Physical Examination for the Detection of Pulmonary Hypertension: A Systematic Review.

We performed a systematic review to determine whether the physical examination can reliably assist in the diagnostic approach for patients suspected of having pulmonary hypertension (PH). Using dual extraction, two investigators independently searched PubMed, Ovid MEDLINE, Cochrane Library, and Embase for studies that compared physical examination findings with a right heart catheterization, from inception until July 10, 2021. We obtained data from four studies that evaluated physical examination findings in patients receiving a right heart catheterization to diagnose PH.

Characterization of pneumonia and other factors leading to poorer survival across all age groups in patients with non-small cell lung cancer (NSCLC).

Background: Lung cancer death rates and incidence in both men and women have decreased over the past two decades. However, certain subsets of non-small cell lung cancer (NSCLC) have arisen with poor outcomes. Identifying factors which contribute to poorer outcomes as well as those that inform early detection strategies remain unmet needs.

Implantable Drug Reservoir Devices for Inner Ear Delivery of Pharmacotherapeutics.

Objective: Cisplatin is a platinum-based chemotherapeutic drug that secondarily induces toxicity in inner ear sensory epithelia, contributing to auditory and vestibular dysfunction. We describe the creation of a drug reservoir device (DRD) to combat this ototoxicity for the duration of chemotherapy. As ototoxic side effects of chemotherapy may limit an oncologist's ability to prescribe first-line agents such as cisplatin, mitigating such devastating effects through prolonged topical therapy would be tremendously valuable.

Combined endoscopic and intra-oral approach for chronic maxillary sinusitis of dental origin-a prospective clinical study.

Aims And Objectives: The traditional Caldwell-Luc approach for maxillary diseases has been criticized for its shortcomings such as removal of a large amount of bone, numbness of the teeth, flap dehiscence, and recurrent sinusitis. On account of its minimal invasiveness and physiological approach, functional endoscopic sinus surgery (FESS) has come to replace the Caldwell-Luc approach for the treatment of chronic rhinosinusitis. Chronic maxillary sinusitis of dental origin (CMSDO) is a less common variant on the chronic rhinosinusitis spectrum whose treatment involves simultaneous management of both the diseased maxillary sinus and the dental source of infection.

A working paradigm for managing mandibular fractures under regional anesthesia.

Objectives: Isolated mandibular fractures contribute to approximately 45% of maxillofacial traumas. Improper management of mandibular fractures can cause myriad potential complications and can lead to serious functional and aesthetic sequelae. The objective of the study is to design a stepwise approach for managing isolated mandibular fractures using open reduction and internal fixation (ORIF) with regional anesthesia on outpatient basis.

Morphofunctional changes of phytoplankton community during pluvial anomaly in a tropical reservoir.

The present study focuses on the structure and function of phytoplankton community during periods of marked changes in hydrological traits, influenced by an atypical climatic event (La Niña) and its impact on Armando Ribeiro Gonçalves Reservoir of Rio Grande do Norte, situated in the Caatinga biome of northeastern Brazil. The main questions addressed were: What are the effects of environmental factors on the temporal variation of Morphologically Based Functional Group (MBFG) of phytoplankton community? How does the composition of cyanobacterial species shift in relation to high and low trends of phytoplankton diversity? The samples were collected monthly during 2008-2009 and analyzed for pH, temperature, electrical conductivity, dissolved oxygen content and the nutrients, such as, nitrate-nitrogen, ammoniacal nitrogen, total nitrogen and orthophosphate. Phytoplankton samples were collected for both qualitative and quantitative analyses to evaluate species richness index and species diversity index.

Conservation status of an endangered annual fish Hypsolebias antenori (Rivulidae) from Northeastern Brazil.

This work presents information regarding the biology and state of conservation of an endangered annual fish Hypsolebias antenori. Fish were captured from small seasonal pools located in Northeastern Brazil. The total body length, body mass, sex ratio, first sexual maturity were investigated.

Microfabrication of gelatin-polycaprolactone composites for customized drug delivery.

