Deadly ECG Sign: An Aspect to Recognize in the Settings of STEMI

Learning Objectives: Learn how to identify and differentiate the shark fin EKG pattern from other EKG patterns and abnormalities. Explore the potential diagnostic and prognostic implications of the shark fin EKG pattern, including its association with increased risk of arrhythmias and sudden cardiac death. Background: The Lambda-wave ECG, also known as the Shark fin or Thombostone pattern, has been linked to ST-elevation myocardial infarction's (STEMI) hazardous implications. It is characterized by merged QRS, ST, and T waves, forming a 'triangular QRS-ST-T waveform' or 'giant R waves.' This treacherous signature poses an alarming risk, with chances of cardiogenic shock and ventricular fibrillation leading to fatality. To tackle this peril, implementing swift thrombolysis or percutaneous intervention for reperfusion is critical for successful treatment. For optimal outcomes, the preferred setting to utilize ventricular assist devices is the ICU. Misdiagnosis can happen and be seen as either wide complex tachycardia or ECG changes induced by hyperkalemia. Imperative to prevent severe complications, early detection and treatment are crucial. We are reporting three cases of this Ekg pattern.

Comparative Evaluation of Flow Profile of Commercially Available Vinyl Polysiloxane Impression Materials - An in-vitro Study

Background: Flow characteristics of vinyl polysiloxane (VPS) impression materials are important determinants in the selection of impression materials for the fabrication of accurate indirect restorations. Aims: The purpose of this study was to determine the flow of three commercially available VPS impression materials at different time intervals using a shark fin device (3M ESPE, Seefeld, Germany). Study Setting and Design: This in?vitro study was carried out at the prosthodontics department of a dental institution. Methods and Material: The height of the shark fin produced by each impression material determined the rate of flow. Statistical Analysis: The data were analysed using one?way analysis of variance (ANOVA) and post?hoc Tukey’s test (p?0.05). Results: Shark fin height of group A VPS impression material was significantly higher at 30 and 120 seconds compared to group B and group C VPS impression materials. Shark fin height produced by group B VPS impression materials at 60 and 90 seconds was significantly higher than the group C VPS impression material but non?significant compared to group A. At 120 seconds, there was no significant difference in the shark fin heights of all the tested materials. Conclusion: All the materials exhibited adequate flow characteristics within clinically acceptable limits

Mating behavior of the lemon shark, Negaprion brevirostris (Carcharhiniformes: Carcharhinidae), as revealed by citizen science in the Equatorial Atlantic Ocean / Comportamiento de apareamiento del tiburón limón Negaprion brevirostris (Carcharhiniformes: Carcharhinidae), revelado por la ciencia ciudadana en el Océano Atlántico Ecuatorial

Introduction: Knowledge on the mating behavior and habitat requirements of large sharks, including the lemon shark, Negaprion brevirostris, is scarce, hampering conservation efforts. Objective: To describe an area in the Equatorial Atlantic used as a mating ground by N. brevirostris, as well as part of the species pre-copulatory behaviors based on citizen reports. Methods: Between 2004 and 2019, recreational divers, dive guides and rangers from the Marine Protected Area (MPA) in Fernando de Noronha Archipelago (FEN) recorded courtship behaviour, females with mating scars, pregnant females, and adult males. Results: N. brevirostris was recorded mating in shallow waters (0.5-2 m deep) during the austral summer (December to March). A specific location in the MPA, Buraco da Raquel lagoon, was the main aggregation and mating site for adult N. brevirostris in FEN. Conclusions: Citizen science records allowed the identification of shallow waters as key sites for the reproduction of this shark in FEN. Results highlight the potential of citizen science contributions to knowledge of sharks in nature and show MPAs as essential for habitat conservation of sharks with decreasing populations along the Brazilian coast, such as N. brevirostris. We present management recommendations to protect N. brevirostris there and elsewhere.

Introducción: El conocimiento sobre el comportamiento reproductivo y requisitos de hábitat de apareamiento de los tiburones grandes, incluido el tiburón limón, Negaprion brevirostris, es escaso, lo que dificulta los esfuerzos de conservación. Objetivo: Describir un área en el Océano Atlántico ecuatorial utilizada como zona de apareamiento y las interacciones precopulatorias del tiburón limón con base en informes proporcionados por ciencia ciudadana. Métodos: Buzos recreativos, guías de buceo y guardaparques del Área Marina Protegida (AMP) en el archipiélago Fernando de Noronha (FEN) llevaron registros de comportamientos de cortejo, hembras con cicatrices de apareamiento, hembras preñadas y machos adultos, entre 2004 y 2019. Resultados: Las aguas poco profundas entre 0.5 y 2 m de profundidad son utilizadas como áreas de apareamiento por N. brevirostris durante el verano austral (diciembre a marzo). Un lugar específico, dentro del AMP (laguna de Buraco da Raquel), fue identificado como el principal sitio de agregación y apareamiento de adultos de N. brevirostris en FEN. Conclusiones: Registros de ciencia ciudadana permitieron identificar aguas poco profundas como sitios clave para la reproducción de este tiburón en FEN. Los resultados resaltan el potencial de las contribuciones de la ciencia ciudadana al conocimiento de los tiburones en la naturaleza y muestran que las AMP son esenciales para la conservación del hábitat de tiburones con poblaciones decrecientes a lo largo de la costa brasileña, como N. brevirostris. Presentamos recomendaciones de gestión para proteger a N. Brevirostri, allí y en otros lugares.

