Personal protective equipment simulation training is associated with lower COVID-19 infection among healthcare workers.

Objective: To describe the personal protective equipment training strategies during the beginning of the pandemic and to investigate the association between training and COVID-19 infection among healthcare workers.

Methods: This cross-sectional study conducted between March and May 2020 included 7,142 healthcare professionals who were eligible for both online and face-to-face simulation-based training on personal protective equipment use. Simulation training attendance was assessed by reviewing the attendance list, and the COVID-19 sick leave records recovered from the institutional RT-PCR database used to grant sick leave.

Aerodynamic, eletroglottographic and acoustic measures of the voiced postalveolar fricative.

Purpose: Describe and correlate phonological and complementary measures regarding aerodynamics, electroglottography, acoustics, and perceptual judgment of production of the voiced fricative sound /ʒ/ comparing the performance of Brazilian Portuguese-speaking children with and without speech sound disorders.

Methods: Study participants were 30 children aged 5 years to 7 years and 11 months divided into a group of children with typical development - Control Group (CG) and a group of children with speech sound disorders - Research Group (RG). Phonology (PCC, PCC-R, and occurrence of phonological processes) and the aerodynamic (amplitude of the oral airflow and f0), eletroglottographic (open quotient) and acoustic (classification of voicing) measures were evaluated.

The perineurial vessel: a possible candidate for the structural basis of the meridian (Jing-Luo) in Chinese medicine.

A new concept is proposed of the 'perineurial vessel' as another vascular system of the body. The effects of acupuncture and moxibustion are explained as mechanical or thermal stimulation of intraperineurial cerebrospinal fluid (CSF). Fenestrated venous capillaries of circumventricular organs, including the choroid plexus, instead of arachnoid granulations, are shown to be the main site of CSF absorption.

Fine structure of rat liver, adrenal, testis and seminal vesicle in experimental emaciation.

Experimentally emaciated male rats were produced by a bilateral electrical destruction of a part of hypothalamus. In a typical case, when the animals were fixed by perfusion, dissected, and organs weighted, the body weight became 1/2 of the control in 10 weeks. The weight of the viscera (including the subserous fat) was more decreased in comparison with the controls than the weight of the body wall (including extremities and the subcutaneous fat).

Caudal aperture of the central canal at the filum terminale in primates.

An aperture has been observed in the central canal at the filum terminale in some lower vertebrates and some mammals but not in the human. We examined 8 human spinal cords and 2 macaque monkey spinal cords and detected a caudal aperture in both human and monkey filum terminale. The ependymal lining of the human terminal ventricle was found to begin direct contact dorsally with the pia mater at 12.

Persistent degenerative state of non-pyramidal neurons in the CA1 region of the gerbil hippocampus following transient forebrain ischemia.

Morphological changes in the neurons of the gerbil hippocampus following 5 min of forebrain ischemia were examined using light and electron microscopy. Although non-pyramidal neurons in the CA1 region of the hippocampus survived through the full length of the observation period, up to six weeks after ischemia, they consistently demonstrated degenerative changes distinct from those of the well-known "delayed neuronal death" of CA1 pyramidal cells. When examined with the light microscope, CA1 non-pyramidal neurons were found to be shrunken and their nuclei and cytoplasm were hyperchromatic between seven days and six weeks after ischemia.

Topography of opsin within disk and plasma membranes revealed by a rapid-freeze deep-etch technique.

Rod outer segments in fresh rat retinas were examined by a rapid-freeze, deep-etch technique to explore how membrane proteins are organized at the macromolecular level. Cross-fractures revealed that intradiscal membranes are adherent to each other except at the rim. When an isolated fresh retina was incubated in a hypotonic solution for a few minutes, the interdiscal space was expanded and the cytoplasmic surface of the disk membrane was found to be covered with protrusions except at the rim.

Blood-brain barrier and cerebrospinal fluid circulation.

There are two distinctive regions in the central nervous system of all vertebrates: the common brain region possessing the blood-brain barrier, and a group of several brain regions (circumventricular organs (CVOs) including the choroid plexus) devoid of the blood-brain barrier. Of the first, the morphological basis in vertebrates higher than teleosts is the brain-type capillary endothelium, and in elasmobranchs the perivascular astrocytic end-feet sealed by tight junctions. Of the second, the morphological basis is the fenestrated capillary with perivascular space.

Macromolecular structure of reassembled neurofilaments as revealed by the quick-freeze deep-etch mica method: difference between NF-M and NF-H subunits in their ability to form cross-bridges.

