131 research outputs found

    Perfuração de Divertículo de Meckel num Adulto

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    Meckel's diverticulum is the commonest congenital anomaly of the gastrointestinal tract. Its complications have an extensive variety of clinical and imaging manifestations, extending from benign and indolent findings to acute life-threatening conditions. Complicated Meckel's diverticulum often constitutes a challenging diagnosis for both the clinician and the radiologist. Therefore, imaging techniques play an important role in this condition in evaluating its complications, determining decision making. We describe a case of a 49-year-old man suffering from right abdominal pain with fever and constipation, during the past 5 days. Laboratory data revealed C-reactive protein of 306 mg/L and leukocytosis. Contrast-enhanced CT features were highly suggestive of perforated Meckel's diverticulum. The purpose of this article is to emphasize that besides its rarity, Meckel's diverticulum complications can occur in adult patients.info:eu-repo/semantics/publishedVersio

    Post-Treated Prostate Cancer: Normal Findings and Signs of Local Relapse on Multiparametric Magnetic Resonance Imaging

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    The use of multiparametric magnetic resonance imaging (mp-MRI) for prostate cancer has increased over recent years, mainly for detection, staging, and active surveillance. However, suspicion of recurrence in the set of biochemical failure is becoming a significant reason for clinicians to request mp-MRI. Radiologists should be able to recognize the normal post-treatment MRI findings. Fibrosis and atrophic remnant seminal vesicles after prostatectomy are often found and must be differentiated from local relapse. Moreover, brachytherapy, external beam radiotherapy, cryosurgery, and hormonal therapy tend to diffusely decrease the signal intensity of the peripheral zone on T2-weighted images (T2WI) due to the loss of water content, consequently mimicking tumor and hemorrhage. The combination of T2WI and functional studies like diffusion-weighted imaging and dynamic contrast-enhanced improves the identification of local relapse. Tumor recurrence tends to restrict on diffusion images and avidly enhances after contrast administration either within or outside the gland. The authors provide a pictorial review of the normal findings and the signs of local tumor relapse after radical prostatectomy, external beam radiotherapy, brachytherapy, cryosurgery, and hormonal therapy

    Cancro da Próstata: O Papel da Ressonância Magnética Multiparamétrica

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    Multiparametric Magnetic Resonance Imaging has been increasingly used for detection, localization and staging of prostate cancer over the last years. It combines high-resolution T2 Weighted-Imaging and at least two functional techniques, which include Dynamic Contrast–Enhanced Magnetic Resonance Imaging, Diffusion-Weighted Imaging, and Magnetic Resonance Imaging Spectroscopy. Although the combined use of a pelvic phased-array and an Endorectal Coil is considered the state-of-the-art for Magnetic Resonance Imaging evaluation of prostate cancer, Endorectal Coil is only absolute mandatory for Magnetic Resonance Imaging Spectroscopy at 1.5 T. Sensitivity and specificity levels in cancer detection and localization have been improving with functional technique implementation, compared to T2 Weighted-Imaging alone. It has been particularly useful to evaluate patients with abnormal PSA and negative biopsy. Moreover, the information added by the functional techniques may correlate to cancer aggressiveness and therefore be useful to select patients for focal radiotherapy, prostate sparing surgery, focal ablative therapy and active surveillance. However, more studies are needed to compare the functional techniques and understand the advantages and disadvantages of each one. This article reviews the basic principles of prostatic mp-Magnetic Resonance Imaging, emphasizing its role on detection, staging and active surveillance of prostate cancer

    Evidence of Genetic Segregation among Meagre (Argyrosomus regius) Atlantic Spawning Areas

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    The meagre Argyrosomus regius, one of the largest sciaenidae in the world, is a valuable resource for fisheries and aquaculture. Despite its socioeconomic relevance, knowledge about population dynamics and wild stocks is still scarce, and conservation risks are associated with overexploitation. Two genetic distinct groups, one in the North Atlantic Ocean and one in the eastern Mediterranean Sea, were identified by previous studies. However, little is known about the genetic structure of the Atlantic group, where four important spawning areas have been identified. To assess if each spawning area is an independent breeding unit, the genetic diversity, populational structure, and demographic history of A. regius along the North-East and Eastern Central Atlantic coast were analyzed, using 15 microsatellite loci. Results corroborate the hypothesis tested, suggesting four genetic groups: a first group encompassing individuals from the Gironde spawning area, a second group encompassing individuals from the Tagus spawning area, a third group corresponding to individuals captured in the Algarve region, and a forth group gathering individuals from Morocco and Mauritania. This study reveals the need for specific fisheries management plans considering genetic structure information, and highlights the need for international cooperation

