ABSTRACT Introduction: Although endovascular correction is a promising perspective, the gold-standard treatment for thoracoabdominal aortic aneurisms and type-B dissections with visceral involvement remains open surgery, particularly due to its well-established long-term durability. This study aims to describe and evaluate public data from patients treated for thoracoabdominal aortic aneurism in the Brazilian public health system in a 12-year interval. Methods: Data from procedures performed between 2008 and 2019 were extracted from the national public database (Departamento de Informática do Sistema Único de Saúde, or DATASUS) using web scraping techniques. Procedures were evaluated regarding the yearly frequency of elective or urgency surgeries, in-hospital mortality, and governmental costs. All tests were done with a level of significance P<0.05. Results: A total of 812 procedures were analyzed. Of all surgeries, 67.98% were elective cases. There were 328 in-hospital deaths (mortality of 40.39%). In-hospital mortality was lower in elective procedures (26.92%) than in urgency procedures (46.74%) (P=0.008). Total governmental expenditure was $3.127.051,56 — an average of $3.774,22 for elective surgery and $3.791,93 for emergency surgery (P=0.999). Conclusion: The proportion of urgency procedures is higher than that recommended by international literature. Mortality was higher for urgent admissions, although governmental costs were equal for elective and urgent procedures; specialized referral centers should be considered by health policy makers.

ABSTRACT Objective Despite the development of endovascular procedures, open repair remains the gold standard for the treatment of aortic thoracoabdominal aneurysms and some type B dissections, with well-established good outcomes and long-term durability at high-volume centers. The present study described and analyzed public data from patients treated in the public system in a 12-year interval, in a city where more than 5 million inhabitants depend on the Public Health System. Methods Public data from procedures performed between 2008 and 2019 were extracted using web scraping techniques. The variables available in the database include sex, age, elective or emergency hospital admission, number of surgeries, in-hospital mortality, length of stay, and information on reimbursement values. Results A total of 556 procedures were analyzed. Of these, 60.79% patients were men, and 41.18% were 65 years of age or older. Approximately 60% had a residential address registered in the municipality. Of all surgeries, 65.83% were elective cases. There were 178 in-hospital deaths (mortality of 32%). In the elective context, there were 98 deaths 26.78% versus 80 deaths (42.10%) in the emergency context (p=0.174). Mortality was lower in the hospitals that performed more surgeries. A total of USD 3,038,753.92 was paid, an average of USD 5,406.95 for elective surgery and USD 5,074.76 for emergency surgery (p=0.536). Conclusion Mortality was no different between groups, and hospitals with higher volume presented more favorable outcomes. Specialized referral centers should be considered by health policy makers.

RESUMO A lagarta-parda do eucalipto, Thyrinteina arnobia (Stoll, 1782) (Lepidoptera: Geometridae), vem sendo relatada de forma significativa em povoamentos florestais. A importância econômica de Thyrinteina arnobia para o setor florestal na atualidade evidencia a necessidade da consolidação do Manejo Integrado de Pragas Florestais (MIP Floresta), incluindo métodos de monitoramento e controle através de semioquímicos, como o emprego de feromônios. Os compostos químicos voláteis (COVs) em substâncias cuticulares de insetos podem contribuir na regulação da interação entre os indivíduos, sendo objeto de estudo da ecologia química. Dessa forma, objetivou-se realizar uma prospecção dos compostos orgânicos voláteis (COVs) cuticulares em Thyrinteina arnobia e avaliar o papel desses compostos como possíveis feromônios de curta distância. Para o estudo químico de substâncias feromonais, foi realizada a extração de compostos cuticulares (asas e pernas) em Thyrinteina arnobia de machos e fêmeas. Os extratos obtidos foram analisados por cromatografia gasosa com detector de ionização de chamas (GC-FID). Foi realizado um espectro de ação por meio da eletroantenografia acoplada à cromatografia gasosa (CG-EAG) dos extratos de asas e pernas de fêmeas virgens sobre a antena de machos de Thyrinteina arnobia. Contudo, não foi possível observar diferença significativa nas respostas das antenas de machos a nenhum dos estímulos oferecidos. Assim, é possível inferir que Thyrinteina arnobia não faz uso de compostos cuticulares para reconhecimento a curta distância, sendo necessários estudos complementares de comportamento sexual, incluindo observação de corte e cópula.

