Quantitative analysis of collagen and elastic fibers in the transversalis fascia in direct and indirect inguinal hernia

PURPOSE: Our previous studies demonstrated structural and quantitative age-related changes of the elastic fibers in transversalis fascia, which may play a role in inguinal hernia formation. To verify whether there were differences in the extracellular matrix between direct and indirect inguinal hernia, we studied the amount of collagen and elastic fibers in the transversalis fascia of 36 male patients with indirect inguinal hernia and 21 with direct inguinal hernia. MATERIAL AND METHODS: Transversalis fascia fragments were obtained during surgical intervention and underwent histological quantitative analysis of collagen by colorimetry and analysis of elastic fibers by histomorphometry. RESULTS: We demonstrated significantly lower amounts of collagen and higher amounts of elastic fibers in transversalis fascia from patients with direct inguinal hernia compared to indirect inguinal hernia patients. The transversalis fascia from direct inguinal hernia patients showed structural changes of the mature and elaunin elastic fibers, which are responsible for elasticity, and lower density of oxytalan elastic fibers, which are responsible for resistance. These changes promoted loss of resiliency of the transversalis fascia. CONCLUSION: These results improve our understanding of the participation of the extracellular matrix in the genesis of direct inguinal hernia, suggesting a relationship with genetic defects of the elastic fiber and collagen synthesis.

Bronchiolitis, respiratory syncytial virus, and recurrent wheezing: what is the relationship?

Various follow-up studies of children hospitalized with bronchiolitis caused by respiratory syncytial virus have demonstrated that a significant proportion of infants (50%) have recurrent wheezing during childhood. Nevertheless, the relationship between these two entities, if any, has not been established. In order to explain this observation, several hypotheses have been proposed. The first suggests that some children could have an individual predisposition to bronchiolitis caused by respiratory syncytial virus and recurrent wheezing. The virus could be a marker of this condition, and the individual predisposition could in turn be related to an individual hypersensitivity to common allergens (atopy), airway hyperreactivity, or to some disorder related to pulmonary anatomy or physiology that was present before the acute episode of bronchiolitis. Another hypothesis proposes that respiratory syncytial virus could be directly responsible for recurrent wheezing. During an episode of bronchiolitis, the damage in the airway mucosa caused by the vital inflammatory response to infection contributes to sensitivity to other allergens or exposes irritant receptors, resulting in recurrent wheezing. For this review, we analyzed the studies that discuss these hypotheses with the purpose of clarifying the mechanisms for the important issue of recurrent wheezing in childhood.

Growth and puberty after treatment for acute lymphoblastic leukemia

Over the last 20 years, after combining treatment of chemotherapy and radiotherapy, there has been an improvement in the survival rate of acute lymphoblastic leukemia patients, with a current cure rate of around 70%. Children with the disease have been enrolled into international treatment protocols designed to improve survival and minimize the serious irreversible late effects. Our oncology unit uses the international protocol: GBTLI LLA-85 and 90, with the drugs methotrexate, cytosine, arabinoside, dexamethasone, and radiotherapy. However, these treatments can cause gonadal damage and growth impairment. PATIENTS AND METHOD: The authors analyzed 20 children off therapy in order to determine the role of the various doses of radiotherapy regarding endocrinological alterations. They were divided into 3 groups according to central nervous system prophylaxis: Group A underwent chemotherapy, group B underwent chemotherapy plus radiotherapy (18 Gy), and group C underwent chemotherapy plus radiotherapy (24 Gy). Serum concentrations of LH, FSH, GH, and testosterone were determined. Imaging studies included bone age, pelvic ultrasound and scrotum, and skull magnetic resonance imaging. RESULTS: Nine of the patients who received radiotherapy had decreased pituitary volume. There was a significant difference in the response to GH and loss of predicted final stature (Bayley-Pinneau) between the 2 irradiated groups and the group that was not irradiated, but there was no difference regarding the radiation doses used (18 or 24 Gy). The final predicted height (Bayley-Pinneau) was significantly less (P = 0.0071) in both groups treated with radiotherapy. Two girls had precocious puberty, and 1 boy with delayed puberty presented calcification of the epididymis. CONCLUSION: Radiotherapy was been responsible for late side effects, especially related to growth and puberty.