Patient survival and limb salvage after shark attack with major vascular injury: A case report / 中华创伤杂志(英文版)

Shark attacks are rare unique pathological processes. Some of them represent devastating injuries with a high morbidity and significant mortality. Related published articles are limited. The increased human interaction within the environment of sharks is the cause of rising incidence of such attacks. This study reported a case of level 4 shark injuries (shark-induced trauma scale) in a 33-year-old male patient, who presented with an extensive injury of the right lower limb with the characteristic features of shark bite. At admission the patient was in a state of shock with profuse bleeding that was controlled by tourniquet. The patient was resuscitated according to the advanced trauma life support. Clinical examination showed hard signs of vascular injury with absent pedal pulse, associated neurological deficits and severance at the knee joint. Prompt vascular intervention after resuscitation was performed to manage the major vascular injuries, together with proper washout and debridement of all the necrotic tissues under strong antibiotic coverage to prevent infection. After that, the patient underwent sequenced plastic, orthopedic, and neurological interventions. Strict follow-up was conducted, which showed that the patient was saved and achieved a functioning limb. This study aims to highlight the management of level 4 shark injuries, which are considered serious and challenging with a high fatality rate and a great risk of amputation due to the associated major vascular injuries. Immediate well organized management plan is crucial. Prompt resuscitation and surgical intervention by a highly-skilled medical team are required to improve the chance of patient survival and limb salvage.

Reproductive biology aspects of Alopias pelagicus and A. superciliosus (Lamniformes: Alopiidae) in the Ecuadorian Pacific

ABSTRACT The reproductive biology of thresher shark species of the Ecuadorian Pacific was analysed based on 1236 specimens of Alopias pelagicus (711 females and 525 males) and 354 of A. superciliosus (164 females and 190 males) landed in Playita Mía, from January to December of 2019. The length of A. pelagicus females ranged between 67.2 and 184 cm PCL (precaudal length) and the males between 69.0 and 178.4 cm PCL, A. superciliosus registered a minimum and maximum size of 76.0 and 202.2 cm PCL for females and 94.0 and 204.8 cm PCL for males. The most frequently captured size class for A. pelagicus was 147.2157.2 cm PCL and for A. superciliosus was 156.0-166.0 cm PCL. The sex ratio (F:M) for A. pelagicus and A. superciliosus was 1.35F:1M and 0.86F:1M respectively. For A. pelagicus males the inflection point of the clasper length adjustment, was 134.2 cm PCL and size at first sexual maturity (L 50 ) was estimated at 136.0 cm PCL. For A. superciliosus males the inflection point of the clasper length adjustment, was 136.8 cm PCL, and the first sexual maturity (L 50 ) was estimated at 138.7 cm PCL.

RESUMO A biologia reprodutiva de espécies de tubarão debulhador do Pacífico Equador foi analisada com base em 1236 exemplares de Alopias pelagicus (711 fêmeas e 525 machos) e 354 de A. superciliosus (164 fêmeas e 190 machos) desembarcados em Playita Mía, entre janeiro e dezembro de 2019. O comprimento das fêmeas de A. pelagicus variou entre 67,2 e 184 cm PCL (comprimento pré-corte) e os machos entre 69,0 e 178,4 cm PCL, A. superciliosus registrou um tamanho mínimo e máximo de 76,0 e 202,2 cm PCL para as fêmeas e 94,0 e 204,8 cm PCL para machos. A classe de tamanho mais frequentemente capturada para A. pelagicus foi 147,2157,2 cm PCL e para A. superciliosus foi 156,0-166,0 cm PCL. A proporção sexual (F:M) para A. pelagicus e A. superciliosus foi de 1,35F:1M e 0,86F:1M, respectivamente. Para machos de A. pelagicus, o ponto de inflexão do ajuste do comprimento do grampo foi de 134,2 cm PCL e o tamanho na primeira maturidade sexual (L 50 ) foi estimado em 136,0 cm PCL. Para machos de A. superciliosus o ponto de inflexão do ajuste do comprimento do grampo foi de 136,8 cm PCL, e a primeira maturidade sexual (L 50 ) foi estimada em 138,7 cm PCL.