ABSTRACT The eucalyptus brown caterpillar, Thyrinteina arnobia (Stoll, 1782) (Lepidoptera: Geometridae), has been significantly reported in forest stands. The economic importance of Thyrinteina arnobia for the forestry sector today highlights the need to consolidate the Forest Integrated Pest Management (Forest IPM), including methods of monitoring and control through the use of semiochemicals, such as pheromones. Volatile chemical compounds (VOCs) in cuticular substances from insects, may contribute to the regulation in interaction between individuals, as object of study for chemical ecology. Thus, it was aimed the prospection for cuticular volatile organic compounds (VOCs) in Thyrinteina arnobia and the evaluation of the role of these compounds as possible short-distance pheromones for the species. For the study of pheromone chemical substances, cuticular compounds were extracted from wings and legs of Thyrinteina arnobia.The selected extracts were analyzed by gas chromatography with flame ionization detector (GC-FID). An action spectrum was carried out by electroantenography coupled to gas chromatography (GC-EAG) of wings and legs extracts from virgin female upon Thyrinteina arnobia male antenna, however, it was not possible to observe significant differences at the responses of the male antennae to any of the offered stimuli. Therefore, it is possible to infer that Thyrinteina arnobia does not use cuticular compounds for short distance recognition, thus complementary studies of sexual behavior, including observation of courtship and copulation are needed.

ABSTRACT The phosphorus (P) rates recommended for corrective fertilization-P of soils from southern Brazil may be insufficient to reach the critical level for optimal plant growth. This study aimed to quantify the fertilizer-P rates for total correction fertilization with varying soil buffering capacity in the states of Rio Grande do Sul (RS) and Santa Catarina (SC). Soil samples from 0.00-0.10 and 0.10-0.20 m layers were collected from 41 locations distributed in both states. Twelve P rates were applied to each soil, varying between 0 and 100 % of the maximum adsorption capacity (P-max), and incubated for 20 days. After incubation, the extractable P was determined by Mehlich-1. Based on the relationship between applied rates and extracted P, the P buffer capacity (trP_M1) of the soils was quantified, relating it to soil properties. The trP_M1 values, that is, amounts of P2O5 required to increase 1 mg dm-3 of P extracted by Mehlich-1, varied between 2.4 and 34.5 kg ha-1 of P2O5. A multiple explanatory equation for the variable P was generated, in which only P-max, clay content, and initial P availability have a significant effect. The P buffer capacity was significantly higher in the soils with the highest clay content, and there was a reduction in trP_M1 for soils with higher initial P availability. Considering 270 soil samples with low P, the P rate to reach the sufficient levels may be 2-folds higher than the values currently indicated for the RS and SC states, especially for soils with more than 40 % of clay. Phosphorus rates for corrective fertilization must be based on the soil clay content and in P initial availability. The fertilizer-P in clayey soils must be increased.

RESUMO Objetivo: Avaliar a dose de radiação recebida pela equipe cirúrgica em cirurgias de coluna, incluindo entre aqueles que não são considerados trabalhadores com exposição ocupacional. Método: Todas as cirurgias de coluna realizadas num mesmo departamento num período de 12 meses foram avaliadas quanto à exposição dos cirurgiões, enfermeiros/instrumentadores e auxiliares trabalhando na sala cirúrgica à radiação do fluoroscópio tipo “C-arm”. A radiação foi medida por 15 dosímetros de filme posicionados nas lapelas, luvas dos profissionais e também em pontos padronizados da sala. Os filmes foram analisados no laboratório de dosimetria em coleções por período. Resultados: Durante 12 meses, 81 cirurgias de coluna foram realizadas pela mesma equipe, e cada cirurgia durou entre 1 e 6 horas. A dose total de radiação variou de 0,16 mSv a 2,29 mSv dependendo do local de mensuração. O local com maior exposição foi o punho do cirurgião principal. Conclusão: Os resultados mostraram que nas cirurgias de coluna no nosso serviço, as doses de radiação foram baixas e dentro dos limites legais. Porém, o treinamento dos profissionais é essencial para a proteção contra a radiação dos profissionais de saúde e seus pacientes. Nível de evidência I/b, estudo de coorte exploratório.

