Radiology-Pathology and Surgical Correlation in Astroblastoma.

Astroblastoma is a rare astrocytic glial neoplasm that affects mainly young girls, peaking between 10 and 30 years of age, with low- and high-grade manifestations. Imaging characteristics are well-described, but histopathologic and, more recently, molecular analysis is fundamental to establish the diagnosis, now based on MN1 alterations. We describe a case with typical imaging and histologic features of an MN1-altered astroblastoma.

The effects of air stress during storage and low packing density on the fermentation and aerobic stability of corn silage inoculated with Lactobacillus buchneri 40788.

We determined if a microbial inoculant could improve the fermentation and aerobic stability of corn silage subjected to various challenges during storage that included an air stress challenge and low packing density. In Experiment 1, whole-plant corn was untreated (CTR) or treated (INO, Lactobacillus buchneri 40788 and Pediococcus pentosaceus 12455. Five individually replicated 7.5-L silos, at a density of 240 kg of dry matter (DM)/m3, for each treatment were kept sealed (NAS) for 19 wk, air stressed early (ES, 3 h/wk for wk 1-9), or air stressed late during storage (LS, 3 h/wk for wk 10-19). Inoculation increased the number of agar-culturable lactic acid bacteria regardless of air stress status, but it did not affect the relative abundance of Lactobacillus. Early, but not late air stress, resulted in silages with a higher relative abundance of Acetobacter when compared with NAS. Silages treated with INO had greater concentrations of acetic acid than CTR. Numbers of yeasts were lowest for INO regardless of air stress and CTR-LS had the most yeasts among all treatments. Silages that were not air stressed had a higher relative abundance of Candida tropicalis than air stressed silages. Monascus purpureus was detected in ES and LS but not in NAS, and its relative abundance was numerically higher in CTR-ES than in INO-ES and statistically higher in CTR-LS compared with INO-LS. Early air stress numerically reduced aerobic stability compared with NAS, and there was a statistical tendency for lower stability in LS compared with NAS. Inoculation improved aerobic stability regardless of when the air stress occurred. In Experiment 2, corn silage was prepared with the same primary treatments of CTR and INO but was packed at a low (LD; 180 kg of DM/m3) or a normal (ND; 240 kg of DM/m3) density and sealed (NAS) or air stressed (AS; 24 h on d 28, 42, and 89) for 92 d of storage. The concentration of acetic acid was greater in INO compared with CTR and in AS compared with NAS. Numbers of yeasts were lower in NAS compared with AS regardless of inoculation and they were lower in INO-AS compared with CTR-AS. Treatment with INO improved aerobic stability but the improvement was better in NAS versus AS and better in ND versus LD. Overall, our experiments corroborate past findings showing that INO markedly improves the aerobic stability of corn silage but they are the first to show that improvement can be sustained even when the silage was exposed to regular air stresses and when packed at a low density.

Effects of Lactobacillus hilgardii 4785 and Lactobacillus buchneri 40788 on the bacterial community, fermentation and aerobic stability of high-moisture corn silage.

AIMS: To evaluate the capacity of Lactobacillus hilgardii and Lactobacillus buchneri on modifying the bacterial community and improving fermentation and aerobic stability of high-moisture corn (HMC). METHODS AND RESULTS: High-moisture corn was untreated (CTR), treated with L. hilgardii (LH) or L. buchneri (LB) at 600 000 CFU per gram fresh weight, or with L. hilgardii and L. buchneri at 300 000 CFU per gram fresh weight each (LHLB), and stored for 10, 30 or 92 days. Compared to CTR, inoculated silages had higher Lactobacillaceae relative abundance, lower yeasts numbers and higher aerobic stability. Treatment with LHLB resulted in a higher acetic acid concentration than LH and higher 1,2 propanediol concentration than LB, such differences were numerically greater at 10 and 30 days but statistically greater at 92 days. At 10 days, all inoculated silages were more stable than CTR, but LHLB was even more stable than LB or LH. CONCLUSIONS: The combination of L. hilgardii and L. buchneri had a synergistic effect on yeast inhibition, leading to greater improvements in aerobic stability as early as 10 days after ensiling. SIGNIFICANCE AND IMPACT OF THE STUDY: Lactobacillus hilgardii, especially in combination with L. buchneri, can improve the aerobic stability of HMC after a very short period of ensiling.

