Atraumatic muscle disorders comprise a very wide range of skeletal muscle diseases, including metabolic, inflammatory, autoimmune, infectious, ischemic, and neoplastic involvement of the muscles. ...Therefore, one must take clinical and laboratory data into consideration to elucidate the differential diagnoses, as well as the distribution of the muscle compromise along the body—whether isolated or distributed along the body in a symmetric or asymmetrical fashion. Assessment of muscular disorders often requires imaging investigation before image-guided biopsy or more invasive procedures; therefore, radiologists should understand the advantages and limitations of imaging methods for proper lesion evaluation and be aware of the imaging features of such disorders, thus contributing to proper decision-making and good patient outcomes. In this review, we propose a systematic approach for the assessment of muscle disorders based on their main imaging presentation, dividing them into patterns that can be easily recognized.
Abstract The effect of environmental gradients on the remarkable diversity of mountain‐associated plants and on the species' abilities to cope with climate change transcends species‐specific ...strategies. For instance, our understanding of the impact of thermal gradients on ecological divergences in populations of widely distributed species is limited, although it could provide important insights regarding species' response to climate change. Here, we investigated whether populations of an endemic species broadly distributed across an elevation gradient employ unique or multiple divergent ecological strategies according to specific environmental conditions. We hypothesised that populations employ distinct strategies, producing a tolerance‐avoidance trade‐off related to the thermal conditions they experience across elevations. We conducted our research with 125 individuals of Pitcairnia flammea (Bromeliaceae) sampled from various elevations spanning from sea level to ~2200 m and cultivated under the same conditions. To assess specific ecological strategies of P. flammea populations across elevations, we examined leaf temperature, heat and cold tolerances, as well as other structural/morphological, optical, physiological and biochemical leaf traits. We majorly observed that water‐saving traits diminish as elevation increases while membrane fluidity, majorly associated with unsaturated and very‐long‐chain lipids, enhances. Low‐elevation individuals of P. flammea invest in water storage tissues, which likely prevent excessive water loss through the intense transpiration rates under warming periods. Conversely, high‐elevation plants exhibit increased membrane fluidity, a possible response to the stiffening induced by low temperature. Our results revealed a tolerance‐avoidance trade‐off related to thermal strategies of populations distributed across an elevation gradient. Low‐elevation plants avoid excessive leaf temperature by investing in water‐saving traits to maintain transpiration rates. High‐elevation individuals, in turn, tend to invest in membrane properties to tolerate thermal variations, particularly cold events. Our findings challenge the conventional notion that plants' vulnerability to warming depends on species‐specific thermal tolerance by showing diverse thermal strategies on populations across an elevation gradient. Read the free Plain Language Summary for this article on the Journal blog.
Resumo O efeito dos gradientes ambientais na grande diversidade de plantas associadas a montanhas transcende as estratégias específicas de cada espécie. Nosso entendimento sobre o impacto dos gradientes térmicos nas divergências ecológicas em populações de espécies amplamente distribuídas, por exemplo, é limitado, embora possa fornecer informações importantes sobre a resposta das espécies às mudanças climáticas. Aqui, investigamos se populações de uma espécie endêmica e amplamente distribuída em um gradiente altitudinal, empregam estratégias ecológicas únicas ou múltiplas de acordo com condições ambientais específicas. Nossa hipótese é que as populações empregam estratégias que resultam em um equilíbrio entre tolerância e evitação relacionado às condições térmicas que experimentam em diferentes altitudes. Analisamos 125 indivíduos de Pitcairnia flammea (Bromeliaceae) amostrados em diversas altitudes, desde o nível do mar até cerca de 2.200 metros, e cultivados nas mesmas condições. Para avaliar as estratégias ecológicas específicas das populações de P. flammea , examinamos temperatura foliar, tolerâncias ao calor e ao frio, além de outros traços foliares estruturais/morfológicos, óticos, fisiológicos e bioquímicos. Vimos que características de economia de água diminuem à medida que a altitude aumenta, enquanto a fluidez da membrana, associada principalmente a lipídios insaturados e de cadeia muito longa, aumenta. Indivíduos de baixa altitude investem em tecidos de armazenamento de água, provavelmente prevenindo a perda excessiva de água durante períodos de aquecimento e com taxas intensas de transpiração. Por outro lado, plantas de altas altitudes possuem maior fluidez de membrana, uma possível resposta ao enrijecimento induzido por baixas temperaturas. Nossos resultados revelaram um equilíbrio entre tolerância e evitação relacionado às estratégias térmicas de populações distribuídas ao longo de um gradiente de altitude. Plantas de baixa altitude evitam temperaturas foliares excessivas investindo em características de economia de água para manter as taxas de transpiração. Indivíduos de alta altitude, por sua vez, tendem a investir em membranas que toleram variações térmicas, especialmente eventos frios. Nossas descobertas desafiam a noção convencional de que a vulnerabilidade das plantas ao aquecimento depende da tolerância térmica específica da espécie, mostrando estratégias térmicas diversas em populações ao longo de um gradiente de altitude.
