Anorectal manometry standard of a brazilian population at productive age without pelvic floor disorders: a prospective volunteered study / Valores manométricos anorretais para a população brasileira eutrófica em idade produtiva e sem distúrbios do assoalho pélvico: estudo prospectivo com voluntários

ABSTRACT Background: Due to the lack of normal standards of anorectal manometry in Brazil, data used are subject to normality patterns described at different nationalities. Aim: To determine the values and range of the parameters evaluated at anorectal manometry in people, at productive age, without pelvic floor disorders comparing the parameters obtained between male and female. Methods: Prospective analysis of clinical data, such as gender, age, race, body mass index (BMI) and anorectal manometry, of volunteers from a Brazilian university reference in pelvic floor disorders. Results: Forty patients were included, with a mean age of 45.5 years in males and 37.2 females (p=0.43). According to male and female, respectively in mmHg, resting pressures were similar (78.28 vs. 63.51, p=0.40); squeeze pressures (153.89 vs. 79.78, p=0.007) and total squeeze pressures (231.27 vs. 145.63, p=0.002). Men presented significantly higher values of anorectal squeeze pressures, as well as the average length of the functional anal canal (2.85 cm in male vs. 2.45 cm in female, p=0.003). Conclusions: Normal sphincter pressure levels in Brazilians differ from those used until now as normal literature standards. Male gender has higher external anal sphincter tonus as compared to female, in addition a greater extension of the functional anal canal

RESUMO Racional: Devido à falta de padrões normais de manometria anorretal no Brasil, os dados utilizados estão sujeitos a padrões de normalidade descritos em diferentes nacionalidades . Objetivo: Determinar os valores e a faixa da manometria anorretal de pessoas em idade produtiva, sem distúrbios do assoalho pélvico, comparando os parâmetros obtidos entre homens e mulheres. Métodos: Análise prospectiva de dados clínicos, como gênero, idade, raça, índice de massa corporal (IMC) e manometria anorretal, de voluntários de uma referência universitária brasileira em distúrbios do assoalho pélvico. Resultados: Quarenta pessoas foram incluídas, com idade média de 45,5 anos nos homens e 37,2 nas mulheres (p=0,43). De acordo com homens e mulheres, respectivamente em mmHg, as pressões de repouso foram semelhantes (78,28 vs. 63,51, p=0,40); pressões de contração (153,89 vs. 79,78, p=0,007) e pressão total de compressão (231,27 vs. 145,63, p=0,002). Os homens apresentaram valores significativamente maiores de contração esfincteriana, assim como o comprimento médio do canal anal funcional (2,85 cm nos homens vs. 2,45 cm nas mulheres, p=0,003). Conclusões: Os níveis normais de pressão esfincteriana no Brasil diferem dos utilizados até o momento como padrão normal da literatura. O gênero masculino apresenta maior tônus ​​do esfíncter anal externo em relação ao feminino, além de maior extensão do canal anal funcional

Genomics and epidemiology of the P 1 SARS-CoV-2 lineage in Manaus, Brazil

Cases of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in Manaus, Brazil, resurged in late 2020 despite previously high levels of infection. Genome sequencing of viruses sampled in Manaus between November 2020 and January 2021 revealed the emergence and circulation of a novel SARS-CoV-2 variant of concern. Lineage P.1 acquired 17 mutations, including a trio in the spike protein (K417T, E484K, and N501Y) associated with increased binding to the human ACE2 (angiotensin-converting enzyme 2) receptor. Molecular clock analysis shows that P.1 emergence occurred around mid-November 2020 and was preceded by a period of faster molecular evolution. Using a two-category dynamical model that integrates genomic and mortality data, we estimate that P.1 may be 1.7- to 2.4-fold more transmissible and that previous (non-P.1) infection provides 54 to 79% of the protection against infection with P.1 that it provides against non-P.1 lineages. Enhanced global genomic surveillance of variants of concern, which may exhibit increased transmissibility and/or immune evasion, is critical to accelerate pandemic responsiveness.

Is laparoscopic reoperation feasible to treat early complications after laparoscopic colorectal resections? / é possível reoperar por laparoscopia as complicações precoces das ressecções colorretais laparoscópicas?

ABSTRACT Background: Recently, with the performance of minimally invasive procedures for the management of colorectal disorders, it was allowed to extend the indication of laparoscopy in handling various early and late postoperative complications. Aim: To present the experience with laparoscopic reoperations for early complications after laparoscopic colorectal resections. Methods: Patients undergoing laparoscopic colorectal resections with postoperative surgical complications were included and re-treated laparoscopically. Selection for laparoscopic approach were those cases with early diagnosis of complications, hemodynamic stability without significant abdominal distention and without clinical comorbidities that would preclude the procedure. Results: In four years, nine of 290 (3.1%) patients who underwent laparoscopic colorectal resections were re-approached laparoscopically. There were five men. The mean age was 40.67 years. Diagnoses of primary disease included adenocarcinoma (n=3), familial adenomatous polyposis (n=3), ulcerative colitis (n=1), colonic inertia (n=1) and chagasic megacolon (n=1). Initial procedures included four total proctocolectomy with ileal pouch anal anastomosis; three anterior resections; one completion of total colectomy; and one right hemicolectomy. Anastomotic dehiscence was the most common complication that resulted in reoperations (n=6). There was only one case of an unfavorable outcome, with death on the 40th day of the first approach, after consecutive complications. The remaining cases had favorable outcome. Conclusion: In selected cases, laparoscopic access may be a safe and minimally invasive approach for complications of colorectal resection. However, laparoscopic reoperation must be cautiously selected, considering the type of complication, patient's clinical condition and experience of the surgical team.

