Many women with pelvic organ prolapse opt for a pessary, and some of these women develop erosions of the vaginal mucosa. Ongoing erosions might lead to the discontinuation of this otherwise effective, non-invasive, and inexpensive treatment. The objectives of this study were to investigate the differences in vaginal pH and variations of the vaginal microbiota among pessary and non-pessary users.
 
  For this descriptive observational study, 30 women, followed in our urogynecology clinic, were recruited to form 3 equal groups 2 groups of women using a pessary (with and without erosions) and 1 control group of women not using a pessary. Vaginal pH was measured distally and next to the erosion. Vaginal swabs were used to investigate the vaginal microbiota by sequencing the V4 region of the 16S ribosomal RNA gene and analyzing the data with Qiime2. Descriptive statistics were reported using the median values. Vaginal pH comparisons between groups were made using a Kruskal-Wallis test with Dunn's correction for multiple comparisons.
 
  The pH of the vagina was more alkaline in women with erosions compared with women in the other 2 groups (P<0.01). Also, the pH of the distal vagina was not different from the pH next to the erosion (P = 0.25). Patients with erosions displayed significant differences in their vaginal microbiota, which contained a much greater bacterial diversity with an increase in gram-negative bacteria (e.g., Bacteroidetes, Actinobacteria) and a decrease in lactobacilli.
 
  In our study, women with vaginal erosions had significantly higher vaginal pH and more complex vaginal microbiota than women in the control groups. Treatments focusing on lowering the vaginal pH and/or re-establishing the vaginal microbiota should be considered.
 In our study, women with vaginal erosions had significantly higher vaginal pH and more complex vaginal microbiota than women in the control groups. Treatments focusing on lowering the vaginal pH and/or re-establishing the vaginal microbiota should be considered.Ingestion of perfluorooctanoic acid (PFOA) elicits toxicities in the hepatorenal system. We investigated the effect of PFOA and N-acetylcysteine (NAC) on the hepatorenal function of rats treated thus control, PFOA (5 mg/kg), NAC (50 mg/kg), PFOA + NAC (5 and 25 mg/kg), and PFOA + NAC (5 and 50 mg/kg).  https://www.selleckchem.com/products/borussertib.html  We observed that NAC significantly (p less then 0.05) reduced PFOA-induced increase in hepatic and renal function biomarkers of toxicities relative to PFOA alone and alleviated (p less then 0.05) decreases in antioxidant status. Increases in oxidative stress and lipid peroxidation in PFOA-treated rats were reverted to normal by NAC and abated increased pro-inflammatory mediators, and decreased anti-inflammatory cytokine both in the hepatorenal system PFOA treated rats. Histology of the kidney and liver indicated that NAC, abated the severity of PFOA-induced damage significantly. Our findings affirm further that oxido-inflammatory mediators involved in PFOA-mediated toxicity can be effectively blocked by NAC through its antioxidant activity.
  There are several options for the stabilization of high-grade lumbosacral spondylolisthesis including transdiscal screws, the Bohlman technique (transdiscal fibular strut) and the modified Bohlman technique (transdiscal titanium mesh cage). The choice of an optimum construct remains controversial; therefore, we endeavoured to study and compare the biomechanical performance of these 3 techniques.
 
  The aim of this study was to compare 3 types of transdiscal fixation biomechanically in an in vitro porcine lumbar-sacral spine model.
 
  Porcine cadaveric biomechanical study.
 
  18 complete lumbar-sacral porcine spines were split into 3 repair groups, transdiscal screws (TS), Bohlman technique, and a modified Bohlman technique (MBT). Range of motion (L3 - S1) was measured in an intact and repaired state for flexion, extension, left/right lateral bending, and left/right torsion. To recreate a high-grade lumbosacral spondylolisthesis a bilateral L5/S1 facetectomy, removing the intervertebral disc completely, and the L5 body was displaced 50%-60% over the sacral promontory. Results were analyzed and compared to intact baseline measurements. Standard quasi-static moments (5 Nm) were applied in all modes.
 
  All range of motion (ROM) were in reference to intact baseline values. TS had the lowest ROM in all modes (p=.006-.495). Statistical difference was found only in extension for TS vs. BT (p=.011) and TS vs. MBT (p=.014). No bone or implant failures occurred.
 
  TS provided the lowest ROM in all modes of loading compared to Bohlman technique and MBT. Our study indicates that TS results in the most biomechanically stable construct.
 
  Knowledge of the biomechanical attributes of various constructs could aid physicians in choosing a surgical construct for their patients.
 Knowledge of the biomechanical attributes of various constructs could aid physicians in choosing a surgical construct for their patients.This study focuses on the in-silico modelling of the skin permeability using a test set of pharmaceutical and cosmetic compounds. Two sets of theoretical molecular descriptors, obtained from the E-Dragon and Vega ZZ software programs, were used in the models. Different linear regression methods, i.e. Multiple Linear Regression (MLR) and Partial Least Squares (PLS) regression, were applied for modelling and estimating the skin permeability. The best model was obtained using a stepwise MLR approach on the E-Dragon descriptor set. In a second step, the retention of the test set compounds was measured on a C18 column at two pH levels pH 5.5 and pH 7. Different organic-modifier fractions were applied in the mobile phase to be able to extrapolate the retention factors to a log kw value, with kw the estimated retention factor in an aqueous mobile phase without organic modifier. Thereafter it was examined whether combining this chromatographic descriptor with the theoretical descriptors could improve the modelling of the skin permeability. The chromatographic descriptor often did not show an added value compared to the models containing only theoretical descriptors. Therefore, the in-silico models were preferred, and these models could be useful to predict the skin permeability of pharmaceutical and cosmetic compounds.