Esophageal achalasia in adolescence – two case reports

Introdução: A acalásia é uma doença rara, particularmente em idade pediátrica. Caracteriza-se por aperistaltismo do esófago e inadequado relaxamento do esfíncter esofágico inferior. A sua etiologia está ainda pouco esclarecida. Casos clínicos: Descrevem-se dois adolescentes com disfagia para sólidos e líquidos, vómitos, perda ponderal e tosse noturna, durante vários meses. Inicialmente foi considerada a hipótese de doença do comportamento alimentar, mas a investigação posterior levou ao diagnóstico de acalásia confirmado por manometria esofágica num caso e por biópsia intraoperatória no outro. Foram submetidos a miotomia de Heller com procedimento antirrefluxo, um por laparoscopia e outro por laparotomia, com evolução favorável. Discussão/conclusões: Destacamos a raridade e desafio diagnóstico destes casos. A sintomatologia inespecífica leva frequentemente ao diagnóstico de doença do comportamento alimentar, protelando o tratamento dirigido. Na persistência de sintomas é mandatório considerar a hipótese de acalásia, sendo a manometria esofágica o exame diagnóstico de escolha. O tratamento de eleição é cirúrgico, salientando-se a eficácia das diferentes técnicas aplicadas

From “boat to plate”: creating value through sustainable fish supply chain visibility

Environmental concerns about the scarcity of marine resources are critical driving forces for firms aiming to prepare their supply chains for sustainability. Building on previous work, this paper highlights the mplementation of good practices geared towards sustainable operations in the seafood department, which were pursued in an exploratory retailer case. Outcomes of the adopted environmentally and socially acceptable fish retailing strategies, ranged from traceability, to self-certification and eco-labelling. The consequences for business were, as follows: stronger collaboration and trust across the chain of custody, improvement of sponsors’ image and of consumers’ loyalty and, progress in the Greenpeace retailers’ evaluation ranking.info:eu-repo/semantics/publishedVersio

Decision factors for remote work adoption: Advantages, disadvantages, driving forces and challenges

Facing one of the most challenging pandemics for organizational modus operandi (COVID-19), organizations are struggling for operational and strategic support. The adoption of remote work (RW) is increasing. For economic reasons, competitive advantage, or even as a pandemic response (business continuity plan), RW is a domain worth further investigation. However, the literature lacks insight regarding RW adoption. A design science research methodology was adopted, including a systematic literature review to elicit RW advantages, disadvantages, challenges and driving forces, as well as their relation. To evaluate and demonstrate findings, 129 qualitative interviews were performed with RW professionals. In the end, 57 decision factors were elicited, and 16 relations were validated. The authors concluded that cost-reduction and flexibility to promote work–life balance is the most positive outputs, while communication and technical problems, as well as management issues, are what most concerns professionals. Moreover, positive relations are more recognized among professionals over negative ones.info:eu-repo/semantics/publishedVersio

Predictors of shared book reading at home with preschoolers: Are there differences between Roma and non-Roma low-income families?

Previous research highlights several benefits of shared book reading (SBR) for child development, but less studies exist about its predictors (Yarosz & Barnett, 2001). Literature on home SBR in Portugal is scarce (Araújo & Costa, 2015; Peixoto et al., 2008), and studies on its predictors in families at socioeconomic risk or Roma families in this context are, respectively, reduced (Gamelas et al., 2003) or inexistent. This study aimed to investigate the predictors of the frequency of SBR in two ethnically diverse groups of families. Specifically, we studied the associations between child and family (mother) characteristics, parental aspirations, and parental involvement in preschool events and frequency of home SBR. Two hundred and six caregivers of Portuguese Roma ( n = 101) and non-Roma ( n = 105) low-income preschoolers (109 boys; M age = 5, SD age = 0.94) living in the Metropolitan areas of Lisbon and Oporto, Portugal, completed a survey, in face-to-face meetings. A multiple regression model, using AMOS (v. 25), showed that mothers’ educational level, educational aspirations for their child, and involvement in informal (but not formal) events in preschool were positively associated with frequency of SBR. Ethnicity did not moderate these associations. The overall similar pattern results for Roma and non-Roma low income families is an important finding, suggesting that these families may experience similar challenges in engaging in SBR with their preschool children and, therefore, may benefit from interventions with similar features.info:eu-repo/semantics/acceptedVersio

Surface photochemistry: benzophenone as a probe for the study of silica and reversed-phase silica surfaces