Des histories de famille. La dévotion aux Trois Maries en France du XIVe au XVe siècle. Textes et images

La légende des Trois Maries, les demi-soeurs nées du trinubium de sainte Anne, fut largement diffusée à partir du XIIIe siècle par la Légende dorée de Jacques de Voragine. L’émergence précoce du culte et de l’iconographie des Trois Maries à Paris, à partir du milieux du XIVe siècle, a été favorisée par la rencontre entre un miracle de guérison, en ordre religieux: les Carmes, en quête de légitimation et une reine de France: Jeanne d’Evreux, dont la descendance fut exclue de la succession au trône. L’iconographie des Trois Maries, dont Jean Venette, auteur carme, raconta l’histoire dans un long récit versifi é, est attestée dans les manuscrits et sur d’autres supports.

Endemic pemphigus foliaceus (fogo selvagem) and pemphigus vulgaris: immunoglobulin G heterogeneity detected by indirect immunofluorescence

Pemphigus are autoimmune intraepidermal blistering diseases in which immunoglobulin G (IgG) autoantibodies are directed against desmosomal glycoproteins. The aim of this study was to determine the IgG subclass profile of endemic pemphigus foliaceus (fogo selvagem) and pemphigus vulgaris utilizing indirect immunofluorescence. PATIENTS AND METHODS: Twenty-five patients with pemphigus vulgaris, 25 with endemic pemphigus foliaceus (fogo selvagem), and 25 healthy controls were analyzed by indirect immunofluorescence for circulating autoantibodies (total IgG and its subclasses). RESULTS: Our data revealed a significant correlation (P <.05) of disease activity and autoantibody levels in both forms of pemphigus, i.e., negative titers related to clinical remission, whereas positive results related to active disease. Immunoglobulin G subclass analysis in fogo selvagem demonstrated that in patients in remission, 56% showed positive immunoglobulin G4; in active disease, immunoglobulin G4 was the predominant subclass (100% positive in all cases). The IgG subclass profile in pemphigus vulgaris showed that in patients in remission, only 10% were positive for immunoglobulin G4; in active disease, positivity for immunoglobulin G4 was present in 78% to 88% of the cases. CONCLUSION: Subclass characterization of immunoglobulin G autoantibodies is a useful tool for pemphigus follow-up, since immunoglobulin G4 (IgG4) is the subclass that is closely related to recognition of pathogenic epitopes, and consequently with disease activity. Careful monitoring should be performed for fogo selvagem in clinical remission with a homogeneous IgG4 response, since this may indicate more frequent relapses.

The effect of intravenous zoledronic acid on glucocorticoid-induced multiple vertebral fractures in juvenile systemic lupus erythematosus

Glucocorticoids are widely used in the treatment of lupus patients, and adverse effects, which include osteoporosis and associated fractures, are frequent. Treatment of osteoporosis of young patients should be effective and not harmful to bone growth and remodeling. Bisphosphonates are drugs that decrease the incidence of bone fractures, but their use in juvenile patients is still controversial because of their possible side effects on the growing skeleton. However, recently published studies showed that linear growth continued normally after treatment with these drugs, and there was no excessive suppression of bone remodeling or mineralization defects. Zoledronic acid is a new intravenous bisphosphonate that has been approved by the US FDA for use with hypercalcemia of malignancies and might be an effective treatment for postmenopausal osteoporosis. The authors report a case of a young girl with systemic lupus who developed multiple vertebral collapses due to glucocorticoid therapy, and zoledronic acid was used producing significant clinical and densitometric improvement.

