Facial Nerve Hemangioma of the Lateral Portion of the Internal Acoustic Canal: A Case Report and a Review of Literature.

Introduction Facial nerve hemangiomas (FNH) are rare tumors. Although it can occur in any portion of the nerve, it predominantly appears near the geniculate ganglion. We present a case of facial nerve hemangioma of an unusual location. Case Report A 30-year-old woman presented with right-sided severe hearing loss and progressive facial palsy. Magnetic resonance showed a 5 mm lesion in the lateral portion of the right internal auditory canal. Due to facial palsy, the patient was submitted to a translabyrinthine approach and a total tumor resection, followed by hypoglossal-facial nerve anastomosis. Discussion The facial nerve is susceptible in its path to expansive lesions, which have high morbidity. FNH is a rare and difficult-to-diagnose lesion. Computerized tomography and nuclear magnetic resonance can be used in its diagnosis. The differential diagnosis of FNH includes, in addition to schwannomas, meningiomas, cholesteatomas, paragangliomas, and other temporal bone tumors. There is no well-established consensus on the best approach. Because of its slow growth and benign behavior, some studies suggest conservative treatment and serial imaging. However, surgery is the cornerstone of treatment, as it is the only curative option. Conclusion FNHs are often small but very symptomatic. Its high morbidity demands early diagnosis and, sometimes, surgical treatment.

Embedding Anatomical or Functional Knowledge in Whole-Brain Multiple Kernel Learning Models.

Pattern recognition models have been increasingly applied to neuroimaging data over the last two decades. These applications have ranged from cognitive neuroscience to clinical problems. A common limitation of these approaches is that they do not incorporate previous knowledge about the brain structure and function into the models. Previous knowledge can be embedded into pattern recognition models by imposing a grouping structure based on anatomically or functionally defined brain regions. In this work, we present a novel approach that uses group sparsity to model the whole brain multivariate pattern as a combination of regional patterns. More specifically, we use a sparse version of Multiple Kernel Learning (MKL) to simultaneously learn the contribution of each brain region, previously defined by an atlas, to the decision function. Our application of MKL provides two beneficial features: (1) it can lead to improved overall generalisation performance when the grouping structure imposed by the atlas is consistent with the data; (2) it can identify a subset of relevant brain regions for the predictive model. In order to investigate the effect of the grouping in the proposed MKL approach we compared the results of three different atlases using three different datasets. The method has been implemented in the new version of the open-source Pattern Recognition for Neuroimaging Toolbox (PRoNTo).

Plantas medicinais utilizadas na Comunidade Santo Antônio, Currais, Sul do Piauí: um enfoque etnobotânico / Medicinal plants used in the Community Santo Antônio, city of Currais, Southern Piauí, Brazil: an ethnobotanical approach

O trabalho objetivou a realização de inventário sobre as plantas medicinais utilizadas pelos membros da Comunidade Rural de Santo Antônio, Currais, Piauí, e dessa forma analisar o valor de uso e a riqueza de espécies conhecidas. Foram mencionadas 121 espécies pelos 32 entrevistados. As famílias mais representativas foram Fabaceae, Arecaceae e Anacardiaceae. A espécie com maior valor de uso foi a imburana [Amburana cearensis (Allemao) A. C. Sm]. Não houve diferenças significativas quanto ao conhecimento entre gêneros, assim como a renda e escolaridade. No entanto, a idade influenciou significativamente no conhecimento sobre plantas úteis. A riqueza da flora piauiense, marcada por apresentar áreas de transição entre caatinga e cerrado na região sul, oferece uma oportunidade ímpar para o desenvolvimento de pesquisas abrangendo o escopo da biodiversidade vegetal e do conhecimento tradicional associado

The study aimed toflist the medicinal plants used by members of the Rural Community of Santo Antonio, in the city of Currais, state of Piauí, Brazil, in order to assess the value of use and richness of the species known locally. Approximately 121 species were mentioned by 32 respondents. The most representative families were Fabaceae, Arecaceae and Anacardiaceae. The species with the highest use wa:[Amburana cearensis (Allemão) A. C. S]. There were no significant differences between genders in terms of knowledge, as well as income and education. However, the age significantly influenced knowledge about useful plants. The richness of the Piauí flora, marked by presenting areas of transition between the Brazilian Caatinga and Cerrado in the south, offers a unique opportunity for the development of research covering the scope of plant biodiversity and associated traditional knowledge

