Microbiological evaluation of homemade mayonnaise and self-serve acai sold in Araguaína, Tocantins.

Foodborne diseases are common illnesses caused by the consumption of food contaminated with microorganisms, such as viruses, fungi, bacteria, and protozoa. Every year, 600 million people become ill and 420,000 people die as a result of consuming contaminated food. Therefore, food safety is an important issue. In this study, samples of homemade spiced mayonnaise and self-serve acai sold in the city of Araguaína, Tocantins, Brazil were analyzed for microbiological contaminants. Acai was collected from 10 stores, one sample from each store, and tested for mold, yeast, and coliforms, as well as coliform identification and total and thermotolerant coliform counts. Mayonnaise was collected from 20 snack bars, one sample from each. These samples were inoculated on MacConkey and Salmonella Shigella agar plates, and the plates were analyzed for growth. Salmonella spp. were detected in some Mayonnaise samples, and coliforms were detected in all acai samples; 60% of samples had thermotolerant coliforms, and only 40% were within the limits established by ANVISA. The collected samples of mayonnaise and acai were contaminated with molds and yeasts above the established limit of 103 CFU/g. Thus, the analyzed mayonnaise and acai samples were contaminated and unfit for consumption, demonstrating the importance of hygienic-sanitary measures in food handling.

Needle visualization during ultrasound-guided puncture: image optimization.

Background: Obtaining an adequate image of the needle by ultrasound reduces complications resulting from punctures, increasing patient safety and reducing hospitalization costs. Objectives: To verify human perception in relation to number of pixels, while also identifying the best puncture angle and which needle should be used, and to evaluate whether there is a difference if needle visualization software is used. Methods: 20 images were analyzed by 103 students who classified them as being sufficient or insufficient and were compared with the quality observed using photoshop. We evaluated whether there were differences between puncture angles of less than 45º and more than 45º, between IV catheter and introducer needles, and between images obtained with and without visualization software. Results: There was a higher percentage of sufficient ratings for images those that had more than 60 pixels and when the puncture angle was less than 45º, with significant associations between students' evaluations and each of these groups (p < 0.001). The percentages of images classified as sufficient were higher for images in which a IV catheter was used and also higher for those using the needle visualization software, with significant associations between the results for students' classifications and each of these groups (p < 0.001). Conclusions: The human eye classifies an image as sufficient according to higher numbers of pixels. Images of punctures at angles smaller than 45º in relation to the surface, of punctures performed with a IV catheter, and when using specific visualization software are also better detected by the human eye.

Contexto: A obtenção de uma imagem adequada da agulha pelo ultrassom diminui complicações decorrentes de punções, trazendo segurança para os pacientes e diminuindo custos com hospitalização. Objetivos: Verificar a percepção do olho humano em relação aos pixels, identificar qual o melhor ângulo da punção e qual agulha deve ser utilizada e avaliar se há diferença com o uso de software de visualização de agulha. Métodos: Vinte imagens foram analisadas por 103 alunos, que as classificaram como sendo suficientes ou insuficientes, e comparadas com a qualidade observada pelo photoshop. Avaliou-se se havia diferença entre punções com menos de 45º e mais de 45º, entre cateter EV e agulha introdutora e entre imagens obtidas com e sem software de visualização. Resultados: Houve um percentual mais elevado de imagens suficientes entre aquelas que tinham mais de 60 pixels e quando o ângulo era menor que 45º, com associação significativa entre a classificação das avaliações pelos alunos e cada um desses grupos (p < 0,001). O percentual de imagens suficientes foi maior nas imagens realizadas com cateter EV e naquelas que utilizaram o software de visualização da agulha, ocorrendo associação significativa entre os resultados da classificação pelos alunos e cada um desses grupos (p < 0,001). Conclusões: O olho humano classifica a imagem como sendo suficiente de acordo com a maior quantidade de pixels. Imagens puncionadas com ângulos menores que 45º em relação à superfície, realizadas com cateter EV e utilizando software específico de visualização também são mais bem detectadas pelo olho humano.

