Orofacial dysfunction in Duchenne muscular dystrophy.

Duchenne muscular dystrophy (DMD) affects orofacial function. Our aim was to evaluate certain characteristics of orofacial function in DMD and relate possible deteriorations to the age of the patients and to the diminished internal structure quality of the masseter muscle. Bite force and finger force were measured in 16 DMD patients (6-20 years old) and 16 age matched controls. The thickness and internal structure quality of the masseter muscle were evaluated ultrasonographically. We found reduced mouth opening but no signs of masticatory muscle tenderness. Bite force values were lower for DMD patients. Masseter thickness showed no significant differences between the two groups, but poorer internal muscle structure quality characterised the elder, non-walking DMD patients explaining their low bite force values. In conclusion, the masseter muscle follows the general progress of the disease. Orofacial function in DMD patients is becoming ever more important as their life expectancy increases.

Termite assemblages in five semideciduous Atlantic Forest fragments in the northern coastland limit of the biome

Termites are abundant organisms in tropical ecosystems and strongly influence the litter decomposition and soil formation. Despite their importance, few studies about their assemblage structures have been made in Brazilian Atlantic Forest fragments, especially in the area located north of the São Francisco River. This study aims to analyze the assemblage composition of five Atlantic Forest fragments located in the northern biome limit along the Brazilian coast. A standardized sampling protocol of termites was applied in each fragment. Thirty-three termite species belonging to twenty genera and three families were found in the forest fragments. The wood-feeder group was dominant both concerning to species richness and number of encounters in all areas. In sites northern to 7°S, there is an evident simplification of the termite assemblage composition regarding species richness and number of encounters by feeding group. This fact is apparently due to a higher sandy level in soils and to semideciduous character of the vegetation in the northern fragments. Thus, even on the north of São Francisco River, termite biodiversity is heterogeneously spread with highest density of species in the portion between 07°S and São Francisco River mouth (10°29'S).

Intraepithelial carcinoma of the oesophagus: endoscopic morphology.

The endoscopic detection of 18 "early" hypopharyngo-oesophageal carcinomas, has allowed us to perform a detailed study of the morphological correlation between endoscopy and histology (in 10 cases). We have thus defined 4 different endoscopic types of intraepithelial carcinomas; their morphology, mapping and evolution are greatly variable. In high risk groups (heavy smoking and alcohol consumption, ENt-cancer) the multicentricity of intraepithelial carcinomas (80%) entails a thorough endoscopic screening of the upper digestive tract (mouth, pharynx, oesophagus) and of the lower respiratory tract (larynx, trachea and bronchi).

Le reflux gastro-oesophagien: l'apport de l'endoscopie dans l'indication opératoire et les contrôles postopératoires [Gastroesophageal reflux: importance of endoscopy in surgical indications and postoperative control].

Endoscopy constitutes an important investigation in the presence of a gastro-oesophageal reflux. The primary intention is to exclude the possibility of an organic pathology, for example cancer, which has not been demonstrated by other investigative procedures. Accordingly it must provide a detailed exploration of the whole superior digestive tract, from the mouth to the duodenum. Secondly, endoscopy must establish the consequence of the reflux on the mucosa of the lower oesophagus both by a macroscopic and a detailed microscopic description. Peptic lesions are classified according to 4 degrees of severity. The difficulty in evaluating the very early lesions (1st degree) and the advanced stages (4th degree) necessitates systematic biopsies of the lesions. The erythroplasic type of carcinoma in situ can present the same endoscopic changes as a 1st degree peptic lesion, whereas the exclusion of an adenocarcinoma constitutes the major preoccupation at the time of endoscopy of a 4th degree oesophagitis.

Composición y estructura de las comunidades de algas bentónicas de ambientes portuarios: El puerto de Blanes

The species composition and the structure of the harbour communities of Enteromorpha copmpressa, Corallina elongata and the internal communities in Blanes harbour (Girona, Spain), have been studied by means of descriptive and analytical data. All the quantitative parameters studied show a decrease of diversity in the more superficial stations of the mouth of the harbour, and also an increasing diversity and a drastic decreasing of the reproduction indices at the more polluted stations

