Distal Forearm Replantation Rehabilitation - Case Review

Actualmente, o desafio da reimplantação do membro superior pós-amputação tornou-se uma realidade alcançável e minuciosamente aperfeiçoada nas últimas décadas, e em permanente evolução. A opção cirúrgica de reimplantação deve ter em conta não apenas a análise exclusiva da viabilidade do reimplante, mas, fundamentalmente o seu potencial de recuperação funcional a longo prazo. Apresenta-se o caso clínico de um jovem de 18 anos, fumador, transferido do Hospital do Barreiro, vítima de acidente de trabalho, com traumatismo por corte, do qual resultou amputação distal do antebraço direito. O tempo de isquemia quente foi de 4horas, tendo sido submetido a cirurgia de reimplantação conjunta por Ortopedia e Cirurgia Plástica e Reconstrutiva (CPR) para reimplantação. Na sequência da cirurgia, foi precocemente referenciado a Medicina Física e de Reabilitação (MFR), realizando um programa de reabilitação funcional sequencial. Este trabalho visa enfatizar a importância do papel da MFR num precoce, criterioso e extenso programa de reabilitação, factor fundamental na recuperação funcional e prognóstico a longo prazo destas lesões e prevenção de complicações

The importance of coastal geomorphological setting as a controlling factor on microtextural signatures of the 2010 Maule (Chile) tsunami deposit

Quartz grains collected from Arauco and Mataquito (central Chile) after the 2010 Maule tsunami presented an overwhelming dominance of dissolution textures. The analysis of superficial imprints proved that some grains were mechanically impacted before deposition. However, the percentage of grains with fresh surfaces and percussion marks was significantly lower than average values from other tsunami deposits elsewhere in the world. In this work, we discuss the reasons for such results in the context of the geomorphological setting of the areas analyzed and its influence on the microtextural signatures observed. The data presented in this study evidences a geographic dependence in the type of microtextures in the areas analyzed. For example, in Arauco the abundance of dissolution textures decreases rapidly towards the center of the embayment and increases towards the rocky headlands of its westernmost sector. By contrast, an increase of mechanical marks (e.g. fresh surfaces) is observed in the central region of the Arauco’s embayment. Similarly, in Mataquito, dissolution features are more abundant in the headlands or small capes, while there is a higher presence of mechanical marks in sandy embayments. The results of this study demonstrate the importance of the geomorphological context as a controlling factor in the intensity of mechanical imprints on the surface of quartz grains transported by tsunamis and deposited in the inner shelf and coastal areas. Therefore, our results suggest that without a detailed geomorphological contextualization microtextural discrimination can lead to misleading interpretations. Hence, there is a need for more microtextural analysis on tsunami deposits in order to assess the variability in the geographic distribution and intensity of microtextures imprinted on the surface of quartz grains deposited during a tsunami event

The importance of coastal geomorphological setting as a controlling factor on microtextural signatures of the 2010 Maule (Chile) tsunami deposit

Quartz grains collected from Arauco and Mataquito (central Chile) after the 2010 Maule tsunami presented an overwhelming dominance of dissolution textures. The analysis of superficial imprints proved that some grains were mechanically impacted before deposition. However, the percentage of grains with fresh surfaces and percussion marks was significantly lower than average values from other tsunami deposits elsewhere in the world. In this work, we discuss the reasons for such results in the context of the geomorphological setting of the areas analyzed and its influence on the microtextural signatures observed. The data presented in this study evidences a geographic dependence in the type of microtextures in the areas analyzed. For example, in Arauco the abundance of dissolution textures decreases rapidly towards the center of the embayment and increases towards the rocky headlands of its westernmost sector. By contrast, an increase of mechanical marks (e.g. fresh surfaces) is observed in the central region of the Arauco's embayment. Similarly, in Mataquito, dissolution features are more abundant in the headlands or small capes, while there is a higher presence of mechanical marks in sandy embayments. The results of this study demonstrate the importance of the geomorphological context as a controlling factor in the intensity of mechanical imprints on the surface of quartz grains transported by tsunamis and deposited in the inner shelf and coastal areas. Therefore, our results suggest that without a detailed geomorphological contextualization microtextural discrimination can lead to misleading interpretations. Hence, there is a need for more microtextural analysis on tsunami deposits in order to assess the variability in the geographic distribution and intensity of microtextures imprinted on the surface of quartz grains deposited during a tsunami even

