Cartilaginous metaplasia of varicose veins: a case report

Cartilaginous metaplasia of superficial veins was found in a 64-year-old woman who underwent surgery for varicose veins. At operation, some varicose veins of the medial thigh were semi-rigid and fibroelastic to the touch. Histology revealed that half the lumen was occupied by chondroid tissue. The other half was obliterated by fibrous tissue, typical of post-thrombotic involution. Possible causes of cartilaginous metaplasia are briefly discussed

Skin erythrodiapedesis during chronic venous disorders

Background: Extravasation of erythrocytes (erythrodiapedesis [ED]) is currently included among causes of skin damage in legs with chronic venous disorders (CVD) and ascribed to venular hypertension. ED is followed by erythrocyte disruption, degradation of hemoglobin, and storing of ferric iron into hemosiderin. The aim of this study was to evaluate the occurrence of ED in the skin of legs with different clinical stages of CVD. Methods: One hundred eighteen skin biopsies from legs with CVD underwent histologic evaluation for ED and hemosiderin deposition (HD). Results: ED was found in only 21/118 specimens. In particular, it was found in ulcer samples, in tissues surrounding varicophlebitis and, finally, in acute eczematous skin. ED was found in only 15/30 samples showing HD. Conclusion: Our findings confirm the occurrence of ED during CVD. However, it was found only in concomitance of severe dermal inflammation. Hemosiderin deposition in the absence of actual ED could be explained with previous healed episodes of skin inflammation. However, ED is not likely the only cause of skin iron overload, which could also occur by a molecular mechanism. Further studies are needed to define the mechanism of iron deposition in the skin of legs afflicted with CVD. (J Vase Surg 2011;53:1649-53.

Herder and the Rehabilitation of Mythology: a Theme in German Aesthetics

Indexación: Revista UNABEste trabajo pretende investigar el significado estético de la emergencia de la mitología como tema para la filosofía alemana del siglo XVIII, a partir del ensayo de Herder, “Del nuevo uso de la mitología” de 1767. Contra la Ilustración, que considera la mitología irracional, Herder la toma por un potente lenguaje que une los conceptos abstractos y la expresión sensible, mediante dos fuerzas antagónicas: de un lado, la analítica y filosófica, y de otro la sintética y poética. Según ese esquema, Herder anticipa de forma pionera la propuesta de una nueva mitología, que surge décadas posteriores en El programa sistemático más antiguo del idealismo alemán y ofrece una temprana interpretación de la propuesta de reconducción de la filosofía a la poesía y de la centralidad del mito en las estéticas románticas e idealistas.Our proposal is to research the meaning for aesthetics of the emergence of mythology as a theme in German philosophy of the Eighteenth Century, based on the inaugural gesture of Herder in his essay “Of the new use of mythology”, in 1767. Against the Enlightenment, which considered mythology irrational, Herder came through an understanding of this powerful language that connects abstract concepts and sensible expression by means of two opposing forces: one analytical and philosophical, and another synthetic and poetic. Following this, he argues and anticipates the proposal of a new mythology, as it would later appear in The Oldest Systematic Program of German Idealism, offering an early interpretation of the proposed return of philosophy to poetry and the centrality of myth in romantic and idealist aesthetics.http://revistahumanidades.unab.cl/wp-content/uploads/2016/01/Rev.-Humanidades.-Art.-Franceschini-y-Werle.-11-34.pd