This work reports the use of benzophenone, a very well characterized probe, to study new hosts: two reversed-phase silicas. Laser-induced room temperature luminescence of argon purged solid powdered samples of benzophenone adsorbed onto the two different reversed-phase silicas, RP-18 and RP-8, revealed the existence of a low energy emission band in contrast with the benzophenone adsorbed on 60 A pore silica, where only triplet benzophenone emits. This low energy emission band was identified as the fluorescence of the ketyl radical of benzophenone, which is formed as the result of a hydrogen atom abstraction reaction of the triplet excited benzophenone from the alkyl groups of the surface of the reversed silicas. Such emission does not exist for benzophenone adsorbed onto 60 A pore silica. Room temperature phosphorescence was obtained in argon purged samples for all the surfaces under use. The decay times of the benzophenone emission vary greatly with the alkylation of the silica surface when compared with "normal" silica surface. A lifetime distributions analysis has shown that the shortest lifetimes for the benzophenone emission exist in the former case. Triplet-triplet absorption of benzophenone was detected in all cases and is the predominant absorption in the case of 60 A pore silica, while benzophenone ketyl radical formation occurs in the case of the reversed silicas. Diffuse reflectance laser. ash photolysis and gas chromatography-mass spectrometry techniques provided complementary information, the former about transient species and the latter regarding the final products formed after laser irradiation, both at 266 nm or 355 nm. Product analysis and identification show that the degradation photoproducts are dependent on the excitation wavelength, the photochemistry being much more rich and complex in the 266 nm excitation case, where an alpha-cleavage reaction occurs. A detailed mechanistic analysis is proposed

Glyphosate translocation in herbicide tolerant plants

The objective of this study was to evaluate glyphosate translocation in glyphosate-tolerant weed species (I. nil, T. procumbens and S. latifolia) compared to glyphosate-susceptible species (B. pilosa). The evaluations of 14C-glyphosate absorption and translocation were performed at 6, 12, 36 and 72 hours after treatment (HAT) in I. nil and B. pilosa, and only at 72 HAT in the species T. procumbens and S. latifolia. The plants were collected and fractionated into application leaf, other leaves, stems, and roots. In S. latifolia, approximately 88% of the glyphosate remained in the application leaf and a small amount was translocated to roots at 72 HAT. However, 75% of the herbicide applied on T. procumbens remained in the leaf that had received the treatment, with greater glyphosate translocation to the floral bud. It was concluded that the smaller amount of glyphosate observed in S. latifolia and T. procumbens may partly account for their higher tolerance to glyphosate. However, I. nil tolerance to glyphosate may be associated with other factors such as metabolization, root exudation or compartmentalization, because a large amount of the herbicide reached the roots of this species.Objetivou-se neste estudo avaliar a translocação de glyphosate em plantas tolerantes (Ipomoea nil, Tridax procumbens e Spermacoce latifolia) e suscetível (Bidens pilosa) a esse herbicida. As avaliações de absorção e translocação do 14C-glyphosate em I. nil e B. pilosa foram efetuadas às 6, 12, 36 e 72 horas após a aplicação do herbicida (HAT), e em T. procumbens e S. latifolia, às 72 HAT. As plantas foram coletadas e fracionadas em: folha de aplicação, demais folhas, caules e raízes; em T. procumbens e S. latifolia, avaliou-se a presença do produto na inflorescência da planta. Em S. latifolia, aproximadamente 88% do glyphosate permaneceu na folha de aplicação, e pequena quantidade translocou para as raízes. Todavia, em T. procumbens, 75% do herbicida permaneceu na folha que recebeu a aplicação, observando-se maior translocação na inflorescência em relação às raízes. Conclui-se que a menor translocação do glyphosate observada em S. latifolia e T. procumbens pode ser um dos fatores responsáveis pela maior tolerância dessas espécies ao herbicida, ao passo que em I. nil a metabolização, a exsudação radicular ou a compartimentalização podem favorecer a tolerância, já que grande quantidade do produto atingiu as raízes da espécie

Evaluation of the rheological behaviour of Warm Mix Asphalt (WMA) modified binders

Several processes and products are available to produce warm mix asphalt (WMA). The use of those may reduce the mixing and compaction temperatures in relation to hot mix asphalt (HMA), ensuring a good performance of the pavement. Lower plant mixing temperatures mean reduction in fuel consumption and lower emissions, what may contribute to diminish odours and health problems. A laboratory study on the properties of the modified binders (using two commercial WMA additives—Sasobit® and Cecabase®) was carried out through conventional (penetration, softening point), dynamic viscosity and rheology (DSR) tests, in order to establish the optimum additive content. Stripping of binder from the aggregates is a reported problem in WMA. Thus, the affinity of the modified binders was assessed without encountering significant problems. It was also observed that only Sasobit® alters the viscosity of the binder. A maximum temperature reduction of 15°C was achieved using 4% of Sasobit® with a softer binder

Lessons from monochorionic twin delivery

The presence of acute peripartum anaemia in a monochorionic twin pregnancy represents a clinical challenge requiring prompt recognition and management. Twin-to-twin transfusion syndrome (TTTS) is a major complication of these pregnancies and a medical emergency in its acute form. Acute intrapartum fetoplacental transfusion (AIFT) has been reported infrequently. The authors present a case of a probable acute TTTS in an uneventful monochorionic monoamnionic twin pregnancy, where typical ultrasound criteria for long-standing TTTS were absent. The first twin was born pale, hypotonic and developed hypovolemic shock due to acute anaemia. Soon after birth, she presented with seizures and a cerebral ultrasound detected a large parieto-occipital infarction. The second twin, although plethoric, was clinically well. The risk of acute TTTS and AIFT, although infrequent and unpredictable, should be kept in mind when planning delivery of monochorionic twins, because the consequences for one or both twins can be disastrous