Needle visualization during ultrasound-guided puncture: image optimization / Visualização da agulha durante punção guiada por ultrassom: otimização de imagem

Abstract Background Obtaining an adequate image of the needle by ultrasound reduces complications resulting from punctures, increasing patient safety and reducing hospitalization costs. Objectives To verify human perception in relation to number of pixels, while also identifying the best puncture angle and which needle should be used, and to evaluate whether there is a difference if needle visualization software is used. Methods 20 images were analyzed by 103 students who classified them as being sufficient or insufficient and were compared with the quality observed using photoshop. We evaluated whether there were differences between puncture angles of less than 45º and more than 45º, between IV catheter and introducer needles, and between images obtained with and without visualization software. Results There was a higher percentage of sufficient ratings for images those that had more than 60 pixels and when the puncture angle was less than 45º, with significant associations between students' evaluations and each of these groups (p < 0.001). The percentages of images classified as sufficient were higher for images in which a IV catheter was used and also higher for those using the needle visualization software, with significant associations between the results for students' classifications and each of these groups (p < 0.001). Conclusions The human eye classifies an image as sufficient according to higher numbers of pixels. Images of punctures at angles smaller than 45º in relation to the surface, of punctures performed with a IV catheter, and when using specific visualization software are also better detected by the human eye.

Resumo Contexto A obtenção de uma imagem adequada da agulha pelo ultrassom diminui complicações decorrentes de punções, trazendo segurança para os pacientes e diminuindo custos com hospitalização. Objetivos Verificar a percepção do olho humano em relação aos pixels, identificar qual o melhor ângulo da punção e qual agulha deve ser utilizada e avaliar se há diferença com o uso de software de visualização de agulha. Métodos Vinte imagens foram analisadas por 103 alunos, que as classificaram como sendo suficientes ou insuficientes, e comparadas com a qualidade observada pelo photoshop. Avaliou-se se havia diferença entre punções com menos de 45º e mais de 45º, entre cateter EV e agulha introdutora e entre imagens obtidas com e sem software de visualização. Resultados Houve um percentual mais elevado de imagens suficientes entre aquelas que tinham mais de 60 pixels e quando o ângulo era menor que 45º, com associação significativa entre a classificação das avaliações pelos alunos e cada um desses grupos (p < 0,001). O percentual de imagens suficientes foi maior nas imagens realizadas com cateter EV e naquelas que utilizaram o software de visualização da agulha, ocorrendo associação significativa entre os resultados da classificação pelos alunos e cada um desses grupos (p < 0,001). Conclusões O olho humano classifica a imagem como sendo suficiente de acordo com a maior quantidade de pixels. Imagens puncionadas com ângulos menores que 45º em relação à superfície, realizadas com cateter EV e utilizando software específico de visualização também são mais bem detectadas pelo olho humano.

Observation of a singular Weyl point surrounded by charged nodal walls in PtGa.

Constrained by the Nielsen-Ninomiya no-go theorem, in all so-far experimentally determined Weyl semimetals (WSMs) the Weyl points (WPs) always appear in pairs in the momentum space with no exception. As a consequence, Fermi arcs occur on surfaces which connect the projections of the WPs with opposite chiral charges. However, this situation can be circumvented in the case of unpaired WP, without relevant surface Fermi arc connecting its surface projection, appearing singularly, while its Berry curvature field is absorbed by nontrivial charged nodal walls. Here, combining angle-resolved photoemission spectroscopy with density functional theory calculations, we show experimentally that a singular Weyl point emerges in PtGa at the center of the Brillouin zone (BZ), which is surrounded by closed Weyl nodal walls located at the BZ boundaries and there is no Fermi arc connecting its surface projection. Our results reveal that nontrivial band crossings of different dimensionalities can emerge concomitantly in condensed matter, while their coexistence ensures the net topological charge of different dimensional topological objects to be zero. Our observation extends the applicable range of the original Nielsen-Ninomiya no-go theorem which was derived from zero dimensional paired WPs with opposite chirality.

Statistical test for ΔρDCCA : Methods and data.

In this paper the algorithm for ΔρDCCA statistical test (Guedes et al., 2018) [1] is presented. Our test begins with the simulation of four time series pairs, by an ARFIMA process. These time series has N=250 , 500, 1000, and 2000 points, see Guedes et al. (2018) [1]. The probability distribution function (PDF) is made available for all 10,000 samples, that start from the original time series, in supplementary material.

