Controversias en cirugía: Erradicación del Helicobacter pylori ¿Terapia a todos o según indicaciones usuales? / Controversies in surgery: Eradication of Helicobacter pylori. Therapy for all or according to usual indications?

La infección por Helicobacter pylori (H. pylori), es la infección bacteriana crónica más frecuente de la raza humana, afecta al 50 % de la población mundial y, por lo menos, al 80 % de la población colombiana. Esta bacteria es re-conocida desde hace más de 15 años como un carcinógeno tipo I. De acuerdo con las indicaciones del Consenso de "Maastricht V" esta infección debe ser buscada y tratada en los pacientes con úlcera péptica activa, linfoma MALT (por sus siglas en inglés, mucosa associated lymphoid tissue), cáncer gástrico temprano, púrpura que presenten síntomas dispépticos crónicos y usuarios crónicos de AINES. Debido al papel que tiene en la fisiopatología del cáncer gástrico, nace la iniciativa de realizar una búsqueda activa del H. pylori y erradicarlo en todas las personas, incluyendo aquellas asintomáticas en países con alta incidencia de esta neoplasia. Existen diversas publicaciones alrededor del mundo que así lo sugieren, mostrando resultados con impacto positivo en el curso y progresión de la enfermedad, sobre todo en las etapas más tempranas de la infección. Sin embargo, otros autores resaltan la creciente problemática de la resistencia bacteriana, y demuestran que el peso estadístico y los diferentes análisis de los estudios disponibles en la actualidad tienen poca validez para dar una recomendación extendida al paciente asintomático. Se cuestiona que tal vez, estamos utilizando las estrategias inadecuadas para manejar una situación de salud pública, ya que estamos enfocados en impactar a cada individuo con terapias antibióticas complejas, en vez de a la población en general con políticas de salud pública

Helicobacter pylori (H. pylori) infection is the most frequent chronic bacterial infection in humans, affecting 50% of the world population, and at least 80% of the Colombian population. This bacteria has been recognized for more than 15 years as a type I carcinogen. According to the indications of the "Maastricht V" consensus, this infection should be sought and treated in patients with: active peptic ulcer, MALT lymphoma (for its acronym Mucosa associated lymphoid tissue), early gastric cancer, purpura who present with chronic dyspeptic symptoms and chronic users of NSAIDs. Due to the role it plays in the pathophysiology of gastric cancer, the initiative was born to carry out an active search for H. pylori and eradicate it in all people, including those asymptomatic in countries with a high incidence of this neoplasia.There are various publications around the world that suggest the effectiveness of this treatment and the positive impact on the course and progression of the disease, especially in the earliest stages of the infection, since the more advanced stages have less encouraging results regarding progression to malignancy. However, other authors highlight the growing problem of bacterial resistance that we are currently facing and demonstrate that the sta-tistical weight and the different analyzes of the currently available studies have little validity to give an extended recommendation to the asymptomatic patient. It is suggested that perhaps inappropriate strategies to manage this public health situation are being used, since we are focused on impacting each individual with complex antibiotic therapies, instead of the general population with public health policies

Promoting tanshinone synthesis of Salvia miltiorrhiza root by a seed endophytic fungus, Phoma herbarum D603 / 中国中药杂志