Simple synthesis of photoluminescent carbon dots from a marine polysaccharide found in shark cartilage

BACKGROUND: For more than a decade, water-soluble, eco-friendly, biocompatible, and low-toxicity fluorescent nanomaterials have received considerable attention for their numerous in vivo and in vitro applications in biomedical imaging, disease diagnostics, and environmental monitoring. Owing to their tunable photoluminescence properties, carbon-based luminescent nanomaterials have shown great potential in bioimaging, photocatalysis, and biosensing among other applications. RESULTS: Marine environments provide excellent resources for the fabrication of these nanomaterials, because many marine organisms contain interesting trigger organic compounds that can be used as precursors. Herein, we synthesize multi-color emissive carbon dots (CDs) with an intrinsic photoluminescence quantum yield of 20.46%. These nanostructures were achieved through the one-step hydrothermal treatment of marine polysaccharide chondroitin sulfate, obtained from shark cartilage, in aqueous solution. CONCLUSIONS: We successfully demonstrate the low toxicity of our marine resource-derived CDs in zebrafish, and provide an initial assessment of their possible use as a bioimaging agent. Notably, the newly synthesized CDs localize in the intestines of zebrafish larvae, thereby indicating their biocompatibility and potential use as in vivo dyes.

Residencia del tiburón punta blanca de arrecife, Triaenodon obesus, (Carcharhiniformes: Carcharhinidae) en las bahías Chatham y Wafer del Parque Nacional Isla del Coco, Costa Rica / Residency of the whitetip reef shark (Triaenodon obesus) in Chatham and Wafer Bays, Isla del Coco National Park, Costa Rica

Introducción: El tiburón punta blanca (Triaenodon obesus) es una especie de arrecife de aguas tropicales, no migratoria, que ha demostrado no tener una alta conectividad costera, como la observada para otras especies de tiburón, sin embargo posee la distribución más amplia de todas las demás especies de tiburón de arrecife del Indo-Pacífico. T. obesus, es una de las especies de tiburón más comunes en el Parque Nacional Isla del Coco (PNIC), y no presenta una estacionalidad marcada. En las bahías localizadas en el norte del PNIC, Bahía Chatham y Bahía Wafer, reside una saludable población del tiburón punta blanca de arrecife. A pesar de ser una especie abundante en las bahías Chatham y Wafer del PNIC, la información sobre su residencia resulta escaza. Objetivo: Conocer sobre el uso de hábitat y los movimientos del tiburón punta blanca de arrecife mejorará su manejo en el PNIC y en otros lugares del Pacífico Tropical Oriental. Para esto se realizó un estudio preliminar sobre la residencia en las bahías Chatham y Wafer del PNIC, utilizando telemetría acústica. Métodos: Se realizó una expedición de marcaje de tiburones al Parque Nacional Isla del Coco entre el 25 de noviembre al 5 de diciembre del 2014. Durante esta expedición se realizaron 2 giras nocturnas entre las 18:00 y las 22:00 a Bahía Chatham y Bahía Wafer y se marcaron 8 individuos de T. obesus con telemetría acústica y se instalaron dos receptores, uno en cada bahía. Resultados: Entre noviembre 2014 y diciembre 2015 los tiburones punta blanca marcados fueron detectados por los receptores instalados en las bahías en un total de 278 706 ocasiones. Los tiburones T. obesus marcados permanecieron largos periodos en las bahías Chatham y Wafer, El índice de Residencia (IR) medio de los T. obesus marcados fue de 0.97±0,03, reportando una tendencia en la baja del número total de detecciones durante las horas nocturnas. Los tiburones punta blanca de arrecife mostraron una alta fidelidad al sitio de marcaje, que se ve reflejado en los elevados índices de residencia reportados, particularmente altos en comparación con otras especies de tiburón de arrecife. Las detecciones de los tiburones en las bahías tienden a disminuir a partir de las 18:00 horas, cuando el tiburón punta blanca se vuelve activo para cazar en el arrecife. Conclusiones: En conclusión, los tiburones punta blanca poseen una alta residencia y fidelidad, lo cual confirma su bajo rango de hogar. El Área Marina Protegida de la Isla del Coco probablemente brinda una protección efectiva a la población del tiburón punta blanca de la pesca ilegal.