Rickettsial Infection in Animals, Humans and Ticks in Paulicéia, Brazil.

A previous study in Paulicéia Municipality, south-eastern Brazil, reported 9.7% of the Amblyomma triste ticks to be infected by Rickettsia parkeri, a bacterial pathogen that causes spotted fever in humans. These A. triste ticks were shown to be associated with marsh areas, where the marsh deer Blastocerus dichotomus is a primary host for this tick species. During 2008-2009, blood serum samples were collected from 140 horses, 41 dogs, 5 opossums (Didelphis albiventris) and 26 humans in farms from Pauliceia Municipality. Ticks were collected from these animals, from vegetation and from additional wildlife in these farms. Overall, 25% (35/140) of the horses, 7.3% (3/41) of the dogs, 3.8% (1/26) of the humans and 100% (5/5) of the opossums were seroreactive (titre ≥64) to spotted fever group (SFG) Rickettsia spp. Multivariate statistical analysis indicated that horses that were allowed to forage in the marsh were 4.8 times more likely to be seroreactive to spotted fever group (SFG) Rickettsia spp than horses that did not forage in the marsh. In addition, horses that had been living in the farm for more than 8.5 years were 2.8 times more likely to be seroreactive to SFG Rickettsia spp than horses that were living for ≤8.5 years. Ticks collected from domestic animals or from vegetation included Amblyomma cajennense, Amblyomma coelebs, Amblyomma dubitatum, Dermacentor nitens and Rhipicephalus microplus. By PCR analyses, only one pool of A. coelebs ticks from the vegetation was shown to be infected by rickettsiae, for which DNA sequencing revealed to be Rickettsia amblyommii. Ticks (not tested by PCR) collected from wildlife encompassed A. cajennense and Amblyomma rotundatum on lizards (Tupinambis sp), and A. cajennense and A. triste on the bird Laterallus viridis. Our results indicate that the marsh area of Paulicéia offers risks of infection by SFG rickettsiae.

Atividade antioxidante de Piper arboreum, Piper dilatatum e Piper divaricatum / Antioxidant activity of Piper arboreum, Piper dilatatum, and Piper divaricatum

Os óleos essenciais de P. arboreum, P. dilatatum e P. divaricatum foram obtidos por hidrodestilação e analisados por CG-DIC e CG-EM. Extratos etanólicos foram preparados por extração exaustiva. A atividade antioxidante de óleos e extratos foi avaliada por meio do método de sequestro de radicais livres usando 2,2-difenil-1-picril-hidrazila. Os teores de óleos essenciais foram de 0,98%, 1,50% e 0,99% para P. arboreum, P. dilatatum e P. divaricatum, respectivamente. Esses óleos demonstraram riqueza em sesquiterpenos, sendo os principais componentes: biciclogermacreno (28,7%) e ß-copaen-4-α-ol (13,3%) para P. arboreum; germacreno D (16,7%), α-alaskeno (18,9%) e viridiflorol (12,5%) para P. dilatatum; e germacreno D (9,4%), valenceno (11,1%) e γ-cadineno (11,0%) para P. divaricatum. No teste de atividade antioxidante, com base nas percentagens de sequestro de radicais, foram determinados a concentrações efetivas (CE50) e o Índice de Atividade Antioxidante (IAA). Os seguintes valores de CE50 e IAA foram encontrados: ácido ascórbico (usado como referência) 226,84 µg.mL-1 e 5,30; extrato de P. arboreum 239,60 µg.mL-1 e 4,90, e extrato de P. dilatatum 367,70 µg.mL-1 e 3,20, respectivamente. A metodologia utilizada para a atividade antioxidante mostrou-se inadequada para o extrato da P. divaricatum. Os óleos essenciais não apresentaram atividade antioxidante significativa, entretanto, os extratos etanólicos de P. arboreum e de P. dilatatum apresentaram atividade antioxidante expressiva.

