Contribution of magnetic resonance in acute spinal cord trauma - case report

Acute spinal cord trauma is a common injury that occurs frequently in small animals. In order to acertain a prognosis of the lesion generated in the spinal cord, it is necessary to perform a complete neurological and physical examination, aided by complementary images. Magnetic resonance imaging may be advantageous over other types of images, because it can determine with greater definition the structural damage to the nervous tissue. The objective of this report was to demonstrate the contribution of magnetic resonance imaging in a case of acute spinal cord trauma in a dog.

Effects of chronic fluoride intake on the antioxidant systems of the liver and kidney in rats

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

Avaliação do método da quebra do grafite para estimação da sensibilidade de transdutores piezelétricos utilizados na técnica da Impedância Eletromecânica

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

Tiouréia no desenvolvimento de girinos de rã-touro e no desempenho de animais pós-metamórficos

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Avaliação da atividade da unidade epidermo-melânica e do dano dérmico no melasma

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

Translocation of nine-banded armadillos

During the last 150 years, nine-banded armadillos (Dasypus novemcinctus) have increased their range and abundance in the southeastern United States. When foraging, armadillos cause damage to agricultural crops as, as well as cause structural damage to driveways and foundations. Homeowners frequently use translocation to reduce local armadillo abundance. Despite its popularity with the general public, however, the appropriateness of nuisance wildlife translocation presents concerns for biologists. Our objective was to address some of these concerns by examining survival and movements of translocated armadillos. We translocated 12 armadillos (9 male, 3 female) equipped with radio-transmitters and compared their survival and movements to that of 29 (11 male, 18 female) resident armadillos. Most (92%) of the translocated animals dispersed from their release site within the fi rst few days after release. Resident armadillos generally maintained stable home ranges. We found evidence that translocated animals were abl to return to their original capture sites. We, therefore, recommend against translocating nuisance armadillos.

Structure-function Relationships Using the Cirrus Spectral Domain Optical Coherence Tomograph and Standard Automated Perimetry

Purpose: To evaluate the relationship between glaucomatous structural damage assessed by the Cirrus Spectral Domain OCT (SDOCT) and functional loss as measured by standard automated perimetry (SAP). Methods: Four hundred twenty-two eyes (78 healthy, 210 suspects, 134 glaucomatous) of 250 patients were recruited from the longitudinal Diagnostic Innovations in Glaucoma Study and from the African Descent and Glaucoma Evaluation Study. All eyes underwent testing with the Cirrus SDOCT and SAP within a 6-month period. The relationship between parapapillary retinal nerve fiber layer thickness (RNFL) sectors and corresponding topographic SAP locations was evaluated using locally weighted scatterplot smoothing and regression analysis. SAP sensitivity values were evaluated using both linear as well as logarithmic scales. We also tested the fit of a model (Hood) for structure-function relationship in glaucoma. Results: Structure was significantly related to function for all but the nasal thickness sector. The relationship was strongest for superotemporal RNFL thickness and inferonasal sensitivity (R(2) = 0.314, P < 0.001). The Hood model fitted the data relatively well with 88% of the eyes inside the 95% confidence interval predicted by the model. Conclusions: RNFL thinning measured by the Cirrus SDOCT was associated with correspondent visual field loss in glaucoma.

Evolutionäre Veränderungen in der Nutzung redox-aktiver Aminosäuren und ihre Ursachen

