Resumo Objetivo Avaliar os resultados obtidos do tratamento cirúrgico das fraturas maleolares do tornozelo associadas a lesão da sindesmose tibiofibular distal (STFD) submetidas a procedimento cirúrgico convencional de fixação da fratura e fixação da STFD pelo suture button (SB). Métodos Avaliou-se retrospectivamente 49 pacientes com uma média de idade de 45 anos e seguimento médio de 34,1 meses. A avaliação clínica e funcional foi baseada na escala visual analógica (EVA) e na escala American Foot and Ankle Society Score (AOFAS, na sigla em inglês) para tornozelo e retropé, retorno às atividades da rotina e retorno ao esporte. Resultados As médias pós-operatórias das escalas AOFAS e EVA foram, respectivamente, 97,06 (índice de confiança [IC 95%: 95,31 - 98,81] e 0,16 [IC 95% 0,04 - 0,29]. Todos os pacientes retornaram às atividades prévias do cotidiano, sendo que apenas 12 apresentaram algum sintoma residual. Não se verificou instabilidade pós-operatória em nenhum paciente. Ao todo, 46 pacientes retornaram às atividades desportivas e, destes, apenas 1 não retornou ao nível prévio à lesão. Apenas dois pacientes apresentaram alterações relacionadas ao SB. Não houve relato de insatisfação. Conclusão Em fraturas maleolares do tornozelo com lesão da STFD, a fixação da sindesmose com o SB demonstrou excelentes resultados pós-operatórios. Nível de Evidência IV, série de casos retrospectiva.

Abstract Objective To evaluate the results obtained from the surgical treatment of malleolar ankle fractures associated with distal tibiofibular syndesmosis (DTFS) injury submitted to conventional surgical procedure for fracture fixation and DTFS fixation by suture button (SB). Methods Forty-nine patients were retrospectively evaluated, with a mean age of 45 years old and a mean follow-up of 34.1 months. Clinical and functional evaluation was based on the visual analogue scale (VAS) and on the American Foot and Ankle Society Score (AOFAS) for ankle and hindfoot, return to routine activities, and return to sport. Results The postoperative mean AOFAS and VAS were, respectively, 97.06 (confidence interval [CI 95%: 95.31-98.81] and 0.16 [CI 95% 0,04 - 0,29]. All patients returned to previous daily activities, and only 12 showed some residual symptom. There was no postoperative instability in any patient. Forty-six patients returned to sports activities and, of these, only 1 did not return to the level prior to the injury. Only two patients presented SB-related alterations. There was no report of dissatisfaction. Conclusion In malleolar fractures of the ankle with DTFS injury, the fixation of syndesmosis with SB demonstrated excellent postoperative results. Level of Evidence IV, retrospective case series.

RESUMO Objetivo: comparar o uso de solução alcoólica de clorexidina 0,5% e de álcool 70% na antissepsia da pele para bloqueios do neuroeixo. Método: ensaio clínico randomizado de não inferioridade, com dois braços paralelos. Foram selecionados 70 pacientes candidatos à bloqueio do neuroeixo, randomicamente alocados para o grupo A (n=35), em que a antissepsia foi realizada com clorexidina alcoólica 0,5%, ou para o grupo B (n=35), em que se utilizou álcool etílico hidratado 70%. Foram coletadas, com swab, amostras para cultura em três momentos: antes da antissepsia, dois minutos após aplicação do antisséptico, e imediatamente após a punção. As amostras foram semeadas em três meios de cultura e foi contabilizado o número de unidades formadoras de colônias (UFC) por cm². Resultados: não houve diferença entre os grupos quanto à idade, ao sexo, ao índice de massa corporal, ao tempo para realização do bloqueio ou tipo de bloqueio. Também não houve diferenças entre os grupos na contagem de UFC/cm² antes da antissepsia. Constatou-se menor crescimento bacteriano no grupo B dois minutos após aplicação do antisséptico (p=0,048), mas não houve diferença entre os grupos quanto ao número de UFC/cm² ao final da punção. Conclusão: o álcool 70% mostrou-se mais efetivo em reduzir o número de UFC/cm² após dois minutos, e não houve diferença entre os dois grupos quanto à colonização da pele ao final do procedimento. Esses resultados sugerem que o álcool 70% pode ser opção para antissepsia da pele antes de bloqueios do neuroeixo. Registro ensaio clínico: ClinicalTrials.gov, NCT02833376.

