Comprehensive evaluation of postoperative morphological and functional satisfaction of secondary cleft lip rhinoplasty in Chinese Han population / 中华医学美学美容杂志

Objective:To evaluate the improvement of nasal appearance, symptoms and psychological burden in patients with secondary cleft rhinoplasty by using retrospective research methods, through preoperative and postoperative questionnaires.Methods:Twenty-three cleft lip patients that underwent surgery in our unit since April 2016 were enrolled in this study. The self-designed questionnaire was used to explore the changes of patients before and after the operation. The questionnaire star was utilized to collect the data, and after the data was sorted and summarized, SPSS 20.0 was used for analysis and statistics.Results:The average follow-up time was 28.9 months. The total score of ROE satisfaction before surgery was 46.74 points, while after surgery it reached 63.04 points ( t=4.10, P<0.01); the self-scores of nasal shape were significantly improved after surgery; but there was no significant change in the ventilation function in the VAS scale before and after the operation; the nasal symptoms and psychological status in the SNOT-22 questionnaire, such as, nasal congestion, embarrassment, depression, restlessness and irritability, were significantly improved ( P<0.05). Conclusions:Our semi-autonomous designed questionnaire can be used to effectively evaluate the satisfaction, nasal shape, and symptoms of patients with nasal deformity secondary to cleft lip. Data analysis shows that our secondary cleft lip rhinoplasty for cleft lip and palate can improve patients′ satisfaction after the repair, as well as nose shape and function, at the same time the psychological burden caused by it.

Reproduction of the sea urchin Tripneustes depressus (Camarodonta: Toxopneustidae) in Bahía de La Paz, Baja California Sur, Mexico / Reproducción del erizo de mar Tripneustes depressus (Camarodonta: Toxopneustidae) en Bahía de La Paz, Baja California Sur, México

Introduction: Sea urchin gonads (roe or uni) are considered a culinary delicacy worldwide. However, only a few species are considered edible and commercialized. The sea urchin Tripneustes depressus has generated the interest of producers in Baja California Sur, Mexico, due to the quality of its gonads. A biological basis for designing a management strategy is key to consider its commercial exploitation. Objective: To determine the reproductive season of T. depressus through description of the gonad stages and reproductive cycle, and to establish its relationship with environmental factors. Methods: We collected monthly samples (October 2016-September 2017), recording in-situ temperature and photoperiod. We evaluated a sample of 1 055 specimens for demographic characteristics, using total weight (g) and test diameter (cm). We also did a histological analysis of gonads from 178 individuals. Results: Average test diameter was 9.70 ± 0.03 cm (5-12.50 cm). Based on the proportion into the gonad of sexual (gametes) and somatic (nutritive phagocytes) cells, we propose five gonad stages (growing, premature, mature, spawning, and intergametic) for both sexes. There were two times of the year when gonads were heaviest and closely corresponded to the growing stage, coinciding with the highest proportions of nutritive phagocytes. Gonad development (growing and premature stages) peaks in the months with the longest daylight periods, with spawning in the shortest daylight periods. Conclusions: Gonad wet weight and adjusted gonad weight are good indicators of the reproductive season of T. depressus. The lowest gonad wet weights were matched the spawning peak in the shortest daylight period (January and March).

Introducción: Las gónadas de erizo de mar (huevas o uni) se consideran un manjar culinario en todo el mundo. Sin embargo, solo unas pocas especies se consideran comestibles y se comercializan. El erizo de mar Tripneustes depressus ha generado el interés de productores de Baja California Sur, México, por la calidad de sus gónadas. Una base biológica es clave para diseñar una estrategia de manejo para T. depressus para considerar su explotación comercial. Objetivo: Determinar la época reproductiva de T. depressus a través de la descripción de los estadios de las gónadas y del ciclo reproductivo, y establecer su relación con factores ambientales. Métodos: Recolectamos muestras mensuales (octubre de 2016 a septiembre de 2017), registrando in-situ la temperatura y el fotoperiodo. Evaluamos una muestra de 1055 especímenes para las características demográficas, utilizando el peso total (g) y el diámetro de testa (cm). También hicimos el análisis histológico de las gónadas de 178 individuos. Resultados: El diámetro de la testa promedio fue de 9.70 ± 0.03 cm (5-12.50 cm). Con base en la proporción en la gónada de células sexuales (gametos) y somáticas (fagocitos nutritivos), proponemos cinco estadios gonádicos (crecimiento, prematuro, maduro, desove e intergamético) para ambos sexos. Hubo dos épocas del año en que las gónadas eran más pesadas y se correspondían estrechamente con la etapa de crecimiento, coincidiendo con las proporciones más altas de fagocitos nutritivos. El desarrollo de las gónadas (etapas de crecimiento y prematuro) alcanza su punto máximo en los meses con los periodos de luz más largos, con desove en los periodos de luz más cortos. Conclusiones: El peso húmedo de las gónadas y el peso ajustado de las gónadas son buenos indicadores de la temporada reproductiva de T. depressus. Los pesos húmedos más bajos de las gónadas coincidieron con el pico de desove en el período con luz diurna más corto (enero y marzo).