The interaction of endophytes and host plant is an effective mean to regulate the growth and secondary metabolism of medicinal plants. Here we want to elucidate the effects and mechanism of Phoma herbarum D603 on the root development and tanshinone synthesis in root of Salvia miltiorrhiza by endophyte-plant coculture system. The mycelium of P. herbarum D603 was colonized in the root tissue space, and formed a stable symbiotic relationship with host plant. The in vitro activities analysis showed that the concentration of IAA produced by D603 can reach(6.45±0.23) μg·mL~(-1), and this strain had some abilities of phosphorus solubilization and siderophore production activities. The coculture experiment showed that strain D603 can significantly promote the synthesis and accumulation of tanshinones in the root of S. miltiorrhiza, in which after 8 weeks of treatment with D603, the content of tanshinone Ⅱ_A in the roots reached up to(1.42±0.59) mg·g~(-1). By the qRT-PCR analysis results, we found that D603 could improve the expression levels of some key genes(DXR, DXS, GGPP, HMGR, CPS) of tanshinone biosynthesis pathway in host plant S. miltiorrhiza, but the promoting effect mainly occurred in the early stage of the interaction, and the enzyme activity level decreased in varying degrees of the later stage. In summary, seed-associated endophyte P. herbarum D603 can promote the growth and root development of S. miltiorrhiza by producing hormones, promoting nutrient absorption and siderophore production, and promote the synthesis and accumulation of tanshinones by regulating the expression level of key genes in the synthetic pathway in S. miltiorrhiza.

Diagnóstico de neurolinfomatosis como complicación tardía de linfoma no Hodgkin por 18F-FDG PET-CT / Diagnosis of neurolymphomatosis as a late complication of non-Hodgkin lymphoma through 18F-FDG PET-CT

Resumen La neurolinfomatosis (NL) es una condición poco frecuente que se caracteriza por la invasión de células B en los nervios craneales y las raíces nerviosas periféricas y generalmente está vinculada con leucemia o linfoma no Hodking (LNH). En el presente reporte se destacará la importancia de la sospecha diagnóstica en este grupo de pacientes y la importancia de 18F-FDG PET/CT en el diagnóstico diferencial con otras entidades causantes de síntomas similares. Se presenta el caso de una mujer de 63 años con diagnóstico de linfoma difuso de células B grandes, quien, en el tercer ciclo de quimioterapia DA-EPOCH-R, refiere dolor de tipo neuropático en miembro superior derecho, progresivo en severidad y en extensión con compromiso de la extremidad contralateral, convulsiones y parálisis facial periférica.

Abstract Neurolinfomatosis (LN) is a strange condition, defined as Invasion of cranial nerves and peripheral nerve roots by leukemia or lymphoma. Most of the cases are caused by non-Hodgkin's lymphoma of B cells (BHL). The present paper aims to emphasize the importance of suspecting this entity in patients with NHL and neuropathic pain and the role of 18F-FDG PET-CT in the diagnosis. We present the case of a 63-year-old woman diagnosed with diffuse large B-cell lymphoma, who in her third chemotherapy session DA-EPOCH-R of neuropathic pain in the right upper limb, with a poor clinical outcome, due to worsening pain, contralateral limb involvement, seizures and peripheral facial paralysis.

Effects of realgar nanoparticles on B cell non-Hodgkin's lymphoma Raji cells in vitro / 中国药理学通报