Gewebe, Zellen und speziell Zellkompartimente unterscheiden sich in ihrer Sauerstoffkonzentration, Stoffwechselrate und in der Konzentration an gebildeten reaktiven Sauerstoffspezies. Um eine mögliche Änderung in der Aminosäurennutzung durch den Einfluss von Sauerstoff und seinen reaktiven Spezies untersuchen zu können wurden, Bereiche bzw. Kompartimente der menschlichen Zelle definiert, die einen Referenzrahmen bildeten und bekannt dafür sind, einen relativ hohen Grad an reaktiven Sauerstoffspezies aufzuweisen. Aus dem Vergleich wurde deutlich, dass vor allem die beiden redox-aktiven und schwefeltragenden Aminosäuren Cystein und Methionin durch eine besondere Verteilung und Nutzung charakterisiert sind. Cystein ist hierbei diejenige Aminosäure mit den deutlichsten Änderungen in den fünf untersuchten Modellen der oxidativen Belastung. In all diesen Modellen war die Nutzung von Cystein deutlich reduziert, wohingegen Methionin in Proteinen des Mitochondriums und der Elektronentransportkette angereichert war. Dieser auf den ersten Blick paradoxe Unterschied zwischen Cystein und Methionin wurde näher untersucht, indem die differenzierte Methioninnutzung in verschiedenen Zellkompartimenten von Homo sapiens charakterisiert wurde.rnDie sehr leicht zu oxidierende Aminosäure Methionin zeigt ein ungewöhnliches Verteilungsmuster in ihrer Nutzungshäufigkeit. Entgegen mancher Erwartung wird Methionin in zellulären Bereichen hoher oxidativer Belastung und starker Radikalproduktion intensiv verwendet. Dieses Verteilungsmuster findet man sowohl im intrazellulären Vergleich, als auch im Vergleich verschiedener Spezies untereinander, was daraufhin deutet, dass es einen lokalen Bedarf an redox-aktiven Aminosäuren gibt, der einen sehr starken Effekt auf die Nutzungshäufigkeit von Methionin ausübt. Eine hohe Stoffwechselrate, die im Allgemeinen mit einer erhöhten Produktion von Oxidantien assoziiert wird, scheint ein maßgeblicher Faktor der Akkumulation von Methionin in Proteinen der Atmungskette zu sein. Die Notwendigkeit, oxidiertes Antioxidans wieder zu reduzieren, findet auch bei Methionin Anwendung, denn zu Methioninsulfoxid oxidiertes Methionin wird durch die Methioninsulfoxidreduktase wieder zu Methionin reduziert. Daher kann die spezifische Akkumulation von Methionin in Proteinen, die verstärkt reaktiven Sauerstoffspezies ausgesetzt sind, als eine systematische Strategie angesehen werden, um andere labile Strukturen vor ungewollter Oxidation zu schützen. rnDa Cystein in allen untersuchten Modellen der oxidativen Belastung und im Besonderen in Membranproteinen der inneren Mitochondrienmembran lebensspannenabhängig depletiert war, wurde dieses Merkmal näher untersucht. Deshalb wurde die Hypothese getestet, ob ein besonderer Redox-Mechanismus der Thiolfunktion für diese selektive Depletion einer im Allgemeinen als harmlos oder antioxidativ geltenden Aminosäure verantwortlich ist. Um den Effekt von Cysteinresten in Membranen nachzustellen, wurden primäre humane Lungenfibroblasten (IMR90) mit diversen Modellsubstanzen behandelt. Geringe Konzentrationen der lipophilen Substanz Dodecanthiol verursachten eine signifikante Toxizität in IMR90-Zellen, die von einer schnellen Zunahme an polyubiquitinierten Proteinen und anderen Indikatoren des proteotoxischen Stresses, wie Sequestosom 1 (P62), HSP70 und HSP90 begleitet wurde. Dieser Effekt konnte spezifisch der Chemie der Thiolfunktion in Membranen zugeordnet werden, da Dodecanol (DOH), Dodecylmethylsulfid (DMS), Butanthiol oder wasserlösliche Thiole weder eine cytotoxische Wirkung noch eine Polyubiquitinierung von Proteinen verursachten. Die Ergebnisse stimmen mit der Hypothese überein, dass Thiole innerhalb von biologischen Membranen als radikalische Kettentransferagentien wirken. Diese Eigenschaft wird in der Polymerchemie durch Nutzung von lipophilen Thiolen in hydrophoben Milieus technisch für die Produktion von Polymeren benutzt. Da die Thiylradikal-spezifische Reaktion von cis-Fettsäuren zu trans-Fettsäuren in 12SH behandelten Zellen verstärkt ablief, kann gefolgert werden, dass 12SH zellulär radikalisiert wurde. In lebenden Organismen kann demnach die Oxidation von Cystein die Schädigung von Membranen beschleunigen und damit Einfallstore für die laterale Radikalisierung von integralen Membranproteinen schaffen, welche möglicherweise der Langlebigkeit abträglich ist, zumindest, wenn sie in der inneren Mitochondrienmembran auftritt.

