Structure-Function Studies of Nicotinic Acetylcholine Receptors Using Selective Agonists and Positive Allosteric Modulators

This dissertation primarily describes chemical-scale studies of nicotinic acetylcholine receptors (nAChRs) in order to better understand ligand-receptor selectivity and allosteric modulation influences during receptor activation. Electrophysiology coupled with canonical and non-canonical amino acids mutagenesis is used to probe subtle changes in receptor function.

The first half of this dissertation focuses on differential agonist selectivity of α4β2-containing nAChRs. The α4β2 nAChR can assemble in alternative stoichiometries as well as assemble with other accessory subunits. Chapter 2 identifies key structural residues that dictate binding and activation of three stoichiometry-dependent α4β2 receptor ligands: sazetidine-A, cytisine, and NS9283. These do not follow previously suggested hydrogen-bonding patterns of selectivity. Instead, three residues on the complementary subunit strongly influence binding ability of a ligand and receptor activation. Chapter 3 involves isolation of a α5α4β2 receptor-enriched population to test for a potential alternative agonist binding location at the α5 α4 interface. Results strongly suggest that agonist occupation of this site is not necessary for receptor activation and that the α5 subunit only incorporates at the accessory subunit location.

The second half of this dissertation seeks to identify residue interactions with positive allosteric modulators (PAMs) of the α7 nAChR. Chapter 4 focuses on methods development to study loss of potentiation of Type I PAMs, which indicate residues vital to propagation of PAM effects and/or binding. Chapter 5 investigates α7 receptor modulation by a Type II PAM (PNU 120596). These results show that PNU 120596 does not alter the agonist binding site, thus is relegated to influencing only the gating component of activation. From this, we were able to map a potential network of residues from the agonist binding site to the proposed PNU 120596 binding site that are essential for receptor potentiation.

Retenção em canais amplos de núcleos confeccionados por diferentes técnicas com pinos fibro resinosos

O propósito desse trabalho foi verificar a retenção de pinos fibro resinosos cimentados em canais radiculares alargados simulando raízes extensamente comprometidas, fabricados por duas técnicas usadas para diminuir sua desadaptação; comparando-as ao pino fixado somente com cimento. Foram utilizados vinte e quatro raízes de dentes humanos unirradiculares, padronizadas com 15.0 mm de comprimento e 5.0 0.3 mm de diâmetro. As raízes foram incluídas em resina acrílica e divididas em grupos de acordo com a técnica usada: grupo I - pino DC White Post no2 cimentado com sistema adesivo quimicamente ativado e com cimento resinoso dual; grupo II mesmo pino reanatomizado com resina composta para copiar a anatomia do canal radicular, cimentado da mesma forma; e grupo III mesmo pino associado a três pinos acessórios, cimentados do mesmo modo. O canal radicular teve seu diâmetro padronizado pela broca no2 para o pino DC em uma profundidade de 12.0 mm e alargado com uma broca tronco cônica em uma profundidade de 10.0 mm. As oito raízes de cada grupo foram seccionadas transversalmente em três discos de 3.0 mm, a partir da cervical para a execução de um ensaio de extrusão, descartando-se os últimos 2.0 mm, que serviram somente para centralizar o pino. Os valores de retenção foram registrados e tratados estatisticamente por ANOVA e pelo teste SNK (p<0.05). Diferenças significativas foram observadas entre três porções radiculares investigadas em todos os grupos, com os valores de retenção diminuindo da cervical para apical. A retenção na porção apical do grupo com pinos customizado com resina foi estatisticamente maior que na mesma região dos demais grupos. Nenhuma diferença foi encontrada entre o grupo com pinos acessórios e o grupo somente com pino e cimento nessa parte da raiz. Nenhuma diferença foi observada comparando as porções cervical e média dos diferentes grupos. Os tipos de falha após o teste de extrusão foram observados em microscópio eletrônico de varredura com aumento de 200, 600 e 1000 vezes. Elas ocorreram exclusivamente entre o pino e o cimento ou a resina composta. A camada de adesão (camada híbrida) foi mais facilmente observada nas porções cervical e média de todos os grupos. Isso sugere que a retenção nas porções apicais da raiz é predominantemente friccional. Uma vez que pinos acessórios somente alcançam até a porção média do canal radicular, a retenção do pino não é aumentada com essa técnica.