Aim To observe the effects of realgar nano-particles on B cell non-Hodgkin's lymphoma Raji cells in vitro. Methods Realgar nanoparticles and crude realgar particles were characterized with a laser particle size analyzer, a transmission electron microscopy (TEM)and an atomic force microscopy(AFM). The morphological changes of proliferation of Raji cells brought about by the use of realgar naoparticles and crude realgar particles were observed with a light mi-croscope. The membrane changes of Raji cells treated with realgar naoparticles and crude realgar particles were observed with AFM. The ultrastructures of Raji cells were observed with TEM. The inhibitory effects of Raji cells treated with realgar naoparticles and crude realgar particles were measured with MTT. The nuclear apoptosis morphologies of Raji cells were observed with fluorescence microscopy. The apoptosis rates and the cell cycle distributions of Raji cells treated with real-gars were measured with flow cytometry. Results The size of realgar nanoparticles and crude realgar particles was (79 ± 8)nm and (1. 89 ± 0. 2)μm,respectively. Light microscopy showed that realgar nanoparticles could inhibit the aggregation growth of Raji cells. AFM showed that Raji cells treated with realgar nanoparticle became shrank, had smaller volume and lost the growth state of stretching out. Raji cells treated with crude realgars did not change significantly. TEM showed Raji cells treated with realgar nanoparticle had damaged subcellular organelles and mitochondria with increased vacuoles. The Raji cells treated with crude realgar did not change significantly. MTT assay showed that when treated with the final concentration of 50 mg ·L - 1 of realgar nanoparticle for 24 h,the cell survival rate of Raji cells was (40 ± 2)% . When treated with the same concentration of crude realgar,its survival rate was (65 ± 3)% . When treated with 50 mg·L - 1 of realgar nanoparticle for 48 h,its survival rate was only 10 % ,and when treated with crude realgar ,its survival rate was (42 ± 2 )% . Fluorescence micro-scope indicated that the Raji cells treated with realgar nanoparticle had obvious nuclear apoptosis,which was not obvious in crude realgar group. Flow cytometry showed that the total apoptosis rate of Raji cells in-duced by realgar nanoparticles and by crude realgar was 11. 14%,15. 9%,respectively. Compared with those treated with crude realgar,the Raji cells treated with realgar nanoparticles presented a significantly higher ratio cell distribution in G1 phase and an obvious decreased ratio in S phase. Conclusion Compared with crude realgar particles,the same dose of realgar nanoparticles can significantly inhibit the proliferation of Raji cells,destroy their sub-cellular structure,and induce the cell apoptosis of Raji cells.

Clinical analysis of 14 cases of rare non-Hodgkin lymphoma in children / 中华实用儿科临床杂志

Objective To analyze the clinical characteristics and prognosis of 4 rare types of non -Hodgkin lymphoma(NHL)in children,and to discuss the progress in treatment.Methods Clinical data of 1 4 patients with rare types of NHL at Shanghai Children′s Medical Center,Shanghai Jiaotong University School of Medicine between January 2004 and December 201 4 were retrospectively analyzed,and their clinical features,treatment and prognosis were dis-cussed.Results Fourteen cases were reported including 6 subcutaneous panniculitis -like T -cell lymphoma (SPTCL),3 hydroa vacciniforme -like cutaneous lymphoma(HVLL),2 pediatric follicular lymphoma(PFL)and 3 ex-tranodal NK/T -cell lymphoma,and nasal type(ENKTL).Ten patients (71 .4%)primarily presented with skin lesions and underwent a long course of illness before they were finally diagnosed (the median was 1 0 months),71 .4%(1 0 /1 4 cases)of them associated with fever and 50.0%(7 /1 4 cases)with liver and spleen enlargement,and no evidence of central nervous system (CNS)and bone marrow (BM)involvement was observed,while 28.6% patients (4 /1 4 cases) had more than two lines′abnormalities in peripheral blood examination.Since there were no standard treatment guide-lines,most patients received CHOP (Cyclophosphamide +Adriamycin +Vincristine +Prednisone)and /or mature B -cell NHL -like therapy,and 50.0%(7 /1 4 cases)of them received interferon therapy in addition,while 1 patient re-ceived allogeneic hematopoietic stem cell transplantation after recurrence.The complete remission was achieved in 71 .4%(10 /14 cases)of all the patients.Two of them died,3 lost follow -up,and 1 relapsed.The 3 -year overall survi-val and event free survival rates were 0.84 and 0.57,respectively,after a median follow -up of 26 months (range 12 -64 months).Conclusions Pediatric rare types of NHL show atypical clinical manifestation,low incidence of CNS /BMinfil-tration and long course.It is hard to make pathological diagnosis and differentiation.It is also inappropriate to apply the commonly used staging system to these rare types of NHL.No standard treatment has been found by now.SPTCL,HVLL and PFL have relatively good outcomes when treated with mature B -cell NHL -type therapy plus interferon therapy.

