Urethral Leak: an Unusual Symptom of Pudendal Nerve Entrapment

Pudendal nerve (PN) entrapment is one of the most misunderstood and underdiagnosed medical conditions. It is recognized as a cause of chronic pelvic pain syndrome. However, due to the pudendal nerve's mixed composition and complex anatomy, the presenting symptoms are varied and go beyond pain, depending on the entrapment's nature, location and duration. We report a unique case of a young patient presenting with a urethral leak refractory to antibiotics. Patient evaluation highlighted findings suspicious of pudendal nerve entrapment. The patient was submitted to a laparoscopic transperitoneal PN neurolysis, resulting in major symptoms improvement.info:eu-repo/semantics/publishedVersio

Central Venous Catheterisation in Pediatric Intensive Care - Five Years Experiense

Objectivo: Avaliar a incidência de complicações relacionadas com o cateterismo venoso central e a existência de eventuais factores de risco para a sua ocorrência. Material e métodos: Estudo retrospectivo de 305 catéteres venosos centrais colocados pelos médicos da Unidade de Cuidados Intensivos Pediátricos (UCIP) do Hospital Dona Estefânia, durante 5 anos. As variáveis estudadas foram: idade, peso, instituição de ventilação mecânica, alteração da coagulação, local de inserção, número de lúmens e tempo de utilização do catéter, número e tipo de complicações. Na análise estatística foram utilizados o teste do Quiquadrado, o teste exacto de Fisher e o t-teste de Student, considerando-se haver diferenças estatisticamente significativas para valores de p< 0,05. Resultados: Foram submetidos a cateterismo 296 crianças, com idades compreendidas entre 0.08 e 16.00 anos (média=3,6 anos) e pesos entre 2 e 85 Kg (média=16,2 Kg). Os locais de inserção foram, por ordem decrescente de utilização, a veia subclávia (63,3%), a veia femural (29,8%) e veia jugular (6,9%). Os catéteres de duplo lúmen foram os mais utilizados (61,9%), seguidos dos de mono (32,5%) e de triplo lúmen (5,6%). Ocorreram 46 (15,1%) complicações, mas não se verificaram óbitos directamente relacionados com o cateterismo. A remoção do catéter foi electiva em 98 (32,1%) casos, por óbito em 97 (31,8%), por complicações em 39 (12,8%) e por outras causas em 71 (23,2%). O tempo de utilização dos catéteres foi em média de 7,6 dias. Os catéteres com e sem sépsis tiveram uma duração média de utilização de 6,9 dias e 17,0 dias, respectivamente. Conclusões: Este estudo revelou um padrão de complicações do cateterismo venoso central semelhante ao descrito por outros autores, sendo que nenhuma das variáveis analisadas se revelou, por si só, como factor de risco de complicações, excepto o tempo de utilização do catéter na ocorrência de sépsis

Rheological Characterization of Commercial Sweetened Condensed Milk

The present study have analyzed samples of sweetened condensed milk of five brands sold in the Brazilian market regarding their rheological behavior and viscoelasticity. The products presented pseudoplastic fluid behavior, illustrated by the experimental data of shear stress versus strain rate, with adjustments made to fit the Power Law and Casson models. The effect of temperature on apparent viscosity of the products followed the Arrhenius model, with activation energy values ranging from 33.8 to 40.9 kJ mol-1. The products showed loss modulus (G’’) greater than storage modulus (G ‘), indicating a semi-liquid material behavior

Peptidylprolyl isomerase C (Ppic) regulates invariant Natural Killer T cell (iNKT) differentiation in mice

