Peripheral artery disease (PAD) is a major cause of morbidity and mortality but it is usually underdiagnosed and undertreated. Patients with PAD present dysregulated procoagulant, anticoagulant, and fibrinolytic pathways leading to arterial and venous thrombosis. The risk of several ischemic-related complications could be mitigated with appropriate antithrombotic therapy, which plays a central role in all types of PAD. For years, antiplatelets have been indicated in patients with symptomatic PAD or those who have undergone revascularization. Unfortunately, a non-negligible proportion of patients with PAD will suffer from adverse events during the follow-up, even despite proper medical therapies for the prevention of PAD complications. Thus, there is room for improving clinical outcomes in these patients. Given the implication of both, primary and secondary hemostasis in arterial thrombosis and the pathophysiology of PAD, the combination of antiplatelets and anticoagulants has emerged as a potential antithrombotic alternative to antiplatelets alone. In this narrative review article, we have highlighted the most recent evidence about antithrombotic therapy in PAD patients, with a special focus on oral anticoagulation. Certainly, COMPASS and VOYAGER PAD trials have shown promising results. Thus, rivaroxaban in combination with aspirin seem to reduce cardiovascular outcomes with a similar bleeding risk compared to aspirin alone. Nevertheless, results from real-world studies are needed to confirm these observations, and other trials will provide novel evidence about the safety and efficacy of emerging anticoagulant agents. 相似文献
The Manguruyú Zungaro jahu, endemic to the La Plata Basin, is one of the largest neotropical fish species whose life history is virtually unknown. The objectives of this study were to determine if Z. jahu is a large-scale migratory species and to describe habitat use throughout ontogeny using the otolith Sr isotope (87Sr/86Sr) ratio. Surface water samples were collected in 2020 at four sites representing the main water courses of the Great Pantanal in Brazil (upper Paraguay, Cuiabá, São Lourenço and Vermelho rivers). Eighteen fish individuals were collected from the Paraná River (Argentina). New water 87Sr/86Sr data were incorporated into previously established statistical models to infer the fish habitat use through the otolith 87Sr/86Sr ratios. The water 87Sr/86Sr ratio of the upper Paraguay tributaries varied (0.7209 and 0.7229) and were the highest in the La Plata Basin. The dispersal area of Z. jahu was restricted to the surroundings of the confluence of the Paraná and Paraguay rivers. Fish showed chemical signatures compatible with those of the middle Paraná (88%), Paraguay-Pilcomayo-Bermejo (50%) and the lower/upper Paraná (66%). The discriminant analysis based on otolith core indicated natal origins from the middle Paraná (37%), upper Paraná (32%), and Paraguay sub-basin (32%). The dispersal area of Z. jahu migrations could be restricted to the surroundings of the confluence of Paraná and Paraguay, which highlights the need to review regional fishing regulations, especially between latitudes 30°–34° S. 相似文献
Document stores have gained popularity among NoSQL systems mainly due to the semi-structured data storage structure and the enhanced query capabilities. The database design in document stores expands beyond the first normal form by encouraging de-normalization through nesting. This hinders the process, as the number of alternatives grows exponentially with multiple choices in nesting (including different levels) and referencing (including the direction of the reference). Due to this complexity, document store data design is mostly carried out in trial-and-error or ad-hoc rule-based approaches. However, the choices affect multiple, often conflicting, aspects such as query performance, storage space, and complexity of the documents. To overcome these issues, in this paper, we apply multicriteria optimization. Our approach is driven by a query workload and a set of optimization objectives. First, we formalize a canonical model to represent alternative designs and introduce an algebra of transformations that can systematically modify a design. Then, using these transformations, we implement a local search algorithm driven by a loss function that can propose near-optimal designs with high probability. Finally, we compare our prototype against an existing document store data design solution purely driven by query cost, where our proposed designs have better performance and are more compact with less redundancy.
We report the synthesis of 16 new compounds obtained from kokusaginine and flindersiamine, the main alkaloids isolated from the bark of Balfourodendron riedelianum. The activity of the compounds against axenic cultures of Trypanosoma cruzi epimastigtotes and trypomastigotes, as well as intracellular amastigotes, is described, together with their cytotoxic activity against three different human cell lines. The synthetic strategy for the preparation of the new compounds was based on the reactivity at the C4 position of the furoquinoline core towards nucleophiles. The new derivatives were synthesized by a Buchwald-Hartwig reaction, in most cases under green, solvent-free conditions. Compounds 1 c and 1 e displayed better in-vitro activity against trypomastigotes than benznidazole and nifurtimox (positive controls) with IC50<4 μM. In addition, both compounds were not cytotoxic against the three human cell lines K562 (erytroleukimia), LM2 (breast cancer), and HaCat (keratinocyte). Interestingly, when evaluated against intracellular amastigotes, compound 1 c was able to significantly reduce the number of this parasite form, compared to the negative control. 相似文献
Metallurgical and Materials Transactions A - Inhibition of high intergranular corrosion susceptibility (HIGCS) in austenitic stainless steels can be achieved by healing Cr-depleted zones through... 相似文献
In recent decades, aquaculture and environment plays a noteworthy role in rewarding the massive stipulate in all industries. Environmental damage and disease domination are seen as essential issues in the region. In addition to these, nanotechnology as a fresh and imaginative instruments were extremely feasible in aquaculture and environmental applications. Next-generation biological applications of these nanomaterials might lead to an explosion in the bio industries. In order to utilizing the nanoparticles of biogenic expansion, selenium has plays major role in the biological progresses. Selenium (Se) is a multifunctional trace element. The present review analytically intends to the potential biological applications of biosynthesized selenium nanoparticles (SeNPs). Synthesis of SeNPs physical, chemical and biological methods has been used. Physical and chemical methods of SeNPs have high cost, non ecofriendly, highly time consuming. Therefore, there is a growing concern to develop eco friendly and sustainable methods for biosynthesis. Biosynthesis method has ecofriendly, low cost, nontoxic and zero contamination. Biosynthesis of selenium nanoparticles by plant extracts, bacteria, protein, biopolymers, seaweed extracts, fungi and yeasts have used for capping or stabilizing agents. Therefore this review represented original evidence for antibacterial, antifungal, antibiofilm, antioxidant, anticancer, antidiabetic, antimosquito larvicidal and aquaculture applications of prospective biogenic SeNPs were provided in turn in this regard of literatures. Bio synthesis of SeNPs and it is used for many applications like medical, environmental and aquaculture applications. In this review study, the importance of selenium nanoparticles as a competitive element for sustainable aquaculture and environmental applications is also examined in detail.
Out-of-equilibrium self-assembly of metal nanoparticles (NPs) has been devised using different types of strategies and fuels, but achieving finite 3D structures with a controlled morphology through this assembly mode is still rare. Here, a spherical peptide-gold superstructure (PAuSS) is used as a template to control the out-of-equilibrium self-assembly of Au NPs, obtaining a transient 3D-branched Au-nanoshell (BAuNS) stabilized by sodium dodecyl sulphate (SDS). The BAuNS dismantles upon SDS concentration gradient equilibration over time in the sample solution, leading to NPs disassembly and regression to PAuSS. Notably, BAuNS assembly and disassembly promotes temporary interparticle plasmonic coupling, leading to reversible and tunable changes of their plasmonic properties, a highly desirable behavior in the development of optoelectronic nanodevices. 相似文献