ABSTRACT Objective: to compare the use of 0.5% alcoholic chlorhexidine and 70% alcohol in skin antisepsis for neuraxial blocks. Method: this is a non-inferiority randomized clinical trial, with two parallel arms. Seventy patients who were candidates for neuraxial block were randomly allocated to group A (n = 35), in whom antisepsis was performed with 0.5% alcoholic chlorhexidine, or to group B (n = 35), in whom we used 70% hydrated ethyl alcohol. Swabs were harvested for culture at three times: before antisepsis, two minutes after application of the antiseptic, and immediately after puncture. The samples were sown in three culture media and the number of colony forming units (CFU) per cm² was counted. Results: there was no difference between the groups regarding age, sex, body mass index, time to perform the block or type of block. There were no differences between groups in the CFU/cm² counts before antisepsis. There was less bacterial growth in group B two minutes after application of the antiseptic (p = 0.048), but there was no difference between the groups regarding the number of CFU/cm² at the end of the puncture. Conclusion: 70% alcohol was more effective in reducing the number of CFU/cm² after two minutes, and there was no difference between the two groups regarding skin colonization at the end of the procedure. These results suggest that 70% alcohol may be an option for skin antisepsis before neuraxial blocks. Trial registration: ClinicalTrials.gov, NCT02833376.

Abstract Despite rapid advances in both the early detection and treatment of cancer, the mortality from this disease remains high, which justifies the development of new products that are more selective and effective and have fewer side effects. Accordingly, a novel ester was synthesized that contains two pharmacophores with important biological activities: (I) 4-aminoantipyrine, which has anti-inflammatory and antioxidant effects, and (II) the pharmacophore 1,4-dioxo-butenyl, which has cytotoxic activity. When administered alone, this compound is non-genotoxic, and it does not cause an increasing in splenic phagocytosis. Nevertheless, it can induce cell death. When administered in combination with commercial chemotherapeutic agents, such as doxorubicin, cisplatin, and cyclophosphamide, the ester shows antigenotoxic activity and decreases phagocytosis and reduces the potential to cause cell death. These results indicate that the compound should not be used in combination with chemotherapeutic agents that exert their effect through DNA damage, an important feature of antitumor drugs.

Abstract The increased incidence of cancer and its high treatment costs have encouraged the search for new compounds to be used in adjuvant therapies for this disease. This study discloses the synthesis of (Z)-4-((1,5-dimethyl-3-oxo-2-phenyl-2,3dihydro-1H-pyrazol-4-yl) amino)-4-oxobut-2-enoic acid (IR-01) and evaluates not only the action of this compound on genetic integrity, increase in splenic phagocytosis and induction of cell death but also its effects in combination with the commercial chemotherapeutic agents doxorubicin, cisplatin and cyclophosphamide. IR-01 was designed and synthesized based on two multifunctionalyzed structural fragments: 4-aminoantipyrine, an active dipyrone metabolite, described as an antioxidant and anti-inflammatory agent; and the pharmacophore fragment 1,4-dioxo-2-butenyl, a cytotoxic agent. The results indicated that IR-01 is an effective chemoprotector because it can prevent clastogenic and/or aneugenic damage, has good potential to prevent genomic damage, can increase splenic phagocytosis and lymphocyte frequency and induces cell death. However, its use as an adjuvant in combination with chemotherapy is discouraged since IR-01 interferes in the effectiveness of the tested chemotherapeutic agents. This is a pioneer study as it demonstrates the chemopreventive effects of IR-01, which may be associated with the higher antioxidant activity of the precursor structure of 4-aminoantipyrine over the effects of the 1,4-dioxo-2-butenyl fragment.