Analysis of revision rhinoplasty; what is the problem and the management?

Background: Revision rhinoplasty is reported to occur in 8% to 15%. Reoperation should be performed to correct deformities that were not diagnosed or addressed in previous surgeries, such as those from poor planning, performance and poor surgical healing. The aim of the study was to evaluate the problem of each case seeking revision rhinoplasty and different modalities for management to reach satisfactory results.Methods: This is a prospective study which was done in plastic surgery department, Menoufia University Hospitals over the period from December 2017 to December 2019. The study included 31 patients underwent previous rhinoplasty.Results: Patients were selected from the outpatient clinic, 31 patients who had varieties of nasal deformities. Mean age of the patients was 31.7 years. Female represent the majority of patients by 80.60% and males were 19.40% with significant difference in satisfaction (p=0.05). Patient satisfaction after surgery and it was excellent for 14 cases (45.20%), good for 9 cases (29 %) and it was fair in 8 cases (25.8%). Rhinoplasty outcome evaluation (ROE) score was correlated with patient satisfaction grades as mean of ROE score in excellent group was 67.5; in good group was 58.3; while in fair group was 38.8 with significant p value (0.001).Conclusions: Excellent patient satisfaction is related good planning, close follow up time, and less complication. Cartilage grafts especially rib cartilage is considered a lifeboat for revision rhinoplasty. We can link grades of patient satisfaction to ROE score.

The first report of massive infestation with Lipoptena Cervi (Diptera: Hippoboscidae) in Roe Deer (Capreolus Capreolus) in Iasi county, N-E of Romania / O primeiro relatório de infestação maciça com Lipoptena Cervi (Diptera: Hippoboscidae) em Roe Deer (Capreolus capreolus) no condado de Iasi, NE da Romênia

Investigations of four roe deer corpses were carried out from May until October 2014, in the Veterinary Forensic Laboratory and in the Parasitic Diseases Clinic, in the Iasi Faculty of Veterinary Medicine. The roe deer were harvested by shooting during the trophy hunting season. The clinical examination of the shot specimens revealed the presence of a highly consistent number of extremely mobile apterous insects, spread on the face, head, neck, lateral body parts, abdominal regions, inguinal, perianal and, finally, all over the body. The corpses presented weakening, anemia and cutaneous modification conditions. Several dozen insects were prelevated in a glass recipient and preserved in 70º alcoholic solution in order to identify the ectoparasite species. The morphological characteristics included insects in the Diptera order, Hippoboscidae family, Lipoptena cervi species. These are highly hematophagous insects that by severe weakening are affecting the game health and trophy quality. Histological investigations of the skin revealed some inflammatory reactions caused by ectoparasite Lipoptena cervi. Lipoptena cervi was identified for the first time in Iasi County, Romania.(AU)

As investigações de quatro cadáveres de veados foram realizadas desde maio até outubro de 2014, no Laboratório Forense de Veterinária e na Clínica de Doenças Parasitárias, da Faculdade de Medicina Veterinária de Iasi. Os veados foram abatidos por tiro durante a temporada de caça troféu. O exame clínico dos espécimes revelou a presença de um número muito consistente de insetos ápteros extremamente móveis, espalhados pela face, pela cabeça, pelo pescoço, pelas partes do corpo laterais, pelas regiões abdominal, inguinal, perianal e, finalmente, por todo o corpo. Os cadáveres apresentavam condições de enfraquecimento, anemia e alterações cutâneas. Várias dezenas de insetos foram separados em um recipiente de vidro e preservados em solução alcoólica de 70º, a fim de se identificarem as espécies de ectoparasitos. As características morfológicas incluem os insetos da ordem Diptera, família Hippoboscidae, espécie Lipoptena Cervi. Estes são insetos hematófagos que estão enfraquecendo e afetando a qualidade de saúde de animais de caça e troféu. Investigações histológicas da pele revelaram algumas reações inflamatórias causadas pelo ectoparasita cervi Lipoptena. Lipoptena cervi foi identificado pela primeira vez no condado de Iasi, na Romênia.(AU)

Investigation of responsible foods for food-induced anaphylaxis in children / 日本プライマリ・ケア連合学会誌

<b>Introduction</b> : This study aimed to investigate the age-specific and cause-specific clinical presentations of food-induced anaphylaxis.<br><b>Methods</b> : We retrospectively analyzed the medical records of 49 patients aged ≤15 years who visited our emergency department between January 2008 and December 2012 for food-induced anaphylaxis.<br><b>Results</b> : Roe (9 cases), egg (8 cases), and buckwheat (8 cases) were the three major foods responsible. In patients aged <1 years, egg was the major culprit, in those aged 1-6 years, roe was the major culprit, and in those aged ≥7 years, buckwheat was the major culprit. Twelve cases were treated by intramuscular administration of epinephrine.<br><b>Conclusion</b> : The trend of responsible foods for food-induced anaphylaxis in children is different depending on age. It is therefore necessary to enlighten the public about this age difference. The frequency for roe responsible for anaphylaxis was higher than that found in other reports. We suggest that local eating habits had an effect on this result.

