131,711 research outputs found

    The role of six biomarkers in diagnosis of hemophilic arthropathy: review of the literature

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    The aim of our narrative review of the literature is to identify the role of six important biomarkers: synovial fluid thrombomodulin, fibroblast-like synoviocytes, synovial tissue growth factor , vascular endothelial growth factor in synovium and peripheral blood, urinary C-terminal telopeptide of type II collagen, and synovial fluid tumor necrosis factor alpha. These urinary, serum and synovial biomarkers illustrated should be evaluated in patients with hemophilic arthropathy for early diagnosis of hemophilic arthropathy, because they have important implications in the development of arthrofibrosis, altered inflammatory response and bleeding. Moreover, better knowledge of their biological activity is important to identify possible new biological treatment options

    Consensus recommendations for the use of FEIBA<sup>®</sup> in haemophilia A patients with inhibitors undergoing elective orthopaedic and non-orthopaedic surgery

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    Summary: A growing number of publications have described the efficacy and safety of FEIBA as a first-line haemostatic agent for surgical procedures in haemophilia A patients with high-responding FVIII inhibitors. The aim of this study was to provide practical guidance on patient management and selection and also to communicate a standardized approach to the dosing and monitoring of FEIBA during and after surgery. A consensus group was convened with the aims of (i) providing an overview of the efficacy and safety of FEIBA in surgery; (ii) sharing best practice; (iii) developing recommendations based on the outcome of (i) and (ii). To date there have been 17 publications reporting on the use of FEIBA in over 210 major and minor orthopaedic and non-orthopaedic surgical procedures. Haemostatic outcome was rated as 'excellent' or 'good' in 78-100% of major cases. The reporting of thromboembolic complications or anamnestic response to FEIBA was very rare. Key to the success of FEIBA as haemostatic cover in surgery is to utilize the preplanning phase to prepare the patient both for surgery and also for rehabilitation. Haemostatic control with FEIBA should be continued for an adequate period postoperatively to support wound healing and to cover what can in some patients be an extended period of physiotherapy. Published data have demonstrated that FEIBA can provide adequate, well tolerated, peri and postoperative haemostatic cover for a variety of major and minor surgical procedures in patients with haemophilia A. The consensus recommendations provide a standardized approach to the dosing and monitoring of FEIBA.</p

    Pain Care Management in Rare Diseases

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    : In this Special Issue on "Musculoskeletal Pain Care and Management in Rare Disease", it is essential to make it clear that, while specialists in rare diseases (RDs) are often very knowledgeable about the management of the specific diseases in which they are experts, primary care physicians and other physicians who are not experts in a given disease often have very little contact with the patients who experience it [...]

    DSC evaluation of thermoxidative decomposition of extra virgin olive oil: effect of microwave and conventional heating

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    The aim of this work was to evaluate DSC thermal properties of extra virgin olive oil subjected to microwave and thermal heating. Fresh extra virgin olive oil was stored in dark bottles under nitrogen at room temperature before analysis. Sample were placed in a 250 ml open flask and either heated in an electric oven (with air convection) at 180°C for 30, 90, 120, 180, 360, 900 and 1440 min, or microwaved (at 2450 MHz, 0.72 kW) for 3, 6, 9, 12, 15 and 20 min. All samples were cooled at room temperature in the dark to 30°C and then analyzed. Thermograms were obtained by means of DSC, by cooling from 30 to -80°C at 2°C/min, holding 3 min at -80°C and heating from -80 to 30°C at 2°C/min. Enthalpy (&#61508;H, J/g), onset (Ton), and offset (Toff) temperatures of the transitions were obtained. Lipid crystallization Ton of fresh extra virgin olive oil was at -11°C and developed over a 35–40 degrees range. Two well defined events (minor, peaking at -16 and major peaking at -40°C) were distinguishable. Heating thermograms of fresh sample showed a minor exothermic peak and successively a major endothermic event occurring over the -18°C/12°C temperature range, with the presence of a major endothermic peak (-5°C) and a small shoulder at 8°C. Enthalpy of both crystallization and melting transition significantly decreased in all samples with increasing length of heating treatment; this effect was more pronounced for the microwaved sample. Crystallization peak line-shape dramatically changed with increasing heating time. The major crystallization peak decreased in height, and the transition spanned over a larger temperature range, because of a significant shift of Toff towards lower temperatures. Crystallization Ton remain constant in conventionally heated samples, whereas it significantly shifted towards higher temperature in samples microwaved for at least 12 min. Melting line-shapes also dramatically changed; in fact, the major endothermic peak flattened, decreased in height, and spanned over a larger temperature range, while the minor endothermic peak disappeared in the longest treated samples. An additional endothermic peak also appeared at lower temperature after 20 and 900 min of microwave and conventional treatment, respectively. Ton of the heating transition significantly shifted towards lower temperatures at increasing treatment time. In conclusion, changes in all thermal properties were already evident in microwaved samples after 9 minutes of treatment, whereas similar values were reached after 360 min of air convection heating

