Primary cutaneous marginal zone B cell lymphoma of the face: A challenging diagnosis

The primary cutaneous marginal zone B cell lymphoma is a small B cell lymphoma, including cells of the marginal zone, lymphoplasmacytic cells, and plasma cells. Clinically it manifests as erythematous or erythematous-violaceous papules, plaques, or nodules, single or multiple, most often located to the extremities. Its course is usually indolent, with a survival at 5 years of approximately 97 percent. The tumor exhibits a tendency towards local recurrence, but spread to locations outside the skin is extremely rare. We present a case report of a man, 80 years of age, with a primary cutaneous marginal B cell lymphoma of the chin, an atypical location

Giant cutaneous horn on the lower lip

Cutaneous horn is a conical hyperkeratotic projection of the skin composed of compact keratin. A wide range of pathologic conditions may be found at its base, including a significant proportion of malignant tumors. A notable, giant cutaneous horn uncovering a keratoacanthoma/well-differentiated squamous cell carcinoma is presented, highlighting the importance of histopathological examination to rule out malignancy because clinical features cannot assure a correct diagnosis

A systematic review of economic evaluations of the use of memantine alone or combined with donepezil for moderate to severe Alzheimer’s disease

Objective: To synthesize the available evidence and state of the art of economic evaluations which evaluate the use of memantine, whether alone or combined with donepezil, for moderate to severe Alzheimer’s disease (AD), focusing on the analytical decision models built. Method: The electronic databases MEDLINE, EMBASE, NHS EED, CEA Registry and LILACS were searched for references. After duplicates were removed, two independent reviewers evaluated the titles and abstracts and subsequently the full texts. The Drummond M. tool was used to evaluate the quality of the studies. Results: After the application of the eligibility criteria, twelve complete economic evaluations were included. One evaluation was a clinical trial, two involved simulations and nine used Markov models. The main outcome measure adopted was dominated by cost per quality adjusted life year (QALY). The use of memantine was considered cost-effective and dominant in eight studies; while in a single study, its use was dominated when compared to donepezil for moderate AD. Sensitivity analyzes were systematically performed, with robust results. The quality assessment indicated that the methodological quality of the studies was good. Conclusion: Although there is some controversy regarding the benefits derived from the use of memantine, whether combined or not with donepezil, the evidence collected suggests that it is cost-effective in the countries where the studies were performed. However, local economic studies need to be performed, given the significant variability derived from the different parameters adopted in the evaluations

A Review of Solar Thermochemical CO2 Splitting Using Ceria-Based Ceramics With Designed Morphologies and Microstructures

This review explores the advances in the synthesis of ceria materials with specific morphologies or porous macro- and microstructures for the solar-driven production of carbon monoxide (CO) from carbon dioxide (CO2). As the demand for renewable energy and fuels continues to grow, there is a great deal of interest in solar thermochemical fuel production (STFP), with the use of concentrated solar light to power the splitting of carbon dioxide. This can be achieved in a two-step cycle, involving the reduction of CeO2 at high temperatures, followed by oxidation at lower temperatures with CO2, splitting it to produce CO, driven by concentrated solar radiation obtained with concentrating solar technologies (CST) to provide the high reaction temperatures of typically up to 1,500°C. Since cerium oxide was first explored as a solar-driven redox material in 2006, and to specifically split CO2 in 2010, there has been an increasing interest in this material. The solar-to-fuel conversion 1097efficiency is influenced by the material composition itself, but also by the material morphology that mostly determines the available surface area for solid/gas reactions (the material oxidation mechanism is mainly governed by surface reaction). The diffusion length and specific surface area affect, respectively, the reduction and oxidation steps. They both depend on the reactive material morphology that also substantially affects the reaction kinetics and heat and mass transport in the material. Accordingly, the main relevant options for materials shaping are summarized. We explore the effects of microstructure and porosity, and the exploitation of designed structures such as fibers, 3-DOM (three-dimensionally ordered macroporous) materials, reticulated and replicated foams, and the new area of biomimetic/biomorphous porous ceria redox materials produced from natural and sustainable templates such as wood or cork, also known as ecoceramics