Incidência de fungos e germinação de sementes de feijão-caupi (Vigna unguiculata L. (Walp) tratadas com óleo de nim (Azadirachta indica A. Juss) / Incidence of fungi and germination of cowpea seeds (Vigna unguiculata L. (Walp) treated with neem oil (Azadirachta indica A. Juss)

Neste trabalho avaliou-se o efeito do óleo de nim no controle de fungos associados às sementes de feijão caupi e a influência deste produto na germinação de três cultivares (Serrinha, BR 17, e Maranhão). Foram preparadas diluições de 0,5; 1,0; 2,0; 4,0 g dm 3-do óleo de nim em água destilada e testemunha, só com água. Os fungos foram identificados pelo método do papel de filtro e a germinação das sementes foi avaliada considerando as informações das Regras para Análise de Sementes. Foram utilizadas sementes de três cultivares de feijão-caupi: a cultivar Serrinha, proveniente da cidade de Timon-MA, a cultivar Maranhão, da cidade de Viana - MA, e a cultivar BR 17, obtida junto à Embrapa Meio Norte, na cidade de Teresina-PI. O crescimento de Fusarium sp. nas cultivares Maranhão e Serrinha foi reduzido em 52 e 53%, respectivamente e o índice de redução de Aspergillus sp. foi de 14 e 20% nas mesmas cultivares. Em relação aos fungos M. phaseolina e Phoma sp., observa-se que não foram inibidos em nenhuma das três cultivares. No que se refere à germinação das sementes nota-se que na cultivar Maranhão houve aumento no índice da germinação de 13 e 17,5% em relação à testemunha e, na cultivar Serrinha, somente a concentração 0,5% diferiu da testemunha com redução no índice de germinação de 6,49%. Conclui-se que o óleo de nim reduz a incidência de Fusarium sp. e Aspergillus sp. e é indiferente na redução de M. phaseolina e Phoma sp. O índice de germinação aumentou na cultivar Maranhão e diminuiu na cultivar Serrinha.

This study aimed to evaluate the effect of neem oil on germination and fungi incidence on the seeds of three cowpea cultivars (Serrinha, BR 17 and Maranhão). Dilutions of 0.5; 1.0; 2.0, 4.0 g dm-3 of neem oil were prepared in water. The fungi incidence was evaluated by the filter paper test, and the germination was evaluated according to the Rules for Seeds Testing ("Regras para Análise de Sementes," in Portuguese). Seeds of three cowpea cultivars were used: Serrinha and Maranhão, from the cities of Timon and Viana, respectively, state of Maranhão, Brazil, and BR 17, from Embrapa Meio Norte (Terezina, state of Piaí, Brazil). The growth of Fusarium sp. on the seed of the Maranhão and Serrinha cultivars was reduced in 52 and 53%, respectively, and the reduction rate of Aspergillus sp. was 14 and 20%, on the same cultivars. However, the neem oil did not inhibit the growth of the fungi Macrophomina phaseolina and Phoma sp. in any of the three cultivars. With regard to the seed germination, an increase of 13 and 17.5% was observed in the Maranhão cultivar compared to control, while for the Serrinha cultivar, only the 0.5% concentration differed from the control, reducing the germination rate by 6.49%. We conclude that the neem oil was effective in controlling Aspergillus sp. and Fusarium sp. On the other hand, it was ineffective against Phoma sp. and M. phaseolina. The germination increased in the Maranhão cultivar and decreased in the Serrinha cultivar.

Antifungal activity using medicinal plant extracts against pathogens of coffee tree / Atividade antifúngica utilizando extratos de plantas medicinais contra fitopatógenos do cafeeiro

