Residual Body Research Articles

RESIDUAL FOREIGN BODY AND FREQUENCY OF INFECTION AFTER HEART TRANSPLANTATION

Background: Patients with severe heart failure who require left ventricular assist device (LVAD) has been often accompanied by implantable cardioverter-defibrillator (ICD) or cardiac resynchronization therapy device (CRT) at the list of candidate for heart transplantation. When implanting a ventricular assist device (LVAD), an expanded polytetrfluoroethylene (ePTFE) sheet is often used for preventing adhesion of artificial blood vessels and pumps. The parts of these leads and ePTFE sheets may remain in the body at the time of heart transplantation, but the relation between remaining these foreign bodies and the post-transplant clinical course has not been clear. The aim of this study was to clarify the post-transplant infection events which were concerned by remaining foreign bodies. Methods: Of 31 patients who underwent heart transplantation at Tokyo Women’s Medical University Hospital from 2001 to 2019, 27 patients receiving the examination of CT before and after surgery were included. The target patients identified residual foreign bodies from CT and from the operation records. Results: Average observation period was 51 ± 40 months. The average age at the time of transplantation was 41 ± 12 years. Devices of implantable LVAD of 26 cases consisted of EVAHEART in 24 and HeartMate II in 2 cases, and one case received an extracorporeal ventricular assist device (Toyobo). The average time from implantation of a ventricular assist device to transplantation was 37 ± 14 months. Of the 27 patients, 22 (81.4%) had residual foreign bodies in the body after heart transplantation. The foreign bodies consisted of shock coil or lead in 9 cases (33.3%), blood vessels in 9 cases (33.3%), and ePTFE sheet in 10 cases (37.0%). Three of 22 cases (13.6%) with residual foreign body showed foreign body-related infection after transplantation, then foreign body extraction was performed. Conclusion: Patients who underwent heart transplantation after implantation of a LVAD have relatively frequent residual foreign bodies. Because of post-transplant immunosuppressive therapy, residual foreign bodies should be removed as much as possible.

Estimation of Gastric Volume after Laparoscopic Sleeve Gastrectomy by Multidetector Computed Tomography and Correlation with Weight Reduction

Background: bariatric surgeries especially laparoscopic sleeve gastrectomy (LSG) has achieved excellent results in treatment of morbid obesity. Using Multi detector computed tomography to evaluate gastric volume are more accurate and feasible when compared to the other methods.Aim: The study aims at correlation between the postoperative residual gastric volume and body weight reduction percentage.Methods This is a prospective observational study of twenty sleeve patients with morbid obesity who underwent LSG; they were investigated by MDCT after oral administration of Gastrographin solution mixed with bicarbonate sodium to distend the stomach with gas. The examination was done three months after operation. The remaining gastric volumes were estimated via 3D volume reconstruction.Results: The relation between the body weight reduction percentage and gastric volume estimated 3 months after the operation in the selected patients was negatively correlated, which means that the smaller the residual gastric pouch volume we have, the larger the weight loss will happen.Conclusion: MDCT allows important anatomical and accurate measurements about the relation between residual gastric volume and body weight reduction in sleeve gastrectomy-candidate obese patients. So, with smaller residual gastric volume, we have more weight loss, but further studies are needed for longer period of time like 1 year period to confirm what we reached in this study.

Relationship between feed efficiency indexes and thermography, blood, and ruminal parameters in pre-weaning dairy heifers.

