Fatal pancreatic pseudocyst co-infected by Raoultella planticola: an emerging pathogen

Raoultella planticola is an aerobic Gram-negative bacterium belonging to the Enterobacteriaceae family. Initially identified in the 1980s, its pathogenic potential was further recognized when the first case of bacteremia was reported. Since then, only a few infections caused by this pathogen have been described. Although considered an opportunistic agent, fatal outcomes are associated with the infection by this pathogen, since it is more prevalent among the patients with immunodeficiency. The authors report the case of a middle-aged man diagnosed with end-stage renal disease and alcoholic pancreatitis, who was admitted to the emergency department with septic shock. Physical examination disclosed peritoneal irritation and a laparotomy was undertaken. Purulent peritonitis was found as well as a retroperitoneal abscess, which was drained. The postoperative period was troublesome, and the patient died. The autopsy showed a ruptured, infected pancreatic cyst and purulent peritonitis, among other findings. The culture of the peritoneal fluid and two blood sample sets were positive for R. planticola. The authors call attention to the importance of this emerging pathogen associated with severe gastrointestinal infection

Unveiling the metabolic effects of glycomacropeptide

Funding Information: Funding: This article was funded by the project NORTE-08-5369-FSE-000018, supported by Norte Portugal Regional Programme (Norte2020), under the PORTUGAL 2020 Partnership Agreement, through the European Regional Development Fund (ERDF) and by FCT—Fundação para a Ciência e a Tecnologia [UID/BIM/04293/2013]. Funding Information: Acknowledgments: M.J.P. was partially funded by the project NORTE-08-5369-FSE-000018, supported by Norte Portugal Regional Programme (Norte2020), under the PORTUGAL 2020 Partnership Agreement, through the European Regional Development Fund (ERDF). Glycaemia strips and device were kindly provided by Abbott Laboratórios Lda., Portugal. A special thanks to Raquel Soares for the help submitting the project to the national authorities. Furthermore, thanks to Patrícia Ribeiro, Veterinary Nurse Adriana Francisco and Liliana Leite from the animal facilities. Funding Information: This article was funded by the project NORTE-08-5369-FSE-000018, supported by Norte Portugal Regional Programme (Norte2020), under the PORTUGAL 2020 Partnership Agreement,M.J.P. was partially funded by the project NORTE-08-5369-FSE-000018, supported by Norte Portugal Regional Programme (Norte2020), under the PORTUGAL 2020 Partnership Agreement, through the European Regional Development Fund (ERDF). Glycaemia strips and device were kindly provided by Abbott Laborat?rios Lda., Portugal. A special thanks to Raquel Soares for the help submitting the project to the national authorities. Furthermore, thanks to Patr?cia Ribeiro, Veterinary Nurse Adriana Francisco and Liliana Leite from the animal facilities. through the European Regional Development Fund (ERDF) and by FCT?Funda??o para a Ci?ncia e a Tecnologia [UID/BIM/04293/2013]. Publisher Copyright: © 2021 by the authors. Li-censee MDPI, Basel, Switzerland.For many years, the main nitrogen source for patients with phenylketonuria (PKU) was phenylalanine-free amino acid supplements. Recently, casein glycomacropeptide (GMP) supplements have been prescribed due to its functional and sensorial properties. Nevertheless, many doubts still persist about the metabolic effects of GMP compared to free amino acids (fAA) and intact proteins such as casein (CAS). We endeavour to compare, in rats, the metabolic effects of different nitrogen sources. Twenty-four male Wistar rats were fed equal energy density diets plus CAS (control, n = 8), fAA (n = 8) or GMP (n = 8) for 8 weeks. Food, liquid intake and body weight were measured weekly. Blood biochemical parameters and markers of glycidic metabolism were assessed. Glucagon-like peptide-1 (GLP-1) was analysed by ELISA and immunohistochemistry. Food intake was higher in rats fed CAS compared to fAA or GMP throughout the treatment period. Fluid intake was similar between rats fed fAA and GMP. Body weight was systematically lower in rats fed fAA and GMP compared to those fed CAS, and still, from week 4 onwards, there were differences between fAA and GMP. None of the treatments appeared to induce consistent changes in glycaemia, while insulin levels were significantly higher in GMP. Likewise, the production of GLP-1 was higher in rats fed GMP when compared to fAA. Decreased urea, total protein and tri-glycerides were seen both in fAA and GMP related to CAS. GMP also reduced albumin and triglyc-erides in comparison to CAS and fAA, respectively. The chronic consumption of the diets triggers different metabolic responses which may provide clues to further study potential underlying mech-anisms.publishersversionpublishe