RESUMO Racional: A realização de procedimentos minimamente invasivos para o manejo de distúrbios colorretais, possibilitou ampliar a indicação de laparoscopia para o manuseio de diversas complicações pós-operatórias precoces e tardias. Objetivo: Apresentar a experiência com reoperações laparoscópicas para complicações precoces após ressecções colorretais laparoscópicas. Métodos: Foram incluídos pacientes submetidos a ressecções colorretais laparoscópicas que apresentaram complicações cirúrgicas no pós-operatório abordadas por via laparoscópica. Os pacientes selecionados foram aqueles com diagnóstico precoce de complicações, estabilidade hemodinâmica sem distensão abdominal significativa e sem comorbidades clínicas que impedissem o procedimento. Resultados: Em quatro anos, nove de 290 (3,1%) pacientes submetidos a ressecções colorretais laparoscópicas foram reabordados pela mesma via de acesso. Havia cinco pacientes do sexo masculino e idade média foi de 40,67 anos. Os diagnósticos de doença primária incluíram adenocarcinoma (n=3), polipose adenomatosa familiar (n=3), colite ulcerativa (n=1), inércia colônica (n=1) e megacólon chagásico (n=1). Os procedimentos iniciais incluíram quatro proctocolectomias totais com anastomose íleo-anal em bolsa ileal; três ressecções anteriores; uma totalização de colectomia total; e uma hemicolectomia direita. A deiscência da anastomose foi a complicação mais comum que resultou em reoperação (n=6). Houve apenas um caso de desfecho desfavorável, com óbito no 40º dia da primeira abordagem após complicações consecutivas. Os demais casos tiveram desfecho favorável . Conclusão: Em casos selecionados, o acesso laparoscópico pode representar alternativa de abordagem segura e minimamente invasiva para complicações da ressecção colorretal. No entanto, a reoperação laparoscópica deve ser cuidadosamente selecionada, considerando o tipo de complicação, a condição clínica do paciente e a experiência da equipe cirúrgica.

A new species of the Gnamptogenys Mordax subgroup (Hymenoptera: Formicidae), with an Identification key to the species within the subgroup

Abstract We describe, Gnamptogenys rugimala n. sp, a very distinct new species of the ectatommine genus Gnamptogenys, from specimens collected in forests of southeastern Brazil. We provide some data about G. rugimala n. sp occurrence and ecology as well as a species identification key for the mordax subgroup.

Influência do sexo e tipo de competição sobre parâmetros do rally no voleibol / Influence of gender and type of competition on rally parameters in volleyball / Influence of gender and type of competition on rally parameters in volleyball

O objetivo deste estudo foi investigar se o sexo e o tipo de competição impactam sobre os parâmetros do rally em jogos de voleibol. Investigaram-se 17 jogos de competições escolares e recreacionais, que foram gravados em filmadora digital e analisados em ecrã de notebook de 14'. Avaliaram-se o tempo de duração do rally e seus intervalos, densidade do set, além de quantificar e caracterizar os complexos e as ações nos rallies. Os resultados do presente estudo mostraram que o padrão dos rallies no voleibol em competições de equipes recreacionais foi semelhante aos de equipes escolares em treinamento. Porém, nos jogos recreacionais, o tempo de rally, o número de ações e o percentual de densidade do set foram maiores que em competições com equipes escolares em treinamento. Por outro lado, o tempo de intervalo entre rallies foi menor. Quanto ao fator sexo não se verificaram alterações na maioria dos parâmetros analisados. No entanto, observou-se uma frequência reduzida de complexo com três toques, que pode ser justificada pelo padrão de jogo do voleibol feminino. Também se identificou alto índice de saques errados ­ comparados aos aces ­ que resultaram na pontuação da equipe adversária, tanto em relação aos sexos quanto aos tipos de competições. Além disso, observou-se que 82,1% dos rallies ocorreram em até 11" com predominância do complexo I, o tempo médio de rally foi de 7"7 e o tempo de intervalo 2,3 vezes maior que o de sua duração, demonstrando ser suficiente para a recuperação energética do esforço despendido. Portanto, o presente estudo conclui que o sexo e as competições escolares e recreacionais pouco interferem no padrão do rally realizado durante o jogo de voleibol....(AU)

