Anthropometric evaluation and micronutrients intake in patients submitted to laparoscopic Roux-en-Y gastric bypass with a postoperative period of ≥1 year

Backgroung - Bariatric surgery is indicated as the most effective treatment for morbid obesity; the Roux-en-Y gastric bypass (RYGB) is considered the procedure of choice. However, nutritional deficiency may occur in the postoperative period as a result of reduced gastric capacity and change in nutrients absorption in the gastrointestinal tract. The prescription of vitamin and mineral supplementation is a common practice after RYGB; however, it may not be sufficient to prevent micronutrient deficiencies. The aim of this study was to quantify the micronutrient intake in patients undergoing RYGB and verify if the intake of supplementation would be enough to prevent nutritional deficiencies. Methods - The study was conducted on 60 patients submitted to RYGB. Anthropometric, analytical, and nutritional intake data were assessed preoperatively and 1 and 2 years postoperatively. The dietary intake was assessed using 24-h food recall; the values of micronutrients evaluated (vitamin B12, folic acid, iron, and calcium) were compared to the dietary reference intakes (DRI). Results - There were significant differences (p < 0.05) between excess weight loss at the first and second year (69.9 ± 15.3 vs 9.6 ± 62.9 %). In the first and second year after surgery, 93.3 and 94.1 % of the patients, respectively, took the supplements as prescribed. Micronutrient deficiencies were detected in the three evaluation periods. At the first year, there was a significant reduction (p < 0.05) of B12, folic acid, and iron intake. Conclusions - Despite taking vitamin and mineral supplementation, micronutrient deficiencies are common after RYGB. In the second year after surgery, micronutrient intake remains below the DRI

All-Printed piezoresistive sensor matrix with organic thin-film transistors as a switch for crosstalk reduction

A generation of piezoresistive sensors (force or deformation) fully processed by printing technologies is increasingly being implemented in applications due to advantages as a large-area application, simple device, integration, and high flexibility. This work reports the development of a fully printed piezoresistive (5 × 5 sensor) matrix in which an organic thin-film transistor (OTFT) is placed in each sensor to allow the readout of each sensor independently and thus reducing the crosstalk between individual sensors. The manufacturing was carried out using inkjet printing for the deposition of materials in a thin layer stacked on top of each other to obtain functional OTFTs. The piezoresistive nanocomposite sensors, based on multiwalled carbon nanotubes within an elastomeric styrene-ethylene-butadiene-styrene (SEBS) polymer matrix, were fabricated by screen printing. The fabrication and characterization of both OTFT and sensors are presented and discussed in detail. The inkjet-printed OTFTs (width/length channel ratio of ∼130) show a drain-source current (IDS) of 150 μA with a gate-source voltage of −40 V. Gauge factors of up to 5.9 were obtained for the sensors, resulting in a current variation of 1.5 μA. This corresponds to about 0.7% of the total IDS in a deformation cycleFCT – Fundação para a Ciência e Tecnologia within the Project Scope: UID/CEC/00319/2019, UID/FIS/04650/2019 and projects PTDC/FIS-MAC/28157/2017 and PTDC/BTM-MAT/28237/2017, SFRH/BPD/110914/2015 (PC). V.C. thanks FCT for the junior researcher contract (DL57/2016). We acknowledge funding from the European Union’s Horizon 2020 Programme for Research, ICT-02-2018 - Flexible and Wearable Electronics. Grant agreement no. 824339 – WEARPLEX. Financial support from the Basque Government Industry and Education Department under the ELKARTEK, HAZITEK and PIBA (PIBA-2018-06

Embryonal rhabdomyosarcoma of the uterine cervix: a rare case report

Embryonal rhabdomyosarcoma of the female genital tract is a rare tumour. It tends to occur during childhood in the vagina and, rarely, it can arise in the uterine cervix, with a peak incidence in the second decade. We report a case of a 18-year-old female with an embryonal rhabdomyosarcoma (sarcoma botryoides) presenting himself as a cervical polyp. This tumour consisted of rhabdomyoblasts with miscellaneous differentiation surrounded by a loose, myxoid stroma. The patient was successfully treated with cervical conization and adjuvant chemotherapy. She is now disease-free at the 28th month follow-up. Awareness of this uncommon lesion in the cervix and its clinical implications is important to prevent misdiagnosis. Therapy has recently inclined to conservative and fertility-sparing treatment

Are Musculoskeletal Conditions Neglected in National Health Surveys?

