Polish 2010 growth references for school-aged children and adolescents

Growth references are useful in monitoring a child's growth, which is an essential part of child care. The aim of this paper was to provide updated growth references for Polish school-aged children and adolescents and show the prevalence of overweight and obesity among them. Growth references for height, weight, and body mass index (BMI) were constructed with the lambda, mu, sigma (LMS) method using data from a recent, large, population-representative sample of school-aged children and adolescents in Poland (n = 17,573). The prevalence of overweight and obesity according to the International Obesity Taskforce definition was determined with the use of LMSGrowth software. Updated growth references for Polish school-aged children and adolescents were compared with Polish growth references from the 1980s, the Warsaw 1996–1999 reference, German, and 2000 CDC references. A positive secular trend in height was observed in children and adolescents from 7 to 15 years of age. A significant shift of the upper tail of the BMI distribution occurred, especially in Polish boys at younger ages. The prevalence of overweight or obesity was 18.7% and 14.1% in school-aged boys and girls, respectively. The presented height, weight, and BMI references are based on a current, nationally representative sample of Polish children and adolescents without known disorders affecting growth. Changes in the body size of children and adolescents over the last three decades suggest an influence of the changing economical situation on anthropometric indices

A Novel Factor Xa-Inhibiting Peptide from Centipedes Venom

Centipedes have been used as traditional medicine for thousands of years in China. Centipede venoms consist of many biochemical peptides and proteins. Factor Xa (FXa) is a serine endopeptidase that plays the key role in blood coagulation, and has been used as a new target for anti-thrombotic drug development. A novel FXa inhibitor, a natural peptide with the sequence of Thr-Asn-Gly-Tyr-Thr (TNGYT), was isolated from the venom of Scolopendra subspinipesmutilans using a combination of size-exclusion and reverse-phase chromatography. The molecular weight of the TNGYT peptide was 554.3 Da measured by electrospray ionization mass spectrometry. The amino acid sequence of TNGYT was determined by Edman degradation. TNGYT inhibited the activity of FXa in a dose-dependent manner with an IC(50) value of 41.14 mg/ml. It prolonged the partial thromboplastin time and prothrombin time in both in vitro and ex vivo assays. It also significantly prolonged whole blood clotting time and bleeding time in mice. This is the first report that an FXa inhibiting peptide was isolated from centipedes venom

Severe neurological outcomes after very early bilateral nephrectomies in patients with autosomal recessive polycystic kidney disease (ARPKD)

To test the association between bilateral nephrectomies in patients with autosomal recessive polycystic kidney disease (ARPKD) and long-term clinical outcome and to identify risk factors for severe outcomes, a dataset comprising 504 patients from the international registry study ARegPKD was analyzed for characteristics and complications of patients with very early (� 3 months; VEBNE) and early (4�15 months; EBNE) bilateral nephrectomies. Patients with very early dialysis (VED, onset � 3 months) without bilateral nephrectomies and patients with total kidney volumes (TKV) comparable to VEBNE infants served as additional control groups. We identified 19 children with VEBNE, 9 with EBNE, 12 with VED and 11 in the TKV control group. VEBNE patients suffered more frequently from severe neurological complications in comparison to all control patients. Very early bilateral nephrectomies and documentation of severe hypotensive episodes were independent risk factors for severe neurological complications. Bilateral nephrectomies within the first 3 months of life are associated with a risk of severe neurological complications later in life. Our data support a very cautious indication of very early bilateral nephrectomies in ARPKD, especially in patients with residual kidney function, and emphasize the importance of avoiding severe hypotensive episodes in this at-risk cohort. © 2020, The Author(s)

Epidemiologic and clinical survey of victims of centipede stings admitted to Hospital Vital Brazil (Sao Paulo, Brazil)

We retrospectively analyzed 98 proven cases of centipede stings admitted to Hospital Vital Brazil, Butantan Institute, Sao Paulo, Brazil, between 1990 and 2007. Most stings occurred at the metropolitan area of Sao Paulo city (n = 94, 95.9%), in the domiciles of patients (n = 67, 68.4%), and during the warm-rainy season (n = 60, 61.2%). The mean age of the victims was 32.0 +/- 18.8-years-old. Cryptops and Otostigmus genera were responsible for most cases. Around 86% of the patients sought medical care within 6 h after the sting. Both lower (56.1%) and upper limbs (41.8%) were most frequently bitten, especially the feet and hands (89.8%). The most frequent local clinical manifestations were pain (94.9%), erythema (44.9%) and edema (21.4%), and the latter was mainly observed in patients bitten by Otostigmus spp. Supportive treatment was used in only 28.6% of the patients, namely administration of local anesthesia (9.2%) and systemic analgesia (13.3%). No sequels or complications were observed in patients, and the prognostic was benign. (c) 2008 Elsevier Ltd. All rights reserved.FAPESP[03/04527-1]FUNDA

