In vitro measurement of temperature changes during implantation of cemented glenoid components

Background and purpose It is unclear whether the increase in temperature during cement curing may cause osteonecrosis, leading to loosening of the glenoid component in shoulder arthroplasty. We therefore analyzed the temperature during implantation of cemented glenoid implants

Involvement of calcitonin gene-related peptide in migraine: regional cerebral blood flow and blood flow velocity in migraine patients

Calcitonin gene-related peptide (CGRP)-containing nerves are closely associated with cranial blood vessels. CGRP is the most potent vasodilator known in isolated cerebral blood vessels. CGRP can induce migraine attacks, and two selective CGRP receptor antagonists are effective in the treatment of migraine attacks. It is therefore important to investigate its mechanism of action in patients with migraine. We here investigate the effects of intravenous human alpha-CGRP (hαCGRP) on intracranial hemodynamics. In a double-blind, cross-over study, the effect of intravenous infusion of hαCGRP (2 μg/min) or placebo for 20 min was studied in 12 patients with migraine without aura outside attacks. Xenon-133 inhalation SPECT-determined regional cerebral blood flow (rCBF) and transcranial Doppler (TCD)-determined blood velocity (Vmean) in the middle cerebral artery (MCA), as well as the heart rate and blood pressure, were the outcome parameters. No change of rCBF was observed at the end of infusion [1.2% ± 1.7 with hαCGRP, vs. −1.6% ± 3.1 with placebo (mean ± SD)] (P = 0.43). Vmean in MCA decreased to 13.5% ± 3.6 with hαCGRP versus 0.6% ± 1.8 with placebo (P < 0.005). Since rCBF was unchanged, this indicates a dilation of the MCA. hαCGRP induced a decrease in MAP (12%) (P < 0.005) and an increase in heart rate (58%) (P < 0.0001). CGRP dilates cerebral arteries, but the effect is so small that it is unlikely to be the only mechanism of CGRP-induced migraine

Effect of a Fatty Acid Additive on the Kinetic Friction and Stiction of Confined Liquid Lubricants