Phytate induced arsenic uptake and plant growth in arsenic-hyperaccumulator Pteris vittata.

Phytate is abundant in soils, which is stable and unavailable for plant uptake. However, it occurs in root exudates of As-hyperaccumulator Pteris vittata (PV). To elucidate its effect on As uptake and growth, P. vittata were grown on agar media (63 µM P) containing 50 µM As and/or 50 or 500 µM phytate with non As-hyperaccumulator Pteris ensiformis (PE) as a congeneric control for 60 d. Phytate induced efficient As and P uptake, and enhanced growth in PV, but had little effects on PE. The As concentrations in PV fronds and roots were 157 and 31 mg kg-1 in As50+phytate50, 2.2- and 3.1-fold that of As50 treatment. Phosphorus uptake by PV was reduced by 27% in As treatment than the control (P vs. P+As) but increased by 73% comparing phytate500 to phytate500+As, indicating that PV effectively took up P from phytate. Neither As nor phytate affected Fe accumulation in PV, but phytate reduced root Fe concentration in PE (46-56%). As such, the increased As and P and the unsuppressed Fe uptake in PV probably promoted PV growth. Thus, supplying phytate to As-contaminated soils may promote As uptake and growth in PV and its phytoremediation ability.

Potential arsenic exposures in 25 species of zoo animals living in CCA-wood enclosures.

Animal enclosures are often constructed from wood treated with the pesticide chromated copper arsenate (CCA), which leaches arsenic (As) into adjacent soil during normal weathering. This study evaluated potential pathways of As exposure in 25 species of zoo animals living in CCA-wood enclosures. We analyzed As speciation in complete animal foods, dislodgeable As from CCA-wood, and As levels in enclosure soils, as well as As levels in biomarkers of 9 species of crocodilians (eggs), 4 species of birds (feathers), 1 primate species (hair), and 1 porcupine species (quills). Elevated soil As in samples from 17 enclosures was observed at 1.0-110mg/kg, and enclosures housing threatened and endangered species had As levels higher than USEPA's risk-based Eco-SSL for birds and mammals of 43 and 46mg/kg. Wipe samples of CCA-wood on which primates sit had dislodgeable As residues of 4.6-111µg/100cm(2), typical of unsealed CCA-wood. Inorganic As doses from animal foods were estimated at 0.22-7.8µg/kg bw/d. Some As levels in bird feathers and crocodilian eggs were higher than prior studies on wild species. However, hair from marmosets had 6.37mg/kg As, 30-fold greater than the reference value, possibly due to their inability to methylate inorganic As. Our data suggested that elevated As in soils and dislodgeable As from CCA-wood could be important sources of As exposure for zoo animals.

Cleaning-induced arsenic mobilization and chromium oxidation from CCA-wood deck: Potential risk to children.

Concern about children's exposure to arsenic (As) from wood treated with chromated-copper-arsenate (CCA) led to its withdrawal from residential use in 2004. However, due to its effectiveness, millions of American homes still have CCA-wood decks on which children play. This study evaluated the effects of three deck-cleaning methods on formation of dislodgeable As and hexavalent chromium (CrVI) on CCA-wood surfaces and in leachate. Initial wipes from CCA-wood wetted with water showed 3-4 times more dislodgeable As than on dry wood. After cleaning with a bleach solution, 9.8-40.3µg/100cm(2) of CrVI was found on the wood surface, with up to 170µg/L CrVI in the leachate. Depending on the cleaning method, 699-2473mg of As would be released into the environment from cleaning a 18.6-m(2)-deck. Estimated As doses in children aged 1-6 after 1h of playing on a wet CCA-wood deck were 0.25-0.41µg/kg. This is the first study to identify increased dislodgeable As on wet CCA-wood and to evaluate dislodgeable CrVI after bleach application. Our data suggest that As and CrVI in 25-year old CCA-wood still show exposure risks for children and potential for soil contamination.

Is glycated hemoglobin related to other dysmetabolic variables implicated in the increase of cardiovascular risk in polycystic ovary syndrome? A comparative study.