Sedimentos marinos superficiales del litoral de Tacna, Perú, 2004

Los sedimentos submarinos colectados a fines de setiembre 2004 a profundidades <50 m, al sur de la desembocadura del río Sama (18°10’S), fueron predominantemente arenosos (>60%). El mayor contenido de la fracción fina, de limo y arcilla (±35%), se ubicó en las zonas más profundas del área en estudio y en los extremos norte (frente a Cerro Cortado) y al sur (Los Palos), que incluyen también zonas de menor profundidad. En la zona central, la pendiente tiene la mayor inclinación de toda la zona estudiada, y el tamaño promedio del grano del sedimento es más grande; estas condiciones constituyen un reflejo de la mayor energía hidrodinámica que existe. En la zona central también se observa la típica disminución del tamaño de grano, según se incrementa la profundidad y la lejanía de la línea de costa. La distribución de materia orgánica mostró tendencia similar a la de fracción fina, con un máximo de 5,02%.

Efectos del tamaño de anzuelo sobre capturas y tallas del perico Coryphaena hippurus

Se evidenció alta selección interespecífica del espinel superficial experimental, al capturar 130 ejemplares de perico Coryphaena hippurus (87,8%) del total de 148 especímenes que incluyeron 8 especies entre peces, tortugas y cefalópodos; como pesca incidental se registró 1 enganche por lance de tortugas (verde Chelonia mydas y amarilla Caretta caretta). El anzuelo más eficiente para la captura de esta especie, fue el de menor calibre (Nº 6) que capturó 24,6%, el menos eficiente fue el Nº 5 (16,9%); sin embargo, mediante el ANOVA de dos vías se estableció que no existía efecto del tamaño de anzuelo sobre el número de ejemplares capturados (p= 0,963). Los anzuelos no evidenciaron una selección de tallas, al no establecerse diferencias significativas entre distribución de tallas (p= 0,538), excepto para los anzuelos Nº 2 y 6 (p= 0,084), al identificarse diferencia por efecto del tamaño de anzuelo. Las longitudes medias estimadas fueron 119,7 cm, 116,8 cm, 118,3 cm, 115,0 cm y 113,7 cm, para los anzuelos Nº 2, 3, 4, 5 y 6, respectivamente. El tamaño de anzuelo mostró un fuerte efecto sobre el tipo de enganche (p= 0,002), presentándose con mayor frecuencia los enganches en la agalla (53,1%) y boca (44,6%). Generalmente los enganches en la agalla son ocasionados por los anzuelos grandes (Nº 2 y 3), mientras que los de boca son realizados por los anzuelos más pequeños (Nº 5 y 6). La captura por unidad de esfuerzo (CPUE) global del longline experimental fue 1,2 ejemplares de perico para un esfuerzo de 1000 anzuelos por hora, lo que representa la tercera parte de la CPUE estimada para la flota comercial.

Evaluación ambiental en la zona marino costera de Lambayeque – Perú, 2010.

Se realizaron 2 evaluaciones, en agosto y noviembre-diciembre 2010, entre la desembocadura del Dren 1000 (Bodegones) y la del río Zaña. En el intermareal se registró la mayor temperatura superficial del mar, se registró anomalías de hasta +8,1°C (desembocadura del Dren 1000). En agosto en el submareal, la temperatura promedio fue 16,3 °C; en noviembre-diciembre fue 15,9 °C. Similar tendencia en superficie y fondo se observó en el oxígeno disuelto. Mayor cantidad de sólidos suspendidos totales (SST) se registró alrededor de la desembocadura del Dren 4000 (137,93 mg/L), sobrepasando los límites permisibles para aguas de CEMC y AMC. Aceites y grasas fluctuaron entre 0 y 0,3 mg/L encontrándose dentro de los límites permisibles de CEMC y AMC. En el submareal, los Coliformes Totales (CT) y coliformes Termotolerantes (CTT) cumplieron con la Ley General de Aguas para la clase V y VI; en el intermareal la demanda bioquímica de oxigeno (DBO5) en la desembocadura del Dren 3100, sobrepasó los límites permisibles de calidad de agua. En agosto se registraron 39 especies en el bentos, en noviembre y diciembre fueron 27 especies. Los índices de diversidad de Shannon Wiener y riqueza de especies del macrobentos submareal, se incrementaron de norte a sur, debido al predominio del sustrato fango-arenoso. Los puntos de alteración ambiental fueron las desembocaduras de los drenes 1000, 3100 y 4000, que reciben aguas servidas y desechos orgánicos e industriales de los centros poblados de Lambayeque, Pimentel y Santa Rosa, respectivamente.