The objective of this study was to investigate if the gender and the type of competition impact on the parameters of the rally in volleyball games. Investigated 17 games of school and recreational competitions, which were recorded in digital camcorder, being analyzed in 14' notebook screen. It evaluated the duration of the rally and its intervals, set density, in addition to quantify and characterize the complexes and actions in the rallies. The results of the present study showed that the standard of volleyball rallies in recreational team competitions was similar to that of training school teams, however, in recreational games, rally time, number of actions and % density of the set were higher that in competitions with school teams in training, however, the interval time between rallies was smaller. The gender factor did not show alteration in most of the analyzed parameters, however, observed a reduced frequency of complex with three touches, which can be justified by the female game volleyball standard. It also identified a high rate of misplaced looting, generating a point for the opposing team compared to aces for both the genres and for the types of competitions. Additionally, it was observed that 82.1% of the rallies occurred in up to 11" with a predominance of the I complex, the average rally time was 7"7 and the interval time 2.3 times longer than its duration, proving to be sufficient for the energy recovery of the effort expended. It is concluded that the genre and the school and recreational competitions little interfere in the pattern of the rally realized during the game of volleyball....(AU)

Is there a difference between right- versus left-sided colon cancers? does side make any difference in long-term follow-up? / Existe diferença entre o câncer do cólon direito versus o esquerdo? a localização faz alguma diferença no seguimento em longo prazo?

ABSTRACT Background: Since 1990 it was proposed that distal and proximal location of colon cancer might follow different biological, epidemiology, pathology and prognosis, probably due to embryologic different development of the two segments of the colon, which may represent two separate disease entities. These differences might have consequences for the treatment of patients with colorectal cancer. Aim: To compare the characteristics between patients with right and left colon cancer, with severity and tumor characteristic that influence in the survival of these patients. Method: Were evaluated the outcomes of surgical treatment of patients with colon cancer with data collected retrospectively from prospectively collected database. Results: The tumor's side did not influence survival time of patients with colon cancer (p=0.112) in the regression model. Only the diseases stage leads to influence on survival time; patients with right colon cancer have more advanced staging (III or IV) and present a risk of death greater in 3.23 times. Conclusion: This analysis provides evidence that the prognosis of localized left-sided colon cancer is better compared to right-sided colon cancer. Also, the patients with right colon cancer have more advanced stage, mucinous tumor and are older.

RESUMO Racional: Desde 1990, foi proposto que a localização distal e proximal do câncer de cólon pode seguir diferentes aspectos biológicos, epidemiológicos, patológicos e prognósticos. Essas diferenças podem ter consequências para o tratamento de pacientes com câncer colorretal. Objetivo: Comparar as características entre pacientes com câncer de cólon direito e esquerdo, com gravidade e características tumorais que influenciam na sobrevida desses pacientes. Método: Avaliação dos resultados do tratamento cirúrgico dos pacientes com câncer de cólon em longo prazo com dados coletados retrospectivamente. Resultados: O lado do tumor não influenciou o tempo de sobrevida (p=0,112) no modelo de regressão. Apenas o estágio da doença influencia no tempo de sobrevida. Os pacientes com câncer de cólon direito apresentam estadiamento mais avançado (III ou IV) e apresentam risco de morte 3,23 vezes maior. Conclusão: O prognóstico do câncer de cólon localizado no lado esquerdo é melhor comparado ao direito. Os pacientes com câncer de cólon direito têm estágio e idade mais avançados e tumor mucinoso.

Comparative genomics of pathogenic Leptospira interrogans serovar Canicola isolated from swine and human in Brazil

Leptospira interrogans serovar Canicola is one of the most important pathogenic serovars for the maintenance of urban leptospirosis. Even though it is considered highly adapted to dogs, serovar Canicola infection has already been described in other animals and even a few human cases. Here, we present the genomic characterisation of two Brazilian L. interrogans serovar Canicola strains isolated from slaughtered sows (L0-3 and L0-4) and their comparison with human strain Fiocruz LV133. It was observed that the porcine serovar Canicola strains present the genetic machinery to cause human infection and, therefore, represent a higher risk to public health. Both human and porcine serovar Canicola isolates also presented sequences with high identity to the Chinese serovar Canicola published plasmids pGui1 and pGui2. The plasmids identification in the Brazilian and Chinese serovar Canicola strains suggest that extra-chromosomal elements are one more feature of this serovar that was previously unnoticed.

Genomic characterisation of Leptospira inadai serogroup Lyme isolated from captured rat in Brazil and comparative analysis with human reference strain

Leptospira inadai is classified as a species of the Leptospira intermediate group that has been poorly studied due to its apparent insignificance to human and animal health. Nevertheless, over the last two decades the species has been described in human cases in India and in carrier animals in Ecuador. Here, we present the first identification and genomic characterisation of L. inadai serogroup Lyme isolated from captured rodent in Brazil. Even though the M34/99 strain was not pathogenic for hamsters, it was able to establish renal colonisation. The M34/99 strain presented high similarity with L. inadai serogroup Lyme human reference indicating that animal strain could also infect humans, although it does not represent high risk of severe disease. An extrachromosomal sequence was also identified in M34/99 strain and presented high identity with previously described L. inadai phage LinZ_10, suggesting that phage-like extrachromosomal sequence may be another feature of this understudied species.