Concise report[Abstract] Objective: To describe the proportion of national health surveys that contain questions on the prevalence and consequences of musculoskeletal conditions. Methods: We used a comprehensive search strategy to obtain national health surveys from the 218 countries listed by the World Bank. Two authors independently extracted information from each national health survey. Outcomes were the proportion of surveys that contained questions on the prevalence of musculoskeletal conditions using the Global Burden of Disease categorization of RA, OA, low back pain, neck pain, gout and other and contained condition-specific questions about activity limitation, severity of pain and work absence. We also measured how frequently the prevalence of low back pain was measured using a consensus-based standard definition for low back pain prevalence studies. Results: We identified national health surveys from 170 countries. Sixty-two (36.4%), the majority from high-income countries (n = 43), measured the prevalence of at least one musculoskeletal condition. OA [53 (85.4%)], low back pain [39 (62.9%)] and neck pain [37 (59.7%)] were most commonly measured, while RA and gout prevalence were only measured in 10 (5.9%) and 3 (1.8%) surveys, respectively. A minority of surveys assessed condition-specific activity limitations [6 (3.6%)], pain severity [5 (2.9%)] and work absence [1 (0.6%)]. Only one survey used the consensus-based standard definition for low back pain. Conclusion: Musculoskeletal conditions are neglected in the majority of national health surveys. Monitoring musculoskeletal conditions through ongoing surveys is crucial for the development and evaluation of health policies to reduce their burden

The importance of hydraulic architecture to the distribution patterns of trees in a central Amazonian forest

Species distributions and assemblage composition may be the result of trait selection through environmental filters. Here, we ask whether filtering of species at the local scale could be attributed to their hydraulic architectural traits, revealing the basis of hydrological microhabitat partitioning in a Central Amazonian forest. We analyzed the hydraulic characteristics at tissue (anatomical traits, wood specific gravity (WSG)), organ (leaf area, specific leaf area (SLA), leaf area : sapwood area ratio) and whole-plant (height) levels for 28 pairs of congeneric species from 14 genera restricted to either valleys or plateaus of a terra-firme forest in Central Amazonia. On plateaus, species had higher WSG, but lower mean vessel area, mean vessel hydraulic diameter, sapwood area and SLA than in valleys; traits commonly associated with hydraulic safety. Mean vessel hydraulic diameter and mean vessel area increased with height for both habitats, but leaf area and leaf area : sapwood area ratio investments with tree height declined in valley vs plateau species. [Correction added after online publication 29 March 2017: the preceding sentence has been reworded.] Two strategies for either efficiency or safety were detected, based on vessel size or allocation to sapwood. In conclusion, contrasting hydrological conditions act as environmental filters, generating differences in species composition at the local scale. This has important implications for the prediction of species distributions under future climate change scenarios. © 2017 The Authors. New Phytologist © 2017 New Phytologist Trus

Exposure of luminal membranes of LLC-PK1 cells to ANG II induces dimerization of AT(1)/AT(2) receptors to activate SERCA and to promote Ca2+ mobilization

Ferrao FM, Lara LS, Axelband F, Dias J, Carmona AK, Reis RI, Costa-Neto CM, Vieyra A, Lowe J. Exposure of luminal membranes of LLC-PK1 cells to ANG II induces dimerization of AT(1)/AT(2) receptors to activate SERCA and to promote Ca2+ mobilization. Am J Physiol Renal Physiol 302: F875-F883, 2012. First published January 4, 2012; doi:10.1152/ajprenal.00381.2011.-ANG II is secreted into the lumens of proximal tubules where it is also synthesized, thus increasing the local concentration of the peptide to levels of potential physiological relevance. in the present work, we studied the effect of ANG II via the luminal membranes of LLC-PK1 cells on Ca2+-ATPase of the sarco(endo) plasmic reticulum (SERCA) and plasma membrane (PMCA). ANG II (at concentrations found in the lumen) stimulated rapid (30 s) and persistent (30 min) SERCA activity by more than 100% and increased Ca2+ mobilization. Pretreatment with ANG II for 30 min enhanced the ANG II-induced Ca2+ spark, demonstrating a positively self-sustained stimulus of Ca2+ mobilization by ANG II. ANG II in the medium facing the luminal side of the cells decreased with time with no formation of metabolites, indicating peptide internalization. ANG II increased heterodimerization of AT(1) and AT(2) receptors by 140%, and either losartan or PD123319 completely blocked the stimulation of SERCA by ANG II. Using the PLC inhibitor U73122, PMA, and calphostin C, it was possible to demonstrate the involvement of a PLC -> DAG(PMA)-> PKC pathway in the stimulation of SERCA by ANG II with no effect on PMCA. We conclude that ANG II triggers SERCA activation via the luminal membrane, increasing the Ca2+ stock in the reticulum to ensure a more efficient subsequent mobilization of Ca2+. This first report on the regulation of SERCA activity by ANG II shows a new mechanism for Ca2+ homeostasis in renal cells and also for regulation of Ca2+-modulated fluid reabsorption in proximal tubules.Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)Fundação de Amparo à Pesquisa do Estado do Rio de Janeiro (FAPERJ)Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)Univ Fed Rio de Janeiro, Inst Biofis Carlos Chagas Filho, Lab Fis Quim Biol Aida Hasson Voloch, BR-21941902 Rio de Janeiro, BrazilInst Nacl Ciencia & Tecnol Biol Estrutural & Bioi, Rio de Janeiro, BrazilUniversidade Federal de São Paulo, Dept Biophys, São Paulo, BrazilUniv Fed Rio de Janeiro, Inst Ciencias Biomed, BR-21941902 Rio de Janeiro, BrazilUniv São Paulo, Dept Biochem & Immunol, Sch Med Ribeirao Preto, São Paulo, BrazilUniversidade Federal de São Paulo, Dept Biophys, São Paulo, BrazilWeb of Scienc

