Muscle coactivation during gait in children with and without cerebral palsy.

BACKGROUND: Children with Cerebral Palsy (CP) walk with an uncoordinated gait compared to Typically Developing (TD) children. This behavior may reflect greater muscle co-activation in the lower limb; however, findings are inconsistent, and the determinants of this construct are unclear. RESEARCH OBJECTIVES: (i) Compare lower-limb muscle co-activation during gait in children with, and without CP, and (ii) determine the extent to which muscle co-activation is influenced by electromyography normalization procedures and Gross Motor Function Classification System (GMFCS) class. METHODS: An electromyography system measured muscle activity in the rectus femoris, semitendinosus, gastrocnemius, and tibialis anterior muscles during walking in 46 children (19 CP, 27 TD). Muscle co-activation was calculated for the tibialis anterior-gastrocnemius (TA-G), rectus femoris-gastrocnemius (RF-G), and rectus femoris-semitendinosus (RF-S) pairings, both using root mean squared (RMS)-averaged and dynamically normalized data, during stance and swing. Mann-Whitney U and independent t-tests examined differences in muscle co-activation by group (CP vs. TD) and GMFCS class (CP only), while mean difference 95% bootstrapped confidence intervals compared electromyography normalization procedures. RESULTS: Using dynamically normalized data, the CP group had greater muscle co-activation for the TA-G and RF-G pairs during stance (p < 0.01). Using RMS-averaged data, the CP group had greater muscle co-activation for TA-G (stance and swing, p < 0.01), RF-G (stance, p < 0.05), and RF-S (swing, p < 0.01) pairings. Muscle co-activation calculated with dynamically normalized, compared to RMS-averaged data, were larger in the RF-S and RF-G (stance) pairs, but smaller during swing (RF-G). Children with CP classified as GMFCS II had greater muscle co-activation during stance in the TA-G pair (p < 0.05). SIGNIFICANCE: Greater muscle co-activation observed in children with CP during stance may reflect a less robust gait strategy. Although data normalization procedures influence muscle co-activation ratios, this behavior was observed independent of normalization technique.

Therapy with mesenchymal stromal cells or conditioned medium reverse cardiac alterations in a high-fat diet-induced obesity model.

BACKGROUND: Obesity is associated with numerous cardiac complications, including arrhythmias, cardiac fibrosis, remodeling and heart failure. Here we evaluated the therapeutic potential of mesenchymal stromal cells (MSCs) and their conditioned medium (CM) to treat cardiac complications in a mouse model of high-fat diet (HFD)-induced obesity. METHODS: After obesity induction and HFD withdrawal, obese mice were treated with MSCs, CM or vehicle. Cardiac function was assessed using electrocardiography, echocardiography and treadmill test. Body weight and biochemical parameters were evaluated. Cardiac tissue was used for real time (RT)-polymerase chain reaction (PCR) and histopathologic analysis. RESULTS/DISCUSSION: Characterization of CM by protein array showed the presence of different cytokines and growth factors, including chemokines, osteopontin, cystatin C, Serpin E1 and Gas 6. HFD-fed mice presented cardiac arrhythmias, altered cardiac gene expression and fibrosis reflected in physical exercise incapacity associated with obesity and diabetes. Administration of MSCs or CM improved arrhythmias and exercise capacity. This functional improvement correlated with normalization of GATA4 gene expression in the hearts of MSC- or CM-treated mice. The gene expression of connexin 43, troponin I, adiponectin, transforming growth factor (TGF) ß, peroxisome proliferator activated receptor gamma (PPARγ), insulin-like growth factor 1 (IGF-1), matrix metalloproteinase-9 (MMP9) and tissue inhibitor of metalloproteinases 1 (TIMP1) were significantly reduced in MSCs, but not in CM-treated mice. Moreover, MSC or CM administration reduced the intensity of cardiac fibrosis. CONCLUSION: Our results suggest that MSCs and CM have a recovery effect on cardiac disturbances due to obesity and corroborate to the paracrine action of MSCs in heart disease models.

Neuromyelitis optica spectrum disorders: beyond longitudinally extensive transverse myelitis.

