Psoriatic arthritis – what the dermatologist needs to know

Psoriasis is commonly associated with a co‐existent arthritis known as psoriatic arthritis (PsA). Although there is some treatment overlap for psoriasis and psoriatic arthritis, it is possible that dermatologists may not diagnose or treat appropriately patients who are developing psoriatic arthritis at an early stage of the disease process when joint damage may be preventable. In this article we review the criteria for diagnosis of this sero‐negative arthritis, look at the clinical indications for referral to a rheumatologist and discuss evolving treatment options relevant to both conditions.     

Nutrition and brain function: a multidisciplinary virtual symposium

A few months ago, the Brazilian Society for Neuroscience and Behavior (SBNeC) promoted a "virtual symposium" (by Internet, under the coordination of R.C.A. Guedes) on "Nutrition and Brain Function". The discussions generated during that symposium originated the present text, which analyzes current topics on the theme, based on the multidisciplinary experience of the authors. The way the brain could be non-homogeneously affected by nutritional alterations, as well as questions like early malnutrition and the development of late obesity and hormone abnormalities were discussed. Also, topics like the role of essential fatty acids (EFAs) on brain development, increased seizure susceptibility and changes in different neurotransmitters and in cognitive performance in malnourished animals, as well as differences between overall changes in nutrient intake and excess or deficiency of specific nutrients (e.g. iodine deficiency) were analyzed. It was pointed out that different types of neurons, possibly in distinct brain structures, might be differently affected by nutritional manipulation, including not only lack-but also excess of nutrient intake. Such differences could help in explaining discrepancies between data on humans and in animals and so, could aid in determining the basic mechanisms underlying lesions or changes in brain function and behavior.     

Use of an Amplatzer ductal occluder to close a persistent left superior caval vein which reopened after a total cavopulmonary anastomosis

A 7-year-old boy developed increasing cyanosis after a total cavopulmonary connection with a 3 mm fenestration in the baffle. Catheterisation performed 4 years and 7 months after the operation showed reopening of a left superior caval vein draining into the pulmonary venous atrium. Due to the large size of the left superior caval vein, and the absence of intrinsic stenosis, we chose to use an Amplatzer ductal device to occlude the reopened vein. The procedure was safe and successful.     

Testing the spatial- versus object-learning distinction: water-maze performance of male rats exposed to ethanol during the brain growth spurt

This study investigated the effects of exposure to ethanol during the brain growth spurt on a visual-discrimination (VD) and a place-learning task (PL) using intra-maze cues in the water maze. Artificially reared male Long-Evans rats were exposed to ethanol (ET) in a binge pattern from postnatal days 6-9 (6.5 g kg(-1) x day(-1); BAC approximately 330 mg/dl) or an isocaloric maltose-dextrin solution (gastrostomy control). A third suckled control group was reared by lactating dams. In experiment 1, rats were trained to discriminate horizontal- (H) versus vertical-striped (V) cues, with the positive cue providing escape from water. Groups did not differ with V+, but ET rats made more errors with H+. In experiment 2, the ET group was impaired in learning the spatial location of a submerged platform relative to intra-maze cues. In both tasks, acquisition deficits among ET rats were characterized by impairment emerging at trial 2, with intact reference memory on trial 1, and the ET group reached a comparable level of performance to controls by the end of training. In summary, because impairment was related to task characteristics, a clear distinction between impaired spatial- versus cue-based learning was not supported. However, these findings do support an effect of exposure to ethanol during the brain growth spurt on recent event, but not reference, memory.     

Increased level of polymerase Ⅲ transcribed Alu RNA in hepatocellular carcinoma tissue

There have been extensive observations that RNA containing repetitive elements accumulates in transformed cells and tumor tissues. In the present study, we first obtained result consistent with previous observations by in situ hybridization.     

Seizures in children with low-grade tumors： outcome after tumor resection and risk factors for uncontrolled seizures

OBJECT： The goals of this study were to define the incidence of seizures in children with low-grade tumors, study seizure outcome after lesionectomy in these children, and identify risk factors for poor seizure outcome, METHODS： The authors performed a retrospective chart review of children who harbored low-grade brain tumors, experienced seizures, and were treated in a single institution, Statistical analyses included step-wise as well as single-variable binary logistic regression analyses.