Salivary BPIFA proteins are altered in patients undergoing hematopoietic cell transplantation.

OBJECTIVE: The aim of this study was to evaluate the expression of BPIFA proteins in the saliva and salivary glands of hematopoietic cell transplant (HCT) patients. MATERIAL AND METHODS: This longitudinal study included patients who had undergone autologous HCT (auto-HCT) and allogeneic HCT (allo-HCT), and unstimulated saliva was collected at three time points, with a fourth collection at oral chronic graft-versus-host disease (cGVHD) onset. BPIFA expression was analysed by Western blotting in saliva and immunostaining in the minor salivary glands of cGVHD patients. RESULTS: Auto-HCT patients showed increased levels of BPIFA1 (p = .021) and BPIFA2 at D+7 (p = .040), whereas allo-HCT group demonstrated decreased expression of BPIFA2 at D+8 (p = .002) and at D+80 (p = .001) and a significant association between BPIFA2 low levels and hyposalivation was observed (p = .02). BPIFA2 was significantly lower in the cGVHD patients when compared to baseline (p = .04). CONCLUSIONS: The results of this study show distinct pattern of expression of BPIF proteins in both auto-HCT and allo-HCT recipients with decreased levels of BPIFA2 during hyposalivation and cGVHD. Further studies are necessary to elucidate these proteins mechanisms and their clinical implications in these groups of patients.

Cover crops, lime and gypsum influence on soil physical attributes

Cover crops promote nutrient cycling, and lime and gypsum can alter the soil physical attributes. This study aimed to evaluate the effect of lime and gypsum rates applied to a no-tillage system with addition of residues of three cover crops on the soil physical attributes. This experiment was carried out in chapadão do sul-ms. The treatments were comprised of three cover crops (Urochloa ruziziensis, fallow, and Pennisetum glaucum), with gypsum (0, 2.3 and 4.6 Mg ha-1) and lime applied at a dose of 0, 2, 4, 6 Mg ha-1).The attributes evaluated were: soil density, macroporosity, microporosity, total porosity and penetration resistance. The soil of the experiment was classified an Oxisol. Cover crops and lime and gypsum improved macroporosity, microporosity and total porosity at all depths, 0-0.2 m. Millet presented lower values for penetration resistance with the lime application and without gypsum application. No residual effect on soil density was detected for lime and gypsum application or cover crops in the 0.1-0.2 m layer. Brazilian Cerrado producers will have a well-defined management system to follow aiming at improving the soil physical attributes.

Nanosized hydroxyapatite and ß-tricalcium phosphate composite: Physico-chemical, cytotoxicity, morphological properties and in vivo trial.

The objective of this work was to characterize the properties of a synthetic biomaterial composite with nanoparticles size (Blue Bone). This biomaterial is a composite recommended for dental and orthopedic grafting surgery, for guided bone regeneration, including maxillary sinus lift, fresh alveolus filling, and treatment of furcation lesions. The nano biomaterials surface area is from 30% to 50% higher than those with micro dimensions. Another advantage is that the alloplastic biomaterial has homogeneous properties due to the complete manufacturing control. The analyzed biomaterial composite was characterized by XRD, cytochemistry, scanning electron microscopy, porosimetry and in vivo experiments (animals). The results showed that the analyzed biomaterial composite has 78.76% hydroxyapatite [Ca5(PO4)3(OH)] with monoclinic structure, 21.03% ß-tricalcium phosphate [ß -Ca3(PO4)2] with trigonal structure and 0.19% of CaO with cubic structure, nanoparticles with homogeneous shapes, and nanoporosity. The in vivo experiments showed that the composite has null cytotoxicity, and the site of insertion biomaterials has a high level of vascularization and bone formation. The conclusion is that the synthetic biomaterial with Blue Bone designation presents characteristics suitable for use in grafting surgery applications.

