Fractura triplana epifisaria distal de tibia: a propósito de un caso con interposición de periostio

Se presenta un caso de fractura triplana en 2 fragmentos en un paciente varón de 13 años tratado quirúrgicamente, observando la interposición perióstica en el plano axial a nivel del fragmento antero-externo, que impedía la reducción anatómica de la zona epifisaria articular. Se analiza la anatomía quirúrgica de las fracturas triplanas considerando que esta lesión puede ser más frecuente de lo que se ha informado, y sólo valorada en los casos en que se emplee un abordaje antero-externo.The case of a 13-year-old boy with a two-fragment triplane fracture of the distal epiphysis of the tibia is presented. At surgery, an interposition of the periosteum in the axial plane behind the antero-lateral fragment, preventing the anatomical reduction of the epiphyseal joint surface was found. The surgical anatomy of triplane fractures is review taking into account that this lesion can be more frequent that it has been reported. The true incidence should be evaluated at surgery by antero-lateral approach

Fracturas del macizo trocantéreo. Estudio comparativo Ender-DHS: revision de 114 casos

Se presenta un estudio retrospectivo de 114 fracturas pertrocantéreas tratadas con enclavado elástico de Ender (71) y tornillo placa deslizante, DHS (43). Se efectuó un estudio estadístico descriptivo-comparativo entre los 2 grupos de pacientes según la técnica quirúrgica empleada. Se constató un mayor índice de estabilidad usando el DHS (81%), frente al 6 1 % del otro grupo. La tasa de complicaciones fue del 16% y 55% respectivamente. Los resultados clínicos fueron mejores en los enfermos tratados con DHS, fundamentalmente en cuanto a la deambulación que se consiguió en el 98% (Ender 75%), ausencia de dolor y movilidad conservada. Los autores piensan que la estabilidad preoperatoria no influye en la solidez del montaje usando el DHS, pero con la técnica de Ender ésta disminuye en las fracturas inestables; por ello, la técnica de Ender estaría solamente indicada en el tratamiento de fracturas estables en pacientes de edad avanzada o con mal estado general, aunque en clara competencia con el DHS.A retrospective study of 114 intertrochanteric fractures operated on either with Ender's rods (71) or dynamic hip screws, DHS (43) is presented. A statistical descriptive-comparative study between the 2 groups was attempted. There was a greater index of stability using the DHS (82%) than Ender's rods (61%). The rate of complications was 16% and 55% respectively. The clinical outcome was better in cases treated with DHS, specially for walking ability, which was regained in the 98% of cases (Ender 75%), painless and preserved mobility. The authors think that the stability before operation do not influence the solidity of the assembly using the DHS device. On the contrary, with the Ender's technique the fixation is no satisfactory in unstables fractures. Ender's rods would only be suitable for treatment of stable fractures in older patient or with serious associated diseases, although in clear competition with the DHS

Opto-mechanical measurement of micro-trap via nonlinear cavity enhanced Raman scattering spectrum

High-gain resonant nonlinear Raman scattering on trapped cold atoms within a high-fineness ring optical cavity is simply explained under a nonlinear opto-mechanical mechanism, and a proposal using it to detect frequency of micro-trap on atom chip is presented. The enhancement of scattering spectrum is due to a coherent Raman conversion between two different cavity modes mediated by collective vibrations of atoms through nonlinear opto-mechanical couplings. The physical conditions of this technique are roughly estimated on Rubidium atoms, and a simple quantum analysis as well as a multi-body semiclassical simulation on this nonlinear Raman process is conducted.Comment: 7 pages, 2 figure

Discovery of a Wide Planetary-mass Companion to the Young M3 Star GU Psc

We present the discovery of a comoving planetary-mass companion ~42" (~2000 AU) from a young M3 star, GU Psc, a likely member of the young AB Doradus Moving Group (ABDMG). The companion was first identified via its distinctively red i − z color (>3.5) through a survey made with Gemini-S/GMOS. Follow-up Canada–France–Hawaii Telescope/WIRCam near-infrared (NIR) imaging, Gemini-N/GNIRS NIR spectroscopy and Wide-field Infrared Survey Explorer photometry indicate a spectral type of T3.5 ± 1 and reveal signs of low gravity which we attribute to youth. Keck/Adaptive Optics NIR observations did not resolve the companion as a binary. A comparison with atmosphere models indicates T_eff = 1000–1100 K and log g = 4.5–5.0. Based on evolution models, this temperature corresponds to a mass of 9–13  M_Jup for the age of ABDMG (70–130 Myr). The relatively well-constrained age of this companion and its very large angular separation to its host star will allow its thorough characterization and will make it a valuable comparison for planetary-mass companions that will be uncovered by forthcoming planet-finder instruments such as Gemini Planet Imager and SPHERE

