Evaluation of staff, patient and foetal radiation doses due to endoscopic retrograde cholangiopancreatography (ERCP) procedures in a pregnant patient.

The use of endoscopic retrograde cholangiopancreatography (ERCP) in pregnant patients is not rare. Most studies on the safety and efficacy of these procedures report short- and long-term pregnancy outcomes and but not foetal absorbed doses. This investigation reports on an ERCP procedure for a 40-y-old woman who was 32-34 weeks pregnant. Thermoluminescent dosemeters (TLD 100) were used to measure doses received by the patient and the staff. Additionally, Monte Carlo calculations were performed using a 3D computational phantom representing a 9-month pregnant patient to estimate the foetal absorbed dose. The results show that the spleen of the mother received the largest absorbed dose of 12.18 mGy since it was closer to the source than other internal organs. For the foetus and uterus, the lowest absorbed dose was found to be 0.01 mGy to the foetal brain, while the largest absorbed dose was estimated to be 0.13 mGy to the placenta.

A contribution to the establishment of reference values for total mercury levels in hair and fish in amazonia.

Studies on mercury levels in the Amazonian Region have typically lacked background or reference parameters. A sectional study on Hg concentration in hair and fish was conducted, together with an assessment of the prevalence of signs and symptoms related to Hg poisoning, in four communities in the Amazon Basin not impacted by gold mining, located either by a river course (Santana do Ituqui and Caxiuanã) or by a lake (Aldeia do Lago Grande and Vila do Tabatinga). Mercury determinations in hair and fish were made by flameless atomic absorption spectrophotometry. Mean total Hg in hair was 4.33 microg/g (0.40-11.60 microg/g) in 321 individuals from Santana do Ituqui, 3.98 microg/g (0.40-11.76 microg/g) for 316 persons in Aldeia do Lago Grande, 5.46 microg/g (0.37-49.85 microg/g) for 504 individuals from Vila do Tabatinga and 8.58 microg/g (0.61-45.59 microg/g) for 203 inhabitants from Caxiuanã. Fish consumption was very high in all those communities but no signs or symptoms associated with Hg poisoning were found. Mean Hg concentration in fish varied from 0.006 to 2.529 microg/g for carnivores and from 0.008 to 0.871 microg/g for noncarnivores. These values suggest that further studies including a larger number of communities would eventually lead to values of "normal" Hg concentration in the Amazonian Region quite above the limits suggested by the World Health Organization.

Release-recapture experiments with canopy mosquitoes in the genera Haemagogus and Sabethes (Diptera: Culicidae) in Brazilian Amazonia.

In 2 forested areas near Belém (Para State, Brazil), 2 Haemagogus and 6 Sabethes species were marked released and recaptured in May 1989 and in April 1993. The recapture rates were high, 4.9 and 13.1% for Haemagogus and Sabethes spp., respectively. For Haemagogus janthinomys Dyar, females were recaptured until 27 d after release. The duration of the gonotrophic cycle was between 5.0 and 9.5 d and the survival rate was 0.90-0.92. Haemagogus leucocelaenus (Dyar & Shannon) was recaptured once, 21 d after release. Twelve Sabethes chloropterus (Von Humboldt) were recaptured, with a peak at 15-18 d; 1 female was recaptured at 44 d, indicating extended survival. Seven Sabethes amazonicus Gordon & Evans and 7 Sabethes cyaneus (F.) were recaptured, mostly at 14-39 d. These results indicate that Haemagogus and Sabethes spp. have a gonotrophic cycle in nature longer than inferred from laboratory studies, and that cycle length varies seasonally. The capacity of these species to sustain epizootics or epidemics of arboviruses may depend on local weather, with risk greatest at the end of the rainy season.

[Epidemiology of encephalitis caused by arbovirus in the Brazilian Amazonia]. / Epidemiologia das encefalities por arbovírus na Amazônia brasileira.

An overview of ecological, epidemiological and clinical findings of potential arthropod-borne encephalitis viruses circulating in the Amazon Region of Brazil are discussed. These viruses are the Eastern Equine Encephalitis (EEE), Western Equine Encephalitis (WEE), St. Louis Encephalitis (SLE), Mucambo (MUC) and Pixuna (PIX). These last two are subtypes (III and IV) of Venezuelan Equine Encephalitis virus. The areas of study were the highways and projects of development, as well as places where outbreaks of human diseases caused by arboviruses had been detected. These viruses are widespread in all Amazonia, and at least four of them, EEE, WEE, SLE and MUC are pathogenic to man. EEE and WEE infections were detected by serology, while SLE and MUC by either serology and virus isolation. The PIX virus has the lowest prevalence and, it was isolated in only a few cases, one being from a laboratory infection. Wild birds are the main hosts for all these viruses, except MUC, whose major hosts are rodents. The symptoms presented by infected people were generally a mild febrile illness. Although, jaundice was observed in two individuals from whom SLE was isolated. A comparison of the clinical symptoms presented by the patients in the Amazon Region and other areas of America, especially in the USA is made. In Brazilian Amazon region epidemics have not been detected although, at least, one EEE epizootic was recorded in Bragança, Para State, in 1960. At that time, of 500 horses that were examined 61% were positive to EEE by HI and of them 8.2% died. On the other hand, SLE has caused four epizootics in a forest near Belem. Wild birds and sentinel monkeys were infected, but no human cases were reported.

Modifications of gastric compliance in dogs related to changes of extracellular fluid volume: a possible physiological role.

Gastric compliance was measured with an intragastric probe connected to a water manometer in pylorus-ligated anesthetized dogs. Measurements were carried out in the same animal at different levels of extracellular fluid (ECF) obtained by expansion, bleeding and reexpansion. Acute isotonic expansion of the ECF volume shifted gastric compliance curves upwards and to the left, indicating that the stomach retains less volume than the control at the same intraluminal pressure. Conversely, the acute loss of blood shifted gastric compliance curves downwards and to the right. The data suggest that the ECF volume contributes to the modulation of gastric compliance.