Age-related variations of varicose veins anatomy

Background: Primary varicose veins are commonly considered a progressive disease starting from the saphenous junctions and extending to tributaries in a retrograde fashion along the saphenous trunks. This theory has been criticized by studies indicating different patterns of development and progression of varicose veins. To contribute to the understanding of the pathogenesis of the disease, the anatomy of the venous bed was comparatively evaluated by duplex sonography in patients with varicose veins with a marked difference in age. Methods. The study included 100 varicose limbs in 82 patients aged < 30 years and 238 limbs in 183 patients aged > 60 years. Veins were designated as saphenous veins (SVs), tributaries of the SVs (STVs), and veins not connected with the SVs (NSVs). Four main anatomic patterns were comparatively evaluated: (1) varicose changes only along SVs, (2) varicose changes along SVs and STVs, (3) varicose changes only in STVs, and (4) varicose changes only in NSVs. Results. SVs were normal in 44% of varicose limbs. In most limbs from young subjects, varicose changes afflicted only SVTs (25%) and NSVs (36%). Varicose SVs were more frequent in the older group (62%) than in younger one (39%) owing to a higher prevalence of limbs with combined SV and STV varicosities (respectively, 59% and 37%). In the older group, varicosities in the STVs were more frequently observed in association with incompetence of the SV trunks. Conclusion: The frequent occurrence of normal SVs in varicose limbs of all patients does not support the crucial role commonly credited to SVs in the pathogenesis of primary varicosities. Moreover, the SV trunks were normal in most varicose limbs from young patients. These findings suggest that varicose disease may progressively extend in an antegrade fashion, spreading from the STVs to the SVs. This hypothesis suggests that the saphenous trunks could be spared in the treatment of a relevant number of varicose legs. Prospective longitudinal studies with serial duplex evaluations of large series of extremities are necessary to confirm this hypothesis

Statistical analysis of genomic protein family and domain controlled annotations for functional investigation of classified gene lists

<p>Abstract</p> <p>Background</p> <p>The increasing protein family and domain based annotations constitute important information to understand protein functions and gain insight into relations among their codifying genes. To allow analyzing of gene proteomic annotations, we implemented novel modules within <it>GFINDer</it>, a Web system we previously developed that dynamically aggregates functional and phenotypic annotations of user-uploaded gene lists and allows performing their statistical analysis and mining.</p> <p>Results</p> <p>Exploiting protein information in Pfam and InterPro databanks, we developed and added in <it>GFINDer </it>original modules specifically devoted to the exploration and analysis of functional signatures of gene protein products. They allow annotating numerous user-classified nucleotide sequence identifiers with controlled information on related protein families, domains and functional sites, classifying them according to such protein annotation categories, and statistically analyzing the obtained classifications. In particular, when uploaded nucleotide sequence identifiers are subdivided in classes, the <it>Statistics Protein Families&Domains </it>module allows estimating relevance of Pfam or InterPro controlled annotations for the uploaded genes by highlighting protein signatures significantly more represented within user-defined classes of genes. In addition, the <it>Logistic Regression </it>module allows identifying protein functional signatures that better explain the considered gene classification.</p> <p>Conclusion</p> <p>Novel <it>GFINDer </it>modules provide genomic protein family and domain analyses supporting better functional interpretation of gene classes, for instance defined through statistical and clustering analyses of gene expression results from microarray experiments. They can hence help understanding fundamental biological processes and complex cellular mechanisms influenced by protein domain composition, and contribute to unveil new biomedical knowledge about the codifying genes.</p

Analysis of Voltage Distribution and Connections within a High-Frequency Hairpin Winding Model

In the last years the adoption of hairpin windings is increasing, especially in the automotive sector, mainly due to their inherently high fill factor and electric loading capability. A critical aspect related to the reliability and lifetime of every winding typology is the voltage stress due to the uneven voltage distribution. This phenomenon has already been largely analyzed in conventional stranded conductors, while a few studies are available for hairpin windings. With the spreading of wide bandgap devices, the investigation on voltage distribution becomes an ever-timely topic due to their short rise times. This paper presents an analysis of the uneven voltage distribution triggered within hairpin windings by a low rise time waveform, using a complete high-frequency winding model. The different options to series-connect different paths are investigated, providing simple but essential guidelines to reduce the electrical stress within hairpin windings. © 20XX IEEE. Personal use of this material is permitted. Permission from IEEE must be obtained for all other uses, in any current or future media, including reprinting/republishing this material for advertising or promotional purposes, creating new collective works, for resale or redistribution to servers or lists, or reuse of any copyrighted component of this work in other worksThis paper reflects only the author's view. JU is not responsible for any use that may be made of the information it contains

Spatial distribution of vastus lateralis blood flow and oxyhemoglobin saturation measured at the end of isometric quadriceps contraction by multichannel near-infrared spectroscopy.

