Sandra Pereira

When one port does not return blood: two case reports of rare causes for misplaced central venous catheters

We present two cases of misplaced central venous catheters having in common the absence of free blood return from one lumen immediately after placement. The former is a case of right hydrothorax associated with central venous catheterization with the catheter tip in intra-pleural location. In this case the distal port was never patent. In the latter case there was an increased aspiration pressure through the middle port due to a catheter looping. The absence of free flow on aspiration from one lumen of a central catheter should not be undervalued. In these circumstances the catheter should not be used and needs to be removed.

Differential Toxicity of Cyanobacteria Isolated from Marine Sponges towards Echinoderms and Crustaceans

Marine sponges and cyanobacteria have a long history of co-evolution, with documented genome adaptations in cyanobionts. Both organisms are known to produce a wide variety of natural compounds, with only scarce information about novel natural compounds produced by cyanobionts. In the present study, we aimed to address their toxicological potential, isolating cyanobacteria (n = 12) from different sponge species from the coast of Portugal (mainland, Azores, and Madeira Islands). After large-scale growth, we obtained both organic and aqueous extracts to perform a series of ecologically-relevant bioassays. In the acute toxicity assay, using nauplii of Artemia salina, only organic extracts showed lethality, especially in picocyanobacterial strains. In the bioassay with Paracentrotus lividus, both organic and aqueous extracts produced embryogenic toxicity (respectively 58% and 36%), pointing to the presence of compounds that interfere with growth factors on cells. No development of pluteus larvae was observed for the organic extract of the strain Chroococcales 6MA13ti, indicating the presence of compounds that affect skeleton formation. In the hemolytic assay, none of the extracts induced red blood cells lysis. Organic extracts, especially from picoplanktonic strains, proved to be the most promising for future bioassay-guided fractionation and compounds isolation. This approach allows us to classify the compounds extracted from the cyanobacteria into effect categories and bioactivity profiles.

Hair removal in adolescence

Introduction: Due to hormonal stimulation during puberty, changes occur in hair type and distribution. In both sexes, body and facial unwanted hair may have a negative psychological impact on the teenager. There are several available methods of hair removal, but the choice of the most suitable one for each individual can raise doubts. Objective: To review the main methods of hair removal and clarify their indications, advantages and disadvantages. Development: There are several removal methods currently available. Shaving and depilation with chemicals products are temporary methods, that need frequent repetition, because hair removal is next to the cutaneous surface. The epilating methods in which there is full hair extraction include: epilation with wax, thread, tweezers, epilating machines, laser, intense pulsed light, and electrolysis. Conclusions: The age of beginning hair removal and the method choice must be individualized and take into consideration the skin and hair type, location, dermatological and endocrine problems, removal frequency, cost and personal preferences.