In the present work, synthetic slags (FeO-SiO2-CaO-P2O5-Al2O3-TiO2-V2O5 system) mimicking the composition of the slag inclusions of Ipanema were solidified at different cooling rates. FactSage ...software was used to calculate the slag’s phase equilibria from 500ºC to 1600°C to guide the microstructural characterisation. The samples solidified with slower cooling rates featured wüstite dendrites and a eutectic-like matrix, with intradendritic (Al,V,Ti)-containing iron spinel precipitates in the wüstite. The rapidly solidified slag showed refined wüstite dendrites surrounded by a Fe-O-Si-Ca-containing amorphous single-phase matrix without intradendritic (Al,V,Ti)-containing iron spinel precipitation. The comparison of the calculated phase diagram with the as-cast microstructures showed a few discrepancies. For instance, the FactSage’s database must be updated to consider the simultaneous solubility of Al, V and Ti in the thermodynamic description of the spinel phases, such as FToxid-SP-V, FToxid-SPINA, FToxid-TiSp and (FeO)2(TiO2)(s). Finally, the intradendritic precipitation of (Al,V,Ti)-containing iron spinel phases in the wüstite of the slag inclusions indicated that an Ipanema’s iron artefact was exposed to high service temperatures between 750 and 1050ºC.
Anti-malarial drug resistance remains a key concern for the global fight against malaria. In Ghana sulfadoxine-pyrimethamine (SP) is used for intermittent preventive treatment of malaria in pregnancy ...and combined with amodiaquine for Seasonal Malaria Chemoprevention (SMC) during the high malaria season. Thus, surveillance of molecular markers of SP resistance is important to guide decision-making for these interventions in Ghana.
A total of 4469 samples from uncomplicated malaria patients collected from 2009 to 2018 was submitted to the Wellcome Trust Sanger Institute, UK for DNA sequencing using MiSeq. Genotypes were successfully translated into haplotypes in 2694 and 846 mono infections respectively for pfdhfr and pfdhps genes and the combined pfhdfr/pfdhps genes across all years.
At the pfdhfr locus, a consistently high (> 60%) prevalence of parasites carrying triple mutants (IRNI) were detected from 2009 to 2018. Two double mutant haplotypes (NRNI and ICNI) were found, with haplotype NRNI having a much higher prevalence (average 13.8%) than ICNI (average 3.2%) across all years. Six pfdhps haplotypes were detected. Of these, prevalence of five fluctuated in a downward trend over time from 2009 to 2018, except a pfdhps double mutant (AGKAA), which increased consistently from 2.5% in 2009 to 78.2% in 2018. Across both genes, pfdhfr/pfdhps combined triple (NRNI + AAKAA) mutants were only detected in 2009, 2014, 2015 and 2018, prevalence of which fluctuated between 3.5 and 5.5%. The combined quadruple (IRNI + AAKAA) genotype increased in prevalence from 19.3% in 2009 to 87.5% in 2011 before fluctuating downwards to 19.6% in 2018 with an average prevalence of 37.4% within the nine years. Prevalence of parasites carrying the quintuple (IRNI + AGKAA or SGEAA) mutant haplotypes, which are highly refractory to SP increased over time from 14.0% in 2009 to 89.0% in 2016 before decreasing to 78.9 and 76.6% in 2017 and 2018 respectively. Though quintuple mutants are rising in prevalence in both malaria seasons, together these combined genotypes vary significantly within season but not between seasons.
Despite high prevalence of pfdhfr triple mutants and combined pfdhfr/pfdhps quadruple and quintuple mutants in this setting SP may still be efficacious. These findings are significant as they highlight the need to continuously monitor SP resistance, particularly using deep targeted sequencing to ascertain changing resistance patterns.