CEO overconfidence and leverage ratio: Evidence from the founder members of Mila

The study investigates the impact of the managerial overconfidence bias on the capital structure of a sample of 78 firms from Chile, Peru and Colombia, during the years 1996-2014. We infer that there is a positive relation between the leverage ratio and a) the overconfidence; b) the experience and c) the male gender of the executive. Overconfidence is measured according to the status of the CEO (entrepreneur or not-entrepreneur) and the hypotheses are tested through dynamic panel data model. The empirical results show a highly significant positive correlation between overconfidence and leverage ratio and between gender and leverage ratio while, in contrast, the relation between experience and leverage ratio is negative.

The financial leverage of large Portuguese Firms in the European context

The Financial Leverage of Large Portuguese Firms in the European Context This paper studies the leverage, cost of debt servicing ability and structure of debt maturity of large Portuguese firms, over the pre-crisis (2006-2009) and post-crisis (2010-2013) periods through a comparative analysis with other European peers. We document that large Portuguese firms have been reducing their leverage since the end of 2009. We find that this decrease in leverage is not a consequence higher Equity levels but rather a result of asset’s downsizing. We also document that Portuguese firms are still more leveraged than their European peers, even though this difference has decreased over time. High corporate debt levels are transversal across industries.

Bolachas de maçã biofortificadas em cálcio: formulação e análise nutricional

A epiderme da maçã biofortificada, rica em compostos antioxidantes, fibra dietética e cálcio proveniente do processo de biofortificação, é um subproduto da indústria de polpas e néctares com um elevado valor tecnológico e nutricional e com potencial para ser usado de um modo sustentável no desenvolvimento de novos produtos. Este subproduto foi utilizado para a produção de uma farinha e posterior utilização como ingrediente substituinte da farinha de trigo em preparados para elaboração de bolachas de maçã biofortificadas em cálcio. As análises físico-químicas e sensoriais realizadas demostraram que um preparado de bolachas contendo 25% de farinha de maçã apresenta um teor de fibra dietética de 4 g /100 g de produto, enquanto no preparado controlo, não contendo este novo ingrediente, não foi detetada a presença de fibra dietética. O teor de compostos fenólicos é também superior em quase 80% nos preparados contendo farinha de maçã (110 mg EAG/100 g de produto) comparativamente com o teor determinado no preparado controlo (24 mg EAG/100 g de produto). Comprovou-se ainda que os preparados de bolacha contendo farinha de maçã biofortificada em cálcio têm um teor deste mineral superior, em cerca de 15% a 25%, aos preparados contendo farinha de maçã não biofortificada e ao controlo. A análise sensorial realizada indicou que, para além das mais-valias nutricionais, a presença da farinha de maçã representa também uma melhoria substancial das características organolépticas do produto. Conclui-se que a substituição parcial da farinha de trigo e milho, normalmente utilizada neste tipo de produtos alimentares, pela farinha de maçã biofortificada em cálcio representa uma adição de valor quer nutricional, com efeitos benéficos para a saúde, quer sensorial ao preparado de bolachas dando origem a um novo produto alimentar.

Composição química e percentual de adequação da dieta dos servidores do instituto nacional de pesquisas da Amazônia, Manaus, AM, Brasil