Dendrometric evaluation of a clonal population of Tectona grandis in forest-livestock system / Levantamento dendrométrico de um povoamento clonal de Tectona grandis, em sistema silvipastoril

ABSTRACT: Production of Tectona grandis (teak) in integrated systems with livestock or agriculture demonstrates high potential of financial return. However, studies on the development of teak are still scarce, especially in the northern region state of Mato Grosso. In this study we sought to evaluate dendometric variables of a clonal population of teak in a forest-livestock integration system (LFIS), during a period of 53 months in the city of Alta Floresta, Mato Grosso, Brazil. For this purpose, three installments were samples, a total of 360 individuals, and for each the diameter was measured at 1.3 meters from the base so as to calculate the total volume, the current annual increment (CAI) and mean annual increment (MAI), and five adjusted regression models. The Hoerl model provided the highest adjusted coefficient of determination (R2aj), lowest standard error of estimate (Syx), coefficient of variation (CV %), and from this the growth curves were developed. Clonal stands of teakin the forest-livestock system presented increases in DBH, height and volume were superior in relation to other scientific studies with teak, indicating their viability in integrated systems with pastures in the region.

RESUMO: A produção de madeira de Tectona grandis (teca) em sistemas integrados com pecuária ou agricultura demonstra alta perspectiva de retorno financeiro. Entretanto, estudos sobre o desenvolvimento da teca ainda são escassos, principalmente na região norte de Mato Grosso. O objetivo do trabalho foi avaliar o crescimento das variáveis dendrométricos de um povoamento clonal de teca, em um sistema silvipastoril (iPF), ao longo de 53 meses, no município de Alta Floresta-MT, Brasil. Para isso, foram amostradas três parcelas, totalizando 360 indivíduos, sendo que em cada indivíduo foi mensurado o diâmetro a 1,3 m do solo e altura total. Em seguida realizou-se o cálculo do volume. Para descrever o crescimento da variável diâmetro, altura total e volume foi realizado o ajuste através de cinco modelos matemáticos que expressam o crescimento ao longo do tempo. Posteriormente, foram calculados o incremento corrente anual (ICA) e incremento médio anual (IMA). O modelo de Hoerl apresentou melhores resultados de R²aj, obteve menores valores para o erro padrão de estimativa (Syx) e para o CV%, com isso, foi selecionado para a elaboração das curvas de crescimento. O povoamento clonal de teca no iPF apresentou incremento em DAP, Altura e volume foram superiores em relação a outros estudos científicos com teca, indicando sua viabilidade em sistemas integrados com pastagens na região.

A PageRank-based heuristic for the minimization of open stacks problem.

The minimization of open stacks problem (MOSP) aims to determine the ideal production sequence to optimize the occupation of physical space in manufacturing settings. Most of current methods for solving the MOSP were not designed to work with large instances, precluding their use in specific cases of similar modeling problems. We therefore propose a PageRank-based heuristic to solve large instances modeled in graphs. In computational experiments, both data from the literature and new datasets up to 25 times fold larger in input size than current datasets, totaling 1330 instances, were analyzed to compare the proposed heuristic with state-of-the-art methods. The results showed the competitiveness of the proposed heuristic in terms of quality, as it found optimal solutions in several cases, and in terms of shorter run times compared with the fastest available method. Furthermore, based on specific graph densities, we found that the difference in the value of solutions between methods was small, thus justifying the use of the fastest method. The proposed heuristic is scalable and is more affected by graph density than by size.

Undifferentiated spondyloarthritis in a heterogeneous Brazilian population: an eight-year follow-up study.

