Notes

Capability contradiction involving cascading down model depending on betweenness.
Dermacentor pasteuri n. sp. (Acari Ixodidae) is described based on adults ex wild boar and vegetation from Laos and Thailand. Adults of D. pasteuri n. sp. are similar to those of D. compactus Neumann, 1901, but can be distinguished by the shape of conscutum in the male, development of dorsal cornua in the female, size and shape of spurs on coxae and coloration of leg segments in both sexes.Adult opecoelid digeneans consistent with Tellervotrema beringi (Mamaev, 1965) were found in the intestine of the deep-water fish Antimora microlepis Bean collected off the northern Kuril Islands (Russia). Earlier, T. beringi was recorded only in macrourid fish. This is the first record of a species of Tellervotrema Gibson & Bray, 1982 from fishes of the family Moridae (Gadiformes). A partial 28S rRNA gene sequence was obtained for this species and was compared with the available sequences on GenBank from other opecoelids. The phylogenetic analysis did not support the current taxonomic hypothesis that the genus Tellervotrema belongs to the subfamily Podocotylinae Dollfus, 1959. Our results demonstrated that species of this genus formed a clade with those of the genera Mesobathylebouria Martin, Huston, Cutmore & Cribb, 2019 and Abyssopedunculus Martin, Huston, Cutmore & Cribb, 2019. The morphological synapomorphies of the Tellervotrema + (Mesobathylebouria + Abyssopedunculus) clade are currently unclear, and this group does not have an adequate subfamilial classification.A new species of deep-sea digenean, Steringophorus merretti n. sp., is described from the bythitid fish Cataetyx laticeps in deep waters of the Goban Spur, Northeastern Atlantic. It is distinguishable from other described members of the genus by its tiny eggs and large cirrus-sac. A phylogenetic tree, based on 28S rDNA sequences, indicates that this species is embedded within a clade of deep-sea species and is sister to the eurybathic species S. thulini Bray & Gibson, 1980. Steringotrema robertpoulini Pérez-Ponce de León, Anglade & Randhawa, 2018 falls within the Steringophorus Odhner, 1905 clade. In view of this the morphological and biological characteristics of species of Steringophorus and Steringotrema are discussed.Introduction Chronic pain assessment and post-treatment evaluation continues to be challenging due to a lack of validated, objective tools to measure patient outcomes. Validation of mechanistic pain biomarkers would allow clinicians to objectively identify abnormal biochemistry contributing to painful symptoms. Methods We describe the clinical validation of a multi-biomarker assay with algorithmic analysis known as the Foundation Pain Index (FPI) in diverse cohorts of chronic pain patients in a prospective, cross-sectional, observational validation study. Levels of 11 urinary pain biomarkers were measured and tabulated using a proprietary algorithm to generate FPI scores for chronic pain subjects (N = 153) and age- and sex-matched pain-free controls (N = 334). Results FPI scores were significantly correlated with the 36-Item Short Form Health Survey (SF-36) scores among chronic pain subjects (P value less then 0.015) and specific components of SF-36, including emotional well-being, limitations due to emotional problems, and general health (P value less then 0.05). Area under ROC analysis (AUROC) revealed FPI to accurately distinguish biomarker profiles between pain-free and chronic pain cohorts (AUROC 0.7490, P value less then 0.0001) as well as the SF-36 scores between chronic pain subjects with low vs. high FPI scores (AUROC 0.7715, P value less then 0.01). Conclusions Our findings establish the validity and discriminatory power of a novel multi-biomarker test that evaluates the role of biochemistry in chronic pain and correlates with clinical assessments of patients. This test provides novel, reproducible, objective data which may pave the way for non-opioid therapeutic strategies to treat chronic pain.Purpose Polysorbates are critical stabilizers in biopharmaceutical protein formulations. However, they may degrade in drug substance (DS) or drug product (DP) during storage. BAI1 purchase Degradation catalyzed by lipases present in host cell proteins (HCPs) is one suspected root cause. The purpose of this study was to develop an assay to detect lipolytic activity in biopharmaceutical DS and DP formulations. Methods The assay is based on the hydrolysis of the lipase substrate 4-methylumbelliferyl oleate to yield the fluorescent product 4-methylumbelliferone. Results First, the assay components and their concentrations (buffer salts and pH, solvent and inhibitor Orlistat) were established and optimized using a model lipase (Porcine pancreatic lipase) and cell culture harvest fluid that exhibited lipolytic activity. The assay was then successfully applied and thereby qualified in protein formulations and at lipase concentrations possibly encountered in actual biopharmaceutical DS and DP formulations. Conclusion The lipase assay can be used to detect lipolytic activity in intermediate and final DS, for example during process optimization in downstream purification, to better and specifically reduce the level, or deplete, lipases from HCPs. The assay is also suitable to be applied during root cause investigations related to polysorbate degradation in biopharmaceutical DP.Background Laparoscopic adrenalectomy is known to have a low complication rate; however, the influence of functional tumor subtype on postoperative outcomes is not well defined. Methods Patients undergoing laparoscopic adrenalectomy for benign adrenal tumors between 2009 and 2017 were selected from the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database. Patient demographics, postoperative outcomes, and length of stay were compared between tumor subtypes. Results A total of 3946 patients underwent a laparoscopic adrenalectomy during the study period; 3214 (81.5%) were performed for non-functional adenomas, and 732 (18.6%) for functional tumors-467 (64%) aldosteronomas, 184 (25%) cortisol-producing adenomas, and 81 (11%) pheochromocytomas. The risk of any complication was highest for patients with Cushing's (6.5%) and lowest with Conn's syndrome (1.1%) compared to other lesions (3.7% pheochromocytoma, 5.3% adenoma, p less then 0.001). Among the patients with functional tumors, those with cortisol-producing adenomas had the highest rates of both deep surgical site infection (1.
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