Abstract Cardanol is an effective antioxidant and is a compound with antimutagenic and antitumoral activity. Here, we evaluated the genotoxic and mutagenic potential of saturated side chain cardanol and its effects in combination with cyclophosphamide in preventing DNA damage, apoptosis, and immunomodulation. Swiss mice were treated with cardanol (2.5, 5 and 10 mg/kg) alone or in combination with cyclophosphamide (100 mg/kg). The results showed that cardanol is an effective chemopreventive compound, with damage reduction percentages that ranged from 18.9 to 31.76% in the comet assay and from 45 to 97% in the micronucleus assay. Moreover, cardanol has the ability to reduce the frequency of apoptosis induced by cyclophosphamide. The compound did not show immunomodulatory activity. A final interpretation of the data showed that, despite its chemoprotective capacity, cardanol has a tendency to induce DNA damage. Hence, caution is needed if this compound is used as a chemopreventive agent. Also, this compound is likely not suitable as an adjuvant in chemotherapy treatments that use cyclophosphamide.

An on-line method for Cd and Pb pre-concentration and simultaneous determination in acid digested seafood by inductively coupled plasma optical emission spectrometry (ICP OES) was developed. The on-line pre-concentration was based on the complex formation of the analytes with the ammonium salt of O,O-diethyldithiophosphate (DDTP) and using the Amberlite XAD-4 resin as a solid support in a homemade column. Different conditions of the flow injection system, such as solutions flow rates, nebulizer pressure and eluent concentration were optimized. Three certified reference materials of lobster hepatopancreas, dogfish liver and fish protein, three samples of fish muscle and three samples of shrimp were digested with HNO3, H2O2 and H2SO4 in a microwave system under reflux. DDTP was added in the solutions obtained, and the mixture was injected in the FI system. Calibration curves for Cd and Pb were obtained using the standard solutions in the concentration range 0.05-0.5 µg mL-1 in the digestion medium, submitted to the same pre-concentration procedure. The quantification limits (3.3 x LOD) for 5 min of pre-concentration time were 0.005 mg kg-1 Cd2+ and 0.1 mg kg-1 Pb2+ in the sample of fish or shrimp in natura, considering 1.0 g of the sample in a final volume of 50 mL. The agreement of the obtained concentrations with the certified ones (Student t-test, 95% confidence) and the recoveries of spiked real samples, from 90 to 120%, demonstrated good accuracy. Precision was also adequate, with relative standard deviations from 2 to 13%. The method was accurate, precise and certainly could be applied to the digested samples of different natures.

A method for evaluating inorganic constituents in the grass by ICP OES is proposed. The samples were digested with nitric acid plus hydrogen peroxide in a microwave system. Seventeen samples were collected in the metropolitan area of Curitiba and Castro in the Paraná State, Brazil. The following elements were studied: Al, As, Ba, Ca, Cd, Co, Cr, Cu, Fe, K, Mg, Mn, Mo, Na, Ni, P, Pb, Sb, Se and Zn. The linear coefficients of the curves were higher than 0.999 and the precision, expressed as the relative standard deviation, which was below 10%, being considered adequate. The accuracy was validated by using the recovery test (recoveries from 80 to 107%) and by the analysis of botanical certified materials. For one sample, two other digestion procedures, using two different mixtures of nitric and hydrochloric acids, produced results in agreement with the adopted procedure. Eleven out of the twenty studied elements could be quantified in real samples. High concentrations of Ca, K, Mg and P, the essential elements for bovines and other animals, were found. The results were evaluated using the principal component analysis that gathered the samples in three groups, according to the areas where the plants were grown.

Diverticulite jejunal é doença rara que acomete principalmente os idosos. Os sintomas e sinais clínicos são inespecíficos, fato que dificulta e retarda o diagnóstico. A tomografia computadorizada é muito valiosa na definição do diagnóstico. Neste relato será apresentado um caso de diverticulose jejunal complicada com diverticulite aguda perfurada bloqueada, assim como uma discussão breve sobre diverticulite jejunal e suas complicações.

Jejunal diverticulitis is a rare disease that primarily affects the elderly. Clinical signs and symptoms are nonspecific, a fact that complicates and delays the diagnosis. Computed tomography is very valuable in defining the diagnosis. The present report describes a case of jejunal diverticulosis complicated with acute perforated obstructive diverticulitis, and presents a brief discussion on jejunal diverticulitis and its complications.