Statin therapy and the expression of genes that regulate calcium homeostasis and membrane repair in skeletal muscle

In skeletal muscle of patients with clinically diagnosed statin-associated myopathy, discrete signs of structural damage predominantly localize to the T-tubular region and are suggestive of a calcium leak. The impact of statins on skeletal muscle of non-myopathic patients is not known. We analyzed the expression of selected genes implicated in the molecular regulation of calcium and membrane repair, in lipid homeostasis, myocyte remodeling and mitochondrial function. Microscopic and gene expression analyses were performed using validated TaqMan custom arrays on skeletal muscle biopsies of 72 age-matched subjects who were receiving statin therapy (n = 38), who had discontinued therapy due to statin-associated myopathy (n = 14), and who had never undergone statin treatment (n = 20). In skeletal muscle, obtained from statin-treated, non-myopathic patients, statins caused extensive changes in the expression of genes of the calcium regulatory and the membrane repair machinery, whereas the expression of genes responsible for mitochondrial function or myocyte remodeling was unaffected. Discontinuation of treatment due to myopathic symptoms led to a normalization of gene expression levels, the genes encoding the ryanodine receptor 3, calpain 3, and dystrophin being the most notable exceptions. Hence, even in clinically asymptomatic (non-myopathic) patients, statin therapy leads to an upregulation in the expression of genes that are concerned with skeletal muscle regulation and membrane repair.

Use and Performance of In-Stream Structures for River Restoration: a Case Study from North Carolina

In-stream structures including cross-vanes, J-hooks, rock vanes, and W-weirs are widely used in river restoration to limit bank erosion, prevent changes in channel gradient, and improve aquatic habitat. During this investigation, a rapid assessment protocol was combined with post-project monitoring data to assess factors influencing the performance of more than 558 in-stream structures and rootwads in North Carolina. Cross-sectional survey data examined for 221 cross sections from 26 sites showed that channel adjustments were highly variable from site to site, but approximately 60 % of the sites underwent at least a 20 % net change in channel capacity. Evaluation of in-stream structures ranging from 1 to 8 years in age showed that about half of the structures were impaired at 10 of the 26 sites. Major structural damage was often associated with floods of low to moderate frequency and magnitude. Failure mechanisms varied between sites and structure types, but included: (1) erosion of the channel bed and banks (outflanking); (2) movement of rock materials during floods; and (3) burial of the structures in the channel bed. Sites with reconstructed channels that exhibited large changes in channel capacity possessed the highest rates of structural impairment, suggesting that channel adjustments between structures led to their degradation of function. The data question whether currently used in-stream structures are capable of stabilizing reconfigured channels for even short periods when applied to dynamic rivers.

Spinal Cord Diffusion-Tensor Imaging and Motor-evoked Potentials in Multiple Sclerosis Patients: Microstructural and Functional Asymmetry