SÍNDROME VESTIBULAR SECUNDÁRIA À OTITE MÉDIA EM GATA

Vestibular syndrome is a frequent disorder in feline neurology that is characterized as a set of neurological signs caused by a dysfunction of any part of the vestibular system. The vestibular system is divided into peripheral and central components, and a neurological examination is essential to locate the origin of the lesion. The peripheral vestibular syndrome can be caused by congenital anomalies, neoplasms, trauma, polyps, and inflammatory diseases, with otitis media/internal being one of the main etiologies in dogs and cats. Thus, the present work aims to present a case report of a feline, female, mixed breed, seven months old, with secondary vestibular syndrome to otitis media. The animal was admitted to the clinic with sudden neurological signs, presenting nystagmus and motor incoordination, as well as unilateral nasal secretion. Hematological and biochemical tests, abdominal ultrasound, and skull radiography were requested, and hospitalization was recommended. In the biochemical tests, the values of total bilirubin and fractions were above the reference value and the albumin/globulin ratio was decreased. The radiographic examination confirmed the suspicion of otitis media. The treatment was performed with marbofloxacin and gabapentin. After treatment, the animal showed a significant improvement in clinical condition. Therefore, it is concluded that secondary vestibular syndrome to otologic alteration is a condition present in the veterinary routine, and the association of clinical examination and complementary exams is important so that it is possible to reach the diagnosis.A Síndrome Vestibular é um distúrbio frequente na neurologia felina que é caracterizado como um conjunto de sinais neurológicos, causados por uma disfunção de qualquer parte do sistema vestibular. Este é dividido nos componentes periférico e central e o exame neurológico é essencial para localizar a origem da lesão. A Síndrome Vestibular Periférica pode ser causada por anomalias congênitas, neoplasias, traumas, pólipos e doenças inflamatórias; sendo a otite média/interna uma das principais etiopatogenias em cães e gatos. Dessa forma, o presente trabalho tem como objetivo apresentar um relato de caso de um felino, fêmea, sem raça definida, de sete meses de idade, apresentando Síndrome Vestibular secundária à otite média. O animal deu entrada na clínica com sinais neurológicos súbitos, apresentando nistagmo e incoordenação motora, bem como secreção nasal unilateral. Foram solicitados exames hematológicos e bioquímicos, ultrassonografia abdominal e radiografia de crânio, além de recomendada a internação. Nos exames bioquímicos, os valores de bilirrubina total e frações estavam acima do valor de referência e a relação albumina/globulina estava diminuída. O exame radiográfico confirmou a suspeita de otite média. O tratamento foi realizado com marbofloxacino e gabapentina. Após o tratamento, o animal apresentou melhora significativa do quadro clínico. Baseado no exposto, conclui-se que a Síndrome Vestibular secundária à alteração otológica é um quadro presente na rotina veterinária, sendo importante a associação de exame clínico e exames complementares para que seja possível chegar ao diagnóstico

TRANSTORNO DE PERSONALIDADE ANTISSOCIAL: UMA REVISÃO INTEGRATIVA ACERCA DOS FATORES GENÉTICOS E AMBIENTAIS DO DIAGNÓSTICO