Apresentamos neste texto parte das produções de pesquisa que acompanhou a construção de corpos inseridos num Centro de Atenção Psicossocial para Álcool e outras Drogas, em cidade do nordeste brasileiro, focando de modo mais acentuado em arranjos de masculinidades. Especial atenção é dada à tensão entre normalização de corpos e tentativas de (re)existências. A argumentação se desenvolve no campo da saúde pública, em particular o da saúde mental, e alicerçada nos estudos de gênero e sexualidade. A produção de dados se valeu de observações registradas em diário de campo, acompanhamento itinerante, composição de um coletivo de pesquisa, entrevistas, grupos focais em que, dentre outras coisas, se discutia trechos de diários de campo, rodas de conversa e oficinas com profissionais e usuári*s. A aposta metodológica foi a de forjar um modo de narrar coletivo que agenciasse experimentação e desaprendizagens corporais, junto a modos de produzir cuidado em saúde e de fazer pesquisa.Apresentamos neste texto parte das produções de pesquisa que acompanhou a construção de corpos inseridos num Centro de Atenção Psicossocial para Álcool e outras Drogas, em cidade do nordeste brasileiro, focando de modo mais acentuado em arranjos de masculinidades. Especial atenção é dada à tensão entre normalização de corpos e tentativas de (re)existências. A argumentação se desenvolve no campo da saúde pública, em particular o da saúde mental, e alicerçada nos estudos de gênero e sexualidade. A produção de dados se valeu de observações registradas em diário de campo, acompanhamento itinerante, composição de um coletivo de pesquisa, entrevistas, grupos focais em que, dentre outras coisas, se discutia trechos de diários de campo, rodas de conversa e oficinas com profissionais e usuári*s. A aposta metodológica foi a de forjar um modo de narrar coletivo que agenciasse experimentação e desaprendizagens corporais, junto a modos de produzir cuidado em saúde e de fazer pesquisa.Apresentamos neste texto parte das produções de pesquisa que acompanhou a construção de corpos inseridos num Centro de Atenção Psicossocial para Álcool e outras Drogas, em cidade do nordeste brasileiro, focando de modo mais acentuado em arranjos de masculinidades. Especial atenção é dada à tensão entre normalização de corpos e tentativas de (re)existências. A argumentação se desenvolve no campo da saúde pública, em particular o da saúde mental, e alicerçada nos estudos de gênero e sexualidade. A produção de dados se valeu de observações registradas em diário de campo, acompanhamento itinerante, composição de um coletivo de pesquisa, entrevistas, grupos focais em que, dentre outras coisas, se discutia trechos de diários de campo, rodas de conversa e oficinas com profissionais e usuári*s. A aposta metodológica foi a de forjar um modo de narrar coletivo que agenciasse experimentação e desaprendizagens corporais, junto a modos de produzir cuidado em saúde e de fazer pesquisa.Apresentamos neste texto parte das produções de pesquisa que acompanhou a construção de corpos inseridos num Centro de Atenção Psicossocial para Álcool e outras Drogas, em cidade do nordeste brasileiro, focando de modo mais acentuado em arranjos de masculinidades. Especial atenção é dada à tensão entre normalização de corpos e tentativas de (re)existências. A argumentação se desenvolve no campo da saúde pública, em particular o da saúde mental, e alicerçada nos estudos de gênero e sexualidade. A produção de dados se valeu de observações registradas em diário de campo, acompanhamento itinerante, composição de um coletivo de pesquisa, entrevistas, grupos focais em que, dentre outras coisas, se discutia trechos de diários de campo, rodas de conversa e oficinas com profissionais e usuári*s. A aposta metodológica foi a de forjar um modo de narrar coletivo que agenciasse experimentação e desaprendizagens corporais, junto a modos de produzir cuidado em saúde e de fazer pesquisa.Apresentamos neste texto parte das produções de pesquisa que acompanhou a construção de corpos inseridos num Centro de Atenção Psicossocial para Álcool e outras Drogas, em cidade do nordeste brasileiro, focando de modo mais acentuado em arranjos de masculinidades. Especial atenção é dada à tensão entre normalização de corpos e tentativas de (re)existências. A argumentação se desenvolve no campo da saúde pública, em particular o da saúde mental, e alicerçada nos estudos de gênero e sexualidade. A produção de dados se valeu de observações registradas em diário de campo, acompanhamento itinerante, composição de um coletivo de pesquisa, entrevistas, grupos focais em que, dentre outras coisas, se discutia trechos de diários de campo, rodas de conversa e oficinas com profissionais e usuári*s. A aposta metodológica foi a de forjar um modo de narrar coletivo que agenciasse experimentação e desaprendizagens corporais, junto a modos de produzir cuidado em saúde e de fazer pesquisa.Apresentamos neste texto parte das produções de pesquisa que acompanhou a construção de corpos inseridos num Centro de Atenção Psicossocial para Álcool e outras Drogas, em cidade do nordeste brasileiro, focando de modo mais acentuado em arranjos de masculinidades. Especial atenção é dada à tensão entre normalização de corpos e tentativas de (re)existências. A argumentação se desenvolve no campo da saúde pública, em particular o da saúde mental, e alicerçada nos estudos de gênero e sexualidade. A produção de dados se valeu de observações registradas em diário de campo, acompanhamento itinerante, composição de um coletivo de pesquisa, entrevistas, grupos focais em que, dentre outras coisas, se discutia trechos de diários de campo, rodas de conversa e oficinas com profissionais e usuári*s. A aposta metodológica foi a de forjar um modo de narrar coletivo que agenciasse experimentação e desaprendizagens corporais, junto a modos de produzir cuidado em saúde e de fazer pesquisa.The paper presents part of the research productions that accompanied the construction of bodies inserted in a Psychosocial Care Center for Alcohol and Other Drugs (CAPS-AD) of a city in the northern region of Brasil, focusing more sharply on masculinities arrangements. Special attention is given to the tension between normalized bodies and attempts at resistance and (re) exist. The argument is in the field of public health, particularly mental health, and rooted in gender and sexuality studies. The data production methodology made use of observations recorded in a diary, itinerant follow-up of a collective of research, interviews, focus groups where, among other things, was discussed diary topics, conversation circles and workshops. The attempt was to produce a way of collective narrating strategy, combining up experience and body (un)learn well as ways of producing health care and doing research

Chemical, functional, and structural properties of spent coffee grounds and coffee silverskin

