Backward extrapolation technique: analysis of different criteria after supramaximal exercise in cycling

Background: Backward extrapolation technique (BE) was used to estimate V̇O2 from postexercise measuring, eliminating oronasal mask (OM) during the efforts. Despite its advantage, literature presents discrepancy in applied methods. Thus, the first aim of this study was to compare different mathematical criteria to estimate values of V̇O2 during a supramaximal effort (V̇O2PEAK), while the second aim was to verify the effects of OM on cycling performance. Methods: Twenty-four male cyclists (35±6 years, 81.3±8.9 kg, 180±6 cm) performed three days of tests, with at least 24 h of interval between each test. Firstly, a graded exercise test was applied to determine V̇O2max and your correspondent intensity (MAP). The second and the third day were destined to supramaximal efforts at 120% of MAP, performed with (Supramask) and without (Suprabe) oronasal mask (OM) in a randomized order. After Suprabe, OM was coupled, and BE was applied. Sixty-six values of V̇O2 were obtained based on a linear regression fitting. Results: V̇O2peak can be estimated using different curve lengths. However, only curves between 20 and 60 s with extrapolation to 3 s or lesser shows at least one consistent criterion. The 60 s curve extrapoled to -3 s was the most accurate criteria (P=0.723; ES=-0.055; r=0.824; Bias=-0.36 and LoA=7.72 mL.kg.min-1). Performance was not impaired with OM and was similar in both condition (P=0.84, ES=0.04). Conclusions: We conclude that it was possible to accurately estimate V̇O2 values of a supramaximal effort without any respiratory apparatus with a time-efficient analysis. Therefore, we recommended the use of a 60 seconds V̇O2 curve analysis with a negative extrapolation for 3 seconds

Effect of air temperature, genetic and period of the day in the frequencies of occurrences and length of time of behavioral expression of broiler breeders

Behavioral adjustments may occur fast and with less cost than the physiological adaptations. Considering the social behavior is suggestive that the frequency and the intensity of aggressive interactions, the total social cohesion and the extent of vicious attitudes may be used to evaluate welfare. This research presents an analysis of the interactions between the experimental factors such as temperature, genetic and time of the day in the behavior of female broiler breeders under controlled environment in a climatic chamber in order to enhance the different reaction of the birds facing distinct environmental conditions. The results showed significant differences between the behaviors expressed by the studied genetics presenting the need of monitoring them in real-time in order to predict their welfare in commercial housing, due to the complexity of the environmental variables that interfere in the well being process. The research also concluded that the welfare evaluation of female broiler breeders needs to consider the time of the day during the observation of the behaviors.Ajustes de comportamento podem ocorrer rapidamente e a custo menor do que os ajustes fisiológicos. Considerando o comportamento social, é sugestivo que a freqüência e a intensidade de interações agressivas, o total de coesão social e a extensão de vícios sociais possam ser utilizados para avaliação de bem-estar. Esta pesquisa apresenta uma análise das interações entre os fatores experimentais, como temperatura, linhagem e período do dia, nos comportamentos de matrizes pesadas alojadas em câmara climática, buscando evidenciar as diferentes reações das aves submetidas a distintas condições ambientais. Os resultados encontrados mostraram diferenças significativas entre os comportamentos expressos pelas diferentes linhagens, reforçando a necessidade do monitoramento em tempo real do bem-estar de matrizes pesadas em alojamentos comerciais, dada a complexidade com que as variáveis ambientais interferem no bem-estar. A pesquisa permitiu concluir também que a avaliação do bem-estar de matrizes pesadas deve considerar o período do dia na observação dos comportamentos.59661

Mechanical thrombectomy in patients with proximal occlusions and low NIHSS: Results from a large prospective registry

Background: Mechanical thrombectomy is now standard of care for treatment of acute ischemic stroke secondary to large vessel occlusion in the setting of high NIHSS. We analysed a large nationwide registry focusing on patients with large vessel occlusion and low NIHSS on admission to evaluate the efficacy and safety of thrombectomy in this patient population Methods: 2826 patients treated with mechanical thrombectomy were included in a multicentre registry from January 1, 2011 to December 31, 2015. We included patients with large vessel occlusion and NIHSS ≤ 6 on admission. Baseline characteristics, imaging, clinical outcome, procedure adverse events and positive and negative outcome predictors were analysed. Results: 134 patients were included. 90/134 had an anterior circulation and 44 a posterior circulation stroke. One patient died before treatment. Successful revascularization (mTICI 2b-3) was achieved in 73.7% (98/133) of the patients. Intraprocedural adverse event was observed in 3% (4/133) of cases. Symptomatic intracranial haemorrhage rate was 5.3% (7/133). At three months, 70.9% (95/134) of the patients had mRS score 0-2, 15.7% (21/134) mRS 3-5 and 13.4% (18/134) mRS 6. Age and successful recanalization were significant predictors of a good clinical outcome on both univariate (p= 0.005 and p=0.007) and multivariable (p=0.0018 and p=0.009 [nat log]) analysis. Absence of vessel recanalization and symptomatic intracranial hemorrhage were independent predictors of poor outcome (p=0.021). Conclusions: Our study suggests that patients with large vessel occlusion and low NIHSS score on admission can benefit from mechanical thrombectomy. Randomized trials are warranted