Antisocial Personality Disorder is a complex psychiatric condition characterized by persistent patterns of disregard for the rights of others, impulsive behaviors, lack of empathy and remorse, and tendencies toward manipulation and deception. Understanding Antisocial Personality Disorder involves careful analysis of a wide range of factors, including genetic and environmental factors, which play a key role in its development and diagnosis. This article consists of an integrative review, which aims to discuss the genetic and environmental factors that influence the diagnosis of antisocial personality disorder, through considerations about the pathology and the intersection between them, with the aim of expanding society's knowledge , of students and professionals in the field on the topic in question. This is an integrative review, in which basic, qualitative, exploratory and bibliographical research was carried out in the databases. Genetic factors play a key role in the development of Antisocial Personality Disorder. Scientific studies have shown that genetic predisposition is one of the key components for understanding this complex disorder. Environmental factors play an extremely important role in the development of Antisocial Personality Disorder. They constitute external influences that shape the way individuals with the disorder interact with the environment that surrounds them and influence the manifestation of their behaviors. In short, it is possible to conclude that the intersection between genetic and environmental factors is essential to understanding Antisocial Personality Disorder.O Transtorno de Personalidade Antissocial é uma condição psiquiátrica complexa caracterizada por padrões persistentes de desrespeito pelos direitos dos outros, comportamentos impulsivos, falta de empatia e remorso, além de tendências para a manipulação e a enganação. A compreensão do Transtorno de Personalidade Antissocial envolve a análise cuidadosa de uma ampla gama de fatores, incluindo fatores genéticos e ambientais, que desempenham um papel fundamental no seu desenvolvimento e diagnóstico. O presente artigo consiste em uma revisão integrativa, no qual tem como objetivos discorrer acerca dos fatores genéticos e ambientais que influenciam no diagnóstico do transtorno de personalidade antissocial, mediante considerações acerca da patologia e da interseção entre eles, no intuito de ampliar os conhecimentos da sociedade, de estudantes e profissionais da área acerca do tema em questão. Trata-se de uma revisão integrativa, na qual foi realizada uma pesquisa dos tipos básica, qualitativa, exploratória e bibliográfica, nas bases de dados. Os fatores genéticos desempenham um papel fundamental no desenvolvimento do Transtorno de Personalidade Antissocial. Estudos científicos têm apontado que a predisposição genética é um dos componentes-chave para a compreensão desse transtorno complexo. Os fatores ambientais exercem um papel de extrema importância no desenvolvimento do Transtorno de Personalidade Antissocial. Eles constituem influências externas que moldam a maneira como os indivíduos com o transtorno interagem com o ambiente que os cerca e influenciam a manifestação de seus comportamentos. Em suma, é possível concluir que a interseção entre fatores genéticos e ambientais é essencial para compreender o Transtorno de Personalidade Antissocial

Tetralogia de Fallot no Brasil: compreendendo a existência

Introduction: Tetralogy of Fallot involves four specific heart problems. Firstly, there is pulmonary stenosis, characterized by the narrowing of the pathway that carries blood from the heart to the lungs, hindering blood flow. Right ventricular hypertrophy is another characteristic, where the muscle of the right ventricle of the heart becomes thicker due to increased workload caused by pulmonary stenosis. Methodology: The present study adopted a descriptive epidemiological approach with the aim of analyzing cases of Tetralogy of Fallot among live births in Brazil from 2012 to 2021. Data collection utilized the Live Birth Information System (SINASC), made available by DATASUS. Results: In the group of individuals born with Tetralogy of Fallot, the analysis of variables reveals valuable information about demographic characteristics and perinatal conditions. Regarding the "Race/Ethnicity" variable, out of the 943 cases registered, 588 (62.35%) were classified as white, 51 (5.41%) as black, 10 (1.06%) as yellow, 267 (28.31%) as brown, and 27 (2.86%) had race/ethnicity recorded as unknown. Conclusion: A profound understanding of congenital heart diseases not only saves lives but also significantly improves the quality of life for affected individuals.Introdução: A Tetralogia de Fallot envolve quatro problemas cardíacos específicos. Em primeiro lugar, há a estenose pulmonar, caracterizada pelo estreitamento da via que conduz o sangue do coração para os pulmões, dificultando o fluxo sanguíneo. A hipertrofia ventricular direita é outra característica, onde o músculo do ventrículo direito do coração torna-se mais espesso devido ao aumento da carga de trabalho provocado pela estenose pulmonar. Metodologia: O presente estudo adotou uma abordagem epidemiológica descritiva com o objetivo de analisar os casos de Tetralogia de Fallot entre os nascidos vivos no Brasil no período de 2012 a 2021. Para a coleta de dados, utilizou-se o Sistema de Informações sobre Nascidos Vivos (SINASC), disponibilizado pelo DATASUS Resultado: No grupo de nascidos com Tetralogia de Fallot, a análise das variáveis revela informações valiosas sobre características demográficas e condições perinatais. Em relação à variável "Cor/Raça", dos 943 casos registrados, 588 (62,35%) eram classificados como brancos, 51 (5,41%) como pretos, 10 (1,06%) como amarelos, 267 (28,31%) como pardos, e 27 (2,86%) tiveram a cor/raça registrada como ignorada Conclusão: A compreensão profunda das cardiopatias congênitas não apenas salva vidas, mas também melhora significativamente a qualidade de vida dos indivíduos afetados

