Delayed intramural duodenal hematoma after a simple diagnostic endoscopic ultrasonography fine-needle aspiration procedure

A 65-year-old man was evaluated for a difficult-to-characterize pancreatic head mass in the setting of idiopathic chronic pancreatitis. He had no other relevant medical history and was not taking any anticoagulant or antiplatelet treatment. Endoscopic ultrasonography fine-needle aspiration (EUS-FNA) failed to reveal neoplasm cells. A linear array echoendoscope (Olympus GF-UCT140, Center Valley, PA) was advanced up to the duodenal bulb, from which the head of the pancreas was visualized. After ensuring a vessel-free access to the pancreatic parenchyma, the FNA was performed using a 22G needle (Slimline 22G Handle Needle; Boston Scientific, Marlborough, MA) with a total of 3 passes (Figure 1). Three weeks after this procedure, the patient was admitted for hematemesis preceded by vomiting. On admission, his general physical examination was unremarkable except for jaundice. His blood tests showed no anemia; his platelet count, prothrombin time, amylase, and liver enzymes were within normal range, but his total bilirubin level was elevated (7.4 mg/dL). Upper gastrointestinal endoscopy showed Mallory-Weiss tears, an evident extrinsic compression of the knee, and the second portion of the duodenum, which could not be passed by the endoscope. The investigation by computed tomography and magnetic resonance cholangiopancreatography led to the diagnosis of an 11-cm intramural duodenal hematoma (IDH), leading to both gastric outlet and main biliary duct obstruction (Figure 2). The case was successfully managed with nasogastric decompression and exclusive parenteral feeding. Symptoms improved within 15 days, and cholestasis progressively disappeared.info:eu-repo/semantics/publishedVersio

Detection of tick-borne pathogens in Rhipicephalus bursa ticks collected from the autochthonous Garrano breed of horses in Portugal

The Garrano is a semi-feral horse breed native to several mountains in the northern Iberian Peninsula. Despite being endangered, this unique breed of pony has managed to survive in the wild and continues to be selectively bred, highlighting their remarkable resilience and adaptability to harsh environments. Wildlife plays a critical role in the survival of tick vectors in their natural habitats and the transfer of tick-borne pathogens, as they can serve as reservoir hosts for many agents and amplifiers for these vectors. The semi-feral lifestyle of the Garrano horses makes them particularly vulnerable to exposure to numerous tick species throughout the year. Therefore, the aim of this study was to investigate the occurrence of Anaplasma, Ehrlichia, Babesia, Theileria, and spotted fever rickettsiae in the Garrano horse ticks to obtain a knowledge of circulating agents in this host population. The collected ticks (n = 455) were identified as Rhipicephalus bursa. DNA specimens were organized in pools of 5 ticks, for molecular screening. Pools PCR results confirmed the presence of Candidatus Rickettsia barbariae (n = 12 for the ompB gene, n = 11 for the ompA gene and n = 6 for the gltA gene), Babesia bigemina (n = 1), Babesia caballi (n = 3), Theileria equi (n = 15) and Theileria haneyi (n = 1).These results confirm the circulation of an emerging rickettsial spotted fever group member, Candidatus R. barbariae, in R. bursa ticks. Our findings demonstrated that Candidatus R. barbariae co-circulates with B. bigemina and T. equi, which are vectored by R. bursa. We are reporting for the first time, the detection of T. haneyi among R. bursa ticks feeding in the Garrano horses in Portugal. Surveillance studies for tick-borne infections are essential to provide information that can facilitate the implementation of preventive and control strategies. © 2024This study was financially supported by the Research and Innovation Office of the higher education and polytechnic cooperative (GI2-CESPU_ESURVTBD_GI2-CESPU_2022 project)

Protozoários e metazoários parasitos do cardinal Paracheirodon axelrodi Schultz, 1956 (Characidae), peixe ornamental proveniente de exportador de Manaus, Estado do Amazonas, Brasil.

