Intraoperative adverse events during laparoscopic colorectal resection-better laparoscopic treatment but unchanged incidence. Lessons learnt from a Swiss multi-institutional analysis of 3,928 patients.

PURPOSE: Intraoperative adverse events significantly influence morbidity and mortality of laparoscopic colorectal resections. Over an 11-year period, the changes of occurrence of such intraoperative adverse events were assessed in this study. METHODS: Analysis of 3,928 patients undergoing elective laparoscopic colorectal resection based on the prospective database of the Swiss Association of Laparoscopic and Thoracoscopic Surgery was performed. RESULTS: Overall, 377 intraoperative adverse events occurred in 329 patients (overall incidence of 8.4 %). Of 377 events, 163 (43 %) were surgical complications and 214 (57 %) were nonsurgical adverse events. Surgical complications were iatrogenic injury to solid organs (n = 63; incidence of 1.6 %), bleeding (n = 62; 1.6 %), lesion by puncture (n = 25; 0.6 %), and intraoperative anastomotic leakage (n = 13; 0.3 %). Of note, 11 % of intraoperative organ/puncture lesions requiring re-intervention were missed intraoperatively. Nonsurgical adverse events were problems with equipment (n = 127; 3.2 %), anesthetic problems (n = 30; 0.8 %), and various (n = 57; 1.5 %). Over time, the rate of intraoperative adverse events decreased, but not significantly. Bleeding complications significantly decreased (p = 0.015), and equipment problems increased (p = 0.036). However, the rate of adverse events requiring conversion significantly decreased with time (p < 0.001). Patients with an intraoperative adverse event had a significantly higher rate of postoperative local and general morbidity (41.2 and 32.9 % vs. 18.0 and 17.2 %, p < 0.001 and p < 0.001, respectively). CONCLUSIONS: Intraoperative surgical complications and adverse events in laparoscopic colorectal resections did not change significantly over time and are associated with an increased postoperative morbidity.

The evolution of the thyroid hormone distributor protein transthyretin in the order insectivora, class mammalia.

Thyroid hormones are involved in the regulation of growth and metabolism in all vertebrates. Transthyretin is one of the extracellular proteins with high affinity for thyroid hormones which determine the partitioning of these hormones between extracellular compartments and intracellular lipids. During vertebrate evolution, both the tissue pattern of expression and the structure of the gene for transthyretin underwent characteristic changes. The purpose of this study was to characterize the position of Insectivora in the evolution of transthyretin in eutherians, a subclass of Mammalia. Transthyretin was identified by thyroxine binding and Western analysis in the blood of adult shrews, hedgehogs, and moles. Transthyretin is synthesized in the liver and secreted into the bloodstream, similar to the situation for other adult eutherians, birds, and diprotodont marsupials, but different from that for adult fish, amphibians, reptiles, monotremes, and Australian polyprotodont marsupials. For the characterization of the structure of the gene and the processing of mRNA for transthyretin, cDNA libraries were prepared from RNA from hedgehog and shrew livers, and full-length cDNA clones were isolated and sequenced. Sections of genomic DNA in the regions coding for the splice sites between exons 1 and 2 were synthesized by polymerase chain reaction and sequenced. The location of splicing was deduced from comparison of genomic with cDNA nucleotide sequences. Changes in the nucleotide sequence of the transthyretin gene during evolution are most pronounced in the region coding for the N-terminal region of the protein. Both the derived overall amino sequences and the N-terminal regions of the transthyretins in Insectivora were found to be very similar to those in other eutherians but differed from those found in marsupials, birds, reptiles, amphibians, and fish. Also, the pattern of transthyretin precursor mRNA splicing in Insectivora was more similar to that in other eutherians than to that in marsupials, reptiles, and birds. Thus, in contrast to the marsupials, with a different pattern of transthyretin gene expression in the evolutionarily "older" polyprotodonts compared with the evolutionarily "younger" diprotodonts, no separate lineages of transthyretin evolution could be identified in eutherians. We conclude that transthyretin gene expression in the liver of adult eutherians probably appeared before the branching of the lineages leading to modern eutherian species.

Sibeliuksesta ranskaksi - Marc Vignalin mestarillinen kertomus tavoittaa yleisönsä

"FL Helena Tyrväinen on tutkijana Helsingin yliopiston musiikkitieteen oppiaineessa ja on tehnyt yhteistyötä Marc Vignalin kanssa."