Leishmania RNA virus: when the host pays the toll.

The presence of an RNA virus in a South American subgenus of the Leishmania parasite, L. (Viannia), was detected several decades ago but its role in leishmanial virulence and metastasis was only recently described. In Leishmania guyanensis, the nucleic acid of Leishmania RNA virus (LRV1) acts as a potent innate immunogen, eliciting a hyper-inflammatory immune response through toll-like receptor 3 (TLR3). The resultant inflammatory cascade has been shown to increase disease severity, parasite persistence, and perhaps even resistance to anti-leishmanial drugs. Curiously, LRVs were found mostly in clinical isolates prone to infectious metastasis in both their human source and experimental animal model, suggesting an association between the viral hyperpathogen and metastatic complications such as mucocutaneous leishmaniasis (MCL). MCL presents as chronic secondary lesions in the mucosa of the mouth and nose, debilitatingly inflamed and notoriously refractory to treatment. Immunologically, this outcome has many of the same hallmarks associated with the reaction to LRV: production of type 1 interferons, bias toward a chronic Th1 inflammatory state and an impaired ability of host cells to eliminate parasites through oxidative stress. More intriguing, is that the risk of developing MCL is found almost exclusively in infections of the L. (Viannia) subtype, further indication that leishmanial metastasis is caused, at least in part, by a parasitic component. LRV present in this subgenus may contribute to the destructive inflammation of metastatic disease either by acting in concert with other intrinsic "metastatic factors" or by independently preying on host TLR3 hypersensitivity. Because LRV amplifies parasite virulence, its presence may provide a unique target for diagnostic and clinical intervention of metastatic leishmaniasis. Taking examples from other members of the Totiviridae virus family, this paper reviews the benefits and costs of endosymbiosis, specifically for the maintenance of LRV infection in Leishmania parasites, which is often at the expense of its human host.

Sex differentials in Swiss cancer mortality.

Swiss national cancer mortality statistics from 1951 to 1984 and survival rates from the Vaud Cancer Registry datafile over the period 1974-1980 were considered in terms of sex ratios. Overall age-standardized cancer mortality for population aged 35-64 showed only a moderate decline in males (from 230 to 221/100,000), but a substantial one in females (from 191 to 152/100,000). Mortality from most cancer sites (except gallbladder and thyroid) was persistently higher in males, the male/female ratio ranging between 1.2 for intestines, skin, brain and lympho-reticular neoplasms to about 2 for stomach or pancreas, up to 7-10 for lung and cancers related to tobacco and alcohol (mouth or pharynx, oesophagus). The sex ratio for lung cancer increased between the early 1950's and the mid 1960's, but noticeably declined thereafter, probably reflecting trends in smoking prevalence among subsequent generations of Swiss males and females. Less obvious is the substantial increase in the sex ratio for liver cancer (from 1.6 to 5.7), which was evident in younger middle age, too. Population-based cancer survival statistics indicated that for most common sites rates were appreciably higher in females than in males. Thus, better survival explains part of the advantage in cancer mortality for women. This can be related to earlier diagnosis, better compliance or responsiveness to treatment, although there is no obvious single interpretation for this generalized more favourable pattern in females.

Predatory cannibalism in Drosophila melanogaster larvae.

Hunting live prey is risky and thought to require specialized adaptations. Therefore, observations of predatory cannibalism in otherwise non-carnivorous animals raise questions about its function, adaptive significance and evolutionary potential. Here we document predatory cannibalism on larger conspecifics in Drosophila melanogaster larvae and address its evolutionary significance. We found that under crowded laboratory conditions younger larvae regularly attack and consume 'wandering-stage' conspecifics, forming aggregations mediated by chemical cues from the attacked victim. Nutrition gained this way can be significant: an exclusively cannibalistic diet was sufficient for normal development from eggs to fertile adults. Cannibalistic diet also induced plasticity of larval mouth parts. Finally, during 118 generations of experimental evolution, replicated populations maintained under larval malnutrition evolved enhanced propensity towards cannibalism. These results suggest that, at least under laboratory conditions, predation on conspecifics in Drosophila is a functional, adaptive behaviour, which can rapidly evolve in response to nutritional conditions.

