Arms lift in a case of pseudoxanthoma elasticum

Pseudoxanthoma elasticum (PXE) is a rare hereditary disorder of elastin fibers, characterized by yellowish coalescent papules in flexural surfaces with abnormally lax and corrugated skin. It can be associated to systemic manifestations mostly regarding eyes and vessels. Aesthetic surgery of cutaneous hyperlaxity was described in the international literature only in few cases, mostly as neck lift. A 40-year-old woman presented with cutaneous signs of PXE, demanding brachioplasty. Results after a nine-month followup are quite satisfying, and no signs of local recurrence or scar alterations are present

Alterações morfológicas e citológicas do cafeeiro (Coffea arabica L, var. Bourbon (B. Rodr.) Choussy) cultivado em solução nutritiva decorrentes das deficiências e excessos dos macronutrientes

The present work was carried out in order to study: (1) the symptoms of deficiency and excess of macronutrients (N, P, K, Ca, S, Mg) in the coffee plant (Coffea arabica L. var. Mundo novo); (2) the modifications induced by those treatments in the hystological make up of the leaves; (3) the effects of deficiency and excess on the growth and in the chemical composition of the plants. Young coffee plants were grown in nutrient solution, three treatments being used, namely: complete solution (HOAGLAND & ARNON, 1950), deficient solution, in which a giVen element was omitted, and solution with 3 times the concentration of the element under study. The main conclusions can be summaryzed as follows. 1. SYMPTOMS. Clear cut symptoms of malnutrition were observed in the treatments: -N, -P, +P, -Ca, -Mg, -S and +S; the signals - and + stared respectively for deficient and excess level. 2. HISTOLOGICAL EFFECTS. The most definite alterations took place in the treatments +P, -Mg and +S. Usually the characteristics of the chloroplasts were affected: loss of the green color and coalescence into irregular bodies

Subcutaneous adipose tissue classification

The developments in the technologies based on the use of autologous adipose tissue attracted attention to minor depots as possible sampling areas. Some of those depots have never been studied in detail. The present study was performed on subcutaneous adipose depots sampled in different areas with the aim of explaining their morphology, particularly as far as regards stem niches. The results demonstrated that three different types of white adipose tissue (WAT) can be differentiated on the basis of structural and ultrastructural features: deposit WAT (dWAT), structural WAT (sWAT) and fibrous WAT (fWAT). dWAT can be found essentially in large fatty depots in the abdominal area (periumbilical). In the dWAT, cells are tightly packed and linked by a weak net of isolated collagen fibers. Collagenic components are very poor, cells are large and few blood vessels are present. The deep portion appears more fibrous then the superficial one. The microcirculation is formed by thin walled capillaries with rare stem niches. Reinforcement pericyte elements are rarely evident. The sWAT is more stromal; it is located in some areas in the limbs and in the hips. The stroma is fairly well represented, with a good vascularity and adequate staminality. Cells are wrapped by a basket of collagen fibers. The fatty depots of the knees and of the trochanteric areas have quite loose meshes. The fWAT has a noteworthy fibrous component and can be found in areas where a severe mechanic stress occurs. Adipocytes have an individual thick fibrous shell. In conclusion, the present study demonstrates evident differences among subcutaneous WAT deposits, thus suggesting that in regenerative procedures based on autologous adipose tissues the sampling area should not be randomly chosen, but it should be oriented by evidence based evaluations. The structural peculiarities of the sWAT, and particularly of its microcirculation, suggest that it could represent a privileged source for regenerative procedures based on autologous adipose tissues