The objective of this study was to evaluate whether pre-weaning heifer calves divergent for residual feed intake (RFI) or residual feed intake and body weight gain (RIG) exhibit differences in thermography, blood, and ruminal parameters. Thirty-two Gyr heifer calves were enrolled in a 63-d trial and classified into 2 feed efficiency (FE) groups based on RFI and RIG (mean ± 0.5 SD). The groups were classified as high efficiency (HE) RFI (HE RFI, n = 9), HE RIG (HE RIG, n = 10), low efficiency (LE) RFI (LE RFI, n = 10), and LE RIG (LE RIG, n = 11). The amount of whole milk provided for each calf was calculated based on their metabolic weight at birth (42% x BW0.75). The liquid diet was divided into two meals at 0700 and 1400 h. The total solid diet (TSD) was composed of 92% concentrate and 8% of Tifton 85 hay chopped in 5-cm lengths, as fed. Intake was measured daily. Blood concentrations of insulin, beta hydroxybutyrate, urea, and glucose, and ruminal pH, N-NH3, and volatile fatty acids (VFA) were evaluated at 14, 28, 42, 56, and 70 days of age. Thermal images of the calves were taken with an infrared camera (FLIR T420, FLIR Systems Inc., Wilsonville, OR) on d 56 (±3) at 0600 h, before the morning feeding. Total VFA concentration and propionate as % of total VFA were 24.2% and 22.2% lower in HE RFI compared to LE RFI calves, respectively. On the other hand, acetate as % of total VFA was 10.6% greater in HE RFI than LE RFI calves. Blood urea concentration tended to be greater in LE RFI than HE RFI calves. High efficiency HE RIG tended to have 6.8% greater acetate and 15.4% lower propionate as % of total VFA than LE RIG. Blood insulin concentration was greater and blood glucose tended to be greater for LE RIG than HE RIG group. Low efficiency RIG group had greater left rib, left flank, and anus surface temperature measured by infrared thermography than the HE RIG group. Differences in ruminal fermentation do not seem to be associated with pre-weaning calves efficiency, while differences in protein metabolism seem to affect RFI during this phase. Infrared thermography appears to be correlated to RIG in pre-weaning heifer calves.

Weighted single-step genome-wide association study and pathway analyses for feed efficiency traits in Nellore cattle.

The aim was to conduct a weighted single-step genome-wide association study to detect genomic regions and putative candidate genes related to residual feed intake, dry matter intake, feed efficiency (FE), feed conversion ratio, residual body weight gain, residual intake and weight gain in Nellore cattle. Several protein-coding genes were identified within the genomic regions that explain more than 0.5% of the additive genetic variance for these traits. These genes were associated with insulin, leptin, glucose, protein and lipid metabolisms; energy balance; heat and oxidative stress; bile secretion; satiety; feed behaviour; salivation; digestion; and nutrient absorption. Enrichment analysis revealed functional pathways (p-value<.05) such as neuropeptide signalling (GO:0007218), negative regulation of canonical Wingless/Int-1 (Wnt) signalling (GO:0090090), bitter taste receptor activity (GO:0033038), neuropeptide hormone activity (GO:0005184), bile secretion (bta04976), taste transduction (bta0742) and glucagon signalling pathway (bta04922). The identification of these genes, pathways and their respective functions should contribute to a better understanding of the genetic and physiological mechanisms regulating Nellore FE-related traits.

Residual foreign body in the foot causing chronic osteomyelitis mimicking a pseudotumor: A case report

Osteomyelitis from a retained foreign body should be included in the differential diagnosis of any osteolytic lesion of the foot. We report here a case of a 59-year-old man who presented with swelling over the dorsolateral aspect of the right foot. Plain x-ray showed an osteolytic lesion that mimicked a pseudotumor. Magnetic resonance imaging (MRI) showed multilocular fluid collection over the right cuboid with a hypointense lesion over the plantar fascia. The patient underwent surgery and a rubber fragment (1 cm × 0.8 cm) was removed from his foot that had been present for two years following a stabbing injury. The patient fully recovered without complication or disability.

Geophysical Exploration of a Historical Stamp Mill Dump for the Volume Estimation of Valuable Residues

