Kokholmlist0622

Additionally, these patients had higher levels of CRP, LDH, procalcitonin, ferritin and D dimer levels. Finally, there was a higher percentage of patients taking various COVID-19 therapies in the COVID-19 patients with liver injury group. Conclusion COVID-19 patients with acute liver injury are at a higher risk for serious outcomes including death.This paper presents a taxonomic study of genus Vincetoxicum s.str. from southern Asia. Eleven regional endemic species are recognized on the basis of herbarium studies and fieldwork. Three new species are described V. lenifolium sp. nov. (endemic to Pakistan), V. stewartianum sp. nov. (endemic to India), and V. subcanescens sp. nov. (endemic to Pakistan, Kashmir and Tibet). Three species names, V. cabulicum, V. glaucum and V. kenouriense, previously treated as synonyms of V. glaucum, V. canescens and V. hirundinaria, respectively, are resurrected. A neotype is designated for the Afghani endemic V. cabulicum. A lectotype is chosen from the syntypes of V. glaucum. We resolve the long-standing taxonomic problems in three species complexes V. arnottianum, V. luridum, V. sakesarense, and V. stocksii; V. Selleckchem Ipatasertib glaucum, V. canescens and V. cabulicum; and V. hirundinaria and V. kenouriense. Geo-taxonomic distinctions of southern Asian taxa are highlighted by excluding from henceforth the long misrecognized western Eurasian taxa V. canescens and V. hirundinaria. Furthermore, a detailed account of the genus including illustrations of whole plants, leaves and corona, distribution maps, a taxonomic key, morphological descriptions, synonymy, notes, and information on phenology, distribution and habitats is provided. Finally, provisional conservation assessments are provided, which indicate that V. cardiostephanum and V. sakesarense are critically endangered.This study reports the recognition of Vitis adenoclada Hand.-Mazz. from southern China. The species was not recognized in the Flora Reipublicae Ropularis Sinicicae and Flora of China treatments. Recent field studies and examination of herbarium collections including the type material suggest that Vitis adenoclada is morphologically similar to V. heyneana, in their densely arachnoid tomentose abaxial leaves, yet it can be easily distinguished from the latter by its red-purple glandular hairs on the young branches (vs. glandular hairs absent in V. heyneana) and inflorescences usually subtended by a tendril at the base (vs. only occasionally with a tendril in V. heyneana). Vitis adenoclada may be a species of hybrid origin, with the highly tomentose Vitis heyneana as one of the parental species, and likely the glandular-hair bearing V. davidii as the other parental species. Vitis adenoclada is recorded from southern China in Guangdong, Guangxi, Guizhou, Hunan and Zhejiang provinces.A taxonomic revision of Sageretia lucida, S. thea var. cordiformis and S. yunlongensis in China is presented. Sageretia lucida is revised in terms of morphological characters (habit, branchlet color, phyllotaxis and rachis length), distribution, habitat, and phenology; S. thea var. cordiformis is raised to S. cordiformis; and S. yunlongensis is excluded from the genus Sageretia and reduced to the synonym of Rhamnus nigricans. Furthermore, a new species, S. ellipsoidea, is erected based on the paratype collections of S. lucida. The new species morphologically differs from S. lucida in having reddish brown branchlets, opposite or subopposite phyllotaxis, shorter rachises, and flowering in spring or early summer. S. ellipsoidea is factually closest to S. hamosa as they share similar woody-vine habit and larger fruit size, and fruiting in winter, whereas the former can be easily recognized based on its smaller leaf blades, fewer lateral veins, shorter rachises, and ellipsoidal or elliptic-ovoid fruits.Begonia catbensis, a new species in Begonia sect. Coelocentrum is described and illustrated. The new species was discovered in lowland limestone hills at Cat Ba National Park and can be easily distinguished from all its congeners by having dendritic hairs on the petiole, adaxial veins and stipules, fimbriate bracts and bracteoles, dense conical bullae on the upper surface of the leaf blade, two tepals in the pistillate flowers and a glabrescent ovary with verrucose wings. Based on IUCN Criteria, the species is currently assessed as "Endangered" (D).Monoclonal antibodies (mAb) have been used as therapeutic agents for various diseases, and immunoglobulin G (IgG) is mainly used among antibody isotypes due to its structural and functional properties. So far, regardless of the purpose of the therapeutic antibody, wildtype IgG has been mainly used, but recently, the engineered antibodies with various strategies according to the role of the therapeutic antibody have been used to maximize the therapeutic efficacy. In this review paper, first, the overall structural features and functional characteristics of antibody IgG, second, the old and new techniques for antibody discovery, and finally, several antibody engineering strategies for maximizing therapeutic efficacy according to the role of a therapeutic antibody will be introduced.Cushing's syndrome causes increased morbidity and mortality due to cardiovascular and infectious diseases. Exogenous Cushing's syndrome can render the adrenal glands unable to cope with severe infections and may result in Addisonian crisis, which can be fatal if not properly diagnosed and treated. During hospitalization for disease exacerbation, a man on chronic glucocorticoid therapy for Crohn's disease and Cushingoid features developed polymicrobial septic shock together with hypotension that was unresponsive to fluids. On suspicion of relative adrenal insufficiency (cortisol levels were "inadequately" normal), intravenous hydrocortisone was started; norepinephrine was also required to normalize blood pressure. Following clinical improvement, oral cortisone acetate was started. On discharge, he was instructed on how to manage stressful events by increasing oral glucocorticoid treatment or starting a parenteral formulation, if required. Chronic glucocorticoid therapy can cause severe side-effects; in addition, hypoadrenalism can occur in critical illnesses (eg, severe infections).