1.Morphological analysis of the jugular foramen in dry human skulls in northeastern Brazil
Rodrigo Ramalho RODRIGUES ; Diógenes Firmino do Nascimento NETO ; João Vítor Andrade FERNANDES ; Letícia de Oliveira BARRETO ; Victor Barros Maciel do AMARAL ; Débora Karoline de Araújo DECA ; Vera Louise Freire de Albuquerque FIGUEIREDO ; Jalles Dantas de LUCENA ; Ivson Bezerra da SILVA ; Thales Henrique de Araújo SALES ; André de Sá Braga OLIVEIRA
Anatomy & Cell Biology 2024;57(2):213-220
The jugular foramen (JF) is located between the temporal and occipital bones. The JF is a primary pathway for venous outflow from the skull and passage of nerves. Variations are common in this region and may have clinical and surgical implications. To analyze the sexual dimorphism and JF morphology in skulls from Northeastern Brazil. 128 human skulls from the Anatomy Laboratory of the Federal University of Paraíba, 64 male and 64 female, were selected and the JFs analyzed for bone septation and the presence of a dome. Data analysis considered P<0.05 as significant. On at least one side, complete septation was observed in 26 skulls (20.3%), incomplete septation in 93 skulls (72.6%) and 61 skulls (47.6%) did not present septation. In 114 skulls (89%), 47.6% female and 41.4% male, have a unilateral presence of the dome and 71 (55.4%) have it bilaterally. Posterolateral compartment diameters and JF area had higher values on the right side in the total sample and separated by sex (P<0.05). Most morphometric variables of the anteromedial compartment were higher in male than in female (P<0.05), fact that was not observed in the posterolateral compartment (P>0.05). This study showed a higher prevalence of complete septation in males compared to females. Morphometric analysis presented a peculiar morphology of the JF in this study. These results suggests that the surgical approach to diseases that affect the JF may be peculiar to the studied population, confirming the importance of morphological analysis of the skull base.
2.Morphological analysis of the jugular foramen in dry human skulls in northeastern Brazil
Rodrigo Ramalho RODRIGUES ; Diógenes Firmino do Nascimento NETO ; João Vítor Andrade FERNANDES ; Letícia de Oliveira BARRETO ; Victor Barros Maciel do AMARAL ; Débora Karoline de Araújo DECA ; Vera Louise Freire de Albuquerque FIGUEIREDO ; Jalles Dantas de LUCENA ; Ivson Bezerra da SILVA ; Thales Henrique de Araújo SALES ; André de Sá Braga OLIVEIRA
Anatomy & Cell Biology 2024;57(2):213-220
The jugular foramen (JF) is located between the temporal and occipital bones. The JF is a primary pathway for venous outflow from the skull and passage of nerves. Variations are common in this region and may have clinical and surgical implications. To analyze the sexual dimorphism and JF morphology in skulls from Northeastern Brazil. 128 human skulls from the Anatomy Laboratory of the Federal University of Paraíba, 64 male and 64 female, were selected and the JFs analyzed for bone septation and the presence of a dome. Data analysis considered P<0.05 as significant. On at least one side, complete septation was observed in 26 skulls (20.3%), incomplete septation in 93 skulls (72.6%) and 61 skulls (47.6%) did not present septation. In 114 skulls (89%), 47.6% female and 41.4% male, have a unilateral presence of the dome and 71 (55.4%) have it bilaterally. Posterolateral compartment diameters and JF area had higher values on the right side in the total sample and separated by sex (P<0.05). Most morphometric variables of the anteromedial compartment were higher in male than in female (P<0.05), fact that was not observed in the posterolateral compartment (P>0.05). This study showed a higher prevalence of complete septation in males compared to females. Morphometric analysis presented a peculiar morphology of the JF in this study. These results suggests that the surgical approach to diseases that affect the JF may be peculiar to the studied population, confirming the importance of morphological analysis of the skull base.