Transtorno bipolar em crianças: análise de relato de caso 2018-2023

O transtorno bipolar em crianças é uma realidade clínica que demanda atenção especializada. A compreensão dos sintomas, fatores de risco, prevalência e desafios diagnósticos é fundamental para proporcionar intervenções precoces e adequadas, visando melhorar a qualidade de vida desses jovens e reduzir o impacto a longo prazo dessa condição psiquiátrica. Trata-se de um estudo cujo objetivo foi objetivo revisar relatos de caso publicados entre 2018 e 2023 sobre transtorno bipolar em crianças, identificando o estado da arte desses estudos. Para isso, se realizou uma revisão sistemática de literatura utilizando as bases de dados Medical Literature Analysis and Retrieval System Online (MEDLINE), Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS) e Scientific Electronic Library Online (SCIELO). Com a análise e interpretação qualitativa dos resultados, a principal conclusão deste estudo é que o transtorno bipolar na infância é uma condição complexa, manifestando-se com comportamentos consistentes com o Transtorno de Conduta e sendo influenciado por fatores ambientais, familiares e genéticos. O tratamento eficaz requer uma abordagem multidisciplinar, integrando intervenções farmacológicas e não farmacológicas, personalizadas conforme as necessidades individuais. A supervisão familiar é crucial para a adesão ao tratamento, mas reconhece-se a necessidade contínua de pesquisa para aprimorar as estratégias terapêuticas diante da diversidade de casos

Pervasive gaps in Amazonian ecological research

Biodiversity loss is one of the main challenges of our time,1,2 and attempts to address it require a clear un derstanding of how ecological communities respond to environmental change across time and space.3,4 While the increasing availability of global databases on ecological communities has advanced our knowledge of biodiversity sensitivity to environmental changes,5–7 vast areas of the tropics remain understudied.8–11 In the American tropics, Amazonia stands out as the world’s most diverse rainforest and the primary source of Neotropical biodiversity,12 but it remains among the least known forests in America and is often underrepre sented in biodiversity databases.13–15 To worsen this situation, human-induced modifications16,17 may elim inate pieces of the Amazon’s biodiversity puzzle before we can use them to understand how ecological com munities are responding. To increase generalization and applicability of biodiversity knowledge,18,19 it is thus crucial to reduce biases in ecological research, particularly in regions projected to face the most pronounced environmental changes. We integrate ecological community metadata of 7,694 sampling sites for multiple or ganism groups in a machine learning model framework to map the research probability across the Brazilian Amazonia, while identifying the region’s vulnerability to environmental change. 15%–18% of the most ne glected areas in ecological research are expected to experience severe climate or land use changes by 2050. This means that unless we take immediate action, we will not be able to establish their current status, much less monitor how it is changing and what is being lostinfo:eu-repo/semantics/publishedVersio