Frações da matéria orgânica de Latossolo sob influência de doses de lodo de esgoto

O objetivo deste trabalho foi avaliar o efeito da aplicação contínua de doses crescentes de lodo de esgoto sobre os teores de carbono (C) associados à fração leve (C-FL) e à fração pesada (associado à areia - C-areia; associado ao silte - C-silte - e associado à argila - C-argila) de matéria orgânica em amostras de Latossolo. O experimento foi instalado em 1999, em Jaguariúna, SP, e os dados foram obtidos após a sexta aplicação de lodo de esgoto com doses acumuladas em base seca - 0, 30, 60, 120 e 240 Mg ha-1 -, após seis cultivos subseqüentes de milho. Os tratamentos foram: testemunha, sem adição de lodo (L0); aplicação de lodo de esgoto para fornecer uma (L1), duas (L2), quatro (L4) e oito (L8) vezes a dose de nitrogênio requerida pelo milho. Como referência, foi amostrada uma área sob mata nativa, adjacente ao local do experimento. O acréscimo nas doses de lodo de esgoto aplicadas aumenta de modo linear os teores de C orgânico, C-silte e C-areia, e não interfere nos teores de C-argila. À medida que se aumenta a dose de lodo de esgoto até 120 Mg ha-1, há acréscimo no teor de C-FL no solo. Em relação ao C orgânico, os teores de C associado aos compartimentos avaliados de matéria orgânica do solo têm a seguinte ordem de contribuição: C-FL<C-areia

Phenotypic and functional analysis of human fetal liver hematopoietic stem cells in culture.

Steady-state hematopoiesis and hematopoietic transplantation rely on the unique potential of stem cells to undergo both self-renewal and multilineage differentiation. Fetal liver (FL) represents a promising alternative source of hematopoietic stem cells (HSCs), but limited by the total cell number obtained in a typical harvest. We reported that human FL nonobese diabetic/severe combined immunodeficient (NOD/SCID) repopulating cells (SRCs) could be expanded under simple stroma-free culture conditions. Here, we sought to further characterize FL HSC/SRCs phenotypically and functionally before and following culture. Unexpanded or cultured FL cell suspensions were separated into various subpopulations. These were tested for long-term culture potential and for in vivo repopulating function following transplantation into NOD/SCID mice. We found that upon culture of human FL cells, a tight association between classical stem cell phenotypes, such as CD34(+) /CD38(-) and/or side population, and NOD/SCID repopulating function was lost, as observed with other sources. Although SRC activity before and following culture consistently correlated with the presence of a CD34(+) cell population, we provide evidence that, contrary to umbilical cord blood and adult sources, stem cells present in both CD34(+) and CD34(-) FL populations can sustain long-term hematopoietic cultures. Furthermore, upon additional culture, CD34-depleted cell suspensions, devoid of SRCs, regenerated a population of CD34(+) cells possessing SRC function. Our studies suggest that compared to neonatal and adult sources, the phenotypical characteristics of putative human FL HSCs may be less strictly defined, and reinforce the accumulated evidence that human FL represents a unique, valuable alternative and highly proliferative source of HSCs for clinical applications.

Iowa Flood Mitigation Board Annual Report, 2015

The Iowa Flood Mitigation Program is created within Code of Iowa, Chapter 418. The Program seeks to provide funds for fl ood mitigation projects that otherwise would not be funded. The Flood Mitigation Board is responsible for the implementation of Code of Iowa Chapter 418. The membership of the Board is comprised of four voting public members appointed by the Governor, five voting members representing state agencies, four non-voting ex officio members of the legislature, and one non-voting ex officio member representing a state agency.

Oxygen-isotope thermometry of quartz-calcite veins - Unraveling the thermal-tectonic history of the subgreenschist facies Morcles nappe (Swiss Alps)

Combined structural analysis and oxygen isotope thermometry of syntectonic quartz-calcite fibrous veins can be used to correlate the thermal history of deformed rocks,vith specific structural and tectonic events. Results are presented for the Mercies nappe in the western Helvetic Alps, Switzerland, where mineral parageneses, illite `'crystallinity,'' and fluid inclusion chemistry record an apparent peak metamorphic temperature gradient that increased across the Morcles nappe from anchizonal conditions in the foreland to epizonal conditions in its hinterland root zone. Twenty-seven quartz-calcite veins were analyzed in this study in order to determine the temperatures of veining during formation and deformation of the nappe, Peak metamorphic temperatures ranged from approximate to 260 to 290 degrees C in the shallower, foreland localities and to approximate to 330 to 350 degrees C in the deeper, more hinterland localities at the end of S1-foliation formation, related to large-scale folding. Temperatures gradually decreased throughout the nappe during subsequent development of the S2 foliation and S3 crenulation cleavage, Uplift and erosion of the overlying nappe pile resulted in slow cooling of the Morcles nappe during the waning stages of the Alpine Orogeny. The dominant foliation-forming deformation of the Morcles nappe occurred at elevated temperatures over the course of 10 to 15 Ma. Combined structure-oxygen isotope analyses of quartz-calcite veins yield better temperature and temporal constraints on the thermal histories of subgreenschist vein-bearing tectonites than do other geothermometers.