Comparative genomic analysis of Brazilian Leptospira kirschneri serogroup Pomona serovar Mozdok

Leptospira kirschneri is one of the pathogenic species of the Leptospira genus. Human and animal infection from L. kirschneri gained further attention over the last few decades. Here we present the isolation and characterisation of Brazilian L. kirschneri serogroup Pomona serovar Mozdok strain M36/05 and the comparative genomic analysis with Brazilian human strain 61H. The M36/05 strain caused pulmonary hemorrhagic lesions in the hamster model, showing high virulence. The studied genomes presented high symmetrical identity and the in silico multilocus sequence typing analysis resulted in a new allelic profile (ST101) that so far has only been associated with the Brazilian L. kirschneri serogroup Pomona serovar Mozdok strains. Considering the environmental conditions and high genomic similarity observed between strains, we suggest the existence of a Brazilian L. kirschneri serogroup Pomona serovar Mozdok lineage that could represent a high public health risk; further studies are necessary to confirm the lineage significance and distribution.

Effects of habitat management on different feeding guilds of herbivorous insects in cacao agroforestry systems / Efecto del manejo de hábitat en diferentes gremios alimentarios de insectos herbívoros en sistemas agroforestales de cacao

AbstractHuman pressure on natural habitats increases the importance of agroforests for biodiversity conservation. The objective of this study was to evaluate the role of cacao traditional cultivation system (CTCS) on the conservation of the herbivorous insect community when compared with a monodominant rubber agroforest, a type of agricultural system for cacao cultivation. The insects were sampled in three habitats in Southeastern Bahia, Brazil: native forests, CTCS and rubber agroforests. In each habitat, 18 plots of 10 m2 were established, and the structural measures were collected and herbivorous insects were sampled with a Malaise/window trap. The diversity of folivorous decreased with the simplification of vegetation structure, but species composition was similar among habitats. In addition to a decrease in the availability of resources in monodominant rubber agroforests, the latex present in these systems have limited the occurrence of species that cannot circumvent latex toxicity. The diversity of sap-sucking insects was similar among habitats, but species composition was similar only in the CTCS and native forest, and it was different in the rubber agroforest. We observed turnover and a higher frequency of individuals of the family Psyllidae in the rubber agroforest. The biology and behavior of Psyllids and absence of natural enemies enable their diversity to increase when they are adapted to a new host. We observed a shift in the composition of xylophagous insects in the rubber agroforest compared to that in other habitats. Moreover, this agroforest has low species richness, but high individual abundance. Latex extraction is likely an important additional source of volatile compounds discharged into the environment, and it increases the attraction and recruitment of coleoborers to these sites. We concluded that CTCS has an herbivorous insect community with a structure similar to the community found in native forests of the region, and they present a more interesting conservation strategy when compared to rubber agroforests. We also emphasized the potential risk of local pest outbreaks in rubber agroforests for both the rubber and associated cacao trees. Rev. Biol. Trop. 64 (2): 763-777. Epub 2016 June 01.

ResumenLa presión humana sobre los hábitats naturales aumenta la importancia de los sistemas agroforestales para la conservación de la biodiversidad. El objetivo de este estudio fue evaluar el papel del sistema tradicional de cultivo de cacao en la conservación de la comunidad de insectos herbívoros en comparación con el agrobosque monodominante de caucho, un tipo de sistema agrícola para el cultivo de cacao. Los insectos fueron muestreados en tres hábitats en el sureste de Bahia, Brasil: bosque nativo, sistema tradicional de cultivo de cacao y agrobosque de caucho. En cada hábitat, se establecieron 18 parcelas de 10 m2, se tomaron medidas estructurales y se muestrearon los insectos herbívoros con una trampa tipo Malaise. La diversidad de folívoros disminuyó con la simplificación de la estructura de la vegetación, pero la composición de especies fue similar entre hábitats. Además se presentó una disminución de la disponibilidad de recursos en agrobosques de caucho, el látex presente en estos sistemas han limitado la aparición de especies que no pueden evadir la toxicidad de látex. La diversidad de insectos chupadores de savia fue similar entre los hábitats, pero la composición de especies fue similar sólo en el sistema tradicional de cultivo de cacao y el bosque nativo, y diferente en el agrobosque de caucho. Hemos observado que hay una mayor frecuencia de individuos de la familia Psyllidae en el agrobosque de caucho. La biología y el comportamiento de los psílidos y ausencia de enemigos naturales permiten que su diversidad aumente cuando se adaptan a un nuevo huésped. Hemos observado un cambio en la composición de los insectos xilófagos en el agrobosque de caucho en comparación con la de otros hábitats. Por otra parte, este agrobosque tiene una baja riqueza de especies, pero gran abundancia individual. La extracción de látex probablemente es una fuente adicional importante de compuestos volátiles que son vertidos en el ambiente, y aumenta la atracción y el reclutamiento de curculiónidos en estos sitios. Hemos llegado a la conclusión de que el sistema tradicional de cultivo de cacao tiene una comunidad de insectos herbívoros con una estructura similar a la comunidad que se encuentra en los bosques nativos de la región, y presenta una estrategia de conservación más interesante si se compara con los sistemas agroforestales de caucho. También hicimos hincapié en el riesgo potencial de aparición de plagas locales en sistemas agroforestales de caucho, tanto para el caucho como para los árboles de cacao asociados.

