Kohlschütter-tönz Syndrome - Report Of An Additional Case.

Kohlschütter-Tönz Syndrome is a rare disorder clinically characterized by amelogenesis imperfecta, epilepsy and progressive mental deterioration. We present an additional case of this syndrome of a nine year-old boy who was referred by pigmented teeth. The mental deterioration was associated with speech delay, impulsive behavior, attention-deficit/hyperactivity disorder, and learning problems. The physical examination revealed a reduction of lower third, slightly palpebral fissures, low ear and hair implantation, coarse hair and hypertrichosis. The intraoral examination showed alteration in teeth pigmentation diagnosed as amelogenesis imperfecta. Although rare, the present case report illustrates a syndrome that has dental anomalies and systemic alterations. It is important to recognize this syndrome as early as possible and paediatric dentist may contribute to the diagnosis and consequently to better manage the patients. Key words:Kohlschütter-Tönz syndrome, amelogenesis imperfecta, seizures, mental deterioration.5e108-1

Myofibroblasts in the stroma of oral cancer promote tumorigenesis via secretion of activin A

SummaryMyofibroblasts are essential during wound healing and are often found in the stroma of oral squamous cell carcinomas (OSCC). Although the molecular mechanisms by which myofibroblasts influence OSCC remain largely unknown, previous studies demonstrated that presence of myofibroblast in OSCC stroma is an important risk factor of patient’s shortened survival. Here we showed that some growth factors are produced in higher levels by tumor-associated myofibroblasts compared to tumor-associated fibroblasts, including activin A. Myofibroblast-conditioned media containing activin A significantly increased OSCC cell proliferation and tumor volume, whereas down-regulation of activin A in the conditioned media decreased proliferation. In addition, myofibroblasts induced in vitro invasion of OSCC cells, which was accompanied by an increased production of matrix metalloproteinases (MMP). In vivo, a significant correlation between presence of myofibroblasts and activities of MMP-2 and MMP-9 was observed in OSCC samples. However, blockage of activin A synthesis by myofibroblasts did not affect invasion and MMP production by OSCC cells. Together, our data demonstrate that activin A is required for the proliferative effects of myofibroblasts on OSCC cells. We conclude that myofibroblasts in the stroma of OSCC may influence proliferation and invasion, resulting in more aggressive tumor

Low energy elastic and electronically inelastic electron scattering from biomolecules.

Reactions initiated by collisions with low-energy secondary electrons has been found to be the prominent\ud mechanism toward the radiation damage on living tissues through DNA strand breaks. Now it is widely accepted\ud that during the interaction with these secondary species the selective breaking of chemical bonds is triggered\ud by dissociative electron attachment (DEA), that is, the capture of the incident electron and the formation\ud of temporary negative ion states [1,2,3]. One of the approaches largely used toward a deeper understanding\ud of the radiation damage to DNA is through modeling of DEA with its basic constituents (nucleotide bases,\ud sugar and other subunits). We have tried to simplify this approach and attempt to make it comprehensible\ud at a more fundamental level by looking at even simple molecules. Studies involving organic systems such as\ud carboxylic acids, alcohols and simple ¯ve-membered heterocyclic compounds are taken as starting points for\ud these understanding. In the present study we investigate the role played by elastic scattering and electronic\ud excitation of molecules on electron-driven chemical processes. Special attention is focused on the analysis of\ud the in°uence of polarization and multichannel coupling e®ects on the magnitude of elastic and electronically\ud inelastic cross-sections. Our aim is also to investigate the existence of resonances in the elastic and electronically\ud inelastic channels as well as to characterize them with respect to its type (shape, core-excited or Feshbach),\ud symmetry and position. The relevance of these issues is evaluated within the context of possible applications\ud for the modeling of discharge environments and implications in the understanding of mutagenic rupture of DNA\ud chains. The scattering calculations were carried out with the Schwinger multichannel method (SMC) [4] and\ud its implementation with pseudopotentials (SMCPP) [5] at di®erent levels of approximation for impact energies\ud ranging from 0.5 eV to 30 eV.\ud References\ud [1] B. Boudai®a, P. Cloutier, D. Hunting, M. A. Huels and L. Sanche, Science 287, 1658 (2000). [2] X. Pan, P.\ud Cloutier, D. Hunting and L. Sanche, Phys. Rev. Lett. 90, 208102 (2003). [3] F. Martin, P. D. Burrow, Z. Cai,\ud P. Cloutier, D. Hunting and L. Sanche, Phys. Rev. Lett. 93, 068101 (2004). [4] K. Takatsuka and V. McKoy,\ud Phys. Rev. A 24, 2437 (1981); ibid. Phys. Rev. A 30, 1734 (1984). [5] M. H. F. Bettega, L. G. Ferreira and\ud M. A. P. Lima, Phys. Rev. A 47, 1111 (1993)

