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Copyright of Revista Científica Arbitrada Multidisciplinaria PENTACIENCIAS is the property of Revista Científica Arbitrada Multidisciplinaria PENTACIENCIAS and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The article provides information regarding damages in nails which were related to systemic or acquired diseases in the fifth century B.C. It further offers definition, function and description of the anatomy of the disease. It suggests that after being familiar with all these knowledge one can establish effective prevention guidelines.

Copyright of Forum: Qualitative Social Research / Qualitative Sozialforschung is the property of Forum Qualitative Social Research and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

A steep-margined carbonate platform is developed in the Carboniferous synorogenic foreland basin of northern Spain. Dips of 60–90° produced during Late Carboniferous thrusting enable cross-sections of a 4-km-wide portion of the marginal area of this platform (Las Llacerias outcrop) to be studied in aerial photographs at a seismic scale. Three stratal domains are observed: (1) a horizontal-bedded platform; (2) a clinoformal-bedded margin with a relief of up to 500 m; and (3) a low-angle toe-of-slope, where slope beds interfinger with basin sediments. The slope shows well-bedded sigmoidal clinoforms with depositional dips ranging from 15° to 32°. Based on lithology and stratal patterns, four facies groups have been recognized: (1) a flat-topped platform, in which thick algal boundstone, skeletal packstone–grainstone and peloidal micrite wackestone with a poorly rhythmic character prevail; (2) the platform margin and upper slope, characterized by microbial boundstone spanning a bathymetric range of ≈150 m measured from the break of slope; (3) a slope, predominantly composed of margin-derived rudstones and breccias; and (4) a toe-of-slope to basin zone, where a cyclic alternation of spiculitic siltstones, packstone to grainstone calciturbidites and rudstone/breccia is visible. Five successive stages of platform development are deduced: (1) Bashkirian: flooding of the pre-existing Serpukhovian platform giving rise to the nucleation of a low-angle ramp to the south-east of the study area with microbial mud-mound accumulations, and breccias and calciturbidites on the margins; (2) Early Moscovian: an influx of siliciclastic sediment buried part of the platform and reduced the area of carbonate sedimentation; (3) Moscovian: aggradation and progradation of the carbonate system produced an extensive steep-margined and flat-topped shallow-water platform (shelf system); (4) Latest Moscovian–earliest Kasimovian: drowning of the platform; and (5) Kasimovian: covering of the platform by marly calcareous ramp sediments. [ABSTRACT FROM AUTHOR]

Introduction Nucleoside reverse transcriptase inhibitor (NRTI) is associated with endothelial dysfunction and proinflammatory effects. Maraviroc (MVC) is an antagonist of CCR5 receptor. CCR5 is the receptor of RANTES (Regulated on Activation, Normal T Cell Expressed and Secreted), a mediator of chronic inflammation and endothelial function. Our aim was to evaluate the maintenance of viral suppression and improvement of endothelial function in virologically suppressed HIV-infected patients switched to an NRTI-sparing combined antiretroviral therapy (cART) with MVC. Materials and Methods This observational, non-interventional, multicenter study was performed at the Infectious Diseases Service of Santa Lucia, Morales Meseguer, Virgen de la Arrixaca and Reina Sofía University Hospital (Murcia, Spain). The selection criteria were to be asymptomatic on a regimen with undetectable viral load (<50 HIV-RNA copies/mL) for at least six months, no previous treatment with R5 antagonists, no evidence of previous protease inhibitor (PI) failure and available R5 tropism test. Twenty-one HIV-infected patients were selected after the treatment regimen was changed to Maraviroc 150 mg/once daily plus ritonavir-boosted PI therapy. Endothelial function was prospectively evaluated through flow-mediated dilatation (FMD) of the brachial artery at baseline and at weeks 24. Results We included 21 patients on treatment with PI in combination with 2 NRTI. The mean cART exposition was 133±68.9 months. Fourteen (66.6%) were males, aged 49±9 years, 15 (71.4%) smokers, 4 (19.04%) family history of coronary heart disease, 1 (5.76%) type 2 diabetes and 3 (14.28%) hypertensive, mean total cholesterol was 185.5±35 mg/dL, c-LDL 100.2±37 mg/dL, tryglicerides 170.42±92.03 mg/dL, cHDL 52.6±15.5 mg/dL, CD4 779,5±383.28 cells/mL, nadir CD4 187,96±96 cells/mL. After 24 weeks of follow-up of a switch to an NRTI-sparing regimen, 95.2% of HIV-patients on viral suppressive cART maintained viral suppression and CD4+ T cell count. This cART switch improve endothelial function in patients with lower baseline FMD levels after 24 weeks (baseline FMD −1.19±4.84 % to 24 weeks FMD 11.32±7.27%; p=0.002). Conclusions The results of our study show that a switch to an NRTI-sparing bi-therapy with MVC improves endothelial function and maintained the immune-virologic efficacy. This regimen emphasizes the needs for further clinical studies to associate these achievements with the incidence of non-AIDS-defining illnesses. [ABSTRACT FROM AUTHOR]