The trochanteric fat pad

Technological developments based on the use of autologous white adipose tissue (WAT) attracted attention to minor fat depots as possible sources of adipose tissue. In plastic surgery, the trochanteric fatty pad is one of the most used WAT depots for its location and organoleptic characteristics that make it particularly suitable for reconstructive procedures. Despite its wide use in clinic, the structure of this depot has never been studied in detail and it is not known if structural differences exist among trochanteric fat and other subcutaneous WAT depots. The present study was performed on trochanteric fat pad with the aim to clarify the morphology of its adipocytes, stroma and microcirculation, with particular reference to the stem niches. Histological and ultrastructural studies showed that the main peculiar feature of the trochanteric fat concerns its stromal component, which appears less dense than in the other subcutaneous WATs studied. The intra-parenchymal collagen stroma is poor and the extracellular compartment shows large spaces, filled with electron-light material, in which isolated collagen bundles are present. The adipocytes are wrapped in weak and easily detachable collagen baskets. These connective sheaths are very thin compared to the sheaths in other subcutaneous WAT depots. The capillaries are covered by large, long and thin elements surrounded by an external lamina; these perivascular cells are poor in organelles and mainly contain poly-ribosomes. In conclusion, when compared to other WAT deposits, the trochanteric fatty pad shows structural peculiarities in its stroma and microcirculation suggesting a high regenerative potential. Resistance, dissociability, microvascular weft and high regenerative potential make the trochanteric fatty pad a privileged source for harvesting in autologous WAT-based regenerative procedures

Welfare parameters in dairy cows reared in tie-stall and open-stall farming systems: pilot study

ABSTRACT. Animals can experience pain or distress as a result of widely accepted management practices. In dairy cattle, housing system can affect animal welfare. The assessment of animal welfare requires the use of multiple indicators in order to analyse the heterogeneity of the aspects involved. The aim of this study was to compare the welfare of dairy cows reared in a tie-stall (TS) and open-stall (OS) system by metabolic, immunological and stress related parameters. The study involved 80 pluriparous lactating cows belonging to eight dairy farms located in the area of Mugello (Florence, Italy) reared in TS and OS systems. Ten blood samples were collected at morning time to measure alanine-aminotransferase (ALT), aspartate-aminotransferase (AST), blood urea nitrogen (BUN), β-hydroxybutyrate (BHBA), creatinine (Creat), non-esterified fatty acids (NEFA), total proteins (TP), calcium (Ca), phosphorus (P), and potassium (K), serum lisozyme (SL), bactericidal activity (SBA), haptoglobin (Hp), oxygen free radicals (OFR), and hair cortisol levels. At the same time a body condition score (BCS) was recorded. Statistical analysis was performed by ANOVA. The experiment was carried out in accordance with European Commission regulations (Directive 2010/63/EC and Directive 98/58/EC). The results showed that the housing system affected various parameters such as ALT, BHBA, OFR, cortisol (P≤0.01) and AST, BUN (P≤0.05). Most of these parameters showed mean values within the range of reference without revealing any signs of suffering. An interesting outcome regarded the OFR levels, which was higher in the OS system (68.2±34.51 U.Carr. vs 36.1±21.39 U.Carr.), probably as a consequence of the high productive effort. In conclusion, it is possible to state that TS did not show a comparable overall situation with serious signs of welfare impairment

Welfare parameters in dairy cows reared in tie-stall and open-stall farming systems: pilot study

ΔΕΝ ΥΠΑΡΧΕΙ ΠΕΡΙΛΗΨΗAnimals can experience pain or distress as a result of widely accepted management practices. In dairy cattle, housing system can affect animal welfare. The assessment of animal welfare requires the use of multiple indicators in order to analyse the heterogeneity of the aspects involved. The aim of this study was to compare the welfare of dairy cows reared in a tie-stall (TS) and open-stall (OS) system by metabolic, immunological and stress related parameters. The study involved 80 pluriparous lactating cows belonging to eight dairy farms located in the area of Mugello (Florence, Italy) reared in TS and OS systems. Ten blood samples were collected at morning time to measure alanine-aminotransferase (ALT), aspartate-aminotransferase (AST), blood urea nitrogen (BUN), β-hydroxybutyrate (BHBA), creatinine (Creat), non-esterified fatty acids (NEFA), total proteins (TP), calcium (Ca), phosphorus (P), and potassium (K), serum lisozyme (SL), bactericidal activity (SBA), haptoglobin (Hp), oxygen free radicals (OFR), and hair cortisol levels. At the same time a body condition score (BCS) was recorded. Statistical analysis was performed by ANOVA. The experiment was carried out in accordance with European Commission regulations (Directive 2010/63/EC and Directive 98/58/EC). The results showed that the housing system affected various parameters such as ALT, BHBA, OFR, cortisol (P≤0.01) and AST, BUN (P≤0.05). Most of these parameters showed mean values within the range of reference without revealing any signs of suffering. An interesting outcome regarded the OFR levels, which was higher in the OS system (68.2±34.51 U.Carr. vs 36.1±21.39 U.Carr.), probably as a consequence of the high productive effort. In conclusion, it is possible to state that TS did not show a comparable overall situation with serious signs of welfare impairment

