557 research outputs found

    Ultrasound-controlled cryoneurolysis for peripheral mononeuropathies: a retrospective cohort study.

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    Aim: Cryoneurolysis is a potential therapy for peripheral mononeuropathies, but randomized studies of its effects on the duration of pain reduction are lacking. Methods: This retrospective cohort study evaluated the analgesic effects of cryoneurolysis on patients with refractory peripheral mononeuropathy. We included 24 patients who underwent ultrasound-guided cryoneurolysis between June 2018 and July 2022. The daily maximum pain level was recorded using a numerical rating scale before and 1, 3 and 6 months after the procedure. Results: At 1 month, 54.2% of patients reported pain reduction of at least 30%. This percentage was significantly lower at 3 and 6 months (13.8 and 9.1%, respectively). Conclusion: Our results suggest that repeated cryoneurolysis may be a viable treatment for refractory mononeuropathy. Further investigations are needed

    Kinase-activating and kinase-impaired cardio-facio-cutaneous syndrome alleles have activity during zebrafish development and are sensitive to small molecule inhibitors

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    The Ras/MAPK pathway is critical for human development and plays a central role in the formation and progression of most cancers. Children born with germ-line mutations in BRAF, MEK1 or MEK2 develop cardio-facio-cutaneous (CFC) syndrome, an autosomal dominant syndrome characterized by a distinctive facial appearance, heart defects, skin and hair abnormalities and mental retardation. CFC syndrome mutations in BRAF promote both kinase-activating and kinase-impaired variants. CFC syndrome has a progressive phenotype, and the availability of clinically active inhibitors of the MAPK pathway prompts the important question as to whether such inhibitors might be therapeutically effective in the treatment of CFC syndrome. To study the developmental effects of CFC mutant alleles in vivo, we have expressed a panel of 28 BRAF and MEK alleles in zebrafish embryos to assess the function of human disease alleles and available chemical inhibitors of this pathway. We find that both kinase-activating and kinase-impaired CFC mutant alleles promote the equivalent developmental outcome when expressed during early development and that treatment of CFC-zebrafish embryos with inhibitors of the FGF-MAPK pathway can restore normal early development. Importantly, we find a developmental window in which treatment with a MEK inhibitor can restore the normal early development of the embryo, without the additional, unwanted developmental effects of the drug

    Levantamento de reconhecimento dos solos do Noroeste do Estado do Paraná: (informe preliminar).

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    A execucao do levantamento dos solos vem sendo realizada de maneira a atender as necessidades do estado e ao plano basico da EPFS, que visa ao inventario dos recursos potenciais dos solos do territorio nacional, consistindo na identificacao, classificacao, distribuicao e determinacao da area das diversas unidades de solos, de modo a proporcionar elementos basicos essenciais para planejamentos, principalmente os referntes a futuros trabalhos de levantamentos detalhados e ao estabelecimento racional de projetos de experimentacao e pesquisa, com possibilidades de aplicacao dos resultados em areas representativas de cada unidade que apresente expressao geografica importante, permitindo a extrapolacao dos resultados para solos semelhantes. O objetivo e o estudo dosdiferentes solos do Parana, atraves do reconhecimento da sua distribuicao geografica, delimitacao das areas por eles ocupadas e investigacao das suas caracteristicas morfologicas, fisicas e quimicas. O carater generalizado do mapeamento limita a precisao de detalhes cartograficos e nao pode ter por finalidade responder questoes de utilizacao de terras, problemas de fertilidade e produtividade em areas especificas. Procurou-se, tanto quanto possivel, elaborar a presente publicacao em forma simples, evitando ao maximo o excessivo emprego de termos tecnicos, a fim de poder atingir um maior numero de pessoas que dela possam fazer uso. Far-se-a, em seguida, a publicacao do levantamento do Noroeste e, finalmente, de todo o estado, abrangendo as suas varias regioes.bitstream/item/212067/1/EPFS-BT-14-1970.pdf; bitstream/item/125769/1/Levantamento-de-Reconhecimento-dos-Solos-do-Noroeste-do-Estado-do-Parana.pdfAcompanha 1 mapa, color. Escala 1:300.000

    The Teacher, the Physician and the Person: How Faculty's Teaching Performance Influences Their Role Modelling

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    OBJECTIVE: Previous studies identified different typologies of role models (as teacher/supervisor, physician and person) and explored which of faculty's characteristics could distinguish good role models. The aim of this study was to explore how and to which extent clinical faculty's teaching performance influences residents' evaluations of faculty's different role modelling statuses, especially across different specialties. METHODS: In a prospective multicenter multispecialty study of faculty's teaching performance, we used web-based questionnaires to gather empirical data from residents. The main outcome measures were the different typologies of role modelling. The predictors were faculty's overall teaching performance and faculty's teaching performance on specific domains of teaching. The data were analyzed using multilevel regression equations. RESULTS: In total 219 (69% response rate) residents filled out 2111 questionnaires about 423 (96% response rate) faculty. Faculty's overall teaching performance influenced all role model typologies (OR: from 8.0 to 166.2). For the specific domains of teaching, overall, all three role model typologies were strongly associated with "professional attitude towards residents" (OR: 3.28 for teacher/supervisor, 2.72 for physician and 7.20 for the person role). Further, the teacher/supervisor role was strongly associated with "feedback" and "learning climate" (OR: 3.23 and 2.70). However, the associations of the specific domains of teaching with faculty's role modelling varied widely across specialties. CONCLUSION: This study suggests that faculty can substantially enhance their role modelling by improving their teaching performance. The amount of influence that the specific domains of teaching have on role modelling differs across specialties
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