Spent coffee grounds (SCG) and coffee silverskin (CS) represent a great pollution hazard if discharged into the environment. Taking this fact into account, the purpose of this study was to evaluate the chemical composition, functional properties, and structural characteristics of these agro-industrial residues in order to identify the characteristics that allow their reutilization in industrial processes. According to the results, SCG and CS are both of lignocellulosic nature. Sugars polymerized to their cellulose and hemicellulose fractions correspond to 51.5 and 40.45 % w/w, respectively; however, the hemicellulose sugars and their composition significantly differ from one residue to another. SCG and CS particles differ in terms of morphology and crystallinity, but both materials have very low porosity and similar melting point. In terms of functional properties, SCG and CS present good water and oil holding capacities, emulsion activity and stability, and antioxidant potential, being therefore great candidates for use on food and pharmaceutical fields.The authors acknowledge the financial support of the Science and Technology Foundation of Portugal (FCT) through the grant SFRH/BD/80948/2011 and the Strategic Project PEst-OE/EQB/LA0023/2013. The authors also thank the Project "BioInd - Biotechnology and Bioengineering for improved Industrial and Agro-Food processes", REF. NORTE-07-0124-FEDER-000028 co-funded by the Programa Operacional Regional do Norte (ON.2-O Novo Norte), QREN, FEDER. Thanks are also given to Prof. Jose J.M. Orfao, from the Department of Chemical Engineering, Universidade do Porto (Portugal), for his assistance with the porosity analyses

Differences in cerebral response to esophageal acid stimuli and psychological anticipation in GERD subtypes - An fMRI study

<p>Abstract</p> <p>Background</p> <p>To evaluate whether there are differences in the cerebral response to intraesophageal acid and psychological anticipation stimuli among subtypes of gastroesophageal reflux disease (GERD).</p> <p>Methods</p> <p>Thirty nine patients with GERD and 11 healthy controls were enrolled in this study after gastroscopy and 24 hr pH monitoring. GERD subjects were divided into four subgroups: RE (reflux esophagitis), NERD+ (non-erosive reflux disease with excessive acid reflux), NERD-SI+ (normal acid exposure and positive symptom index) and NERD-SI+ (normal acid exposure and negative symptom index, but responded to proton pump inhibitor trial). Cerebral responses to intraesophageal acid and psychological anticipation were evaluated with fMRI.</p> <p>Results</p> <p>During intraesophageal acid stimulation, the prefrontal cortex (PFC) region was significantly activated in all subgroups of GERD; the insular cortex (IC) region was also activated in RE, NERD+ and NERD-SI- groups; the anterior cingulated cortex (ACC) region was activated only in RE and NERD-SI- groups. The RE subgroup had the shortest peak time in the PFC region after acid was infused, and presented the greatest change in fMRI signals in the PFC and ACC region (<it>P </it>= 0.008 and <it>P </it>= 0.001, respectively). During psychological anticipation, the PFC was significantly activated in both the control and GERD groups. Activation of the IC region was found in the RE, NERD-SI+ and NERD-SI- subgroups. The ACC was activated only in the NERD-SI+ and NERD-SI- subgroups. In the PFC region, the NERD-SI- subgroup had the shortest onset time (<it>P </it>= 0.008) and peak time (<it>P </it>< 0.001). Compared with actual acid infusion, ACC in RE and IC in NERD+ were deactivated while additional areas including the IC and ACC were activated in the NERD-SI+ group; and in NERD-SI- group, onset-time and peak time in the PFC and IC areas were obviously shorter in induced anticipation than in actual acid infusion.</p> <p>Conclusions</p> <p>The four subgroups of GERD patients and controls showed distinctly different activation patterns and we therefore conclude GERD patients have different patterns of visceral perception and psychological anticipation. Psychological factors play a more important role in NERD-SI+ and NERD-SI- groups than in RE and NERD+ groups.</p

Freshwater Sponges Have Functional, Sealing Epithelia with High Transepithelial Resistance and Negative Transepithelial Potential

Epithelial tissue — the sealed and polarized layer of cells that regulates transport of ions and solutes between the environment and the internal milieu — is a defining characteristic of the Eumetazoa. Sponges, the most ancient metazoan phylum [1], [2], are generally believed to lack true epithelia [3], [4], [5], but their ability to occlude passage of ions has never been tested. Here we show that freshwater sponges (Demospongiae, Haplosclerida) have functional epithelia with high transepithelial electrical resistance (TER), a transepithelial potential (TEP), and low permeability to small-molecule diffusion. Curiously, the Amphimedon queenslandica sponge genome lacks the classical occluding genes [5] considered necessary to regulate sealing and control of ion transport. The fact that freshwater sponge epithelia can seal suggests that either occluding molecules have been lost in some sponge lineages, or demosponges use novel molecular complexes for epithelial occlusion; if the latter, it raises the possibility that mechanisms for occlusion used by sponges may exist in other metazoa. Importantly, our results imply that functional epithelia evolved either several times, or once, in the ancestor of the Metazoa