Muscle blood flow (MBF) and muscle oxygen saturation (SmO(2)) were measured at eight locations (four proximal, four distal) over a 4 x 8 cm(2) area of the vastus lateralis at rest and immediately after isometric, maximal quadriceps contraction using multichannel, frequency-domain, near-infrared spectroscopy. A venous occlusion was applied 20 s before the end of the exercise, so that the venous-occlusion-induced increase in total hemoglobin was recorded without any delay after the end of the exercise. Therefore, we were able to investigate the relationship between the exercise-induced changes in vastus lateralis MBF and SmO(2). After exercise, MBF increased significantly at each measured location. Comparing the MBF values measured at the end of exercise in the proximal and distal regions, we observed that only one proximal region had a significantly higher MBF than the corresponding distal one. The maximum desaturation measured during exercise was positively correlated with the postexercise to pre-exercise MBF ratio in both the proximal (P=0.016) and distal (P=0.0065) regions. These data confirm that frequency-domain tissue oximeters are noninvasive, powerful tools to investigate the spatial and temporal features of muscle blood flow and oxygenation, with potential applications in areas of pathophysiology

Cascaded neural networks improving fish species prediction accuracy: the role of the biotic information

Species distribution is the result of complex interactions that involve environmental parameters as well as biotic factors. However, methodological approaches that consider the use of biotic variables during the prediction process are still largely lacking. Here, a cascaded Artifcial Neural Networks (ANN) approach is proposed in order to increase the accuracy of fsh species occurrence estimates and a case study for Leucos aulain NE Italy is presented as a demonstration case. Potentially useful biotic information (i.e. occurrence of other species) was selected by means of tetrachoric correlation analysis and on the basis of the improvements it allowed to obtain relative to models based on environmental variables only. The prediction accuracy of the L. aulamodel based on environmental variables only was improved by the addition of occurrence data for A. arborellaand S. erythrophthalmus. While biotic information was needed to train the ANNs, the fnal cascaded ANN model was able to predict L. aula better than a conventional ANN using environmental variables only as inputs. Results highlighted that biotic information provided by occurrence estimates for non-target species whose distribution can be more easily and accurately modeled may play a very useful role, providing additional predictive variables to target species distribution models

Robot-aided therapy for upper limbs in patients with stroke-related lesions. Brief report of a clinical experience

This study was aimed at verifying the improvement on the motor impairment and functionality in 19 patients with chronic hemiparesis after stroke treated with a robot-aided rehabilitation protocol using the ReoGo™ system (Motorika Medical Ltd, Israel), and at evaluating the persistence of the effects after 1 month. The study also focused on the actual possibility of administering the robot-aided therapy with the ReoGo™ for the upper limbs and on the patients' degree of acceptance and compliance with the treatment. Subjects underwent an assessment prior to the start of the rehabilitation project (T-1), one at the start (T0), one at the end of the treatment (T1) and one after one month from the end of the treatment (T2). The following tests were administered: (i) Fugl-Meyer (FM) upper limb; Ashworth scale (AS); Functional Independence Measure (FIM™) (T-1 - T2); (ii) strength evaluation; Visual Analogue Scale (VAS) for pain; Frenchay Arm test (FAT); Box and Block test (BBT); Timed Up and Go (TUG) test (T0 - T2). Additionally, the Euro-QoL questionnaire and a VAS for the treatment satisfaction were administered to the subjects. Non-statistical difference of scores at T-1 and T0 on almost the entire battery of tasks suggested a stable patients' performance prior to the start of the rehabilitation. With the exception of the Medical Research Council (MRC) and the AS sub-scales measuring -as appropriate- strength and spasticity of the shoulder, triceps and wrist, all scores showed a significant increase between T0 and T1. The improvement on the pain could not be proved significant (p = 0.10). A significant increase between T0 and T2 was found for all assessment scores, with the exception of the MRC for external shoulder rotators (p = 0.05) and of the AS for shoulder (p = 0.32) and wrist (p = 0.08). Substantial stability was observed between T1 and T2. Patients were capable of completing the treatment and showed good participant satisfaction. This pilot study led to the finding of a clinical improvement and excellent patients compliance. It is possible that the learning process experienced by the patients was robot-dependent, especially in consideration of the general maintenance of the achievements observed on all activities