Petrologia dos diabásios da região de Angra dos Reis, RJ

O tema abordado nesta dissertação de mestrado é a petrogênese dos diabásios do Eocretáceo que integram o Enxame de Diques da Serra do Mar na região de Angra dos Reis (RJ). Estes diques intrudem rochas do Terreno Ocidental e do Arco Magmático Rio Negro, inserindo-se no contexto geodinâmico de fragmentação do Gondwana no Cretáceo Inferior. Essas intrusões são subverticais e orientam-se preferencialmente a N039E. Intrusões retilíneas são as mais observadas em campo. Os diabásios são compostos, essencialmente, por plagioclásio e clinopiroxênios (augita e pigeonita). Quartzo, minerais opacos, apatita e olivina ocorrem como minerais acessórios. A composição mineral secundária é marcada pela presença de biotita, uralita e saussurita. Os diabásios estudados compreendem uma série transicional com afinidade toleítica. Os estudos petrológicos revelam a existência de cinco suítes de alto-TiO2, tendo sido as mesmas discriminadas com base nas razões La/Yb de amostras com o mesmo teor de MgO. Destas, apenas a suíte 2 têm quantidade mínima de amostras para avaliação de processos evolutivos. O resultado da modelagem petrogenética aponta que o processo evolutivo mais provável para a geração dos diabásios da suíte 2 é cristalização fracionada sem mudança na assembleia fracionante. As amostras representativas dos líquidos parentais das cinco suítes apresentam razões La/Nb e La/Yb maiores que a unidade, típicas de derivação de fonte enriquecida, que, em várias províncias basálticas continentais, tem sido associada à fusão exclusiva do manto litosférico subcontinental ou a sua participação em processos de mistura de fontes. A discriminação de fontes mantélicas foi feita exclusivamente com base nos teores de elementos traços de amostras representativas de líquidos parentais das cinco suítes discriminadas na área de estudo. Os modelos indicam que todas as cinco suítes estudadas estão relacionadas a fontes harzburgíticas com granada residual. A suíte 5 da área de estudo não pode ser associada à mesma fonte mantélica geradora das suítes 1, 2, 3 e 4 que, por sua vez, se originaram por diferentes quantidades de fusão parcial (respectivamente, 44%, 35%, 31% e 25%) de uma mesma fonte. Cabe ressaltar que a ocorrência de duas suítes, com razões La/Yb muito distintas, porém geograficamente muito próximas, sugere que processos de heterogeneidade mantélica, tipicamente laterais, devem também ocorrer verticalmente.

A conceptualização de bandido em expressões bandido de x: uma perspectiva cognitivista

Com vistas à conceptualização do conceito de BANDIDO em 32 expressões com a estrutura bandido de x, descrevemos, nesta dissertação, os modelos cognitivos idealizados subjacentes à construção de sentido de tais expressões, postulando-lhes um caráter de modelo cognitivo complexo, nos termos de Lakoff (1987), produtivo na língua. Constituem ainda o arcabouço teórico deste estudo a Teoria da Mesclagem Conceptual (FAUCONNIER e TURNER, 2002) e a Teoria da Metáfora Conceptual (LAKOFF e JOHNSON, 1980). A análise das construções bandido de x foi realizada a partir de 137 comentários retirados da internet e definições elaboradas por 15 alunos do ensino fundamental; 18 do ensino médio e 20 alunos do ensino superior. Os alunos que colaboraram com a pesquisa definiram 24 expressões bandido de x. A pesquisa obedeceu ao procedimento qualitativo de análise dos dados, no qual observamos as diferentes interpretações dadas para as expressões, fundamentando-as a partir dos processos cognitivos envolvidos no sentido das mesmas. Assim com base na análise dos comentários de internautas e nas definições de alunos, propomos quatro processos de conceptualização para as expressões bandido de x: (a) conceptualização com base em modelos cognitivos proposicionais, em que x é um locativo interpretado como lugar de origem ou de atuação do bandido bandido de morro, bandido de rua, bandido de cadeia ; (b) conceptualização com base em modelos esquemático-imagéticos, em que observamos a atribuição de uma espécie de escala ao sentido atribuído à construção, culminando em diferentes status para a categoria BANDIDO DE X, subjacente a expressões bandido de primeira/segunda/quinta categoria/linha; (c) conceptualização de BANDIDO DE X com base em modelos metonímicos, em que x é uma peça do vestuário/calçado/acessório, de modo a interpretar o BANDIDO como pertencendo a uma categoria que costuma utilizar determinada peça de roupa, acessório ou calçado bandido de colarinho branco, bandidos de farda, bandido de chinelo ; (d) conceptualização de BANDIDO DE X com base em modelos metafóricos, em que x é um conceito abstrato que pode ser entendido como um objeto possuído pelo bandido, de forma a caracterizá-lo pela maneira de agir ou expertise bandido de conceito, bandido de atitude, bandido de fé. Acreditamos, assim, na possibilidade de descrição de padrões que regem a conceptualização de BANDIDO DE X, cujos sentidos alcançados por meio de modificadores revelam a produtividade e complexidade do modelo cognitivo BANDIDO