© 2021 The Authors. European Journal of Immunology published by Wiley-VCH GmbH. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.Peptidyl-prolyl cis-trans isomerase C (Ppic) is expressed in several bone marrow (BM) hematopoietic progenitors and in T-cell precursors. Since the expression profile of Ppic in the hematoimmune system was suggestive that it could play a role in hematopoiesis and/or T lymphocyte differentiation, we sought to test that hypothesis in vivo. Specifically, we generated a Ppic-deficient mouse model by targeting the endogenous locus by CRISPR/Cas9 and tested the requirement of Ppic in hematopoiesis. Several immune cell lineages covering BM progenitors, lymphocyte precursors, as well as mature cells at the periphery were analyzed. While most lineages were unaffected, invariant NKT (iNKT) cells were reduced in percentage and absolute cell numbers in the Ppic-deficient thymus. This affected the most mature stages in the thymus, S2 and S3, and the phenotype was maintained at the periphery. Additionally, immature transitional T1 and T2 B lymphocytes were increased in the Ppic-deficient spleen, but the phenotype was lost in mature B lymphocytes. In sum, our data show that Ppic is dispensable for myeloid cells, platelets, erythrocytes, αβ, and γδ T lymphocytes in vivo in the steady state, while being involved in B- and iNKT cell differentiation.This work was supported by the Instituto Gulbenkian de Ciência (IGC) of the Calouste Gulbenkian Foundation, and the Portuguese National Research Council (Fundação para a Ciência e Tecnologia [FCT]) Grant PTDC/BIA-BID/30925/2017 to VCM, that also supports the salary of RSP. VCM is supported by an individual contract awarded by FCT (CEECIND/03106/2018). CVR is a PhD student of the IGC Integrative Biology and Biomedicine (IBB) PhD Program and supported by an individual FCT PhD Fellowship ref. PD/BD/139190/2018. This work had the support of the research infrastructures Congento LISBOA-01-0145-FEDER-022170 and PPBI-POCI-01-0145-FEDER-022122, both cofinanced by FCT and Lisboa2020, under PORTUGAL2020 agreement (European Regional Development Fund).info:eu-repo/semantics/publishedVersio

Chiral derivatives of xanthones: Investigation of the effect of enantioselectivity on inhibition of cyclooxygenases (COX-1 and COX-2) and binding interaction with human serum albumin

Searching of new enantiomerically pure chiral derivatives of xanthones (CDXs) with potential pharmacological properties, particularly those with anti-inflammatory activity, has remained an area of interest of our group. Herein, we describe in silico studies and in vitro inhibitory assays of cyclooxygenases (COX-1 and COX-2) for different enantiomeric pairs of CDXs. The evaluation of the inhibitory activities was performed by using the COX Inhibitor Screening Assay Kit. Docking simulations between the small molecules (CDXs; known ligands and decoys) and the enzyme targets were undertaken with AutoDock Vina embedded in PyRx—Virtual Screening Tool software. All the CDXs evaluated exhibited COX-1 and COX-2 inhibition potential as predicted. Considering that the (S)-(−)-enantiomer of the nonsteroidal anti-inflammatory drug ketoprofen preferentially binds to albumin, resulting in lower free plasma concentration than (R)-(+)-enantiomer, protein binding affinity for CDXs was also evaluated by spectrofluorimetry as well as in in silico. For some CDXs enantioselectivity was observed. © 2017 by the authors. Licensee MDPI, Basel, Switzerland.This work was partially supported through national funds provided by FCT/MCTES? Foundation for Science and Technology from the Minister of Science, Technology and Higher Education (PIDDAC) and European Regional Development Fund (ERDF) through the COMPETE?Programa Operacional Factores de Competitividade (POFC) programme, under the Strategic Funding UID/Multi/04423/2013, the project PTDC/MAR-BIO/4694/205 (reference POCI-01-055-FEDER-016790; Project 3599?Promover a Produ??o Cient?fica e Desenvolvimento Tecnol?gico e a Constitui??o de Redes Tem?ticas (3599-PPCDT)) in the framework of the programme PT2020 as well as by the project INNOVMAR - Innovation and Sustainability in the Management and Exploitation of Marine Resources (reference NORTE-01-055-FEDER-000035, within Research Line NOVELMAR), supported by North Portugal Regional Operational Programme (NORTE 2020), under the PORTUGAL 2020 Partnership Agreement, through the European Regional Development Fund (ERDF) and COXANT-CESPU-2016