Os estudos sobre a parasitofauna de peixes ornamentais cultivados são de grande relevância para o conhecimento das espécies de parasitos, permitindo interferência em sua proliferação para evitar epizootias e, consequentemente, perdas econômicas na criação. O presente estudo investigou a prevalência e intensidade de parasitos protozoários e metazoários em cardinal Paracheirodon axelrodi (N = 89), mantidos em tanques de um exportador de Manaus, Estado do Amazonas, Brasil. Dos espécimes de P. axelrodi necropsiados, 65,2% (N = 58) estavam parasitados pelos Protozoa Piscinoodiniutn pillulare (3,4%) e Ichthyophthirius mult!filiis (7,9%), Monogenoidea Gyrodactylus sp. (42,7%), Nematoda Procamallanus sp. (23,6%) e Trematoda (1,1%). Gyrodactylus sp. e Procamallanus sp., porém, foram os parasitos de maior prevalência e intensidade. Apesar da elevada prevalência de parasitismo em P. axelrodi durante a sua permanência no exportador, a intensidade de protozoários e metazoários foi baixa pelo manejo profilático nos tanques. Os resultados demonstram que os cuidados com tratamento e profilaxia são de extrema importância na aquicultura de peixes ornamentais

Non-relativistic electron-electron interaction in a Maxwell-Chern-Simons-Proca model endowed with a timelike Lorentz-violating background

A planar Maxwell-Chern-Simons-Proca model endowed with a Lorentz-violating background is taken as framework to investigate the electron-electron interaction. The Dirac sector is introduced exhibiting a Yukawa and a minimal coupling with the scalar and the gauge fields, respectively. The the electron-electron interaction is then exactly evaluated as the Fourier transform of the Moller scattering amplitude (carried out in the non-relativistic limit) for the case of a purely time-like background. The interaction potential exhibits a totally screened behavior far from the origin as consequence of massive character of the physical mediators. The total interaction (scalar plus gauge potential) can always be attractive, revealing that this model may lead to the formation of electron-electron bound states.Comment: 14 pages, 4 figures, style revtex. To appear in International Journal Modern Physics

Dissimilar Symmetric Word Pairs in the Human Genome

In this work we explore the dissimilarity between symmetric word pairs, by comparing the inter-word distance distribution of a word to that of its reversed complement. We propose a new measure of dissimilarity between such distributions. Since symmetric pairs with different patterns could point to evolutionary features, we search for the pairs with the most dissimilar behaviour. We focus our study on the complete human genome and its repeat-masked version.Comment: Submitted 13-Feb-2017; accepted, after a minor revision, 17-Mar-2017; 11th International Conference on Practical Applications of Computational Biology & Bioinformatics, PACBB 2017, Porto, Portugal, 21-23 June, 201

Clustering genomic words in human DNA using peaks and trends of distributions

In this work we seek clusters of genomic words in human DNA by studying their inter-word lag distributions. Due to the particularly spiked nature of these histograms, a clustering procedure is proposed that first decomposes each distribution into a baseline and a peak distribution. An outlier-robust fitting method is used to estimate the baseline distribution (the ‘trend’), and a sparse vector of detrended data captures the peak structure. A simulation study demonstrates the effectiveness of the clustering procedure in grouping distributions with similar peak behavior and/or baseline features. The procedure is applied to investigate similarities between the distribution patterns of genomic words of lengths 3 and 5 in the human genome. These experiments demonstrate the potential of the new method for identifying words with similar distance patterns.publishe

Sickle cell disease: current drug treatments and functional foods with therapeutic potential

Miguel Brito gratefully acknowledges the FCT/MCTES national support through the projects H&TRC UIDB/05608/2020, UIDP/05608/2020, and IPL/IDI&CA2023/Ipasthma_ESTeSL. J.M. Oliveira acknowledges the financial support of CICECO–Aveiro Institute of Materials, UIDB/50011/2020, UIDP/50011/2020 & LA/P/0006/2020, financed by national funds through the FCT/MCTES (PIDDAC). Ana Paula Arez would like to acknowledge Fundação para a Ciência e a Tecnologia for funds to GHTM—UID/04413/2020 and LA-REAL LA/P/0117/2020.Sickle cell anemia (SCA), the most common form of sickle cell disease (SCD), is a genetic blood disorder. Red blood cells break down prematurely, causing anemia and often blocking blood vessels, leading to chronic pain, organ damage, and increased infection risk. SCD arises from a single-nucleotide mutation in the β-globin gene, substituting glutamic acid with valine in the β-globin chain. This review examines treatments evaluated through randomized controlled trials for managing SCD, analyzes the potential of functional foods (dietary components with health benefits) as a complementary strategy, and explores the use of bioactive compounds as functional food ingredients. While randomized trials show promise for certain drugs, functional foods enriched with bioactive compounds also hold therapeutic potential. Further research is needed to confirm clinical efficacy, optimal dosages, and specific effects of these compounds on SCD, potentially offering a cost-effective and accessible approach to managing the disease.info:eu-repo/semantics/publishedVersio