were obtained by means of hydrodistillation and analyzed by GC-FID and GC-MS. The ethanolic extracts were prepared by exhaustive extraction. The antioxidant activity of the oils and extracts were evaluated by applying the free radical scavenging method using the 2,2-diphenyl-1-picrylhydrazyl radical. The yields of the essential oils were 0.98%, 1.50% and 0.99% for P. arboreum, P. dilatatum and P. divaricatum, respectively. The oils are rich in sesquiterpenes, and the main components of P. arboreum are the bicyclogermacrene (28.7%) and ß-copaen-4-α-ol (13.3%); of P. dilatatum, the germacrene D (16.7%), α-alaskene (18.9%) and viridiflorol (12.5%); and of P. divaricatum, the germacrene D (9.4%), valencene (11.1%) and γ-cadinene (11.0%). The antioxidant activity test, based on the percentages of radical scavenging, determined the effective concentrations (CE50) and the Antioxidant Activity Index (AAI). The following CE50 and AAI values were found: 226.84 µg.mL-1 and 5.30 for ascorbic acid (used as the reference), 239.60 µg.mL-1 and 4.90 for P. arboreum, and 367.70 µg.mL-1 and 3.20 for P. dilatatum. The antioxidant evaluation using this methodology is not applicable for the P. divaricatum extract. These essential oils did not present a significant antioxidant activity. However, the ethanolic extracts of P. arboreum and P. dilatatum did show a strong antioxidant

Rickettsial infections of dogs, horses and ticks in Juiz de Fora, southeastern Brazil, and isolation of Rickettsia rickettsii from Rhipicephalus sanguineus ticks.

The present study was performed in an area endemic for Brazilian spotted fever (BSF) in Juiz de Fora, state of Minas Gerais, Brazil, during the years 2007 and 2008, when fatal cases of BSF (caused by Rickettsia rickettsii) were reported. Adult ticks (Acari: Ixodidae) identified as Rhipicephalus sanguineus (Latreille) and Amblyomma cajennense (Fabricius) were collected from dogs and horses, respectively, and tested by polymerase chain reaction (PCR). Overall, 13.1% of the Rh. sanguineus ticks and none of the A. cajennense were found to be infected with R. rickettsii. Two isolates of R. rickettsii were successfully established in Vero cell culture from two Rh. sanguineus ticks. An indirect immunofluorescence assay (IFA) using R. rickettsii antigens detected blood serological reaction to R. rickettsii in 67.9% (53/78) of dogs and 41.0% (16/39) of horses living in the study area. Larval offspring from two Rh. sanguineus engorged females, naturally infected by R. rickettsii, were reared to adult stage in the laboratory. All active stages (larvae, nymphs, adults) remained 100% infected by R. rickettsii, which was efficiently transmitted to naïve rabbits. Overall, the results of the present study indicate a potential risk for transmission of R. rickettsii to humans by Rh. sanguineus, an occurrence yet to be documented in Brazil.

Produção de biomassa e absorção de N e P pela Pfaffia glomerata (Spreng. ) Pedersen em função de doses de N e P em condições de casa de vegetação / Biomass production and N and P uptake by Pfaffia glomerata (Spreng. ) Pedersen according to N and P levels under greenhouse conditions

Com objetivo de avaliar a produção de biomassa e absorção de N e P pela Pfaffia glomerata em função de doses de N e P, foi realizado o presente trabalho, em casa de vegetação, utilizando como substrato Latossolo Vermelho distroférrico, coletado na camada de 0 - 20 cm. O delineamento foi inteiramente casualizado com três repetições e os tratamentos foram dispostos em esquema fatorial 5 x 5, sendo cinco doses de N (0, 125, 250, 375 e 500 mg vaso-1) e cinco doses de P (0, 125, 250, 375 e 500 mg vaso-1). As variáveis analisadas foram altura de plantas, massa fresca e seca da parte aérea e radicular e teores de N e P na parte aérea e radicular. Os resultados evidenciaram efeito interativo do N e P, em todas as variáveis analisadas, exceto com relação ao teor de P na parte aérea e radicular. A produção de biomassa e absorção de N e P pela Pfaffia glomerata foi influenciada pelas doses de N e P utilizadas no experimento e para a produtividade ótima das características avaliadas, as doses de N variaram entre 42,9 e 346,01 mg vaso-1 e as doses de P entre os valores de 72,02 e 500 mg vaso-1.

