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Branch Graft Closure Right after Endovascular Aneurysm Fix for Infrarenal Stomach Aortic Aneurysm with the Zenith Leader, Excluder, along with Endurant Devices: a new Multicentre Cohort Study.
Histopathological images are widely used to diagnose diseases including skin cancer. As digital histopathological images are typically of very large size, in the order of several billion pixels, automated identification of all abnormal cell nuclei and their distribution within multiple tissue sections would assist rapid comprehensive diagnostic assessment. In this paper, we propose a deep learning-based technique to segment the melanoma regions in Hematoxylin and Eosin (H&E) stained histopathological images. In this technique, the nuclei in the image are first segmented using a Convolutional Neural Network (CNN). The segmented nuclei are then used to generate melanoma region masks. Experimental results with a small melanoma dataset show that the proposed method can potentially segment the nuclei with more than 94 % accuracy and segment the melanoma regions with a Dice coefficient of around 85 %. The proposed technique also has a small execution time making it suitable for clinical diagnosis with a fast turnaround time.
It was shown that immunocompromised patients have significantly reduced immunologic responses to COVID-19 vaccines. The immunogenicity of COVID-19 vaccine/infection in patients with solid tumors is reduced. We evaluated the immunologic response to COVID-19 and/or the BNT162b2 mRNA COVID-19 vaccine among cancer patients on active treatments and reviewed previous literature to identify subgroups that may require third vaccination.

Anti-SARS-CoV-2 S1/S2 antibodies were measured in a cohort of 202 cancer patients on active treatment with chemotherapy (96), immunologic (52), biologic (46), and hormonal (12) treatments for early (n= 66, 32.7%) or metastatic disease (n= 136, 67.3%). Of those, 172 had received two vaccine doses, and 30 had COVID-19 infection (20/30 also received one dose of vaccine). Specific anti-S receptor-binding domain antibodies were further measured in patients with equivocal anti-S1/S2 results.

Among cancer patients, the SARS-CoV-2 antibody response rate was 89.1% (180/202) after COVID-1nts for booster (third dose) vaccine prioritization, as new highly spreading SARS-CoV-2 variants emerge.
Overall, both COVID-19 vaccine and natural infection are highly immunogenic among cancer patients. Our study, however, identifies those under chemotherapy as significantly less responsive, and with lower antibody levels. These findings justify close virological and serological surveillance along with consideration of these patients for booster (third dose) vaccine prioritization, as new highly spreading SARS-CoV-2 variants emerge.A precision medicine approach has been successfully applied in medical oncology for the treatment of non-small-cell lung cancer (NSCLC) through the identification of targetable driver molecular aberrations; activating mutations of epidermal growth factor receptor (EGFR) are the most common. Osimertinib, a third-generation, wild-type sparing, irreversible EGFR tyrosine kinase inhibitor (TKI), originally showed a striking activity after progression to first- and second-generation EGFR-TKIs when T790M resistance mutation was identified. Thereafter, upfront use of osimertinib became the standard of care based on overall survival benefit over first-generation TKIs erlotinib and gefitinib as reported in the FLAURA trial. For patients progressing on osimertinib, identification of resistance mechanisms is crucial to develop novel targeted therapeutic approaches. Moreover, innovative drugs or combination therapies are being developed for cases in which a specific resistance mechanism is not identifiable. In this review, the post-osimertinib treatment options for EGFR-mutated NSCLC are analyzed, with an outlook to ongoing clinical trials. An algorithm to guide clinicians in managing progression on osimertinib is proposed.The aim of this study was to evaluate the presence of plastic debris in the stomach contents of two commercially important species Ethmidium maculatum and Mugil cephalus from Peru and relate their characteristics to their diet. The contents of 1820 stomachs were analyzed visually to detect the presence of plastics and prey. Of the analyzed samples, 0.3% contained nine microplastic fragments (0.72-4.54 mm) and one mesoplastic fragment (6.65 mm). learn more Green and blue plastics of polyethylene and polypropylene were the most common. In E. maculatum, copepods were the main prey, followed by diatoms and decapods, and they exhibited the highest amount of plastics. In M. cephalus, the main prey were diatoms, copepods, and dinoflagellates, and they exhibited only one type of microplastic. Although the characteristics of the plastics and the prey of these species may be related (sizes-colors), more research is required to understand this problem in commercially important fishery resources in Peru.Smaller sized plastics (microplastics or MPs less then 5 mm) are ubiquitous in nature and have been found to interact in diverse ways with most biotic and abiotic systems globally. Most MPs in the seas have a land-based source, however, little is known about how the transfer occurs. In our study, we used three sandy beaches to describe the process of how MPs travel from accumulation points at the backshore of the beach to the sea, and vice versa. MPs differed significantly in all three beaches (both in quantitative and qualitative terms) between the summer and the winter samplings. During the summer, heavy MPs are the majority, while during the winter, lightweight microplastics are predominant, and the ratio of heavy per lightweight MPs is affected by the sediment median diameter after the summer sampling. Macroplastics follow a similar pattern to MPs and appear to provide a source of MPs for the sea.Resource acquisition and allocation impacts individual fitness. Using pellet analysis of breeding adults and stable isotopes of carbon and nitrogen of down feathers of Kelp Gull (Larus dominicanus) nestlings, we evaluated the relationship between urban refuse (beef and chicken) and natural food (fish) consumption of individual females during the pre-incubation period, with fecundity and young nesting's success in the Río de la Plata Estuary in Uruguay. Assimilated urban refuse positively correlated with egg weight and negatively with young nestling's success. This suggests a possible impact of urban refuse foraged by females during the pre-incubation period on their immediate fecundity (positively) and young nestling's survival (negatively). Differences between studies at the individual and colony levels are also discussed in light of an "ecological fallacy" of interpretation and we thus argue for the need of additional research to evaluate this relationship further, considering potential confounding factors.We profiled and compared the bacterial and protist community compositions and dynamics in the Laoshan Bay marine ranching involving varied aquaculture activities. The dominant species, differential species and community compositions among the five aquaculture areas, two habitats and two periods were significantly different. The relationships between microbial communities and environmental factors were analyzed. We found that microbial communities in the water were more sensitive to the environmental changes than sediment, and the responses of bacterial and protist communities to the disturbances were varied. To meet the challenges of higher aquaculture density, the proportion of the positive correlations among co-occurrence networks in the water increased markedly from July to November; while the positive proportion in the sediment was stable. Potential ecological interactions and keystone taxa between bacteria and protists were studied. These results advanced our understanding of how mariculture stressors affect microbial communities in marine ranching.This research was aimed at evaluating the seasonal partitioning of Zn, Se, As, Cu, and Co in the tissues of Mytilus galloprovincialis sampled at two industrial sites along the Algerian coast. Adult mussels were seasonally collected from two sites over the course of a whole year. The gills, digestive glands, gonads, and remaining soft tissues were analyzed through ICP-MS. The observations led to identifying metals ranges (μg g-1Dry Weight) of 67.17-395.51 (Zn), 2.18-12.74 (Se), 7.81-28.61 (As), 3.32-155.91 (Cu), and 0.10-3.59 (Co) in the various tissues. The highest concentrations were found in the digestive glands and gills as compared to the gonads and remaining soft tissues. Distinct patterns of metals partitioning were found indeed, As and Co concentrations were higher in the digestive glands, while Se and Zn concentrations were higher in the gills. Many of the mussels samples resulted contaminated, therefore potentially posing a considerable health risk to consumers.
People with multiple sclerosis (PwMS) are suggested to have a higher death rate compared to the overall population. Increased risk and incidence of cardiovascular diseases is a possible contributing factor here, as these patients are suggested to be more prone to early death due to myocardial infarction (MI).