Purpose: To assess possible association between intrinsic structural damage and clinical disability by correlating spinal cord diffusion-tensor (DT) imaging data with electrophysiological parameters in patients with a diagnosis of multiple sclerosis (MS). Materials and Methods: This study was approved by the local ethical committee according to the declaration of Helsinki and written informed consent was obtained. DT images and T1- and T2-weighted images of the spinal cord were acquired in 28 healthy volunteers and 41 MS patients. Fractional anisotropy (FA) and apparent diffusion coefficients were evaluated in normal-appearing white matter (NAWM) at the cervical level and were correlated with motor-evoked potentials (n = 34). Asymmetry index was calculated for FA values with corresponding left and right regions of interest as percentage of the absolute difference between these values relative to the sum of the respective FA values. Statistical analysis included Spearman rank correlations, Mann-Whitney test, and reliability analysis. Results: Healthy volunteers had low asymmetry index (1.5%-2.2%). In MS patients, structural abnormalities were reflected by asymmetric decrease of FA (asymmetry index: 3.6%; P = .15). Frequently asymmetrically affected among MS patients was left and right central motor conduction time (CMCT) to abductor digiti minimi muscle (ADMM) (asymmetry index, 15%-16%) and tibialis anterior muscle (TAM) (asymmetry index, 9.5%-14.1%). Statistically significant correlations of functional (ie, electrophysiological) and structural (ie, DT imaging) asymmetries were found (P = .005 for CMCT to ADMM; P = .007 for CMCT to TAM) for the cervical lateral funiculi, which comprise the crossed pyramidal tract. Interobserver reliability for DT imaging measurements was excellent (78%-87%). Conclusion: DT imaging revealed asymmetric anatomic changes in spinal cord NAWM, which corresponded to asymmetric electrophysiological deficits for both arms and legs, and reflected a specific structure-function relationship in the human spinal cord. © RSNA, 2013.

The value of conservative treatment in ruptures of the anterior cruciate ligament (ACL)

BACKGROUND: Thirty-eight of the 73 consecutive acute ruptures of the anterior cruciate ligament (ACL) proven by a magnetic resonance imaging scan (MRI) in skeletally mature patients (16-55 years old) were classified as suitable for primarily conservative treatment. Patient selection was performed using a preoperative screening protocol based on the structural damage, clinical symptoms, compliance, sportive activity, and the consent of a well-informed patient. METHODS: In 12 of the 38 treated patients, the conservative protocol showed a good to very good outcome, 2 patients had persistent giving-way and were considering ACL reconstruction, 14 patients had a secondary ACL reconstruction in our clinic (average 5.3 months after injury), 9 patients were operated on in other hospitals (average 13.3 months after injury), and 1 patient was lost to follow-up. RESULTS: All patients with successful conservative treatment were able to perform low-risk pivoting sports and two patients are practicing high-risk pivoting sports. The average International Knee Documentation Committee (IKDC) score was 92.5 (82.8-98.9); the subjective overall knee function was 93% (60% to 100%). Of the 12 patients with good and very good results, 6 continued playing the same sports at an unreduced intensity, 4 patients reduced their activities slightly, and 1 patient played more sports than before. CONCLUSIONS: Although the authors performed a preoperative screening to select patients suitable for conservative treatment, almost two-thirds of the primarily conservatively treated ACL ruptures needed an operative reconstruction in the long term. In one-third of the patients, conservative treatment led to a good or very good result. At the endpoint of the study only 12 (16%) of a total of 73 patients with acute injuries of the ACL had successful conservative treatment. Therefore, patients must be comprehensively instructed about the treatment program and the chances of success of conservative ACL treatment.

The role of the sinuses of Valsalva in aortic root flow dynamics and aortic root surgery: evaluation by magnetic resonance imaging

