Giant Sigmoid Diverticulum: A Rare Presentation of a Common Pathology

Although colonic diverticulum is a common disease, affecting about 35% of patients above the age of 60, giant sigmoid diverticulum is an uncommon variant of which only relatively few cases have been described in the literature. We report on our experience with a patient affected by giant sigmoid diverticulum who was treated with diverticulectomy. Resection of the diverticulum is a safe surgical procedure, provided that the colon section close to the lesion presents no sign of flogosis or diverticula; in addition, recurrences are not reported after 6-year follow-up

The Use of a Large, Extensive Green Roof for Multiple Research Objectives

The Green Roof on the Onondaga County Convention Center in Syracuse, NY is planted with several varieties of sedum over an area of 0.56 hectares. The roof was constructed in 2011, and has been instrumented with sensors to enable research and education over an extended period. The purpose of the current work on this roof is to quantify its performance with respect to water storage and energy transfer, and to identify chemical constituents in the runoff that might be contributed by the growth medium. The scope of the project also includes a number of measurements on traditional roofs in the vicinity of the Convention Center as controls. Experimental methods include measurements with temperature probes installed in different layers of the green roof, a meteorological station, soil moisture sensors positioned around the roof, and an electromagnetic flowmeter connected to the roof drains. Chemical analysis of incoming precipitation and stormwater runoff is conducted by ion chromatography. Besides the research underway, an educational website is under construction that shows realtime data from many of the instruments. The website includes explanations of the energy flow through the roof layers, water flow and water storage in the growth medium, and runoff through the roof drains. The website is designed for use by teachers of K-12 and undergraduate courses to enable students to learn about green roofs as a tool for managing urban stormwater. Results of the research show that heat flow through the roof is largely controlled by extruded polystyrene insulation below the growth medium, and that the growth medium is not a major barrier to heat flow. Substantial amounts of stormwater can be stored by the roof, as long as the growth medium is able to dry somewhat between storms. Precipitation events in close succession may cause the growth medium to stay saturated, preventing the roof from storing additional stormwater. The results of this work are important for assisting designers and engineers to improve the performance of green roofs

Partição de matéria seca da parte aérea em arroz para uso em um modelo de simulação baseado em processos.

A partição as matéria seca nos diversos compartimentos da planta é uma parte importante em modelos ecofisiológicos baseados em processos, com o InfoCrop. O objetivo deste trabalho foi determinar a fração da matéria seca da parte aérea alocada nos diferentes compartimentos da planta de arroz e a senescência ao longo do ciclo de desenvolvimento da cultura. Foi conduzido um experimento de campo em Santa Maria, RS, com quatro cultivares (IRGA 421, BRS Querência, IRGA 424 e BRS Tio Taka) e semeadura em 18/11/2011. A fração da matéria seca da parte aérea alocada nos diferentes compartimentos da planta e a senescência variou em função do estágio de desenvolvimento, desde 80% para folhas nos primeiros quatro dias após a emergência até 100% para panículas após floração

In vivo magnetic resonance spectroscopy in the brain of Cdkl5 null mice reveals a metabolic profile indicative of mitochondrial dysfunctions

Mutations in the X‐linked CDKL5 gene cause CDKL5 deficiency disorder (CDD), a severe neurodevelopmental condition mainly characterized by infantile epileptic encephalopathy, intellectual disability, and autistic features. The molecular mechanisms underlying the clinical symptoms remain largely unknown and the identification of reliable biomarkers in animal models will certainly contribute to increase our comprehension of CDD as well as to assess the efficacy of therapeutic strategies. Here, we used different Magnetic Resonance (MR) methods to disclose structural, functional, or metabolic signatures of Cdkl5 deficiency in the brain of adult mice. We found that loss of Cdkl5 does not cause cerebral atrophy but affects distinct brain areas, particularly the hippocampus. By in vivo proton‐MR spectroscopy (MRS), we revealed in the Cdkl5 null brain a metabolic dysregulation indicative of mitochondrial dysfunctions. Accordingly, we unveiled a significant reduction in ATP levels and a decrease in the expression of complex IV of mitochondrial electron transport chain. Conversely, the number of mitochondria appeared preserved. Importantly, we reported a significant defect in the activation of one of the major regulators of cellular energy balance, the adenosine monophosphate‐activated protein kinase (AMPK), that might contribute to the observed metabolic impairment and become an interesting therapeutic target for future preclinical trials. In conclusion, MRS revealed in the Cdkl5 null brain the presence of a metabolic dysregulation suggestive of a mitochondrial dysfunction that permitted to foster our comprehension of Cdkl5 deficiency and brought our interest towards targeting mitochondria as therapeutic strategy for CDD