    HJHS 2.1 and HEAD-US assessment in the hemophilic joints: How do their findings compare?

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    : In hemophilic patients methods are needed to better diagnose joint damage early, so that treatments can be adjusted to slow the progression of hemophilic arthropathy. The aim of this study is to investigate the relationship between the Hemophilia Joint Health Score version 2.1 (HJHS 2.1) and hemophilia early arthropathy detection with ultrasound (HEAD-US) scales, as well as each of their individual items, to better understand the value each provides on the joint condition of patients with hemophilia. The study included data from patients with hemophilia older than 16 years of age, who attended a routine check-up. HJHS 2.1 and HEAD-US assessments were performed on the elbows, knees and ankles. We studied the correlations and agreements between the two scales and analyzed the relationship between the various items of the HJHS 2.1 (inflammation, duration, atrophy, crepitation, flexion deficit, extension deficit, pain, strength, gait) and HEAD-US (synovitis, cartilage and bone). The study included 203 joints from 66 patients with hemophilia (mean age, 34 years). We found a good correlation between the two scales (r = 0.717). However, HJHS 2.1 revealed only 54% of the cases with synovitis and 75% of the cases with osteochondral damage. HEAD-US detected several relevant physical and functional aspects in less than 53% of the cases. HJHS 2.1 and HEAD-US provide complementary data on joint disease in adults with hemophilia; both assessments should therefore, be made available. HEAD-US presented the added value of detecting early joint changes (synovitis and osteochondral damage), while HJHS 2.1 showed the added value of detecting relevant physical and functional changes

    Bellucia grossularioides (L.) Triana from Colombia collected by L. Ramos, E. Álvarez, J. Cabezas, J. Rodriguez & C. Ibañez #33

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    File Name: TOLI-25022-RAN-01-15-C-33.jpg CÓDIGO FOTO: TOLI-25022-RAN-01-15-C-33- Fotografía: SI Nº TOLI: TOLI-25022 PARCELA: RAN-01 CÓDIGO: 15-C-33 Nº COLECTA: 33 NUEVOS COLECTORES: Laura Isabel Ramos COLECTORES: L. Ramos, E. Álvarez, J. Cabezas, J. Rodriguez & C. Ibañez Nº MUESTRAS MONTADAS: 1 Homologación: Homologado Nueva fecha del evento : 20/12/2018. Fecha del evento: 27/11/2018. Proyecto : Recursos Botánicos Disponibles en Línea (BRAVO) para la flora Colombiana Hábitat: Bosque húmedo tropical (bh-T) Continente: SA Pais: Colombia Estado/Provincia: Meta Municipio: Puerto López Centro poblado / Cabecera municipal: La Serranía Localidad: Reserva Natural El Amparo Elevación minima en metros: 200 Elevación maxima en metros: 250 Latitud: 4.020 Longitud original: -72.600 datum geodésico: WGS 84 Latitud decimal: 4.020 Longitud decimal: -72.600 Identificado por: Humberto Mendoza Fecha de identificación: 18/01/2019. Nombre cientifico: Bellucia grossularioides (L.) Triana Reino: Plantae Filo: Magnoliophyta Clase: Equisetopsida Orden: Myrtales Familia nueva: Melastomataceae Género nuevo: Bellucia especie nueva: grossularioides Autoría del nombre científico: (L.) Triana : Melastomataceae genero herbario: Bellucia especie herbario: grossularioides Especie de herbario para TNRS: Bellucia grossularioides Especie corregida herbario y desde TNRS: Bellucia grossularioides Familia corregida desde TNRS: Melastomataceae : 405