ABSTRACT Objective: To evaluate the radiation dose received by staff in spine surgeries, including those who are not considered occupationally exposed workers. Methods: All spinal surgeries performed in the same department during a period of 12 months were evaluated with regard to the exposure of surgeons, scrub nurses, and auxiliary personnel working in the operating room to radiation from C-arm fluoroscopy. Radiation was measured by 15 film badge dosimeters placed on the professionals’ lapels, gloves, and room standardized sites. The films were analyzed in the dosimetry laboratory by collections per period. Results: During the 12 months, 81 spinal surgeries were performed by the same team, with surgical times ranging from 1 to 6 hours. The total radiation dose ranged from 0.16 mSv to 2.29 mSv depending on the dosimetry site. The most exposed site was the wrist of the main surgeon. Conclusion: The results showed that in the spinal surgeries in our setting, the radiation doses are low and within legal limits. Nevertheless, constant training of professionals is essential for radiation protection of medical staff and patients. Level of evidence I/b, exploratory cohort study.

RESUMO Neste trabalho foram preparadas dispersões aquosas de óxido de grafeno (GO) e óxido de grafeno reduzido (rGO), em diferentes tempos de oxidação, com o objetivo de verificar a influência do tempo de oxidação em relação às características das folhas (flakes) finais. As dispersões de GO foram preparadas pelo método de Hummers modificado utilizando os seguintes tempos de oxidação: 4 h; 1 dia; 3 dias; 7 dias e 10 dias. Em seguida, as dispersões de GO foram submetidas ao tratamento de redução com ácido ascórbico, obtendo-se o rGO. As caracterizações das amostras foram realizadas por meio das análises de espectroscopia Raman, espectroscopia de fotoelétrons excitados por raios X (XPS), microscopia eletrônica de varredura (MEV) e difração de raios X (DRX). A espectroscopia Raman mostrou a variação da relação de intensidade entre as bandas D e G (ID/IG) à medida que o tempo de oxidação foi aumentado. A análise de XPS exibiu a alteração dos percentuais de carbono (C) e oxigênio (O). Através de análise no MEV foi correlacionada a morfologia dos flakes com o aumento do tempo de oxidação. E por fim, com o auxílio de DRX, foi verificada a variação da distância interplanar.

ABSTRACT In this work aqueous dispersions of graphene oxide (GO) and reduced graphene oxide (rGO) were prepared in different oxidation times in order to verify the influence of the oxidation time on the characteristics of the final flakes. GO dispersions were prepared by the modified Hummers method, using the following oxidation times: 4 h; 1 day; 3 days; 7 days and 10 days. Afterwards the dispersions of GO were subjected to the reduction treatment with ascorbic acid, obtaining the rGO. Samples were characterized by Raman spectroscopy, X-ray photoelectron spectroscopy (XPS), scanning electron microscopy (SEM) and X-ray diffraction (XRD). Raman spectroscopy showed the variation of the intensity ratio between the D and G bands (ID / IG) as the oxidation time was increased. The XPS analysis indicated the alteration of the percentages of carbon (C) and oxygen (O). The SEM analysis correlated the morphology of the flakes with the increase of the oxidation time. Finally, with the aid of XRD, the variation of the interplanar distance was verified.