Prognostic factors and historical trends in the epidemiology of candidemia in critically ill patients: an analysis of five multicenter studies sequentially conducted over a 9-year period

To describe temporal trends in the epidemiology, clinical management and outcome of candidemia in intensive care unit (ICU) patients.This study was a retrospective analysis of 1,392 episodes of candidemia in 647 adult ICU patients from 22 Brazilian hospitals. the characteristics of candidemia in these ICU patients were compared in two periods (2003-2007, period 1; 2008-2012, period 2), and the predictors of 30-day mortality were assessed.The proportion of patients who developed candidemia while in the ICU increased from 44 % in period 1 to 50.9 % in period 2 (p = 0.01). Prior exposure to fluconazole before candidemia (22.3 vs. 11.6 %, p < 0.001) and fungemia due to Candida glabrata (13.1 vs. 7.8 %, p = 0.03) were more frequent in period 2, as was the proportion of patients receiving an echinocandin as primary therapy (18.0 vs. 5.9 %, p < 0.001). the 30-day mortality rate decreased from 76.4 % in period 1 to 60.8 % in period 2 (p < 0.001). Predictors of 30-day mortality by multivariate analysis were older age, period 1, treatment with corticosteroids and higher APACHE II score, while treatment with an echinocandin were associated with a higher probability of survival.We found a clear change in the epidemiology and clinical management of candidemia in ICU patients over the 9-year period of the study. the use of echinocandins as primary therapy for candidemia appears to be associated with better outcomes.MSDPfizerUnited MedicalUniversidade Federal de São Paulo, Escola Paulista Med, São Paulo, BrazilHosp Serv Publ Estadual São Paulo, São Paulo, BrazilIrmandade Santa Casa de Misericordia Porto Alegre, Porto Alegre, RS, BrazilUniv Fed Ciencias Sau Porto Alegre, Porto Alegre, RS, BrazilUniv Fed Parana, BR-80060000 Curitiba, Parana, BrazilUniv Fed Rio de Janeiro, Rio de Janeiro, BrazilUniversidade Federal de São Paulo, Escola Paulista Med, São Paulo, BrazilWeb of Scienc

Adherence to BCLC recommendations for the treatment of hepatocellular carcinoma: impact on survival according to stage

OBJECTIVES: This study sought to assess the adherence of newly diagnosed hepatocellular carcinoma patients to the Barcelona Clinic Liver Cancer system treatment guidelines and to examine the impact of adherence on the survival of patients in different stages of the disease. METHODS: This study included all patients referred for the treatment of hepatocellular carcinoma between 2010 and 2012. Patients (n=364) were classified according to the Barcelona Clinic Liver Cancer guidelines. Deviations from the recommended guidelines were discussed, and treatment was determined by a multidisciplinary team. The overall survival curves were estimated with the Kaplan-Meier method and were compared using the log-rank test. RESULTS: The overall rate of adherence to the guidelines was 52%. The rate of adherence of patients in each scoring group varied as follows: stage 0, 33%; stage A, 45%; stage B, 78%; stage C, 35%; and stage D, 67%. In stage 0/A, adherent patients had a significantly better overall survival than non-adherent patients (hazard ratio=0.19, 95% confidence interval (CI): 0.09-0.42;

StarHorse: A Bayesian tool for determining stellar masses, ages, distances, and extinctions for field stars

Understanding the formation and evolution of our Galaxy requires accurate distances, ages and chemistry for large populations of field stars. Here we present several updates to our spectro-photometric distance code, that can now also be used to estimate ages, masses, and extinctions for individual stars. Given a set of measured spectro-photometric parameters, we calculate the posterior probability distribution over a given grid of stellar evolutionary models, using flexible Galactic stellar-population priors. The code (called {\tt StarHorse}) can acommodate different observational datasets, prior options, partially missing data, and the inclusion of parallax information into the estimated probabilities. We validate the code using a variety of simulated stars as well as real stars with parameters determined from asteroseismology, eclipsing binaries, and isochrone fits to star clusters. Our main goal in this validation process is to test the applicability of the code to field stars with known {\it Gaia}-like parallaxes. The typical internal precision (obtained from realistic simulations of an APOGEE+Gaia-like sample) are $\simeq 8\%$ in distance, $\simeq 20\%$ in age,$\simeq 6\$ in mass, and $\simeq 0.04$ mag in $A_V$. The median external precision (derived from comparisons with earlier work for real stars) varies with the sample used, but lies in the range of $\simeq [0,2]\%$ for distances, $\simeq [12,31]\%$ for ages, $\simeq [4,12]\%$ for masses, and $\simeq 0.07$ mag for $A_V$. We provide StarHorse distances and extinctions for the APOGEE DR14, RAVE DR5, GES DR3 and GALAH DR1 catalogues.Comment: 21 pages, 12 figures, accepte