With the aim of evaluating biomass production and N and P uptake by Pfaffia glomerata according to N and P levels, the present study was carried out in a greenhouse, using as substrate Oxisol collected at the layer 0 - 20 cm. Experimental design was completely randomized, with three replicates and treatments arranged in 5 x 5 factorial arrangement, with five N levels (0, 125, 250, 375 and 500 mg pot-1) and five P levels (0, 125, 250, 375 and 500 mg pot-1). The assessed parameters were plant height, shoot and root fresh and dry matter, and N and P levels in shoot and roots. Results evidenced an interactive effect of N and P for all studied variables, except for N and P levels in shoot and roots. Biomass production and N and P uptake by Pfaffia glomerata were influenced by the N and P levels used in the experiment, whereas the optimal productivity was obtained with N levels ranging between 42.9 and 346.01 mg pot-1 and P levels between 72.02 and 500 mg pot-1.

Treatment during primary HIV infection does not lower viral set point but improves CD4 lymphocytes in an observational cohort.

OBJECTIVE: To investigate if early treatment of primary HIV-1 infection (PHI) reduces viral set point and/or increases CD4 lymphocytes. METHODS: Analysis of two prospective multi-centre PHI cohorts. HIV-1 RNA and CD4 lymphocytes in patients with transient treatment were compared to those in untreated patients. Time to CD4 lymphocyte decrease below 350/ microl after treatment stop or seroconversion was calculated using Kaplan-Meier and Cox-PH-regression analyses. RESULTS: 156 cases of PHI were included, of which 100 had received transient HAART (median treatment time 9.5 months) and 56 remained untreated. Median viral load (563000 cop/ml vs 240000 cop/ml; p<0.001) and median CD4 lymphocyte (449/ microl vs. 613/ microl; p<0.01) differed significantly between treated and untreated patients. Median viral load was 38056 copies/ml in treated patients (12 months after treatment stop) and 52880 copies/ml in untreated patients (12 months after seroconversion; ns). Median CD4 lymphocyte change was +60/ microl vs. -86/ microl (p = 0.01). Median time until CD4 lymphocytes decreased to <350/ microl (including all patients with CD4 lymphocytes <500/ microl during seroconversion) was 20.7 months in treated patients after treatment stop and 8.3 months in untreated patents after seroconversion (p<0.01). Cox-PH analyses adjusting for baseline VL, CD4 lymphocytes, stage of early infection and symptoms confirmed these differences. CONCLUSIONS: Treatment during PHI did not lower viral set point. However, patients treated during seroconversion had an increase in CD4 lymphocytes, whereas untreated patients experienced a decrease in CD4 lymphocytes. Time until reaching CD4 lymphocytes <350/ microl was significantly shorter in untreated than in treated patients including patients with CD4 lymphocytes <500/ microl during seroconversion.

Tissue response around silicon nitride implants in rabbits.

The chemical and dimensional stability associated with suitable fracture toughness and propitious tribological characteristics make silicon nitride-based ceramics potential candidates for biomedical applications, mainly as orthopedic implants. Considering this combination of properties, silicon nitride components were investigated in relation to their biocompatibility. For this study, two cylindrical implants were installed in each tibia of five rabbits and were kept in the animals for 8 weeks. During the healing time, tissue tracers were administrated in the animals so as to evaluate the bone growth around the implants. Eight weeks after the surgery, the animals were euthanized and histological analyses were performed. No adverse reactions were observed close to the implant. The osteogenesis process occurred during the entire period defined by the tracers. However, this process occurred more intensely 4 weeks after the surgery. In addition, the histological analyses showed that bone growth occurred preferentially in the cortical areas. Different kinds of tissue were identified on the implant surface, characterized by lamellar bone tissue containing osteocytes and osteons, by a noncalcified matrix containing osteoblasts, or by the presence of collagen III, which may change to collagen I or remain as a fibrous tissue. The results demonstrated that silicon nitride obtained according to the procedure proposed in this research is a biocompatible material.

Long-term consequences of treatment interruptions in chronically HIV-1-infected patients.