PLASTICS IN THE ANTARCTIC ENVIRONMENT: ARE WE LOOKING ONLY AT THE TIP OF THE ICEBERG?

The available literature on marine debris and its impacts in the sub-Antarctic Islands, the Antarctic Peninsula and on the coasts of Antarctica was organized and interpreted here. A total of 98 documents covering from 1982 to 2010 were found and 95% had their full contents accessed. Seventy documents were on line scientific abstracts from the Commission on the Conservation of Antarctic Marine Living Resources (CCAMLR). The occurrence of marine debris in the Antarctic environment, fur seals entanglement in marine debris, interactions between seabirds and marine debris and long range transport of benthos on floating plastics were the main issues discussed. Fishing operations in the Southern Ocean were identified as the major source of marine debris, but according to the type of debris reported, plastics from lower latitudes may also cross the Polar Front (PF). Possible links between Antarctic and South America, the closest intercontinental connection, in relation to plastic marine debris pollution are highlighted. As reported for lower latitudinal gradients, plastic pollution is an important problem to the Antarctic environment. However, specific and detailed works are necessary since our current knowledge probably expose only a small part of the real problem. Concerning this sort of pollution in the Antarctic marine and coastal environments, we may be looking solely at the tip of iceberg.PLÁSTICOS   EN   EL   ECOSISTEMA   ANTÁRTICO:   ¿SERÁ   QUE   ESTAMOS   VIENDO SOLAMENTE LA PUNTA DEL ICEBERG?  En este trabajo fue organizada y interpretada la literatura científica relacionada con la presencia y los impactos de basura marina en islas sub-antárticas, en la Península Antártica y en la costa del continente Antártico. Fueron encontrados un total de 98 documentos, publicados entre 1982 e 2010, de los cuales se tuvo acceso a la totalidad del documento en el 95% de los casos. Setenta documentos son resúmenes científicos de la Comisión para la Conservación de los Recursos Marinos en la Antártica (CCAMLR, en inglés) disponibles para consulta en internet. La ocurrencia de basura marina en el ecosistema Antártico  (principalmente  en  playas  arenosas),  el  enredamiento  de  lobos  marinos  en  diferentes ítems de basura, interacciones (ingestión, enredamiento y ocurrencia de basura en áreas de nidificación) entre aves marinas y la basura, y el transporte de organismos bentónicos en plásticos flotantes fueron los asuntos más abordados en los documentos analizados. Operaciones de pesca en el Océano Atlántico Sur fueron identificadas como  la  mayor  fuente  de  basura  para  el  ambiente,  pero  plásticos  originados  en  menores  latitudes  también fueron  identificados,  indicando  transporte  a  través  del  Frente  Polar  (PF,  en  inglés). También  se  abordan  y se  discuten  en  este  trabajo,  posibles  links  entre  la Antártica  y América  del  Sul,  la  conexión  más  próxima intercontinental, en relación a la contaminación por plásticos. Como es reportado para gradientes latitudinales menores, la contaminación por plásticos es un problema relevante para el ecosistema Antártico. Sin embargo, estudios más específicos y detallados son necesarios ya que el conocimiento actual representa, probablemente, solo una pequeña parte del verdadero problema. En relación a este tipo de contaminación en los ambientes marinos y costeros del ecosistema Antártico, posiblemente estamos viendo solo la punta del iceberg. Palabras clave: Especies exóticas; A. gazella; Procellariiformes; hilos de nylon; fragmentos plásticos.PLÁSTICOS NO ECOSSISTEMA ANTÁRTICO: SERÁ QUE ESTAMOS VENDO SOMENTE A PONTA DO ICEBERG? A literatura científica relacionada à presença e aos impactos do lixo marinho em Ilhas Sub-Antárticas, na Península Antártica e na costa do continente Antártico foi organizada e interpretada neste trabalho. Um total de 98 documentos, publicados entre 1982 e 2010, foi encontrado e 95% tiveram seu conteúdo acessado integralmente. Setenta documentos são resumos científicos da Comissão para a Conservação dos Recursos Marinhos na Antártica (CCAMLR, em inglês) disponíveis para consulta na internet.  A ocorrência de lixo marinho no ecossistema Antártico (principalmente praias arenosas), o enredamento de lobos marinhos em itens do lixo, interações (ingestão, enredamento e ocorrência de lixo em áreas de nidificação) entre aves marinhas e o lixo, e o transporte de organismos bentônicos em plásticos flutuantes foram os assuntos mais abordados  nos  documentos  analisados.  Operações  de  pesca  no  Oceano  Atlântico  Sul  foram  identificadas como a maior fonte de lixo para o ambiente, mas plásticos originados em menores latitudes também foram identificados, indicando transporte através da Frente Polar (PF, em inglês). Possíveis links entre a Antárticae a América do Sul, a mais próxima conexão intercontinental, em relação à poluição por plásticos também estão destacados e discutidos neste trabalho. Como reportado para menores gradientes latitudinais, a poluição por plásticos é um problema relevante para o ecossistema Antártico. Entretanto, estudos mais específicos e detalhados são necessários já que o conhecimento atual representa, provavelmente, só uma pequena parte do verdadeiro problema. Em relação a este tipo de poluição nos ambientes marinhos e costeiros do ecossistema Antártico, nós estamos possivelmente vendo somente a ponta do iceberg. Palavras-chave: Espécies exóticas;  A. gazella; Procellariiformes; linhas de nylon; fragmentos plásticos

