内容摘要：The ministry said it has notified the World Organization for Animal Health, the Ministries of Health and the Environment and Brazil’s trade partners.

The ministry said it has notified the World Organization for Animal Health, the Ministries of Health and the Environment and Brazil’s trade partners.

Mass General transplant nephrologist Dr. Leonardo Riella said Andrews was weak and struggling with diabetes, including a slow-healing diabetic foot ulcer that hindered walking. He’d have to get more fit to be a candidate.Andrews started physical therapy and returned six months later about 30 pounds lighter and “running down the hallway almost,” Riella recalled. “He was just, you know, a different person,” so they started checking if he’d qualify for the pilot study.

One big question was cardiac fitness: Mass General’shad underlying heart disease that killed him. But Riella said intense exams showed Andrews’ “heart was in the best shape possible.”Still, Andrews was a little nervous and sought advice from the only other person who knew what a pig kidney transplant was like — the NYU patient, Towana Looney.

“We just prayed together and talked about how it would be,” Andrews said of their phone calls before and after his transplant. He said Looney advised “to just stay strong and that’s what I’m doing.”Doctors said Andrews’ pig kidney turned pink and quickly began producing urine in the operating room, and since then has cleared waste normally with no signs of rejection. Andrews spent the week after his discharge in a nearby Boston hotel for daily checkups but is expected to return home to New Hampshire soon.

NYU transplant surgeon Dr. Robert Montgomery said patients like those in Mass General’s pilot study could be “the sweet spot” for early xenotransplants — not yet too sick from years of dialysis but unlikely to survive long enough for a human transplant.

“Those are the patients where it really makes sense for them to try something else,” said Montgomery. His hospital is one of two that will be part of United Therapeutics’ clinical trial later this year, which will include similar patients.While these historic homes range in style and grandeur, each adds something to Oahu’s character.

The structures are attuned to their natural environment and add to the state’s sense of place, Kiersten Faulkner, executive director of Historic Hawaii Foundation says. “In Hawaii, of course, that’s all rooted in Native Hawaiian culture, local building materials.”Builders often looked to the past for inspiration, she says. That includes using traditional features like pili grass thatching and rock walls made from local volcanic stone.

After Western contact, the architecture evolved to incorporate joinery, with techniques that came out of shipbuilding, Faulkner says, and skilled carpenters from Japan popularized pocket doors and single-wall construction. Missionaries brought whitewashing and fenced gardens; sugarcane and pineapple plantations popularized arts-and-crafts style bungalows, where workers lived.This image shows the kidney-shaped pool at the Liljestrand House in Honolulu, Hawaii, designed by architect Vladimir Ossipoff. (Kristina Linnea Garcia via AP)