    Licania sp. 5 from Colombia collected by J. Cabezas, E. Álvarez, L. Ramos, J. Rodriguez, C. Ibañez #1211

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    File Name: TOLI-24014-SOC-01-02-C-138.jpg CÓDIGO FOTO: TOLI-24014-SOC-01-02-C-138- Fotografía: SI Nº TOLI: TOLI-24014 PARCELA: SOC-01 CÓDIGO: 02-C-138 Nº COLECTA: 1211 NUEVOS COLECTORES: Jaime Andrés Cabezas COLECTORES: J. Cabezas, E. Álvarez, L. Ramos, J. Rodriguez, C. Ibañez Nº MUESTRAS MONTADAS: 1 Homologación: Homologado Nueva fecha del evento : 21/12/2018. Fecha del evento: 27/11/2018. Proyecto : Recursos Botánicos Disponibles en Línea (BRAVO) para la flora Colombiana Hábitat: Bosque húmedo tropical (bh-T) Continente: SA Pais: Colombia Estado/Provincia: Meta Municipio: Puerto López Centro poblado / Cabecera municipal: La Serranía Localidad: Reserva Natural El Amparo Elevación minima en metros: 200 Elevación maxima en metros: 250 Latitud: 4.020 Longitud original: -72.600 datum geodésico: WGS 84 Latitud decimal: 4.020 Longitud decimal: -72.600 Identificado por: Zoe Goodwin Fecha de identificación: 25/01/2019. Familia antigua: Chrysobalanaceae Especie antigua: Licania sp. Nombre cientifico: Licania sp. 5 Reino: Plantae Filo: Magnoliophyta Clase: Equisetopsida Orden: Malpighiales Familia nueva: Chrysobalanaceae Género nuevo: Licania especie nueva: sp. : Chrysobalanaceae genero herbario: Licania especie herbario: sp. Especie de herbario para TNRS: Licania sp. Especie corregida herbario y desde TNRS: Licania indet Familia corregida desde TNRS: Chrysobalanaceae : 309

    NN from Colombia collected by L. Ramos, E. Álvarez, J. Cabezas, J. Rodriguez & C. Ibañez #66

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    File Name: TOLI-24909-RAN-01-21-P-66.jpg CÓDIGO FOTO: TOLI-24909-RAN-01-21-P-66- Fotografía: SI Nº TOLI: TOLI-24909 PARCELA: RAN-01 CÓDIGO: 21-P-66 Nº COLECTA: 66 NUEVOS COLECTORES: Laura Isabel Ramos COLECTORES: L. Ramos, E. Álvarez, J. Cabezas, J. Rodriguez & C. Ibañez Nº MUESTRAS MONTADAS: 1 Homologación: No homologado Nueva fecha del evento : 20/12/2018. Fecha del evento: 15/05/2014. Proyecto : Recursos Botánicos Disponibles en Línea (BRAVO) para la flora Colombiana Hábitat: Bosque húmedo tropical (bh-T) Continente: SA Pais: Colombia Estado/Provincia: Meta Municipio: Puerto López Centro poblado / Cabecera municipal: La Serranía Localidad: Reserva Natural El Amparo Elevación minima en metros: 200 Elevación maxima en metros: 250 Latitud: 4.020 Longitud original: -72.600 datum geodésico: WGS 84 Latitud decimal: 4.020 Longitud decimal: -72.600 Nombre cientifico: NN Reino: Plantae Filo: Magnoliophyta Clase: Equisetopsida Orden: Gentianales Familia nueva: Apocynaceae Género nuevo: NN : Apocynaceae genero herbario: NN Especie de herbario para TNRS: NN Especie corregida herbario y desde TNRS: Indet indet Familia corregida desde TNRS: Apocynaceae : 394