A dysflagellar mutant of Leishmania (Viannia) braziliensis isolated from a cutaneous leishmaniasis patient

<p>Abstract</p> <p>Background</p> <p>Parasites of the <it>Leishmania </it>genus alternate between the flagellated extracellular promastigote stage and intracellular amastigotes. Here we report the characterization of a <it>Leishmania </it>isolate, obtained from a cutaneous leishmaniasis patient, which presents peculiar morphological features.</p> <p>Methods</p> <p>The parasite was cultured <it>in vitro </it>and characterized morphologically using optical and electron microscopy. Identification was performed based on monoclonal antibodies and internal ribosomal spacer typing. <it>In vitro </it>macrophage cultures, murine experimental models and sand fly infections were used to evaluate infectivity <it>in vitro </it>and <it>in vivo</it>.</p> <p>Results</p> <p>The isolate was identified as <it>Leishmania </it>(<it>Viannia</it>) <it>braziliensis</it>. In the atypical promastigotes grown in culture, a short flagellum surrounded or interrupted by a protuberance of disorganized material was observed. A normal axoneme was present close to the basal body but without elongation much further outside the flagellar pocket. A disorganized swelling at the precocious end of the axoneme coincided with the lack of a paraflagellar rod structure. The isolate was able to infect macrophages <it>in vitro</it>, induce lesions in BALB/c mice and infect <it>Lutzomyia longipalpis</it>.</p> <p>Conclusions</p> <p>Notwithstanding the lack of an extracellular flagellum, this isolate infects macrophages <it>in vitro </it>and produces lesions when inoculated into mice. Moreover, it is able to colonize phlebotomine sand flies. Considering the importance attributed to the flagellum in the successful infection and survival of <it>Leishmania </it>in the insect midgut and in the invasion of macrophages, these findings may bring new light into the infectious mechanisms of <it>L</it>. (<it>V</it>.) <it>braziliensis</it>.</p

Genetic diversity and paternity of Brycon orbignyanus offspring obtained for different reproductive systems

The objective of this study was to estimate the genetic diversity and the paternity of Brycon orbignyanus offspring's obtained with the extrusion and semi-natural reproductive systems, by microsatellites markers. The four loci used produced 11 alleles, being observed three alleles (BoM1, BoM5 and BoM7) and two alleles (BoM2) for locus present in the parental and in the offspring of both reproductive systems. In the offspring of the extrusion system low frequency alleles was observed for the locus BoM5 (allele B = 0.095) and BoM7 (allele C = 0.059) and there was a decrease of genetic variability (observe heterozygosity-Ho = 0.900 and 0.823; Shannon index-IS = 0.937 and 0.886; Nei genetic diversity-DGN = 0.604 and 0.566, respectively). For the offspring of the semi-natural system the allele frequencies stayed stable being verified an unequal frequency for each locus. The genetic variability in the offspring was preserved, being corroborated by the Ho values (0.975 and 0.945), IS (0.927 and 0.924) and DGN (0.593 and 0.581) for parental and offspring, respectively. Deviations were observed (P <0.01) in the Hardy-Weinberg equilibrium and linkage disequilibrium for the two reproductive systems. The inbreeding coefficient (Fis) it showed deficit of heterozygote in the offspring of the extrusion system. Multiple paternity and differed reproductive contributions in the composition of the families in the offspring in the two reproductive systems was observed, with the presence of reproductive dominance in the semi-natural system.O objetivo do presente estudo foi avaliar a diversidade genética e a paternidade de progênies de Brycon orbignyanus obtidas pelos sistemas reprodutivos por extrusão e seminatural, através do marcador microssatélite. Os quatro loci utilizados produziram 11 alelos, sendo observados três alelos (BoM1, BoM5 e BoM7) e dois alelos (BoM2) por locus presentes nos parentais e na progênie de ambos sistemas reprodutivos. Na progênie do sistema por extrusão foram observados alelos de baixa frequência para os locus BoM5 (alelo B = 0,095) e BoM7 (alelo C = 0,059) e houve uma diminuição da variabilidade genética (Heterozigosidade observada-Ho = 0,900 e 0,823; Índice de Shannon-IS = 0,937 e 0,886; diversidade genética de Nei-DGN = 0,604 e 0,566, respectivamente). Na progênie do sistema seminatural as frequências dos alelos se mantiveram estáveis, sendo verificada uma frequência desigual para cada locus. A variabilidade genética foi preservada, sendo corroborado pelos valores de Ho (0,975 e 0,945), IS (0,927 e 0,924) e DGN (0,593 e 0,581) para parentais e progênie, respectivamente. Observaramse desvios (P&lt;0.01) no equilíbrio de Hardy-Weinberg e desequilíbrio de ligação nos dois sistemas reprodutivos. O coeficiente de endogamia (Fis) mostrou déficit de heterozigotos na progênie do sistema por extrusão. Observou-se paternidade múltipla e contribuição reprodutiva diferenciada na composição das famílias na progênie nos dois sistemas reprodutivos, com a presença de dominância reprodutiva no sistema seminatural.Facultad de Ciencias Exacta

