized by large reductions in glycogen concentration, with lesser declines in brain. Niclosamide exposure also caused notable reductions in muscle glycogen stores and intracellular pH in all three species, which could compromise their capacity to perform vigorous activity in the hours following treatment. In all three species, lampricide-induced metabolic disturbances were corrected within 24 h, suggesting that long-term eco-physiological effects on trout and sturgeon populations were unlikely. However, the demonstrated ability of surviving larval lamprey to completely recover from lampricide treatment could also undermine sea lamprey control efforts by leading to increased numbers of parasitic juvenile sea lamprey that could go on to cause substantial damage to Great Lake’s fisheries

Diagnostic/Classification Criteria

Diagnostic criteria are used, as the name suggests, to make diagnosis of disease. They should encompass those characteristics that we find in every patient with the disease they are designed for. Therefore, it is extremely difficult to design such criteria. Classification criteria, on the other hand, are intended to be used only in already diagnosed patients, to classify them as having the respective disease, mainly for research purposes. Nevertheless, since classification criteria encompass those characteristics of the disease that are present in the majority of patients, it is only natural to try to use them as a helping tool in the diagnostic endeavor. This should be done appropriately, bearing in mind that the patient not fulfilling every one of them, can and may be still diagnosed as having ankylosing spondylitis, even though he/she cannot be classified as such. Classification criteria for ankylosing spondylitis (AS) have changed over time, due to the new insight obtained into the pathogenic mechanisms of the disease. Moreover, a patient fulfilling them is sometimes the initial step mandated by the paying authorities for reimbursement of therapies. All these reasons and others highlight the need to understand the different facets of the diagnostic/classification criteria and their best use

Musculoskeletal and Nerve Ultrasonography

Musculoskeletal ultrasound had gained more and more importance lately and there is no doubt now about its role in the diagnosis and management of rheumatic diseases such as rheumatoid arthritis, spondyloarthritis, osteoarthritis and crystal related arthropathies. We can say that now, US is a widely available, non-invasive, and cost-effective technique suitable for the evaluation of the articular and periarticular structures, such as joints, tendons, muscles, ligaments, and bursa. The real-time capabilities of the US allow continuous observation of those structures during movement and of the needle placement during musculoskeletal interventions. More than this, recently, ultrasonography (US) has gained its rights in the evaluation of Sjogren syndrome and giant cell arteritis. Thus, US can detect changes secondary to both inflammatory joint diseases, like synovitis, tenosynovitis or enthesitis, and to degenerative disease, like osteophytes or tendinosis. US can identify calcium pyrophosphate and urate deposits at the level of the cartilage and tendons and to recognize the changes at the level of the salivary glands in the context of the Sjogren’s syndrome and the ones at the level of the temporal artery, secondary to giant cell arteritis

The Impact of Smoking on Psoriasis Patients with Biological Therapies in a Bucharest Hospital

Psoriasis is an immune-mediated chronic inflammatory skin disease with extracutaneous manifestations, that affects about 1–3% of the world’s population. The disease is not life-threatening, but the disability which comes with it is comparable to the disability caused by other serious chronic diseases, such as oncologic or cardiovascular disease. Several risk factors, such as infections, stress, smoking, excessive alcohol consumption and genetic predisposition have been involved in inducing psoriasis. Smoking status is a risk factor for many chronic diseases, including psoriasis. Moreover, recent studies have tried to answer the question of whether smoking also influences the response to biologic therapy in patients with psoriasis. Through the current study, our intention is to find out how smoking affects the response to biologic treatment. A hospital-based cross-sectional, observational, non-interventional, retrospective study of moderate and severe psoriasis patients receiving biologic treatment was developed. Two groups were defined based on smoking status: group 1 included smokers (more than 10 cigarettes/day) and former smokers, and group 2 included non-smokers. The data that resulted from the analysis of the cohort of patients demonstrate that smoking status does not affect the response of biologic therapy in patients with moderate and severe psoriasis

Antibiotic Prescription and In-Hospital Mortality in COVID-19: A Prospective Multicentre Cohort Study

Background: Since the beginning of the COVID-19 pandemic, empiric antibiotics (ATBs) have been prescribed on a large scale in both in- and outpatients. We aimed to assess the impact of antibiotic treatment on the outcomes of hospitalised patients with moderate and severe coronavirus disease 2019 (COVID-19). Methods: We conducted a prospective multicentre cohort study in six clinical hospitals, between January 2021 and May 2021. Results: We included 553 hospitalised COVID-19 patients, of whom 58% (311/553) were prescribed antibiotics, while bacteriological tests were performed in 57% (178/311) of them. Death was the outcome in 48 patients—39 from the ATBs group and 9 from the non-ATBs group. The patients who received antibiotics during hospitalisation had a higher mortality (RR = 3.37, CI 95%: 1.7–6.8), and this association was stronger in the subgroup of patients without reasons for antimicrobial treatment (RR = 6.1, CI 95%: 1.9–19.1), while in the subgroup with reasons for antimicrobial therapy the association was not statistically significant (OR = 2.33, CI 95%: 0.76–7.17). After adjusting for the confounders, receiving antibiotics remained associated with a higher mortality only in the subgroup of patients without criteria for antibiotic prescription (OR = 10.3, CI 95%: 2–52). Conclusions: In our study, antibiotic treatment did not decrease the risk of death in the patients with mild and severe COVID-19, but was associated with a higher risk of death in the subgroup of patients without reasons for it

Mechanical, Corrosion and Biological Properties of Room-Temperature Sputtered Aluminum Nitride Films with Dissimilar Nanostructure

Aluminum Nitride (AlN) has been long time being regarded as highly interesting material for developing sensing applications (including biosensors and implantable sensors). AlN, due to its appealing electronic properties, is envisaged lately to serve as a multi-functional biosensing platform. Although generally exploited for its intrinsic piezoelectricity, its surface morphology and mechanical performance (elastic modulus, hardness, wear, scratch and tensile resistance to delamination, adherence to the substrate), corrosion resistance and cytocompatibility are also essential features for high performance sustainable biosensor devices. However, information about AlN suitability for such applications is rather scarce or at best scattered and incomplete. Here, we aim to deliver a comprehensive evaluation of the morpho-structural, compositional, mechanical, electrochemical and biological properties of reactive radio-frequency magnetron sputtered AlN nanostructured thin films with various degrees of c-axis texturing, deposited at a low temperature (~50 °C) on Si (100) substrates. The inter-conditionality elicited between the base pressure level attained in the reactor chamber and crystalline quality of AlN films is highlighted. The potential suitability of nanostructured AlN (in form of thin films) for the realization of various type of sensors (with emphasis on bio-sensors) is thoroughly probed, thus unveiling its advantages and limitations, as well as suggesting paths to safely exploit the remarkable prospects of this type of materials