Better Driving and Recall When In-car Information Presentation Uses Situationally-Aware Incremental Speech Output Generation

Kennington C, Kousidis S, Baumann T, Buschmeier H, Kopp S, Schlangen D. Better Driving and Recall When In-car Information Presentation Uses Situationally-Aware Incremental Speech Output Generation. In: AutomotiveUI 2014: Proceedings of the 6th International Conference on Automotive User Interfaces and Interactive Vehicular Applications. Seattle, Washington, USA; 2014: 7:1-7:7.It is established that driver distraction is the result of sharing cognitive resources between the primary task (driving) and any other secondary task. In the case of holding conversations, a human passenger who is aware of the driving conditions can choose to interrupt his speech in situations potentially requiring more attention from the driver, but in-car information systems typically do not exhibit such sensitivity. We have designed and tested such a system in a driving simulation environment. Unlike other systems, our system delivers infor- mation via speech (calendar entries with scheduled meetings) but is able to react to signals from the environment to interrupt when the driver needs to be fully attentive to the driving task and subsequently resume its delivery. Distraction is measured by a secondary short-term memory task. In both tasks, drivers perform significantly worse when the system does not adapt its speech, while they perform equally well to control conditions (no concurrent task) when the system intelligently interrupts and resumes

Dysregulated Proinflammatory and Fibrogenic Phenotype of Fibroblasts in Cystic Fibrosis

Morbi-mortality in cystic fibrosis (CF) is mainly related to chronic lung infection and inflammation, uncontrolled tissue rearrangements and fibrosis, and yet the underlying mechanisms remain largely unknown. We evaluated inflammatory and fibrosis responses to bleomycin in F508del homozygous and wild-type mice, and phenotype of fibroblasts explanted from mouse lungs and skin. The effect of vardenafil, a cGMP-specific phosphodiesterase type 5 inhibitor, was tested in vivo and in culture. Responses of proinflammatory and fibrotic markers to bleomycin were enhanced in lungs and skin of CF mice and were prevented by treatment with vardenafil. Purified lung and skin fibroblasts from CF mice proliferated and differentiated into myofibroblasts more prominently and displayed higher sensitivity to growth factors than those recovered from wild-type littermates. Under inflammatory stimulation, mRNA and protein expression of proinflammatory mediators were higher in CF than in wild-type fibroblasts, in which CFTR expression reached similar levels to those observed in other non-epithelial cells, such as macrophages. Increased proinflammatory responses in CF fibroblasts were reduced by half with submicromolar concentrations of vardenafil. Proinflammatory and fibrogenic functions of fibroblasts are upregulated in CF and are reduced by vardenafil. This study provides compelling new support for targeting cGMP signaling pathway in CF pharmacotherapy

The puzzling issue of silica toxicity: are silanols bridging the gaps between surface states and pathogenicity?

Background: Silica continues to represent an intriguing topic of fundamental and applied research across various scientific fields, from geology to physics, chemistry, cell biology, and particle toxicology. The pathogenic activity of silica is variable, depending on the physico-chemical features of the particles. In the last 50 years, crystallinity and capacity to generate free radicals have been recognized as relevant features for silica toxicity. The ‘surface’ also plays an important role in silica toxicity, but this term has often been used in a very general way, without defining which properties of the surface are actually driving toxicity. How the chemical features (e.g., silanols and siloxanes) and configuration of the silica surface can trigger toxic responses remains incompletely understood. Main body: Recent developments in surface chemistry, cell biology and toxicology provide new avenues to improve our understanding of the molecular mechanisms of the adverse responses to silica particles. New physicochemical methods can finely characterize and quantify silanols at the surface of silica particles. Advanced computational modelling and atomic force microscopy offer unique opportunities to explore the intimate interactions between silica surface and membrane models or cells. In recent years, interdisciplinary research, using these tools, has built increasing evidence that surface silanols are critical determinants of the interaction between silica particles and biomolecules, membranes, cell systems, or animal models. It also has become clear that silanol configuration, and eventually biological responses, can be affected by impurities within the crystal structure, or coatings covering the particle surface. The discovery of new molecular targets of crystalline as well as amorphous silica particles in the immune system and in epithelial lung cells represents new possible toxicity pathways. Cellular recognition systems that detect specific features of the surface of silica particles have been identified. Conclusions: Interdisciplinary research bridging surface chemistry to toxicology is progressively solving the puzzling issue of the variable toxicity of silica. Further interdisciplinary research is ongoing to elucidate the intimate mechanisms of silica pathogenicity, to possibly mitigate or reduce surface reactivity. Keywords: Silica, Silicosis, Lung cancer, Auto-immune diseases, Surface reactivity, Silanol, Coating, Modelling, Spectroscopy, Atomic force microscop