    Ficus sp. from Colombia collected by J. Cabezas, E. Álvarez, L. Ramos, J. Rodriguez, C. Ibañez #1207

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    File Name: TOLI-24910-SOC-01-21-C-134.jpg CÓDIGO FOTO: TOLI-24910-SOC-01-21-C-134- Fotografía: SI Nº TOLI: TOLI-24910 PARCELA: SOC-01 CÓDIGO: 21-C-134 Nº COLECTA: 1207 NUEVOS COLECTORES: Jaime Andrés Cabezas COLECTORES: J. Cabezas, E. Álvarez, L. Ramos, J. Rodriguez, C. Ibañez Nº MUESTRAS MONTADAS: 1 Homologación: No homologado Nueva fecha del evento : 21/12/2018. Fecha del evento: 27/11/2018. Proyecto : Recursos Botánicos Disponibles en Línea (BRAVO) para la flora Colombiana Hábitat: Bosque húmedo tropical (bh-T) Continente: SA Pais: Colombia Estado/Provincia: Meta Municipio: Puerto López Centro poblado / Cabecera municipal: La Serranía Localidad: Reserva Natural El Amparo Elevación minima en metros: 200 Elevación maxima en metros: 250 Latitud: 4.020 Longitud original: -72.600 datum geodésico: WGS 84 Latitud decimal: 4.020 Longitud decimal: -72.600 Nombre cientifico: Ficus sp. Reino: Plantae Filo: Magnoliophyta Clase: Equisetopsida Orden: Rosales Familia nueva: Moraceae Género nuevo: Ficus especie nueva: sp. : Moraceae genero herbario: Ficus especie herbario: sp. Especie de herbario para TNRS: Ficus sp. Especie corregida herbario y desde TNRS: Ficus indet Familia corregida desde TNRS: Moraceae : 394

    NN from Colombia collected by J. Cabezas, E. Álvarez, L. Ramos, J. Rodriguez, C. Ibañez #1224

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    File Name: TOLI-24021-SOC-01-1-A-151.jpg CÓDIGO FOTO: TOLI-24021-SOC-01-1-A-151- Fotografía: SI Nº TOLI: TOLI-24021 PARCELA: SOC-01 CÓDIGO: 1-A-151 Nº COLECTA: 1224 NUEVOS COLECTORES: Jaime Andrés Cabezas COLECTORES: J. Cabezas, E. Álvarez, L. Ramos, J. Rodriguez, C. Ibañez Nº MUESTRAS MONTADAS: 1 Homologación: No homologado Nueva fecha del evento : 21/12/2018. Fecha del evento: 28/11/2018. Proyecto : Recursos Botánicos Disponibles en Línea (BRAVO) para la flora Colombiana Hábitat: Bosque húmedo tropical (bh-T) Continente: SA Pais: Colombia Estado/Provincia: Meta Municipio: Puerto López Centro poblado / Cabecera municipal: La Serranía Localidad: Reserva Natural El Amparo Elevación minima en metros: 200 Elevación maxima en metros: 250 Latitud: 4.020 Longitud original: -72.600 datum geodésico: WGS 84 Latitud decimal: 4.020 Longitud decimal: -72.600 Nombre cientifico: NN Reino: Plantae Filo: Magnoliophyta Clase: Equisetopsida Orden: Myrtales Familia nueva: Myrtaceae Género nuevo: NN : Myrtaceae genero herbario: NN Especie de herbario para TNRS: NN Especie corregida herbario y desde TNRS: Indet indet Familia corregida desde TNRS: Myrtaceae : 310
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