Neurofilament (NF) structure and ability to form cross-bridges were examined by quick-freeze deep-etch mica and low-angle rotary-shadow electron microscopy in NFs purified from bovine spinal cord and reassembled in various combinations of NF subunits. When NFs were reassembled from triplet proteins, NF-L, NF-M and NF-H, they were oriented randomly and often fragmented, but their elongated filaments (12-15 nm wide) and the cross-bridges (4-5 nm wide) connecting them were similar in appearance to those of isolated bovine NFs or in vivo rat NFs. Projections extended from the wall of the core filament in almost the same pattern as the cross-bridges and were the same in width and interval (minimum interval, 20-25 nm) as the cross-bridges.

Ultrastructural analysis of pseudo-intimal hyperplasia of polytetrafluoroethylene prostheses implanted into the venous and arterial systems.

To evaluate and compare the pathogenesis of pseudo-intimal hyperplasia (PH) of venous and arterial prostheses, a segment of the inferior vena cava (n = 16) or abdominal aorta (n = 16) was substituted by a 3 mm internal diameter polytetrafluoroethylene tube graft (PTFE, 3 cm long, 30 microns in nodal distance) in albino rabbits. At designated time intervals (3-28 days) after the replacement, graft patency was examined and the dry weights of the intraluminal deposits measured as an indicator of the degree of PH. The harvested grafts were then subjected to an ultrastructural analysis by means of light microscopy (LM), and scanning electron and transmission electron microscopy (SEM, TEM).

Evidence for the transport of opsin in the connecting cilium and basal rod outer segment in rat retina: rapid-freeze, deep-etch and horseradish peroxidase labelling studies.

In order to clarify the pathway of opsin transport in the connecting cilium and basal rod outer segment, we examined rat rod cells by a rapid-freeze and deep-etch technique and also examined the uptake of horseradish peroxidase into isolated retina. The distribution of intramembrane particles on the P-face of the cilium indicated that the ciliary plasma membrane has similar opsin content to the basal rod outer segment plasma membrane. Dilated cisternae were detected below the stack of disk membranes at the basal rod outer segment in fresh retina.

A comparison of the immunofluorescent localization of collagen types I, III, and V with the distribution of reticular fibers on the same liver sections of the snow monkey (Macaca fuscata).

Localizations of collagen types I, III, and V in monkey liver, as determined by the indirect immunofluorescence method, were photographically superimposed on the fibers revealed by silver-staining in the same tissue sections. Immunofluorescence for type I collagen was found to correspond with the brown collagen fibers and with some of the coarse reticular fibers, while that for type III collagen was found to correspond with most, but not all, reticular fibers of the liver as well as with the brown collagen fibers. The distribution of type V collagen coincides not only with the collagen fibers in the stroma of portal triads and around the central veins, but also with the coarse and fine reticular fibers in the liver lobules.

Venous microvasculature of the pineal body and choroid plexus in the rat.

Rats were perfused from aorta with Ringer's solution and with Karnovsky's fixative, and injected from the right atrium with Mercox resin. Specimens were properly taken, observed under LM, TEM, SEM, and stereo-photographed. Fenestrated endothelial cells of the pineal capillary were observed to contain plenty of microtubules running parallel to the long axis of the vessel.

Cytoplasmic architecture of the axon terminal: filamentous strands specifically associated with synaptic vesicles.

Cytoplasmic architecture of axon terminals in rat central nervous tissue was examined by quick-freeze deep-etch method to determine how synaptic vesicles and their associated cytoplasmic environment are organized in the terminal and to know how these structures participate in the mechanism for neurotransmitter release. The axoplasm is divisible into two domains: one occupied by mitochondria in the middle of the terminal, called the mitochondrial domain, the other situated in the periphery and exclusively filled with spherical synaptic vesicles, 50-60 nm in diameter, the synaptic vesicle domain. The most characteristic feature of the mitochondrial domain was the appearance of many microtubules connected with mitochondria by filamentous strands.

Immunohistochemical distribution of calcium-activated neutral proteinases and endogenous CANP inhibitor in the rabbit hippocampus.

Intracellular accumulation of Ca2+ after brain ischemia is regarded as one of the principal causes of neuronal death, but details of the intracellular events occurring after Ca2+ accumulation have not yet been described. We propose that a calcium-activated neutral proteinase which can degrade neuronal cytoskeletal proteins might link Ca2+ accumulation and irreversible injury of the neuronal intracellular structure. First, therefore, we examined the distribution of calcium-activated neutral proteinase in normal brains.

