On the Feasibility of Ultrasound Imaging Enrichment by Medium-Temperature Changes.

We describe the concept of a new imaging modality based on the tracking and dynamic modeling of local intensity changes (ICs) observed in conventional ultrasound images collected during a medium-temperature change. We computed the pixel-by-pixel IC from averaged B-mode images that exhibited different behaviors with varying temperature resulting from changes in the speed of sound, which consequently induce changes in the backscattered energy. Moreover, for each pixel, a first-order polynomial model was adjusted to the different temperature-dependent ICs. The representation of the polynomial angular parameter in 2D pixel space was used to obtain a parametric image. The results obtained by simulations and with real B-mode images indicated that this new ultrasound imaging modality was able to enhance the contrast and highlight structures that were poorly visible or even undetected in conventional images. A temperature change of 3°C was found to be sufficient to generate appropriate images with the proposed method. In addition, if a temperature change of 6°C was considered, the thermal dose, measured as the cumulative number of equivalent minutes at 43°C (CEM43°C), was 2.4 CEM43°C, which is a value that is considered safe according to the literature. We provide a proof-of-concept of a new imaging modality that opens new opportunities for the enhancement of ultrasound images and consequently contributes to improvements in ultrasound-based diagnoses. Our approach is based on images returned by commercial ultrasound scanners. Therefore, it can be implemented in any ultrasound system and is independent of specific ultrasound hardware and software data acquisition characteristics.

Estimates of genomic heritability and genome-wide association study for fatty acids profile in Santa Inês sheep.

BACKGROUND: Despite the health concerns and nutritional importance of fatty acids, there is a relative paucity of studies in the literature that report genetic or genomic parameters, especially in the case of sheep populations. To investigate the genetic architecture of fatty acid composition of sheep, we conducted genome-wide association studies (GWAS) and estimated genomic heritabilities for fatty acid profile in Longissimus dorsi muscle of 216 male sheep. RESULTS: Genomic heritability estimates for fatty acid content ranged from 0.25 to 0.46, indicating that substantial genetic variation exists for the evaluated traits. Therefore, it is possible to alter fatty acid profiles through selection. Twenty-seven genomic regions of 10 adjacent SNPs associated with fatty acids composition were identified on chromosomes 1, 2, 3, 5, 8, 12, 14, 15, 16, 17, and 18, each explaining ≥0.30% of the additive genetic variance. Twenty-three genes supporting the understanding of genetic mechanisms of fat composition in sheep were identified in these regions, such as DGAT2, TRHDE, TPH2, ME1, C6, C7, UBE3D, PARP14, and MRPS30. CONCLUSIONS: Estimates of genomic heritabilities and elucidating important genomic regions can contribute to a better understanding of the genetic control of fatty acid deposition and improve the selection strategies to enhance meat quality and health attributes.

Uso de cafeína em crianças e adolescentes / Caffeine use in children and adolescents

A cafeína é possivelmente a substância psicoativa mais usada mundialmente, está disponível legalmente para o consumo de crianças, adolescentes e adultos e é vendida principalmente entre alimentos e bebidas. Comporta-se como um estimulador do sistema nervoso central e periférico levando a efeitos sistêmicos, tolerância, dependência e intoxicação. Este artigo objetiva revisar os efeitos do uso da cafeína na infância e adolescência. A busca bibliográfica foi realizada de janeiro de 2013 a junho de 2014, nas bases de dados do portal da Capes, da Biblioteca Virtual em Saúde (LILACS, MEDLINE, SciELO, Cochrane Library), no OVID e Embase, nos últimos dez anos. Ao analisar os artigos revisados, percebe-se que ainda não é segura a ingestão de bebidas cafeinadas pela faixa etária pediátrica, sendo que este não traz benefícios e ainda é capaz de causar diversos efeitos adversos, com o poder inclusive de interferir no desenvolvimento dos sistemas nervoso e cardiovascular, além do risco de dependência e intoxicação. Assim, seu uso deve ser desencorajado em casa, nas escolas, pelo governo, médicos, nutricionistas e pela mídia. (AU)