Diferencias en calidad de vida asociado a la apariencia nasal en pacientes operados de rinoplastia comparado con grupo control: validez del instrumento rhinoplasty outcome evaluation / Evaluation of the rhinoplasty outcome evaluation among chilean participants

Background: The Rhinoplasty Outcome Evaluation (ROE) is an instrument to assess the cosmetic and functional aspects of the nose from the patient's perspective. Its construct validity in Chilean subjects has been published previously. Aim: To compare the ROE scores in different groups of participants. Material and Methods: The questionnaire was applied to patients waiting for a rhinoplasty, patients hospitalized for other causes and medical students. Results: The overall reliability of the scale was 84.8 percent. Significant differences between groups in the total scores of four out of six items were observed. Conclusions: The Spanish version of the ROE is adequate to evaluate the satisfaction with nasal appearance and function among Chilean individuals.

Objetivo: El Rhinoplasty Outcome Evaluation (ROE) es un instrumento específico para la evaluación cosmética y funcional de la nariz desde la perspectiva del paciente, desarrollado originalmente en inglés. El objetivo del presente estudio es comparar las distribuciones en distintas poblaciones. Material y Método: El instrumento validado en español chileno ROE fue sometido a prueba para evaluar su validez de criterio comparando los resultados de la escala en pacientes programados que deseaban someterse a rinoplastía versus 2 grupos control: 1) Pacientes hospitalizados por otras causas y 2) Estudiantes de medicina. La validez de constructo ya ha sido publicada por los creadores de la escala. Para la comparación de variables se utilizaron las pruebas t de Student, ANOVA, Wilcoxon, Kruskall Wallis, prueba exacta de Fisher o χ² según correspondiera. Para todas las pruebas se utilizó un nivel alfa de 5 por ciento. Resultados: Se aplicó la encuesta a 45 pacientes. La edad promedio de la muestra fue de 35,4 años. La confiabilidad de la escala fue de 84,78 por ciento. Se observaron diferencias estadísticamente significativas en el puntaje total (p = 0,0047) en 4 de los 6 ítems. Conclusión: Los resultados preliminares de nuestro estudio sugieren que la versión en Español del Rhinoplasty Outcomes Evaluation es útil para evaluar la satisfacción con la apariencia nasal en chilenos.

Genotype-4 hepatitis E in a human after ingesting roe deer meat in South Korea

The recent increase in the number of cases of indigenous hepatitis E virus (HEV) infection highlights the importance of identifying the transmission routes for the prevention of such infections. Presented herein is the first case of acute HEV infection after ingesting wild roe deer meat in South Korea. A 43-year-old male presented with abdominal discomfort and jaundice. He had not recently traveled abroad, but had eaten raw roe-deer meat 6-8 weeks before the presentation. On the 7th day of hospitalization the patient was diagnosed with acute viral hepatitis E. Phylogenetic analysis of his serum revealed genotype-4 HEV. This case supports the possibility of zoonotic transmission of HEV because the patient appears to have been infected with genotype-4 HEV after ingesting raw deer meat.

Fontes não-convencionais de proteína na primeira alimentação do bagre sul americano (Rhamdia quelen) / Unconventional protein sources in the first feeding of South American catfish (Rhamdia quelen)

O presente estudo teve como objetivo avaliar diferentes fontes de proteína na primeira alimentação de jundiá (Rhamdia quelen) sob condições de laboratório. Foram testadas três rações balanceadas secas: ovo de peixe (TA), hidrolisado de carcaça do peixe (TB) e fígado de frango cru (TC), na quais foram analisadas, pelo crescimento, a biomassa final produzida e a sobrevivência das larvas. O ensaio teve uma duração de 20 dias, e as rações foram fornecidas ad libitum. As larvas alimentadas com ovo de peixe apresentaram os melhores resultados com peso médio individual de 340mg, sobrevivência de 57 por cento e biomassa final de 1.350mg, diferindo significativamente dos demais tratamentos. Os resultados indicaram que a formulação de rações balanceadas com ovos de peixes fornecida na primeira alimentação de larvas de jundiá pode tornar-se uma alternativa promissora na larvicultura dessa espécie.

This study aimed to evaluate different proteins sources in first feeding of jundiá (Rhamdia quelen) under laboratory conditions. Three balanced dry rations were tested, fish roe (TA), biological fish silage (TB) and crude chicken liver (TC) evaluating specific growth rate, final biomass produced and survival rate. The experiment was performed in 20 days, and all the rations were provided ad libitum. Larvae fed with fish roe presented better results, with 340mg of individual mean weight, 57 percent of survival rate and 1.350mg of final biomass, differing significantly with the other treatments. The results show that the inclusion of fish roe in balanced rations offered at the first feeding of jundiá larvae may become a promising alternative for the hatchering of the species.