We present an approach for the estimation of ore processing residue volumes in historical mine waste dumps by the use of different geophysical methods in combination with mineralogical investigations. The stamp mill dump in the Harz mountains, Germany was examined with the methods electrical resistivity tomography (ERT), ground penetrating radar (GPR) and spectral induced polarization (SIP) flanked by mineralogical studies at many drilling points. The mineralogical results were used to calibrate the geophysical results and to distinguish between valuable and non-valuable waste material. With SIP we investigated individual profiles and took lab samples. These lab results emphasize the differences between the fine-grained tailings of clayey silt to silty sand in the top layer and the sandy tailings underneath in both resistivity and phase. From the GPR results we can distinguish between different layers and various backfillings in the first two meters due to the much higher resolution than the other methods. From ERT we achieved an overview about the dimension and inner structure of the dump and the boundary between the sandy residual material and the host rock. To estimate the volume of the residual body we carried out 2D inversion of all ERT profiles followed interpolation between the inverted profiles. From the drilling interpretation, the SIP lab results and the ERT field measurements we defined a resistivity threshold of 350 ohm-m for the ore processing residues to achieve a 3-dimensional body of the dump. The volume of this body was then corrected by a factor due to consideration of uncertainties, e.g., forest areas, inaccessible dump sections, small-scale anomalies (geological or different anthropogenic nature) and inversion coverage. As a result, we were able to calculate the volume of the ore processing residues which can be used further for the determination of the economic potential (remaining metal content).

Morphology, Ultrastructure, and Molecular Phylogeny of Aphelidium collabens sp. nov. (Aphelida), a Parasitoid of a Green Alga Coccomyxa sp.

Aphelids (Aphelida) are intracellular parasitoids of algae and represent one of the early diverging or sister lineages of the kingdom Fungi. Although Aphelida is a small group, molecular phylogenetic analyses revealed that many environmental sequences belong to Aphelida, suggesting that aphelids are distributed worldwide; however, the extent of their diversity is unclear. Here, we investigated a novel aphelid culture APH2 that parasitizes the green alga Coccomyxa sp. APH2 produced posteriorly uniflagellate zoospores, a defining character of the genus Aphelidium. The residual body of APH2 was spherical in the mature plasmodium, but became amorphous during zoospore formation and collapsed after zoospore discharge, which has not been described for other Aphelidium species. Zoospores of APH2 possessed a striated rhizoplast that extended anteriorly from the kinetosome to the posterior end of the nucleus, and a microtubular root arising from the side of the kinetosome and lying almost parallel to the rhizoplast, both of which are unique among aphelid taxa. A molecular phylogenetic analysis based on the 18S rDNA sequences placed APH2 as sister lineage to all other known aphelid sequences. Based on these results, we describe this aphelid as a new species, Aphelidium collabens.

Breaking down insect stoichiometry into chitin-based and internal elemental traits: Patterns and correlates of continent-wide intraspecific variation in the largest European saproxylic beetle

Stoichiometric, trophic and ecotoxicological data have traditionally been acquired from patterns of variation in elemental traits of whole invertebrate bodies, whereas the critical issue of the extracellular origin of some portion of elements, such as those present in ingested food and internal organs, has been ignored. Here we investigated an unexplored, yet crucial, question relating to whether, and to what degree, metals from two major body fractions: exoskeleton (elytra) and internal (body organs with gut material present in abdomens), are correlated with each other in wild populations of the largest European saproxylic insect, the Stag Beetle Lucanus cervus, and how metals from these two fractions vary with insect size and local habitat conditions. We examined the continent-wide variation in the concentrations of 12 chemical elements (Ca, Mg, K, Na, Mn, Fe, Zn, Cu, As, Cd, Pb and Ni) measured in the elytra and abdomen of specimens from 28 populations inhabiting an urban-woodland habitat gradient across the species’ entire distributional range from Spain to Russia. Across populations, elemental concentrations (except Ni and Pb) were 2–13 times higher in abdominal samples than in elytra, and the magnitude of these differences was related to both insect size and local habitat conditions. Smaller individuals from both woodland and urban habitat tended to have higher concentrations of trace elements (Zn, As, Cd, Pb and Ni). The concentration of only six elements (Mg, K, Na, Mn, Cd and Ni) was correlated in the elytra and abdomen at the individual and population levels, implying a limitation to the broader applicability of elytra as a surrogate for internal elemental pools. We highlight that in non-feeding adult saproxylic beetles, minerals, acquired during the larval stage, may be concentrated in the large quantities of residual body fat.