Caffeine is probably the most widely used psychoactive substance worldwide, it is legally available for consumption of children, adolescents and adults and it is manly sold between foods and beverages. It behaves central and peripheral nervous system stimulator leading to systemic effects, tolerance, dependence and poisoning. This article aims to review the effects of caffeine use in children and adolescents. The bibliographic search was performed from January 2013 to June 2014 in databases of Capes portal, Virtual Health Library (LILACS, MEDLINE, SciELO, Cochrane Library), in OVID and Embase, in the last decade. By analyzing the revised articles, one realizes that the caffeinated beverage intake for pediatric patients is still not safe, wherein is not beneficial and is able to cause various adverse effects, including the possibility of interfering in the development of the nervous and cardiovascular systems, besides the risk of dependency and intoxication. Thus, its use should be discouraged at home, in schools, by the government, doctors, nutritionists and the media. (AU)

Storage of Calophyllum brasiliense Cambess. seeds / Armazenamento de sementes de Calophyllum brasiliense Cambess

Abstract Calophyllum brasiliense is a species native to Brazil and has potential for use in the timber industry, in the reforestation of degraded areas, besides having medicinal properties. Its propagation is mainly by seeds which, depending on their recalcitrant characteristics, leads to difficulty in conservation, due to changes in its physiological potential during storage. Aiming to contribute to the expansion of its cultivation, rational use and conservation, the objective of this study was to investigate the behavior of C. brasiliense seeds during storage. Different packings (paper, aluminum and polyethylene) and environmental conditions (room temperature and cold chamber) were quarterly tested over 12 months, by evaluating germination viability and vigor. Based on the results, it was concluded that packaging in polyethylene and freezer storage provided the best conditions for the conservation of seeds, keeping them viable for a period of nine months.

Resumo Calophyllum brasiliense é uma espécie nativa do Brasil e está na lista de espécies recomendadas para o reflorestamento de áreas degradadas, além de possuir propriedades medicinais e madeireiras. Sua propagação se dá principalmente via sementes, as quais, em função das suas características recalcitrantes, apresentam dificuldade de conservação, devido a alterações no seu potencial fisiológico ao longo do armazenamento. Visando contribuir com a ampliação de seu cultivo, uso racional e conservação, objetivou-se investigar o comportamento das sementes de C. brasiliense durante 12 meses de armazenamento. Testou-se diferentes embalagens (papel, alumínio e polietileno) e condições ambientais (câmara fria e temperatura ambiente), avaliando-se trimestralmente a germinação, viabilidade e vigor. Com base nos resultados obtidos conclui-se que o acondicionamento em embalagem de polietileno e o armazenamento em câmara fria proporcionou a melhor condição para a conservação das sementes, mantendo essas viáveis por um período de nove meses.

Storage of Calophyllum brasiliense Cambess. seeds.

Calophyllum brasiliense is a species native to Brazil and has potential for use in the timber industry, in the reforestation of degraded areas, besides having medicinal properties. Its propagation is mainly by seeds which, depending on their recalcitrant characteristics, leads to difficulty in conservation, due to changes in its physiological potential during storage. Aiming to contribute to the expansion of its cultivation, rational use and conservation, the objective of this study was to investigate the behavior of C. brasiliense seeds during storage. Different packings (paper, aluminum and polyethylene) and environmental conditions (room temperature and cold chamber) were quarterly tested over 12 months, by evaluating germination viability and vigor. Based on the results, it was concluded that packaging in polyethylene and freezer storage provided the best conditions for the conservation of seeds, keeping them viable for a period of nine months.

Monte Carlo uncertainty assessment of ultrasonic beam parameters from immersion transducers used to non-destructive testing.

The uncertainty of ultrasonic beam parameters from non-destructive testing immersion probes was evaluated using the Guide to the expression of uncertainty in measurement (GUM) uncertainty framework and Monte Carlo Method simulation. The calculated parameters such as focal distance, focal length, focal widths and beam divergence were determined according to EN 12668-2. The typical system configuration used during the mapping acquisition comprises a personal computer connected to an oscilloscope, a signal generator, axes movement controllers, and a water bath. The positioning system allows moving the transducer (or hydrophone) in the water bath. To integrate all system components, a program was developed to allow controlling all the axes, acquire waterborne signals, and calculate essential parameters to assess and calibrate US transducers. All parameters were calculated directly from the raster scans of axial and transversal beam profiles, except beam divergence. Hence, the positioning system resolution and the step size are principal source of uncertainty. Monte Carlo Method simulations were performed by another program that generates pseudo-random samples for the distributions of the involved quantities. In all cases, there were found statistical differences between Monte Carlo and GUM methods.

Seedling survival of Handroanthus impetiginosus (Mart ex DC) Mattos in a semi-arid environment through modified germination speed and post-germination desiccation tolerance.