Specific (granulomatous) oral lesions of sarcoidosis: Report of two cases

Sarcoidosis is a multisystemic granulomatous disease of unknown etiology that usually presents with bilateral hiliar adenopathies, pulmonary infiltrations, and ocular and cutaneous lesions. The specific cutaneous lesions, or granulomatous, are produced in from 9% to 37% of patients with systemic sarcoidosis. Nevertheless, few patients have been described having specific lesions from sarcoidosis in the oral mucous membrane. We present 2 patients with systemic sarcoidosis who developed specific sarcoidosis lesions in the oral mucous membrane. The first patient presented a plaque on the tongue of a chronic nature associated with facial lupus pernio. The second patient presented a rapidly growing nodular lesion on the lower lip that was in fact the presentation sign of the disease. Although infrequent, oral lesions may constitute the first sign of systemic sarcoidosis. For this reason the oral mucous membrane needs to be explored when there is suspicion of sarcoidosis, and systemic sarcoidosis must be included in the differential diagnosis of oral granulomatous lesions.

Prediction of difficult intubation with advanced face recognition techniques: a preliminary study

Introduction: Difficult tracheal intubation remains a constant and significant source of morbidity and mortality in anaesthetic practice. Insufficient airway assessment in the preoperative period continues to be a major cause of unanticipated difficult intubation. Although many risk factors have already been identified, preoperative airway evaluation is not always regarded as a standard procedure and the respective weight of each risk factor remains unclear. Moreover the predictive scores available are not sensitive, moderately specific and often operator-dependant. In order to improve the preoperative detection of patients at risk for difficult intubation, we developed a system for automated and objective evaluation of morphologic criteria of the face and neck using video recordings and advanced techniques borrowed from face recognition. Method and results: Frontal video sequences were recorded in 5 healthy volunteers. During the video recording, subjects were requested to perform maximal flexion-extension of the neck and to open wide the mouth with tongue pulled out. A robust and real-time face tracking system was then applied, allowing to automatically identify and map a grid of 55 control points on the face, which were tracked during head motion. These points located important features of the face, such as the eyebrows, the nose, the contours of the eyes and mouth, and the external contours, including the chin. Moreover, based on this face tracking, the orientation of the head could also be estimated at each frame of the video sequence. Thus, we could infer for each frame the pitch angle of the head pose (related to the vertical rotation of the head) and obtain the degree of head extension. Morphological criteria used in the most frequent cited predictive scores were also extracted, such as mouth opening, degree of visibility of the uvula or thyreo-mental distance. Discussion and conclusion: Preliminary results suggest the high feasibility of the technique. The next step will be the application of the same automated and objective evaluation to patients who will undergo tracheal intubation. The difficulties related to intubation will be then correlated to the biometric characteristics of the patients. The objective in mind is to analyze the biometrics data with artificial intelligence algorithms to build a highly sensitive and specific predictive test.

Flux and composition of settling particles across the continental margin of the Gulf of Lion: the role of dense shelf water cascading

Settling particles were collected using sediment traps deployed along three transects in the Lacaze-Duthiers and Cap de Creus canyons and the adjacent southern open slope from October 2005 to October 2006. The settling material was analyzed to obtain total mass fluxes and main constituent contents (organic matter, opal, calcium carbonate, and siliciclastics). Cascades of dense shelf water from the continental shelf edge to the lower continental slope occurred from January to March 2006. They were traced through strong negative near-bottom temperature anomalies and increased current speeds, and generated two intense pulses of mass fluxes in January and March 2006. This oceanographic phenomenon appeared as the major physical forcing of settling particles at almost all stations, and caused both high seasonal variability in mass fluxes and important qualitative changes in settling material. Fluxes during the dense shelf water cascading (DSWC) event ranged from 90.1 g m(-2) d(-1) at the middle Cap de Creus canyon (1000 m) to 3.2 g m(-2) d(-1) at the canyon mouth (1900 m). Fractions of organic matter, opal and calcium carbonate components increased seaward, thus diminishing the siliciclastic fraction. Temporal variability of the major components was larger in the canyon mouth and open slope sites, due to the mixed impact of dense shelf water cascading processes and the pelagic biological production. Results indicate that the cascading event remobilized and homogenized large amounts of material down canyon and southwardly along the continental slope contributing to a better understanding of the off-shelf particle transport and the internal dynamics of DSWC events.