Role of fine-needle aspiration biopsy in the diagnosis of metastatic desmoplastic melanoma to the parotid and submandibular region

SummaryMelanomas are malignant tumors prone to develop in regional and distant metastatic foci. Desmoplastic melanoma is an uncommon melanoma variant that commonly affects the head and neck and can promote early regional metastasis through both lymphatic and neural routes. We report an uncommon case of metastatic desmoplastic melanoma from the scalp to submandibular and parotid lymph nodes in a 79-year-old male, diagnosed through fine-needle aspiration biopsy. This report reinforces the importance of considering melanoma metastasis on the differential diagnosis of asymptomatic salivary gland swellings and the utility of fine needle aspiration biopsy in their early diagnosis

Radiocarbon geochronology of the sediments of the São Paulo Bight (southern Brazilian upper margin)

The aim of this work was to generate an inventory of the data on radiocarbon datings obtained from sediments of the São Paulo Bight (southern Brazilian upper margin) and to analyze the data in terms of Late Quaternary sedimentary processes and sedimentation rates. A total of 238 radiocarbon datings from materials collected using differents ampling procedures was considered for this work. The sedimentation rates varied from less than 2 to 68 cm.kyr-1. The highest sedimentation rate values were found in a low-energy (ría type) coastal system as well as in the upwelling zones of Santa Catarina and Cabo Frio. The lowest rates were found on the outer shelf and upper slopes. Our results confirm the strong dependency of the shelf currents, with an emphasis to the terrigenous input from the Río de La Plata outflow which is transported via the Brazilian Coastal Current, as well as of the coupled Brazil Current - Intermediate Western Boundary Current (BC-IWBC) dynamics on the sedimentary processes. At least three indicators ofthe paleo sea level were found at 12200 yr BP (conventional radiocarbon age) (103 meters below sea level - mbsl),8300-8800 cal yr BP (13 mbsl) and 7700-8100 cal yr BP (6 mbsl).O objetivo deste trabalho foi a geração de um inventário dos dados de datação de radiocarbono obtidos de sedimentos do Embaiamento de São Paulo (Margem Continental Superior do Sul do Brasil) e analisar os dados em termos de processos sedimentares quaternários e taxas de sedimentação. Um total de238 datações ao radiocarbono de materiais coletados com autilização de procedimentos amostrais diferentes foi considerado neste trabalho. As taxas de sedimentação variaram de menor que 2 a 68 cm.kyr-1. As taxas de sedimentação mais altas foram encontradas em um sistema costeiro de baixa energia (tipo ría), bem como nas zonas de ressurgência de Santa Catarina e Cabo Frio. As taxas mais baixas foram encontradas na plataforma externa e talude superior. Nossos resultados confirmam a forte dependência do sistema de correntes de plataforma, com ênfase no aporte terrígeno oriundo do Rio daPrata, transportado através da Corrente Costeira do Brasil, e da dinâmica da Corrente do Brasil - Corrente de Contorno Intermediária (CB-CCI) nos processos sedimentares. Pelo menostrês indicadores de paleo-níveis marinhos foram encontrados a 12200 anos AP (idade radiocarbônica convencional) (103 metros abaixo do nível do mar atual - manm), 8300-8800 cal anos AP (13 manm) e 7700-8100 cal anos BP (6 manm).Fundação de Amparo à Pesquisado Estado de São Paulo (FAPESP)Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq

Ciências sociais e ambientais rural: principais temas e perspectivas analíticas.

Este trabalho tem por finalidade fazer um balanço dos estudos ambientais rurais sob a perspectiva das ciências sociais. Para isso, em primeiro lugar, realiza-se uma análise da trajetória dos movimentos sociais, identificando-se as principais questões ambientais emergentes na ótica dos atores do mundo rural. Num segundo momento, agrupam-se os temas privilegiados pelos pesquisadores para, em seguida, apontar as principais perspectivas analíticas em curso

Identification of a novel proinsulin-associated SNP and demonstration that proinsulin is unlikely to be a causal factor in subclinical vascular remodelling using Mendelian randomisation

Background and aims Increased proinsulin relative to insulin levels have been associated with subclinical atherosclerosis (measured by carotid intima-media thickness (cIMT)) and are predictive of future cardiovascular disease (CVD), independently of established risk factors. The mechanisms linking proinsulin to atherosclerosis and CVD are unclear. A genome-wide meta-analysis has identified nine loci associated with circulating proinsulin levels. Using proinsulin-associated SNPs, we set out to use a Mendelian randomisation approach to test the hypothesis that proinsulin plays a causal role in subclinical vascular remodelling. Methods We studied the high CVD-risk IMPROVE cohort (n = 3345), which has detailed biochemical phenotyping and repeated, state-of-the-art, high-resolution carotid ultrasound examinations. Genotyping was performed using Illumina Cardio-Metabo and Immuno arrays, which include reported proinsulin-associated loci. Participants with type 2 diabetes (n = 904) were omitted from the analysis. Linear regression was used to identify proinsulin-associated genetic variants. Results We identified a proinsulin locus on chromosome 15 (rs8029765) and replicated it in data from 20,003 additional individuals. An 11-SNP score, including the previously identified and the chromosome 15 proinsulin-associated loci, was significantly and negatively associated with baseline IMTmean and IMTmax (the primary cIMT phenotypes) but not with progression measures. However, MR-Eggers refuted any significant effect of the proinsulin-associated 11-SNP score, and a non-pleiotropic SNP score of three variants (including rs8029765) demonstrated no effect on baseline or progression cIMT measures. Conclusions We identified a novel proinsulin-associated locus and demonstrated that whilst proinsulin levels are associated with cIMT measures, proinsulin per se is unlikely to have a causative effect on cIMT