Uniform rapid seed germination generally forms a great risk for the plant population if subsequent intermittent precipitation causes desiccation and seedling death. Handroanthus impetiginosus can be found commonly in a wide range of biomes within Brazil including those that are semi-arid. Germination and early growth was studied to understand how germinated seeds survive under these stringent conditions. Accessions were sampled from four seasonally dry biomes in Brazil. Precipitation at the start of the rainy season in the Caatinga, a semi-arid biome, is less predictable and the number of successive dry days per dry interval in the first four months of the rainy season was higher than in the other studied biomes. Plants from the Caatinga produced thicker seeds and this trait concurred with slow germination and stronger osmotic inhibition of germination across the accessions, forming a stress avoidance mechanism in the Caatinga. Post-germination desiccation tolerance was high in the Caatinga accession, could be re-induced in accessions from biomes with more regular precipitation (Cerrado and transition zone), but remained poor in the Cerradão accession; thus forming a stress tolerance mechanism. Production of adventitious roots ascertained survival of all tested individuals from all four locations, even if protruded radicles did not survive desiccation, forming an additional stress tolerance mechanism. A sequence of stress avoidance and stress tolerance mechanisms in seeds and germinated seeds was associated with precipitation patterns in different biomes. These mechanisms purportedly allow rapid seedling establishment when conditions are suitable and enable survival of the young seedling when conditions are adverse.

Seedling survival of Handroanthus impetiginosus (Mart ex DC) Mattos in a semi-arid environment through modified germination speed and post-germination desiccation tolerance / Sobrevivência de plântulas de Handroanthus impetiginosus (Mart ex DC) Mattos em ambiente semi-árido ocorre por modificação da velocidade de germinação e da tolerância à dessecação pós germinação

Abstract Uniform rapid seed germination generally forms a great risk for the plant population if subsequent intermittent precipitation causes desiccation and seedling death. Handroanthus impetiginosus can be found commonly in a wide range of biomes within Brazil including those that are semi-arid. Germination and early growth was studied to understand how germinated seeds survive under these stringent conditions. Accessions were sampled from four seasonally dry biomes in Brazil. Precipitation at the start of the rainy season in the Caatinga, a semi-arid biome, is less predictable and the number of successive dry days per dry interval in the first four months of the rainy season was higher than in the other studied biomes. Plants from the Caatinga produced thicker seeds and this trait concurred with slow germination and stronger osmotic inhibition of germination across the accessions, forming a stress avoidance mechanism in the Caatinga. Post-germination desiccation tolerance was high in the Caatinga accession, could be re-induced in accessions from biomes with more regular precipitation (Cerrado and transition zone), but remained poor in the Cerradão accession; thus forming a stress tolerance mechanism. Production of adventitious roots ascertained survival of all tested individuals from all four locations, even if protruded radicles did not survive desiccation, forming an additional stress tolerance mechanism. A sequence of stress avoidance and stress tolerance mechanisms in seeds and germinated seeds was associated with precipitation patterns in different biomes. These mechanisms purportedly allow rapid seedling establishment when conditions are suitable and enable survival of the young seedling when conditions are adverse.

Resumo A germinação rápida e uniforme geralmente pode apresentar riscos para a população de plantas caso a precipitação ocorra de maneira intermitente, provocando seca e morte das plântulas. Handroanthus impetiginosus pode ser encontrado em uma grande variedade de biomas no Brasil. A germinação e o crescimento inicial das plântulas de Handroanthus impetiginosus foram estudadas para compreender como as sementes germinadas sobrevivem nestas condições. Acessos de quatro biomas que apresentam secas sazonais foram amostrados. A precipitação, no início da estação chuvosa na Caatinga, um bioma semi-árido, é menos previsível e o número de dias secos consecutivos por intervalo de seca, nos primeiros quatro meses da estação chuvosa, foi maior do que nos outros biomas estudados. Plantas do bioma Caatinga produzem sementes mais espessas e essa característica está associada com uma germinação lenta e com a inibição osmótica maior da germinação através dos acessos, formando um mecanismo para evitar o estresse. Tolerância à dessecação em sementes germinadas foi superior no bioma Caatinga e que podem ser reinduzida em acesso com uma precipitação mais regular (Cerrado e na zona de transição), mas manteve-se baixa no acesso Cerradão, formando assim um mecanismo para evitar o estresse. Produção de raízes adventícias foi observada nos indivíduos estudados de todos os quatro biomas, mesmo quando as raízes primárias não sobreviveram à dessecação, formando um mecanismo adicional de tolerância ao estresse. Assim, foi observado estratégias para evitar o estresse e mecanismos de tolerância ao estresse em sementes e sementes germinadas associada com padrões de precipitação nos diferentes biomas estudados. Estes mecanismos podem favorecer o estabelecimento das plântulas de forma rápida quando as condições são adequadas e permitirem a sobrevivência de plântulas quando as condições são adversas.