Introduction: The whitetip reef shark (Triaenodon obesus) is a non-migratory tropical reef species that has shown no high coastal connectivity, as observed for other shark species. At the same time, has the widest distribution of all Indo-Pacific reef shark species. Triaenodon obesus is one of the most common shark species at Isla del Coco National Park (PNIC) and it is present year-round. In the bays located in the north of the PNIC, Chatham Bay and Wafer Bay, there is a large population of whitetip reef sharks. Despite that, information about its residency is scarce. Objective: The aim of this initiative is to study the hábitat use and the movements of the whitetip reef sharks, in order to improve the management of its population at the Isla del Coco National Park and other áreas of Eastern Tropical Pacific. A preliminary study on the residency in the Chatham and Wafer bays of the PNIC was conducted, using acoustic telemetry. Methods: A shark tagging expedition was made to Isla del Coco National Park from November 25 to December 5, 2014. During this expedition, two night trips were made between 6:00 pm and 10:00 pm at Chatham Bay and Wafer Bay. Results: A total of 8 individuals of T. obesus were fitted with acoustic tags and two receivers were installed, one in each bay. Sharks were monitored between November 2014 and December 2015, the sharks were detected on 278 706 occasions. The sharks remained long periods in the Chatham and Wafer bays. Their average Residency Index (IR) was 0.97 ± 0.03, reporting less number of detections during the night hours. Detections of sharks in the bays tend to diminish after 18:00, when the whitetip shark becomes active to hunt on the reef. Conclusions: In conclusion, white tip sharks have a high residence and fidelity, which confirms their low home range. The Protected Marine Area of Isla del Coco probably provides effective protection to the white tip shark population for the illegal fisheries.

Progress in shark single-domain antibody / 生物工程学报

Monoclonal antibody (mAb) is an important biological macromolecule and widely used in immune detection, in vitro diagnostics, and drug discovery. However, the inherent properties of mAb restrict its further development, such as high molecular weight and complex structure. Therefore, there is an urgent need to develop alternatives for mAb. Various types of miniaturized antibodies have been developed, among which the variable domain of immunoglobulin new antigen receptor (VNAR) is very attractive. The shark single-domain antibody, also known as shark VNAR, is an antigen-binding domain obtained by genetic engineering technology based on the immunoglobulin new antigen receptor (IgNAR) that naturally exists in selachimorpha. It has a molecular weight of 12 kDa, which is the smallest antigen-binding domain found in the known vertebrates at present. Compared with mAb, the shark VNAR exhibits various superiorities, such as low molecular weight, high affinity, tolerance to the harsh environment, good water solubility, strong tissue penetration, and recognition of the hidden epitopes. It has attracted wide attention in the fields of immunochemical reagents and drug discovery. In this review, various aspects of shark VNAR are elaborated, including the structural and functional characteristics, generating and humanization techniques, affinity maturation strategies, application fields, advantages and disadvantages, and prospects.

Mercury concentration in shark meat from traditional markets of Gyeongsangbuk-do, South Korea

Morphological description of ovary and uterus of the nurse shark (Ginglymostoma cirratum) caught off at the Fortaleza coast, Northeast Brazil / Descrição morfológica de ovário e útero de Tubarões-lixa (Ginglymostoma cirratum) capturados na costa de Fortaleza, Nordeste do Brasil

The nurse shark, Ginglymostoma cirratum (Bonnaterre, 1778) is one of the most studied species of elasmobranchs. However, the knowledge of their reproductive biology is still relatively rare, particularly in the western South Atlantic. This study aimed to describe the morphology of the uterus and the ovary of G. cirratum, based on specimens caught off at the Fortaleza/CE coast, northeast Brazil. Samples were collected from September 2012 to June 2013, from regular landings of artisanal fishing, which commercialize this species freely. A total of ten females were collected. The methodologies followed for analyzing the ovaries and uterus of those females included both macroscopic and histological analysis. G. cirratum has internal type ovary morphology, with invaginations of connective tissue, which defines compartments and separate oocyte groups in ovigerous lots. The epithelium lining the ovary changes from simple columnar ciliated in the area without ovigerous lots, which turns into a simple cubic epithelium in the coating portion of the epigonal organ where ovarian tissue is absent. The uterine mucosa has secretory cells denoted by Alcian Blue staining, indicating the production of mucopolysaccharides, even in immature individuals. This lecithotrophic shark has a uterine vascularized mucosa that is one characteristic of viviparous elasmobranch species.(AU)

