Linfonodos cervicais: um dilema para o ultra-sonografista

A análise dos linfonodos cervicais é um assunto complexo, na medida em que obtemos, por vezes, padrões de imagens superponíveis para os processos benignos - reacionais (infecciosos específicos e inespecíficos) - e para os malignos - doenças neoplásicas (linfoproliferativas e metastáticas). O seguimento adequado das linfadenopatias também requer do examinador detalhamento topográfico e descrição dos aspectos ecográficos relevantes. Realizamos revisão literária com os objetivos de ressaltar os critérios ultra-sonográficos mais significantes (modo-B e dúplex-Doppler colorido) e fazer analogia aos reparos anatômicos utilizados na tomografia computadorizada, para uniformizar a descrição topográfica dos níveis linfonodais por meio da ultra-sonografia. Os aspectos avaliados ao modo-B foram: número (se agrupados ou isolado), forma, hilo ecogênico central, ecotextura/ecogenicidade, presença de calcificações, necrose e/ou hemorragia interna, dimensões, contornos (disseminação extracapsular). Ao dúplex-Doppler colorido os aspectos avaliados foram: padrão de vascularização e análise espectral - índice de resistividade e índice de pulsatilidade. Existem padrões ultra-sonográficos freqüentemente descritos nos linfonodos malignos como morfologia globosa, hipoecogenicidade marcada, vascularização predominantemente periférica e índice de resistividade elevado, porém a análise deve ser multifatorial, levando-se em conta os parâmetros ao modo-B e ao dúplex-Doppler colorido.

Dynamique du peuplement et activités agro-pastorales durant l’âge du Bronze dans les massifs du haut Champsaur et de l’Argentiérois

Des programmes de recherche pluridisciplinaires sur l’occupation du sol et le pastoralisme de la Préhistoire au Moyen Âge dans le sud du massif alpin sont menés, depuis 1998, sur les massifs du Haut Champsaur, de Freissinières et de l’Argentièrois (Hautes-Alpes). Des dix phases d’occupation et d'activité agropastorale mises en évidence (prospections pédestres et fouilles), entre 1600 et 2700 m d’altitude, trois se distinguent: la fin du Néolithique, l’âge du Bronze et la période médiévale. Au travers des premières données archéologiques et environnementales, cet article présente, depuis le milieu du IIIe millénaire au début du Ier millénaire, les grandes caractéristiques de l’occupation du sol mais aussi l’originalité et l’importance de l’activité humaine dans cette zone alpine. La fin du Néolithique et l’âge du Bronze correspondent à une multiplication des gisements archéologiques marquant de façon évidente une rupture dans la gestion de l'espace montagnard. Les paysages sont largement façonnés par les activités humaines et l’entretien des terres cultivées, des prairies et des alpages, paraît continu. À la lumière des données de terrain, l’une des évolutions qui apparaît sur les sites d’altitude durant cette période concerne l’apparition de structures pastorales bâties entre 2 067 et 2 303 m d’altitude (datation 14C).

Diagnostic methods and treatment options for focal cortical dysplasia.

Our inability to adequately treat many patients with refractory epilepsy caused by focal cortical dysplasia (FCD), surgical inaccessibility and failures are significant clinical drawbacks. The targeting of physiologic features of epileptogenesis in FCD and colocalizing functionality has enhanced completeness of surgical resection, the main determinant of outcome. Electroencephalography (EEG)-functional magnetic resonance imaging (fMRI) and magnetoencephalography are helpful in guiding electrode implantation and surgical treatment, and high-frequency oscillations help defining the extent of the epileptogenic dysplasia. Ultra high-field MRI has a role in understanding the laminar organization of the cortex, and fluorodeoxyglucose-positron emission tomography (FDG-PET) is highly sensitive for detecting FCD in MRI-negative cases. Multimodal imaging is clinically valuable, either by improving the rate of postoperative seizure freedom or by reducing postoperative deficits. However, there is no level 1 evidence that it improves outcomes. Proof for a specific effect of antiepileptic drugs (AEDs) in FCD is lacking. Pathogenic mutations recently described in mammalian target of rapamycin (mTOR) genes in FCD have yielded important insights into novel treatment options with mTOR inhibitors, which might represent an example of personalized treatment of epilepsy based on the known mechanisms of disease. The ketogenic diet (KD) has been demonstrated to be particularly effective in children with epilepsy caused by structural abnormalities, especially FCD. It attenuates epigenetic chromatin modifications, a master regulator for gene expression and functional adaptation of the cell, thereby modifying disease progression. This could imply lasting benefit of dietary manipulation. Neurostimulation techniques have produced variable clinical outcomes in FCD. In widespread dysplasias, vagus nerve stimulation (VNS) has achieved responder rates >50%; however, the efficacy of noninvasive cranial nerve stimulation modalities such as transcutaneous VNS (tVNS) and noninvasive (nVNS) requires further study. Although review of current strategies underscores the serious shortcomings of treatment-resistant cases, initial evidence from novel approaches suggests that future success is possible.