Vertical stratification and effect of petiole and dry leaf size on arthropod feeding guilds in Cecropia pachystachya (Urticaceae).

This study aimed to test for vertical stratification and the effects of dry leaf size on herbivore and predator arthropods and petiole length on insect borers in Cecropia pachystachya. The leaves were sampled in three strata: attached to the plant, suspended on the vegetation and on the ground. We detected vertical stratification only in the guild of predator arthropods associated with dry leaves, with lower richness and abundance in the attached stratum. In addition, larger leaves positively affected the insect herbivore fauna, whereas the richness and abundance of insect borers increased with petiole length. The greater isolation of leaves attached to trees relative to the surrounding vegetation likely creates greater difficulty for dispersal and colonization by non-winged predators such as spiders. Larger dry leaves provide more shelter against predators and climate variations for insect herbivores. Moreover, larger petioles increase the availability of resources and nesting sites for insect borers. These results are consistent with other studies that found a similarity in the structure of feeding guilds across vertical strata and with studies that showed an increase in species richness and abundance of free-feeding insect herbivores with increasing structural complexity of their host.

Feasibility of non-invasive temperature estimation by the assessment of the average gray-level content of B-mode images.

This paper assesses the potential of the average gray-level (AVGL) from ultrasonographic (B-mode) images to estimate temperature changes in time and space in a non-invasive way. Experiments were conducted involving a homogeneous bovine muscle sample, and temperature variations were induced by an automatic temperature regulated water bath, and by therapeutic ultrasound. B-mode images and temperatures were recorded simultaneously. After data collection, regions of interest (ROIs) were defined, and the average gray-level variation computed. For the selected ROIs, the AVGL-Temperature relation were determined and studied. Based on uniformly distributed image partitions, two-dimensional temperature maps were developed for homogeneous regions. The color-coded temperature estimates were first obtained from an AVGL-Temperature relation extracted from a specific partition (where temperature was independently measured by a thermocouple), and then extended to the other partitions. This procedure aimed to analyze the AVGL sensitivity to changes not only in time but also in space. Linear and quadratic relations were obtained depending on the heating modality. We found that the AVGL-Temperature relation is reproducible over successive heating and cooling cycles. One important result was that the AVGL-Temperature relations extracted from one region might be used to estimate temperature in other regions (errors inferior to 0.5 °C) when therapeutic ultrasound was applied as a heating source. Based on this result, two-dimensional temperature maps were developed when the samples were heated in the water bath and also by therapeutic ultrasound. The maps were obtained based on a linear relation for the water bath heating, and based on a quadratic model for the therapeutic ultrasound heating. The maps for the water bath experiment reproduce an acceptable heating/cooling pattern, and for the therapeutic ultrasound heating experiment, the maps seem to reproduce temperature profiles consistent with the pressure field of the transducer, and in agreement with temperature maps developed by COMSOL®MultiPhysics simulations.

Fatty acid profile, oxidative stability of pork lipids and meat quality indicators are not affected by birth weight.

The aim of this study was to investigate whether fatty acid (FA) profile, oxidative stability of lipids and other meat quality traits differed between high (HW: 1.8 to 2.2 kg) and low (LW: 0.8 to 1.2 kg) birth weight piglets. Forty new-born male pigs (n=20 HW, n=20 LW) were reared in separate pens until the finishing period, when they were slaughtered at 150 days of age, and pH and temperature were measured in the carcass. Afterwards, the Longissimus dorsi muscle was excised from the carcass, and samples were collected for subsequent meat quality analyses (thaw loss, cooking loss, shear force, chemical analysis and sensory analysis for tenderness). Birth weight had minor impacts on meat quality traits, which were limited to higher shear force in the LW group (P<0.01). Chemical components (moisture, protein, fat, ash), cholesterol levels and lipid oxidation (thiobarbituric acid-reactive substances) were not affected by birth weight (P>0.05). FA profile and the amount of saturated, monounsaturated and polyunsaturated fatty acids were similar, but HW pigs had higher atherogenic index than their LW counterparts (P<0.01). Notwithstanding the higher shear force presented by the lower birth weight pigs, in the sensory test, the panelists did not detect any differences in the tenderness of pork from HW and LW animals. Therefore, our results suggest that low birth weight has minimal impact on meat quality.