The aim of the present study was to describe the outcomes of Brazilian patients with undifferentiated spondyloarthritis during an eight-year follow-up period. Patients fulfilling the European Spondyloarthritis (SpA) Study Group Classification Criteria were enrolled. Forty patients were seen at baseline, and 36 participated in the follow-up study. Twenty-three (58%) were female, and there were 24 (60%) African Brazilians enrolled. HLA-B27 was positive in 18 (45%) patients. At disease onset, the first presenting symptoms were pure peripheral manifestations in 26 (72.2%) patients. After the study period, mixed disease (axial + peripheral) predominated occurring in 25 (69.4%) patients. The Assessment of SpA International society (ASAS) classification criteria for axial SpA were fulfilled by 77% of patients, and the ASAS criteria for peripheral SpA were fulfilled by 59% of patients. After 2.5 years, 6 (16.7%) of the 36 patients fulfilled the modified New York Criteria for ankylosing spondylitis and 1 (2.7%) progressed to psoriatic arthritis. A total of 10 (27.8%) patients progressed to definite SpA during the eight-year study period. Buttock pain (p = 0.006, OR 10.55; 95% CI 2.00-65.90) and low-grade radiographic sacroiliitis (p = 0.025, OR = 11.50; 95% CI 1.33-83.39) at baseline were associated with definite SpA. Thus, in this Brazilian cohort, which had a predominance of female African-Brazilian patients, prevalent peripheral onset symptoms were followed by a high frequency of axial manifestations during the follow-up period. Evidence of clinical or radiological sacroiliitis was associated with progression to definite SpA.

Composição química e nutrientes em sementes das espécies florestais Pente de Macaco, Flor de Paca, Itaúba, Jatobá e Murici Manso / Chemical composition and nutrients in seeds of forest species comb ape, Flor de Paca, Itaub, Jatoba and Murici Manso

Um considerável número de espécies arbóreas constitui a flora brasileira, em alguns casos, seus frutos e sementes revelam-se boas fontes de nutrientes. Este trabalho teve por objetivo verificar a composição química e de nutrientes em sementes de Pente de Macaco, Flor de Paca, Itaúba, Jatobá e Murici Manso. O delineamento experimental foi casualizado com cinco tratamentos. As análises realizadas foram: grau de umidade (105 ºC ± 3 ºC por 24 h), teor de amido (mg.g-¹), carboidratos (mg.g-¹), e proteínas (albumina, globulina, prolamina, glutelina) (mg.g-¹), e nutrientes (N, P, K, Ca, Mg e S). Os resultados demonstraram que as sementes de Flor de Paca possuem os maiores teores de amido e proteínas, de Jatobá constituem uma fonte significativa de carboidratos e os maiores índices de fósforo, cálcio e enxofre. Para os teores de nitrogênio a Itaúba apresentou os maiores teores e também obteve resultados satisfatórios para cálcio e a espécie Murici Manso apresentou os maiores teores de potássio e magnésio.

A considerable number of tree species is the flora in some cases, their fruits and seeds turn out to be good sources of nutrientes. The study aimed to verify the chemical composition of nutrientes in seeds of forest species Pente de Macaco, Flor de Paca, Itaúba, Jatobá and Murici Manso. of forest species of Monkey Comb, Flor de Paca, Itaúba, Jatoba and Murici Manso. The experimental design was randomized with five treatments. Analyses were carried out: moisture content, starch content (mg.g ¹), carbohydrates (mg.g ¹), and proteins (albumin, globulin, prolamin, glutelin) (mg.g ¹) and nutrients (N, P, K , Ca, Mg and S). The results showed that the seeds of Flor de Paca had the highest content of starch and protein of Jatobá is a significant source of carbohydrates and the highest levels of phosphorus, calcium and sulfur. For contents of nitrogen Itaúba showed the highest levels and also obtained satisfactory results for calcium and species Murici Manso had the highest levels of potassium and magnesium.

Necrotic enteritis in collared (Pecari tajacu) and white-lipped (Tayassu pecari) peccaries.

An outbreak of necrotic enteritis caused by Clostridium perfringens type C was diagnosed in captive collared (Pecari tajacu) and white-lipped (Tayassu pecari) peccaries housed in the Laboratory of Applied Ethology of Universidade Estadual de Santa Cruz located in Ilhéus, State of Bahia, Brazil. Four collared peccaries and three white-lipped peccaries, all juveniles (25-105 days old), were affected. For all affected animals, lethargy and inappetance were followed by sudden death within 24 hours. Histopathology of intestinal wall, culture of C. perfringens type C, and the identification of beta-toxin from intestinal content confirmed the diagnosis.