Generally, the medicinal plants have antifungal substances that can be used for the plant protection against phytopathogens. The objective of this study was to know the efficiency of aqueous extracts from medicinal plants against the major etiological agents of coffee tree. The aqueous extracts used were extracted from bulbs of Allium sativum, leaves of Vernonia polysphaera, Cymbopogon citratus, Cymbopogon nardus, Cordia verbenacea, Eucalyptus citriodora, Ricinus communis, Azadirachta indica, Piper hispidinervum and flower buds of Syzygium aromaticum. The etiological agents considered for this study were Cercospora coffeicola, Colletotrichum gloeosporioides, Fusarium oxysporum, Phoma tarda, Rhizoctonia solani and Hemileia vastatrix. The screening for harmful extracts was done based on mycelial growth and conidial germination inhibition. All experiments performed were in vitro conditions. The inhibition of mycelial growth was performed mixing the extracts with the PDA. This mixture was poured in Petri dishes. On the center of the dishes was added one PDA disc with mycelium. It was incubated in a chamber set to 25ºC. The evaluation was done daily by measuring the mycelial growth. The germination assessment was also performed with Petri dishes containing agar-water medium at 2%. These were incubated at 25ºC for 24 hours. After this period the interruption of germination was performed using lactoglycerol. The experiments were conducted in a completely randomized design. The most effective plant extracts against the micelial growth and conidial germination were V. polysphaera, S. aromaticum and A. sativum.

Geralmente, as plantas medicinais têm substâncias antifúngicas que podem ser utilizadas para a proteção das plantas contra fitopatógenos. O objetivo deste estudo foi conhecer a eficiência de extratos aquosos de plantas medicinais contra os principais agentes etiológicos do cafeeiro. Os extratos aquosos utilizados foram extraídos de bulbos de Allium sativum, folhas de Vernonia polysphaera, Cymbopogon citratus, Cymbopogon nardus, Cordia verbenacea, Eucalyptus citriodora, Ricinus communis, Azadirachta indica, Piper hispidinervum e botões florais de Syzygium aromaticum. Os agentes etiológicos considerados neste estudo foram Cercospora coffeicola, Colletotrichum gloeosporioides, Fusarium oxysporum, Phoma tarda, Rhizoctonia solani e Hemileia vastatrix. A triagem dos extratos foi realizada com base no crescimento micelial e na inibição da germinação de conídios. Todos os experimentos foram realizados em condições in vitro. A inibição do crescimento micelial foi realizada misturando-se os extratos com PDA. Esta mistura foi vertida em placas de Petri. No centro das placas foi adicionado um disco de PDA com micélio. Incubou-se em câmara programada para 25°C. A avaliação foi feita diariamente através da medição do crescimento micelial. O experimento sobre a germinação também foi realizado com placas com meio ágar-água a 2%. Estas foram incubadas durante 24 horas. Após este período, a interrupção da germinação foi realizada utilizando lactoglicerol. Os experimentos foram conduzidos em delineamento inteiramente casualizado. Os extratos de plantas mais eficazes contra o crescimento micelial e germinação de conídios foram V. polysphaera, S. aromaticum e A. sativum.

A Case of Phoma glomerata Keratitis Occurred in Recurrent Herpes Simplex Keratitis Cicatrix

PURPOSE: To report a case of Phoma glomerata keratitis occurring in recurrent herpes simplex keratitis cicatrix. CASE SUMMARY: A 63-year-old male patient was admitted to our hospital with complaints of abrupt visual deterioration and ocular pain in his left eye. He was treated for recurrent herpes simplex keratitis in the same eye 12 years prior. Because central desmatocele was observed as a result of advanced corneal stromal melting, Gram staining, Potassium Hydroxide (KOH) mount, and culture were performed in corneal scrape specimens. On microbiological evaluation, a Phoma species was detected and Phoma glomerata was diagnosed using DNA sequencing method. Two consecutive amniotic membrane transplantations were performed with topical antifungal agents. The lesion was not improved when using topical amphotericin B and natamycin eyedrops, thus fluconazole eyedrops were used additionally. The corneal infection was resolved with central thick opacification. CONCLUSIONS: In the present case, herpetic keratitis was the main underlying causative factor because the patient had no past history of trauma. When diverse appearances of keratitis occur in herpes simplex keratitis patients, clinicians need to consider the concurrence of fungal infection, especially Phoma glomerata, a rare fungal organism.