Armazenamento de sementes de Alfavaca-cravo (Ocimum gratissimum L. ) / Storage of Clove Basil (Ocimum gratissimum L. ) seeds

A espécie Ocimum gratissimum L. é um subarbusto aromático, pertencente à família Lamiaceae, considerado como importante produtor de óleo essencial e largamente utilizado na medicina popular. Devido à escassez de informações sobre a conservação das sementes dessa espécie o presente estudo objetivou analisar a longevidade das sementes submetidas a diferentes condições de armazenamento, por 12 meses, através de avaliações do potencial germinativo e da capacidade de formação de plântulas normais. As sementes foram armazenadas em três tipos de embalagens: sacos de papel, sacos de papel aluminizado, e frascos de vidro, e nas seguintes condições ambientais: balcão de laboratório, geladeira, e câmara fria. Aos 6, 8, 10 e 12 meses de armazenamento foram avaliados os seguintes parâmetros: umidade, porcentagem de germinação, índice de velocidade de germinação e porcentagem de plântulas normais. Durante o período de armazenamento a manutenção da umidade nas sementes foi mantida, bem como a porcentagem de germinação e de plântulas normais em todos os tratamentos avaliados. As sementes armazenadas apresentaram maiores valores de IVG quando comparadas com as recém-colhidas.

The Ocimum gratissimum L. species is an aromatic subshrub that belongs to the Lamiaceae family and is considered as an important producer of essential oil, widely used in folk medicine. Because of the lack of information about the conservation of O. gratissimum seeds, we aimed to evaluate the longevity of the seeds on different storage conditions for 12 months through the germination and seedling formation percentage in this study. The seeds were stored in three types of packages: paper bags (permeable), aluminized paper bags (semipermeable) and glass flasks (impermeable), in the settings of laboratory bench, refrigerator and cold room over the 12 month period. The germination tests were performed on the 6th, 8th, 10th and 12th month, when moisture, germinability, germination velocity index and percentage of normal seedlings were evaluated. During the storage period, moisture, germinability and percentage of normal seedling were kept in each storage condition. The stored seeds showed increased values of GSI compared to the newly- harvested ones.

Miotomía de Heller laparoscópica: resultados en niños / Outcome of laparoscopic heller myotomy in children

Objetivos. El presente estudio tuvo como objetivo evaluar los resultados a corto y medio plazo de la miotomía de Heller laparoscópica. Métodos. Fueron incluidos niños sometidos a cirugía desde 2002 hasta 2010. La cirugía fue propuesta tras el fracaso de las dilataciones endoscópicas. Todos los pacientes fueron sometidos a esofagocardiomiotomía (Heller) con funduplicatura anterior (Dor) por laparoscopia. La demografía, síntomas de presentación y detalles perioperatorios fueron analizados. Los resultados fueron evaluados por los registros médicos y la aplicación de un cuestionario de auto-evaluación (GIQLI modificado), cubriendo síntomas gastrointestinales superiores) con 14 preguntas cada una puntuada de 0 (peor) hasta 4 (mejor o normal).Resultados. Seis pacientes (5 varones) con una edad media de 12,2 años (rango: 0,8-14,2) fueron sometidos a cirugía. Los síntomas de presentación fueron: disfagia (83,3%), pérdida de peso (50%), vómitos (33,3%), tos (33,3%) y dolor torácico (16,7%). Todos los pacientes fueron operados por laparoscopia sin conversiones y no hubo complicaciones intra, ni postoperatorias. Con una mediana de seguimiento de 5 años (rango: 2-10), ninguno de los pacientes fue re-operado. Cinco pacientes tienen hábitos alimentarios normales; el caso restante presentó episodios recurrentes de disfagia, requiriendo dilataciones endoscópicas periódicas (cada 6 meses). El GIQLI total presentó una media de 49,3 puntos (rango, 45-52), lo que representa 88,1% del máximo posible. La puntuación para la frecuencia de episodios de disfagia fue 1,6 ± 1,4; la puntuación para el grado de disfagia fue 3 en todos los pacientes. Conclusiones. La miotomía de Heller laparoscópica es efectiva y segura en niños, ofreciendo una calidad de vida buena y duradera; a pesar de frecuentes, los episodios de disfagia son ligeros (AU)