    International Centre for Coastal Ecohydrology: applying the ecohydrology approach for the sustainable functioning of coastal ecosystems

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    Coastal areas are among the most sensitive and productive ecosystems around the world, providing for the subsistence of large numbers of people, particularly in developing countries. Human pressure on coastal areas has dramatically increased during the last decades and climate changes will pose new threats to these areas, as expected from sea-level rise and the decrease in freshwater discharges from rivers (Chicharo et al., 2009). The International Centre for Coastal Ecohydrology (ICCE) a newly approved centre under the auspices of UNESCO, in October 2009, is located in the Algarve region (south Portugal). The centre acts as a facilitator and synergetic structure by providing the articulation of different scientific and institutional stakeholders at national and international levels. ICCE aims are to contribute scientific knowledge, capacity-building, educational and dissemination activities to support, design and implement adaptation and mitigation strategies and policies for coastal zones, including the impacts of climate change, addressing the goals of the Strategic Plan of the 7th Phase of UNESCO-IHP, the Millennium Development Goals (UN-MDGs) and the key themes for the United Nations Decade of Education for Sustainable Development (UN-DESD), particularly in African and Mediterranean regions.info:eu-repo/semantics/publishedVersio

    Evidence of Genetic Segregation among Meagre (Argyrosomus regius) Atlantic Spawning Areas

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    The meagre Argyrosomus regius, one of the largest sciaenidae in the world, is a valuable resource for fisheries and aquaculture. Despite its socioeconomic relevance, knowledge about population dynamics and wild stocks is still scarce, and conservation risks are associated with overexploitation. Two genetic distinct groups, one in the North Atlantic Ocean and one in the eastern Mediterranean Sea, were identified by previous studies. However, little is known about the genetic structure of the Atlantic group, where four important spawning areas have been identified. To assess if each spawning area is an independent breeding unit, the genetic diversity, populational structure, and demographic history of A. regius along the North–East and Eastern Central Atlantic coast were analyzed, using 15 microsatellite loci. Results corroborate the hypothesis tested, suggesting four genetic groups: a first group encompassing individuals from the Gironde spawning area, a second group encompassing individuals from the Tagus spawning area, a third group corresponding to individuals captured in the Algarve region, and a forth group gathering individuals from Morocco and Mauritania. This study reveals the need for specific fisheries management plans considering genetic structure information, and highlights the need for international cooperation.info:eu-repo/semantics/publishedVersio

    The Impact of Donor Risk Index, Recipients’ and Operative Characteristics on Post Liver Transplant One-Year Graft Failure: A Cohort Analysis

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    Background and Aims: The donor risk index (DRI) quantifies donor-related characteristics potentially associated with increased risk of early graft failure. We aimed to assess the impact of the DRI, recipient and perioperative factors on post liver transplant (LT) outcomes. Methods: This was a singlecenter retrospective cohort study including all adult (≥18 years) patients who underwent LT from 01/2019 to 12/2019 at Curry Cabral Hospital, Lisbon, Portugal. Primary endpoint was 1-year graft failure post LT. Associations were studied with logistic regression. Results: A total of 131 cadaveric donor LT procedures were performed in 116 recipients. Recipients’ median (IQR) age was 57 (47–64) years and 101/131 (77.1%) were males. Cirrhosis was the underlying etiology in 95/131 (81.2%) transplants. Based on 8 predefined donors’ characteristics, median (IQR) DRI was 1.96 (1.67–2.16). Following adjustment for MELDNa score pre LT and SOFA score (adjusted odds ratio [aOR], 95% confidence interval [CI] = 0.91 [0.56–1.47]) or lactate (aOR [95% CI] = 2.76 [0.71–10.7]) upon intensive care unit (ICU) admission post LT, DRI was not associated with 1-year graft failure. However, higher SOFA score (aOR [95% CI] = 1.20 [1.05–1.37]) or lactate (aOR [95% CI] = 1.27 [1.10–1.46]) upon ICU admission post LT were independently associated with higher odds of 1-year graft failure. Conclusions: In a recent cohort of patients who underwent LT, DRI, despite being high, was not associated with 1-year graft failure, but SOFA score or lactate upon ICU admission post LT were.info:eu-repo/semantics/publishedVersio