O tubarão-lixa, Ginglymostoma cirratum (Bonnaterre, 1778) é uma das espécies mais estudadas de elasmobrânquios. O conhecimento de sua biologia reprodutiva, no entanto, ainda é relativamente raro, particularmente no Oeste do Atlântico Sul. Este estudo objetivou a descrição morfológica do útero e ovário de G. cirratum, baseado em espécimes capturados na costa de Fortaleza/CE, no Nordeste do Brasil. Um total de dez fêmeas foi coletado de setembro de 2012 a junho de 2013, nos desembarques regulares da pesca artesanal, que comercializam essa espécie livremente. A metodologia foi de acordo com as analises macroscópica e histológica dos ovários e útero. G. cirratum tem o tipo de morfologia de ovário interno, com invaginações de tecido conjuntivo, que define compartimentos e separa grupos de oócitos em lotes ovígeros. O epitélio que reveste o ovário varia de epitélio simples colunar ciliado na área que não apresenta lotes ovígeros para epitélio simples cúbico na porção de revestimento do órgão epigonal, onde o tecido ovariano é ausente. A mucosa uterina possui células secretoras, evidenciadas pela coloração em Alcian Blue, indicando a produção de mucopolissacarídeos, mesmo em indivíduos imaturos. Este tubarão lecitotrófico apresenta a mucosa uterina vascularizada, sendo esta uma característica de espécies de elasmobrânquios vivíparos.(AU)

Shark mouth pancreaticojejunostomy: a new enteric reconstruction procedure of pancreatic stump / 中华医学杂志(英文版)

Background@#The enteric reconstruction procedure of pancreatic stump after pancreaticoduodenectomy remains to be the critical factor influencing the mortality and morbidity. No widely accepted surgical procedure for the pancreaticojejunostomy has been erected yet. We have developed a new technique of pancreaticojejunostomy named "shark mouth pancreaticojejunostomy." The aim of this study is to assess the efficacy of "shark mouth pancreaticojejunostomy."@*Methods@#This is a prospective single-arm observational study to evaluate the clinical efficacy of "shark mouth pancreaticojejunostomy." Patients with diseases, in whom a pancreaticoduodenectomy is indicated, would be recruited from Peking University Third Hospital. The hypothesis to be tested is that a "shark mouth pancreaticojejunostomy" will reduce fistula rate from around 20% to less than 10%. A sample size of 120 patients will be needed. The primary endpoint is the incidence rate of postoperative pancreatic fistula (POPF). The secondary endpoints of the study are anastomosis time, postoperative hospital stay, and morbidities besides the POPF such as the hemorrhage. Enrolled patients will undergo pancreaticoduodenectomy and be followed up for 3 months. The relevant data will be monitored and recorded.@*Conclusions@#The current trial will explore the therapeutic value of the newly raised pancreaticojejunostomy procedure as the "shark mouth pancreaticojejunostomy." Its theoretical base and pragmatic feature will promise high external validity.@*Trial registration@#Clinical Trials.gov: NCT03366038; https://www.clinicaltrials.gov.

Dientes fósiles de Carcharocles megalodon: la colección del Museo Universitario de Chieti (Italia). Parte I: análisis morfométrico / Fossil teeth of Carcharocles megalodon: the collection of the University Museum of Chieti (Italy). Part I: morphometric analysis

La especie extinta de tiburón Carcharocles megalodon (Clase: Chondrichthyes; Orden: Lamniformes) es considerado uno de los depredadores más grandes y más poderosos que ha poblado los mares templados de todo el mundo entre el Mioceno medio y el Plioceno (15,9-2,6 Ma). La reconstrucción de su historia evolutiva y ecología se basa principalmente en el estudio morfológico y métrico de los dientes, que representan la abrumadora mayoría de los restos fósiles de esta especie con esqueleto cartilaginoso hallados hasta hoy. En el presente artículo presentamos las características morfológicas y métricas de los dientes de Carcharocles megalodon que se conservan en el Museo Universitario de Chieti (Italia). La colección se compone de nueve dientes de la arcada superior, que pertenecerían a diferentes ejemplares de tamaño variable entre los 6,27-14,50 m y los 2.510-35.918 kg. de peso. Los dientes implementan el registro fósil existente de Carcharocles megalodon, de modo que los datos morfométricos recabados contribuirán a mejorar el conocimiento de los estudios filogenéticos y ecológicos de esta especie.

The extinct species of shark Carcharocles megalodon (Class: Chondrichthyes; Order: Lamniformes) is considered one of the largest and most powerful predators that populated the temperate seas around the world between the middle Miocene and the Pliocene periods (15.9-2.6 My). The reconstruction of its evolutionary history and ecology is based mainly on the morphological and metric studies of the teeth, which represent the overwhelming majority of the fossil remains of this cartilaginous skeleton species. In this article we present the morphological and metric characteristics of the teeth of Carcharocles megalodon that are housed in the University Museum of Chieti (Italy). In particular, the collection is composed of nine teeth of the upper arch, which belonged to different specimens of variable size and weight (total length range: 6.27-14.50 m; weight range: 2,510-35,918 kg). The teeth implement the existing fossil record of Carcharocles megalodon, so that the morphometric data collected will contribute to improve knowledge of the phylogenetic and ecological studies of this species.

