Assessment of eyebrow position before and after upper eyelid blepharoplasty

Objective: Assess the occurrence of secondary brow ptosis after upper lid blepharoplasty. Methods: Forty-five individuals (n90 brows) submitted to upper lid blepharoplasty, were assessed by means of a comparative analysis using pre- and post-operatively digital photographs, in the primary position of the eye. The images were processed using ImageJ software, transferred to a computer, to an electronic Microsoft Excel 2002® worksheet. Angular measurements were used, taking the lateral canthal angle of the brow, the most medial point of the brow, the medial canthal angle and the lateral canthal angle of the lid as anatomical reference points. When the outer angles were reduced or the inner angles increased after surgery this was considered a brow ptosis. Individuals who had undergone lid surgery associated with the eyebrow, previous eyebrow surgery and those with eyelid ptosis were excluded. The difference between the pre-operative and post-operative measurements were analyzed statistically using the Student's t-test for paired samples and the angular variation was compared with their corresponding contralateral sample using Wilcoxon's non-parametric test. Results: The measurements obtained after the blepharoplasty show significant variations from those before the surgery, indicating that the correction of redundant tissues in the brow accentuates the tendency of the eyebrow to move down. The alterations are more important in the lateral portion of the eyebrow and they occur bilaterally. Conclusion: The assessment of angular measurements obtained pre- and post-operatively showed that there are secondary changes in the position of the eyebrow as a result of upper eyelid blepharoplasty. © 2012 Informa Healthcare USA, Inc.

Phylogeography of Hypostomus strigaticeps (Siluriformes: Loricariidae) inferred by mitochondrial DNA reveals its distribution in the upper Paraná River basin

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Spatial and seasonal patterns in fish assemblage in Córrego Rico, upper Paraná river Basin

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Late Pleistocene and Holocene paleoenvironments in ponds and alluvial sediments of Upper Paraná River, Brazil

Freshwater sponge spicules were analyzed as a paleoenvironmental proxy indicator in five cores of ponds and alluvial fan sediments in the Upper Paraná River's left bank, near Querência do Norte town, northwestern of State of Paraná, southern Brazil. Two optically stimulated luminescence (OSL) dates were obtained from sediments of ponds and one radiocarbon (14C) date was obtained from the alluvial fan. Microscopic analysis of spicules preserved in the sediments allowed a determination of freshwater sponge species. The species assemblage provides evidence for dominantly dry conditions in the Upper Paraná River during the Late Pleistocene. A wetter climate phase was recognized at 14C 7,540 yrs BP, with alluvial fan formation commencing at the transition of the dry Pleistocene climate to the Early Holocene wet climate. This wet interval was characterized by a sponge assemblage marked by the presence of the Neotropical families and typically associated with lotic environments. Sponge spicules analysis from pond sediments reject the possibility that lotic environments contributed to pond genesis and evolution. © 2013 by the Sociedade Brasileira de Paleontologia.

Estimation of spontaneous blinking main sequence in normal subjects and patients with Graves' upper eyelid retraction

Purpose. We quantified the main sequence of spontaneous blinks in normal subjects and Graves' disease patients with upper eyelid retraction using a nonlinear and two linear models, and examined the variability of the main sequence estimated with standard linear regression for 10-minute periods of time. Methods. A total of 20 normal subjects and 12 patients had their spontaneous blinking measured with the magnetic search coil technique when watching a video during one hour. The main sequence was estimated with a power-law function, and with standard and trough the origin linear regressions. Repeated measurements ANOVA was used to test the mean sequence stability of 10-minute bins measured with standard linear regression. Results. In 95% of the sample the correlation coefficients of the main sequence ranged from 0.60 to 0.94. Homoscedasticity of the peak velocity was not verified in 20% of the subjects and 25% of the patients. The power-law function provided the best main sequence fitting for subjects and patients. The mean sequence of 10-minute bins measured with standard linear regression did not differ from the one-hour period value. For the entire period of observation and the slope obtained by standard linear regression, the main sequence of the patients was reduced significantly compared to the normal subjects. Conclusions. Standard linear regression is a valid and stable approximation for estimating the main sequence of spontaneous blinking. However, the basic assumptions of the linear regression model should be examined on an individual basis. The maximum velocity of large blinks is slower in Graves' disease patients than in normal subjects. © 2013 The Association for Research in Vision and Ophthalmology, Inc.