Foi avaliada a composição química e percentual de adequação das dietas coletadas por meio da porção em duplicata de 36 servidores do Instituto Nacional de Pesquisas da Amazônia (INPA). De acordo com os resultados obtidos, verificou-se uma diversificação de alimentos frequentemente consumidos, dentre eles: açúcar (91,7%), arroz (80,6%), café (77,8%), leite (72,3%), carne bovina e pão (63,9%), farinha de mandioca (58,4%), batata inglesa (55,6%), feijão (50,04%), aves (38,9%), banana, cenoura e embutidos (33,4%), ovo, refrigerantes e tomate (30,6%). Considerando as recomendações nutricionais para a faixa etária de 25 a 50 anos, as adequações calóricas foram 40% e 52,7% para homens e mulheres respectivamente, protéica 76,4% (homens) e 96,3% (mulheres). Os minerais Ca, Mg e Zn (homens) apresentaram adequação inferior a 50%, enquanto que o Fe apresentou adequação de 89,1% (homens) e 59.4% (mulheres). Os minerais Na, Cu, Cl, Cr e I apresentaram valores acima do recomendado em ambos os sexos. Apesar da grande variedade de alimentos ingeridos por esta população, verificou-se valores limitantes para a maioria dos nutrientes, independentemente do sexo. Mesmo pertencendo a um nível sócio-cultural mais privilegiado, fica patente a importância da orientação alimentar a esse grupo populacional, pois é um dos pontos principais no que concerne as condições de saúde e nutrição da população.

Contribution to the study of Himatanthus sucuuba: latex macromolecule, microelements and carbohydrates

The polymeric material in the latex of Himatanthus sucuuba (Spruce) Woodson was identified by spectroscopic methods as cis-polyisoprene (Mn = 192; Mw = 571; Mw/ Mn = 2.97). ICP-MS analysis of microelements in the aqueous phase showed the most abundant to be Ca (354 μg/g) and Mg (250 μg/g). Carbohydrate analysis of the aqueous phase by HPLC-PAD showed arabinose, glucose, xylose, rhamnose and galactose to be the predominant saccharides.

The occurrence of the Asian Clam Corbicula fluminea in the lowe amazon basin

This paper records for the first time the presence of Corbicula fluminea (Philipi, 1844) in the Brazilian Amazon Basin. This exotic bivalve was found in localities on the Amazonas, Pará and Tocantins rivers. Density and population size structure were measured in some localities. Mean density is between 6.66 and 7.3 individuals m-2. Population size structure and the dates of the first records suggest that the introductions may have occurred between 1997 and 1998. The introductions may have been mediated by ocean-going vessels visiting the ports of Manaus and Belém. The potential impact of the invasion on native freshwater bivalves is discussed along with the need for monitoring and prevention of further introductions of non-indigenous bivalves in Brazil.

Automatic generation of ETL physical systems from BPMN conceptual models

ETL conceptual modeling is a very important activity in any data warehousing system project implementation. Owning a high-level system representation allowing for a clear identification of the main parts of a data warehousing system is clearly a great advantage, especially in early stages of design and development. However, the effort to model conceptually an ETL system rarely is properly rewarded. Translating ETL conceptual models directly into something that saves work and time on the concrete implementation of the system process it would be, in fact, a great help. In this paper we present and discuss a hybrid approach to this problem, combining the simplicity of interpretation and power of expression of BPMN on ETL systems conceptualization with the use of ETL patterns to produce automatically an ETL skeleton, a first prototype system, which has the ability to be executed in a commercial ETL tool like Kettle.

The drought of the century in the Amazon Basin: an analysis of the regional variation of rainfall in South America in 1926

The most severe drought in tropical South America during the 20th century occurred in 1926. This extreme El Nino year is further documented anecdotally, in an update of the river stage observations at Manaus, and in annual rainfall records. The annual rainfall anomaly is an east-west dipole over tropical South America, with drought to the west over the Amazon basin whose discharge is documented at Manaus, and with a surplus to the east and including the Nordeste region of Brazil. Speculations about a role for aerosol in aggravating the drought are discussed.

Bees visitors of three species of Clusia (Clusiaceae) flowers in Central Amazonia

Observations on bees visitors to three species of Clusia (Clusiaceae) flowers in the Reserva Adolpho Ducke, Manaus, Amazonas, Brazil were made during three two-week periods. The three species of Clusia, namely C. grandiflora, C. panapanari and C. insignis, presented variations regarding the species of bee visitors. A total of 23 bee species visited the three species of Clusia. The Euglossini and Meliponinae bees were the most frequent visitors of the Clusia flowers. Bee collecting behavior of floral resources is described.