OBJECTIVE: To evaluate the long-term effects of antiretroviral treatment (ART) interruptions on metabolic, immunological, virological and clinical outcomes in chronically HIV-1 infected patients. METHODS: Multi-centric, prospective, controlled 24-month cohort study in HIV-1 infected patients interrupting ART once or several times and for at least two weeks. Patients were compared to a frequency-matched control group continuing on ART. RESULTS: A total of 399 HIV-1 infected patients were included, among them 133 patients with treatment interruption (TI) and 266 control patients. Baseline characteristics were well matched. Median baseline CD4 cell count was 379/microl in TI-patients and 410/microl in control patients (p = ns). Median duration of the first TI was 1.1 months, and 37 % of patients had two or further TI's. Whereas CD4 cell count in control patients had increased significantly by a median of 67/microl at month 24 (p<0.0001), median CD4 cell count at month 24 in the TI-patients did not differ significantly from baseline. However, two-year AIDS-free survival was not significantly different between TI- and control patients. Liver enzymes and blood lipids improved significantly during TI. CONCLUSION: TI was associated with a significant immunological disadvantage at 24-month follow-up compared to continued ART. In this relatively immunocompetent cohort, however, TI's did not lead to an increased risk of disease progression within two years of follow-up.

[The HIV patient in the family physician's practice]. / Patient HIV-positiv getestet--und die nächste Schwerpunktpraxis j. w. d. Was der Hausarzt als erster Ansprechpartner leisten kann.

The family physician plays a crucial role in the diagnosis as well as in the medical care of the HIV patient. In making the diagnosis, he is the first contact person and, in the case of symptomatic patients, should immediately establish contact with an HIV treatment center. The therapy and care of the immunocompetent asymptomatic HIV patient can be primarily carried out in the family practice. The complexity of the antiviral therapy requires an experienced HIV specialist. The co-attending family doctor should supervise the patient locally especially when the specialized treatment practice is far away and, when serious side effects occur, maintain close telephone contact to the specialists. Knowledge of the interactions of the antiviral combination therapy with other medications is also important. Prerequisite for a successful HIV therapy is the collaboration between the HIV specialist and the family physician.

Ocorrencia de Giardia spp. em bezerros leiteiros no Brasil / Occurrence of Giardi ssp. in dairy calves in Brazil

Fecal samples were collected from 50 female Holstein calves (1-90 days old) from a commercial dairy cattle farm located in Lavras, Minas Gerais, Brazil and examined for presence of Giardia cysts using the zinc sulfate flotation method. A total of 120 samples were collected from March 1999 to April 2000, and fecal consistency (normal or diarrheic) was noted prior to the examination for Giardia cysts. Giardia ssp. cysts were found in 11 (9 per cent) of the 120 faecal samples of calves co-infected with Eimeria spp., in calves from 19 to 58 days of age (38 +/- 19). In 82 per cent (9/11) calves assessed for mixed infections with Cryptosporidium spp. and Giardia, oocysts of Cryptosporidium were found in three out of four diarrheic calves (75 per cent) positive for Giardia. Giardia cysts (n=30) sized 13-16 x 10-12µm (mean of 15 x 11µm). They appeared to belong to the morphological group of G. intestinallis according to the size and morphological characteristic of the cysts. This is the first detection of Giardia spp. in calves in Brazil. Considering that Giardia has the potential to cause clinical disease in calves and that organisms infecting humans and domestic ruminants are morphologically and antigenically similar, and calves can shed Giardia cysts potentially infective for humans, the parasite in calves may be of major epidemiological significance, and suggests that naturally infected calves may be reservoirs of Giardia infections for man

Docetaxel for patients with paclitaxel-resistant Müllerian carcinoma.

PURPOSE: To determine the efficacy and toxicity of docetaxel in patients with müllerian carcinoma resistant to paclitaxel. PATIENTS AND METHODS: Thirty-two patients with epithelial ovarian cancer, fallopian tube cancer, or primary peritoneal cancer who failed paclitaxel-based chemotherapy received either 100 or 75 mg/m(2) of docetaxel every 3 weeks. Resistance to paclitaxel was defined as either progression of disease during treatment, failure to achieve regression of disease after at least four courses, or rapid recurrence (within 6 months) after completion of therapy. RESULTS: Eighteen patients were treated on a formal protocol and fourteen with the commercially available docetaxel. Thirty were assessable for response. Toxicities were thoroughly evaluated in the 18 patients on protocol. Twenty-seven patients (85%) had epithelial ovarian cancer. The overall response rate was 23% (one complete and six partial responses), with a median survival time of 44 weeks (9.5 months). Nine patients had stable disease and 14 progressive disease. Among 19 patients who progressed during prior paclitaxel treatment, two (11%) responded to docetaxel, compared with five (45%) of 11 patients in other paclitaxel-resistance categories. The responders had a median taxane-free interval (ie, the time between the last paclitaxel and first docetaxel treatment) of 73 weeks, compared with 19 weeks for the nonresponder group. Toxic effects were as expected. CONCLUSION: Docetaxel is an active chemotherapeutic agent in patients with müllerian carcinoma previously treated with paclitaxel-based chemotherapy, especially in the patients who had a long taxane-free interval after a previous short response to paclitaxel.