Predictive score for mortality in patients with COPD exacerbations attending hospital emergency departments

Background: Limited information is available about predictors of short-term outcomes in patients with exacerbation of chronic obstructive pulmonary disease (eCOPD) attending an emergency department (ED). Such information could help stratify these patients and guide medical decision-making. The aim of this study was to develop a clinical prediction rule for short-term mortality during hospital admission or within a week after the index ED visit. Methods: This was a prospective cohort study of patients with eCOPD attending the EDs of 16 participating hospitals. Recruitment started in June 2008 and ended in September 2010. Information on possible predictor variables was recorded during the time the patient was evaluated in the ED, at the time a decision was made to admit the patient to the hospital or discharge home, and during follow-up. Main short-term outcomes were death during hospital admission or within 1 week of discharge to home from the ED, as well as at death within 1 month of the index ED visit. Multivariate logistic regression models were developed in a derivation sample and validated in a validation sample. The score was compared with other published prediction rules for patients with stable COPD. Results: In total, 2,487 patients were included in the study. Predictors of death during hospital admission, or within 1 week of discharge to home from the ED were patient age, baseline dyspnea, previous need for long-term home oxygen therapy or non-invasive mechanical ventilation, altered mental status, and use of inspiratory accessory muscles or paradoxical breathing upon ED arrival (area under the curve (AUC) = 0.85). Addition of arterial blood gas parameters (oxygen and carbon dioxide partial pressures (PO2 and PCO2)) and pH) did not improve the model. The same variables were predictors of death at 1 month (AUC = 0.85). Compared with other commonly used tools for predicting the severity of COPD in stable patients, our rule was significantly better. Conclusions: Five clinical predictors easily available in the ED, and also in the primary care setting, can be used to create a simple and easily obtained score that allows clinicians to stratify patients with eCOPD upon ED arrival and guide the medical decision-making process.

Age and growth of the estuarine dolphin (Sotalia guianensis) (Cetacea, Delphinidae) on the Paraná Coast, southern Brazil

Teeth of 71 estuarine dolphins (Sotalia guianensis) incidentally caught on the coast of Paraná State, southern Brazil, were used to estimate age. The oldest male and female dolphins were 29 and 30 years, respectively. The mean distance from the neonatal line to the end of the first growth layer group (GLG) was 622.4 ±19.1 μm (n=48). One or two accessory layers were observed between the neonatal line and the end of the first GLG. One of the accessory layers, which was not always present, was located at a mean of 248.9 ±32.6 μm (n=25) from the neonatal line, and its interpretation remains uncertain.The other layer, located at a mean of 419.6 ±44.6 μm (n=54) from the neonatal line, was always present and was first observed between 6.7 and 10.3 months of age. This accessory layer could be a record of weaning in this dolphin. Although no differences in age estimates were observed between teeth sectioned in the anterior-posterior and buccal-lingual planes, we recommend sectioning the teeth in the buccal-lingual plane in order to obtain on-center sections more easily. We also recommend not using teeth from the most anterior part of the mandibles for age estimation. The number of GLGs counted in those teeth was 50% less than the number of GLGs counted in the teeth from the median part of the mandible of the same animal. Although no significant difference (P>0.05) was found between the total lengths of adult male and female estuarine dolphins, we observed that males exhibited a second growth spurt around five years of age. This growth spurt would require that separate growth curves be calculated for the sexes. The asymptotic length (TL∞), k, and t0 obtained by the von Bertalanffy growth model were 177.3 cm, 0.66, and –1.23, respectively, for females and 159.6 cm, 2.02, and –0.38, respectively, for males up to five years, and 186.4 cm, 0.53 and –1.40, respectively, for males older than five years. The total weight (TW)/total length (TL) equations obtained for male and female estuarine dolphins were TW = 3.156 × 10−6 × TL 3.2836 (r=0.96), and TW = 8.974 × 10−5 × TL 2.6182 (r=0.95), respectively.