Effects of environmental metal pollution on reproduction of a free-living resident songbird, the tree sparrow (Passer montanus)

Anthropogenic metal pollution is known to adversely affect bird reproduction; however, few systematic studies are available on the effects of metal pollution on breeding performance and parental investment in a common resident songbird, the tree sparrow (Passer montanus). We conducted this study in two sites, a long-term heavy metal polluted site (Baiyin [BY]) and a relatively unpolluted site at approximately 110 km distance (Liujiaxia [LJX]), to assess the potential effects of environmental metal contamination on breeding parameters (clutch size, hatching success, fledging success, and growth of nestlings) and parental investment. The results showed smaller clutch size, lower fledging success, and differences in incubation behaviors of tree sparrows in BY than in LJX. Although there was no difference in parental body condition (residual body mass) between the two study sites, the parents responded differently with respect to reproduction due to varying metal levels in their habitats and bodies. Higher Cd levels in the primary feathers of females in BY were associated with lower clutch sizes. Parental investment including incubation duration and feeding rates showed no significant difference between the two sites during the incubation and nestling periods, but the frequencies of incubation visits were higher in BY. Parental behavior during the incubation period was also negatively affected by the parental Pb and Cd levels. Although the nestling growth patterns were relatively similar between the two sites, the nestlings were smaller, had lower body weight, and fledged later and fledging rate was also lower in BY than in LJX. Metal concentrations were higher in nestling organs and feces in BY. Taken together, metal pollution might adversely affect nestling growth condition. Our results suggest a negative response in the reproduction of tree sparrows to long-term environmental metal pollution.

Effects of Zamzam water on glycemic status, lipid profile, redox homeostasis, and body composition in rats.

ObjectivesPrevious studies have demonstrated that Zamzam water exerts beneficial effects on several ailments such as diabetes mellitus, nephrotoxicity, hepatotoxicity, and stress. The present study aimed to assess the effects of Zamzam water on glycemic status, lipid profile, redox homeostasis, and body composition in healthy rats.MethodsTwenty-four rats were divided into two equal groups. Rats were fed a chow diet along with either tap or Zamzam water as the only fluid source. After ten weeks, fasting blood glucose, serum insulin, insulin resistance, low density lipoproteins (LDL) cholesterol, high density lipoprotein (HDL) cholesterol, superoxide dismutase, and lipid peroxidation were measured. Adipose pads and carcass (musculoskeletal only) were weighed and residual body weight was calculated. The groups were compared using independent sample t test (unpaired).ResultsThe following parameters were significantly reduced in the Zamzam water group compared to the tap water group: fasting blood sugar, 96.5 vs. 147.1 mg/dl (p = 0.00); serum insulin, 0.44 vs. 1.31 μU/l (p = 0.00); and insulin resistance, 1.89 vs. 8.40 (p = 0.00). LDL cholesterol, HDL cholesterol, superoxide dismutase, lipid peroxidation, weight of the body, fat pads, and carcass, as well as residual body weight (both absolute and relative) showed no significant changes.ConclusionZamzam water intake for ten weeks decreases fasting blood sugar, serum insulin, and insulin resistance. However, Zamzam water has no effect on lipid profile, redox homeostasis, and body composition.

Acceptance and commitment therapy to reduce eating disorder symptoms and body image problems in patients with residual eating disorder symptoms: A randomized controlled trial

Body image problems are central aspects of eating disorders (ED), and risk factors both for the development of and relapse into an ED. Acceptance and commitment therapy (ACT) aims at helping patients accept uncomfortable internal experiences while committing to behaviors in accordance with life values. The aim of the present study was to compare the effectiveness of a group intervention, consisting of 12 sessions, based on ACT to treatment as usual (TAU) for patients with residual ED symptoms and body image problems. The study was a randomized controlled superiority trial. Patients with residual ED symptoms and body image problems were recruited from a specialized ED clinic in Sweden. The final sample consisted of 99 women, randomized to ACT or TAU. At the two-year follow-up, patients who received ACT showed a significant greater reduction in ED symptoms and body image problems and received less specialized ED care than patients in TAU. In conclusion, ACT was superior in reducing ED symptoms and body image problems.