Microlepidogaster arachas, a new species of hypoptopomatine catfish (Siluriformes: Loricariidae) from the upper rio Paraná basin, Brazil

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Post-sphaleron baryogenesis and an upper limit on the neutron-antineutron oscillation time

A recently proposed scenario for baryogenesis, called post-sphaleron baryogenesis (PSB), is discussed within a class of quark-lepton unified framework based on the gauge symmetry SU(2)L×SU(2) R×SU(4)c realized in the multi-TeV scale. The baryon asymmetry of the Universe in this model is produced below the electroweak phase transition temperature after the sphalerons have decoupled from the Hubble expansion. These models embed naturally the seesaw mechanism for neutrino masses and predict color-sextet scalar particles in the TeV range which may be accessible to the LHC experiments. A necessary consequence of this scenario is the baryon-number-violating ΔB=2 process of neutron-antineutron (n-n̄) oscillations. In this paper we show that the constraints of PSB, when combined with the neutrino oscillation data and restrictions from flavor changing neutral currents mediated by the colored scalars, imply an upper limit on the n-n̄ oscillation time of 5×1010 sec regardless of the quark-lepton unification scale. If this scale is relatively low, in the (200-250) TeV range, τn-n̄ is predicted to be less than 1010 sec, which is accessible to the next generation of proposed experiments. © 2013 American Physical Society.

Analysis of artisanal fisheries in two reservoirs of the upper Paraná River basin (Southeastern Brazil)

We compared the artisanal fisheries, in terms of catch strategies, productivity, and gross per capita income, at two reservoirs: The Barra Bonita (an eutrophic reservoir with some introduced species), and the Jurumirim (an oligotrophic reservoir, with no introduced species). Published data and structured interviews with fishers were used to evaluate fishing activity, fish biomass, and the financial performance of the fisheries. In the Barra Bonita Reservoir we analysed data from 745 fishing trips, from which 86,691.9 kg of fish were landed, with a mean CPUE of 62.4 kg/fisher-1 day-1. The main type of fish caught was tilapia (71,513.5 kg; CPUE of 51.5 kg/fisher-1 day-1), which constituted 82.5% of the biomass caught. In the Jurumirim Reservoir, we analysed data from 2,401 fishing trips, from which 25,093.6 kg of fish were landed, with a mean CPUE of 10.4 kg/fisher-1 day-1. The main type of fish caught was traíra (6,158.6 kg; CPUE of 2.6 kg/fisher-1 day-1), which constituted 24.5% of the biomass caught. Ordination analysis (PCA) indicated that there was a difference in composition between the fishing reservoirs and ANCOVA showed that there was a significant difference in fish production between the reservoirs. A Student's t-test showed that fishers in the Barra Bonita Reservoir had a significantly higher gross per capita income than those from the Jurumirim Reservoir. Although the Barra Bonita Reservoir has a higher fish production and the fishers earn a higher gross per capita income, we recommend the Jurumirim Reservoir as a model for artisanal fishery management because fishing activity in this reservoir is viable in the long term and such a model would promote conservation and sustainability. This contrasts with the Barra Bonita Reservoir, in which the fishery is not viable in the long term, due to environmental problems caused by artificial eutrophication and the introduction of alien species. It is also noted that in many countries, management of fisheries based on exotic species has not been viable in the long term. © 2013 Sociedade Brasileira de Ictiologia.

