mento cutâneo, evoluindo para áreas de despigmentação cutânea em ‘sal e pimenta’ (Fig. 1), e aparecimento de úlceras digitais (Fig. 2). Actualmente medicada com metotrexato subcutâneo, metilprednisolona e bosentan. A ESJ tem uma incidência de 0,27 casos por milhão de crianças1 e apresenta particularidades que a distinguem das formas adultas de esclerose sistémica.2 A abordagem terapêutica em id...

a 78-year-old woman with burn-induced cervico-mento-sternal scar contracture was scheduled for laparoscopic cholecystectomy. during inhalational induction of sevoflurane, her airway patency deteriorated. the right lateral position and assist ventilation using a breathing bag dramatically improved her airway patency.

Uma das estratégias adotadas para preservar a biodiversidade em compatibilidade com o desenvolvi-mento atividades humanas tem sido criação de Unidades Conservação. No entanto, algumas Conservação são criadas sem previsão orçamentária executar as desapropriações necessárias e que haja um processo implantação efetivo desses espaços, desenvolvendo assim diversos conflitos fundiários. Neste sentido...

This paper presents a multi-objective order allocation planning problem with the consideration of various real-world production features. A novel hybrid intelligent optimization model, integrating a multi-objective memetic optimization process, a Monte Carlo simulation technique and a heuristic pruning technique, is proposed to handle this problem. Experiments based on industrial data are condu...

The population structure of Aphanius mento in the Seyhan Reservoir was studied on the basis of 834 fish specimens (516 males and 318 females) caught on a monthly basisbetween September 2013 and August 2014. Fish were collected using dip nets of tulle with a 1mm mesh size. The maximum age of fish was found to be 4 years for both sexes combined, the 1 year old age group comprised 62.20% of male s...

Day NP, et al. Activities of daily living associated with acquisition of melioi-dosis in northeast Thailand: a matched case–control study. Variability of Burkholderia pseudomallei strain sensitivities to chlorine disinfection. To the Editor: Soft-tissue injuries sustained during wars are subject to environmental contamination and, thus, to a high risk for infection. Efforts to describe the epid...