Thyroid metastasis of clear renal cell carcinoma: a case report and review of the literature.

The thyroid is a rare site for finding tumor metastases. Renal, colorectal, pulmonary, and mammary origin are the most frequent primary neoplasms. Clinical suspicion, early diagnosis, and active surveillance are important during follow-up.

Gastric Schwannoma: A Rare Cause of Gastric Bleeding.

Gastric schwannomas and gastrointestinal stromal tumors (GISTs) are two types of mesenchymal tumors, which represent a group of rare tumors of the gastrointestinal tract. The differential diagnosis between these two tumors is difficult given their very similar appearance and clinical features. The authors present a case of a 63-year-old man with melena and epigastric pain.

Iatrogenic tracheobronchial rupture in a fragile patient: A case report.

An acute injury of the tracheobronchial system is a rare but potentially life-threatening condition that can be caused by medical procedures. Diagnosis requires a thorough evaluation of the patient's medical history, physical examination, and imaging tests. Identification of a tracheal rupture in patients under sedation or general anesthesia may be difficult, and a strong clinical suspicion is essential.

Contrasting Future Growth of Norway Spruce and Scots Pine Forests Under Warming Climate.

Forests are essential to climate change mitigation through carbon sequestration, transpiration, and turnover. However, the quantification of climate change impacts on forest growth is uncertain and even contradictory in some regions, which is the result of spatially constrained studies. Here, we use an unprecedented network of 1.

Serum integrin accumulation during asthma exacerbation: The role of matrix metalloproteinases.

The inflammation caused by asthma exacerbation can lead to permanent changes in the airways and loss of lung function. Integrins are membrane receptors that interact with components of the extracellular matrix and cell adhesion molecules. It is known that these receptors can be found in soluble form in some conditions such as asthma, but it is unknown if exacerbation during asthma leads to soluble integrins.

No Future Growth Enhancement Expected at the Northern Edge for European Beech due to Continued Water Limitation.

With ongoing global warming, increasing water deficits promote physiological stress on forest ecosystems with negative impacts on tree growth, vitality, and survival. How individual tree species will react to increased drought stress is therefore a key research question to address for carbon accounting and the development of climate change mitigation strategies. Recent tree-ring studies have shown that trees at higher latitudes will benefit from warmer temperatures, yet this is likely highly species-dependent and less well-known for more temperate tree species.

SiCLIMA: High-resolution hydroclimate and temperature dataset for Aragón (northeast Spain).

A new high-resolution climatic gridded dataset was built for Aragón (northeast Spain) using a large collection of daily precipitation and temperature observations from more than 3000 weather stations. The grid covers, at the unprecedented spatial resolution of 0.25 km, daily maximum and minimum temperatures and precipitation in the 1950-2020 period.

Cultural Adaptation and Validation of the Ambulatory Self-Confidence Questionnaire (ASCQ), Portuguese (European) Version.

In a world where physical activity and social participation are fundamental pillars of a full and healthy life, confidence in walking has emerged as a fundamental aspect to assess, especially for older adults. Therefore, the purpose of this study was to develop a Portuguese (European) version of the Ambulatory Self-Confidence Questionnaire (ASCQ) that was both linguistically and psychometrically adapted. To do so, a translation method was used, followed by an assessment of its validity and reliability.

Partial asynchrony of coniferous forest carbon sources and sinks at the intra-annual time scale.

As major terrestrial carbon sinks, forests play an important role in mitigating climate change. The relationship between the seasonal uptake of carbon and its allocation to woody biomass remains poorly understood, leaving a significant gap in our capacity to predict carbon sequestration by forests. Here, we compare the intra-annual dynamics of carbon fluxes and wood formation across the Northern hemisphere, from carbon assimilation and the formation of non-structural carbon compounds to their incorporation in woody tissues.

University Student Depression Inventory, Brazilian Version, Construct Assessment.

Objectives: to assess the University Student Depression Inventory, Brazilian version (USDI-BR), construct.

Methods: a methodological study carried out with a snowball probabilistic sample, consisting of 334 undergraduate and graduate students. Confirmatory factor analysis, reliability using McDonald's omega coefficient and Cronbach's alpha were performed.