MOONS Surveys of the Milky Way and its Satellites

The study of resolved stellar populations in the Milky Way and other Local Group galaxies can provide us with a fossil record of their chemo-dynamical and star-formation histories over timescales of many billions of years. In the galactic components and stellar systems of the Milky Way and its satellites, individual stars can be resolved. Therefore, they represent a unique laboratory in which to investigate the details of the processes behind the formation and evolution of the disc and dwarf/irregular galaxies. MOONS at the VLT represents a unique combination of an efficient infrared multi-object spectrograph and a large-aperture 8-m-class telescope which will sample the cool stellar populations of the dense central regions of the Milky Way and its satellites, delivering accurate radial velocities, metallicities, and other chemical abundances for several millions of stars over its lifetime (see Cirasuolo et al., this issue). MOONS will observe up to 1000 targets across a 25-arcminute field of view in the optical and near-infrared (0.6-1.8 micron) simultaneously. A high-resolution (R~19700) setting in the H band has been designed for the accurate determination of stellar abundances such as alpha, light, iron-peak and neutron-capture elements

Setting performance indicators for coastal marine protected areas: An expert-based methodology

Marine Protected Areas (MPAs) require effective indicators to assess their performance, in compliance with the goals of relevant national and international commitments. Achieving and prioritizing shortlists of multidisciplinary indicators demands a significant effort from specialists to depict the multiple conservation and socioeconomic interests, and the large complexity of natural systems. The present paper describes a structured expert-based methodology (process and outputs) to co-define a list of multidisciplinary MPA performance indicators. This work was promoted by the management authority of coastal MPAs in mainland Portugal to gather a consensual and feasible list of indicators that would guide the design of a future national monitoring program. Hence, Portuguese coastal MPAs served as a case study to develop such a process between 2019 and 2020. In the end, participants (1) agreed on a shortlist of prioritized indicators (i.e., environmental, governance, and socioeconomic indicators) and (2) defined minimum monitoring frequencies for the indicators in this list, compatible with the potential replicability of the associated survey methods. The present approach recommends that management plans incorporate monitoring procedures and survey methods, with a validated list of indicators and associated monitoring periodicity, agreed among researchers, MPA managers and governance experts. The proposed methodology, and the lessons learned from it, can support future processes aiming to define and prioritize MPA performance indicatorsFundação para a Ciência e Tecnologia - FCT, European Maritime and Fisheries Fund (EMFF)info:eu-repo/semantics/publishedVersio

Pharmacological activity of the hydroalcoholic extract from Hovenia dulcis thunberg fruit and the flavonoid dihydromyricetin during hypercholesterolemia induced in rats

Cerebrovascular accidents and coronary artery disease are the leading causes of cardiovascular mortalities in Brazil and high levels of LDL cholesterol are one of the main risk factors. In this context, several plant extracts and natural substances have shown promise as cholesterol-lowering. The objective of this study was to evaluate the potential of the hydroalcoholic extract of the fruit of H. dulcisand of dihydromyricetin in cholesterol reduction in hypercholesterolemic rats. Forty-two Wistar male rats were distributed into seven groups of six animals that received diets supplemented with 1% cholesterol and 0.3% cholic acid, with the exception of the control group, which received conventional diets. Animals were treated with oral suspensions containing: atorvastatin 1.0 mg/kg; H. dulcisextract at 50.0 and 100.0 mg/kg and dihydromyricetin at 25.0 and 50.0 mg/kg vehicle (control group). The following biochemical markers were evaluated; total cholesterol, HDL-C, LDL-C, triglycerides, AST, ALT, and alkaline phosphatase. The hypercholesterolemic diet was effective in inducing hypercholesterolemia, increasing total cholesterol by 112.7% relative to the control group. The treatments with two doses of the extract proved to be promising hypocholesterolemic agents, as they were able to substantially reduce total cholesterol and LDL-C, without significantly altering triglycerides, hepatic transaminases, and alkaline phosphatase, thereby encouraging the studies with the plant H. dulcis. The groups treated with the flavonoid dihydromyricetin, although they showed a significant reduction in total cholesterol and LDL-C, and found increases in triglycerides and hepatic transaminases, which is unwanted in the context of hypercholesterolaemia