Lyme Borreliosis as a Cause of Myocarditis in Pediatric Age

Lyme borreliosis with myocarditis is rare in pediatrics and diagnosis requires a high index of suspicion. We present an adolescent with myocarditis, depressed left ventricular function, and evidence of Lyme borreliosis infection. Early recognition and treatment of Lyme disease can help to avoid serious complications.info:eu-repo/semantics/publishedVersio

Pengembangan Lembar Kegiatan Siswa (Lks) Kimia Sma/ma Berbasis Learning Cycle 5e Pada Materi Laju Reaksi

Penelitian ini bertujuan untuk: (1) mengembangkan Lembar Kegiatan Siswa (LKS) berbasis Learning Cycle 5E, (2) mengetahui kualitas Lembar Kegiatan Siswa (LKS) berbasis Learning Cycle 5E, (3) mengetahui efektivitas Lembar Kegiatan Siswa (LKS) berbasis Learning Cycle 5E untuk meningkatkan prestasi belajar siswa. Penelitian dan pengembangan Lembar Kegiatan Siswa (LKS) berbasis Learning Cycle 5E menggunakan prosedur penelitian dan pengembangan dari Borg and Gall yang disederhanakan menjadi 9 tahapan yaitu: (1) penelitian pendahuluan dan pengumpulan data, (2) perencanaan, (3) pengembangan produk, (4) uji coba lapangan awal, (5) revisi produk awal, (6) uji coba pelaksanaan lapangan, (7) penyempurnaan produk hasil uji coba lapangan, (8) uji coba pelaksanaan lapangan, (9) penyempurnaan produk akhir. Analisis Data yang digunakan adalah analisis deskriptif kualitatif. Hasil Penelitian menunjukkan: (1) telah berhasil dikembangkan Lembar Kegiatan Siswa (LKS) berbasis Learning Cycle 5E pada materi Laju Reaksi yang dilakukan berdasarkan tahapan penelitian dan pengembangan R&D yang terdiri dari 9 tahapan, (2) kualitas Lembar Kegiatan Siswa (LKS) berbasis Learning Cycle 5E pada materi Laju Reaksi memiliki kualitas sangat baik pada aspek komponen kelayakan isi, bahasa, penyajian dan kegrafisan dengan persentase sebesar 84,06% berdasarkan penilaian siswa dan 90,88% berdasarkan penilaian guru, (hasil uji efektivitas pada aspek pengetahuan terdapat perbedaan antara kelas eksperimen (pembelajaran dengan menggunakan model Learning Cycle 5E disertai Lembar Kegiatan Siswa (LKS) berbasis Learning Cycle 5E ) dan kelas baseline (pembelajaran dengan menggunakan model pembelajaran Learning Cycle 5E tanpa disertai Lembar Kegiatan Siswa (LKS) berbasis Learning Cycle 5E ),, sedangkan pada aspek sikap dan keterampilan tidak terdapat perbedaan

Non-alcoholic fatty liver disease (NAFLD) as a neglected metabolic companion of psychiatric disorders: common pathways and future approaches

Background: Non-alcoholic fatty liver disease (NAFLD) is characterized by hepatic steatosis in over 5% of the parenchyma in the absence of excessive alcohol consumption. It is more prevalent in patients with diverse mental disorders, being part of the comorbidity driving loss of life expectancy and quality of life, yet remains a neglected entity. NAFLD can progress to non-alcoholic steatohepatitis (NASH) and increases the risk for cirrhosis and hepatic carcinoma. Both NAFLD and mental disorders share pathophysiological pathways, and also present a complex, bidirectional relationship with the metabolic syndrome (MetS) and related cardiometabolic diseases. Main text: This review compares the demographic data on NAFLD and NASH among the global population and the psychiatric population, finding differences that suggest a higher incidence of this disease among the latter. It also analyzes the link between NAFLD and psychiatric disorders, looking into common pathophysiological pathways, such as metabolic, genetic, and lifestyle factors. Finally, possible treatments, tailored approaches, and future research directions are suggested. Conclusion: NAFLD is part of a complex system of mental and non-communicable somatic disorders with a common pathogenesis, based on shared lifestyle and environmental risks, mediated by dysregulation of inflammation, oxidative stress pathways, and mitochondrial function. The recognition of the prevalent comorbidity between NAFLD and mental disorders is required to inform clinical practice and develop novel interventions to prevent and treat these complex and interacting disorders

Trends and challenges in the Portuguese penitentiary system: from law to practice

This article focuses on the trends and challenges faced by the Portuguese penitentiary system between 2000 and 2017, taking into account the Portuguese Penal Law, penal statistics, national and international reports, and studies regarding the Portuguese prison system. The description of the changes in the Penal Law helps us to understand, on one hand, the changes in penal statistics over time and, on the other hand, the inconsistencies between the law in books and law in practice

População no sistema prisional português: evolução e tendências entre 2000 e 2017