Associated Malformations in Children with Orofacial Clefts in Portugal: A 31-Year Study

Orofacial clefts are among the most common congenital craniofacial malformations and may be associated with other birth defects. However, the proportion and type of additional anomalies vary greatly between studies. This study assessed the prevalence and type of associated congenital malformations in children with orofacial clefts, who attended the largest cleft lip and palate tertiary referral center in Portugal.info:eu-repo/semantics/publishedVersio

Oral colonization by yeasts in HIV-positive patients in Brazil

INTRODUCTION: In HIV-infected patients, colonization of the oral cavity by potential pathogenic yeast may lead to development of systemic fungemia. We evaluated the prevalence of yeast in the oral cavity of Brazilian HIV-positive patients and verified whether or not the species characterized were enzymatically active. Furthermore, the species identified were tested for their susceptibility to antifungal treatment. METHODS: Patient saliva and oropharyngeal candidiasis samples were collected from 60 seropositive HIV patients and identified by the API20C system. Enzymatic activity was evaluated by the production of proteinase and phospholipase. Susceptibility to antifungal treatments were determined using the broth microdilution method. RESULTS: the most commonly isolated species were C. albicans (51.56%) followed by non-albicans Candida species (43.73%), Trichosporon mucoides (3.12%) and Kodamaea ohmeri (1.56%). Oral colonization by association of different species was observed in 42% of the patients. Enzymatic activity was verified in most of species isolated, except for C. glabrata, C. lusitaniae and C. guilliermondii. Resistance to Fluconazole and Amphotericin B was observed in isolates of C. albicans, C. glabrata, C. parapsilosis, C. krusei, and K. ohmeri. CONCLUSION: HIV-positive patients are orally colonized by single or multiple species of yeast that are occasionally resistant to Fluconazole or Amphotericin B.INTRODUÇÃO: Em pacientes infectados pelo HIV, a colonização da cavidade bucal por leveduras patogênicas pode levar ao desenvolvimento de fungemias. No presente estudo, avaliamos a prevalência de leveduras na cavidade bucal de pacientes HIV-positivos e verificamos se as espécies isoladas foram enzimaticamente ativas. Além disso, as espécies identificadas foram testadas quanto à suscetibilidade a antifúngicos. MÉTODOS: Amostras de saliva e de candidose orofaríngea foram coletadas de 60 pacientes soropositivos para HIV e identificados pelo sistema API20C. A atividade enzimática foi avaliada pela produção de proteinase e fosfolipase. A suscetibilidade a antifúngicos foi determinada utilizando o método de microdiluição em caldo. RESULTADOS: As espécies mais comumente isoladas foram C. albicans (51,56%), seguido por espécies de Candida não-albicans (43,73%), Trichosporon mucoides (3,12%) e Kodamaea ohmeri (1,56%). A colonização bucal por associação de diferentes espécies foi observada em 42% dos pacientes. A atividade enzimática foi verificada na maioria das espécies isoladas, com exceção de C. glabrata, C. lusitaniae e C. guilliermondii. Resistência ao fluconazol e anfotericina B foi observada em isolados de C. albicans, C. glabrata, C. parapsilosis, C. krusei, e K. ohmeri. CONCLUSÃO: Os pacientes HIV-positivos são colonizados por espécies únicas ou múltiplas de levedura que ocasionalmente são resistentes ao fluconazol ou anfotericina B

In the blood: the myth and reality of genetic markers of identity

The differences between copies of the human genome are very small, but tend to cluster in different populations. So, despite the fact that low inter-population differentiation does not support a biological definition of races statistical methods are nonetheless claimed to be able to predict successfully the population of origin of a DNA sample. Such methods are employed in commercial genetic ancestry tests, and particular genetic signatures, often in the male-specific Y-chromosome or maternally-inherited mitochondrial DNA, have become widely identified with particular ancestral or existing groups, such as Vikings, Jews, or Zulus. Here, we provide a primer on genetics, and describe how genetic markers have become associated with particular groups. We describe the conflict between population genetics and individual-based genetics and the pitfalls of over-simplistic genetic interpretations, arguing that although the tests themselves are reliable, the interpretations are unreliable and strongly influenced by cultural and other social forces.</p