Análise dialélica em mamoeiro para resistência a mancha-de-phoma / Diallel analysis of papaya for resistance to phoma spot

A resistência genética constitui alternativa sustentável para o controle da mancha-de-phoma na cultura do mamoeiro. No entanto, estudos básicos são necessários para a escolha de genitores e combinações híbridas resistentes à doença. Neste trabalho, por meio de cruzamento dialélico, envolvendo oito genótipos de mamão, quatro do grupo Solo e quatro do grupo Formosa, estimou-se a capacidade geral e específica de combinações híbridas quanto à resistência a mancha-de-phoma. Os genitores, bem com os híbridos obtidos dos cruzamentos foram avaliados em blocos casualizados, com quatro repetições. Quantificaram-se em duas épocas, março e maio de 2010, as severidades de mancha-de-phoma em folha, com auxílio de escala diagramática. Os genótipos Maradol JS12-N, Sekati e São Mateus demonstram melhor capacidade geral de combinação. Os híbridos Maradol x Golden, Maradol x Sunrise Solo 72/12, JS12-N x Golden, JS12-4 x Waimanalo, Sekati x Waimanalo, Waimanalo x Golden, Waimanalo x São Mateus, Golden x Sunrise Solo 72/12 e Golden x São Mateus apresentaram resultados promissores para seleção quanto à resistência à doença, com valores negativos de capacidade específica de combinação para severidade de mancha-de-phoma.

Genetic resistance represents a viable alternative to control phoma-spot in papaya crop. However, basic studies are necessary to base the choice of genitors and hybrid combinations disease resistant. In this research, a diallel cross was conducted involving eight genotypes of papaya, four of the Solo group and four of Formosa group and it was estimated general and specific abilities of combination for the phoma-spot resistance. The treatments were evaluated in a randomized block design with four replications. The severity of phoma-spot in leaves was quantified in two ocasions: March and May of 2010. The genotypes Maradol JS12-N, Sekati e São Mateus show better general combining ability. The hybrids Maradol x Golden, Maradol x Sunrise Solo 72/12, JS12-N x Golden, JS12-4 x Waimanalo, Sekati x Waimanalo, Waimanalo x Golden, Waimanalo x São Mateus, Golden x Sunrise Solo 72/12 and Golden x São Mateus showed promising results for selection, with negatives values of specific combining ability for severity of phoma spot.

Evaluation of pathogenic fungi occurrence in traumatogenic structures of freshwater fish / Avaliação da ocorrência de fungos patogênicos em estruturas traumatogênicas de peixes fluviais

INTRODUCTION: Fungal infections in human skin, such as sporotrichosis, can occur after fish induced trauma. This work aimed to identify fungi in freshwater fish that are pathogenic to humans. METHODS: Extraction of dental arches from Serrassalmus maculatus (piranha) and Hoplias malabaricus (wolf fish), stings from Pimelodus maculatus (mandis catfish), dorsal fin rays from Plagioscion spp. (corvina) and Tilapia spp., for culture in Mycosel agar. Some cultures were submitted to DNA extraction for molecular identification by sequencing ITS-5.8S rDNA. RESULTS: Cultures identified most yeast as Candida spp., while sequencing also permitted the identification of Phoma spp. and Yarrowia lipolytica. CONCLUSIONS: While the search for S. schenckii was negative, the presence of fungus of the genera Phoma and Candida revealed the pathogenic potential of this infection route. The genus Phoma is involved in certain forms of phaeohyphomycosis, a subcutaneous mycosis caused by dematiaceous fungi, with reports of infections in human organs and systems. Traumatizing structures of some freshwater fish present pathogenic fungi and this may be an important infection route that must be considered in some regions of Brazil, since there are a large number of a fisherman in constant contact with traumatogenic fish.