Dynamic properties of water molecules present in the vicinity of protein are sensitive to its local conformational motions. Water mobility at the protein surface/interfaces is affected by its polar and charged groups, which are capable of anchoring water molecules through H-bonds. Differential scanning calorimetry, ATR-FTIR spectroscopy and circular dichroic analysis have been employed to substantiate the changes in hydration of gelatin, interacting with polycaprolactone.

Gelatin-carrageenan hydrogels: role of pore size distribution on drug delivery process.

Naturally occurring biomaterials, such as gelatin and carrageenan are known to act as good drug delivering agents. The physical properties of these hydrogels are derived from their pore network. The effect of pore size distribution of hydrogel on the drug delivery process has been studied in this work.

Calorimetric analysis of gelatine-glycosaminoglycans blend system.

Gelatine is one of the most valuable natural polymers used for drug delivery applications. Gelatine-GAGs based composite system has been shown to act as good scaffolds for tissue engineering. The objective of the present study is to investigate the calorimetric properties of microporous gelatine-GAGs based blend, which were modified by co-crosslinking with a naturally occurring crosslinking agent genipin.

Ovarian development and spawning of Serra Spanish mackerel in coastal waters of Northeastern Brazil.

The Serra Spanish mackerel, Scomberomorus brasiliensis is an important fishery resource of the Atlantic Ocean and is a major component of artisanal fisheries in northern and northeastern Brazil. Ovarian development and spawning period of S. brasiliensis were investigated using both macroscopic and histological techniques.

Phytoplankton community: indicator of water quality in the Armando Ribeiro Gonçalves reservoir and Pataxó channel, Rio Grande do Norte, Brazil.

The current study analysed spatial-temporal modifications of the phytoplankton community and water quality, during dry and wet seasons. The phytoplankton community was studied in three areas: Armando Ribeiro Gonçalves Reservoir (ARG), which is an important public use reservoir in RN, Pataxó Channel (PC-before water treatment), Itajá, RN, and after the water treatment (WTP). Water samples from the reservoir were collected during both dry (January, February and November, 2006) and wet seasons (March to June, 2006).

Phytoplankton community and physical-chemical characteristics of water in the public reservoir of Cruzeta, RN, Brazil.

The Phytoplankton community and the abiotic factors of the Cruzeta reservoir were studied at three depths, surface, middle (2 m) and bottom, from September, 2004 to June, 2005, in order to characterize the environment and assess the possible factors that influence the compositional change of phytoplankton. Ninety species belonging to 6 classes (Chlorophyceae, Bacillariophyceae, Cyanophyceae, Dinophyceae, Chrysophyceae and Euglenophyceae) were identified with 66 and 80 taxonomic units in the dry and rainy season. The most representative class in terms of species richness was Chlorophyceae and dominated by Scendesmus quadricauda, Oocystis sp.

Occurrence of toxin-producing cyanobacteria blooms in a Brazilian semiarid reservoir.

We report the occurrence of cyanobacterial blooms and the presence of cyanotoxins in water samples from the Armando Ribeiro Gonçalves reservoir (06 degrees 08 S and 37 degrees 07 W), located in the state of Rio Grande do Norte, in the semiarid region of northeastern Brazil. The cyanobacterial species were identified and quantified during the rainy and dry seasons in the year 2000. Cyanotoxins such as microcystins, saxitoxins and cylindrospermopsins were analyzed and quantified using HPLC and ELISA methods.

Reproductive ecology of a neotropical cichlid fish, Cichla monoculus (Osteichthyes: Cichlidae).

The reproductive ecology of the freshwater fish Cichla monoculus Spix, 1831 (Osteichthyes: Cichlidae) was investigated in the Campo Grande Reservoir, Northeast Brazil. Rainfall, temperature, pH, dissolved oxygen and electrical conductivity of the water were recorded monthly. Fish collected on a monthly basis were measured, weighted, dissected, sexed and the stage of maturation of the gonads were assessed by macro and microscopic means.