Aim. The appropriate management of achalasia in children remains debatable. The present study aimed to evaluate the outcome of laparoscopic Heller myotomy by assessing short- and mid-term issues. Methods. Children submitted to surgery from 2002 to 2010 were included. Surgery was proposed after failure of endoscopic dilatations. All patients underwent esophagocardiomyotomy (Heller) plus anterior fundoplication (Dor) by laparoscopy. Demographics, presentation symptoms and perioperative details were analyzed. The outcomes were assessed both by medical records and the application of a 14 items (score 0-worst to 4-best/normal) self-evaluation questionnaire (modified GIQLI - covering only upper gastrointestinal symptoms).Results. Six patients (5 males) with a median age of 12.2 years (range: 0.8-14.2) were submitted to surgery. The presenting symptoms were: dysphagia (83.3%), weight loss (50%), vomiting (33.3%), chronic cough (33.3%), and chest pain (16.7%). All patients were operated on by laparoscopy with no conversions; there were no intra or postoperative complications. At a median follow-up of 5 years (range: 2-10) none of the patients were re-operated. Five patients have normal eating habits; the remaining case presented recurrent episodes of dysphagia requiring regular endoscopic dilatations (every 6 months). The total GIQLI presented a mean score of 49.3 (range, 45-52) representing 88.1% of the theoretical maximum. The score for frequency of dysphagia episodes was 1.6 ± 1.4; all patients scored 3 for the grade of dysphagia. Conclusions. Laparoscopic Heller myotomy is effective and safe for achalasia in children, offering a good and durable quality of life; although frequent, the dysphagia episodes were mild (AU)

Intra-uterine growth retardation affects birthweight and postnatal development in pigs, impairing muscle accretion, duodenal mucosa morphology and carcass traits.

The present study investigated the occurrence of intra-uterine growth retardation (IUGR) in newborn (n=40) and 150-day-old (n=240) pigs of different birthweight ranges (high, HW: 1.8-2.2kg; low, LW: 0.8-1.2kg) from higher-parity commercial sows and its impact on their subsequent development and carcass traits in a Brazilian commercial production system. HW newborn pigs had heavier organs than LW pigs (P<0.01), and all brain:organ weight ratios were higher (P<0.01) in LW compared with HW offspring, providing strong evidence of IUGR in the LW piglets. HW pigs had higher bodyweights and average daily gain (ADG) in all phases of production (P<0.05), but ADG in the finisher phase was similar in both groups. Additionally, LW newborn and 150-day-old pigs showed a lower percentage of muscle fibres and a higher percentage of connective tissue in the semitendinosus muscle, greater fibre number per mm(2) and a lower height of the duodenal mucosa (P<0.05). On the other hand, HW pigs had higher hot carcass weight, meat content in the carcass and yield of ham, shoulder and belly (P<0.01). Hence, lower-birthweight piglets may suffer from IUGR, which impairs their growth performance, muscle accretion, duodenal mucosa morphology and carcass traits.

[Outcome of laparoscopic Heller myotomy in children]. / Miotomía de Heller laparoscópica: resultados en niños.

AIM: The appropriate management of achalasia in children remains debatable. The present study aimed to evaluate the outcome of laparoscopic Heller myotomy by assessing short- and mid-term issues. METHODS: Children submitted to surgery from 2002 to 2010 were included. Surgery was proposed after failure of endoscopic dilatations. All patients underwent esophagocardiomyotomy (Heller) plus anterior fundoplication (Dor) by laparoscopy. Demographics, presentation symptoms and perioperative details were analyzed. The outcomes were assessed both by medical records and the application of a 14 items (score 0-worst to 4-best/normal) self-evaluation questionnaire (modified GIQLI - covering only upper gastrointestinal symptoms). RESULTS: Six patients (5 males) with a median age of 12.2 years (range: 0.8-14.2) were submitted to surgery. The presenting symptoms were: dysphagia (83.3%), weight loss (50%), vomiting (33.3%), chronic cough (33.3%), and chest pain (16.7%). All patients were operated on by laparoscopy with no conversions; there were no intra or postoperative complications. At a median follow-up of 5 years (range: 2-10) none of the patients were re-operated. Five patients have normal eating habits; the remaining case presented recurrent episodes of dysphagia requiring regular endoscopic dilatations (every 6 months). The total GIQLI presented a mean score of 49.3 (range, 45-52) representing 88.1% of the theoretical maximum. The score for frequency of dysphagia episodes was 1.6 +/- 1.4; all patients scored 3 for the grade of dysphagia. CONCLUSIONS: Laparoscopic Heller myotomy is effective and safe for achalasia in children, offering a good and durable quality of life; although frequent, the dysphagia episodes were mild.