Impact of different extraction methods on the quality of Dipteryx alata extracts

This study aimed to impact of different extraction methods on the quality of Dipteryx alata Vogel, Fabaceae, extracts from fruits. The major compounds found were the lipids 38.9% (w/w) and proteins 26.20% (w/w). The residual moisture was 7.20% (w/w), total fiber 14.50% (w/w), minerals 4.10% (w/w) and carbohydrate 9.10 % (w/w). The species studied has great potential in producing oil, but the content and type of fatty acids obtained is dependent on the method of extraction. The Blingh & Dyer method was more selective for unsaturated fatty acids and Shoxlet method was more selective for saturated fatty acids. The tannin extraction by ultrasound (33.70 % w/w) was 13.90% more efficient than extraction by decoction (29 % w/w).

Contrasting effects of sampling scale on insect herbivores distribution in response to canopy structure

Species diversity of insect herbivores associated to canopy may vary local and geographically responding to distinct factors at different spatial scales. The aim of this study was to investigate how forest canopy structure affects insect herbivore species richness and abundance depending on feeding guilds´ specificities. We tested the hypothesis that habitat structure affects insect herbivore species richness and abundance differently to sap-sucking and chewing herbivore guilds. Two spatial scales were evaluated: inside tree crowns (fine spatial scale) and canopy regions (coarse spatial scale). In three sampling sites we measured 120 tree crowns, grouped in five points with four contiguous tree crowns. Insects were sampled by beating method from each crown and data were summed up for analyzing each canopy region. In crowns (fine spatial scale) we measured habitat structure: trunk circumference, tree height, canopy depth, number of ramifications and maximum ramification level. In each point, defined as a canopy region (coarse spatial scale), we measured habitat structure using a vertical cylindrical transect: tree species richness, leaf area, sum of strata heights and maximum canopy height. A principal component analysis based on the measured variables for each spatial scale was run to estimate habitat structure parameters. To test the effects of habitat structure upon herbivores, different general linear models were adjusted using the first two principal components as explanatory variables. Sap-sucking insect species richness and all herbivore abundances increased with size of crown at fine spatial scale. On the other hand, chewer species richness and abundance increased with resource quantity at coarse scale. Feeding specialization, resources availability, and agility are discussed as ecological causes of the found pattern.

La diversidad de especies de insectos herbívoros asociados con el dosel puede variar geográficamente y responder a distintos factores a diferentes escalas espaciales. El objetivo de este estudio fue investigar cómo la estructura del dosel afecta la riqueza de especies de insectos herbívoros y la abundancia en función la especialización alimenticia. Se evaluó la hipótesis que propone que la estructura del hábitat afecta en forma diferente la riqueza y abundancia de especies de insectos que se alimentan de savia y la de especies herbívoras masticadoras. Dos escalas espaciales fueron evaluadas: el interior de las copas de árboles (escala fina) y regiones del dosel (escala gruesa). En tres sitios de muestreo medimos 120 copas de árboles, agrupadas en cinco puntos con cuatro copas de árboles contiguas. Los insectos fueron muestreados golpeando las copas y los datos fueron sumados para analizar cada región del dosel. En las copas (escala espacial fina) medimos la estructura del hábitat: circunferencia del tronco, altura del árbol, profundidad del dosel, número de ramificaciones y máximo nivel de ramificación. En cada punto, definiendo una región del dosel (escala gruesa), medimos la estructura del hábitat usando un transecto cilíndrico vertical: riqueza de especies árboles, área foliar, sumatoria de altura de los estratos y máxima altura del dosel. Fue realizado un análisis de componentes principales basado en las variables medidas para cada escala espacial para estimar los parámetros de la estructura del hábitat. Para probar los efectos de la estructura del hábitat sobre los herbívoros, se ajustaron diferentes modelos lineares generales usando estos componentes principales como variables causales. La riqueza de especies chupadoras de savia y la abundancia de todas las especies herbívoras se incrementaron con el tamaño de la copa en la escala espacial final. Por otro lado, la riqueza y abundancia de especies masticadoras incrementaron con la complejidad de la estructura del hábitat en la escala más gruesa. La especialización alimenticia, la disponibilidad de recursos y la movilidad son propuestas como los factores ecológicos que explican los patrones observados.

Spray drying of Eugenia dysenterica extract: effects of in-process parameters on product quality

A 2³ full factorial design was used to assess the impact of spraying air flow rate (30-50 L/min), drying air inlet temperature (90-150 ºC) and extract feed rate (4-6 g/min) on the quality of Eugenia dysenterica DC., Myrtaceae, spray-dried extracts. Response surface methodology (RSM) was applied to analyze the significance of the effects of process factors on product quality and to obtain fitted equations to predict dry powder properties. Powder yields were satisfactory, ranging from 34.64 to 63.92%. The dried products showed moisture contents and water activities below 5% and 0.5, respectively. The recuperation ratios of total polyphenols, tannins and flavonoids ranged from 88.66 to 99.07%, 70.38 to 81.87% and 74.51 to 98.68%, respectively. Additionally, in some conditions the parameters related to dry product’s flowability and compressibility varied over a range acceptable for pharmaceutical purposes. RSM proved that studied factors significantly affected most of the quality indicators at different levels. The spray drying technology is an attractive and promising alternative for the development of intermediate phytopharmaceutical products of E. dysenterica.