Influence of exercise order on upper body maximum and submaximal strength gains in trained men

The purpose of this study was to investigate the influence of exercise order on one-repetition maximum (1-RM) and ten-repetition maximum (10-RM) strength gains after 6 weeks of resistance training (RT) in trained men. Sixteen men were randomly assigned into two groups based on the order of exercises performed during training sessions: a group that performed large muscle group exercises first and progressed to small muscle group exercises (LG-SM); while a second group performed the opposite sequence and started with small muscle group exercises and progressed to large muscle group exercises (SM-LG). Four sessions of RT were conducted per week; all exercises were performed for three sets of 8-12 repetitions with 1-min rest intervals between sets. Maximal and submaximal strength were assessed at baseline and after 6 weeks of RT with 1-RM and 10-RM testing for the bench press (BP), lat pulldown (LPD), triceps pulley extension (TE) and biceps curl (BC), respectively. Two-way ANOVA for the 1-RM and 10-RM tests indicated a significant group x time interaction. The 1-RM values significantly increased for all exercises in both groups (P<0.05), but were not significantly different between groups. However, effect size (ES) data indicated that the LG-SM group exhibited a greater magnitude of gains (1-RM and 10-RM) for the BP and LPD exercises. Conversely, ES indicated that the SM-LG group exhibited a greater magnitude of gains (1-RM and 10-RM) for the TE and BC exercises. In conclusion, the results suggest that upper body movements should be prioritized and performed according to individual needs to maximize maximal and submaximal strength. © 2013 Scandinavian Society of Clinical Physiology and Nuclear Medicine.

Connectivity processes and riparian vegetation of the upper Paraná River, Brazil

In fluvial systems, the relationship between a dominant variable (e.g. flood pulse) and its dependent ones (e.g. riparian vegetation) is called connectivity. This paper analyzes the connectivity elements and processes controlling riparian vegetation for a reach of the upper Paraná River (Brazil) and estimates the future changes in channel-vegetation relationship as a consequence of the managing of a large dam. The studied reach is situated 30km downstream from the Porto Primavera Dam (construction finished in 1999). Through aerial photography (1:25,000, 1996), RGB-CBERS satellite imagery and a previous field botany survey it was possible to elaborate a map with the five major morpho-vegetation units: 1) Tree-dominated natural levee, 2) Shrubby upper floodplain, 3) Shrub-herbaceous mid floodplain, 4) Grass-herbaceous lower floodplain and 5) Shrub-herbaceous flood runoff channel units. By use of a detailed topographic survey and statistical tools each morpho-vegetation type was analyzed according to its connectivity parameters (frequency, recurrence, permanence, seasonality, potamophase, limnophase and FCQ index) in the pre- and post-dam closure periods of the historical series. Data showed that most of the morpho-vegetation units were predicted to present changes in connectivity parameters values after dam closing and the new regime could affect, in different intensity, the river ecology and particularly the riparian vegetation. The methods used in this study can be useful for dam impact studies in other South American tropical rivers. © 2012 Elsevier Ltd.

Harttia absaberi, a new species of loricariid catfish (Siluriformes: Loricariidae: Loricariinae) from the upper rio Paraná basin, Brazil

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Hyphessobrycon uaiso: new characid fish from the rio Grande, upper rio Paraná basin, Minas Gerais State (Ostariophysi: Characidae), with a brief comment about some types of Hyphessobrycon

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Cardiovascular risk and mortality in end-stage renal disease patients undergoing dialysis: sleep study, pulmonary function, respiratory mechanics, upper airway collapsibility, autonomic nervous activity, depression, anxiety, stress and quality of life: a prospective, double blind, randomized controlled clinical trial

Background: Chronic kidney disease (CKD) is one of the most serious public health problems. The increasing prevalence of CKD in developed and developing countries has led to a global epidemic. The hypothesis proposed is that patients undergoing dialysis would experience a marked negative influence on physiological variables of sleep and autonomic nervous system activity, compromising quality of life.Methods/Design: A prospective, consecutive, double blind, randomized controlled clinical trial is proposed to address the effect of dialysis on sleep, pulmonary function, respiratory mechanics, upper airway collapsibility, autonomic nervous activity, depression, anxiety, stress and quality of life in patients with CKD. The measurement protocol will include body weight (kg); height (cm); body mass index calculated as weight/height(2); circumferences (cm) of the neck, waist, and hip; heart and respiratory rates; blood pressures; Mallampati index; tonsil index; heart rate variability; maximum ventilatory pressures; negative expiratory pressure test, and polysomnography (sleep study), as well as the administration of specific questionnaires addressing sleep apnea, excessive daytime sleepiness, depression, anxiety, stress, and quality of life.Discussion: CKD is a major public health problem worldwide, and its incidence has increased in part by the increased life expectancy and increasing number of cases of diabetes mellitus and hypertension. Sleep disorders are common in patients with renal insufficiency. Our hypothesis is that the weather weight gain due to volume overload observed during interdialytic period will influence the degree of collapsibility of the upper airway due to narrowing and predispose to upper airway occlusion during sleep, and to investigate the negative influences of haemodialysis in the physiological variables of sleep, and autonomic nervous system, and respiratory mechanics and thereby compromise the quality of life of patients.