Nefropatia por IgA em portadores de espondiloartrites acompanhados no Serviço de Reumatologia do Hospital das Clínicas da UFMG / IgA nephropathy in patients with spondyloarthritis followed-up at the Rheumatology Service of Hospital das Clínicas/UFMG

OBJETIVO: Determinar a frequência das glomerulonefrites nos pacientes espondiloartríticos acompanhados em Serviço de Reumatologia Brasileiro e avaliar variáveis clínicas correlacionadas. PACIENTES E MÉTODOS: Os pacientes foram avaliados quanto às características sociodemográfi cas, tipo de espondiloartrite, tempo e atividade da doença, uso de anti-infl amatórios não esteroides, presença do HLA-B27, níveis de creatinina e ureia séricas, presença de comorbidades e presença de hematúria e/ou proteinúria. Os pacientes com hematúria foram submetidos à pesquisa de dismorfi smo eritrocitário, e aqueles com proteinúria submeteram-se à quantifi cação da proteína na urina de 24 horas. Biópsia renal foi indicada para aqueles com hematúria de origem glomerular e/ou proteinúria maior que 3,5 g. RESULTADOS: Foram avaliados 76 pacientes. A alteração mais frequente no exame de urina de rotina foi a hematúria microscópica (44,7 por cento), geralmente intermitente e em amostra isolada de urina durante o seguimento do paciente. Em oito (10,5 por cento) dos pacientes a hematúria sugeriu origem glomerular. A biópsia renal foi realizada em cinco deles, e mostrou nefropatia por IgA em quatro (5,3 por cento) e doença da membrana fi na em um paciente. CONCLUSÕES: Notou-se alta frequência de alterações no exame de urina desse subgrupo de pacientes, assim como alta prevalência de nefropatia por IgA. Apesar de mais estudos sobre o assunto serem necessários para melhor esclarecimento desses resultados, a realização periódica de exames de urina deveria ser recomendável.

OBJECTIVE: To determine the frequency of glomerulonephritis in patients with spondyloarthritis followed-up at a Brazilian Rheumatology Service, and to evaluate the clinical variables associated. PATIENTS AND METHODS: Patients were assessed for sociodemographic characteristics, type of spondyloarthritis, time since diagnosis and disease activity, non-steroidal anti-infl ammatory drug use, HLA-B27 positivity, creatinine and urea serum levels, major comorbidities, hematuria and proteinuria. Patients with hematuria were subsequently assessed for the presence of dysmorphic red blood cells in urine, and those with proteinuria underwent 24-hour urine protein measurement. Renal biopsy was performed in patients with glomerular hematuria and/or proteinuria over 3.5 g/24-hour. RESULTS: Seventy-six patients were assessed. Microscopic hematuria was the most frequently found abnormality in urinalysis (44.7 percent), usually intermittent and in spot urine samples during patients' follow-up. In eight patients (10.5 percent), glomerular hematuria was suspected. Renal biopsy was performed in fi ve of them, showing IgA nephropathy in four (5.3 percent) and thin membrane disease in one patient. CONCLUSIONS: A high frequency of urinalysis alterations was observed in that subgroup of patients, as well as a high prevalence of IgA nephropathy. Although further studies on this subject are needed to better clarify these results, periodic urinalysis of patients with spondyloarthritis should be recommended.

IgA nephropathy in patients with spondyloarthritis followed-up at the Rheumatology Service of Hospital das Clínicas/UFMG.