Dieta hiperlipídica e ácido linoleico conjugado: efeitos nos lipídios séricos, peso e composição corporal de camundongos Apo E(-/-) exercitados / High-fat diet and conjugated linoleic acid: effects on serun lipids, weight and body composition of exercised Apo E(-/-) mice

Estratégias têm sido utilizadas para a prevenção de doenças cardiovasculares e aumento de peso. Sendo assim, muito tem sido especulado sobre alimentos funcionais e seus efeitos benéficos para a saúde humana e, em especial do Ácido Linoleico Conjugado (CLA). O objetivo foi avaliar os efeitos da dieta hiperlipídica e do CLA sobre os lipídios séricos, peso e composição corporal de camundongos Apolipoproteina E(-/-) (Apo E) exercitados. Camundongos knockout para Apo E foram alocados em quatro grupos/dieta: Normal (n=5), Hiperlipídica (n=6), Normal+CLA (n=5) e Hiperlipídica+CLA (n=6). Todos os grupos foram submetidos a um protocolo de corrida em esteira. Determinou-se o colesterol total, LDL-c e HDL-c no sangue, o peso e a composição corporal. Utilizou-se ANOVA e Tukey ao nível de significância de 5%. A dieta hiperlipídica elevou o colesterol total (Hiperlipídica=920,2±392,3 e Normal=382,3±207,9), LDL-c (Hiperlipídica=893,9±402,9 e Normal=339,9±204,8) e o peso corporal (Hiperlipídica=25,83±1,90 e Normal=339,9±204,8). O CLA reduziu a gordura (CLA=4,24±1,82 e Sem CLA=6,28±2,77) e elevou a proteína (CLA=23,02±1,04 e Sem CLA=21,45±1,04) na carcaça. Concluiu-se que a dieta hiperlipídica aumenta colesterol total e LDL-c e, o consumo de CLA diminui o gordura e aumenta a proteína na carcaça de camundongos Apo E(-/-) exercitados.

Strategies have been used for prevention of cardiovascular disease and weight gain. So much has been talked about functional foods and their beneficial effects on human health and, in particular conjugated linoleic acid. Evaluate the effects of high-fat diet and CLA on serum lipids, weight and body composition in Apolipoprotein E (-/-) mice (Apo E) exercised. Knockout mice ApoE were divided into four groups/diet: Normal (n=5), High-fat (n = 6), Normal+CLA (n=5) and High-fat+CLA (n=6). All groups underwent a protocol of treadmill running. Total cholesterol, LDL-c and HDL-c in the serum, weight and body composition were measured ANOVA followed by Tukey test were used (P<0.05). The high-fat diet elevated total cholesterol (High-fat=920,2± 392,3 and Normal=382,3±207,9), LDL-c (High fat=893,9±402,9 and Normal=339,9±204,8) and body weight (High-fat=25,83±1,90 and Normal= 339,9±204,8). The CLA reduced fat (CLA=4,24±1,82 and Without CLA=6,28±2,77) and increased the protein (CLA=23,02±1,04 and Without CLA=21,45±1,04) in the carcass. We conclude that the High-fat diet increases total cholesterol and LDL-C, and the consumption of the CLA reduces fat and increases the protein in the body composition of exercised ApoE(-/-) mice.

Ácido linoleico conjugado e exercício físico: efeitos na aterosclerose de camundongos apoe (-/-) / Conjugated linoleic acid and exercise: effects on atherosclerosis of apo e(-/-) Mice

Fundamento: Nenhum estudo foi encontrado em relação aos efeitos da combinação de ácido linoleico conjugado (CLA) e exercício físico na progressão de aterosclerose de camundongos APO E (-/-). Objetivo: Avaliar os efeitos da combinação de exercício físico e ácido linoleico conjugado (CLA) na progressão de aterosclerose de camundongos knockout para o gene da Apo E alimentados com dietas normo e hiperlipídica. Métodos: Camundongos knockout para Apo E foram alocados em quatro grupos/dieta: NS - dieta normolipídica e sedentário (n=5), HS - dieta hiperlipídica e sedentário (n=5), NECLA - dieta normolipídica com CLA e exercitado (n=8) e HECLA - dieta hiperlipídica com CLA e exercitado (n=8). O colesterol total e o HDL-C foram determinados através do método enzimático-colorimétrico. O LDL-C foi calculado pela fórmula de Friedewald. O fígado foi pesado e as lesões ateroscleróticas foram analisadas por fotomicrografia representativa da aorta. Utilizou-se ANOVA e Tukey ao nível de significância de 5%. Resultados: O grupo HECLA apresentou maiores valores de colesterol total e LDL-c que os grupos NECLA e NS (p<0,05). Em relação ao HDL-c, o grupo HS apresentou maior concentração que o grupo HECLA (p=0,019). O peso do fígado foi maior no grupo HECLA comparado com o NECLA (p=0,003). Em relação à progressão da aterosclerose, não foi encontrado diferenças significativas entre os grupos (p>0,05). Conclusões: A combinação exercício físico e CLA, independente do tipo de dieta, não foi eficiente na redução da progressão de aterosclerose de camundongos Knockout para o gene que expressa a apolipoproteina E.