The Inhibitory Role of miR-486-5p on CSC Phenotype Has Diagnostic and Prognostic Potential in Colorectal Cancer

Colorectal cancer (CRC) is the third most frequent cancer worldwide and the second cause of cancer deaths. Increasing evidences supports the idea that the poor prognosis of patients is related to the presence of cancer stem cells (CSCs), a cell population able to drive cancer recurrence and metastasis. The deregulation of microRNAs (miRNAs) plays a role in the formation of CSC. We investigated the role of hsa-miR-486-5p (miR-486-5p) in CRC, CSCs, and metastasis, in order to reach a better understanding of the biomolecular and epigenetic mechanisms mir-486-5p-related. The expression of miR-486-5p was investigated in three di erent matrices from CRC patients and controls and in CSCs obtained from the CRC cell lines HCT-116, HT-29, and T-84. In the human study, miR-486-5p was up-regulated in serum and stool of CRC patients in comparison with healthy controls but down-regulated in tumor tissue when compared with normal mucosa. miR-486-5p was also down-regulated in the sera of metastatic patients. In vitro, miR-486-5p was down-regulated in CSC models and it induced an inhibitory e ect on stem factors and oncogenes in the main pathways of CSCs. Our results provide a step forward in understanding the role of mir-486-5p in CRC and CSC, and suggest that further studies are needed to investigate its diagnostic and prognostic power, possibly in combination with other biomarkers.Instituto de Salud Carlos III PIE16-00045 DTS19/00145Junta de AndalucíaEuropean Union (EU) SOMM17/6109/UGR (UCE-PP2017-3)Chair "Doctors Galera-Requena in cancer stem cell research" CMC-CTS963Fondazione Banco di Sardegn

The puzzling issue of silica toxicity: Are silanols bridging the gaps between surface states and pathogenicity?

Background: Silica continues to represent an intriguing topic of fundamental and applied research across various scientific fields, from geology to physics, chemistry, cell biology, and particle toxicology. The pathogenic activity of silica is variable, depending on the physico-chemical features of the particles. In the last 50 years, crystallinity and capacity to generate free radicals have been recognized as relevant features for silica toxicity. The 'surface' also plays an important role in silica toxicity, but this term has often been used in a very general way, without defining which properties of the surface are actually driving toxicity. How the chemical features (e.g., silanols and siloxanes) and configuration of the silica surface can trigger toxic responses remains incompletely understood. Main body: Recent developments in surface chemistry, cell biology and toxicology provide new avenues to improve our understanding of the molecular mechanisms of the adverse responses to silica particles. New physico-chemical methods can finely characterize and quantify silanols at the surface of silica particles. Advanced computational modelling and atomic force microscopy offer unique opportunities to explore the intimate interactions between silica surface and membrane models or cells. In recent years, interdisciplinary research, using these tools, has built increasing evidence that surface silanols are critical determinants of the interaction between silica particles and biomolecules, membranes, cell systems, or animal models. It also has become clear that silanol configuration, and eventually biological responses, can be affected by impurities within the crystal structure, or coatings covering the particle surface. The discovery of new molecular targets of crystalline as well as amorphous silica particles in the immune system and in epithelial lung cells represents new possible toxicity pathways. Cellular recognition systems that detect specific features of the surface of silica particles have been identified. Conclusions: Interdisciplinary research bridging surface chemistry to toxicology is progressively solving the puzzling issue of the variable toxicity of silica. Further interdisciplinary research is ongoing to elucidate the intimate mechanisms of silica pathogenicity, to possibly mitigate or reduce surface reactivity