BACKGROUND AND AIM OF THE STUDY: Combined replacement of the aortic valve and ascending aorta using a composite graft represents the standard treatment for dilated aortic root with concomitant structural damage of the aortic valve, especially when the aortic valve cannot be preserved. Unfortunately, hemodynamic changes associated with prosthetic replacement of the aortic root have not been fully elucidated. The study aim was to compare hemodynamics within the replaced aortic root using either a prosthetic vascular graft with bulges mimicking the sinuses of Valsalva and including a stented pericardial valve, or a straight xenopericardial conduit and a stentless porcine valve. METHODS: Between July 2004 and March 2006, a total of 35 patients (mean age 65.2 years: range: 32-80 years) was enrolled into the present study. Aortic root replacement was performed in nine patients with a Valsalva graft (Gelweave Valsalva; Vascutek, Renfrewshire, UK) including a stented pericardial valve, and in 19 patients with a xenopericardial conduit containing a stentless porcine valve. All patients underwent postoperative magnetic resonance imaging (MRI). A control group of seven patients allowed for comparison with native aortic root hemodynamics. RESULTS: Maximum flow-velocity above the aortic valve as one marker of compliance of the aortic root was slightly higher in patients with a Valsalva graft compared to native aortic roots (1.9 m/s versus 1.3 m/s, p = 0.001), but was significantly lower than in patients with the xenopericardial graft without neo-sinuses (1.3 m/s versus 2.4 m/s, p < 0.001). CONCLUSION: The pre-shaped bulges in the prosthetic Valsalva graft effectively mimic the native sinuses of Valsalva, improve compliance of the aortic root, and result in a more physiologic flow pattern, as demonstrated by postoperative MRI.

Estimación del riesgo sísmico en puerto príncipe (Haití)