3.Morphological analysis of the jugular foramen in dry human skulls in northeastern Brazil
Rodrigo Ramalho RODRIGUES ; Diógenes Firmino do Nascimento NETO ; João Vítor Andrade FERNANDES ; Letícia de Oliveira BARRETO ; Victor Barros Maciel do AMARAL ; Débora Karoline de Araújo DECA ; Vera Louise Freire de Albuquerque FIGUEIREDO ; Jalles Dantas de LUCENA ; Ivson Bezerra da SILVA ; Thales Henrique de Araújo SALES ; André de Sá Braga OLIVEIRA
Anatomy & Cell Biology 2024;57(2):213-220
The jugular foramen (JF) is located between the temporal and occipital bones. The JF is a primary pathway for venous outflow from the skull and passage of nerves. Variations are common in this region and may have clinical and surgical implications. To analyze the sexual dimorphism and JF morphology in skulls from Northeastern Brazil. 128 human skulls from the Anatomy Laboratory of the Federal University of Paraíba, 64 male and 64 female, were selected and the JFs analyzed for bone septation and the presence of a dome. Data analysis considered P<0.05 as significant. On at least one side, complete septation was observed in 26 skulls (20.3%), incomplete septation in 93 skulls (72.6%) and 61 skulls (47.6%) did not present septation. In 114 skulls (89%), 47.6% female and 41.4% male, have a unilateral presence of the dome and 71 (55.4%) have it bilaterally. Posterolateral compartment diameters and JF area had higher values on the right side in the total sample and separated by sex (P<0.05). Most morphometric variables of the anteromedial compartment were higher in male than in female (P<0.05), fact that was not observed in the posterolateral compartment (P>0.05). This study showed a higher prevalence of complete septation in males compared to females. Morphometric analysis presented a peculiar morphology of the JF in this study. These results suggests that the surgical approach to diseases that affect the JF may be peculiar to the studied population, confirming the importance of morphological analysis of the skull base.
4.Growth and Nutritional Biomarkers in Brazilian Infants with Cow’s Milk Allergy at Diagnosis and 18-Month Follow-Up: A Prospective Cohort Study
Anne JARDIM-BOTELHO ; Tatiane Graça MARTINS ; Jackeline MOTTA-FRANCO ; Rosan MEYER ; Sarah Cristina Fontes VIEIRA ; Bruna Franca PROTÁSIO ; Milena Letícia Santos SILVA ; Rebecca Silveira PONTES ; Marcela Barros Barbosa DE OLIVEIRA ; Ikaro Daniel de Carvalho BARRETO ; Ricardo Queiroz GURGEL
Pediatric Gastroenterology, Hepatology & Nutrition 2023;26(6):355-369
Purpose:
This study aimed to describe the growth, body protein status, and micronutrient biomarkers of Brazilian infants with cow’s milk allergy (CMPA) at baseline and at 18 months of follow-up in comparison with their healthy peers.
Methods:
Thirty infants with CMPA younger than six months of age were included in this longitudinal study, and their nutritional status was compared with that of 24 non-allergic age-matched children. Anthropometric measurements were used to assess growth, and blood and urine samples were analyzed for protein and micronutrient status. Mixed linear models adjusted for birth weight, socioeconomic status, infant feeding at baseline, weightfor-age, C-reactive protein, serum albumin, micronutrient dietary supplementation, and salt consumption were employed to evaluate the evolution of nutritional parameters throughout the follow-up period.
Results:
Overall, the mean age of the children at enrolment was 2.9 (standard deviation 1.7) months, and 29 children (53.7%) were male. Infants with CMPA showed a higher prevalence of functional iron depletion (transferrin saturation <20) (p=0.027), lower serum ferritin (p=0.009), and lower urinary iodine (p=0.034) levels than non-allergic children at baseline.Patients with CMPA showed a higher increment in weight-for-age and length-for-age over time than those in the control group (p<0.01). Mixed linear analyses showed a significantly lower increase in serum vitamin B12 (s-B12) (p=0.001) and urinary iodine (p<0.001) concentrations over time compared to the control group.
Conclusion
Infants with CMPA on a cow’s milk elimination diet had a higher weight and length at 18 months of follow-up but showed signs of inadequate iron, iodine, and B-12 vitamin status.