The composition of airborne and grain-dust fungal communities is shaped at regional scale by plant genotypes and farming practices

Chronic exposure to airborne fungi has been associated with different respiratory symptoms and pathologies in occupational populations, such as grain workers. However, the homogeneity in the fungal species composition of these bioaerosols on a large geographical scale and the different drivers that shape these fungal communities remain unclear. In this study, the diversity of fungi in grain dust and in the aerosols released during harvesting was determined across 96 sites at a geographical scale of 560 km(2) along an elevation gradient of 500 m by tag-encoded 454-pyrosequencing of the internal transcribed spacer (ITS) sequences. Associations between the structure of fungal communities in the grain dust and different abiotic (farming system, soil characteristics, geographic and climatic parameters) and biotic (wheat cultivar, previous crop culture) factors were explored. These analyses revealed a strong relationship between the airborne and grain dust fungal communities and showed the presence of allergenic and mycotoxigenic species in most samples, which highlights the potential contribution of these fungal species to work-related respiratory symptoms of grain workers. The farming system was the major driver of the alpha and beta phylogenetic diversity of fungal communities. In addition, elevation and soil CaCO3 concentrations shaped the alpha diversity whereas wheat cultivar, cropping history and the number of freezing days per year shaped the taxonomic beta diversity of these communities.

Construção de uma célula espectroeletroquímica termostatizada e sua aplicação para estudar polímeros eletrocrômicos

The construction of a temperature controllable spectroelectrochemical cell is described. Its use in the analysis of the thermodynamic and structural parameters of the electrochromic process of poly(3-methyl thiophene) in the temperature range between -40ºC and 60ºC is given as an example of application.

Importance of the embedding environment on the strain within small rings in siliceous materials

The effect of the local environment on the energetic strain within small (SiO)N rings (with N=2,3) in silica materials is investigated via periodic model systems employing density functional calculations. Through comparison of the energies of various nonterminated systems containing small rings in strained and relatively unstrained environments, with alpha quartz, we demonstrate how small ring strain is affected by the nature of the embedding environment. We compare our findings with numerous previously reported calculations, often predicting significantly different small-ring strain energies, leading to a critical assessment of methods of calculating accurate localized ring energies. The results have relevance for estimates of the strain-induced response (e.g., chemical, photo, and radio) of small silica rings, and the propensity for them to form in bulk glasses, thin films, and nanoclusters.

Ultralow-density nanocage-based metal-oxide polymorphs

For two important metal oxides (MO, M=Mg, Zn) we predict, via accurate electronic structure calculations, that new low-density nanoporous crystalline phases may be accessible via the coalescence of nanocluster building blocks. Specifically, we consider the assembly of cagelike (MO)12 clusters exhibiting particularly high gas phase stability, leading to new polymorphs with energetic stabilities rivaling (and sometimes higher) than those of known MO polymorphs.

Desenvolupament d'una aplicació Android per gestionar rutes de Bicing

En aquest projecte es presenta el desenvolupament d'un sistema integrat per facilitar i incentivar l'ús dels serveis de bicicletes públiques. Seguint una arquitectura client/servidor, l'aplicació és capaç de proporcionar les millors rutes en bicicleta que connectin dos punts de la ciutat. A més, l'aplicació agrega informació que les empreses gestores dels serveis públics d'aquest mitjà de transport posen a disposició dels seus clients. Tot i que de moment l'aplicació es centra en el servei de Bicing de la ciutat de Barcelona, no es descarta la seva ampliació a altres ciutats del món.

Reduced ceria nanofilms from structure prediction

Experimentally, Ce2O3 films are used to study cerium oxide in its fully or partially reduced state, as present in many applications. We have explored the space of low energy Ce2O3 nanofilms using structure prediction and density functional calculations, yielding more than 30 distinct nanofilm structures. First, our results help to rationalize the roles of thermodynamics and kinetics in the preparation of reduced ceria nanofilms with different bulk crystalline structures (e.g. A-type or bixbyite) depending on the support used. Second, we predict a novel, as yet experimentally unresolved, nanofilm which has a structure that does not correspond to any previously reported bulk A2B3 phase and which has an energetic stability between that of A-type and bixbyite. To assist identification and fabrication of this new Ce2O3 nanofilm we calculate some observable properties and propose supports for its epitaxial growth.

Flavonoids in Astragalus corniculatus

Nine flavonoids were identified in aerial parts of Astragalus corniculatus Bieb. (Fabaceae) by liquid chromatography coupled with ionspray mass spectrometry in the tandem mode (LC/MS/MS) with negative ion detection. Vitexin, orientin and eriodictyol-7-O-glucoside are obtained for the first time in genus Astragalus L, and isorhamnetin-3-O-glucoside in the species.

Phytochemical study of Gypsophila trichotoma wend. (Caryophyllaceae)

Phytochemical studies of ethyl acetate extracts from the roots and aerial parts of Gypsophila trichotoma revealed the presence of stigmast-7-en-3-ol, stigmasta-7,22-dien-3-ol (spinasterol), ergost-7-en-3-ol, stigmasta-3,5dien7-one, β-sitosterol, 22,23-dihydrospinasterone, vitexin, orientin, homoorientin and hyperoside. The structures of the compounds were determined by GC/MS and HPLC analyses.