Design and Test of Double-pick Double-striped wheel Tooth-type Residual Film Picker

For the wheel-toothed residual film picker on the more serious broken film pick-up effect is not ideal and the problem of picking up the film uneven lysing and designed a double-pick double-striped wheel tooth-type residual film picker. The double-pick double-striped wheel tooth-type residual film picker is composed of hydraulically adjusted double-pick double-pick double-pick pick-up machine shell device, two sets of fork-type residual film picker body and two sets of “Ya” type flexible film removal roller body. The test results show that the efficiency of double-pick edgy wheel tooth-type residual film pick-up machine whole machine scrap film pick-up is 86.5%, which meets the agronomic requirements of the residual film pick-up. At the same time, the hydraulic system adjusts the pick-up machine and the distance of cultivated land, with the arable land-shaped adjustment height, so as to effectively solve the phenomenon of uneven film collecting.

Morphological characterization and first molecular identification of the eleven Eimeria species that infect sheep from Mexico

Within livestock production, enteric diseases play an important role, since they cause severe economic losses due to mortality, growth depression, and reduction in the conversion rate. Coccidiosis caused by Eimeria spp. is a parasitic disease of high morbidity that affects various animal species, including sheep. In sheep, eleven species of Eimeria have been identified mainly through microscopical identification of the oocysts; however, this technique has certain limitations that make it difficult to identify the different Eimeria species. The objective of the present study was to morphologically identify the eleven species of Eimeria that infect sheep in the southeastern region of the State of Mexico, as well as obtain the partial sequence of the ITS-1 rRNA region of each species and analyze it phylogenetically. A total of 412 samples were collected from the 13 municipalities that comprise the region I of the State of Mexico, out of which, 40 had approximately 80% of a single Eimeria species. Among these, the eleven Eimeria species reported in sheep were identified. The phylogenetic analysis showed that the species reported in this study are associated with those reported in rabbits, bovines, and birds. It is suggested that the phylogenetic division of sheep in two clades may be associated with the presence or absence of the residual body. It is proposed that the present methodology can be used effectively for diagnosis and to obtain information about the epidemiology of ovine coccidial infection. The results obtained in this study constitute the first report of the ITS-1 region of the eleven Eimeria species that infect sheep worldwide.

148 Residual feed intake and body weight gain relate to feeding behavior in Nellore bulls: Implications for performance and maintenance requirements

Abstract This study determined feed intake behavior, performance, feed efficiency, and maintenance requirements of bulls with high and low residual feed intake and body weight gain. Data were collected from 42 weaned Nellore bulls (initial BW 260 ± 8.1 kg; age 7 ± 1.0 mo) housed in a feedlot in a group pen that contained electronic feeders. Individual dry matter intake (DMI) was recorded daily and body weight (BW) was measured every 28 d over a 140-day period. Indexes of average daily gain (ADG), feed efficiency, and residual feed intake (RFI) were calculated. Residual feed intake and gain (RFIG) was calculated according to previously published equations. Frequency of meals, duration per visit, and time spent feeding per day were recorded as feeding behavior measures. Maintenance requirements were calculated according to the BR-CORTE system. High RFIG bulls had lower DMI (P &amp;lt; 0.01), lower final BW (P &amp;lt; 0.01), and were more feed efficient (P &amp;lt; 0.01) than low RFIG bulls, but both groups had similar ADG (P = 0.55). No differences in feeding behavior were observed between the two groups (P &amp;gt; 0.05). The net energy requirements for maintenance, metabolizable energy for maintenance, and efficiency of metabolizable energy utilization were 76.5, 122.68 kcal/EBW0.75 daily, and 62.4%, respectively for high RFIG bulls, and 89.2, 143.76 kcal/EBW0.75 daily, and 62.0% for low RFIG bulls. This study reveals that low RFIG bulls are less feed efficient and have greater maintenance requirements than high RFIG bulls (0.16 ± 0.006 and 0.18 ± 0.006, respectively). As low RFIG eat more, and in beef cattle, feeding behavior is associated with methane emissions, we suggest further research evaluating this relationship be conducted. In addition, selection for high RFIG cattle would improve feed efficiency, reduce production costs, and could potentially reduce methane emissions.