Diagnostic and economic evaluation of new biomarkers for Alzheimer's disease: the research protocol of a prospective cohort study

Doc number: 72 Abstract Background: New research criteria for the diagnosis of Alzheimer's disease (AD) have recently been developed to enable an early diagnosis of AD pathophysiology by relying on emerging biomarkers. To enable efficient allocation of health care resources, evidence is needed to support decision makers on the adoption of emerging biomarkers in clinical practice. The research goals are to 1) assess the diagnostic test accuracy of current clinical diagnostic work-up and emerging biomarkers in MRI, PET and CSF, 2) perform a cost-consequence analysis and 3) assess long-term cost-effectiveness by an economic model. Methods/design: In a cohort design 241 consecutive patients suspected of having a primary neurodegenerative disease are approached in four academic memory clinics and followed for two years. Clinical data and data on quality of life, costs and emerging biomarkers are gathered. Diagnostic test accuracy is determined by relating the clinical practice and new research criteria diagnoses to a reference diagnosis. The clinical practice diagnosis at baseline is reflected by a consensus procedure among experts using clinical information only (no biomarkers). The diagnosis based on the new research criteria is reflected by decision rules that combine clinical and biomarker information. The reference diagnosis is determined by a consensus procedure among experts based on clinical information on the course of symptoms over a two-year time period. A decision analytic model is built combining available evidence from different resources among which (accuracy) results from the study, literature and expert opinion to assess long-term cost-effectiveness of the emerging biomarkers. Discussion: Several other multi-centre trials study the relative value of new biomarkers for early evaluation of AD and related disorders. The uniqueness of this study is the assessment of resource utilization and quality of life to enable an economic evaluation. The study results are generalizable to a population of patients who are referred to a memory clinic due to their memory problems. Trial registration: NCT0145089

Atypical Balance between Occipital and Fronto-Parietal Activation for Visual Shape Extraction in Dyslexia

Reading requires the extraction of letter shapes from a complex background of text, and an impairment in visual shape extraction would cause difficulty in reading. To investigate the neural mechanisms of visual shape extraction in dyslexia, we used functional magnetic resonance imaging (fMRI) to examine brain activation while adults with or without dyslexia responded to the change of an arrow’s direction in a complex, relative to a simple, visual background. In comparison to adults with typical reading ability, adults with dyslexia exhibited opposite patterns of atypical activation: decreased activation in occipital visual areas associated with visual perception, and increased activation in frontal and parietal regions associated with visual attention. These findings indicate that dyslexia involves atypical brain organization for fundamental processes of visual shape extraction even when reading is not involved. Overengagement in higher-order association cortices, required to compensate for underengagment in lower-order visual cortices, may result in competition for top-down attentional resources helpful for fluent reading.Ellison Medical FoundationMartin Richmond Memorial FundNational Institutes of Health (U.S.). (Grant UL1RR025758)National Institutes of Health (U.S.). (Grant F32EY014750-01)MIT Class of 1976 (Funds for Dyslexia Research

Matrix Rigidity Induces Osteolytic Gene Expression of Metastatic Breast Cancer Cells

Nearly 70% of breast cancer patients with advanced disease will develop bone metastases. Once established in bone, tumor cells produce factors that cause changes in normal bone remodeling, such as parathyroid hormone-related protein (PTHrP). While enhanced expression of PTHrP is known to stimulate osteoclasts to resorb bone, the environmental factors driving tumor cells to express PTHrP in the early stages of development of metastatic bone disease are unknown. In this study, we have shown that tumor cells known to metastasize to bone respond to 2D substrates with rigidities comparable to that of the bone microenvironment by increasing expression and production of PTHrP. The cellular response is regulated by Rho-dependent actomyosin contractility mediated by TGF-ß signaling. Inhibition of Rho-associated kinase (ROCK) using both pharmacological and genetic approaches decreased PTHrP expression. Furthermore, cells expressing a dominant negative form of the TGF-ß receptor did not respond to substrate rigidity, and inhibition of ROCK decreased PTHrP expression induced by exogenous TGF-ß. These observations suggest a role for the differential rigidity of the mineralized bone microenvironment in early stages of tumor-induced osteolysis, which is especially important in metastatic cancer since many cancers (such as those of the breast and lung) preferentially metastasize to bone