    Dieta de Aplastodiscus perviridis Lutz 1950 (Anura, Hylidae) em florestas subtemperadas do sul do Brasil

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    Diet studies allow us to understand important questions about a species behavior in relation to resource use. Aplastodiscus perviridis Lutz 1950 is an arboreal anuran that occurs in southern and southeastern Brazil and western Argentina. In this study, we described and analyzed the diet composition of a population of A. perviridis in southern Brazil. We evaluated the diet by examining the gastrointestinal contents of 42 specimens, 12% of which had no gastrointestinal content, while 12 prey categories were registered. Acarina, Araneae, Coleoptera-adults and Lepidoptera-larvae were the prey categories with the largest relative importance values. The trophic niche breadth was lower than those recorded for other hylids, suggesting a more specialized character.Keywords: prey, niche, behavior, Araucaria forest, predation.Estudos de dieta permitem compreender questões importantes sobre o comportamento de uma espécie em relação ao uso de recursos. Aplastodiscus perviridis Lutz 1950 é um anuro arbóreo que ocorre no sul e sudeste do Brasil e no oeste da Argentina. Neste estudo, descrevemos e analisamos a composição da dieta de uma população de A. perviridis no sul do Brasil. Avaliamos a dieta por meio de análise do conteúdo gastrointestinal de 42 espécimes, 12% dos quais estavam sem conteúdo gastrointestinal, enquanto, nos demais, foram registradas 12 categorias de presas. Acarina, Araneae, Coleoptera (adultos) e Lepidoptera (larvas) foram as categorias de presas com os maiores valores de importância relativa. A amplitude do nicho trófico foi menor que a registrada para outros hilídeos, sugerindo um caráter mais especializado.Palavras-chave: presa, nicho, comportamento, floresta de Araucária, predação

    O cultivo do arroz e a resposta do agrossistema às alterações ambientais de temperatura e dióxido de carbono

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    A cultivar de arroz Ariete apresentou uma eficiência máxima de uso do N de 64% e uma produção de 8,5 t ha-1, após aplicação de 120 kg N ha-1, metade em fundo e metade ao afilhamento. Os fatores de emissão de GEEs medidos no campo foram de 136 kg CH4 ha-1 e 1,5% para o N2O. As emissões de COVs (especialmente na forma de terpenos) e NH3 foram reduzidas, mas atingiram 8 kg N-NH3 ha-1 dia-1 após a adubação de cobertura.FCT - projeto PTDC/AGR-AAM/102529/2008

    Acoustic Telemetry Unravels Movements and Habitat Use Patterns of Juvenile Meagre (A. regius) in the Tagus Estuary

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    The meagre is among the largest Sciaenidae in the world (max: 230 cm, 103 kg), with a wide distribution range encompassing the NE and CE Atlantic Ocean and the Mediterranean Sea. The life cycle in Atlantic waters includes migratory movements from feeding and overwintering areas at sea to spawning and nursery areas in estuaries and coastal waters. However, significant spawning aggregations are only observed in five locations, among which is the Tagus estuary (Portugal). The meagre fishery that takes place within the Tagus estuary is significant, accounting for approximately two-thirds of Portuguese meagre catches. Despite its economic relevance, the meagre movements in that region remain largely unknown. The existence of a target fishery inside the estuary alongside a lack of routine biological data collection targeting the species and incipient fisheries control in the area, highlight an urgency to adopt innovative methodologies to unravel meagre migrations and its use of critical areas. We present the first insights of movement patterns and habitat use in the Tagus estuary using acoustic biotelemetry data collected between 2019 and 2021. The acoustic receiver array obtained a total of 142.183 registers from a total of 34 individuals tagged. From the tagged specimens, 33% revisited the Tagus estuary in subsequent years at least once, during the spring and summer, and 49% remained in the Tagus at least until autumn. Further analysis was conducted with juveniles tracked over 3 years to identify critical nursery areas using dynamic Brownian bridge movement models (utilization distribution estimations). The effects of abiotic conditions on the meagre behaviour were assessed using in situ sensor data (e.g., temperature and salinity) and other environmental predictors (e.g., photoperiod and tide cycle) and an explanatory model was developed that helps to understand the use of the Tagus estuary by juveniles. The information collected will be discussed in light of possible applications to promote sustainable management of meagre fisheries in the Tagus estuary and adjacent coastal areas
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