Dois ensaios foram conduzidos simultaneamente a campo entre os anos de 1998 e 2005, em um Latossolo bruno, no sul do Brasil. O objetivo foi avaliar o efeito de estratégias de aplicação de adubo mineral de semeadura sobre a produtividade de milho, soja e feijão, bem como sobre o acúmulo inicial de matéria seca no milho, em uma rotação de culturas e no sistema plantio direto. A ausência de aplicação de fósforo e potássio por sete anos não diminuiu a produtividade da soja, mas a aplicação destes nutrientes e nitrogênio aumentou a produtividade de milho e feijão. Para soja, milho e feijão, sob sistema plantio direto e altos teores de fósforo e médios de potássio, a adubação de semeadura pode ser realizada de todas as formas avaliadas e em qualquer época considerada. A presença ou não de potássio no sulco, as fontes de fósforo e os mecanismos sulcadores proporcionaram produtividades semelhantes de milho, soja e feijão.

Two research fields were conducted on a Haplohumox from 1998 and to 2005. The study aimed to evaluate the strategies for starter fertilizer application on corn, soybean and common bean yield as well as the accumulation of earlier dry matter for corn in a no-tillage crop rotation system in south of Brazil. There was no increase in the yield of soybean with phosphorus and potassium application for at least seven seasons, while corn and common bean showed increased yields with phosphorus, potassium and nitrogen application. For soybean, corn and common beans in no-tillage systems with high levels of phosphorus and medium of potassium, the starter fertilizer can be applied in any of the methods evaluated and in any of the period considered. The presence or absence of potassium in the furrow, phosphorus sources and row preparation components provided similar yields to corn, soybean and common bean.

The construction of maps of social networks is shown based in the Journal of Documentation during the period 1988-2005. The analysis is made by: (i) authors that produce the most within the publication, (ii) authors with the greatest centrality and frequency in quotes received, (iii) the documents with the highest number of citations during the period, and (iv) the journals most used in the consumption of information. 681 entries were retrieved, which were divided into 288 book reviews, 172 journal articles, 14 editorial materials, 12 article reviews, 9 reprints and 2 bibliographic items. The bibliographic information of the Institute for Scientific Information (ISI) was the original source for the treatment of the data and the program used was CiteSpace, which automatically generates the maps of relationships.

Se estudia la construcción de mapas de redes sociales utilizando como estudio de caso la revista Journal of Documentation en el periodo que va de 1988 al 2005. Se analizan (i) los autores que tienen mayor producción científica dentro de la publicación, (ii) los autores que alcanzan mejor centralidad y la mayor de frecuencia de co-citaciones recibidas, (iii) los documentos que tienen mayor número de citaciones en el periodo, y (iv) las revistas más utilizadas en el consumo de información. Fueron recuperados 681 documentos, divididos en 288 reseñas de libro, 172 artículos de revista, 14 materiales editoriales, 12 revisiones de artículos, 9 reimpresiones y 2 artículos bibliográficos. Mientras que la información bibliográfica del paquete del Institute for Scientific Information (ISI) sirvió como fuente original, para el tratamiento de los datos se utilizó el programa CiteSpace, que genera los mapas de relaciones automáticamente.

Adubo em sulco de semeadura nem sempre aumenta a produtividade de culturas anuais, contudo aumenta a variabilidade química das áreas agrícolas, especialmente dos nutrientes P e K. Essa variabilidade é maior no sistema plantio direto por não haver homogeneização da camada superficial pelo preparo mecânico. Neste trabalho, avaliou-se, em um Latossolo Bruno, por longo período sob plantio direto, o efeito de estratégias de aplicação de adubo sobre a distribuição de alguns atributos químicos do solo em profundidade após três e seis anos do início do experimento e sobre a variação desses atributos em função de dois métodos de coleta de amostras de solo, com e sem inclusão da linha de semeadura. Foram feitos dez tratamentos, nove contemplando fontes de P (fosfato natural e superfosfato triplo - STP), mecanismos sulcadores (disco duplo e haste), formas (sulco e superfície) e épocas (inverno e verão) de aplicação de adubo de semeadura e um tratamento controle, sem adubação. Os atributos químicos do solo foram maiores nas camadas superficiais e sua distribuição em profundidade, com exceção do P, não foi alterada pelas estratégias de adubação. O teor de P foi menor na profundidade de 0-5 cm com o uso contínuo, por mais de três anos, do sulcador tipo haste e com a ausência de adubação. Com a inclusão da linha de semeadura na amostragem, foram observados maiores teores de K e Ca e maiores valores de CTC. Os métodos de coleta de amostras de solo, com e sem inclusão da linha de semeadura, e as profundidades de coleta 0-10 e 0-20 cm foram semelhantes quanto à interpretação dos resultados das análises para recomendação de adubação e calagem para áreas sob sistema plantio direto, por longo período.

