043) were identified as the positive predictors of SCI by univariable analysis. Risk factors of SCI were determined additionally as follows coverage of the intercostal artery branching AKA (ICA-AKA) (OR 4.89; p = 0.054); coverage of the ICA-AKA combined with iliac access (OR 10.1; p = 0.002); that combined with severe intraluminal atheroma (OR 13.7; p = 0.001).
 
  Severe intraluminal atheroma and iliac artery access were the independent predicting factors of SCI after TEVAR for degenerative descending TAA. In patients with complicated aortoiliofemoral access route, coverage of the ICA-AKA is associated with the risk of SCI.
 Severe intraluminal atheroma and iliac artery access were the independent predicting factors of SCI after TEVAR for degenerative descending TAA. In patients with complicated aortoiliofemoral access route, coverage of the ICA-AKA is associated with the risk of SCI.Pictures are often used as stimuli in several fields, such as psychology and neuroscience. However, co-occurring image-related properties might impact their processing, emphasizing the importance of validating such materials to guarantee the quality of research and professional practices.  https://www.selleckchem.com/products/mptp-hydrochloride.html  This is particularly relevant for pictures of common items because of their wide applicability potential. Normative studies have already been conducted to create and validate such pictures, yet most of them focused on stimulus without naturalistic elements (e.g., line drawings). Norms for real-world pictures of common items are rare, and their normative examination does not always simultaneously assess affective, semantic and perceptive dimensions, namely in the Portuguese context. Real-world pictures constitute pictorial representations of the world with realistic details (e.g., natural color or position), thus improving their ecological validity and their suitability for empirical studies or intervention purposes. Consequently, the establishment of norms for real-world pictures is mandatory for exploring their ecological richness and to uncover their impact across several relevant dimensions. In this study, we established norms for 596 real-world pictures of common items (e.g., tomato, drum) selected from existing databases and distributed into 12 categories. The pictures were evaluated on nine dimensions by a Portuguese sample. The results present the norms by item, by dimension and their correlations as well as cross-cultural analyses. RealPic is a culturally based dataset that offers systematic and flexible standards and is suitable for selecting stimuli while controlling for confounding effects in empirical tasks and interventional applications.Medical overuse leads to a burden on healthcare costs and potentially is harmful to patients. We wanted to address medical overuse in musculoskeletal disease and rheumatology. We performed a systemic literature review from PubMed and Embase to study medical overuse. On the initial screen, 1499 studies were identified, 839 of them were related to medical overuse. Out of these, 52 were related to overuse in musculoskeletal diseases. Finally, 20 articles were chosen for this systemic review that reported overuse in rheumatology. The article identifies issues with overtesting, including the use of dual-energy X-ray absorptiometry to screen for osteoporosis in women younger than 65 years old and the use of magnetic resonance imaging to evaluate for osteoarthritis. Studies related to overtreatment reported over-prescription of vitamin D supplements resulting in vitamin D toxicity and increased risk of inappropriate prescriptions in patients with osteoarthritis and rheumatoid arthritis. Overtreating osteoporosis was reported after industry-sponsored education. Articles describing methods to reduce overuse included a study showing the reduction of unnecessary dual-energy X-ray absorptiometry scans after the introduction of the Choosing Wisely Campaign. Our findings suggest that there is some evidence that overtesting and overtreatment may be present in the field of rheumatology. This review aims to highlight this and help rheumatologists to be aware of overuse practices and provide appropriate evidence-based healthcare.
  Alcohol consumption is associated with hyperuricemia and gout. Previous studies have indicated a role for green tea catechins in uric acid (UA) metabolism. This study aimed to elucidate the acute effect of green tea catechins in terms of enhancing urinary excretion of UA and xanthine/hypoxanthine (Xa/HX; UA precursors) after alcohol ingestion.
 
  In a randomized crossover study, ten healthy Japanese subjects consumed test meals, including a Japanese distilled spirit (Shōchū) with water (SW) or Shōchū with catechin-rich green tea (SC), each containing 20 g of alcohol. The SC contained 617 mg of catechin in total. Serum and urine UA and Xa/HX concentrations were measured. Blood samples were collected after 2.5 h, and urine samples were collected between 0 and 5 h after consuming the test meal.
 
  Urine UA and Xa/HX excretions were significantly higher in the SC group than in the SW group (UA SW, 0.45 ± 0.08; SC, 0.52 ± 0.09; Xa/HX SW, 0.08 ± 0.04; SC, 0.16 ± 0.05 mg/kg/h). UA clearance (C
  ) and fractional UA eoxanthine, even when alcohol is ingested simultaneously. • In case of non-adherence of limiting alcohol intake, catechin-rich green tea may be an effective dietary component to continue dietary therapy.We conducted a cross-sectional study to explore whether clinical characteristics and autism diagnostic-traits severity are associated with caregiver-reported impairment of health-related quality of life (Pediatric Quality of Life Inventory Generic Core Scales, Fourth Edition) in 93 Chilean toddlers (age 2-4 years) with autism spectrum disorder. Median total scale, physical health, and psychosocial health scores were 76 (IQR 70-81), 88 (IQR 81-94), and 71 (IQR 62-79), respectively. In multiple-regression analysis, diagnostic age (β = 0.219; p 0.021) and Calibrated Severity Score of Autism Diagnostic Observation Schedule, second edition (β = - 0.434; p  less then  0.001) were independently correlated to the total scale score. Lower age and higher autistic traits severity at diagnosis are correlated with worse well-being perception by caregivers.