Barrier membranes for guided bone regeneration (GBR) mainly promote mechanical maintenance of bone defect space and induce osteopromotion. Additionally, biopolymer-based membranes may provide greater ...bioactivity and biocompatibility due to their similarity to extracellular matrix (ECM). In this study, biopolymers-based membranes from bacterial cellulose (BC) and collagen (COL) associated with osteogenic growth peptide (OGP(10-14)) were evaluated to determine in vitro osteoinductive potential in early osteogenesis; moreover, histological study was performed to evaluate the BC-COL OGP(10-14) membranes on bone healing after GBR in noncritical defects in rat femur. The results showed that the BC-COL and BC-COL OGP(10-14) membranes promoted cell proliferation and alkaline phosphatase activity in osteoblastic cell cultures. However, ECM mineralization was similar between cultures grown on BC OGP(10-14) and BC-COL OGP(10-14) membranes. In vivo results showed that all the membranes tested, including the peptide-free BC membrane, promoted better bone regeneration than control group. Furthermore, the BC-COL OGP(10-14) membranes induced higher radiographic density in the repaired bone than the other groups at 1, 4 and 16 weeks. Histomorphometric analyses revealed that the BC-COL OGP(10-14) induced higher percentage of bone tissue in the repaired area at 2 and 4 weeks than others membranes. In general, these biopolymer-based membranes might be potential candidates for bone regeneration applications.
The clinical cases of patients with multisystem inflammatory syndrome (MIS-C) were analyzed via a systematic review and meta-analysis of the clinical findings, treatments, and possible outcomes of ...articles retrieved via database searches.
The authors searched the PubMed, Scielo, Web of Science, Science Direct, EMBASA, EBSCO, and Scopus databases for articles containing the keywords “multisystem inflammatory syndrome in children” or “MIS-C” or “PIMS-TS” or “SIMP” and “COVID-19” or “SARS-CoV-2” published between December 1st, 2019 and July 10th, 2021. Patient characteristics, tissue and organ comorbidities, the incidence of symptoms after COVID-19 infection, treatment, and patient evolution in the articles found were evaluated. The data were abstracted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and Newcastle-Ottawa Scale (NOS).
In total, 98 articles (2275 patients) were selected for demographics, clinical treatment, and outcomes of patients diagnosed with MIS-C. The average age of children with MIS-C, 56.8% of whom were male, was of nine years. Fever (100%), gastrointestinal (GI) (82%), and abdominal pain (68%) were the decisive symptoms for the diagnosis of MIS-C. Shock and/or hypotension were common in patients with MIS-C. Cardiac symptoms (66%) predominated over respiratory (39%) and neurological (28%) symptoms. MIS-C treatment followed the common guidelines for treating children with septic shock and Kawasaki disease (KD) and proved to be effective.
This meta-analysis highlights the main clinical symptoms used for the diagnosis of MIS-C, the differences between MIS-C and KD, and the severity of the inflammatory process and urgency for hospital care.
Predicting the effects of global environmental changes on species distribution is a top conservation priority, particularly for large carnivores, that contribute to regulating and maintaining ...ecosystems. As the most widespread and adaptable large felid, ranging across Africa and Asia, leopards are crucial to many ecosystems as both keystone and umbrella species, yet they are threatened across their ranges. We used intraspecific species distribution models (SDMs) to predict changes in range suitability for leopards under future climate and land‐use change and identify conservation gaps and opportunities. We generated intraspecific SDMs for the three western leopard subspecies, the African, Panthera pardus pardus; Arabian, Panthera pardus nimr; and Persian, Panthera pardus tulliana, leopards, and overlapped predictions with protected areas (PAs) coverage. We show that leopard subspecies differ in their environmental associations and vulnerability to future changes. The African and Arabian leopards are predicted to lose ~25% and ~14% of their currently suitable range, respectively, while the Persian leopard is predicted to experience ~12% range gains. We found that most areas predicted to be suitable were not protected, with only 4%–16% of the subspecies' ranges falling inside PAs, and that these proportions will decrease in the future. The highly variable responses we found between leopard subspecies highlight the importance of considering intraspecific variation when modelling vulnerability to climate and land‐use changes. The predicted decrease in proportion of suitable ranges falling inside PAs threatens global capacity to effectively conserve leopards because survival rates are substantially lower outside PAs due to persecution. Hence, it is important to work with local communities to address negative human‐wildlife interactions and to restore habitats to retain landscape connectivity where PA coverage is low. On the other hand, the predicted increase in range suitability across southern Europe presents opportunities for expansion outside of their contemporary range, capitalising on European rewilding schemes.
This study uses intraspecific species distribution models to predict changes in range suitability for leopard subspecies under future climate and land‐use changes and to identify conservation gaps and opportunities through overlapping predictions with protected areas coverage. We focus on an iconic large carnivore of conservation concern, demonstrating the importance of using an intraspecific perspective when studying the impacts of global environmental changes on widespread taxa. We predict future range losses for some subspecies and a decline in the proportion of future suitable range falling within protected areas, threatening global capacity to effectively conserve leopards.
PDF
