Alimentary canal of fifth instar larvae of Lymantria dispar (Lepidoptera: Erebidae, Lymatriinae)

Here, the alimentary canal of fifth instar larvae of the gypsy moth (Lymantria dispar) was re-investigated with light microscopy (LM), and for the first time with laser scanning confocalmicroscopy (LSCM) and scanning electronmicroscopy (SEM). We describe morphological characteristics and provide morphometric data. Well-developed dilator muscles and Malpighian bladders suggest a high capacity for food propulsion, excretion, absorption, and detoxification. The epithelium of the alimentary canal of L. dispar is histologically simple and that of the midgut is composed of columnar, goblet, and regenerative cells. Particular arrangement of the intima of crop with a central ventral region recalling a ladder and numerous folds was detected, indicating the capability for a large increase in volume to store food. Numerous spinules were observed on the cuticular intima of pylorus and spinules of a different type were observed on the pyloric valve, and these might assist in propelling the feces

Factors predictive of papillary thyroid micro-carcinoma with bilateral involvement and central lymph node metastasis: a retrospective study

<p>Abstract</p> <p>Background</p> <p>The optimal resection extent for papillary thyroid microcarcinoma (PTMC) remains controversial. The objective of the study was to investigate risk factors of bilateral PTMC and central lymph node metastasis (CLNM) to guide surgical strategies for PTMC patients.</p> <p>Methods</p> <p>We retrospectively reviewed 211 PTMC patients who underwent total thyroidectomy (TT) and 122 clinical lymph node-negative (cN0) cases that underwent prophylactic central lymph node dissection (CLND) between 2010 and 2011. The frequency, pattern, and predictive factors for bilateral PTMC and CLNM in these patients were studied using univariate and multivariate analysis with respect to the following variables: age, gender, extrathyroidal extension (ETE), T stage, with Hashimoto thyroiditis (HT), tumor size and multifocality based on final pathology, and preoperative evaluation using ultrasonography (US).</p> <p>Results</p> <p>Fifty-four of 211 (25.6%) patients had bilateral PTMC. In multivariate analysis, multifocality (<it>P</it> < 0.001, OR = 23.900) and tumor size ≥7 mm (<it>P</it> = 0.014, OR = 2.398) based on US were independent predictive factors for bilateral PTMC which was also independently associated with multifocality (<it>P</it> < 0.001, OR = 29.657) and tumor size ≥7 mm (<it>P</it> = 0.005, OR = 2.863) based on final pathology. Among 122 cN0 patients who underwent prophylactic CLND, we found 49.2% of patients had CLNM. CLNM was independently associated with men, age <50 years and tumor size ≥7 mm based on final pathology or preoperative US.</p> <p>Conclusions</p> <p>TT should be considered for PTMC patients who are found multifocality and tumor size ≥7 mm based on preoperative US. CLND need be considered in cN0 patients who are men, aged <50 years or tumor size ≥7 mm based on preoperative US.</p

Prognosis Risk of Urosepsis in Critical Care Medicine: A Prospective Observational Study

This study aimed to investigate the clinical features of urosepsis and to raise awareness of this problem. Of the 112 sepsis patients enrolled, 36 were identified as having urosepsis. The bacteria involved in the infection leading to urosepsis included Escherichia coli, Proteus species, Enterococcus species, Klebsiella species, other Gram-positive cocci, and Pseudomonas aeruginosa. Although the organ/system dysfunction appeared earlier in the urosepsis patients than in the other sepsis patients (4.7 ± 2.4 versus 7.2 ± 4.5 hours, &lt; 0.001), the urosepsis patients presented with a better prognosis and lower 28-day mortality rate than the others (6% versus 37%). In the multivariate analysis, the type of sepsis (urosepsis, OR = 0.019, 95% CI = 0.001, 0.335, = 0.007) and SOFA score (OR = 1.896, 95% CI = 1.012, 3.554, = 0.046) remained significantly associated with the survival. The time of admission to the intensive care unit of 17 patients transferred from the Department of Urinary Surgery was significantly prolonged compared with those transferred from other departments (11.6 ± 7.3 versus 7.2 ± 4.9 hours, &lt; 0.05). In conclusion, urosepsis suggested a better prognosis, but attention needs to be paid in clinical practice, especially in urinary surgery

A numerical approach for acoustic radiation and scattering of moving bubbles at low frequencies

The acoustic radiation and scattering of underwater bubbles play an important role in ocean exploration, target localization, acoustic measurements, etc. The two-phase fluid flow and moving boundary result in the lack of means to predict the sound field, which limits the exploration of relevant characteristics and mechanisms. The present work is intended to introduce a numerical approach for acoustic radiation and scattering of moving bubbles at low frequencies with CFD-BEM coupling method. The two-phase interface is captured with the volume of fluid scheme and the sound field is solved with the boundary element method. After that, some benchmark problems are solved and the results are compared with data from literatures. Finally, the radiation and scattering of moving bubbles at low frequencies are predicted with our approach. The acoustic radiation pressure of bubbles shows a slight increase trend during deformation. As the ka value increases, both the acoustic directionality of radiation and scattering exhibit main and side lobes, and the scattering energy gradually concentrates in the positive direction of the incident wave. For a moving bubble, its displacement and velocity of moving have a significant impact on the directionality of the scattered sound field. Therefore, the problem of bubble localization can be studied based on directionality shift