Fertilizer application in the sowing rows does not necessarily increase crop yields, but it does increase the variability of the soil chemical properties, particularly of the nutrients P and K. This variability is greater in the no-tillage system because there is no homogenization of the soil surface layer. This study evaluated the effect of fertilization strategies on soil chemical properties at distinct soil depths after three and six years from the beginning of the experiment in a Haplohumox under long-term no-tillage. Besides, the variation of these properties considering two methods of soil sampling, with and without inclusion of the seeding row, was evaluated. Ten treatments were applied, nine considering P sources (rock phosphate and triple superphosphate), row preparation equipment (double disc opener and coulter opener), fertilizer placement (in-row and broadcast), time of application (summer and winter) and one control treatment, without fertilizer. The measured soil chemical properties were higher in the surface layers and depth distribution, except for P, was not influenced by the fertilization strategies. The soil P values were the lowest in the 0-5 cm layer where the coulter opener equipment had been continuously used for more than three years and no fertilizer was applied. With the inclusion of the sowing row in the soil sampling, higher K, Ca and CEC values were observed. The methodologies of soil sampling, with and without the inclusion of the sowing row and the 0-10 and 0-20 cm sampling layers resulted in similar fertilizer and lime recommendations for areas under long-term no-tillage.

A espécie Heilipus odoratus Vanin & Gaiger, 2005 (Coleoptera, Curculionidae, Molytinae) é considerada o principal inseto-praga de frutos de Pau-rosa (Aniba rosaeodora, Ducke, Lauraceae). Recentemente descrita, pouco se conhece sobre seus aspectos biológicos, tendo este trabalho como objetivo contribuir para o estudo comportamental da espécie, como também fornecer técnicas de sexagem de indivíduos adultos, a partir da estridulação. Para tanto, dividiu-se os indivíduos em dois grupos, os que estridulavam e os que não estridulavam, e estes foram dissecados e a ocorrência de estridulação associada ao sexo de cada indivíduo. Do total de indivíduos observados, a maioria dos machos (92,2%, N = 115) emitiu som por estridulação, sendo dotados de órgãos estridulatórios na face interna posterior de seus élitros e no penúltimo tergito, enquanto que a totalidade das fêmeas (N = 92) não expressou tal comportamento e são desprovidas de tais aparatos. Este resultado é o primeiro registro da ocorrência de atividade estridulatória em H. odoratus.

Heilipus odoratus Vanin & Gaiger, 2005 (Coleoptera, Curculionidae, Molytinae) is considered the main plague of rosewood fruit. Being recently described, the biological aspects of this species are not very well known. This study aimed at contributing for the knowledge of this species' behavior and providing a method for sexing adults based on stridulation. Individuals were divided into two groups: stridulating and non-stridulating. After dissection, stridulation was associated with the sex of each individual. Most males (92.2 %, N= 115) emitted sound by stridulation due to the presence of stridulatory organs on the posterior internal surface of their elytra and penultimate tergite, while none of the females (N=92) have such organs. This result is the first report of stridulatory activity in H. odoratus.