INTRODUÇÃO: Infecções fúngicas na pele humana (como a esporotricose) podem se manifestar após traumatismos por peixes. O objetivo deste trabalho é procurar fungos patogênicos para o homem em peixes fluviais. MÉTODOS: Extração de arcadas dentárias Serrassalmus maculatus (piranha) e Hoplias malabaricus (traíra), ferrões de Pimelodus maculatus (mandis), raios da nadadeira dorsal de Plagioscion spp. (corvina) e Tilapia spp. para a realização do cultivo em agar Mycosel. Algumas culturas foram submetidas à extração de DNA para a identificação molecular pelo seqüenciamento da região ITS-5.8S do rDNA. RESULTADOS: As culturas mostraram que a maioria das leveduras era Candida spp. e o sequenciamento também permitiu a identificação de Phoma spp. e Yarrowia lipolytica. CONCLUSÕES: Embora a pesquisa para S. schenckii tenha sido negativa, a presença de fungos do gênero Phoma e Candida revela o potencial patogênico desta via de infecção. O gênero Phoma está envolvido em alguns casos de feohifomicoses, micoses subcutâneas causadas por fungos dematiáceos com relatos de infecções em órgãos e sistemas humanos. As estruturas traumatizantes de alguns peixes fluviais apresentam fungos patogênicos e esta pode ser uma importante via de infecção que deve ser considerada em algumas regiões do Brasil, uma vez que há um grande número de pescadores e peixes traumatogênicos.

Study of immunophenotype of acute lymphoblastic leukemia and its correlations to cytogenetics and clinical features / 中华检验医学杂志

objective To investigate the immunophenotype of Chinese patients with acute lymphoblastic leukemia(ALL)and its association to cytogenetics and clinical features.Methods In this study.a total of 113 Chinese patients with ALL were immunophenotyped by flow cytometry using a panel of monoclonal antibodies.50 000 cells were acquired and analyzed with Cell Quest and abnormal populations were recognized by CD_(45)/SSC gating.Among the 113 patients enrolled in this study,bone marrow cells of 74 patients were cultured for 72 hours to prepare for conventional chromosome detection.and karyotype was analyzed with R-banding technique.Results Of 113 ALL patients,14.2%(16/113)were identified as TALL,85.8%(97/113)as B-ALL Among the 106 out of 113 ALL cases,myeloid antigen(MyAg)expression was documented in 34.9%(37/106)and CD_(13) was the most commonly expressed MyAg in ALL patients(23.6%,25/106).MyAgs were more frequently associated with T-ALL(46.2%,6/13)than with B-ALL(33.3%,31/93)but there was no significant difieFence(X~2=0.825,P＞0.05)between the two groups.MyAg positivity in adult ALL patients(47.6%,20/42)was higher than that in children(26.6%,17/64).There was a significant difference between the two groups(X~2=4.948,P＜0.05).Abnormal karyotypes were detected in 39 out of 74(52.7%)patients.It showed that percentage of patients with high WBC count(＞50×10~9/L)in MyAg~+(48.6%,18/37)was higher than that in MyAg~-ALL types (20.3%,14/69).There was a significant difference between the two groups(X~2=9.191,P＜0.01).CD34 expression was found in 83.8%(31/37)of MyAg~+ and 53.6%(37/69)of MyAg~-cages.There was a significant difference between the two groups(X~2=9.527,P＜0.05).In addition,the percentage of adult ALL patients in MyAg~+ group(54.1%,20/37)was higher than that in MyAg~-group(31.9%,22/69).There was a significant difference between the two groups(X~2=4.948,P＜0.05).Conclusion lmmunophenotype analysis is useful for ALL diagnosis and classification and the immunophenotype has relevance to the abnormal cytogenetic changes and clinical features in ALL patients.

