Sarcoidosis and Multiple Myeloma: A Case Report and Literature Review

The existence of a sarcoidosis-lymphoma syndrome has been previously proposed since the relation between sarcoidosis and an increased risk of lymphoproliferative disorders is well established. Multiple myeloma is a malignant multifocal proliferation of clonal plasma cells within the bone marrow, and its association with sarcoidosis has been rarely described. We present a concurrent diagnosis of sarcoidosis and multiple myeloma and make a brief analysis of the reported cases in the literature. A 65-year-old woman underwent surgery for the excision of a wrist mass that presented 3 years before. Histological analysis showed sarcoid-type epithelioid granulomas without necrosis, establishing soft tissue sarcoidosis. Further evaluation revealed marked interstitial lung parenchyma lesions and large intrathoracic adenopathies. Bronchofibroscopy with transbronchial biopsy confirmed lung sarcoidosis. In addition, blood analysis showed monoclonal IgG kappa gammopathy. A bone marrow biopsy confirmed hypercellularity with 60% plasma cells and plasmocyte infiltration. Thus, the diagnosis of systemic sarcoidosis and multiple myeloma was established simultaneously. In a brief review of the literature, we identified 33 reports of cases with both sarcoidosis and multiple myeloma. We point out the importance of a high level of suspicion for the association of sarcoidosis with malignant haematological diseases such as multiple myeloma.info:eu-repo/semantics/publishedVersio

Identificação de conflitos na delimitação da Reserva Ecológica Nacional - Caso de estudo : concelho de Nisa

Este estudo tem como objectivo a aplicação de uma metodologia para a delimitação da REN do concelho de Nisa, baseada em Sistemas de Informação Geográfica (SIG) e sua comparação com a REN legalmente aprovada

Peritoneal and hepatic hydatid disease causing major bile duct destruction

Echinococcosis is endemic in Mediterranean regions and is found primarily in the liver. Biliary fistula is a common complication, but major biliary duct involvement is very rare, and occurs in 0.47% of patients with hepatic hydatid disease. Cyst rupture causing secondary peritoneal hydatidosis is a rare but serious complication. We report the case of a 27-year-old man with multiple peritoneal and hepatic hydatid cysts. The patient came to our attention with cholestatic jaundice. Imaging exams showed numerous peritoneal cysts and massive hydatid disease of the liver, which involved the hepatic confluence, with destruction of the right hepatic duct and fistula formation to the left hepatic duct. The patient was treated with pre-operative albendazole therapy and radical surgery, which consisted of resection of all peritoneal cysts and extended right hepatectomy with biliary reconstruction. No recurrence was seen on CT investigations on the 12th month following surgery. Radical surgical approach remains the treatment of choice

The impact of early protein intake and nutritional status in critically ill patients

info:eu-repo/semantics/publishedVersio

Immunosensor for alpha-synuclein detection in Parkinson´s Disease

Parkinsons disease (PD) is a neurodegenerative disorder and one of the leading causes of death worldwide [1]. The principal neuropathological defining hallmark of PD is the presence of Lewy bodies mainly composed of aggregates of alpha-synuclein (-syn) [2]. This protein is a specific PD biomarker that, when detected early, can contribute to an effective PD treatment application. Immunosensors are analytical platforms that can detect disease biomarkers with great accuracy [3]. Thus, a selective and sensitive immunosensor to detect -syn protein based on a standard screen-printed gold electrode is proposed herein. The sensor assembly was done through three different and sequential steps: (1) incubation with 3-aminophenol (3-AMP) to promote the amination of the gold electrode surface; (2) incubation with the -syn antibody; and (3) bovine serum albumin application to avoid non-specific binding. The electrochemical characterization and surface modification was analysed through cyclic voltammetry, electrochemical impedance spectroscopy, and square wave voltammetry techniques. Finally, the performance of this immunosensor was assessed using several calibration curves with standard solutions. The final immunosensor exhibited a linear response from 7 pM to 70 nM. On balance, this immunosensor was characterized as a sensitive, selective, and reproducible platform, with great potential for real sample analysis.info:eu-repo/semantics/publishedVersio

Intrinsic acetamide brush-off by polyurea biodendrimers dagger

The presence of genotoxic impurities in active pharmaceutical ingredients (APIs) is a major concern for the pharmaceutical industry. Acetamide is a common genotoxic byproduct found in synthetic routes of many APIs, mainly due to acetonitrile hydrolysis, and selective scavenging is a still a challenging task. Herein, as a proof-of-concept, we evaluate polyurea (PURE) biodendrimers as strategic nanopolymers to prepare safe drug nanoformulations from mixtures containing acetamide, using (S)-ibuprofen (IBF) as a model drug. Furthermore, computational molecular dynamics (MD) simulations were conducted to rationalize in vitro results and to identify the key intermolecular interactions within mixtures. Experimental data were corroborated by MD simulations which showed that acetamide, IBF and carboxyfluorescein interactions with PURE biodendrimers are mostly at the surface. Also, PURE nanoformulations appear to be driven by hydrogen bonding, electrostatic and hydrophobic interactions

Estuarine production of resident and nursery fish species: Conditioning by drought events?

The production of resident (Pomatoschistus minutus and Pomatoschistus microps) and marine juvenile fish species using the Mondego estuary (central Portugal) as nursery grounds (Dicentrarchus labrax, Platichthys flesus, Solea solea), was assessed in order to: (1) understand the potential of the estuary for fish production; (2) know the production of nursery fish species likely to be exported to the coastal stocks; and (3) how anthropogenic and natural stress could influence the estimated production. Sampling occurred from June 2003 to May 2006 and together the 5 species in study comprised around 70% of the whole fish community numbers and biomass. Increasing drought conditions were observed, starting with a normal hydrological year in 2003 until attaining a severe drought in 2005, which resulted in low river discharges (1/3 of the mean river discharges in 2003). Additionally, high water temperatures were observed in 2003 and 2005 (24 and 26 °C, night temperatures). The secondary production was estimated using the increment summation method, after recognition of the cohorts. Production was in general lower in the Mondego estuary when compared to other systems, which was associated to the estuary's small area (only 3.4 km2, less than 1/4 of area compared to other studied systems). Dicentrarchus labrax was among the most productive species. Production decreased in the drought year for all species, especially evident for D. labrax, P. minutus and P. flesus. No direct effects could be attributable to the salinity and temperature variations and to the low freshwater discharges (resulting from the drought and high temperatures), yet these were pointed as probable major reasons for the decreased production. A significant reduction (15-45% reduction in the estuarine production) was also concluded for the potential production to be exported for coastal areas by the nursery species in the drought conditions.http://www.sciencedirect.com/science/article/B6WDV-4R9GGXS-2/1/663d5981f8928a75fea6999bf328f16

Abrupt field-induced transition triggered by magnetocaloric effect in phase-separated manganites

The occurrence at low temperatures of an ultrasharp field-induced transition in phase separated manganites is analyzed. Experimental results show that magnetization and specific heat step-like transitions below 5 K are correlated with an abrupt change of the sample temperature, which happens at a certain critical field. This temperature rise, a magnetocaloric effect, is interpreted as produced by the released energy at the transition point, and is the key to understand the existence of the abrupt field-induced transition. A qualitative analysis of the results suggests the existence of a critical growing rate of the ferromagnetic phase, beyond which an avalanche effect is triggered.Comment: 6 pages, 4 figures included. Acepted for publication in Phys. Rev.