Prognostic factors and historical trends in the epidemiology of candidemia in critically ill patients: an analysis of five multicenter studies sequentially conducted over a 9-year period (vol 40, pg 1489, 2014)

Universidade Federal de São Paulo, Escola Paulista Med, São Paulo, BrazilHosp Serv Publ Estadual São Paulo, São Paulo, BrazilIrmandade Santa Casa de Misericordia Porto Alegre, Porto Alegre, RS, BrazilUniv Fed Ciencias Saude Porto Alegre, Porto Alegre, RS, BrazilUniv Fed Parana, BR-80060000 Curitiba, Parana, BrazilUniv Fed Rio de Janeiro, Rio de Janeiro, BrazilUniversidade Federal de São Paulo, Escola Paulista Med, São Paulo, BrazilWeb of Scienc

Controle Híbrido de um Robô Autônomo Seguidor de Linha: Projeto e Implementação

Este trabalho descreve o desenvolvimento de um robô seguidor de linha autônomo. É apresentada a modelagem e a implementação de um controle híbrido, composto por dinâmicas contínuas e discretas, que são, respectivamente, os controladores Proporcional-Integral-Derivativo e Sistemas a Eventos Discretos. O controle a eventos discretos foi modelado com os autômatos de Moore. Robôs seguidores de linha foram desenvolvidos para testar o controle híbrido desenvolvido e testes práticos foram realizados em uma pista de testes e em uma competição em nível nacional

Alpinia

Species of the genus Alpinia are widely used by the population and have many described biological activities, including activity against insects. In this paper, we describe the bioactivity of the essential oil of two species of Alpinia genus, A. zerumbet and A. vittata, against Rhodnius nasutus, a vector of Chagas disease. The essential oils of these two species were obtained by hydrodistillation and analyzed by GC-MS. The main constituent of A. zerumbet essential oil (OLALPZER) was terpinen-4-ol, which represented 19.7% of the total components identified. In the essential oil of A. vittata (OLALPVIT) the monoterpene β-pinene (35.3%) was the main constituent. The essential oils and their main constituents were topically applied on R. nasutus fifth-instar nymphs. In the first 10 min of application, OLALPVIT and OLALPZER at 125 μg/mL provoked 73.3% and 83.3% of mortality, respectively. Terpinen-4-ol at 25 μg/mL and β-pinene at 44 μg/mL provoked 100% of mortality. The monitoring of resistant insects showed that both essential oils exhibited antifeedant activity. These results suggest the potential use of A. zerumbet and A. vittata essential oils and their major constituents to control R. nasutus population

A vis\~ao da BBChain sobre o contexto tecnol\'ogico subjacente \`a ado\c{c}\~ao do Real Digital

We explore confidential computing in the context of CBDCs using Microsoft's CCF framework as an example. By developing an experiment and comparing different approaches and performance and security metrics, we seek to evaluate the effectiveness of confidential computing to improve the privacy, security, and performance of CBDCs. Preliminary results suggest that confidential computing could be a promising solution to the technological challenges faced by CBDCs. Furthermore, by implementing confidential computing in DLTs such as Hyperledger Besu and utilizing frameworks such as CCF, we increase transaction confidentiality and privacy while maintaining the scalability and interoperability required for a global digital financial system. In conclusion, confidential computing can significantly bolster CBDC development, fostering a secure, private, and efficient financial future. -- Exploramos o uso da computa\c{c}\~ao confidencial no contexto das CBDCs utilizando o framework CCF da Microsoft como exemplo. Via desenvolvimento de experimentos e compara\c{c}\~ao de diferentes abordagens e m\'etricas de desempenho e seguran\c{c}a, buscamos avaliar a efic\'acia da computa\c{c}\~ao confidencial para melhorar a privacidade, seguran\c{c}a e desempenho das CBDCs. Resultados preliminares sugerem que a computa\c{c}\~ao confidencial pode ser uma solu\c{c}\~ao promissora para os desafios tecnol\'ogicos enfrentados pelas CBDCs. Ao implementar a computa\c{c}\~ao confidencial em DLTs, como o Hyperledger Besu, e utilizar frameworks como o CCF, aumentamos a confidencialidade e a privacidade das transa\c{c}\~oes, mantendo a escalabilidade e a interoperabilidade necess\'arias para um sistema financeiro global e digital. Em conclus\~ao, a computa\c{c}\~ao confidencial pode refor\c{c}ar significativamente o desenvolvimento do CBDC, promovendo um futuro financeiro seguro, privado e eficiente.Comment: Comments: 11 pages, 8 figures, in (Brazilian) Portugues