Revisional Bariatric Surgery Due to Failure of the Initial Technique: 25 years of Experience in a Specialized Unit of Obesity Surgery in Spain

ObjectivesTo evaluate the effectiveness of conversion surgery in a bariatric surgery unit with 25 years of experience. MethodRetrospective observational study of patients with type II obesity or higher who were reoperated by means of conversion surgery due to weight regain, residual body mass index (BMI) >35 kg/m2 or <50% of excess weight loss. The demographic and anthropometric data, comorbidities and perioperative data were analyzed in 5 periods of time: initial, post-surgery1, pre-surgery2, post-surgery2 and current. ResultsA total of 112 patients were included, with a mean age of 40.2 years, who initially underwent vertical banded gastroplasty (VBG) (32.1%), gastric banding (GB) (23.2%), Roux-en-Y gastric bypass (RYGB) (21.4%) and sleeve gastrectomy (SG) (23.2%). The conversion techniques, with a median time between the two surgeries of 70 months, included: RYGB, SG, one-anastomosis gastric bypass (OAGB), shortening of the common loop (SCL) and biliopancreatic diversion (BPD). There was a reduction of the initial weight from 144.2 ± 30.3 Kg to 101.5 ± 21.8 after surgery-1; from 115.6 ± 24.0–91.5 ± 19.0 after surgery-2. The weight at present is 94.7 ± 16.4, with a median follow-up of 27.5 months. Similar results were seen with the BMI. The improvement of comorbidities mainly occurred after the first intervention. ConclusionsConversion surgery causes a weight reduction that does not exceed the loss achieved after the first surgery; however, it does manage to stabilize weight over time. The perioperative morbidity rate is acceptable and would justify its application, despite the limited impact on comorbidities.

Genome-wide association study and genomic evaluation of feed efficiency traits in Japanese Black cattle using single-step genomic best linear unbiased prediction method.

The objectives of this study were to better understand the genetic architecture and the possibility of genomic evaluation for feed efficiency traits by (i) performing genome-wide association studies (GWAS), and (ii) assessing the accuracy of genomic evaluation for feed efficiency traits, using single-step genomic best linear unbiased prediction (ssGBLUP)-based methods. The analyses were performed in residual feed intake (RFI), residual body weight gain (RG), and residual intake and body weight gain (RIG) during three different fattening periods. The phenotypes from 4,578 Japanese Black steers, which were progenies of 362 progeny-tested bulls and the genotypes from the bulls were used in this study. The results of GWAS showed that a total of 16, 8, and 12 gene ontology terms were related to RFI, RG, and RIG, respectively, and the candidate genes identified in RFI and RG were involved in olfactory transduction and the phosphatidylinositol signaling system, respectively. The realized reliabilities of genomic estimated breeding values were low to moderate in the feed efficiency traits. In conclusion, ssGBLUP-based method can lead to understand some biological functions related to feed efficiency traits, even with small population with genotypes, however, an alternative strategy will be needed to enhance the reliability of genomic evaluation.

Relationship between feed efficiency indexes and performance, body measurements, digestibility, energy partitioning, and nitrogen partitioning in pre-weaning dairy heifers.

The objectives of this study were: 1) to classify animals into groups of high and low feed efficiency using two feed efficiency indexes (Residual feed intake (RFI) and residual feed intake and body weight gain (RIG)), and 2) to evaluate if pre-weaning heifer calves divergent for feed efficiency indexes exhibit differences in performance, body measurements, digestibility, energy partitioning, and nitrogen partitioning. A total of 32 Gyr heifer calves were enrolled in a 63-d trial and classified into two feed efficiency (FE) groups based on RFI and RIG (mean ± 0.5 SD). The groups were classified as high efficiency (HE) RFI (HE RFI, n = 9; HE RIG, n = 10), and low efficiency (LE) RFI (LE RFI, n = 10; LE RIG, n = 11). The remaining animals were classified as intermediate (n = 13 (RFI) and n = 11 (RIG)). HE and LE calves had RFI values of—0.052 and 0.049 kg/d (P < 0.05), respectively. The HE RFI group consumed 8.9% less solid diet than the LE RFI group. HE RFI animals exhibited an increased digestibility of crude protein and ether extract and tended to have greater total dry and organic matter digestibility. LE RFI animals had greater gross energy and nitrogen intake, though greater fecal losses resulted in a tendency to reduce energy and nitrogen use efficiency. HE and LE calves had RIG values of 0.080 and -0.077kg/d (P ≤ 0.01), respectively. HE RIG animals exhibited greater average daily gain (9.4%), body weight (BW), and heart girth, though HE RIG group exhibited narrower hip width. HE RIG animals tended to have greater ether extract digestibility but greater methane losses (% of gross energy). HE RFI in pre-weaning heifers seems to be related to differences in digestibility. Divergent animals for RIG during the assessed phase appear to differ in body measurements, which may be related to differences in the composition of the gain.