Background: No studies were found regarding the effects of the combination of conjugated linoleic acid (CLA) and physical exercise in the progression of atherosclerosis in mice APO E (-/-). Objective: To evaluate the effects of the combination of exercise and conjugated linoleic acid (CLA) on the progression of atherosclerosis in mice knockout for the gene Apo E fed diets with normal and hyperlipidemic. Methods: Apo E knockout mice were divided into four groups / diet: NS - normolipídica diet and sedentary (n = 5), HS - high fat diet and sedentary (n = 5), NECLA - normolipídica diet with CLA and exercised (n = 8) and HECLA - High fat diet with CLA and exercised (n = 8). Total cholesterol and HDL-C were determined by enzymatic-colorimetric method. LDL-C was calculated using the Friedewald formula. The liver was weighed and atherosclerotic lesions were analyzed by representative photomicrographs of aorta. We used ANOVA and Tukey tests at a significance level of 5%. Results: The HECLA group had higher total cholesterol and LDL-C than groups NECLA and NS (p <0,05). In relation to HDL-C, the HS group had a higher concentration than the group HECLA (p = 0,019). Liver weight was higher in the group HECLA compared with NECLA (p = 0,003). Regarding the progression of atherosclerosis, was not found significant differences between groups (p> 0.05). Conclusions: The combination of exercise and CLA, regardless of the diet was not effective in reducing the progression of atherosclerosis Knockout mice for the gene that expresses the apolipoprotein E.

Evolution of critically ill patients with gastroschisis from three tertiary centers

OBJECTIVES AND INTRODUCTION: Gastroschisis is a congenital abdominal wall defect with increasing occurrence worldwide over the past 20-30 years. Our aim was to analyze the morbidity of newborns after gastroschisis closure, with emphasis on metabolic and hydroelectrolyte disturbances in patients at three tertiary university centers. METHODS: From January 2003 to June 2009, the following patient data were collected retrospectively: (A) Background maternal and neonatal data: maternal age, prenatal diagnosis, type of delivery, Apgar scores, birth weight, gestational age and sex; (B) Surgical modalities: primary or staged closure; and (C) Hospital course: levels of serum sodium and levels of serum albumin in the two first postoperative days, number of ventilation days, other postoperative variables and survival. Statistical analyses were used to examine the associations between some variables. RESULTS: 163 newborns were included in the study. Primary closure of the abdominal defect was performed in 111 cases (68.1 percent). The mean serum sodium level was 127.4¡6.7 mEq/L, and the mean serum albumin level was 2.35¡0.5 g/dL. Among the correlations between variables, it was verified that hyponatremia and hypoalbuminemia correlated with the number of days on the ventilator but not with the number of days on total parenteral nutrition (TPN); mortality rate correlated with infection. The final survival rate was 85.9 percent. CONCLUSION: In newborns with gastroschisis, more aggressive attention to hyponatremia and hypoalbuminemia would improve the outcome.

Superficial distribution of aromatic compounds and geomicrobiology of sediments from Suruí Mangrove, Guanabara Bay, RJ, Brazil

The distribution of selected aromatic compounds and microbiology were assessed in superficial sediments from Suruí Mangrove, Guanabara Bay. Samples were collected at 23 stations, and particle size, organic matter, aromatic compounds, microbiology activity, biopolymers, and topography were determined. The concentration of aromatic compounds was distributed in patches over the entire mangrove, and their highest total concentration was determinated in the mangrove's central area. Particle size differed from most mangroves in that Suruí Mangrove has chernies on the edges and in front of the mangrove, and sand across the whole surface, which hampers the relationship between particle size and hydrocarbons. An average @ 10 percent p/p of organic matter was obtained, and biopolymers presented high concentrations, especially in the central and back areas of the mangrove. The biopolymers were distributed in high concentrations. The presence of fine sediments is an important factor in hydrocarbon accumulation. With high concentration of organic matter and biopolymers, and the topography with chernies and roots protecting the mangrove, calmer areas are created with the deposition of material transported by wave action. Compared to global distributions, concentrations of aromatic compounds in Suruí Mangrove may be classified from moderate to high, showing that the studied area is highly impacted.

A distribuição de compostos aromáticos selecionados e a microbiologia foram avaliados em sedimentos superficiais do Manguezal de Suruí, Baía de Guanabara. Amostras foram coletadas em 23 pontos e determinados a granulometria, matéria orgânica, compostos aromáticos, atividade microbiológica, biopolímeros e a topografia. A concentração dos compostos aromáticos foi distribuída em manchas por todo o manguezal e sua concentração total mais elevada foi encontrada na área central do manguezal. A granulometria diferiu da maioria dos manguezais, uma vez que no Manguezal de Suruí existem chernies nas bordas e na frente dos manguezais e areia através da superfície inteira, impedindo o relacionamento entre granulometria e os hidrocarbonetos. Uma média de 10 por cento p/p da matéria orgânica foi obtida e os biopolímeros apresentaram concentrações elevadas, especialmente na área central e fundo do Manguezal. Os biopolímeros se distribuíram em altas concentrações. A presença de finos sedimentos é fator importante na acumulação de hidrocarbonetos. Na concentração elevada de matéria orgânica e de biopolímeros, topografia com chernies e as raízes que protegem os manguezais, áreas mais calmas são criadas, com depósito do material transportado pela ação das ondas. Comparadas às distribuições globais, as concentrações das substâncias aromáticas neste manguezal podem ser classificadas de moderadas a elevadas, demonstrando que a área estudada está altamente impactada.