Estudo morfológico no músculo gastrocnêmio de camundongos C57 BL10 submetidos à ingestäo prolongada de etanol / Study of ultrastructural alterations in gastrocnemius muscle of C57 BL10 mice after prolonged ethanol ingestion

Os efeitos do alcoolismo crônico no músculo gastrocinêmio de camundongos bem nutridos foram estudados morfologicamente com a finalidade de se avaliar a hipótese de que o etanol exerce um papel tóxico direto sobre o músculo esquelético. Foram usados 30 camundongos C57BL1O, adultos jovens, divididos em dois grupos: Grupo A (controle) consistindo de 10 camundongos que beberam água e Grupo B (alcoólico) de 2O camundongos que beberam etanol a 25 por cento. Todos os animais receberam uma raçao balanceada de laboratório e foram mantidos nesse regime ad libitum nas mesmas condiçoes ambientais durante 48 semanas e pesados uma vez por semana. O consumo diário de dieta e a ingestao calórica foram calculados tendo os animais apresentado substancial ganho de peso, nao mostrando qualquer sinal de desnutriçao. Ao final do experimento os animais foram sacrificados para estudos morfológicos. Pela microscopia óptica nao foram encontradas alteraçoes. Importantes anormalidades foram observadas pela microscopialetrônica em todos os espécimens. O retículo sarcoplasmático mostrou-se frequentemente dilatado, resultando na formaçao de grandes vesículas e envolvendo as cisternas terminais com deslocamento das tríades. Areas de estreitamente, ruptura e perda de miofibrilas ocorreram assim como zonas de completa desorganizaçao de miofibrilas com perda do padrao estriado normal. As mitocondrias estavam em linhas gerais dentro dos limites da normalidade. Agregados tubulares peculiares vistos comumente na paralisia periódica e outras condiçoes patológicas humanas, foram encontrados tanto no músculo dos camundongos controles como no dos alcoólicos. Os nervos intramusculares assim como as junçoes neuromusculares mostravam-se normais. Importantes anormalidades nos capilares musculares foram observadas, consistindo de tumefaçao das células endoteliais e de espessamente da lâmina basal. Difusa infiltraçao lipídica microvesicular foi vista no citoplasma dos hepatócitos parecendo constituir uma evidência a mais da açao tóxica do etanol sobre o organismo. Concluímos que a ingestao prolongada de etanol, representando 14,4 por cento de calorias totais, produz no músculo gastrocnêmio de camundongos C57BL1O bem nutridos um elenco de alteraçoes ultraestruturais que refletem um efeito tóxico direto sobre o músculo esquelético. As alteraçoes constatadas sao semelhantes àquelas descritas na miopatia alcoólica crônica humana.

Hemoptise/s e sindrome de angústia respiratória do adulto como causa de morte na leptospirose. Mudanças dos padröes clínicos e anatomopatológicos: relato de caso / Haemoptysis and acute respiratory distress syndrome as causes of death in leptospirosis. Changes in clinical and anatomicophatological patterns

A leptospirose humana, uma das principais endemias/epidemias dos centros urbanos no Brasil, vem crescendo de forma dramática nas três últimas décadas, com prevalências após enchentes causadas pelas chuvas de veräo. Säo descritas as recentes modificaçöes de seus padröes clínicos em nossa regiäo, constituídas pelo surgimento de angústia respiratória do adulto, ou de ambas associadamente. Essas evidentes mudanças situadas nas estruturas respiratórias despontaram como séria ameaça à vida e como mecanismos de morte, passando a representar entre nós, por sua grande freqüência, a principal causa de óbito na leptospirose. A nova face da doença impöe revisäo dos conceitos sobre sua gravidade e especulaçäo sobre a patogenia dessas alteraçöes. A evoluçäo fatal dos seis pacientes descritos, dois deles sem icterícia e sem insuficiência renal, mostra a grandeza do desafio