Cartílago de tiburón: una panacea oncológica más / Shark cartilage: another oncological panacea

Resumen El cáncer es la tercera causa de muerte después de las enfermedades cardiovasculares y diabetes (mellitus); ante tan desolador panorama epidemiológico, es esperable que surjan multitud de terapias "curativas" no convencionales, biológicas y no biológicas. Entre las terapias biológicas se encuentra el cartílago de tiburón, cuyos defensores de su consumo se basan en la falsa premisa de que "los tiburones no tienen cáncer", y cuando son confrontados, alegan teorías conspiranoicas. Aunque se ha demostrado la existencia de un factor inhibidor de angiogénesis en el producto, los ensayos clínicos no han sido concluyentes en cuanto a un efecto benéfico neto en pacientes oncológicos. Pero el mercadeo popular de la sustancia es un negocio de varios millones de dólares anuales. Es prudente que los médicos tengan conocimiento incluso de los posibles efectos colaterales para proporcionar información a los pacientes.

Abstract Cancer is the third cause of death after cardiovascular diseases and diabetes mellitus. In the face of such a devastating epidemiological panorama, it is expected that a multitude of non-conventional, biological and non-biological "curative" therapies will emerge. Among the biological therapies is the shark cartilage, whose defenders of its use are based on the false premise that "sharks do not have cancer", and when confronted, they claim conspiracy theories. Although the presence of an inhibitory factor of angiogenesis in the product has been demonstrated, clinical trials have not been conclusive as to a net beneficial effect in oncological patients. But the popular marketing of the substance is a business of several million dollars a year. It is prudent that doctors have knowledge, including possible side effects, to provide information to patients.

A shark attack treated in a tertiary care centre: Case report and review of the literature

Although uncommon, shark attacks can lead to devastating outcomes for victims. Surgeons also face unique challenges during operative management such as exsanguination, shock, specific injury patterns and infections. This case report presents the management of a 39-year-old previously healthy female attacked by a shark while on vacation in Mexico. The patient sustained severe injuries to her left arm and her left thigh. She was transferred to a Canadian institution after ambiguous operative management in Mexico and presented with no clear antibiotic coverage and a Volkman's contracture of the left upper extremity. In total, the patient underwent four washouts of wounds, two split-thickness skin grafts, one free anterolateral thigh flap, and one free transverse rectus abdominus myocutaneous flap for the reconstruction and salvage of the left lower extremity. This article highlights the specifics of this case and describes important points in managing these devastating injuries.

The associations between blood mercury levels and shark meat intake among workers in Gyeongsangbuk-do

BACKGROUND: Shark meat is used as sacrificial food in Gyeongsangbuk-do, and is a major source of dietary mercury. This study aimed to evaluate the effects of shark meat intake or the ritual of Jesa on blood mercury levels within workers living in Gyeongsangbuk-do. METHODS: This study was conducted from September 2016 to October 2016 in two cities of Gyeongsangbuk-do. To compare the differences between urban and rural areas, two workplaces each in Daegu as the urban area and Yeongcheon as the rural area were selected. General characteristics and characteristics related to shark meat consumption of the workers were acquired by personal interviews during their health examination. Blood mercury concentrations were analyzed by the gold amalgamation method using a direct mercury analyzer (DMA-80; Milestone Inc., Shelton, CT, USA). RESULTS: The shark consumption group had a higher blood mercury concentration than the non-consumption group. The levels of blood mercury increased with the frequency, annual intake, as well as most recent date of shark meat consumption. Moreover, the levels of mercury in blood increased according to the annual frequency of participation in Jesa (times per year) and the annual frequency of shark meat consumption during Jesa (times per year). CONCLUSIONS: Shark meat intake and the ritual of Jesa contributed to an increase in the blood mercury levels of workers in Gyeongsangbuk-do. Therefore, it is necessary to evaluate dietary exposure, occupational as well as other factors that may influence blood mercury concentrations in workers during their health examination, particularly in regions with high mercury exposures.

Using Bio-Replicated Forming Technologies to Fabricate Shark-Skin Surface

ABSTRACT Shark-skin surfaces show the non-smoothness characteristics due to the presence of riblet structures. In this work, biomimetic shark-skins were prepared by means of different bio-replicated forming techniques. These techniques include the PDMS elastomeric stamping method (e.g., PES method) and the PDMS embedded-elastomeric stamping method (e.g., PEES method). The study characterized the fabricated biomimetic surfaces through the use of scanning electron microscopy (SEM) as well as 3D microscope. The accuracy of the two replication routes were compared, which included measuring the surface integrity and dimensional parameters ( s, h ) of the riblet-groove structure. The results show that fresh shark-skin without chemical treatments should be used as a replication template whenever possible to attain a satisfactory replication accuracy of the riblet structure. The PES and PEES methods proposed here are effective bio-replicated forming routes in simulating the microstructures of a shark-skin surface. Compared with the PES method, the PEES method has greater precision in simulating the microstructures of a shark-skin surface.