OBJECTIVE: To determine the frequency of glomerulonephritis in patients with spondyloarthritis followed-up at a Brazilian Rheumatology Service, and to evaluate the clinical variables associated. PATIENTS AND METHODS: Patients were assessed for sociodemographic characteristics, type of spondyloarthritis, time since diagnosis and disease activity, non-steroidal anti-inflammatory drug use, HLA-B27 positivity, creatinine and urea serum levels, major comorbidities, hematuria and proteinuria. Patients with hematuria were subsequently assessed for the presence of dysmorphic red blood cells in urine, and those with proteinuria underwent 24-hour urine protein measurement. Renal biopsy was performed in patients with glomerular hematuria and/or proteinuria over 3.5 g/24-hour. RESULTS: Seventy-six patients were assessed. Microscopic hematuria was the most frequently found abnormality in urinalysis (44.7%), usually intermittent and in spot urine samples during patients' follow-up. In eight patients (10.5%), glomerular hematuria was suspected. Renal biopsy was performed in fi ve of them, showing IgA nephropathy in four (5.3%) and thin membrane disease in one patient. CONCLUSIONS: A high frequency of urinalysis alterations was observed in that subgroup of patients, as well as a high prevalence of IgA nephropathy. Although further studies on this subject are needed to better clarify these results, periodic urinalysis of patients with spondyloarthritis should be recommended.

Doses de inoculante e nitrogênio na semeadura da soja em área de primeiro cultivo / Doses of inoculant and nitrogen at sowing of soybean in first cultivation area

A inoculação da cultura da soja com bactérias do gênero Bradyrhizobium, é uma prática amplamente difundida, devido aos ótimos resultados alcançados em produtividade, porém, algumas dúvidas ainda surgem em relação à necessidade de aplicação de nitrogênio mineral na semeadura. Neste sentido, este trabalho teve como objetivo avaliar a resposta da cultura da soja a doses de inoculante e nitrogênio mineral na semeadura em solo de primeiro ano de cultivo. Os experimentos foram realizados no Campo Experimental da Universidade do Estado de Mato Grosso, Campus de Alta Floresta, MT, nos anos agrícolas de 2006/2007 e 2007/2008. O delineamento experimental foi em blocos ao acaso, num esquema fatorial 2x4, com quatro repetições. Os fatores consistiram de inoculação das sementes com Bradyrhizobium japonicum (3 e 6 mL kg-1 de sementes), e adubação nitrogenada na semeadura (0, 10, 20 e 40 kg de N ha-1). As seguintes variáveis foram avaliadas: altura de plantas, altura de inserção da primeira vagem, número de vagens por planta, número de grãos por vagem, massa de 100 grãos e produtividade de grãos. Nos dois anos agrícolas não houve diferença significativa para as doses de inoculante aplicadas em primeiro ano de cultivo com soja. Para a aplicação de nitrogênio na semeadura da cultura da soja houve efeito quadrático para altura de plantas e de inserção da primeira vagem e linear crescente para número de vagens por planta no segundo ano de cultivo, porém, sem incremento significativo na produtividade.

The inoculation of soybean crop with Bradyrhizobium bacteria is a widespread practice, due to excellent results achieved in productivity, however, some doubt still arise in relation the need of application of mineral nitrogen at sowing. In that mean, this work aimed to evaluate the response of the doses at inoculant and mineral nitrogen in the sowing of crop soybean in area of first cultivation. The experiments were carried in the experimental field of the University of the Estate of Mato Grosso, Campus of Alta Floresta - MT, Brazil, in the growing seasons of 2006/2007 and 2007/2008. The experimental design was randomized blocks, in a factorial escheme 2 x 4, with four replications. The factors consisted in the inoculation of seeds with Bradyrhizobium japonicum (3 e 6 mL kg-1 of seeds), and nitrogen fertilizer at sowing (0, 10, 20 e 40 kg ha-1). The following variables were evaluated: plant height, insertion height of first pod, number of pod per plant, number of grain per pod, mass of 100 grain and grain productivity. In the two growing seasons there was no significant difference for doses of inoculants applied in first year of cultivation with soybean. To nitrogen application at sowing of soybean crop there was quadratic effect to plant height and of insertion height of first pod and growing linear to number of pod per plant in the second year of cultivation, however, without significant increase the productivity

IgA nephropathy in spondyloarthritis.