Chemical composition and antimicrobial activity of the essential oil from the leaves and flowers of Aloysia gratissima / Composição química e atividade antimicrobiana do óleo essencial de folhas e flores de Aloysia gratissima

Volatile oils from leaves and flowers of Aloysia gratissima were investigated for their chemical composition and antimicrobial activity against the bacteria Bacilus subtilis, Staphylococcus aureus, Salmonella choleraesuis, Pseudomonas aeruginosa, Streptococcus pneumoniae and the Candida albicans yeast. The minimum inhibitory concentrations (MIC) of the oils were determined by the micro-dilution method, while the chemical composition was determined by GC-MS (gas chromatography mass spectrometry). The fresh leaves and inflorescence were subjected to hydrodistillation for 120 min using a Clevenger-type apparatus, and the essential oil was tested against microorganisms. High concentrations of sesquiterpenes were observed for the inflorescence, and monoterpenes were observed for the leaves. The main compounds of the inflorescence essential oil were E-caryophyllene, germacrene B, guaiol and bulnesol, while in the leaves the main compounds were trans-pinocamphone, trans-pinocarveyl acetate, and guaiol. The essential oil from the leaves showed an effect against P. aeruginosa and S. pneumonia, and the essential oil of the inflorescence showed an effect against P. aeruginosa, S. pneumonia, and Candida albicans.

O óleo essencial de folhas e de flores de Aloysia gratissima foi avaliado quanto à composição química e ação antimicrobiana contra as bactérias Bacilus subtilis, Staphylococcus aureus, Salmonella choleraesuis, Pseudomonas aeruginosa, Streptococcus pneumoniae, e a levedura Candida albicans. A concentração mínima inibitória (MIC) dos óleos essenciais foi determinada pelo método da microdiluição e a composição química determinada por CG-EM (Cromatografia Gasosa acoplada a Espectrômetro de Massas). Folhas e inflorescências frescas foram hidrodestiladas por 120 minutos em aparelho Clevenger sendo o óleo essencial testado contra microorganismos. Para as flores foi observada maior concentração de sesquiterpenos, enquanto que as folhas apresentaram maior concentração de monoterpenos. Os principais constituintes do óleo essencial da flor foram: E-cariofileno, germacreno B, guaiol e bulnesol; e das folhas foram: trans-pinocamfona, acetato de trans-pinocarveol e guaiol. O óleo essencial da folha mostrou atividade contra P. aeruginosa e S. pneumoniae, e o óleo essencial da flor mostrou atividade contra P. aeruginosa, S. pneumoniae e Candida albicans.

Vasectomy within the public health services in Campinas, São Paulo, Brazil.

OBJECTIVE: To describe some of the characteristics of men who underwent a vasectomy in the public health network of Campinas, São Paulo, Brazil. METHODS: A descriptive study including 202 men randomly selected from a list of all the men vasectomized between 1998 and 2004 in the public health network. RESULTS: Most of the men were 30 years of age or older when vasectomized, had completed elementary school and had two or more children of both sexes. Most of the men came from the lowest income segment of the population: 47.6% in 1998-1999 and 61.3% in 2003-2004. Although the men knew various contraceptive methods, 51.2% reported that their partners were using combined oral contraceptives at the time of surgery. Most men initially sought information on vasectomy at health-care clinics where care was provided by a multidisciplinary team; most received counselling, however, 47.9% of the men waited more than 4 months for the vasectomy. CONCLUSIONS: The profile of the vasectomized men in this study appears to indicate that the low-income population from Campinas, São Paulo, Brazil has access to vasectomy; however, the waiting time for vasectomy reveals that difficulties exist in obtaining this contraceptive method in the public health service.

Computerized lesion segmentation of breast ultrasound based on marker-controlled watershed transformation.