Los microempresarios y los cuentagotas en Villavicencio

El artículo tiene como propósitos: Identificar causas por las cuales algunos microempresarios, no acceden a créditos a través de la banca o entidades autorizadas, describir características de microempresarios y "cuentagotas" inmersos en este sistema de crédito. Inicia con revisión documental a través de autores que establecen teorías referidas al crédito informal y el comportamiento de los dos actores. Se diseñaron y aplicaron encuestas a 380 microempresarios ubicados en diferentes zonas de la ciudad. Se registra las principales razones por las cuales el microempresario no acude a un banco: miedo del reporte a centrales de riesgo, temor de embargo, tramitología, carencia de requisitos previos ignorancia respecto de cultura de pago y ahorro, urgencia del crédito. Los estratos sociales de microempresarios que acceden a este tipo de créditos son inferiores al estrato 3, bajos niveles de escolaridad y escasamente tienen formación técnica, edad promedio 37 años, actividad principal comercio representado en pequeños y grandes almacenes. El 70% de usuarios son casados o en unión libre y como casos críticos, se reportan madres cabeza de hogar. La modalidad que opta el agiotista para captar cliente es estableciendo vínculos de amistad y confianza. El 20% de los microempresarios manifiestan que el usurero es una opción expedita para obtener rápidamente un préstamo; sin formalidades ni averiguaciones sobre el propósito del crédito. Usuarios de esta modalidad de crédito por lo general no superan montos de $ 2 millones y asumen obligaciones que exceden los intereses legales y se comprometen con pagos diarios.

This article was aimed at identifying the causes due to which some micro-entrepreneurs do not apply to banks or authorised entities for credit; it describes the characteristics of the micro-entrepreneurs and the moneylenders/loan sharks immersed in this credit system. It begins with a documentary review regarding authors who have established theories related to informal credit and both actors' patterns of behaviour. Surveys were designed and 380 micro-entrepreneurs located in different areas of the city answered the questions therein. The main reasons why micro-entrepreneurs do not ask for loans from banks were fear of being reported to risk centres, fear of their goods being seized, red tape/tiresome paperwork, lack of prior requirements, ignorance regarding a culture of payment and saving and the urgency regarding the need for immediate credit. The social strata of micro-entrepreneurs trying to gain access to this type of credit was found to be lower than stratum 3 (Colombia has 6 strata for tax/economic rating purposes), they had low educational levels and little technical training, they were 37 years-old on average and their main commercial activity was represented in small and large shops/outlets. Los microempresarios y los cuentagotas en Villavicencio 103 It was found that 70% of lenders were married or living with a partner and female heads of households were reported as critical cases. Haggling forms an important part of loan sharking and the mode adopted to capture clients is to establish bonds of friendship and create confidence; 20% of the micro-entrepreneurs stated that the usurer represents an expeditious option for obtaining a loan quickly, without becoming immersed in formalities or inquiries about the purpose of such credit. People/borrowers resorting to this type of credit usually did not ask for sums exceeding $ 2 million pesos and thus had to assume obligations exceeding legally set interest rates and committed themselves to making daily payments (incurring extra interest for non-fulfilment).

O artigo tem as seguintes finalidades: Para identificar as principais razões por que alguns empresários não têm acesso a empréstimos bancários e outras entidades jurídicas do Estado, descrever as características de microempresários e contagotas imersos neste sistema de crédito. Ela começa com uma revisão da literatura através de autores estabelecidos referindo ao crédito eo comportamento das duas teorias atores informal. As pesquisas foram aplicados a 380 microempresários em diferentes áreas da cidade foram concebidos. Verificou-se que as principais razões pelas quais o empreendedor não frequentam um banco, são dadas por: medo do relatório de crédito de dados, o medo do embargo, a burocracia, a falta de informações sobre os procedimentos exigidos pelo banco, a falta de cultura pagamento e poupança, o quão rápido você precisa do dinheiro. Estratos sociais de microempresários que acessam esses empréstimos são estrato inferior 3, a maioria destes com uma formação técnica, a idade média é de 37 anos, cuja atividade principal é o comércio representado em pequenas e grandes lojas. 70% deles são casados ou em coabitação casos como críticas, as mães solteiras são. A forma do conta-gotas para pegar o cliente é estabelecer laços de amizade e confiança. 20% dos empresários afirmam que a contagotas é a melhor maneira de obter rapidamente um empréstimo, porque isso gera confiança e não detém sobre questões não ver o destino final do dinheiro. Aqueles que acessam a queda de empréstimos a gota emprestado em pequenas quantidades que variam de menos de US $ 2000.000 e pagar juros usurários de 20% por dia.