Spondyloarthritis patients can be more frequently affected by IgA nephropathy than the general population, and a common etiopathogenic mechanism can be involved. We report four cases that may exemplify that association.

Nefropatia por IgA nas espondiloartrites / IgA nephropathy in spondyloarthritis

Pacientes com espondiloartrites poderiam ser mais acometidos pela nefropatia por IgA do que a população geral, havendo, possivelmente, um mecanismo etiopatogênico comum. O seguinte artigo relaciona quatro casos que exemplificam essa possível associação.

Spondyloarthritis patients can be more frequently affected by IgA nephropathy than the general population, and a common etiopathogenic mechanism can be involved. We report four cases that may exemplify that association.

ESEF 70 Anos: o processo de federalização sob o olhar discente / ESEF 70 Years: The process of federalization under the student's view / ESEF 70 Años: el proceso de federalización bajo la mirada discente

Este artigo analisa o processo de federalização da Escola de Educação Física da Universidade Federal do Rio Grande do Sul sob o olhar dos discentes que se graduaram em 1970 na primeira turma formada sob o regime federal de ensino. Fundamentada no aporte teórico da História Cultural analisamos aspectos relacionados ao envolvimento político dos alunos nesse processo bem como aspectos relacionados a estrutura e funcionamento da Escola como um todo. Para tanto, recorremos a História Oral entrevistando discentes e docentes do período bem como analisamos fontes de diversa natureza tais como documentos, atas de reuniões, livros, reportagens de jornal, fotografia entre outras. Da análise realizada apreendemos que esta turma vivenciou a federalização de modo muito peculiar: por dentro do processo, mas, em certa medida, muito afastada dele

This paper analyzes the process of federalization of the School of Physical Education of the Federal University of Rio Grande do Sul under the eyes of students who graduated in 1970 in the first group formed under the federal system of education. Based on the theoretical support of Cultural History, we reviewed issues related to political involvement of students in this process and aspects of the structure and functioning of the school as a whole. To this end, we resorted to Oral History, interviewing students and teachers of the period, and analyzed sources of various kinds such as documents, minutes of meetings, books, newspaper reports, photographs, and more. Based on the analysis, we noted that this class has experienced federalization in a very peculiar way: within the process, but to some extent, far away from it

Este artículo analiza el proceso de federalización de la Escuela de Educación Física de la Universidad Federal de Rio Grande do Sul bajo la mirada de los discentes que se graduaron en 1970 en la primera promoción formada bajo el régimen federal de enseñanza. Fundamentada con el aporte teórico de la Historia Cultural analizamos aspectos relacionados al compromiso político de los alumnos en ese proceso así como también aspectos relacionados a la estructura y funcionamiento de la Escuela como un todo. Para esto, recorremos la Historia Oral entrevistando discentes y docentes del periodo así como también analizamos fuentes de diversa naturaleza tales como documentos, actas de reuniones, libros, reportajes de periódicos, fotografías, entre otras. Del análisis realizado aprendemos que esta promoción vivió la federalización de modo muy particular: por dentro del proceso, pero, en cierta medida, muy alejada de é

Artrite idiopática juvenil em um serviço de reumatologia: Belo Horizonte, Minas Gerais / Juvenile idiopathic arthritis in a department of rheumatology:Belo Horizonte, Minas Gerais