Circulating immunoglobulin A- and immunoglobulin G-secreting hybridoma cells in peripheral blood preferably migrate to female genital tracts. The role of sex hormones

Antigen-specific circulating immunoglobulin-secreting cells (ISC) migrate to various secondary and tertiary lymphoid tissues. To understand the migration of the cells into the genital tract and its regulation by sex hormones, spleen-derived SG2 hybridoma cells secreting immunoglobulin G2b (IgG2b) and Peyer's patch-derived PA4 hybridoma cells secreting polymer IgA were labelled with (3) H-TdR, and intravenously injected into syngeneic mice of both sexes. Using flow cytometry, surface molecular markers of plasma cells, CD38 and CD138, and adhesion molecules, CD49d, CD162, and CD11a were found to be positive in SG2 and PA4 cells, but CD62L, alpha4beta7 and CD44 were not expressed on these cells. The relative distribution indexes (RDIs) of the cells in genital tract and other tissues were measured. The means of RDIs of SG2 and PA4 cells in female genital tissues were 6.5 and 4.5 times as many as the means in male genital tissues, respectively. The treatment of ovariectomized mice with beta-oestradiol significantly increased the RDIs of PA4 cells in cervix and vagina, but decreased the RDIs of SG2 cells in vagina, horn of uterus, uterus and rectum (P <0.05). Progesterone treatment increased the RDIs of PA4 cells in vagina and rectum (P <0.05). The treatment with testosterone significantly increased the RDIs of SG2 and PA4 cells in epididymis and accessory sex glands (P <0.05). These results demonstrate that the female genital tract is the preferable site for the migration of circulating hybridoma cells to the male genital tract, and sex hormones play an important role in regulation of the migration of circulating ISC to genital tracts.

Four new terrestrial species of Marionina (Clitellata, Enchytraeidae) from China and re-examination of M. hoVbaueri Moller

Enchytraeid surveys were made in China, mainly along the Changjiang (Yangtze) River Basin, during the period 1991-1999. Among the findings, four terrestrial species of Marionina are new to science and well illustrate the taxonomic complexity of the genus as currently defined. Marionina sinica sp. n. is characterized by a specific chaetal distribution, the marionine pattern of the dorsal blood vessel, and elongate, fusiform, spermathecal ectal ducts. Marionina sacculata sp. n. is distinguished by the possession of a pair of pouch-like oesophageal appendages in IV, the lack of lateral chaetae in VII-XI, a marionine pattern of the dorsal blood vessel, and short spermathecal ectal ducts gradually expanding into spherical ampullae. Both M. sinica and M. sacculata have minute bodies (2-3 mm long in vivo) and lack spermathecal accessory glands. The former species shows its closest aYnities with the European M. brendae Rota, 1995, whereas the latter is closest to the German M. hoVbaueri Moller, 1971, for which an amended diagnosis is provided. Marionina seminuda sp. n. has only ventral chaetal bundles, distributed from III onwards and bisetose. It is similar to the Holarctic M. subterranea (Knollner, 1935) in lacking entirely the lateral chaetae and in having the brain incised posteriorly, the dorsal vessel bifurcating behind the pharynx, and coelomocytes containing opaque granules, but diVers from it in having the longest chaetae in preclitellar segments and gland cells distributed all over the spermathecal ectal ducts. Marionina righiana sp. n. is diagnosed by the location of the head pore on the prostomium, the absence of lateral chaetae from VIII ( VII or IX) onwards, the possession of free spermathecae extending backwards through one to four segments, the brain deeply incised posteriorly, the lumbricilline pattern of the dorsal blood vessel, and the opacity of coelomocytes in vivo. Prior to this study, members of the genus so atypical as M. righiana with respect to the position of the head pore and the structure of the spermathecae were known only from South American soils. Until the taxonomy of Marionina has been more thoroughly assessed and revised, the assignment of the four species to this large assemblage should be regarded as tentative.