Valorizing coffee silverskin based on its phytochemicals and antidiabetic potential: from lab to a pilot scale

This study investigates the possibility of valorizing coffee silverskin through the recovery of its bioactive compounds using a sustainable extraction method that could be industrially applied. For that, aqueous extracts were prepared using ultrasonic-assisted extraction (laboratorial scale) and, for comparison, a scale-up of the process was developed using the Multi-frequency Multimode Modulated technology. A concentration procedure at the pilot scale was also tested. The three types of extracts obtained were characterized regarding caffeine and chlorogenic acids contents, and the effects on intestinal glucose and fructose uptake (including sugar transporters expression) in human intestinal epithelial (Caco-2) cells were ascertained. The phytochemical contents of the extracts prepared at the laboratory and pilot scale were comparable (caffeine: 27.7 vs. 29.6 mg/g freeze-dried extract; 3-, 4-, and 5-caffeoylquinic acids: 0.19 vs. 0.31, 0.15 vs. 0.42, and 1.04 vs. 1.98 mg/g, respectively; 4- and 5- feruloylquinic acids: 0.39 vs. 0.43 and 1.05 vs. 1.32 mg/g, respectively). Slight differences were noticed according to the extracts preparation steps, but in general, all the extracts promoted significant inhibitions of [1,2-3H(N)]-deoxy-D-glucose and 14C-D-fructose uptake, which resulted mainly from a decrease on the facilitative glucose transporter 2 (GLUT2) and sodium-glucose linked transporter 1 (SGLT1) genes expression but not on the expression of the facilitative glucose transporter 5 (GLUT5) gene. Moreover, a synergistic effect of caffeine and 5-caffeoylquinic acid on sugars uptake was found. The results clearly show that the Multi-frequency Multimode Modulated technology is a viable option to be applied at an industrial level to recover bioactive components from silverskin and obtain extracts with antidiabetic potential that could be used to develop functional food products or dietary supplements.The open access publication fee of this paper was funded by the AgriFood XXI I&D&I project (NORTE-01-0145-FEDER-000041) cofinanced by European Regional Development Fund (ERDF) through the NORTE 2020 (Programa Operacional Regional do Norte 2014/2020)