Mudanças dos padröes clínicos e anatomopatológicos da leptosprose na cidade do Rio de Janeiro e Grande Rio / Changes of the clinical and anatomopathological standards of leptospirosis in Rio de Janeiro city

A leptospirose humana, antes uma patologia rara na cidade do Rio de Janeiro e Grande Rio, passou a ser progressivamente registrada a partir da década de 1960. Entre 1966 e 1969, quando ocorreram os primeiros surtos epidêmicos regionais, sempre coincidentes com inundaçöes após temporais de veräo, tornou-se mais uma importante endemia em toda essa área. Com surtos epidêmicos maiores ou menores, estabilizou-se como doença endêmica regional, graças ao notável aumento de populaçöes faveladas e à expansäo das cidades para a periferia sem nenhum planejamento urbano, aliados à absoluta falta de controle dos reservatórios. Os clássicos padröes da doença, mantidos até cerca de 1980, passaram a modificar-se, primeiramente em Niterói (endemias mais elevada?) e depois no Rio de Janeiro e adjacências, a partir dos meses subseqüentes à maior epidemia da regiäo (fevereiro/março de 1988), resultante de prolongadas inundaçöes causadas por chuvas torrenciais, com 1.117 casos internados. Esses novos casos, na quase totalidade provenientes das áreas mais alagadas, surgiram com exteriorizaçöes clinicas diferentes, caracterizadas por hemoptises maciças asfixiantes, insuficiência respiratória aguda e síndrome de angústia respiratória do adulto (SARA). Todas estas manifestaçöes têm instalaçäo precoce e constituem-se nas mais importantes causas de morte na leptospirose em nosso meio, configurando aspecto inteiramente desconhecido em nossa prévia experiência clínica. Os critérios de gravidade da doença tiveram que ser revistos e os padröes clínicos e anatomopatológicos definiram-se como novos na regiäo. A origem de tais transformaçöes está provavelmente vinculada a fenômenos imunológicos. Os autores fazem uma ampla revisäo das alteraçöes respiratórias na leptospirose e apresentam alguns exemplos clínicos vistos mais recentemente.

Glicogenose tipo IV: relato de dois casos / Type IV glycogenosis: report of two cases

Alteraçöes histopatológicas do fígado em material de biópsia de duas crianças de sete meses a três anos foram descritas e comparadas com as previamente relatadas na literatura. O diagnóstico foi feito com base nas manifestaçöes clínicas, achados de microscopia óptica e, em um dos casos, nos achados ultra-estruturais

Miopatia alcoólica crônica: estudo das alterações ultraestruturais no músculo gastrocnêmio de camundongos C57 BL10 submetidos à ingestão prolongada de etanol / Chronic alcoholic myopathy: study of ultrastructural changes in the gastrocnemius muscle of mice C57 BL10 underwent prolonged intake of ethanol

Os efeitos do alcoolismo crônico no músculo gastrocnêmio de camundongos bem nutridos foram estudados morfologicamente com a finalidade de se avaliar a hipótese de que o álcool exerce um papel tóxico direto sobre o músculo esquelético. Para este estudo foram usados 30 camundongos C57BL10 machos, adultos jovens que foram divididos em dois grupos: Grupo A (controle) consistindo de 10 camundongos que beberam água e Grupo B (alcoólico) consistindo de 20 camundongos que beberam álcool a 25%. Todos os camundongos em ambos os grupos receberam uma ração balanceada de laboratório. Os animais foram mantidos nesse regimen ad libitum nas mesmas condições ambientais durante 48 horas e foram pesados uma vez por semana. Durante o período experimental dois animais do Grupo A e três animais do Grupo B morreram e não foram substituídos. O consumo diário de dieta e a ingestão calórica foram calculados tendo os animais apresentado um substancial ganho de peso, não mostrando qualquer sinal de desnutrição. Ao final do experimento os animais foram sacrificados para os estudos morfológicos