Tracking turtles in the past:Zooarchaeological evidence for human-turtle interactions in the ancient Eastern Mediterranean

Turtles are important barometers of human impact on marine biodiversity. Very little, however, is known about the deep history of human-turtle interactions and whether this is reflected in the present-day vulnerability of Mediterranean turtle populations. Here, the authors critically assess the zooarchaeological evidence for the nature and intensity of past human interactions with green, loggerhead turtles and Nile soft-shell turtles in the Eastern Mediterranean. Species and sex identifications, estimates of relative abundance, and size reconstructions at five coastal archaeological sites demonstrate the variety in interactions, from turtle capture to processing, and allow informative comparisons with present-day distributions of these species across the region

Backroom Treasures: CT Scanning of Two Ibis Mummies from the Peabody Museum Collection

Museum collections of Egyptian human and animal mummies have great potential for research and museums often curate larger collections than those on exhibit. Scheduling access for medical imaging projects is often complicated for mummies on display because of the important environmental controls under which they are kept. Consequently, collections in storage are often more numerous and more readily available, in terms of time and physical access, than those on exhibit. Application of computed tomography (CT) to the study of mummified remains allows for detailed three-dimensional evaluations, without the difficulties of superimposition that characterise plain film radiographs. Three-dimensional visualisation, multi-planar reformats (MPR), maximum intensity projections (MIP), and curve-linear reconstructions of these mummies were especially valuable for close examination of the complex curves of the spine and the contents of the gizzard. These manipulations are no less important in the study of animal mummies than they are in those of humans.

Melatonin in Youth: N-of-1 trials in a stimulant-treated ADHD Population (MYNAP): study protocol for a randomized controlled trial

Attention-deficit/hyperactivity disorder (ADHD) is a common neurological disorder affecting 5\ua0% of children worldwide. A prevalent problem for children with ADHD is initial insomnia. The gold standard treatment to manage ADHD symptoms is stimulant medications, which may exacerbate the severity of existing initial insomnia. Currently, no gold standard treatment option exists for initial insomnia for these children. Melatonin, a hormone and a popular natural health product, is commonly provided to children by parents and recommended by healthcare providers, but high quality pediatric evidence is lacking.This trial is a multicenter randomized triple-blind, placebo-controlled, parallel-group, randomized, controlled trial (RCT), in which each participant is offered an N-of-1 trial. An N-of-1 trial is a multiple-crossover, randomized, controlled trial conducted in a single individual. For the N-of-1 trial, each participant will undergo three pairs of treatment/placebo periods; each period is 1\ua0week in length. Half the participants will have melatonin in the first period, the other half will start with placebo, and this will make up the parallel-group RCT. The primary outcome will be mean difference in sleep onset latency as measured by sleep diaries. A comparison of treatment effects yielded by the RCT data versus the aggregated N-of-1 trial data will also be assessed.This trial will provide rigorous evidence for the effectiveness of melatonin in children with ADHD on stimulants who experience initial insomnia. Further, this study will provide the first prospectively planned head-to-head comparison of RCT data with pooled data from a series of N-of-1 trials. Aggregated N-of-1 trials may be a powerful tool to produce high quality clinical trial evidence.ClinicalTrials.gov, NCT02333149 . Registered on 16 December 2014. Australian New Zealand Clinical Trials Registry, ACTRN12614000542695 . Registered on 21 May 2014

Three-dimensional model of an ancient Egyptian falcon mummy skeleton

Published ArticlePurpose – The purpose of this paper is to present the first detailed three-dimensional (3D) print from micro-computed tomography data of the skeleton of an ancient Egyptian falcon mummy. Design/methodology/approach – Radiographic analysis of an ancient Egyptian falcon mummy housed at Iziko Museums of South Africa was performed using non-destructive x-ray micro-computed tomography. A 1:1 physical replica of its skeleton was printed in a polymer material (polyamide) using 3D printing technology. Findings – The combination of high-resolution computed tomography scanning and rapid prototyping allowed us to create an accurate 1:1 model of a biological object hidden by wrappings. This model can be used to study skeletal features and morphology and also enhance exhibitions hosted within the museum. Originality/value – This is the first replica of its kind made of an ancient Egyptian falcon mummy skeleton. The combination of computed tomography scanning and 3D printing has the potential to facilitate scientific research and stimulate public interest in Egyptology

Continuous regional anaesthesia provides effective pain management and reduces opioid requirement following major lower limb amputation