Reproductive migration of fish and movement in a series of reservoirs in the Upper Parana River basin, Brazil

AbstractThis study evaluates the effectiveness of two fish passes at two hydropower dams (Canoas I and II) in the Upper Parana basin, which form part of a cascade of three reservoirs. Fish from 12 migratory species (3089 specimens) were captured during their ascending, reproductive migration and were tagged with hydrostatic tags. The recapture data (294 specimens over two consecutive years) showed that there is a strong tendency for the maintenance of ascending migration through reservoirs with fish passes but with differences in migratory activity within the same species. No eggs, larvae or juveniles of these species were found in samples collected over 5 years in the reservoirs above the fish passes. These data suggest that fish passes have contributed to the restoration of the migratory routes of adult fish but that in the absence of suitable spawning or nursery habitats for these species; they probably act as ecological traps and do not contribute to the recruitment of the species.

Incentive spirometry for prevention of postoperative pulmonary complications in upper abdominal surgery

BackgroundThis is an update of a Cochrane Review first published in The Cochrane Library 2008, Issue 3.Upper abdominal surgical procedures are associated with a high risk of postoperative pulmonary complications. The risk and severity of postoperative pulmonary complications can be reduced by the judicious use of therapeutic manoeuvres that increase lung volume. Our objective was to assess the effect of incentive spirometry compared to no therapy or physiotherapy, including coughing and deep breathing, on all-cause postoperative pulmonary complications andmortality in adult patients admitted to hospital for upper abdominal surgery.ObjectivesOur primary objective was to assess the effect of incentive spirometry (IS), compared to no such therapy or other therapy, on postoperative pulmonary complications and mortality in adults undergoing upper abdominal surgery.Our secondary objectives were to evaluate the effects of IS, compared to no therapy or other therapy, on other postoperative complications, adverse events, and spirometric parameters.Search methodsWe searched the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library 2013, Issue 8), MEDLINE, EMBASE, and LILACS (from inception to August 2013). There were no language restrictions. The date of the most recent search was 12 August 2013. The original search was performed in June 2006.Selection criteriaWe included randomized controlled trials (RCTs) of IS in adult patients admitted for any type of upper abdominal surgery, including patients undergoing laparoscopic procedures.Data collection and analysisTwo authors independently assessed trial quality and extracted data.Main resultsWe included 12 studies with a total of 1834 participants in this updated review. The methodological quality of the included studies was difficult to assess as it was poorly reported, so the predominant classification of bias was 'unclear'; the studies did not report on compliance with the prescribed therapy. We were able to include data from only 1160 patients in the meta-analysis. Four trials (152 patients) compared the effects of IS with no respiratory treatment. We found no statistically significant difference between the participants receiving IS and those who had no respiratory treatment for clinical complications (relative risk (RR) 0.59, 95% confidence interval (CI) 0.30 to 1.18). Two trials (194 patients) IS compared incentive spirometry with deep breathing exercises (DBE). We found no statistically significant differences between the participants receiving IS and those receiving DBE in the meta-analysis for respiratory failure (RR 0.67, 95% CI 0.04 to 10.50). Two trials (946 patients) compared IS with other chest physiotherapy. We found no statistically significant differences between the participants receiving IS compared to those receiving physiotherapy in the risk of developing a pulmonary condition or the type of complication. There was no evidence that IS is effective in the prevention of pulmonary complications.Authors' conclusionsThere is low quality evidence regarding the lack of effectiveness of incentive spirometry for prevention of postoperative pulmonary complications in patients after upper abdominal surgery. This review underlines the urgent need to conduct well-designed trials in this field. There is a case for large RCTs with high methodological rigour in order to define any benefit from the use of incentive spirometry regarding mortality.