O termo artrite idiopática juvenil (AIJ) descreve um grupo clinicamente heterogêneo de artrites com mais de seis semanas de duração, de causa desconhecida e início até os 16 anos de idade. Objetivo: descrever o perfil clínico de um grupo de pacientes com diagnóstico de AIJ. Métodos: os prontuários de 72 indivíduos foram revistos com o objetivo de classificá-los conforme critérios propostos pelo ILAR. Os dados obtidos foram comparados com a literatura. Resultados: eram 37 crianças (51,4%) do sexo masculino e 35 do sexo feminino, com mediana de idade de 164,5 meses; 23 (31,9%) estavam classificados como sistêmicos, 25 (34,7%) como oligoarticulares, três (4,2%) poliarticulares fator reumatoide positivo, 13 (18,1%) poliarticulares fator reumatoide negativo, três (4,2%) com artrite psoriásica, quatro (5,6%) com artrite associada à entesite e um (1,4%) com doença indiferenciada. O fator reumatoide foi positivo em 10 (13,9%) e o FAN em 14 (19,4%). Uveíte crônica foi encontrada em quatro (5,6%) crianças, todas do sexo feminino (p=0,05), com doença iniciada antes dos quatro anos de idade (p=0,03) e com FAN positivo (p < 0,001). Conclusão: sabe-se que há diferenças na prevalência e na distribuição dos subtipos de AIJ dependendo da origem da população. Os dados analisados neste estudo, o primeiro do gênero em nosso país, indicaram importantes diferenças entre os diversos grupos geográficos/étnicos acometidos pela AIJ, sugerindo a influência de fatores genéticos, associados ou não a fatores ambientais, que deverão ser estudados e confirmados posteriormente, na expressão da AIJ.

The term Juvenile Idiopathic Arthritis (JIA) describes an arthritis clinically heterogeneous group of over six week?s duration, unknown causes and beginning up to 16 years old. Objective: to describe the clinic profile of a patients? group with JIA diagnosis. Methods: the records of 72 individuals were reviewed with the aim of classifying them according to the ILAR proposed criteria. The collected data were compared with the literature. Results: there was 37 male children (51,4%) and 35 female, with the mean age of 164,5 months; 23 (31,9%) were classified as systemic, 25 (34,7%) as oligoarticular, three (4,2%) as polyarticular positive rheumatoid factor, 13 (18,1%) polyarticular negative rheumatoid factor, three (4,2%) psoriatic arthritis, four (5,6%) with arthritis associated to enthesitis and one (1,4%) with indifferenced disease. The rheumatoid factor was positive in 10 (13,9%) and the FAN in 14 (19,4%). Chronic uveitis was found in four (5,6%) children, all female (p=0,05), with the disease started before four years old (p=0,03) and with positive FAN (p < 0,001). Conclusion: it is known that there are differences in the prevalence and distribution of the JIA subtypes depending on the population origins. The data analyzed in this study, the first of the kind in our country, indicate relevant differences between the several geographic / ethnical groups affected by the JIA, suggesting the influence of docugenetic factors, whether associated or not to environmental factors, which must be further studied and confirmed.

A cross-sectional study of 130 Brazilian patients with Crohn's disease and ulcerative colitis: analysis of articular and ophthalmologic manifestations.

This is a cross-sectional study that analyzed the pattern and frequency of articular and ophthalmologic manifestations in patients with Crohn's disease (CD) and ulcerative colitis (UC), with or without signs of active bowel inflammation. One hundred and thirty consecutive patients with CD (n = 71) and UC (n = 59) were examined. Simple X-rays of lumbar spine, sacroiliac joints, and calcaneal bone were performed and human leukocyte antigen (HLA)-B27 was typed. Joint manifestations occurred in 41 (31.5%) patients, 27 (38%) with CD and 14 (23.7%) with UC. Peripheral involvement occurred in 22 patients, axial involvement in five, and mixed involvement in 14. The most frequently involved joints were knees (56.1%), ankles (29.3%), and hips (29.3%), while the predominant pattern was oligoarticular (84.6%) and asymmetrical (65.6%). Enthesitis was identified in seven (5.4%) patients and inflammatory lumbar pain in 13 (10%). Eight of these patients fulfilled the diagnostic criteria for ankylosing spondylitis (6.2%). Radiographic sacroiliitis occurred in 12 patients (9.2%). Ocular abnormalities were present in six patients (6.2%), and HLA-B27 was positive in five (5.8%). In conclusion, the articular manifestations in the present study were predominantly oligoarticular and asymmetric, with a low frequency of ophthalmologic involvement and positive HLA-B27.