Objectives: Postoperative stump pain after major lower limb amputation is a significant impediment to the recovery of amputees. The vast majority of patients require opioid analgesics following surgery, which are associated with opioid-related side-effects. Here, we investigate whether intraoperative placement of a peripheral nerve stump catheter followed by continuous infusion of local anesthetic is as effective at pain control as current analgesic practices. If beneficial, this procedure could potentially reduce post-amputation opioid consumption and opioid-related adverse effects. Methods: A retrospective chart review was conducted of 198 patients over a 4-year period who had undergone a major lower limb amputation for indications related to peripheral vascular disease. Postoperatively, 102 patients received a perineural catheter were compared to 96 patients who did not. The primary outcomes of this study were the amount of morphine equivalents used in the first 72 hours postoperatively and postoperative pain intensity in the first 24 hours. Results: A total of 198 lower-limb amputations were selected for analyses. Multiple regression analyses indicated that perineural catheter use was associated with a lower cumulative postoperative opioid consumption over the first 72 hours but not postoperative pain scores at 24 hours. Perineural catheter use led to a 40% reduction in opioid use during the first 72 hours postoperatively. Mixed model repeated measures analysis demonstrated that this opioid reduction was consistent over time. Other variables related to total opioid use included age, presurgical chronic pain, pre-surgical opioid use, patient-controlled analgesia. Conclusions: Continuous perineural infusions of local anesthetic are a safe and effective method for reducing post-amputation opioid analgesic medications after major lower limp amputation.This study was supported by Canadian Society for Vascular Surgery 2013 National Student Research Award

Prognostic implications of left ventricular hypertrophy

Left ventricular hypertrophy (LVH) was one of the earliest studied echocardiographic characteristics of the left ventricle. As the myriad of measurable metrics has multiplied over recent years, this reliable and relevant variable can often be overlooked. In this paper, we discuss appropriate techniques for accurate analysis, underlying pathophysiology, and the contributions from various risk factors. The prognostic implications of LVH on stroke, serious arrhythmias, and sudden cardiac death are reviewed. Finally, we examine the effect of therapy to reduce LVH and the resultant clinical outcomes. (C) 2018 Elsevier Inc. All rights reserved

Applying Farr’s Law to project the drug overdose mortality epidemic in the United States

Unintentional drug overdose has increased markedly in the past two decades and surpassed motor vehicle crashes as the leading cause of injury mortality in many states. The purpose of this study was to understand the trajectory of the drug overdose epidemic in the United States by applying Farr’s Law. Farr’s “law of epidemics” and the Bregman-Langmuir back calculation method were applied to United States drug overdose mortality data for the years 1980 through 2011 to project the annual death rates from drug overdose from 2012 through 2035. From 1980–2011, annual drug overdose mortality increased from 2.7 to 13.2 deaths per 100,000 population. The projected drug overdose mortality would peak in 2016–2017 at 16.1 deaths per 100,000 population and then decline progressively until reaching 1.9 deaths per 100,000 population in 2035. The projected data based on Farr’s Law suggests that drug overdose mortality in the United States will decline in the coming years and return to the 1980 baseline level approximately by the year 2034

Synthesis of Porous Clay Heterostructures Modified with SiO2–ZrO2 Nanoparticles for the Valorization of Furfural in One-Pot Process

The layered structure of two smectites (montmorillonite and saponite) are modified by the insertion of SiO2–ZrO2 nanoparticles, with a Si/Zr molar ratio of 5, to form porous clay heterostructures (PCHs). These PCHs exhibit a clear improvement of the textural and acid properties in comparison to the starting clays, due to the formation of a pillared structure and the presence of Zr species, which provide an increase in the amount of Lewis acid sites. These materials are studied in one-pot catalytic processes to transform furfural into valuable products, such as furfuryl alcohol, alkyl furfuryl ethers, alkyl levulinates or γ-valerolactone, depending on the experimental conditions. Thus, the use of milder reaction temperature (110 °C) favors the formation of furfuryl alcohol and alkyl furfuryl ethers, while higher temperatures (170 °C) promote the formation of alkyl levulinate and γ-valerolactone, as well as an increase in nondetected products associated to the formation of humins due to the polymerization of furfural and/or furfuryl alcohol.The authors are grateful for financial support from the Spanish Ministry of Science, Innovation and Universities (RTI2018-94918-B-C44 project), FEDER (European Union) funds (UMA18-FEDERJA-171), and the University of Malaga. C.P.J.-G. and C.G.-S. acknowledge Junta de Andalucía and FEDER funds, respectively, for their postdoctoral contracts. Funding for open access charge: Universidad de Málaga/CBUA