New record of Squalus cubensis Howell Rivero, 1936 (Chondrichthyes, Squalidae) in Colombia / Nuevo registro de Squalus cubensis Howell Rivero, 1936 (Chondrichthyes, Squalidae) en Colombia / Novo registro de Squalus cubensis Howell Rivero, 1936 (Chondrichthyes, Squalidae) em Colômbia

Abstract Two Cuban dogfish Squalus cubensis (Squalidae) are recorded for the first time in the area of influence of Isla Fuerte, an island located at the limit of the southern continental shelf of the Colombian Caribbean. Additionally, it is the first capture report of this species in Colombia by artisanal fishery and at shallower catch depths than those reported in previous records. Due to the little existing knowledge about the biology of this species in the country, information on the reproductive biology of the captured individuals is provided.

Resumen Dos especímenes de tiburón galludo cubano, Squalus cubensis (Squalidae), se registraron por primera vez en el área de influencia de Isla Fuerte, localizada en el límite de la plataforma continental sur del Caribe Colombiano. Se trata, además, del primer reporte de captura de la especie en Colombia por medio de pesca artesanal a profundidades menores de las reportadas anteriormente. Para contribuir al conocimiento, hasta ahora escaso, acerca de la biología de esta especie en el país, se proporciona información sobre la biología reproductiva de los individuos capturados.

Resumo Reporta-se por primeira vez a presença de dois indivíduos de Cação-Bagre Squalus cubensis (Squalidae) na área de influência da Isla Fuerte, uma ilha localizada no limite da plataforma continental sul do Caribe Colombiano. Adicionalmente, este é o primeiro relato de captura dessa espécie em Colômbia por meio de pesca artesanal e a uma profundidade de captura menor do que as reportadas anteriormente. Devido ao pouco conhecimento existente sobre a biologia desta espécie no país, se aporta informação sobre a biologia reprodutiva dos indivíduos capturados.

Fishers' ecological knowledge of smalleye hammerhead, Sphyrna tudes, in a tropical estuary

Coastal hammerheads have suffered from overexploitation and environmental degradation. We interviewed 79 artisanal fishers to verify fishery aspects, temporal changes in catches and biological aspects of the smalleye hammerhead, Sphyrna tudes , in a marine protected area on Abrolhos Bank, Brazil. Data were compared between three generations of fishers: young, middle-aged and old. Fishers' age varied between 17 and 88 years. We verified significant reductions in the weight of individuals caught by younger fishers. The main types of fishing gear used to catch S. tudes were gill nets and longlines. Overfishing through gill nets and trawl fisheries were mentioned as the cause of S. tudes population collapse in the region. The shark's diet as reported by fishers consisted of fish, crab and shrimp; austral summer was the reproductive season. A strong similarity was verified between fishers' knowledge and biological data. We suggest as plausible strategies to conserve the local population of S. tudes the reduction of net fisheries impact through zoning and establishment of no take areas. These steps can help to initiate the recovery of this depleted species.

Tubarões martelo costeiros têm sofrido com a sobrepesca e degradação ambiental. Foram entrevistados 79 pescadores artesanais para verificar aspectos da pesca, mudanças temporais nas capturas e aspectos biológicos de Sphyrna tudes em uma área marinha protegida no Banco dos Abrolhos, Brasil. Os dados foram comparados entre três gerações de pescadores: novos, meia idade e mais velhos. A idade dos pescadores variou entre 17 e 88 anos. Verificaram-se reduções significativas no peso dos indivíduos capturados pelos pescadores mais jovens. Os principais petrechos usados para captura de S. tudes foram redes de emalhe e espinhel. Pescadores mencionaram que o colapso da população local de S. tudes foi decorrente do excessivo uso de redes de emalhe e pelas pescarias de arrasto. A dieta reportada foi peixes, caranguejos e camarões e a época de reprodução foi o verão. Uma forte similaridade foi verificada entre o conhecimento dos pescadores e dados biológicos. São sugeridas como estratégias plausíveis para conservar a população local de S. tudes a redução do esforço das pescas com rede através de zoneamento e estabelecimento de áreas de exclusão de pesca. Esses passos podem ajudar a iniciar a recuperação de espécies depletadas.

Biología de Rhizoprionodon lalandii (Elasmobranchii: Carcharhinidae) capturado en la pesca artesanal de Isla de Margarita, Venezuela

Rhizoprionodon lalandii es un pequeño tiburón ( 57 cm de LT), prohibir por completo el desembarque de hembras grávidas y decretar un periodo de veda de al menos cuatro meses al año, para preservar los beneficios económicos de la pesquería.

Rhizoprionodon lalandii is a small shark ( 57 cm de LT), ban the catches of pregnant females and the application of a banned season of at least four months per year, to preserve the economic benefits of this fishery.