397 research outputs found

    Aortomonoiliac Endografting after Failed Endovascular Aneurysm Repair: Indications and Long-term Results

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    AbstractObjectivesTo present long-term results of endoleak/endograft migration treatment by aortomonoiliac (AMI) endografting after failed endovascular aneurysm repair (EVAR) of infrarenal abdominal aortic aneurysms.DesignPost hoc analysis of a prospectively gathered database at a tertiary care university hospital.Materials and methodsFrom March 1995 to November 2010, 23 patients were identified who underwent modification into AMI configuration after failed elective EVAR. Major causes for modification were type I (with/without endograft migration) or type III endoleaks with aneurysm expansion. An average increase in aneurysm size of 1.6 cm (range: −1.5 to 10.5 cm) since initial aneurysm treatment was observed. Interventional outcomes and long-term results were recorded for analysis.ResultsTechnical success rate of AMI endografting was 95.65% (n = 22). All except two endoleaks could be successfully sealed with this manoeuvre (94.44%). Median time to modification was 5.3 years (interquartile range Q1–Q3: 1.3–9.3 years). No intra-operative conversion to open surgery was necessary and mortality was 0%. Median follow-up was 44 months (interquartile range Q1–Q3: 17–69 months).ConclusionsTreatment of graft-related endoleaks/endograft migration by AMI endografting after failed EVAR represents a safe and feasible procedure. This approach broadens the minimal invasive opportunities of aneurysm treatment, and open surgical conversion may be avoided except in selected patients

    X‐ray fluorescence spectroscopy of picrolite raw material on Cyprus

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    Picrolite artefacts comprise some of the most distinctive material remains in the prehistory of the island of Cyprus, in the Eastern Mediterranean. Picrolite exploitation dates from at least 12,000 years ago for the manufacture of personal ornaments and items with a symbolic function. It is commonly assumed that picrolite nodules were collected in secondary deposits on an ad hoc basis. This narrative, however, ignores the fact that picrolite carriers can only be found in very specific locations on the island, discrete from each other. Here we report initial outcomes of the application of handheld portable X-ray fluorescence (HHpXRF) and synchrotron-based X-ray fluorescence spectroscopy (SR-ÎŒXRF) to the analysis of picrolite raw materials performed at the newly opened PUMA beamline of the SOLEIL Synchrotron Radiation Facility. Our work refines the basic characteristics of the elemental constituents of the picrolite raw material and highlights key micro-structural differences between two distinct source regions on the Troodos Massif in western Cyprus. Picrolite source characterisation is expected to contribute significant new knowledge to the study of rare raw material consumption, prehistoric social organisation, networking and possible long-distance exchange of this idiosyncratic raw material within and beyond the island’s geographic boundaries

    Evaluation of seven commercial African swine fever virus detection kits and three Taq polymerases on 300 well-characterized field samples

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    peer reviewedAfrican swine fever virus (ASFV) is a complex double stranded DNA virus, responsible for a highly infectious and fatal disease in pigs and boars and for important deterioration of animal welfare. Over the last decade, the disease spread to several European and Asian countries causing unprecedented dramatic economic losses in pig industry. In the absence of a vaccine, affected countries rely on trustful diagnostic tests and adapted testing policies to set up control programs to fight against the disease. In this study, we evaluated the sensitivity and specificity of seven commercially available ASFV real-time PCR detection kits and three Taq polymerases on 300 well-characterized wild boar samples collected in Belgium during the 2018–2019 outbreak. This study confirms that all commercial kits and two Taq polymerases are suitable for ASFV detection in diagnostic laboratories. Furthermore, the use of endogenous controls is emphasized when testing field samples harvested on carcasses in an advanced stage of decomposition, in order to avoid false negative results. © 2020 Elsevier B.V

    Advice on testing the null hypothesis that a sample is drawn from a Normal distribution.

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    The Normal distribution remains the most widely-used statistical model, so it is only natural that researchers will frequently be required to consider whether a sample of data appears to have been drawn from a Normal distribution. Commonly-used statistical packages offer a range of alternative formal statistical tests of the null hypothesis of Normality, with inference being drawn on the basis of a calculated p-value. Here we aim to review the statistical literature on the performance of these tests, and briefly survey current usage of them in recently-published papers, with a view to offering advice on good practice. We find that authors in animal behaviour seem to be using such testing most commonly in situations where it is inadvisable (or at best unnecessary) involving pre-testing to select parametric or not-parametric analyses; and making little use of it in model-fitting situations where it might be of value. Of the many alternative tests, we recommend the routine use of either the Shapiro-Wilk or Chen-Shapiro tests; these are almost always superior to commonly-used alternatives like the Kolmogorov-Smirnov test, often by a substantial margin. We describe how both our recommend tests can be implemented. In contrast to current practice as indicated by our survey, we recommend that the results of these tests are reported in more detail (providing both the calculated sample statistic and the associated p-value). Finally, emphasize that even the higher-performing tests of Normality have low power (generally below 0.5 and often much lower) when sample sizes are less than 50, as is often the case in our field. Keywords: Gaussian distribution, parametric statistics, Schapiro-Wilk test, statistics, statistical powe

    Quality and Safety Aspects of Infant Nutrition

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    Quality and safety aspects of infant nutrition are of key importance for child health, but oftentimes they do not get much attention by health care professionals whose interest tends to focus on functional benefits of early nutrition. Unbalanced diets and harmful food components induce particularly high risks for untoward effects in infants because of their rapid growth, high nutrient needs, and their typical dependence on only one or few foods during the first months of life. The concepts, standards and practices that relate to infant food quality and safety were discussed at a scientific workshop organized by the Child Health Foundation and the Early Nutrition Academy jointly with the European Society for Paediatric Gastroenterology, Hepatology and Nutrition, and a summary is provided here. The participants reviewed past and current issues on quality and safety, the role of different stakeholders, and recommendations to avert future issues. It was concluded that a high level of quality and safety is currently achieved, but this is no reason for complacency. The food industry carries the primary responsibility for the safety and suitability of their products, including the quality of composition, raw materials and production processes. Introduction of new or modified products should be preceded by a thorough science based review of suitability and safety by an independent authority. Food safety events should be managed on an international basis. Global collaboration of food producers, food-safety authorities, paediatricians and scientists is needed to efficiently exchange information and to best protect public health. Copyright (C) 2012 S. Karger AG, Base

    Arcanobacterium phocae infection in mink (Neovison vison), seals (Phoca vitulina, Halichoerus grypus) and otters (Lutra lutra)

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    Abstract Background Infectious skin disorders are not uncommon in mink. Such disorders are important as they have a negative impact on animal health and welfare as well as on the quality and value of the fur. This study presents the isolation of Arcanobacterium phocae from mink with severe skin lesions and other pathological conditions, and from wild seals and otters. Results In 2015, A. phocae was isolated for the first time in Denmark from outbreaks of dermatitis in mink farms. The outbreaks affected at least 12 farms. Originating from these 12 farms, 23 animals cultured positive for A. phocae. The main clinical findings were necrotizing pododermatitis or dermatitis located to other body sites, such as the lumbar and cervical regions. A. phocae could be isolated from skin lesions and in nine animals also from liver, spleen and lung, indicating a systemic spread. The bacterium was also, for the first time in Denmark, detected in dead seals (n = 9) (lungs, throat or wounds) and otters (n = 2) (throat and foot). Conclusions An infectious skin disorder in mink associated with A. phocae has started to occur in Danish farmed mink. The origin of the infection has not been identified and it is still not clear what the pathogenesis or the port of entry for A. phocae infections are
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