Immunohistochemical evidence of the extracellular localization of calcium-activated neutral protease (CANP) in rabbit skeletal muscle, lung and aorta.

The subcellular localization of calcium-activated neutral protease requiring a millimolar calcium concentration (m-CANP) was examined by light and electron microscopy in various tissues of the rabbit, using an immunoperoxidase method with a monoclonal antibody (1C6D1). In skeletal muscles, specific staining for m-CANP was recognized on collagen fibrils (ca 40 nm in diameter) with a periodic banding pattern. In the lung, dense reaction products were precipitated on elastic fibers under the bronchial epithelia.

The effect of fixatives and paraffin embedding on the histochemical reactivity of a monoclonal antibody against human type IV collagen (JK-199).

A new monoclonal antibody (JK-199) was found to react with basement membranes on paraffin-embedded tissue sections without prior enzyme digestion. JK-199 was shown to react with isolated type IV collagen treated by any of four different fixatives--PLP, 4% formalin, modified Zamboni's (0.2% picric acid, 4% paraformaldehyde in 0.

Developmental alterations in membrane organization of rat subpial astrocytes.

Subpial astrocytic processes were examined in developing rats, mainly with complementary replicas, to see how orthogonal arrays of particles (OAs) are formed and become numerous in membranes covered by basal lamina. Only a few (4.2%) endfeet in the membranes contacting the basal lamina (subpial membranes) had acquired OAs by the 19-day foetal stage.

Collateral sprouting of somatostatin-immunoreactive axons after partial deafferentation of the central nucleus of the rat amygdala.

These experiments utilize a paradigm developed to study plastic responses of peptidergic neurons in a discrete brain area following deafferentation. The central nucleus of the amygdala (CNA) is richly innervated by somatostatin-immunoreactive (SS-I) terminal axons. In the course of preliminary light microscopic (LM) investigations by this laboratory, changes were observed in the density of presumed SS-I terminals in the rat CNA after lesioning the medial input.

Immunoelectron microscopical evidence that type V collagen is a fibrillar collagen: importance for an aggregating capability of the preparation for reconstituting banding fibrils.

Type V collagen has already been shown, in many immunohistochemical studies, to be widely distributed in connective tissues. Its supramolecular structure, however, has been unclear. We demonstrate that the major aggregates formed from type V collagen solution in vitro are fine fibrils with a D-periodic banding pattern.

Substructure of cisternal organelles of neuronal perikarya in immature rat brains revealed by quick-freeze and deep-etch techniques.

Membrane-bounded organelles possessing cisternae, i.e., rough endoplasmic reticulum and Golgi apparatus, in immature rat central neurons were examined by quick-freeze and deep-etch techniques to see how their intracisternal structures are organized and how ribosomes are associated with the membrane of the endoplasmic reticulum.

Orthogonal arrays of particles in plasma membranes of Müller cells in the guinea pig retina.

Plasma membranes of guinea pig Müller cells were examined with a freeze-fracture technique to see how orthogonal arrays are distributed in the avascular retina. Examination of the portion approximately intermediate between the optic disc and equator of the eyeball showed that all end-feet of Müller cells were provided with arrays. Orthogonal arrays were concentrated on vitreal end-foot membranes, i.

Deep-etch structure of astrocytes at the superficial glia limitans, with special emphasis on the internal and external organization of their plasma membranes.

The cytoskeletal system in rat subpial astrocytes and the relationship between astrocytic plasma membrane and basal lamina or cytoplasmic components were examined with a quick-freeze deep-etch technique, mainly using chemically fixed tissues. Attention was focused on the way intramembrane particles (IMPs), particularly orthogonal arrays, are organized in the membranes and related to extramembrane components. The basal lamina was composed of a sheet-like network of strands (4-9 nm thick), some, which we have called 'trabecular' strands, extending through the lamina lucida to touch the astrocytic membrane at irregular intervals.

Morphological identification of an interneuron in the hypoglossal nucleus of the rat: a combined Golgi-electron microscopic study.

Hypoglossal small neurons of adult and juvenile (10-15-day-old) rats were examined by a combined Golgi-electron microscopic technique. In adult rats, Golgi-impregnated neurons were fusiform or ovoid (17 X 12 micron) and emitted a few primary dendrites with few branches and few spines and an axon mainly from the proximal portion of the primary dendrite. At the ultrastructural level, the soma displayed an invaginated nucleus with a conspicuous nucleolus and a relatively scanty cytoplasm in which cisternae of rough endoplasmic reticulum were not organized into extensive lamellar arrays.