BACKGROUND: In non-PCOS patients the concentration of glycated hemoglobin (HbA1C) has been employed to identify individuals at higher risk for impaired glucose tolerance (IGT) and diabetes mellitus. A few studies have examined the role of HbA1C in PCOS patients and current results are controversial. AIM: To compare the strength of the association between glycated hemoglobin and other predictors of cardiovascular risk in polycystic ovary syndrome (PCOS). METHODS: This cross-sectional study enrolled 197 PCOS patients and 72 non-PCOS women. Transvaginal ultrasound, biochemical and hormone measurement were performed. Glycated hemoglobin (HbA1C) was correlated with other variables related to dysmetabolic/vascular diseases. RESULTS: The HbA1C levels were 6.0±1.4% and 4.9±0.4% in PCOS patients and non-PCOS controls, respectively (p<0.001). The HbA1C levels were≥5.7% in 46.4% of PCOS and in none of the control subjects (OR=90.8). HbA1C was well-correlated with several anthropometric, metabolic and endocrine parameters. Stepwise multiple regression including HbA1C and other known predictors of cardiovascular risk resulted in a significant model in which body mass index (BMI) and free testosterone exhibited the best correlation with HbA1C (adjusted R(2)=0.530; F=39.8; p<0.001). CONCLUSION: HbA1C was elevated and correlated with anthropometric, biochemical and endocrine variables of metabolic/vascular disease risks in PCOS patients. Combined HbA1C, BMI and free testosterone levels provided a significant model with potential use to evaluate metabolic/vascular disease in PCOS patients.

Universal image compression using multiscale recurrent patterns with adaptive probability model.

In this work, we further develop the multidimensional multiscale parser (MMP) algorithm, a recently proposed universal lossy compression method which has been successfully applied to images as well as other types of data, as video and ECG signals. The MMP is based on approximate multiscale pattern matching, encoding blocks of an input signal using expanded and contracted versions of patterns stored in a dictionary. The dictionary is updated using expanded and contracted versions of concatenations of previously encoded blocks. This implies that MMP builds its own dictionary while the input data is being encoded, using segments of the input itself, which lends it a universal flavor. It presents a flexible structure, which allows for easily adding data-specific extensions to the base algorithm. Often, the signals to be encoded belong to a narrow class, as the one of smooth images. In these cases, one expects that some improvement can be achieved by introducing some knowledge about the source to be encoded. In this paper, we use the assumption about the smoothness of the source in order to create good context models for the probability of blocks in the dictionary. Such probability models are estimated by considering smoothness constraints around causal block boundaries. In addition, we refine the obtained probability models by also exploiting the existing knowledge about the original scale of the included blocks during the dictionary updating process. Simulation results have shown that these developments allow significant improvements over the original MMP for smooth images, while keeping its state-of-the-art performance for more complex, less smooth ones, thus improving MMP's universal character.

[What do patients with head injuries remember about their time of hospitalization?]. / O que lembra o paciente com TCE sobre o período de hospitalização?

Traumatic brain injured (TBI) patients with different trauma severity were analyzed about their recollection concerning the period of hospitalization. The study was carried out in the Head Injury Outpatient Clinic at the Central Institute of the FMUSP Hospital including 45 conscious patients able to sustain an interview. Most patients were male, young adults with the major cause of trauma such as traffic accidents and falls. Most patients (86%) reported unconsciousness state of different time duration in their hospitalization period and were unable to remember anything related to that period. The predominant recollection reported by the patients who never had consciousness decreased after the trauma and that ones who had it but awoke during the hospitalization were: seeing, feeling, hearing, and reacting either to sounds and procedures.

A successive approximation vector quantizer for wavelet transform image coding.

A coding method for wavelet coefficients of images using vector quantization, called successive approximation vector quantization (SA-W-VQ) is proposed. In this method, each vector is coded by a series of vectors of decreasing magnitudes until a certain distortion level is reached. The successive approximation using vectors is analyzed, and conditions for convergence are derived. It is shown that lattice codebooks are an efficient tool for meeting these conditions without the need for very large codebooks. Regular lattices offer the extra advantage of fast encoding algorithms. In SA-W-VQ, distortion equalization of the wavelet coefficients can be achieved together with high compression ratio and precise bit-rate control. The performance of SA-W-VQ for still image coding is compared against some of the most successful image coding systems reported in the literature. The comparison shows that SA-W-VQ performs remarkably well at several bit rates and in various test images.