Reguladores de crescimento na frutificação efetiva e qualidade de frutos partenocárpicos de atemoia 'Gefner'

O objetivo deste trabalho foi avaliar os efeitos de reguladores de crescimento vegetal sobre a frutificação efetiva e a qualidade de frutos partenocárpicos de atemoia 'Gefner'. O experimento foi realizado em pomar de atemoia 'Gefner', em Homestead, Fl&#243;rida, EUA. Utilizou-se um delineamento experimental de blocos ao acaso, com quatro tratamentos, cinco repetições e seis flores por parcela. Os tratamentos foram compostos por: T1, ácido naftaleno acético a 450 mg L-1 e ácido giberélico a 1.000 mg L-1; T2, promalina a 100 mg L-1 e ácido giberélico a 1.000 mg L-1; T3, ácido giberélico a 1.000 mg L-1; e T4, polinização artificial (testemunha). Foram avaliados a frutificação efetiva, o crescimento e a qualidade dos frutos. A aplicação dos ácidos naftaleno acético e giberélico a flores de atemoia 'Gefner' proporcionou elevada frutificação efetiva, semelhante à da polinização artificial. A aplicação do ácido giberélico, associado ou não ao ácido naftaleno ou à promalina, resulta na produção de frutos de atemoia 'Gefner' mais tardios e menores do que os oriundos da polinização artificial, mas com boa proporção de polpa, excelente teor de sólidos solúveis e, principalmente, frutos sem sementes (partenocárpicos).

Los Estiramientos : apuntes metodológicos para su aplicación

Los estiramientos son ejercicios de los que todos, más tarde o más temprano, hemos oído hablar. Pero, ¿cuántos de nosotros sabemos realmente qué son?, ¿para qué sirven?, ¿en qué se basan? y ¿cómo deben realizarse? Los estiramientos no siempre sirven para modifi car la fl exibilidad sino que pueden utilizarse para todo lo contrario: mejorar la elasticidad o reactividad de los tejidos, relacionándose este aspecto con otras cualidades físicas básicas, como son la fuerza y la velocidad. En este artículo se pretende dar una respuesta resumida a las preguntas planteadas y ampliar la visión y el conocimiento sobre estos ejercicios “conocidos desconocidos”. Para ello se realiza un análisis de las propuestas teóricas más relevantes, especialmente de los factores condicionantes, y se ofrece una metodología para su correcta aplicación.

InserQual: una eina per a la millora de la qualitat en l'acompanyament a la inserció laboral

InserQual és un protocol nascut al tercer sector que garanteix a les entitats la quali tat del procés d'acompanyament a la inserció laboral. Les enlitats ques' hi dediquen acostumen a treballara partir de l' ilinerari lineal class ic,queconsidera la inserciócom un procés lineal i ordenat que va de I' atur a I'ocupació. InserQual reformula aquest itinerari aportant la imatge de la rotonda. Aquesta aporta a I' itinerari un valor afegitde fl ex ibilitat i adequació a les necessitats de cada usuari/aria. LnserQual és, perlant, unaeina útil i propera, específica per a entitats dedicades a la inserció laboral de persones amb dificultats i que aporta un seguit d' actuacions molt concretes, pero flexibles, que permeten als professionals millorar en la seva intervenció del dia a dia.

Genetic aberrations in pediatric follicular lymphoma

Background: Pediatric follicular lymphoma (FL) is a rare disease that differs from its adult counterpart both genetically and clinically. Excluding pediatric FL with IRF4-translocation, the genetic events associated with pediatric FL have not yet been defined. Objectives: The aim of this study was to perform a complete genetic characterization of IRF4-translocation negative pediatric follicular lymphomas to elucidate the genetic profile of these rare pediatric cases and determine common genetic alterations that could be associated to this phenotype. Design/Methods: We applied array-comparative genomic hybridization and molecular inversion probe assay adapted to formalin-fixed paraffin-embedded tissues from 18 patients aged £18 years diagnosed with FL. With the exception of one case with only focal involvement by lymphoma, the tumor cell content exceeded 50% in the evaluable samples. Eleven of 18 patients were treated according to NHL-BFM group multicenter trials whereas the remaining according to different protocols. All lacked t(14;18) translocation. Mutational analysis of TNFRSF14 gene was performed in 17 cases. Results: Only six pediatric cases displayed chromosomal imbalances, with gain/amplification of 6pter-p24.3 (including IRF4) and deletion/ copy number neutral-loss of heterozygosity in 1p36 (including TNFRSF14) being the most frequent alterations. Sequencing of the candidate gene TNFRSF14 at 1p36.32 showed nine mutations in seven cases. Conclusion: Combination of molecular and genetic features differentiated a recurrent pattern of genomic imbalances as well as of TNFRSF14 mutations in pediatric FL which together with other genetic alterations distinguishes two subsets of pediatric follicular lymphomas. The first group shows genomic aberrations and is associated with more aggressive histopathologic and clinical features. The second group lacks genetic alterations detectable with the present approaches and is associated with a more limited disease. Despite the absence of genomic aberrations, these cases resembled FL by their histopathological features.

Acerca de los tipos de dos Veronica rifeñas.

Hace unos años, se publicó en esta misma sección una nota sobre Veronica rosea (Soriano, 1996), en la que se anticipaba el tratamiento de este taxón en la checklist de la fl ora del norte de Marruecos (Valdés & al. 2002; Soriano, 2002). Entre otras cosas, se formalizaba en ella la descripción de V. rosea subsp. atlantica var. macrantha, propuesta por Pau como V. rosea var. macrantha y distribuida por Font Quer en el Iter maroccanum de 1930, aunque sin la diagnosis correspondiente.