Health and welfare assessment of beef cattle during the adaptation period in a specialized commercial fattening unit

Beef cattle welfare and health status are influenced by housing and management systems. The present study aimed to assess the welfare and health status in the first 15 days after arrival of Limousine bulls imported from France and fattened in a commercial fattening unit in Italy. A total of 264 bulls were included in the study. Welfare, biosecurity, and major hazard and warning system were assessed on days 2 (T1) and 15 (T2) after arrival to the unit. At T1 and T2 an inspective clinical examination was performed on all bulls. At T1 and T2 blood samples were collected from 88 bulls for haematological analysis. Both at T1 and T2, the welfare, biosecurity, and major hazards and warning systems were classified with a general score of medium but with a decrease on animal-based measurements in T2. At T1 and T2 the clinical examination revealed a significant increase (p-value≤0.05) of skin lesions and lameness in T2. A high incidence of respiratory disease was noticed in both assessed times. Leucocytes and all differentials count, and platelets were significantly increased (p-value≤0.05) at T2, while the fibrinogen was significantly decreased. The haematological changes suggest that the bulls were under higher stress in T2 when compared with T1 linked with a difficult adaptation response to the fattening unit. A multi-factorial approach that integrates the indicators of the checklist and the clinical and haematological findings of animals can be a useful method to deepen the assessment of welfare in beef cattle

Hyperventilation and seizures in an adolescent female

A 16 year-old girl was admitted after suffering from recurrent episodes of dyspnea and stridor, cyanosis, loss of contact, stiffening of all four limbs, clenching of the jaw and eye retroversion that lasted for a few seconds to a minute, followed by slow recovery of consciousness without any loss of sphincter control. These symptoms began at the age of 11 and worsened over time. Prolonged rate corrected QT intervals was observed with an ECG. Two cardio-respiratory monitorings were performed (one during daytime hours while the patient was awake, and one at night time while the patient slept). Daytime recordings showed 17 central apnoeas and 97 central hypopneas, with an apnea-hypopnea index (AHI) of 13.2 events/hour, that were associated with severe oxyhemoglobin desaturation. In contrast, night time recordings were normal (AHI=1.1 events/hour). The patient underwent diurnal monitoring of transcutaneous pCO2(PtcCO2), transcutaneous O2(PtcO2), SpO2 and end tidal CO2 (PETCO2), with simultaneous monitoring of regional cerebral oxymetry (rSO2) which showed values of PtcCO2 between 8 and 15 mmHg, suggesting several episodes of marked hyperventilation. Twenty-nine episodes of severe arterial desaturation (SpO2<50%) were registered, all after the same number of apnea events, with ascent of PtcO2 up to 28 mmHg at the end of apnea. During the final phase of apnea, the patient showed cyanosis, contact disturbance, grimaces, oral movements of rhyme, and, on three occasions, partial seizures. A mask was packaged and applied daytime to the face of the patient during episodes of hyperventilation to prevent, together with a psychiatric follow up, rapid falls of PaCO2 levels determining central apnoeas

MR imaging diagnosis of diencephalic-mesencephalic junction dysplasia in fetuses with developmental ventriculomegaly

SUMMARY: Diencephalic-mesencephalic junction dysplasia is a rare malformation characterized by a poorly defined junction between the diencephalon and the mesencephalon, associated with a characteristic butterfly-like contour of the midbrain (butterfly sign). This condition may be variably associated with other brain malformations, including callosal abnormalities and supratentorial ventricular dilation, and is a potential cause of developmental hydrocephalus. Here, we have reported 13 fetuses with second-trimester obstructive ventriculomegaly and MR features of diencephalic-mesencephalic junction dysplasia, correlating the fetal imaging with available pathology and/or postnatal data. The butterfly sign can be clearly detected on axial images on fetal MR imaging, thus allowing for the prenatal diagnosis of diencephalic-mesencephalic junction dysplasia, with possible implications for the surgical management of hydrocephalus and parental counseling