Metodologia de inoculação de fungos causadores da podridão peduncular em mamão / Inoculation methodology's of papaya fruits with fungi causing stem-end-rot

A podridão peduncular, uma das principais doenças associadas à pós-colheita do mamão (Carica papaya L.), tem sido pouco investigada no que se refere a aspectos ecológicos e epidemiológicos nas condições brasileiras. Para que estudos sejam conduzidos nas referidas áreas é necessário que se disponham, a priori, de metodologias adequadas que permitam a reprodução dos sintomas dessa doença em condições de laboratório. No presente trabalho, o objetivo foi estabelecer um método de inoculação de frutos de mamão com o intuito de se reproduzir os sintomas da podridão peduncular, por meio de três procedimentos: 1) corte do pedúnculo seguido por deposição de um disco de micélio do fungo; 2) deposição de suspensão de conídios na região do pedúnculo, seguido por ferimento, e 3) aplicação de suspensão de conídios na região peduncular sem ferimento. Foram utilizados os fungos: Phoma caricae-papayae, Colletotrichum gloeosporioides, Botryodiplodia theobromae e Fusarium solani, sendo os frutos inoculados, submetidos a temperaturas de 20 e 25ºC. Os resultados indicaram que não houve efeito das temperaturas testadas no desenvolvimento dos fungos, nos diferentes métodos de inoculação. A maior severidade da podridão peduncular (notas de 1 a 5) foi observada em frutos inoculados pelo método de injeção no pedúnculo, independente do patógeno utilizado. Os fungos C. gloeosporioides e P. caricae-papayae foram os que apresentaram as maiores médias de severidade da doença seguido por B. theobromae e F. solani.

The stem-end-rot, one of the major post-harvest diseases in papaya (Carica papaya L.), has not been very well investigated concerning ecological and epidemiological aspects of the Brazilian conditions. So that studies can be developed in the referred to areas, it is necessary to use the right methodologies that allow the reproduction of the symptons of this disease in laboratory conditions. This study aimed to stablish a method for inoculating papaya fruits to reproduce the symptons of the stem-end-rot through tree procedures: 1) cut of the stem followed by deposition of fungal mycelium in agar discs; 2) deposition of the spore suspension into the stem's region followed by injuries, and 3) application of spore suspension in the stem's region without injuries. The inoculation was performed with the fungi P. caricae-papayae, C. gloeosporioides, B. theobromae e F. solani, and inoculated fruits were placed under temperatures of 20º and 25ºC. The results indicate that there were no effects of the tested temperatures in the development of all fungi, in the different methods of inoculation. The highest severity of stem-end-rot (score 1-5) was observed in fruits inoculated by the methods of injection in the stem, independing of the fungus used. The fungi C. gloeosporioides and P. carica-papaya presented the highest levels of severity in the disease followed by B. theobromae and F. solani.

Primary Systemic Anaplastic Large Cell Lymphoma in a Single Korean Institution: Clinical Characteristics and Treatment Outcome

Despite advances in the characterization of anaplastic large cell lymphoma (ALCL), little data is available on Asian patients. We report here upon single Korean institution's experience regarding the clinical characteristics and outcomes of ALCL. We performed a retrospective study of 32 adults with ALCL. Most of the patients received anthracycline-based chemotherapy. Ann Arbor stage III-IV, B symptoms, high-intermediate/ high International Prognostic Index (IPI), and extranodal disease at diagnosis were present in 56%, 44%, 41%, and 63%, respectively. Compared with Western studies, the male/female ratio (4.3) was markedly higher and skin (9%) and bone involvement (9%) were less frequent. The staining results for anaplastic lymphoma kinase were positive in 6 (33%) of 18 cases available. The complete response (CR) rate was 62% (95% CI, 44-80%). With a median follow-up of 51.0 months, 5 yr overall survival was 40+/-11%. The 3 yr relapse-free survival for the 18 patients who achieved CR was 74+/-12%. Age, performance status, lactate dehydrogenase, extranodal disease sites number, and IPI were correlated with treatment response and survival. Our data suggest that Korean ALCL patients appear to have a higher male/female ratio, less frequent skin/bone involvement, and lower CR rate compared with those of Western studies.