The map-1 Gene Family in Root-Knot Nematodes, Meloidogyne spp.: A Set of Taxonomically Restricted Genes Specific to Clonal Species

Taxonomically restricted genes (TRGs), i.e., genes that are restricted to a limited subset of phylogenetically related organisms, may be important in adaptation. In parasitic organisms, TRG-encoded proteins are possible determinants of the specificity of host-parasite interactions. In the root-knot nematode (RKN) Meloidogyne incognita, the map-1 gene family encodes expansin-like proteins that are secreted into plant tissues during parasitism, thought to act as effectors to promote successful root infection. MAP-1 proteins exhibit a modular architecture, with variable number and arrangement of 58 and 13-aa domains in their central part. Here, we address the evolutionary origins of this gene family using a combination of bioinformatics and molecular biology approaches. Map-1 genes were solely identified in one single member of the phylum Nematoda, i.e., the genus Meloidogyne, and not detected in any other nematode, thus indicating that the map-1 gene family is indeed a TRG family. A phylogenetic analysis of the distribution of map-1 genes in RKNs further showed that these genes are specifically present in species that reproduce by mitotic parthenogenesis, with the exception of M. floridensis, and could not be detected in RKNs reproducing by either meiotic parthenogenesis or amphimixis. These results highlight the divergence between mitotic and meiotic RKN species as a critical transition in the evolutionary history of these parasites. Analysis of the sequence conservation and organization of repeated domains in map-1 genes suggests that gene duplication(s) together with domain loss/duplication have contributed to the evolution of the map-1 family, and that some strong selection mechanism may be acting upon these genes to maintain their functional role(s) in the specificity of the plant-RKN interactions

A review on development and application of plant-based bioflocculants and grafted bioflocculants

Flocculation is extensively employed for clarification through sedimentation. Application of eco-friendly plant-based bioflocculants in wastewater treatment has attracted significant attention lately with high removal capability in terms of solids, turbidity, color, and dye. However, moderate flocculating property and short shelf life restrict their development. To enhance the flocculating ability, natural polysaccharides derived from plants are chemically modified by inclusion of synthetic, nonbiodegradable monomers (e.g., acrylamide) onto their backbone to produce grafted bioflocculants. This review is aimed to provide an overview of the development and flocculating efficiencies of plant-based bioflocculants and grafted bioflocculants for the first time. Furthermore, the processing methods, flocculation mechanism, and the current challenges are discussed. All the reported studies about plant-derived bioflocculants are conducted under lab-scale conditions in wastewater treatment. Hence, the possibility to apply natural bioflocculants in food and beverage, mineral, paper and pulp, and oleo-chemical and biodiesel industries is discussed and evaluated

Inferring the Population Expansions in Peopling of Japan

Background: Extensive studies in different fields have been performed to reconstruct the prehistory of populations in the Japanese archipelago. Estimates the ancestral population dynamics based on Japanese molecular sequences can extend our understanding about the colonization of Japan and the ethnogenesis of modern Japanese. Methodology/Principal Findings: We applied Bayesian skyline plot (BSP) with a dataset based on 952 Japanese mitochondrial DNA (mtDNA) genomes to depict the female effective population size (Nef) through time for the total Japanese and each of the major mtDNA haplogroups in Japanese. Our results revealed a rapid N ef growth since,5 thousand years ago had left,72 % Japanese mtDNA lineages with a salient signature. The BSP for the major mtDNA haplogroups indicated some different demographic history. Conclusions/Significance: The results suggested that the rapid population expansion acted as a major force in shaping current maternal pool of Japanese. It supported a model for population dynamics in Japan in which the prehistoric population growth initiated in the Middle Jomon Period experienced a smooth and swift transition from Jomon to Yayoi, and then continued through the Yayoi Period. The confounding demographic backgrounds of different mtDN