Objective Profunda femoris artery aneurysms (PFAAs), which comprise true profunda femoris artery aneurysms (TPFAAs) and profunda femoris artery pseudoaneuryms (PFA PSAs), are rare but clinically significant diseases of the peripheral arterial vasculature. Our aim is to describe our institution’s 15-year experience with PFAAs (TPFAAs and PFA PSAs) to provide insight into patient characteristics, diagnostic imaging modalities, and surgical interventions that contribute to clinically important outcomes in patients with PFAAs. Methods We conducted a retrospective study at our institution using our radiology database. Results We identified six patients with PFA PSAs and four patients with TPFAAs. The clinical presentation of PFA PSAs included a triad of thigh pain, bleeding, and unexplained anemia. There was variety in the aetiologies of PFA PSAs, arising from catheterizations, upper thigh fractures, anastomotic complications, or unknown causes. Most patients with PFA PSAs had hypertension and coronary artery disease, and half of our cohort had peripheral vascular disease. All patients were imaged with duplex ultrasonography (DUS) or computed tomography (CT), the latter being more accurate. All patients with PFA PSAs underwent endovascular treatment, including glue, thrombin, or coil embolization as well as stent-graft insertions. All TPFAAs presented to our center were small and incidentally discovered, explaining the conservative management of our TPFAAs. Two of the four TPFAAs were idiopathic in nature, while one was attributed to post-stenotic dilatation, and another was found in a patient with Ehlers Danlos Syndrome. There was an association between TPFAAs and multiple synchronous or asynchronous aneurysms. Conclusion Pseudoaneurysms of the PFA are mostly iatrogenic in nature and can present with the triad of thigh swelling, bleeding, and unexplained anemia. If the clinical picture is suggestive of a PFA PSA but DUS does not detect a pseudoaneurysm, CT may be added as a more accurate imaging modality. Endovascular embolization is used in smaller pseudoaneurysms and in poor surgical candidates. Multiple glue, coil, or thrombin injections may be required to fully thrombose the pseudoaneurysm sac. True aneurysms of the PFA are associated with synchronous/asynchronous aneurysms and small TPFAAs should be carefully monitored, as there is a risk of enlargement and rupture.

2,6-Dicyano-4-nitroaniline and 2-cyano-4-nitroaniline (CNNA; 2-amino-5-nitrobenzonitrile) are potent mutagens in the Ames test, even though unsubstituted nitroanilines (NAs) are no more than weak mutagens. These compounds are putative reduction products of many commercial azo dyes, including Disperse Blue 165, Disperse Blue 337, Disperse Red 73, Disperse Red 82, Disperse Violet 33, and Disperse Violet 63. We have examined the mutagenicity in strains TA98 and YG1024 of a series of commercially-available isomers of CNNA, and some related compounds, to probe the relationship between structure and genotoxic activity in this class of compounds. The potentiating effect of the cyano substituent is seen in many cases; e.g. 2-amino-4-nitrobenzonitrile is a much more potent mutagen than 3-NA. 2,4-Dinitrobenzonitrile is also highly mutagenic. Possible mechanisms for the "cyano effect" are considered, with respect to the likely structures of cyanonitroaniline-DNA adducts and the roles of the enzymes (nitroreductase and acetyl CoA:arylamine N-acetyltransferase) believed to be involved in the activation of nitroaromatic compounds. Environ. Mol. Mutagen. 59:114-122, 2018. © 2017 Wiley Periodicals, Inc.

Medical education was heavily impacted by the public health measures implemented due to COVID-19 pandemic. This literature review summarizes and discusses the strengths and limitations of novel medical education interventions/suggestions during the pandemic to assist medical institutions with the evaluation of various interventions before their implementation. A scoping review was conducted following the Arksey and O'Malley framework. MEDLINE and EMBASE were searched for publications from January 1st,2019-August 10th,2020 that proposed novel medical education interventions/suggestions during the pandemic. The search included MESH searches, titles, abstracts, and keywords of studies. Inclusion criteria was comprised of articles that: used quantitative, qualitative, or mixed method designs; included medical students as the primary study cohort; involved suggestions for new medical education strategies to accommodate for the COVID-19 changes; involved studies that assessed the challenges and strengths of new COVID-19 medical school interventions; were primary studies, reviews, published letters to an editor, or opinion pieces. A total of 54 articles were included in this review. Each article had one or more interventions proposed. 10 articles reported integrating medical students in the workforce. 7 articles discussed efforts to manage medical students’ stress. 5 articles described changes to the residency program application process. 10 articles discussed changes to examinations. 12 articles discussed changes clinical rotations and electives. 11 articles discussed implementing online clinical experience. 36 articles implemented or suggested online learning strategies. The literature review suggests that quantitative studies to assess the efficacy of each intervention is required given the differences in suggestions offered by institutions worldwide.