OBJECTIVES: A duplex ultrasound study was performed to investigate morphological and hemodynamic patterns of carotid stenoses treated by endarterectomy with patch closure versus stenting. MATERIALS AND METHOD: Twenty-nine carotid stenoses were treated with stenting and 65 with patch closure. Duplex ultrasound parameters (luminal diameter, mm; peak systolic velocity and end-diastolic velocity, cm/s) were measured 24 hours after the procedures and also at 12 months post-procedure. Residual stenoses (immediately postprocedure) and restenoses (within 12 months of procedure) were defined as narrowings of >50% on duplex ultrasound examination. RESULTS: In stented patients, the luminal diameter of the proximal internal carotid artery increased in the interval between the 24-hour and 12-month post-procedure studies, while in the patch closure patients, the diameter decreased. Carotid hemodynamics normalized immediately after both patching and stenting and remained relatively stable thereafter up to 12 months. No statistically elevated flow velocities (in the absence of residual stenosis or restenosis) were observed in the patched or stented carotid arteries. No significant differences in residual stenosis rates were observed between the stenting group (3 cases, 10.34%) and the patch closure group (1 case, 1.53%, P = 0.08). At 12 months, 2 stenting patients (6.88%) and 2 patch closure patients (3.07%) had $50% restenosis (P = 0.58). One case of late stroke due to restenosis was observed in the stenting group; the patient died 12 months postoperatively, before receiving new intervention. CONCLUSION: Measurements over time in luminal diameter signalized differences in arterial remodeling mechanisms between patched and stented carotids. Both stenting and patch closure were associated with carotid patency and flow restoration. This study does not support a general approach to new velocity criteria indiscriminately applied to stented or patched carotids.

INTRODUÇÃO: Mucocele do apêndice (MA) é uma lesão rara, caracterizada pelo acúmulo de secreção mucoíde em sua luz. Diagnóstico precoce é fundamental para evitar o extravasamento de secreção mucoíde na cavidade peritoneal, causando pseudomixoma peritoneal. RELATO DE CASO: Paciente sexo masculino, 62 anos com história de dor abdominal em fossa ilíaca direita há cerca de 6 meses. Realizou uma ultra-sonografia do abdome que evidenciou no flanco direito pequena estrutura cística compatível com MA. Colonoscopia, exames laboratoriais e dosagem do CEA encontravam-se sem alterações. O paciente foi submetido à laparotomia exploradora com ressecção do apêndice e do seu meso em monobloco. O exame histológico mostrou tratar-se de cistoadenoma do apêndice vermiforme. O paciente evoluiu sem intercorrências. DISCUSSÃO: A MA é um achado raro. As principais causas patológicas incluem cisto de retenção, mucocele secundária a epitélio hiperplásico, cistoadenomas e cistoadenocarcinomas. A doença é geralmente assintomática e o diagnóstico pré-operatório é raro. O tratamento para mucocele do apêndice é cirúrgico e a preocupação principal do cirurgião é evitar o extravasamento do conteúdo da mucocele na cavidade abdominal. CONCLUSÃO: A MA é uma entidade incomum e com alto potencial de complicação, usualmente curável com tratamento cirúrgico adequado.

INTRODUCTION: Appendiceal mucocele (AM) is a rare lesion that is characterized by an appendiceal lumen distended with mucus. Early diagnosis and prompt surgical intervention are mandatory to prevent spillage of the mucinous content into the peritoneal cavity, causing pseudomyxoma peritonei. CASE REPORT: A 62-year-old male was presented with a 6-months history of recurrent right lower quadrant abdominal pain. Ultrasonography showed a lesion in the right lumbar region compatible with AM. Colonoscopy, routine laboratory tests and CEA were normal. The patient underwent an appendectomy and complete excision of the cystic lesion. Pathologic examination revealed a mucinous cyst adenoma of appendix. The patient was symptom free after treatment. DISCUSSION: AM is a rare condtion. Mucoceles are histologically subdivided into retention mucocele, mucocele secondary a hiperpalsic epithelium, mucinous cystadenoma and mucinous cystadenocarcinoma. This disease is often asymptomatic and pre-operative diagnosis is rare. The treatment is essentially surgical and the surgeon need to avoid spillage of the mucinous content into the peritoneal cavity. CONCLUSION: AM is an uncomum entity and with high pontential of complication, usually curable with adequate surgical aproach.