Trap and soil monolith sampled edaphic spiders (arachnida: araneae) in Araucaria angustifolia forest Aranhas (arachnida: araneae) edáficas amostradas por armadilhas e monólitos de solo em florestas com Araucaria angustifolia

Forests with Araucaria angustifolia (Bert.) O. Kuntze trees are endangered in Brazil, and information on the diversity of soil spider families associated to these environments is practically inexistent. The present study was set up to evaluate the abundance and diversity of soil spider families in natural and reforested Araucaria forests, impacted or not by fire, and to identify the most efficient method to collect these organisms. The study was conducted in four areas: native forest with predominance of Araucaria (NF); Araucaria reforestation (R); Araucaria reforestation submitted to an accidental fire (RF); and native grass pasture with native Araucaria and submitted to an intense accidental fire (NPF). Considering both sampling methods (Monolith and Pitfall traps), 20 spider families were identified. The pitfall trap method was more effective as it captured 19 out of the 20 recorded families, while the Monolith method extracted only ten spider families. Spider family abundance and Shannon's diversity index (H) were affected by the employed collection method; the values for these attributes were always higher for the NF and lower for the NPF. Correspondence analysis (CA) showed a spatial separation among spider familiy assemblages from the different studied areas. It is suggested that changes in the abundance of soil spider families in Araucaria forests are mainly caused by recurrent human intervention over the last few years.<br>As florestas com Araucaria angustifolia (Bert.) O. Kuntze estão ameaçadas de extinção no Brasil, e são praticamente inexistentes as informações sobre a diversidade de famílias de aranhas de solo associadas nestes ambientes. O estudo teve o objetivo de avaliar, em florestas com araucária naturais e reflorestadas, impactadas ou não pela queima acidental, a abundância e diversidade de famílias de aranhas, além de identificar o método mais eficiente para coletar estes organismos. O estudo foi conduzido em quatro áreas: floresta nativa com predominância de araucária (NF); reflorestamento de araucária (R); reflorestamento de araucária submetido a incêndio acidental (RF); e pastagem natural com araucárias nativas e ocorrência de incêndio acidental (NPF). Considerando os dois métodos de amostragem (Monólito e armadilhas de solo), foram identificadas 20 famílias de aranhas associadas às áreas. O método das armadilhas de solo foi mais eficiente, capturando 19 das 20 famílias registradas, enquanto o do Monólito extraiu apenas dez destas famílias de aranhas. A abundância de famílias de aranhas e o índice de diversidade de Shannon (H) foram afetados pelo método de coleta utilizado, sendo os valores destes atributos sempre superiores na NF e inferiores na NPF. A análise de correspondência (AC) demonstrou que existe separação espacial entre as áreas estudadas. Sugere-se que as modificações na abundância de famílias de aranhas de solo sejam provocadas principalmente pelas intervenções antrópicas que as florestas de araucária vêm sofrendo nos últimos anos

ADPedKD: A Global Online Platform on the Management of Children With ADPKD

Background: Autosomal dominant polycystic kidney disease (ADPKD) is the most common monogenic cause of renal failure. For several decades, ADPKD was regarded as an adult-onset disease. In the past decade, it has become more widely appreciated that the disease course begins in childhood. However, evidence-based guidelines on how to manage and approach children diagnosed with or at risk of ADPKD are lacking. Also, scoring systems to stratify patients into risk categories have been established only for adults. Overall, there are insufficient data on the clinical course during childhood. We therefore initiated the global ADPedKD project to establish a large international pediatric ADPKD cohort for deep characterization. Methods: Global ADPedKD is an international multicenter observational study focusing on childhooddiagnosed ADPKD. This collaborative project is based on interoperable Web-based databases, comprising 7 regional and independent but uniformly organized chapters, namely Africa, Asia, Australia, Europe, North America, South America, and the United Kingdom. In the database, a detailed basic data questionnaire, including genetics, is used in combination with data entry from follow-up visits, to provide both retrospective and prospective longitudinal data on clinical, radiologic, and laboratory findings, as well as therapeutic interventions. Discussion: The global ADPedKD initiative aims to characterize in detail the most extensive international pediatric ADPKD cohort reported to date, providing evidence for the development of unified diagnostic, follow-up, and treatment recommendations regarding modifiable disease factors. Moreover, this registry will serve as a platform for the development of clinical and/or biochemical markers predicting the risk of early and progressive disease