Tras el devastador terremoto del 12 de enero de 2010 en Puerto Príncipe, Haití, las autoridades locales, numerosas ONGs y organismos nacionales e internacionales están trabajando en el desarrollo de estrategias para minimizar el elevado riesgo sísmico existente en el país. Para ello es necesario, en primer lugar, estimar dicho riesgo asociado a eventuales terremotos futuros que puedan producirse, evaluando el grado de pérdidas que podrían generar, para dimensionar la catástrofe y actuar en consecuencia, tanto en lo referente a medidas preventivas como a adopción de planes de emergencia. En ese sentido, este Trabajo Fin de Master aporta un análisis detallado del riesgo sísmico asociado a un futuro terremoto que podría producirse con probabilidad razonable, causando importantes daños en Puerto Príncipe. Se propone para ello una metodología de cálculo del riesgo adaptada a los condicionantes de la zona, con modelos calibrados empleando datos del sismo de 2010. Se ha desarrollado en el marco del proyecto de cooperación Sismo-Haití, financiado por la Universidad Politécnica de Madrid, que comenzó diez meses después del terremoto de 2010 como respuesta a una petición de ayuda del gobierno haitiano. El cálculo del riesgo requiere la consideración de dos inputs: la amenaza sísmica o movimiento esperado por el escenario definido (sismo de cierta magnitud y localización) y los elementos expuestos a esta amenaza (una clasificación del parque inmobiliario en diferentes tipologías constructivas, así como su vulnerabilidad). La vulnerabilidad de estas tipologías se describe por medio de funciones de daño: espectros de capacidad, que representan su comportamiento ante las fuerzas horizontales motivadas por los sismos, y curvas de fragilidad, que representan la probabilidad de que las estructuras sufran daños al alcanzar el máximo desplazamiento horizontal entre plantas debido a la mencionada fuerza horizontal. La metodología que se propone especifica determinadas pautas y criterios para estimar el movimiento, asignar la vulnerabilidad y evaluar el daño, cubriendo los tres estados del proceso. Por una parte, se consideran diferentes modelos de movimiento fuerte incluyendo el efecto local, y se identifican los que mejor ajustan a las observaciones de 2010. Por otra se clasifica el parque inmobiliario en diferentes tipologías constructivas, en base a la información extraída en una campaña de campo y utilizando además una base de datos aportada por el Ministerio de Obras Públicas de Haití. Ésta contiene información relevante de todos los edificios de la ciudad, resultando un total de 6 tipologías. Finalmente, para la estimación del daño se aplica el método capacidad-demanda implementado en el programa SELENA (Molina et al., 2010). En primer lugar, utilizado los datos de daño del terremoto de 2010, se ha calibrado el modelo propuesto de cálculo de riesgo sísmico: cuatro modelos de movimiento fuerte, tres modelos de tipo de suelo y un conjunto de funciones de daño. Finalmente, con el modelo calibrado, se ha simulado un escenario sísmico determinista correspondiente a un posible terremoto con epicentro próximo a Puerto Príncipe. Los resultados muestran que los daños estructurales serán considerables y podrán llevar a pérdidas económicas y humanas que causen un gran impacto en el país, lo que pone de manifiesto la alta vulnerabilidad estructural existente. Este resultado será facilitado a las autoridades locales, constituyendo una base sólida para toma de decisiones y adopción de políticas de prevención y mitigación del riesgo. Se recomienda dirigir esfuerzos hacia la reducción de la vulnerabilidad estructural - mediante refuerzo de edificios vulnerables y adopción de una normativa sismorresistente- y hacia el desarrollo de planes de emergencia. Abstract After the devastating 12 January 2010 earthquake that hit the city of Port-au-Prince, Haiti, strategies to minimize the high seismic risk are being developed by local authorities, NGOs, and national and international institutions. Two important tasks to reach this objective are, on the one hand, the evaluation of the seismic risk associated to possible future earthquakes in order to know the dimensions of the catastrophe; on the other hand, the design of preventive measures and emergency plans to minimize the consequences of such events. In this sense, this Master Thesis provides a detailed estimation of the damage that a possible future earthquake will cause in Port-au-Prince. A methodology to calculate the seismic risk is proposed, adapted to the study area conditions. This methodology has been calibrated using data from the 2010 earthquake. It has been conducted in the frame of the Sismo-Haiti cooperative project, supported by the Technical University of Madrid, which started ten months after the 2010 earthquake as an answer to an aid call of the Haitian government. The seismic risk calculation requires two inputs: the seismic hazard (expected ground motion due to a scenario earthquake given by magnitude and location) and the elements exposed to the hazard (classification of the building stock into building typologies, as well as their vulnerability). This vulnerability is described through the damage functions: capacity curves, which represent the structure performance against the horizontal forces caused by the seisms; and fragility curves, which represent the probability of damage as the structure reaches the maximum spectral displacement due to the horizontal force. The proposed methodology specifies certain guidelines and criteria to estimate the ground motion, assign the vulnerability, and evaluate the damage, covering the whole process. Firstly, different ground motion prediction equations including the local effect are considered, and the ones that have the best correlation with the observations of the 2010 earthquake, are identified. Secondly, the classification of building typologies is made by using the information collected during a field campaign, as well as a data base provided by the Ministry of Public Works of Haiti. This data base contains relevant information about all the buildings in the city, leading to a total of 6 different typologies. Finally, the damage is estimated using the capacity-spectrum method as implemented in the software SELENA (Molina et al., 2010). Data about the damage caused by the 2010 earthquake have been used to calibrate the proposed calculation model: different choices of ground motion relationships, soil models, and damage functions. Then, with the calibrated model, a deterministic scenario corresponding to an epicenter close to Port-au-Prince has been simulated. The results show high structural damage, and therefore, they point out the high structural vulnerability in the city. Besides, the economic and human losses associated to the damage would cause a great impact in the country. This result will be provided to the Haitian Government, constituting a scientific base for decision making and for the adoption of measures to prevent and mitigate the seismic risk. It is highly recommended to drive efforts towards the quality control of the new buildings -through reinforcement and construction according to a seismic code- and the development of emergency planning.

Experimental and Analytical Study of Masonry Infill Reinforced Concrete Frames Retrofitted with Steel Braces

In the present work a seismic retrofitting technique is proposed for masonry infilled reinforced concrete frames based on the replacement of infill panels by K-bracing with vertical shear link. The performance of this technique is evaluated through experimental tests. A simplified numerical model for structural damage evaluation is also formulated according to the notions and principles of continuum damage mechanics. The proposed model is calibrated with the experimental results. The experimental results have shown an excellent energy dissipation capacity with the proposed technique. Likewise, the numerical predictions with the proposed model are in good agreement with experimental results.