AIM: To describe the neuroradiological features and their prevalence in patients with neuromyelitis optica (NMO). MATERIALS AND METHODS: Two neuroradiologists independently reviewed 35 spinal cord and 37 brain MRI studies from patients with NMO. The examinations were analysed for the presence of lesion, topography, enhancement, and brain lesions suggestive of multiple sclerosis and/or NMO. RESULTS: Seventy percent of the spinal cord lesions involved over three or more vertebral segments. Seventy-eight percent of brain scans were abnormal, and the most prevalent findings were non-specific foci of T2 hyperintensities in the cerebral white matter (55%) and brainstem lesions (52%). One patient had lesions disseminated in space compatible with multiple sclerosis according to 2010 revised McDonald criteria. Brain lesions suggestive of NMO occurred at least once in 17 (59%) patients. CONCLUSION: Spinal cord lesions were often longitudinally extensive and brain lesions were common, with the majority of patients having at least one distinctive NMO lesion.

Efeitos do momento de transferência dos ovos para o nascedouro e da idade da matriz pesada sobre o rendimento de incubação / Effects of the moment of egg transfer to the hatcher and broiler breeder age on the incubation yield

Foram avaliados os efeitos do momento de transferência dos ovos da incubadora para o nascedouro e da idade da matriz pesada sobre o rendimento de incubação. Os tratamentos foram definidos pela idade das matrizes Cobb®, sendo considerados ovos de matrizes novas (33 semanas) e ovos de matrizes velhas (63 semanas), e pelos momentos de transferência da câmara de incubação para os nascedouros (aos 15, 17 e 19 dias). O delineamento experimental foi inteiramente ao acaso em parcelas subdivididas, sendo o fator da parcela os três momentos das transferências e as subparcelas as duas idades das matrizes, com 18 repetições por tratamento. A bandeja com 96 ovos foi considerada a repetição, totalizando 1.728 ovos para cada tratamento. Ovos de matrizes velhas são mais pesados, perdem mais peso durante a incubação e têm percentual de fertilidade menor (P<0,05), qualquer que seja o momento de transferência dos ovos. Independentemente da idade das matrizes, a transferência dos ovos da incubadora para o nascedouro aos 15, 17 ou 19 dias de incubação não interfere na mortalidade embrionária, eclodibilidade e peso dos pintos ao nascimento. É possível adaptar o manejo de transferência à necessidade logística do incubatório ou reduzir o período dos ovos na máquina de incubação para aumentar o fluxo de produção, sem prejuízo ao rendimento de incubação.

We evaluated the effects of the moment of egg transfer to the hatcher and broiler breeder age on the incubation yield. The treatments were defined by Cobb ® broiler breeder age, separating young breeders (33 weeks old) from older breeders (63 weeks old) and the moment of transfer from incubation chamber to the hatcher (at 15, 17 and 19 days). The experimental design was completely randomized split plot. The plots factor was the three times of transfers and the subplots the two breeder ages, with 18 replicates per treatment. A tray of 96 eggs was considered replay, totaling 1728 eggs for each treatment. Eggs from older breeders are heavier, lose more weight during incubation and fertility rate is lower (p<0.05), regardless of the moments of eggs transfer. Regardless of the breeder age, the transfer of eggs from the incubator to the hatcher at 15, 17 or 19 days of incubation does not interfere in embryonic mortality, hatchability and chick weight at hatch. You can adapt the transfer management to the logistic needs of the hatchery or reduce the period of egg incubation in the machine to increase the flow of production with no losses in incubation yield.

Lingual schwannoma: case report and review of the literature.

Schwannomas are benign, encapsulated, slow-growing and usually solitary tumours originating from Schwann cells of the peripheral nerve sheath. Approximately 25-40% of cases are seen in the head and neck region, of which 1% in the oral cavity. We report a rare case of lingual schwannoma in a young woman who was treated with complete transoral excision, and also review the literature of the past two decades, analyzing epidemiological and clinical data of the 35 cases reported. Lingual schwannomas generally present as a painless lump with an average size of 2 cm in the fourth decade of life and with no gender predilection. Complete transoral excision can be considered standard treatment for these tumours, with no recurrences documented in the literature.