Morphology and vascularization of the gastric compartments in three-toed sloth (Bradypus torquatus Illiger, 1811) / Morfología y vascularización de los compartimentos gástricos en osos perezosos de tres dedos (Bradypus torquatus Illiger, 1811)

The macroscopic anatomy and vascularization of the stomach compartments of Bradypus torquatus were examined in five animals from the University of São Paulo College of Veterinary Medicine and Zootechny collection. The method included aqueous perfusion of the arterial network, colored latex injection, fixation in formaldehyde (10 percent) and preservation in Laskovisk solution. Dissections were performed under mesoscopic light and photo documentations were performed for description and data analysis. In these animals, the largest abdominal organ was the stomach, which internally presented the cardiac, fundic and prepyloric regions, subdivided in six compartments (cardiac right, middle and left; fundic; pre-pyloric I and II). The stomach was irrigated by the left gastric and celiac arteries, which are ventral visceral branches of the abdominal aorta. These arteries emerged in the retroperitoneal region and reached the viscera through the mesogastric region, distributed in the large and small stomach curvatures, in the spleen and the pancreas. The primary collateral branches of the left gastric artery are directed to the large stomach curvature, and the celiac artery irrigated the spleen, the pancreas and the small stomach curvature. The vascular pattern differed in some aspects from that observed in the other multi-cavity stomachs of recent vertebrates.

Fue descrita la anatomía macroscópica y vascularización de los compartimientos del estómago en 5 Bradypus torquatus, animales pertenecientes al acervo de la Facultad de Medicina Veterinaria y Zootecnia de la Universidad de São Paulo - Brazil. El método incluyó: perfusión acuosa de la red arterial, inyección de látex coloreado, fijación en formaldehido (10 por ciento) y conservación en solución de Laskovisk. Para la descripción y análisis de los datos se realizaron disecciones bajo mesoscopía de luz y archivos fotográficos. Los animales presentaron el estómago como la víscera abdominal más abundante, que posee internamente las regiones: cardiaca, fúndica y pre-pilórica, subdivididas en seis compartimientos (cardiaco, derecho, medio e izquierdo; fúndico; pre-pilórico I y II). Estaba irrigado por las arterias gástricas izquierda y celiaca, que son ramas viscerales ventrales de la parte abdominal de la aorta. Estas arterias emergían en el retroperitoneo y a tráves del mesogastrio alcazaban las vísceras distribuyéndose en la gran y pequeña curvatura del estómago, bazo y páncreas. Las ramas colaterales primarias de la arteria gástrica izquierda estaban destinadas a la gran curvatura del estómago y los de la arteria celíaca irrigaban el bazo, páncreas y pequeña curvatura del estómago. El estándar vascular del Bradypus torquatus más conocido como oso perezoso de tres dedos demostró ser diferente, en algunos aspectos, al de otros estómagos pluricavitarios en vertebrados.

Genetic and environmental effects on age at first farrowing in sows in southeastern Brazil.

We evaluated genetic and environmental factors affecting age at first farrowing of sows in the Brazilian southeast. For this purpose, 466 observations regarding the age at first farrowing were made for Dalland-C40© animals belonging to two herds. The effects of the environmental factors on this trait were assessed by means of a model that included, as random effects, the influence of the sow's father and mother and, as fixed effects, the influence the year of birth, the herd and the birth season, along with the covariable litter size at birth. The variance components were estimated using the derivative-free restricted maximum likelihood method. The estimated mean was 354.8 ± 25.87 days, with a coefficient of variation of 7.29%. Significant effects on the trait were observed for the herd, the year and the season of birth; but a linear effect of litter size at birth on the age at first farrowing was not observed. The boar did not significantly contribute to the variation occurring among the sows, whereas the sow's mother caused significant variation. The heritability estimate for the age at first farrowing was 0.44 ± 0.15, which is considered high. We concluded that herd effect and year and season of birth should be taken into consideration for an accurate genetic comparison; consequently, the animals should be joined into contemporary groups.

A review of immune transfer by the placenta.

Feto-maternal immune transfer occurs via both the placenta in utero and colostrum after birth. The layers between the maternal and fetal circulation systems, known as the placental barrier, regulate immune transfer to the fetus via the placenta. The placental barrier, as well as the type of placental structure, is species specific. The extent of transfer of antibodies from mother to fetus is related to the number of placental barrier layers. Passive immunity via the colostrum is essential in species in which the type of placentation impedes contact between maternal and fetal circulation systems, hindering the transfer of antibodies. In these species, susceptibility to neonatal infections is increased if colostrum is not ingested. Acquired antibodies are of extreme importance for adaptation of the neonate to the extrauterine environment. Based on the aforementioned factors, it was observed that in synepitheliochorial and epitheliochorial placentas immune transfer via the placenta is not possible, except in cases of placental alteration (e.g., placentitis). On the other hand, the mechanism of transfer in endothelial and hemochorial placentas is facilitated compared with other placentas. We conclude that there are no appreciable qualitative differences between the two mechanisms of transfer (placenta and colostrum) and that immune protection in the neonate can be attained by either mechanism.

First mutation in the voltage-gated Nav1.1 subunit gene SCN1A with co-occurring familial hemiplegic migraine and epilepsy.

Almost all mutations in the SCN1A gene, encoding the alpha(1) subunit of neuronal voltage-gated Na(V)1.1 sodium channels, are associated with severe childhood epilepsy. Recently, two mutations were identified in patients with pure familial hemiplegic migraine (FHM). Here, we identified a novel SCN1A L263V mutation in a Portuguese family with partly co-segregating hemiplegic migraine and epilepsy. The L263V mutation segregated in five FHM patients, three of whom also had epileptic attacks, occurring independently from their hemiplegic migraine attacks. L263V is the first SCN1A mutation associated with FHM and co-occurring epilepsy in multiple mutation carriers, and is the clearest molecular link between migraine and epilepsy thus far. The results extend the clinical spectrum associated with SCN1A mutations and further strengthen the molecular evidence that FHM and epilepsy share, at least in part, similar molecular pathways.

Efeitos genéticos e não-genéticos sobre o intervalo de parto em fêmeas suínas no Sudeste do Brasil / Genetic and environmental effects on the farrowing interval in sows in the southeastern region of Brazil

The effect of environmental and genetic effects on the farrowing interval in Dalland (C-40) sows in the Southeast of Brazil was studied. Data consisting of 1,013 farrowing intervals recorded in two herds were analyzed, using a model that included the sire and the dam as random effects and the year of farrowing, the herd and the farrowing season as fixed effects, plus the covariables sow's age at farrowing, litter size at birth, lactation length and weaning-estrus interval. For the farrowing interval first only, variance components were estimated by REML, with an animal model that included, as fixed effect, a contemporary group and, as random effects, the additive genetic variance and the error. The mean farrowing interval was 140.9+5.7 days, with a 4.0 percent coefficient of variation. Variance analysis showed no effect of either year, season of farrowing or herd on the farrowing interval. The sire effect was not important for the farrowing interval, but the dam represented an important source of variation. The total number of piglets born and the sow's age at farrowing had no influence on the farrowing interval. The length of lactation exerted an influence on the farrowing interval, accounting for 19.4 percent of the total variation of this trait. Likewise, the linear regression of the weaning-estrus interval in relation to the farrowing interval was highly significant, accounting for 51.7 percent of the total variation. The heritability estimate was 0.00, suggesting that no genetic gain can be obtained by selection for a shorter farrowing interval.

Efeitos genéticos e ambientais sobre a idade à primeira concepção de fêmeas suínas / Estimates of genetic and environmental effects on age at first conception of gilts

The genetic and environmental factors that affect age at first conception (AFC) of gilts were evaluated, using 466 observations of Dalland animals (C-40). The software program MTDFREML was used to assess the genetic parameters on an animal model that included as fixed effect, contemporary group and, as random effects, the additive genetic, the common litter and the error. Mean value of AFC was 241.12±25.9 days, with CV of 8.5 percent. Variance analysis showed that year (P<0.01), season (P<0.01) and herd effects (P<0.01) were important sources of variation of AFC. The throat effect (P=0.34) was not important for the AFC, but the mother of the gilts (P<0.01) was an important source of variation. The heritability estimate was 0.44±0.14 that this trait would yield genetic gain as a response to the selection.

Two novel functional mutations in the Na+,K+-ATPase alpha2-subunit ATP1A2 gene in patients with familial hemiplegic migraine and associated neurological phenotypes.

Mutations in the ATP1A2 gene, encoding the alpha2-subunit of the Na+,K+-ATPase, are associated with familial hemiplegic migraine type 2. The majority of ATP1A2 mutations were reported in patients with hemiplegic migraine without any additional neurological findings. Here, we report on two novel ATP1A2 mutations that were identified in two Portuguese probands with hemiplegic migraine and interesting additional clinical features. The proband's of family 1 (with a V362E mutation) had mood alterations, classified as a borderline personality. The proband in family 2 (with a P796S mutation) had mild mental impairment, in addition to hemiplegic migraine; more severe mental retardation was observed in his brother, who also had hemiplegic migraine and carried the same mutation. Cell-survival assays clearly showed abnormal functioning of mutant Na+,K+-ATPase, indicating that both ATP1A2 mutants are disease causing. Additionally, our results suggest a possible causal relationship of the ATP1A2 mutations with the complex clinical phenotypes observed in the probands.

Early malnourished rats are not affected by anorexia induced by a selective serotonin reuptake inhibitor in adult life.

The effect of early postnatal malnutrition upon food intake and its modulation by the selective serotonin reuptake inhibitor (SSRI) citalopram, was investigated in adult rats. Sixty four Wistar rats were allocated to two groups, according to their mother's diet during lactation. Mothers receiving a 23% protein diet fed the well-nourished group; mothers receiving 8% protein diet fed the malnourished. After weaning, all rats received the 23% protein diet ad libitum. On the 120th day after birth, each nutritional group was divided in two subgroups (each one, n = 16) which received a single daily injection of citalopram (10 mg/kg) or saline (0.9% NaCl) for 14 days. Chronic treatment with citalopram decreased both the food intake and weight gain in the well-nourished rats, but not in the malnourished ones. These data are consistent with findings concerning the nutritional manipulation of the nervous system during its higher vulnerable phase, suggesting that early malnutrition alters the effect of treatment of SSRI in adult rats, and that malnutrition during the critical period of brain development affects the serotoninergic system.

Antibody, cytokine and cytotoxic T lymphocyte responses in chimpanzees immunized with human papillomavirus virus-like particles.

We evaluated antibody, cytokine (IFN-gamma, IL-5, TNF-alpha), and cytotoxic T lymphocyte (CTL) responses in chimpanzees immunized with monovalent or quadrivalent (HPV-6, -11, -16, -18) L1 virus-like particle (VLP) vaccines administered i.m. on aluminum hydroxyphosphate (alum) at weeks 0, 8 and 24. Maximum serum antibody titers to type-specific, neutralizing, conformational epitopes on HPV-11 or -16 L1 VLPs were detected by radioimmunoassay (RIA) four weeks after the second and third immunizations. HPV-11 and -16 neutralizing antibodies were also detected at similar time points with an Human papillomaviruses (HPV) neutralization assay using pseudovirions. Depending on the VLP type used for immunization, HPV type-specific cytokine responses were most frequently seen four weeks after the second or third immunizations and between weeks 44-52. Transient HPV-16 L1-specific CTL activity was observed only between weeks 16-24 in 3 of 22 (13.6%) chimpanzees immunized with HPV-16 L1 VLPs. These findings provide evidence that immunization with multivalent L1 VLPs on alum can evoke both neutralizing antibodies and Th1 and Th2 cytokine responses to several HPV types; however, induction of CTLs is infrequent.

Role of interleukin-12 in primary influenza virus infection.

The effect of endogenous interleukin-12 (IL-12) on the influenza virus immune response in BALB/c mice was evaluated. Following primary influenza virus infection, IL-12 mRNA and protein are detected in the lung, with live virus being required for cytokine induction. Endogenous IL-12 contributes to early NK cell-dependent gamma interferon (IFN-gamma) production (days 3 and 5) but not late T-cell-dependent IFN-gamma secretion (day 7). IL-12 contributes to the inhibition of early virus replication but is not required for virus clearance. IL-12 also modestly contributes to the activation of cytotoxic T lymphocytes. Thus, in this model of experimental influenza virus infection, endogenous IL-12 contributes primarily to the early development and activation of the innate immune response.

Sleep and anxieties in Brazilian children: the role of cultural and environmental factors in child sleep disturbance.

To test the contextual hypothesis of sleep disturbance, disadvantaged urban Brazilian children's self-reported fears were correlated with parental reports of children's sleep disturbance. Fears of death at the hands of "death squads," environment-related worries and other fears reflecting Brazil's political, religious, and collective culture all correlated with sleep disturbance. Results are contrasted with findings of earlier studies on sleep and anxieties in samples of learning-disabled adolescents and victims of lightning.

Headaches in medical school students.

Medical students of the Instituto de Ciências Biomédicas 'Abel Salazar' at the University of Oporto were interviewed using a structured headache questionnaire in order to assess the prevalence and characteristics of headaches in a young adult university population. This was the first population-based study of headaches in Portugal. 491 students were questioned. The parameters evaluated included age, sex, headache characteristics (frequency, localization, severity, duration), premonitory and associated symptoms and family history. Headaches were classified using the Ad Hoc Committee (1962) and the International Headache Society (1988) criteria. There was a high prevalence of overall headaches in this young population. The results of the application of these two types of criteria to the same population showed for the most prevalent forms, migraine and tension-type headaches, a prevalence that depends on the classification adopted and the number of criteria items considered. If all (9 items) were used, the statistics obtained for migraine were 6.9% (Ad Hoc) and 6.1% (IHS), an insignificant difference, and for tension-type headache 14.3% (Ad Hoc) and 16.0% (IHS), which corresponds to a significant difference (p = 0.0129, McNemar test). It is concluded that IHS classification criteria identify less cases of migraine and more cases of tension-type headaches, which means a higher specificity for migraine and a higher sensitivity for tension-type headache.

Migraine and intracranial vascular malformations.

The relationships between migraine and A-V Malformations is a subject of controversy and the arguments are mainly based on case reports and retrospective data. To clarify this subject a structured inquiry and classification of headaches in large samples of patients with intracranial vascular malformations (IVM) is essential. The authors studied the prevalence of headaches in 51 patients with IVM admitted to our Department, between 1984 and 1992. The methods used were a review of medical records followed by a self-administered headache questionnaire and clinical interview using the IHS criteria for the diagnostic classification of headaches. The relative frequency of the different types of headaches was calculated and compared with the general population data. A correlative study of the headache characteristics with the type and location of the IVM was made. A high prevalence (47%) of migraine type headaches and a strong positive correlation (88.8%) between the site of AVM and side of the pain was found. This is highly suggestive but not conclusive of a pathophysiologic relationship between these entities. The conclusion drawn is that a prospective study of headaches by questionnaire or semi-structured clinical interview in patients with IVM is essential to discover the effective prevalence and characteristics of headaches associated with IVM and their relationships.

Corrosion behaviour of AISI 316L stainless-steel alloys in diabetic serum.

The present study investigates the pitting-corrosion behaviour of AISI 316L stainless steel in human physiological fluids. The emphasis is on the effect of diabetic serum with glucose and proteins, but reference solutions of isotonic saline solution with and without antibiotics were also used. Polarization experiments were carried out, and the results point to the innocuity of those fluids on the performance of the alloy as far as pitting corrosion is concerned.