PURPOSE: This paper presents a computerized segmentation method for breast lesions on ultrasound (US) images. METHODS: It consists of first applying a contrast-enhanced approach, i.e., a contrast-limited adaptive histogram equalization. Then, aiming at removing speckle and enhancing the lesion boundary, an anisotropic diffusion filter, guided by texture descriptors derived from a set of Gabor filters, is applied. To eliminate the distant pixels that do not belong to the tumor, the resulting filtered image is multiplied by a constraint Gaussian function. By doing so, both the segmentation and the marker functions are generated and could be used in the marker-controlled watershed transformation algorithm to create potential lesion boundaries. Finally, to determine the lesion contour, the average radial derivative function is evaluated. The proposed method was tested with 50 breast US images and 60 simulated "ultrasound-like" images. Accuracy and precision of the segmentation method were then assessed. For the accuracy, three parameters were used: Overlap ratio (OR), normalized residual value (nrv), and proportional distance (PD) between contours. RESULTS: The average results for US images were OR = 0.86 +/- 0.05, nrv = 0.16 +/- 0.06, and PD = 6.58 +/- 2.52%. For simulated ultrasound-like images, a better performance (OR = 0.92 +/- 0.01, nrv = 0.08 +/- 0.01, and PD = 3.20 +/- 0.53%) was achieved. CONCLUSIONS: The segmentation method proposed was capable of delineating the lesion contours with high accuracy in comparison to both the radiologists' delineations and the true delineations of simulated images. Moreover, this method was also found to be robust to human-dependent parameters variations.

Produção de mudas de Aloysia gratissima (Gillies & Hook. ) Tronc. por meio da propagação sexuada e assexuada / Aloysia gratissima (Gillies & Hook. ) Tronc. seedling production through sexual and asexual propagation

A alfazema-do-Brasil é planta de importância medicinal, como produtora de terpenos. A principal descrição etnofarmaco-botânica aponta como sendo eficaz para infecções brônquicas, pulmonares e da bexiga. O objetivo do trabalho foi estudar a propagação de A. gratissima visando a obtenção de mudas. Na propagação sexuada estudou-se a influência da temperatura na presença e ausência de luz e três épocas de coleta das sementes (março, junho e setembro). Na propagação via semente foram testados três diferentes substratos (areia, palha de arroz carbonizada, Plantmax®). Na propagação vegetativa foram testados dois tipos de estacas (herbáceas e semi-lenhosas) e de dois substratos (areia e Plantmax®). Os resultados indicaram que na propagação sexuada, a germinação das sementes foi maior nas temperaturas constantes de 20 e 25°C, e a melhor época de coleta de sementes foi em março. O substrato comercial mostrou-se superior para o crescimento das plântulas, atingindo 93,25 por cento de emergência das sementes e 100 por cento de sobrevivência. Para a propagação assexuada, as estacas herbáceas em substrato comercial e areia apresentaram 96 e 95 por cento de enraizamento, respectivamente.

Brazilian-lavender is a medicinally important plant since it produces terpenes. As regards ethnopharmacology, it is mainly efficient against bronchial, lung and bladder infections. The aim of this work was to study Aloysia gratissima propagation for seedling production. In sexual propagation, temperature influence in the presence and absence of light and three seed harvesting times (March, June, and September) were studied. Three different substrates (sand, carbonized rice husk, Plantmax®) were also evaluated for seed germination. In vegetative propagation, two cutting types (herbaceous and semihardwood) and two substrates (sand, Plantmax®) were tested. Seed germination was higher under constant temperatures of 20 and 25ºC, and March was the best seed harvest time for sexual propagation. The commercial substrate was the best for seedling growth, peaking 93.25 percent seedling emergency and 100 percent survival. For asexual propagation, herbaceous cuttings in the commercial substrate and sand presented 96 percent and 95 percent rooting, respectively.

Contraceptive methods with male participation: a perspective of Brazilian couples.

OBJECTIVE: To assess the perspectives of couples who requested vasectomy in a public health service on the use of male participation contraceptive methods available in Brazil: male condoms, natural family planning/calendar, coitus interruptus and vasectomy. METHODS: A qualitative study with semi-structured interviews was held with 20 couples who had requested vasectomy at the Human Reproduction Unit of the Universidade Estadual de Campinas, Brazil. Data analysis was carried out through thematic content analysis. FINDINGS: The couples did not, in general, know any effective contraceptive options for use by men and/or participating in their use, except for vasectomy. The few methods with male participation that they knew of were perceived to interfere in spontaneity and in pleasure of intercourse. Men accepted that condom use in extra-conjugal relations offered them protection from sexually transmitted diseases; that their wives might also participate in extra-marital relationships was not considered. DISCUSSION: The few contraceptive options with male participation lead to difficulty in sharing responsibilities between men and women. On the basis of perceived gender roles, women took the responsibility for contraception until the moment when the situation became untenable, and they faced the unavoidable necessity of sterilization. CONCLUSIONS: Specific actions are necessary for men to achieve integral participation in relation to reproductive sexual health. These include education and discussions on gender roles, leading to greater awareness in men of the realities of sexual and reproductive health.