A criação de unidades de conservação tem sido a principal estratégia para preservar a biodiversidade. O recente emprego de técnicas como o sensoriamento remoto e a otimização matemática, aliados a dados biológicos, ajudam a definir as áreas prioritárias para conservação, indicando a representação máxima da biodiversidade com base em medidas de complementaridade. O presente trabalho objetivou selecionar áreas de interesse ecológico, com base na heterogeneidade de hábitats, através da integração de imagens de satélite com dados biológicos, em Cocalinho, MT. As 66 parcelas quadradas estabelecidas foram comparadas com base na heterogeneidade e na representatividade mínima (ha) dos ambientes em cada parcela, através do programa SITES. O parque de cerrado é a fitofisionomia predominante em Cocalinho (38,44%). A região central do município concentrou o maior agrupamento de parcelas, indicando a maior heterogeneidade de hábitats do local. Oficialmente, 6% da área total do município estão protegidos em duas unidades de conservação na categoria de Refúgios de Vida Silvestre. Esses refúgios foram demarcados em locais com cobertura vegetal homogênea e sem considerar a composição faunística e florística. O modelo usado neste estudo pode ser uma boa abordagem a ser empregada no processo de indicação de novas unidades de conservação no bioma Cerrado ou em outros biomas do Brasil.

The creation of conservation areas has been a major strategy for biodiversity conservation. The recent use of techniques such as remote sensing and the optimization of mathematics contribute to the identification of priority areas for conservation through the use of biological data. Thus, maximal representativeness of biodiversity based on measures of complementarity can be achieved. This study aimed to identify areas of ecological importance in the municipality of Cocalinho, Mato Grosso. The selection was based on habitat heterogeneity, through the integration of satellite images and biological information. A total of 66 quadrats (parcels) were established and compared in relation to: 1) habitat heterogeneity, and 2) the minimal representativeness (ha) of vegetation types within each parcel. The analyses were done using the SITES program. The parque de cerrado is the dominant phytophysiognomy in Cocalinho. Parcels were concentrated in the central region of this municipality, indicating its high habitat heterogeneity. Northwards, the landscape is more homogenous due to the dominance of vegetation. In the southern portion, the land occupation is evidence of the expansion of the agriculture frontier in this region. Officially, 6% of this municipality area is protected in two wildlife refuges. In the SITES selection, these reserves were included only within representativeness of smaller size, when a parcel was attributed as a conservation unit. These reserves were established in areas of homogeneous vegetation cover and were not established taking floristic and faunal data into account. The model used in this study can be a promising approach for indicating conservation areas in Cerrado and in other Brazilian biomes.

O objetivo do presente estudo foi analisar freqüências alélicas e genotípicas para o gene codificador da cadeia beta do fibrinogênio em pacientes com doença arterial periférica (DAP). Foram estudados 44 pacientes caucasóides do sexo masculino com sintomas clínicos e comprovação angiográfica de DAP, com idade entre 38 e 79 anos (62±8,6 anos). Entre eles, 22 apresentaram obstrução aterosclerótica nas artérias ilíacas, femorais e/ou carótidas e 22 tinham aneurisma de aorta torácica, abdominal ou tóraco-abdominal. O grupo controle foi constituído por 56 indivíduos, sem história clínica de DAP ou alterações ao exame clínico, com idades variando de 43 a 80 anos (59±9,2 anos). Foram excluídos os indivíduos com doença renal, doença hepática ou diabetes mellitus. A análise do polimorfismo genético da cadeia do fibrinogênio foi realizada por PCR (polimerase chain reaction) e RFLP (restriction fragment lenght polimorphism) com a endonuclease Bcl I, identificando-se três genótipos: B1/B1, B1/B2 e B2/B2. A análise estatística incluiu teste exato de Fisher, calculo do odds ratio, teste de Kruskal Wallis e análise de variância (ANOVA). Admitiu-se erro a igual a 5%, com nível de significância para P<0,05. O alelo B1 foi o mais prevalente em pacientes e controles (0,819 e 0,857, respectivamente; P=0,5605), com prevalência do genótipo B1/B1 nos pacientes (65,9%) e controles (71,4%; P=0,6639), seguido de B1/B2 (31,8; 28,6%, respectivamente; P=0,8268). Em conclusão, DAP, independente do tipo de lesão obstrutiva ou aneurismática, apresenta-se indiferente ao polimorfismo Bcl I do fibrinogênio, portanto, sem influência dos alelos B1 e B2 para fibrinogênio e seus respectivos genótipos na doença.