Enhancing sampling design in mist-net bat surveys by accounting for sample size optimization

The advantages of mist-netting, the main technique used in Neotropical bat community studies to date, include logistical implementation, standardization and sampling representativeness. Nonetheless, study designs still have to deal with issues of detectability related to how different species behave and use the environment. Yet there is considerable sampling heterogeneity across available studies in the literature. Here, we approach the problem of sample size optimization. We evaluated the common sense hypothesis that the first six hours comprise the period of peak night activity for several species, thereby resulting in a representative sample for the whole night. To this end, we combined re-sampling techniques, species accumulation curves, threshold analysis, and community concordance of species compositional data, and applied them to datasets of three different Neotropical biomes (Amazonia, Atlantic Forest and Cerrado). We show that the strategy of restricting sampling to only six hours of the night frequently results in incomplete sampling representation of the entire bat community investigated. From a quantitative standpoint, results corroborated the existence of a major Sample Area effect in all datasets, although for the Amazonia dataset the six-hour strategy was significantly less species-rich after extrapolation, and for the Cerrado dataset it was more efficient. From the qualitative standpoint, however, results demonstrated that, for all three datasets, the identity of species that are effectively sampled will be inherently impacted by choices of sub-sampling schedule. We also propose an alternative six-hour sampling strategy (at the beginning and the end of a sample night) which performed better when resampling Amazonian and Atlantic Forest datasets on bat assemblages. Given the observed magnitude of our results, we propose that sample representativeness has to be carefully weighed against study objectives, and recommend that the trade-off between logistical constraints and additional sampling performance should be carefully evaluated

Status Update and Interim Results from the Asymptomatic Carotid Surgery Trial-2 (ACST-2)

Objectives: ACST-2 is currently the largest trial ever conducted to compare carotid artery stenting (CAS) with carotid endarterectomy (CEA) in patients with severe asymptomatic carotid stenosis requiring revascularization. Methods: Patients are entered into ACST-2 when revascularization is felt to be clearly indicated, when CEA and CAS are both possible, but where there is substantial uncertainty as to which is most appropriate. Trial surgeons and interventionalists are expected to use their usual techniques and CE-approved devices. We report baseline characteristics and blinded combined interim results for 30-day mortality and major morbidity for 986 patients in the ongoing trial up to September 2012. Results: A total of 986 patients (687 men, 299 women), mean age 68.7 years (SD ± 8.1) were randomized equally to CEA or CAS. Most (96%) had ipsilateral stenosis of 70-99% (median 80%) with contralateral stenoses of 50-99% in 30% and contralateral occlusion in 8%. Patients were on appropriate medical treatment. For 691 patients undergoing intervention with at least 1-month follow-up and Rankin scoring at 6 months for any stroke, the overall serious cardiovascular event rate of periprocedural (within 30 days) disabling stroke, fatal myocardial infarction, and death at 30 days was 1.0%. Conclusions: Early ACST-2 results suggest contemporary carotid intervention for asymptomatic stenosis has a low risk of serious morbidity and mortality, on par with other recent trials. The trial continues to recruit, to monitor periprocedural events and all types of stroke, aiming to randomize up to 5,000 patients to determine any differential outcomes between interventions. Clinical trial: ISRCTN21144362. © 2013 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved