Tumor Embolization through Meningohypophyseal and Inferolateral Trunks is Safe and Effective.

BACKGROUND AND PURPOSE: Skull base tumors are commonly supplied by dural branches of the meningohypophyseal and inferolateral trunks. Embolization through these arteries is often avoided due to technical challenges and inherent risks; however, successful embolization can be a valuable surgical adjunct. We aimed to review the success and complications in our series of tumor embolizations through the meningohypophyseal and inferolateral trunks. MATERIALS AND METHODS: We performed a retrospective review of patients with tumor treated with preoperative embolization at our institution between 2010 and 2020. We reviewed the following data: patients' demographics, tumor characteristics, endovascular embolization variables, and surgical results including estimated blood loss, the need for transfusion, and operative time. RESULTS: Among 155 tumor embolization cases, we identified 14 patients in whom tumor embolization was performed using the meningohypophyseal (n = 13) or inferolateral (n = 4) trunk. In this group of patients, on average, 79% of tumors were embolized. No mortality or morbidity from the embolization procedure was observed in this subgroup of patients. The average estimated blood loss in the operation was 395 mL (range, 200-750 mL). None of the patients required a transfusion, and the average operative time was 7.3 hours. CONCLUSIONS: Some skull base tumors necessitate embolization through ICA branches such as the meningohypophyseal and inferolateral trunks. Our series demonstrates that an effective and safe embolization may be performed through these routes.

Incubation variables, performance, and morphometry of the duodenal mucosa of Japanese quails (Coturnix coturnix japonica) submitted to different incubation temperatures and thermally challenged after hatching / [Variáveis de incubação, desempenho e morfometria da mucosa duodenal de codornas japonesas (Coturnix coturnix japonica) submetidas a diferentes temperaturas de incubação e desafiadas termicamente após eclosão]

This study aimed to evaluate the effects of different temperatures on incubation variables, performance, and morphometry of the duodenal mucosa of Japanese quails (Coturnix coturnix japonica) submitted to chronic heat stress after hatching. We distributed 540 eggs in three incubators with a temperature of 37.8°C and 60% of humidity. From the 6th day of incubation until hatching, the temperatures were adjusted to (37.8°C, 38.5°C and 39.5°C). After hatching, quails were evaluated for the quality score, weighed, and distributed in a completely randomized design with three incubation temperatures (37.8, 38.5, and 39.5°C) and two ambient temperatures (stress and thermoneutral). At 10, 20, 30, and 40 days they were weighed to determine the live weight (g) and weight gain(g). To collect the duodenum and determine morphometric parameters, we euthanized four quails of each treatment. The data were analyzed, and the differences between the means determined by the Tukey test at 5%. The incubation temperature of 39.5°C provided lower hatching rate and the live weight at birth; however, from the 10th day of age, increased live weight, weight gain, and positively influenced the morphological parameters of the duodenal mucosa in situations of chronic stress.(AU)

Objetivou-se avaliar os efeitos de diferentes temperaturas de incubação sobre as variáveis de incubação, desempenho e morfometria da mucosa duodenal de codornas japonesas (Coturnix coturnix japonica) submetidas ao estresse térmico crônico por calor após eclosão. Foram distribuídos 540 ovos em três incubadoras, com temperatura de 37,8°C e umidade 60%. A partir do sexto dia de incubação até a eclosão, as temperaturas foram ajustadas para 37,8°C, 38,5°C e 39,5°C. Após a eclosão, as codornas foram avaliadas quanto ao escore de qualidade, pesadas e distribuídas em um delineamento inteiramente ao acaso, com três temperaturas de incubação (37,8ºC, 38,5ºC e 39,5°C) e duas temperaturas ambientes (estresse e termoneutro). Aos 10, 20, 30 e 40 dias, foram pesadas para determinar o peso vivo (g) e o ganho de peso(g). Quatro codornas de cada tratamento foram eutanasiadas para coleta do duodeno, para determinar os parâmetros morfométricos. Os dados foram analisados e as diferenças entre as médias foram determinadas pelo teste de Tukey a 5%. A temperatura de incubação de 39,5°C proporcionou menor taxa de eclosão e menor peso vivo ao nascer, entretanto, a partir do 10° dia de idade, essa temperatura aumentou o peso vivo, o ganho de peso e influenciou positivamente os parâmetros morfológicos da mucosa duodenal em situações de estresse crônico.(AU)

Association between values of anthropometric indicators, Total Antioxidant Capacity and Malondialdehyde in adults: a population-based study

Background: Research regarding the correlation between obesity and oxidative stress is important due to the health complications they entail and elucidating this association through the waist-to-height ratio is of great interest because it is an important anthropometric indicator of cardiovascular and metabolic diseases’ risk associated with obesity. The aim of this study was to gain a better understanding of the association between waist-to-height ratio and total antioxidant capacity and malondialdehyde values in adults. Methods: A cross-sectional population-based study was conducted in 265 individuals from a municipality in northeastern Brazil. Epidemiological data were collected, and anthropometric and biochemical evaluations were performed. To achieve the objectives proposed by the study, linear regression was performed. Results: In the total sample, more than half of the participants were overweight or obese. The mean value of 54 cm (SD±10) waist-to-height ratio, with the majority of adults (65.28%) presenting with slight elevation waist-to-height ratio. A correlation was found between waist-to-height ratio and BMI with the values of total antioxidant capacity (t= -2.96; p=0.003) and malondialdehyde (t=2.87, p=0.004), as well as LDL (t=3.19, p=0.002), triglycerides (t=3.17; p=0.002). Conclusion: Abdominal obesity, reflected by a slight elevation in the waist-to-height ratio, corroborated by BMI was indicated as an aggravating factor in oxidative stress increase because it was positively related with malondialdehyde values and negatively with total antioxidant capacity values in this adult population. (AU)

Cerebral Venous Thrombosis Associated with COVID-19.

Despite the severity of coronavirus disease 2019 (COVID-19) being more frequently related to acute respiratory distress syndrome and acute cardiac and renal injuries, thromboembolic events have been increasingly reported. We report a unique series of young patients with COVID-19 presenting with cerebral venous system thrombosis. Three patients younger than 41 years of age with confirmed Severe Acute Respiratory Syndrome coronavirus 2 (SARS-Cov-2) infection had neurologic findings related to cerebral venous thrombosis. They were admitted during the short period of 10 days between March and April 2020 and were managed in an academic institution in a large city. One patient had thrombosis in both the superficial and deep systems; another had involvement of the straight sinus, vein of Galen, and internal cerebral veins; and a third patient had thrombosis of the deep medullary veins. Two patients presented with hemorrhagic venous infarcts. The median time from COVID-19 symptoms to a thrombotic event was 7 days (range, 2-7 days). One patient was diagnosed with new-onset diabetic ketoacidosis, and another one used oral contraceptive pills. Two patients were managed with both hydroxychloroquine and azithromycin; one was treated with lopinavir-ritonavir. All patients had a fatal outcome. Severe and potentially fatal deep cerebral thrombosis may complicate the initial clinical presentation of COVID-19. We urge awareness of this atypical manifestation.

Application of atomic force microscopy in the analysis of time since deposition (TSD) of red blood cells in bloodstains: A forensic analysis.

Bloodstains can provide important information about a criminal act. These biological traces, when analyzed at murder sites, for example, can determine the dynamics of a criminal offense, the identity of a suspect, and the time at which a crime was committed. Determine the time since deposition (TSD) of these blood traces may be the first clue for the police investigators to estimate the time-lapse of a murder. During a criminal attack, the blood spilled from an injury begins the process of degradation and aging from the moment it leaves the human body and comes into contact with the physical environment. The biophysical properties (morphology and elasticity) of red blood cells (RBCs) undergo several changes when outside the human body, which can be analyzed using microscopic techniques such as atomic force microscopy (AFM). Aiming to apply the AFM/force spectroscopy techniques in the analysis of criminal traces, the present study investigated the TSD for blood smears by analyzing possible changes in the RBCs of a group of voluntary donors. Also, we investigated whether there was any difference in TSD analysis after blood smears deposition onto three different surfaces (glass, metal, or ceramic); and finally, we evaluated force×distance curves obtained from deformation of the membrane surface of RBCs as a function of time. The qualitative results apparently showed that there is no perceptible difference in the structure of RBCs when AFM images were analyzed by simple visual comparison over 28 days (T0-T5). Nevertheless, our quantitative results, measured by AFM, demonstrated the increasing trend of the measurements, such as average height (µm), perimeter (µm), area (µm2) and volume (µm3) of these cells during that period. Additionally, the type of surface of bloodstain deposition should be considered during analyses for the TSD, and the results obtained on glass, metal, or ceramic supports showed significant differences. Therefore, the use of force spectroscopy to obtain force×distance curves for the forensic science approach has been shown to have applicability for the calculation of TSD in the RBCs present in the blood smears. In spite of the promising observations obtained, the use of AFM in crime scenes still requires the expansion and development of more studies for a definitive evaluation of the TSD for blood spots.

Quantum steering: a review with focus on semidefinite programming.

Quantum steering refers to the non-classical correlations that can be observed between the outcomes of measurements applied on half of an entangled state and the resulting post-measured states that are left with the other party. From an operational point of view, a steering test can be seen as an entanglement test where one of the parties performs uncharacterised measurements. Thus, quantum steering is a form of quantum inseparability that lies in between the well-known notions of Bell nonlocality and entanglement. Moreover, quantum steering is also related to several asymmetric quantum information protocols where some of the parties are considered untrusted. Because of these facts, quantum steering has received a lot of attention both theoretically and experimentally. The main goal of this review is to give an overview of how to characterise quantum steering through semidefinite programming. This characterisation provides efficient numerical methods to address a number of problems, including steering detection, quantification, and applications. We also give a brief overview of some important results that are not directly related to semidefinite programming. Finally, we make available a collection of semidefinite programming codes that can be used to study the topics discussed in this article.

General Method for Constructing Local Hidden Variable Models for Entangled Quantum States.

Entanglement allows for the nonlocality of quantum theory, which is the resource behind device-independent quantum information protocols. However, not all entangled quantum states display nonlocality. A central question is to determine the precise relation between entanglement and nonlocality. Here we present the first general test to decide whether a quantum state is local, and show that the test can be implemented by semidefinite programing. This method can be applied to any given state and for the construction of new examples of states with local hidden variable models for both projective and general measurements. As applications, we provide a lower-bound estimate of the fraction of two-qubit local entangled states and present new explicit examples of such states, including those that arise from physical noise models, Bell-diagonal states, and noisy Greenberger-Horne-Zeilinger and W states.

Protein extraction method for the proteomic study of Zymomonas mobilis during production of ethanol and levans.

Zymomonas mobilis has aroused considerable interest owing to its rapid metabolism and efficiency in producing ethanol and by-products such as levans, sorbitol, and gluconic acid from simple sugars. We performed a proteomic analysis of Z. mobilis UFPEDA241 to provide a global profile of regulatory proteins. The choice of the methods of extraction and cell lysis are fundamental steps and of great importance for the detection and identification of intra- and extracellular proteins of a proteome. Strains were subjected to protein extraction methods using three different reagents: TRIzol, lysis buffer, and phenol. The optimum method was taken to be the one that produced the greatest quantity and quality of proteins in one dimension for further analysis in two dimensions during the production of ethanol and levans over 72 h. The results showed that the greatest amount of protein was obtained by the phenol method (1.44 ± 0.07 mg/mL), which was significantly different (P < 0.05) to the TRIzol (1.11 ± 0.01 mg/mL), and lysis buffer (0.93 ± 0.01 mg/mL) methods (both with P > 0.05). Fermentation at 20°C produced the highest level of levans, and using two-dimensional electrophoresis and mass spectrometry it was possible to identify 34 differentially expressed spots.

Detection of entanglement in asymmetric quantum networks and multipartite quantum steering.

The future of quantum communication relies on quantum networks composed by observers sharing multipartite quantum states. The certification of multipartite entanglement will be crucial to the usefulness of these networks. In many real situations it is natural to assume that some observers are more trusted than others in the sense that they have more knowledge of their measurement apparatuses. Here we propose a general method to certify all kinds of multipartite entanglement in this asymmetric scenario and experimentally demonstrate it in an optical experiment. Our results, which can be seen as a definition of genuine multipartite quantum steering, give a method to detect entanglement in a scenario in between the standard entanglement and fully device-independent scenarios, and provide a basis for semi-device-independent cryptographic applications in quantum networks.

Linear-optical simulation of the cooling of a cluster-state Hamiltonian system.

A measurement-based quantum computer could consist of a local-gapped Hamiltonian system, whose thermal states-at sufficiently low temperature-are universal resources for the computation. Initialization of the computer would correspond to cooling the system. We perform an experimental quantum simulation of such a cooling process with entangled photons. We prepare three-qubit thermal cluster states exploiting the equivalence between local dephasing and thermalization for these states. This allows us to tune the system's temperature by changing the dephasing strength. We monitor the entanglement as the system cools down and observe the transitions from separability to bound entanglement, and then to free entanglement. We also analyze the performance of the system for measurement-based single-qubit state preparation. These studies constitute a basic characterization of experimental cluster-state computation under imperfect conditions.

Distribution of entanglement in large-scale quantum networks.

The concentration and distribution of quantum entanglement is an essential ingredient in emerging quantum information technologies. Much theoretical and experimental effort has been expended in understanding how to distribute entanglement in one-dimensional networks. However, as experimental techniques in quantum communication develop, protocols for multi-dimensional systems become essential. Here, we focus on recent theoretical developments in protocols for distributing entanglement in regular and complex networks, with particular attention to percolation theory and network-based error correction.

Realistic loophole-free Bell test with atom-photon entanglement.

The establishment of nonlocal correlations, guaranteed through the violation of a Bell inequality, is not only important from a fundamental point of view but constitutes the basis for device-independent quantum information technologies. Although several nonlocality tests have been conducted so far, all of them suffered from either locality or detection loopholes. Among the proposals for overcoming these problems are the use of atom-photon entanglement and hybrid photonic measurements (for example, photodetection and homodyning). Recent studies have suggested that the use of atom-photon entanglement can lead to Bell inequality violations with moderate transmission and detection efficiencies. Here we combine these ideas and propose an experimental setup realizing a simple atom-photon entangled state that can be used to obtain nonlocality when considering realistic experimental parameters including detection efficiencies and losses due to required propagation distances.

Endovascular management of distal ACA aneurysms: single-institution clinical experience in 22 consecutive patients and literature review.

BACKGROUND AND PURPOSE: Distal ACA aneurysms remain difficult to treat with endovascular therapy, but improved technology and experience allows for the treatment of some of these aneurysms with excellent results. The purpose of this study was to assess the status of endovascular treatment of distal ACA aneurysms by comparing our results with recent endovascular and microsurgical series of distal ACA aneurysms. MATERIALS AND METHODS: Between 2000 and 2008, a total of 22 consecutive patients (14 women; mean age, 58.4 years) with distal ACA aneurysms underwent coil placement at Barrow Neurological Institute. Clinical presentations, radiographic findings, endovascular management, and outcomes were reviewed retrospectively. RESULTS: Of the 22 patients, 13 (59%) presented with subarachnoid hemorrhage. Six patients were HH grade I or II, 1 was grade III, 5 were grade IV, and 1 was grade V. Frontal lobe hematomas occurred in 5 patients with ruptured aneurysms. The mean aneurysm size was 7.5 mm (range, 2.8-25 mm); 55% were smaller than 7 mm. Twelve aneurysms (55%) arose from the origin of the callosomarginal artery (55%). Complete occlusion was achieved in 50% of the cases and near-complete occlusion in 45%. The few periprocedural complications included 1 retroperitoneal hematoma and 1 intraoperative rupture. Four patients had thromboembolic events adequately treated intraprocedurally with abciximab. No deaths occurred in the patients treated. CONCLUSIONS: The characteristics of the patients and aneurysms treated in our series were comparable to previous reports of endovascular treatment of ACA aneurysms with respect to rupture status. Periprocedural morbidity and mortality rates in our series fared well compared with previous reports, as did our combined rate of complete or near-complete occlusions. Recent advances in endovascular devices and techniques have improved outcomes of distal ACA aneurysms.

Doença de Crohn, colangite esclerosante primária e síndrome do anticorpo antifosfolipídeo: associação incomum ou mera casualidade? / Crohn's disease, primary sclerosing cholangitis and antiphospholipid antibody syndrome: unusual association or coincidence

A doença inflamatória intestinal (DII) associa-se frequentemente a manifestações extraintestinais e a outros distúrbios autoimunes. A colangite esclerosante primária (CEP) é a principal manifestação extraintestinal hepatobiliar da DII (1). Embora mais frequente na retocolite ulcerativa (RCU), ocorrendo em 2% a 7% dos casos em algumas séries, sua frequência na doença de Crohn (DC) é estimada entre 0,7% e 3,4% (2, 6). Nota-se um risco aumentado de tromboembolismo arterial e venoso em ambas as formas de doença inflamatória intestinal, sendo esta a mais importante complicação vascular da DII (3). No entanto, a associação da síndrome do anticorpo antifosfolipídeo (SAAF) com a doença de Crohn tem sido relatada na literatura apenas em casos clínicos isolados.

Role of computer technology in neurosurgery.

In the clinical office, during surgical planning, or in the operating room, neurosurgeons have been surrounded by the digital world either recreating old tools or introducing new ones. Technological refinements, chiefly based on the use of computer systems, have altered the modus operandi for neurosurgery. In the emergency room or in the office, patient data are entered, digitally dictated, or gathered from electronic medical records. Images from every modality can be examined on a Picture Archiving and Communication System (PACS) or can be seen remotely on cell phones. Surgical planning is based on high-resolution reconstructions, and microsurgical or radiosurgical approaches can be assessed precisely using stereotaxy. Tumor resection, abscess or hematoma evacuation, or the management of vascular lesions can be assisted intraoperatively by new imaging resources integrated into the surgical microscope. Mathematical models can dictate how a lesion may recur as well as how often a particular patient should be followed. Finally, virtual reality is being developed as a training tool for residents and surgeons by preoperatively simulating complex surgical scenarios. Altogether, computerization at each level of patient care has been affected by digital technology to help enhance the safety of procedures and thereby improve outcomes of patients undergoing neurosurgical procedures.

Avaliação imunohistoquímica e ultraestrutural de gametas e embriões caprinos infectados com o CAEV / Immunohistochemical and ultrastructural evaluation of gametes and embryos of goats infected with CAEV

O objetivo do presente estudo foi determinar a susceptibilidade dos folículos ovarianos, espermatozoides e embriões caprinos ao Vírus da Artrite Encefalite Caprina (CAEV). Para isto, foram analisados espermatozoides e folículos ovarianos pelas técnicas de imunohistoquímica e microscopia eletrônica de transmissão, antes e após protocolos de infecção in vitro com o CAEV. Foram submetidos à análise ultraestrutural, embriões caprinos produzidos in vivo, oriundos de cabras negativas e positivas para o CAEV. Nas amostras seminais, provenientes de animais tanto com infecção natural quanto dos artificialmente infectados, foi observada imunomarcação positiva dos espermatozoides, assim como alterações degenerativas na sua análise ultraestrutural. Já nas amostras de tecido ovariano, a imunomarcação foi mais discreta e identificada na região do estroma. No tocante à análise ultraestrutural, folículos e embriões se apresentaram íntegros. De acordo com esses resultados, pode-se concluir que os espermatozoides caprinos apresentaramse infectados, assinalando a susceptibilidade dessas células ao vírus, bem como a potencialidade do CAEV ser carreado ao cerne do oócito, originando embriões infectados.

The aim of this study was to determine the susceptibility of goat ovarian follicles, spermatozoa and embryos to caprine arthritis-encephalitis virus (CAEV). Spermatozoa and ovarian follicles were analyzed, before and after in vitro infection with CAEV, through immunohistochemistry and transmission electron microscopy techniques. Goat embryos, produced in vivo from infected and non-infected goats, were submitted to ultrastructural analysis. Immunohistochemical examination of seminal samples from goats naturally and artificially infected with CAEV revealed viral antigens in spermatozoa, while the ultrastructural analysis showed degenerative changes in these cells. Ovarian tissue samples presented a more discreet immunohistochemical positive reaction situated in the stroma region. Ultrastructural analysis revealed that the embryos and ovarian follicles were intact. These results indicate that the spermatozoa were infected, confirming the susceptibility of these cells to the virus, as well as the potential of CAEV entering the oocyte, giving rise to infected embryos.

Unified framework for correlations in terms of local quantum observables.

We provide a unified framework for nonsignalling quantum and classical multipartite correlations, allowing all to be written as the trace of some local (quantum) measurements multiplied by an operator. The properties of this operator define the corresponding set of correlations. We then show that if the theory is such that all local quantum measurements are possible, one obtains the correlations corresponding to the extension of Gleason's Theorem to multipartite systems. Such correlations coincide with the quantum ones for one and two parties, but we prove the existence of a gap for three or more parties.