The objective of this study was to analyze the frequencies of the alleles and genotypes of the gene encoder of the fibrinogen b-chain in patients suffering from peripheral artery disease. A total of 62 male Caucasoid patients with ages varying from 38 to 79 years old were studied. All the patients had clinical symptoms of peripheral artery disease, which was later confirmed by angiography. Forty of the patients had atherosclerotic obstructions of the iliac, femoral or carotid arteries and 22 suffered from aneurysms of the thoracic, abdominal or thoracoabdominal aortas. All the patients were submitted to surgery. A control group was formed of 62 individuals, with ages ranging from 43 to 80 years old, without clinical histories or alterations in their clinical examinations of peripheral artery disease. Individuals with renal disease, liver disease or diabetes mellitus were excluded. Analysis of the fibrinogen b-chain was performed using polymerase chain reaction and restriction fragment length polymorphism with Bcl I endonuclease. Three genotypes, B1/B1, B1/B2 and B2/B2 were identified. Statistical analysis was made using the Fisher Exact test, odds ratio, Kruskal-Wallis test and variance analysis (ANOVA). A p-value = 0.05 was considered significant. The B1 allele was the most prevalent in both patients and the control group (0.819 and 0.857, respectively), with prevalence of the B1/B1 genotype in patients and controls (65.9% vs. 71.4% respectively), followed by B1/B2 (31.8% vs. 28.6% respectively). No significant difference was observed in relation to the Bcl I polymorphisms of the fibrinogen b-chain and obstructive and aneurysmal peripheral artery disease. In conclusion, the B1 and B2 polymorphisms of the fibrinogen b-chain and their respective genotypes do not have any influence in peripheral artery disease.

O tratamento de lesões arteriais íntimais de origem traumática é controversa pela sua evolução natural ser desconhecida. As opções terapêuticas atuais incluem reconstrução arterial e observação clínica. A idéia da utilização de "stents" para a correção de descolamentos intimais é baseada no seu uso em dissecções, "flaps" e irregularidades da artéria após angioplastia com balão. Descrevemos o tratamento bem sucedido de um descolamento de íntima da artéria femoral superficial causado por ferimento de arma de fogo com a utilização de um "stent" de Palmaz na fase aguda. Um ano após a implantação do "stent", o duplex scan mostrou fluxo normal pela artéria com a exclusão completa do descolamento de íntima, com pulsos distais palpáveis e com o paciente completamente assintomático.

Treatment of arterial traumatic intimal lesions is controversial due to its unknown natural history. Current therapeutical options include arterial reconstruction and clinical observation. The idea of using stents to correct intimal flaps is based on their use to correct dissections, flaps, and arterial irregularities after angioplasty. We report the successful treatment of a traumatic intimal flap of the superficial femoral artery, caused by gunshot trauma, with a Palmaz stent in the acute period. One year after the operation, a duplex scan revealed normal flow in the artery and complete exclusion of the intimal flap; distal pulses were palpable, and the patient was completely asymptomatic.