地幔副矿物和硫化物的热（PVT）状态方程研究

矿物PVT状态方程是研究矿物在一定温压条件下的晶胞体积与温度、压力之间的关系，依据这个基本关系，可以了解矿物在高温高压下的密度、弹性、热膨胀等性质。矿物PVT状态方程的研究可以了解矿物在地球深部存在的结构状态，为进一步的理论计算提供基础的数据，其结果也可以与天然和人工地震的地震波反演的结果对比，对地球深部的地质作用过程、物质结构状态和组成进行限制。然而，目前矿物PVT状态方程的研究主要集中在氧化物矿物和上地幔主要矿物（橄榄石和辉石）及其高压相（瓦兹利石、林伍德石、方镁铁矿、Majorite、Mg-Perovskite、Ca-Perovskite）的研究上，对石榴石、尖晶石等地幔常见副矿物和硫化物矿物的PVT状态方程的研究很少。 作者在参与搭建并完善金刚石压腔外加温系统的基础上，利用北京同步辐射X射线衍射实验技术结合金刚石压腔外加温技术对天然铁铝榴石、锰铝榴石、铬尖晶石进行了PVT状态方程的研究，同时对闪锌矿、辰砂、方铅矿、辉钼矿、辉锑矿等硫化物矿物进行了相变及状态方程的研究。结合前人研究成果，讨论了类质同象置换对镁铝－铁铝系列石榴石、锰铝－铁铝系列石榴石、尖晶石和硫化物矿物相变及状态方程的影响。获得了以下研究结果： 1）镁铝－铁铝系列石榴石和锰铝－铁铝系列石榴石的体弹模量都随着铁铝榴石组分的增加而增大。其主要原因是在二价阳离子位置上Fe2+取代了Mg2+、Mn2+。在镁铝－铁铝榴石系列中Mg2+的共价键半径（1.36Å）要大于Fe2+的共价键半径（1.17Å），而Mg2+－O键长（2.270Å）与铁铝榴石中的Fe2+－O（2.299Å）键长基本相当。在锰铝－铁铝榴石系列中， 尽管Mn2+的共价键半径（1.17Å）与铁铝榴石中的Fe2+共价键半径（1.17Å）相等，但是Mn2+－O键长（2.326Å）大于Fe2+－O键长（2.299Å）。较小的键长和共价键半径将会增强离子间的结合力，从而具有较强的抗压缩能力，因此随铁铝榴石组分的增加，镁铝－铁铝榴石系列和锰铝－铁铝榴石系列具有较大的体弹模量。 2）首次获得了铬尖晶石（(Mg0.6766Fe0.2808Na0.0073Ti0.0014)0.9661(Cr1.4874Al0.5367)2.0241O4）的体弹模量的温度导数。结合前人关于其他组分尖晶石的实验结果发现，尖晶石中在四面体位置上发生Fe2+－Mg2+置换对体弹模量的影响要大于在八面体位置上发生Cr3+－Al3+置换对体弹模量的影响。而造成铬尖晶石的体弹模量值比其他组分尖晶石的体弹模量值大的主要原因也是四面体位置上的Fe2+－Mg2+的类质置换。 3）依据获得的尖晶石和石榴石的状态方程计算了不同地幔岩模型（橄榄岩和榴辉岩模型）的密度值在上地幔温压条件下的变化情况。结果表明，在尖晶石二辉橄榄岩模型中尖晶石含量的改变（2％－10％）会引起较大的密度变化（2.2％）；在石榴石二辉橄榄岩（石榴石含量14％－20％）和榴辉岩（石榴石含量37％－45％）模型中石榴石含量的变化几乎未引起其密度值的变化，但石榴石是这两种地幔岩模型中的重要组成矿物。 4）首次获得了辰砂的Cinnabar相、方铅矿的B33相、辉钼矿、辉锑矿体弹模量的温度导数和热膨胀系数。讨论了闪锌矿、辰砂、方铅矿的相变情况。 5）总结了锌的、汞的、铅的硫族化合物发生结构相变的规律。认为造成锌的、汞的、铅的硫族化合物的相变压力随阴离子原子序数的增加（S→Se→Te）而逐渐减小的原因是：元素周期表中相对较大原子序数的原子具有更多的核内电子，引起价电子及导带电子的有效位能相对变弱，引起电离能降低，因此在相对较低的压力下就容易发生结构相变。 6）分析了ZnS中Fe2+替代Zn2+、Sb2S3－Bi2S3、MoS2－WS2以及同族相同结构不同组分的简单硫化物矿物的阴、阳离子对体弹模量值的影响。认为简单硫化物矿物的体弹模量值取决于阴、阳离子的离子半径、电负性以及键长。