Introduction Inversion of the CD4:CD8 ratio (<1) has been identified as a hallmark of immunosenescence and an independent predictor of mortality in the general population. We aimed to assess the association between the CD4:CD8 ratio and intima-media thickness (IMT) progression in treated HIV-infected patients as a marker of early atherosclerosis. Materials and Methods A longitudinal study during three years was conducted in 120 HIV-infected patients receiving antiretroviral treatment (ART). We analyzed the associations between the CD4:CD8 ratio, cardiovascular risk factor and antiretroviral (ARV) treatment and progression of subclinical atherosclerosis assessed using carotid IMT at baseline and after three years. Results Finally, 96 patients completed the study. Seventy-six (79.1%) patients were male, aged 44±10 years, 39 (40.6%) were on treatment with Protease inhibitors, 49 (51.04%) with non-nucleoside reverse transcriptase inhibitors (NNRTI), 6 (6.25%) with integrase inhibitors, 3 (3.12%) with maraviroc and 2 (2.08%) only with nucleoside reverse transcriptase inhibitors (NRTI). The mean of ARV exposition was 6.9±5.9 years. Twenty six (27 %) patients had family history of ischemic heart disease, 51 (53.12%) were smokers, 12 (12.5%) hypertensive, 4 (4.16%) type 2 diabetes, 23 (23.9%) with dyslipidemia and 31 (32.3%) were infected with C hepatitis virus. Baseline IMT was significantly associated with age (rho=0.497; p<0.001), basal glucemia (rho=0.323; p=0.001), triglycerides (rho=0.232; p=0.023), Framingham score (rho=0.324; p=0.001), CD4:CD8 ratio (rho=−0.176; p=0.05) and dyslipidemia (0.72±0.16 mm vs 0.63±0.11 mm; p=0.029). In multivariable analysis where cardiovascular risk factor and ARV were included, IMT progression was inversely associated with CD4:CD8 ratio (OR=0.283; CI 95% 0.099-0.809; p=0.019) and treatment with NNRTI (OR=0.283; CI 95% 0.099-0.809; p=0.019). Conclusions The inversion of CD4:CD8 ratio in treated HIV-infected patients is independently associated with IMT progression, a marker of age-associated disease. Therefore, it might be clinically useful as predictor of cardiovascular events. Surprisingly, there was a positive correlation between receiving NNRTI and progression of IMT. [ABSTRACT FROM AUTHOR]

Résumé: Nous rapportons le cas de deux cas de patients atteints d’arthrite juvénile idiopathique (AJI) ancienne, qui ont développé une sténose sous-glottique récurrente secondaire à une granulomateuse de Wegener localisée. Dans les deux cas, les biopsies de la région atteinte ont montré une vascularite granulomateuse avec des cellules géantes multinucléées. Les deux patients présentaient des sérologies positives pour les anticorps anticytoplasme des polynucléaires par immunofluorescence (Anca) et Elisa (PR3). L’implication d’autres organes était exclue au moment du diagnostic de la granulomatose de Wegener (GW) et au cours du suivi de la maladie. À notre connaissance, il s’agit du premier article décrivant l’association d’une AJI et d’une forme localisée de GW. [Copyright &y& Elsevier]

Abstract: We report two cases of long-term juvenile idiopathic arthritis which developed recurrent subglottic stenosis secondary to localized Wegener''s granulomatosis. In both cases, the biopsies taken from the affected region shown granulomatous vasculitis with multinucleated giant cells. Both patients presented positive serology for antineutrophil cytoplasmic antibodies by immunofluorescence (c-ANCA) and ELISA (PR3). The involvement or other organs was ruled out at the time of Wegener''s granulomatosis diagnosis and during follow-up. To our knowledge, this is the first report of the association between juvenile idiopathic arthritis and a localized form of Wegener''s granulomatosis. [Copyright &y& Elsevier]