Este artigo apresenta uma reflexão sobre as principais tendências identificadas na evolução da população recenseada no sistema prisional português, entre 2000 e 2017. Partindo de uma análise que cruza as alterações no campo do direito penal com os dados estatísticos oficiais e relatórios e estudos nacionais e internacionais sobre a aplicação da pena de prisão no país, pretende-se compreender e identificar alguns dos desafios colocados ao sistema pelo movimento da população prisional, assim como pelas mudanças registadas no perfil desta população. A evolução e tendências identificadas permitem indagar sobre o impacto da lei e contribuir para identificar alguns dos caminhos que falta traçar em resposta aos imperativos legais internacionais em matéria da população a cumprir pena privativa de liberdade

Endometrial Cancer Spheres Show Cancer Stem Cells Phenotype and Preference for Oxidative Metabolism

This study aimed to characterize endometrial cancer regarding cancer stem cells (CSC) markers, regulatory and differentiation pathways, tumorigenicity and glucose metabolism. Endometrial cancer cell line ECC1 was submitted to sphere forming protocols. The first spheres generation (ES1) was cultured in adherent conditions (G1). This procedure was repeated and was obtained generations of spheres (ES1, ES2 and ES3) and spheres-derived cells in adherent conditions (G1, G2 and G3). Populations were characterized regarding CD133, CD24, CD44, aldehyde dehydrogenase (ALDH), hormonal receptors, HER2, P53 and β-catenin, fluorine-18 fluorodeoxyglucose ([18F]FDG) uptake and metabolism by NMR spectroscopy. An heterotopic model evaluated differential tumor growth. The spheres self-renewal was higher in ES3. The putative CSC markers CD133, CD44 and ALDH expression were higher in spheres. The expression of estrogen receptor (ER)α and P53 decreased in spheres, ERβ and progesterone receptor had no significant changes and β-catenin showed a tendency to increase. There was a higher 18F-FDG uptake in spheres, which also showed a lower lactate production and an oxidative cytosol status. The tumorigenesis in vivo showed an earlier growth of tumours derived from ES3. Endometrial spheres presented self-renewal and differentiation capacity, expressed CSC markers and an undifferentiated phenotype, showing preference for oxidative metabolism.info:eu-repo/semantics/publishedVersio

DMSO removal reduces stem-cell infusion-related toxicity and allows excellent engraftment of cryopreserved unrelated cord blood and autologous stem cells

UNIFESP, GRAACC, Pediat Oncol Inst, São Paulo, BrazilUniversidade Federal de São Paulo, São Paulo, BrazilUNIFESP, GRAACC, Pediat Oncol Inst, São Paulo, BrazilUniversidade Federal de São Paulo, São Paulo, BrazilWeb of Scienc

Clinical, Genetic and Histopathological Characteristics of CRX-associated Retinal Dystrophies

PURPOSE: To describe phenotypic, genotypic, and histopathological features of inherited retinal dystrophies associated with the CRX gene (CRX-RDs). DESIGN: Retrospective multicenter cohort study including histopathology. SUBJECTS: Thirty-nine patients from 31 families with pathogenic variants in the CRX gene. METHODS: Clinical data of 152 visits were collected from medical records with a median follow-up time of 9.1 years (IQR, 3.3-15.3 years; range, 0.0-48.8 years). Histopathologic examination of the eye of a 17-year-old patient with advanced early-onset CRX-RD was performed. MAIN OUTCOME MEASURES: Visual acuity, retinal imaging, electroretinography (ERG), genotype-phenotype correlation, and histopathological examination were evaluated. RESULTS: The age at onset ranged from birth to the 8th decade of life. Median visual acuity was 1.00 logMAR (IQR, 0.69-1.48 logMAR; range, 0.06-3.00 logMAR) at a mean age of 52.0 ± 19.9 years (range, 4.6-81.9 years). Sufficient imaging was available for 36 out of 39 patients (92.3%), and all showed degeneration of at least the macula. Out of these 36 patients, 22 (61.1%) had only macular dystrophy. Another 10 patients (27.8%) had additional degeneration beyond the vascular arcades, and 4 patients (11.1%) panretinal degeneration. Two patients (5.1%) had Leber congenital amaurosis (LCA). In total, 21 different disease-associated heterozygous CRX variants were identified (10 missense, 8 frameshift, 2 deletion, 1 deletion-insertion variants). Missense variants in the CRX homeodomain and two variants deleting all functional domains, thus causing haploinsufficiency, generally tended to cause milder late-onset phenotypes. Histopathologic examination of the eye of a 17-year-old patient with advanced early-onset retinal dystrophy due to a heterozygous deletion of exons 3 and 4 of the CRX gene revealed loss of laminar integrity and widespread photoreceptor degeneration especially in the central retina, with extensive loss of photoreceptor nuclei and outer segments. CONCLUSION: This study illustrates the large clinical and genetic heterogenic spectrum of CRX-RDs, ranging from LCA to mild late-onset maculopathy resembling occult macular dystrophy. Haploinsufficiency and missense variants tended to be associated with milder phenotypes. Patients showed degeneration predominantly affecting the central retina on imaging. The histopathological findings also mirror these clinical findings and features similar to previously reported animal models of CRX-RDs