Differential requirements for cyclase-associated protein (CAP) in actin-dependent processes of Toxoplasma gondii.

Toxoplasma gondii contains a limited subset of actin binding proteins. Here we show that the putative actin regulator cyclase-associated protein (CAP) is present in two different isoforms and its deletion leads to significant defects in some but not all actin dependent processes. We observe defects in cell-cell communication, daughter cell orientation and the juxtanuclear accumulation of actin, but only modest defects in synchronicity of division and no defect in the replication of the apicoplast. 3D electron microscopy reveals that loss of CAP results in a defect in formation of a normal central residual body, but parasites remain connected within the vacuole. This dissociates synchronicity of division and parasite rosetting and reveals that establishment and maintenance of the residual body may be more complex than previously thought. These results highlight the different spatial requirements for F-actin regulation in Toxoplasma which appear to be achieved by partially overlapping functions of actin regulators.

Cirugía bariátrica de conversión por fallo de la técnica inicial: 25 años de experiencia en una Unidad especializada de Cirugía de la Obesidad en España

ObjectivesTo evaluate the effectiveness of conversion surgery in a bariatric surgery unit with 25years of experience. MethodRetrospective observational study of patients with typeII obesity or higher who were reoperated by means of conversion surgery due to weight regain, residual body mass index (BMI)>35kg/m2 or <50% of excess weight loss. The demographic and anthropometric data, comorbidities and perioperative data were analyzed in 5 periods of time: initial, post-surgery1, pre-surgery2, post-surgery2 and current. ResultsA total of 112 patients were included, with a mean age of 40.2years, who initially underwent vertical banded gastroplasty (VBG) (32.1%), gastric banding (GB) (23.2%), Roux-en-Y gastric bypass (RYGB) (21.4%) and sleeve gastrectomy (SG) (23.2%). The conversion techniques, with a median time between the two surgeries of 70months, included: RYGB, SG, one-anastomosis gastric bypass (OAGB), shortening of the common loop (SCL) and biliopancreatic diversion (BPD). There was a reduction of the initial weight from 144.2±30.3 to 101.5±21.8kg after surgery-1; from 115.6±24.0 to 91.5±19.0kg after surgery-2. The weight at present is 94.7±16.4kg, with a median follow-up of 27.5months. Similar results were seen with the BMI. The improvement of comorbidities mainly occurred after the first intervention. ConclusionsConversion surgery causes a weight reduction that does not exceed the loss achieved after the first surgery; however, it does manage to stabilize weight over time. The perioperative morbidity rate is acceptable and would justify its application, despite the limited impact on comorbidities.

A highly dynamic F-actin network regulates transport and recycling of micronemes in Toxoplasma gondii vacuoles

The obligate intracellular parasite Toxoplasma gondii replicates in an unusual process, described as internal budding. Multiple dausghter parasites are formed sequentially within a single mother cell, requiring replication and distribution of essential organelles such as micronemes. These organelles are thought to be formed de novo in the developing daughter cells. Using dual labelling of a microneme protein MIC2 and super-resolution microscopy, we show that micronemes are recycled from the mother to the forming daughter parasites using a highly dynamic F-actin network. While this recycling pathway is F-actin dependent, de novo synthesis of micronemes appears to be F-actin independent. The F-actin network connects individual parasites, supports long, multidirectional vesicular transport, and regulates transport, density and localisation of micronemal vesicles. The residual body acts as a storage and sorting station for these organelles. Our data describe an F-actin dependent mechanism in apicomplexans for transport and recycling of maternal organelles during intracellular development.