Freqüência de doença cardiovascular aterosclerótica e de seus fatores de risco em pacientes com lúpus eritematoso sistêmico / Frequency of atherosclerotic cardiovascular disease and its risk factors in patients with systemic lupus erythematosus

INTRODUÇÃO: a patogênese da doença arterial coronariana no lúpus eritematoso sistêmico não está completamente estabelecida, porém fatores relacionados ao lúpus e ao seu tratamento parecem se associar à presença de fatores de risco tradicionais. Esses fatores de risco estão presentes em indivíduos com lúpus em uma freqüência maior em relação à população geral e correlacionam-se à presença de doença cardiovascular manifesta nessa população. OBJETIVOS: determinar a freqüência da doença cardiovascular manifesta e dos fatores de risco em pacientes com lúpus acompanhados no Serviço de Reumatologia do Hospital das Clínicas da UFMG. MÉTODOS: avaliação transversal de 172 pacientes com lúpus. Eventos cardiovasculares, fatores de risco tradicionais e manifestações clínico-laboratoriais do lúpus foram avaliados. RESULTADOS: a média de idade (DP) foi de 38,5 anos (11,2 anos): a maioria do sexo feminino (95,9 por cento) e da etnia não-branca (64,5 por cento). Identificou-se doença cardiovascular em oito pacientes (4,7 por cento), com 11 diagnósticos diferentes. Três apresentaram evento coronariano; três, acidente vascular cerebral isquêmico; e cinco, doença arterial periférica. O fator de risco mais freqüente foi hipertensão arterial sistêmica (48,8 por cento), seguido por dislipidemia em 70 (40,7 por cento) pacientes e hipertrigliceridemia em 51 (29,7 por cento). O c-LDL maior ou igual a 100 mg/dl foi encontrado em 77 (44,8 por cento) pacientes. Entre as 165 pacientes do sexo feminino, 67 (40,6 por cento) encontravam-se na pós-menopausa, e 43,3 por cento tiveram o diagnóstico de menopausa precoce. CONCLUSÕES: o presente estudo descreve a freqüência dos fatores de risco para doença arterial coronariana em uma amostra significativa de pacientes brasileiros com lúpus. A importância do reconhecimento de tais fatores encontra-se na possibilidade de modificação e tratamento de alguns deles. O impacto da identificação e do tratamento de fatores de risco em pacientes com...

INTRODUCTION: the pathogenesis of coronary disease in systemic lupus erythematosus patients is not completely understood. Risk factors associated with lupus or its treatment may be associated with traditional risk factors for coronary disease. Such risk factors are more common in patients with lupus. OBJECTIVE: to determine the frequency of cardiovascular disease and traditional risk factors in patients with systemic lupus erythematosus at Rheumatology Division of Hospital das Clínicas of Minas Gerais Federal University. METHODS: 172 patients with systemic lupus erythematosus were evaluated. Cardiovascular events, traditional risk factors and clinical-laboratorial findings were investigated in this cross-sectional research. RESULTS: the mean age (SD) of the patients was 38.5 years (11.2 years). 95.9 percent were female and 64.5 percent were non white. Cardiovascular disease was identified in 8 patients (4.7 percent), with 11 different diagnoses. Three patients had coronary insufficiency, three had stroke and five had peripheral arterial disease. Systemic arterial hypertension was the most frequent risk factor (48.8 percent), followed by dyslipidemia in 70 patients (40.7 percent) and hypertriglyceridemia in 51 patients (29.7 percent). LDL-c higher or equal to 100 mg/dl was found in 77 patients (44.8 percent). Among 165 female patients, 67 (40.6 percent) had menopause, 43.3 percent of them with early menopause. CONCLUSION: the present study describes the frequency of risk factors for coronary artery disease in a Brazilian sample of lupus patients. The impact of recognition and management of those risk factors in prevention of cardiovascular events should be object of others studies.