Solar thermochemical CO2 splitting using cork-templated ceria ecoceramics

This work addresses the solar-driven thermochemical production of CO and O2 from two-step CO2-splitting cycles, using both ceria granules prepared from cork templates (CG) and ceria foams from polyurethane templates (CF). These materials were cycled in a high-temperature indirectly-irradiated solar tubular reactor using a temperature-swing process. Samples were typically reduced at 1400 °C using concentrated solar power as a heating source and subsequently oxidised with CO2 between 1000-1200 °C. On average, CO production yields for CG were two times higher than for CF, indicating that the morphology of this three-dimensionally ordered macroporous (3-DOM) CeO2 improves the reaction kinetics. Their performance stability was demonstrated by conducting 11 cycles under solar irradiation conditions. Slightly increasing the reduction temperature strongly enhanced the reduction extent, and thus the CO production yield (reaching about 0.2 mmol g-1 after reduction at 1450 °C in inert gas), while decreasing the oxidation temperature mainly improved the CO production rate (up to 1.43 μmol s-1 g-1 at 1000 °C). Characterisation of the 3-DOM structure, by means of XRD and SEM, provided insights into the reactivity behaviour of the developed materials. The pre-sintered ceria granules retained their structure after cycling. The fact that the mean cell size of CG is smaller (at least one order of magnitude) than that of CF suggests that its exposed surfaces enhanced reaction rates by a factor of two. Moreover, the maximum fuel production rate of CG was roughly three times greater than that reported previously for a ceria reticulated porous foam with dual-scale porosity

Solar Redox Cycling of Ceria Structures Based on Fiber Boards, Foams, and Biomimetic Cork-Derived Ecoceramics for Two-Step Thermochemical H2O and CO2Splitting

Solar thermochemical conversion of H2O and captured CO2 is considered for the production of high-value solar fuels and CO2 valorization, using nonstoichiometric oxygen-exchange redox materials. This work aims to compare the thermochemical cycle performance of different ceria structures, including biomimetic cork-templated ceria (CTCe), ceria foams (CeF), and ceria bulk fiber boards (CeFB), to study the effect of the morphology on fuel production from two-step H2O and CO2 splitting via solar redox cycling. The considered materials underwent thermochemical cycles in a directly irradiated solar reactor under various operating conditions. Typically, a thermal reduction at 1400 °C under Ar at atmospheric pressure, using concentrated solar energy, was carried out followed by an oxidation step with H2O or CO2 between 800 and 1050 °C. The comparison of the fuel production rate and yield from the reactive materials highlighted the importance of the material thermal stability during cycling. CTCe and CeF showed good O2 and fuel production stability over repeated cycles, while CeFB exhibited a decrease of the production because of sintering and thermal gradient due to its low thermal conductivity. Biomimetic CTCe showed a higher fuel production rate compared to the other investigated materials, explained by the favorable microstructure of the cork-based ceramic. The morphology obtained from the cork structure led to the improvement of the redox activity, demonstrating the relevance of studying this material for thermochemical H2O and CO2 splitting cycles. In addition, the impact of the operating conditions was investigated. A decrease of the starting oxidation temperature, an increase of the CO2 molar fraction (lower CO/CO2 ratio), or a high total gas flow rate favoring gas product dilution had a beneficial impact on the CO (or H2) production rate

SNP discovery in three South American freshwater characiformes species by deep sequencing of Reduced Representation Libraries (RRL).

This represents the first report of a large-scale effort to identify SNP markers for Pacu and Pirapitinga species, useful for prospecting species-specific SNPs for species-purity certification of commercial Tambaqui broodstocks.PE026

Biodiversidade, população e economia: uma região de mata atlântica [Biodiversity, Population, and Economy: a region of atlantic forest]

biodiversity; Minas Gerais; Rio Doce; mata atlântica; atlantic forest; sustainable development; conservation; natural resources; environment; environmental economics