Transanal endoscopic microsurgery (TEM): a minimally invasive procedure for treatment of selected rectal neoplasms / Microcirurgia endoscópica transanal (TEM): um procedimento minimamente invasivo para o tratamento de neoplasias selecionadas do reto

Transanal endoscopic microsurgery (TEM) provides a minimally invasive alternative to radical surgery for excision of benign and malignant rectal tumors. TEM aims to provide an alternative to conventional abdominal surgery (low anterior resection or abdominoperineal amputations), which carries not inconsiderable morbidity and mortality. Based on review of the literature and in the authors experience, this review present the method and indications for TEM.

A microcirurgia endoscópica transanal (TEM) é procedimento alternativo minimamente invasivo ao tratamento cirúrgico radical para excisão de tumores benignos e malignos do reto. Ela oferece possibilidade operatória aos procedimentos cirúrgicos convencionais (ressecção anterior baixa ou amputações abdominoperineais), as quais acarretam alta morbimortalidade. Baseada na revisão da literatura e na experiência própria dos autores, esta revisão tem por objetivo apresentar o método e as indicações para a TEM.

Efeito da estrutura da paisagem e do genótipo de Eucalyptus na abundância e controle biológico de Glycaspis brimblecombei Moore (Hemiptera: Psyllidae) / Effects of landscape structure and Eucalyptus genotype on the abundance and biological control of Glycaspis brimblecombei Moore (Hemiptera: Psyllidae)

Glycaspis brimblecombei Moore is an Australian native pest of Eucalyptus detected in Brazil in 2003. Since then, it has spread fast and colonized plantations in several states of the country. This study aimed to investigate the influence of cerrado remnants on the abundance and biological control of G. brimblecombei. We placed yellow sticky card traps to capture insects in four plantations of hybrid clones of Eucalyptus urophylla x Eucalyptus grandis ("Urograndis") and four plantations of E. urophylla x Eucalyptus camaldulensis ("Urocam"). Traps were placed in three areas of these plantations: center, border with cerrado and border without cerrado. We also collected leaves from the same clones to estimate psyllid egg and lerp abundance. The abundance of G. brimblecombei was lower in the plantation-cerrado border, and the inverse pattern was observed for microhymenopterans. The leaf abaxial surface showed a higher abundance of eggs and nymphs, probably as a consequence of a lower parasitism rate and mechanical removal by wind and rain. Egg number was higher on Urograndis than in Urocam clones, but the number of psyllid lerps was higher in the latter. Thus, the establishment of first instars is probably a critical event to psyllid infestation, and these differences may be caused by morphological, anatomical and biochemical leaf features of distinct clones. Our results suggest that the maintenance of native vegetation around plantations is a promising management practice to promote the natural biological control of G.brimblecombei, a strategy that would also enhance the preservation of cerrado remnants.

Atitudes dos cirurgiões-dentistas em relação à proteção radiológica, de acordo com a lei brasileira / Attitudes of dentists in relation to radiological protection, according to brazilian law

Objetivo: Realizar uma pesquisa em consultórios odontológicos na cidade de São José do Rio Preto - SP sobre conhecimento e atitudes dos profissionais sobre proteção radiológica e comparar os dados com as recomendações da Portaria 453 do Ministério da Saúde. Material e Método: Cento e cinqüenta consultórios odontológicos foram visitados e foi aplicado um questionário. Resultados: Observou-se que 26% dos entrevistados não conheciam a lei, 23% não avaliavam radiografias existentes do paciente, 21% não usavam vestimenta plumbífera nos pacientes, 49% não usavam posicionadores de filmes, 58% ainda utilizavam processamento visual; 93% utilizavam filme E ou F, entretanto a média de tempo de exposição foi 0.5 segundo, 14% dos equipamentos possuíam cone localizador e 83% seletor de tempo manual, 17% dos dentistas não se protegiam durante a exposição do paciente e 64% ainda utilizavam disparador com retardo. Conclusão: Há falta de conhecimento sobre proteção radiológica; um programa educacional em Radiologia pode produzir mudanças nas atitudes dos profissionais em relação ao uso da radiação ionizante.

Objective: To perform a research in dental offices in the city of São José do Rio Preto-SP about the practitioners' knowledge and attitudes related to radiological protection and compare the data with the recommendations of Ordinance 453 of the Health Ministry. Material and Methods: One hundred and fifty dental offices were visited and a questionnaire was applied. Results: Was observed that 26% of the interviewed did not know the law, 23% did not evaluate the patient's existing radiographs, 21% did not wear lead clothing in patients, 49% did not use film positioners, 58% still used visual processing, 93% used film E or F, however the average exposure time was 0.5 second, 14% of the equipment had locator cone and 83% had manual time selector, 17% of dentists do not protect themselves during the patient's exposure and 64% still used delayed trigger. Conclusion: There Atitudes dos Cirurgiões-Dentistas em Relação à Proteção Radiológica, de Acordo com a Lei Brasileira Pesquisa Rev Odontol Bras Central 2010;19(51) 305 is a lack of knowledge about radiological protection. An educational program in Radiology can produce changes in attitudes of professionals regarding the use of ionizing radiation.