Cerebral oxygenation and blood flow in term infants during postnatal transition : BabyLux project

Objectives: A new device that combines, for the first time, two photonic technologies (time-resolved near-infrared spectroscopy and diffuse correlation spectroscopy) was provided and tested within the BabyLux project. Aim was to validate the expected changes in cerebral oxygenation and blood flow. Methods: A pulse oximeter and the BabyLux device were held in place (right hand/wrist and frontoparietal region, respectively) for 10 min after birth in healthy term infants delivered by elective caesarean section. Pulse oximeter saturation (SpO 2 ), cerebral tissue oxygen saturation (StO 2 ) and blood flow index (BFI) were measured over time. Tissue oxygen extraction (TOE) and cerebral metabolic rate of oxygen index (CMRO 2 I) were calculated. Results: Thirty infants were enrolled in two centres. After validity check of data, 23% of infants were excluded from TOE and CMRO 2 I calculation due to missing data. As expected, SpO 2 (estimate 3.05 %/min; 95% CI 2.78 to 3.31 %/min) and StO 2 (estimate 3.95 %/min; 95% CI 3.63 to 4.27 %/min) increased in the first 10 min after birth, whereas BFI (estimate -2.84 710 -9 cm 2 /s/min; 95% CI -2.50 710 -9 to -3.24 710 -9 cm 2 /s/min) and TOE (estimate -0.78 %/min; 95% CI -1.12 to -0.45 %/min) decreased. Surprisingly, CMRO 2 I decreased (estimate -7.94 710 -8 /min; 95% CI -6.26 710 -8 to -9.62 710 -8 /min). Conclusions: Brain oxygenation and BFI during transition were successfully and simultaneously obtained by the BabyLux device; no adverse effects were recorded, and the BabyLux device did not limit the standard care. The preliminary results from clinical application of the BabyLux device are encouraging in terms of safety and feasibility; they are consistent with previous reports on brain oxygenation during transition, although the interpretation of the decreasing CMRO 2 I remains open. Trial registration number: NCT02815618

Positive affect dysregulation and its relation to binge eating size and frequency

Negative affect is an established predictor of binge eating, yet less is known about positive affect. Low positive affect has been theorized to increase binge eating, but a better understanding is needed on the relationship between positive affect and binge eating frequency and size. Participants were 182 treatment-seeking adults (76% self-identified as female; 45% self-identified their race as Black and 40% as White; and 25% self-identified their ethnicity as Hispanic/Latino) with self-reported recurrent binge eating (≥12 binge episodes in the past 3  months). Participants completed the positive and negative affect schedule (PANAS) survey and the eating disorder examination to assess frequency of objective binge episodes (OBEs) and subjective binge episodes (SBEs) over the past 3  months. OBEs and SBEs also were combined to yield total binge episodes over the past 3  months. Independent t-tests and linear regression analyses were used to test associations between positive affect scores and binge episode size and frequencies, and to compare low versus higher positive affect on binge frequency. Additional exploratory models were conducted controlling for negative affect, identity characteristics, and socio-demographic variables. Lower positive affect was significantly associated with more frequent total binge episodes, but not OBEs and SBEs when assessed independently. Findings remained consistent when controlling for covariates and when comparing individuals with the lowest versus higher positive affect levels. Overall, results lend support to the theory that low positive affect is associated with binge eating. Increasing positive affect may be an important treatment consideration for those with recurrent binge eating