Identification of homologs of the Chlamydia trachomatis effector CteG reveals a family of Chlamydiaceae type III secreted proteins that can be delivered into host cells.

Chlamydiae are a large group of obligate endosymbionts of eukaryotes that includes the Chlamydiaceae family, comprising several animal pathogens. Among Chlamydiaceae, Chlamydia trachomatis causes widespread ocular and urogenital infections in humans. Like many bacterial pathogens, all Chlamydiae manipulate host cells by injecting them with type III secretion effector proteins.

Time to Start a New Enhanced Recovery After Surgery (ERAS): A Retrospective Cohort Study.

Background: The enhanced recovery after surgery (ERAS®) is a multimodal perioperative care pathway designed to reduce surgical stress and ultimately improve patient recovery and outcome. It can require significant resources but with proven benefits. The main goal of this study was to perform a diagnostic assessment of perioperative practice in a local colorectal surgical center.

Epidural Hematoma in Minor Hepatic Metastasectomy.

Liver resection poses many challenges for the anesthesiologist, including intraoperative hemodynamic instability, postoperative pain, and risk of coagulopathy. We report a case of epidural hematoma after epidural catheter removal, following a minor liver single metastasectomy. The main purpose of this case report is to bring to light the false security provided by traditional coagulation parameters and whether further investigation should be considered in selected cases, before handling neuraxial catheters.

Climate of the Pyrenees: Extremes indices and long-term trends.

We utilized an extensive, multisource, cross-border dataset of daily meteorological observations from over 1500 stations in the Pyrenees, spanning from the mid-20th century to 2020, to examine the spatial and temporal climate patterns. Our focus was on 17 indices related to extreme precipitation and temperature events across the mountain range. The original data underwent rigorous quality control and homogenization processes, employing a comprehensive workflow that included spatial modeling based on environmental predictors.

Cryogels and Monoliths: Promising Tools for Chromatographic Purification of Nucleic Acids.

The increasing demand for highly pure biopharmaceuticals has put significant pressure on the biotechnological industry to innovate in production and purification processes. Nucleic acid purification, crucial for gene therapy and vaccine production, presents challenges due to the unique physical and chemical properties of these molecules. Meeting regulatory standards necessitates large quantities of biotherapeutic agents of high purity.

Aggressiveness in systemic anticancer therapy at the end of life in an oncology center.

Introduction: An increasing aggressiveness in cancer treatment at the end of life (EoL) has been reported in several, but not all, countries. This study aimed to see how aggressive cancer treatment is at the EoL in an oncology center.

Methods: Retrospective study of patients 18 years or older with a solid cancer diagnosis who died in 2017.

High preseason temperature variability drives convergence of xylem phenology in the Northern Hemisphere conifers.

Wood growth is key to understanding the feedback of forest ecosystems to the ongoing climate warming. An increase in spatial synchrony (i.e.

10-year experience of early arthritis clinic at a tertiary rheumatology center: achievements and challenges.

Objectives: To characterize patients evaluated in our Early Arthritis Clinic (EAC) in the first ten years; to assess diagnostic delay and its underlying causes; and to evaluate the level of agreement between the referring physician and the rheumatologist regarding the presence of referral criteria.

Methods: Cross-sectional study including patients attending EAC between 2012 and 2021. Demographic data, provenience, final diagnosis, referral criteria and time related to diagnosis delay were retrieved from clinical files and the Portuguese Registry of Rheumatic Patients (reuma.

Experimental mmWave WiGig-based backhaul network dataset.

The wireless backhaul has emerged as an attractive alternative to traditional fiber backhaul for 5G technology, offering greater flexibility and cost-effectiveness thanks to the availability of high bandwidths capable of achieving fiber-like data rates. However, the millimeter-wave-based (mmWave) protocols, namely IEEE 802.11ad and later IEEE 802.

A dataset of ITS-G5 and cellular vehicular connectivity in urban environment.

Connecting vehicles to the Internet is an emerging challenge of wireless networks. There are two competing methods for achieving this. First, the wireless local area network (WLAN) approach is based on the IEEE 802.