On the performance of linear phase wavelet transforms in low bit-rate image coding.

The behavior of linear phase wavelet transforms in low bit-rate image coding is investigated. The influence of certain characteristics of these transforms such as regularity, number of vanishing moments, filter length, coding gain, frequency selectivity, and the shape of the wavelets on the coding performance is analyzed. The wavelet transforms performance is assessed based on a first-order Markov source and on the image quality, using subjective tests. More than 20 wavelet transforms of a test image were coded with a product code lattice quantizer with the image quality rated by different viewers. The results show that, as long as the wavelet transforms perform reasonably well, features like regularity and number of vanishing moments do not have any important impact on final image quality. The influence of the coding gain by itself is also small. On the other hand, the shape of the synthesis wavelet, which determines the visibility of coding errors on reconstructed images, is very important. Analysis of the data obtained strongly suggests that the design of good wavelet transforms for low bit-rate image coding should take into account chiefly the shape of the synthesis wavelet and, to a lesser extent, the coding.

[Spinal cord neuroschistosomiasis: clinical and laboratory evaluation of 5 cases]. / Neuroesquistossomose medular. Avaliação clinico-laboratorial de 5 anos.

Schistosomiasis mansoni is an endemic disease in Brazil. Cases of nervous system schistosomiasis have been referred in our medical literature for the past forty years. In this report five cases of schistosomiasis of the spinal cord are studied. A review of the literature has been made and some clinical, laboratory and therapeutical aspects are discussed.

[Acute cerebellar infarction simulating posterior fossa tumor]. / Infarto agudo do cerebelo simulando tumor da fossa posterior.

We report a case of space-occupying infarction of the left cerebellar hemisphere with occlusive hydrocephalus and left to right shift of the fourth ventricle. The patient, a 58 years old man, underwent shunting and decompressive craniectomy of the posterior fossa and survived without neurological deficits.

[Basilar impression as a cause of trigeminal neuralgia: report of a case]. / Impressão basilar como causa de neuralgia do trigemeo: registro de um caso.

A case of basilar impression associated with Arnold-Chiari malformation and with trigeminal neuralgia is reported. The radiological examination of the skull showed marked asymmetry of the petrous bone with the tip of the odontoid apophysis located 30 mm above the McGregor line. Treatment consisted of craiectomy of the posterior fossa and cervical laminetomy (C1 to C3). The postoperative course was uneventful with total disappearance of the trigeminal neuralgia.

[Cryptococcal meningoencephalitis functioning as expansive process. Report of a case]. / Meningencefalite criptococócica funcionando como processo expansivo. Registro de um caso.

A case of cryptococcal meningoencephalitis occurrying in a 26-year-old white man disclosing clinical as well radiological features of a expanding process localized in the right cerebral hemisphere is reported. A definitive diagnosis was established through histopathologic examination following right fronto-temporo-parietal exploratory and decompressive craniotomy. Cryptococcus neoformans was easily demonstrated in the leptomeninges as well as in cystic spaces in the brain substance.

[Recurrent meningitis and cerebrospinal fluid fistula in fronto-basal cranio-encephalic trauma. Report of a case]. / Meningite e fístula liquórica recidivantes em traumatismo cranio-encefálico frontobasal. Registro de um caso.

A case of fronto-basal traumatism with isolated fracture of the left sphenoidal sinus is reported. Meningitis occurred 5, 8 and 11 years, respectively, after injury. Cerebrospinal fluid cranio-nasal fistula was observed at the first time 8 years after injury and remained intermitent in the last 6 years. The surgical technic was accomplished according to the procedure devised by Dietz and consisted of plastics of the anterior floor of the skull accompanied by galeaperiosteal junction taken out from the scalp.

[Familial occurrence of basilar impression]. / Ocorrência familiar de impressão basilar.

The authors studied nine members of the same family; two among them received surgical treatment for basilar impression and Arnold-Chiari malformation. In the other members of the family, several signs and symptoms of central nervous disease were observed. All patients had the apex of the odontoid apophysis above McGregor's line, 4 mm in the case 9, and 10 mm or more in the others.