Rapid compensatory evolution promotes the survival of conjugative plasmids

Conjugative plasmids play a vital role in bacterial adaptation through horizontal gene transfer. Explaining how plasmids persist in host populations however is difficult, given the high costs often associated with plasmid carriage. Compensatory evolution to ameliorate this cost can rescue plasmids from extinction. In a recently published study we showed that compensatory evolution repeatedly targeted the same bacterial regulatory system, GacA/GacS, in populations of plasmid-carrying bacteria evolving across a range of selective environments. Mutations in these genes arose rapidly and completely eliminated the cost of plasmid carriage. Here we extend our analysis using an individual based model to explore the dynamics of compensatory evolution in this system. We show that mutations which ameliorate the cost of plasmid carriage can prevent both the loss of plasmids from the population and the fixation of accessory traits on the bacterial chromosome. We discuss how dependent the outcome of compensatory evolution is on the strength and availability of such mutations and the rate at which beneficial accessory traits integrate on the host chromosome.

Direct TLR2 signaling is critical for NK cell activation and function in response to vaccinia viral infection.

Natural killer (NK) cells play an essential role in innate immune control of poxviral infections in vivo. However, the mechanism(s) underlying NK cell activation and function in response to poxviruses remains poorly understood. In a mouse model of infection with vaccinia virus (VV), the most studied member of the poxvirus family, we identified that the Toll-like receptor (TLR) 2-myeloid differentiating factor 88 (MyD88) pathway was critical for the activation of NK cells and the control of VV infection in vivo. We further showed that TLR2 signaling on NK cells, but not on accessory cells such as dendritic cells (DCs), was necessary for NK cell activation and that this intrinsic TLR2-MyD88 signaling pathway was required for NK cell activation and played a critical role in the control of VV infection in vivo. In addition, we showed that the activating receptor NKG2D was also important for efficient NK activation and function, as well as recognition of VV-infected targets. We further demonstrated that VV could directly activate NK cells via TLR2 in the presence of cytokines in vitro and TLR2-MyD88-dependent activation of NK cells by VV was mediated through the phosphatidylinositol 3-kinase (PI3K)-extracellular signal-regulated kinase (ERK) pathway. Taken together, these results represent the first evidence that intrinsic TLR signaling is critical for NK cell activation and function in the control of a viral infection in vivo, indicate that multiple pathways are required for efficient NK cell activation and function in response to VV infection, and may provide important insights into the design of effective strategies to combat poxviral infections.

Phenotypic characteristics of human type II alveolar epithelial cells suitable for antigen presentation to T lymphocytes.

Type II alveolar epithelial cells (AECII) are well known for their role in the innate immune system. More recently, it was proposed that they could play a role in the antigen presentation to T lymphocytes but contradictory results have been published both concerning their surface expressed molecules and the T lymphocyte responses in mixed lymphocyte cultures. The use of either AECII cell line or fresh cells could explain the observed discrepancies. Thus, this study aimed at defining the most relevant model of accessory antigen presenting cells by carefully comparing the two models for their expression of surface molecules necessary for efficient antigen presentation.

The legal pendulum swings back

Comments on the Court of Appeal judgment in Abou-Rahmah v Abacha on liability for dishonest assistance to a breach of trust. Discusses whether an objective standard should apply to determine whether the accessory acted dishonestly. Reviews case law, examining whether the combined test proposed in the House of Lords judgment in Twinsectra Ltd v Yardley is still good law.

Electron microscopy at the Marine Biological Association: 1961-2006. Occasional Publication of the Marine Biological Association 23

This memoir recalls the instruments in the Electron Microscope Unit and the staff, students and visitors who used them. Accessory equipment is also described because much of it was innovative and built in the laboratory, also, much of the science would not have been possible without it. This publication includes 33 figures, 4 plates and 7 appendices. The appendices record that 54 MBA staff and 196 students and visitors have used the microscopes and that 413 titles have been published (to the end of 2006).

Osteocondritis de sesamoideos: Revisión

La osteocondritis de los sesamoideos es una enfermedad infrecuente, que se puede dar en cualquiera de los dos sesamoideos, siendo una patología incapacitante. A pesar de que los sesamoideos juegan un papel fundamental en la mecánica del antepié, algunos trastornos que se dan en ellos a menudo se pasan por alto o son mal diagnosticados. Se revisa y analizan las características clínicas de la enfermedad, su tratamiento y las claves diagnósticas que nos permiten establecer un correcto diagnóstico diferencial con otros procesos patológicos que afectan a los sesamoideos.