This systematic review aims to describe the prevalence of MI among PwMS in comparison to the non-MS population.

We thoroughly searched for publications reporting the prevalence of MI among PwMS in PubMed, Scopus, Embase, and Web of Science. We excluded studies focusing on the following conditions ischemic heart disease only, autopsy of PwMS, MS patients with a previous history of cardiovascular diseases, and MS diagnosed after MI. Moreover, we excluded reviews, editorials, and commentaries. We used the random effect model to calculate the pooled prevalence.

We included nineteen studies, comprising 44 to 66616 participants. The overall prevalence of MI was 1.7% among PwMS. The pooled odds ratio estimate for MI was 1.41 in PwMS compared to the MS-free population.

Results of this systematic review confirms the increased risk of MI among PwMS. Consequently, cardiovascular diseases should be considered in the management of these patients.
Results of this systematic review confirms the increased risk of MI among PwMS. Consequently, cardiovascular diseases should be considered in the management of these patients.
A two- to three-fold increase in the risk of multiple sclerosis (MS) after infectious mononucleosis (IM) has been observed in cohort and case control studies. However, this association has not been investigated prospectively from IM. It remains to be determined whether long-term immunospecific sequelae with features consistent with presymptomatic MS occur after IM.

Sera were obtained from individuals with acute IM from 2003-2007 (n=42) and from the same individuals at a follow-up (FU) study approximately 10 years after IM. These were assayed for antibodies against a variety of Epstein-Barr virus (EBV) antigens, including gp350, a novel recombinant glycoprotein from the EBV envelope. Similarly, single-protein antigens were used to assess measles and varicella-zoster reactivity (Ncore and varicella-zoster glycoprotein E [VZVgE]). The FU study also included cerebrospinal fluid (CSF) samples from 21 of these individuals to test for IgG antibodies against the same viral antigens. As controls, CSF and serum samples were obtained from 15 EBV-seropositive volunteers who denied a history of IM, and serum samples were obtained from 24 EBV-seropositive blood donors.
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