Propõe-se uma nova maneira de gerar vapor de mercúrio em altos valores de pH pela adição de NaOH ou de outra base a uma solução contendo íons de mercúrio, sem utilizar redutor, como NaBH4 ou SnCl2. Após dissolução total da amostra em sistema de microondas fechado, empregando HNO3 e H2O2, o pH da solução da amostra é elevado para 13 com NaOH. Após 90 min de repouso, o vapor frio é transportado até o plasma por um fluxo de gás argônio. O Hg é determinado em 253,652 nm em um espectrômetro de emissão óptica com plasma indutivamente acoplado com configuração axial. O procedimento foi aplicado a cinco amostras biológicas certificadas obtendo-se um limite de detecção (3s, n = 10) de 0,04 µg g-1 para uma massa da amostra de 0,5 g em um volume final de 50 mL. A calibração foi realizada com soluções padrão aquosas em NaOH 0,1 mol L-1. O procedimento foi eficiente, com recuperações dos valores certificados entre 85 e 113%, demonstrando concordância entre o valor encontrado e o certificado para um nível de 95% de confiança (teste-t). A precisão apresentou resultados aceitáveis com desvios padrão relativos de 7 a 9%. Mercúrio a partir de espécies orgânicas em solução, não foi detectado; somente Hg2+ em solução produz sinal. O procedimento é novo, simples, pode permitir estudos de especiação e serve para demonstrar liberação de vapor de mercúrio de soluções aquosas em altos valores de pH.

A novel approach to the generation of mercury vapor at high pH by the simple addition of NaOH or other base to a solution containing mercury ions is described. Subsequent addition of another reducing agent, such as NaBH4 or SnCl2, is unnecessary. Following total dissolution of sample using HNO3 and H2O2 in a closed microwave vessel, the pH of the sample solution is increased to 13 by the addition of NaOH. After standing for 90 min in a closed vessel, the Hg0 is directed to the plasma by a flow of argon. Emission from mercury is measured at 253.652 nm by an axial view inductively coupled plasma optical emission spectrometer (ICP OES). The procedure was applied to five certified biological samples, yielding a detection limit (3s, n = 10) of 0.04 µg g-1 based on a nominal sample mass of 0.5 g in a final volume of 50 mL. Calibration was achieved using simple aqueous standard solutions containing 0.1 mol L-1 NaOH. The procedure was efficient, with determined values lying in the range of 85-113 % of the certified values, showing good agreement at the 95% confidence level (t-test). The precision was fit for purpose, with relative standard deviations ranging from 7 to 9%. Organomercury species in solution were not detected; only Hg2+ in solution produces a signal. This new procedure provides for a simple approach to quantitation (and potentially speciation).

Os autores entrevistaram especialistas em Ortodontia e em Cirurgia Bucomaxilofacial, elaboraram uma lista de ocorrências específicas do dia-a-dia do exercício da especialidade, redigindo, com base na legislação vigente e na literatura, uma série de orientações, atitudes e comportamentos que sugerem como rotina aos profissionais.

The authors created a highligths list with the day-by-day working, focusing the law and literature review suggesting some attitudes involved with orthognathic treatment cases. Data came from orthodontists and bucomaxilofacial surgeon experts interviews and literature

As lesões de aspecto ulcerado na mucosa bucal são um achado comum na clínica odontológica e geralmente são ocasionados por trauma mecânico devido a próteses mal adaptadas, aparelhos ortodônticos e dentes com coroas ou restaurações fraturadas. Contudo, os indivíduos nos quais a lesão persiste por mais de três semanas deverão ser submetidos à biopsia ou outros exames para excluir algumas lesões de caráter neoplásico ou outras condições, tais como as infecções crônicas e as doenças de caráter imunológico. Durante o tratamento ortodôntico, a dor e o desconforto da mucosa bucal podem acontecer como resultado do traumatismo mecânico dos aparelhos, ocasionado pela fricção aumentada entre o tecido da mucosa e a superfície dos braquetes. Atualmente, o ortodontista possui poucos recursos para prevenir ou aliviar esta irritação na mucosa. O objetivo deste artigo é orientar o ortodontista para o manejo mais adequado destas lesões visando o seu diagnóstico correto, o alívio dos sintomas que estas costumam provocar e o tratamento mais adequado para cada tipo de caso.

Mouth ulcers are one of the most commom complaints in the dental clinic. They are, in general, caused for mechanic traumatism induced by non-fitted dentures, orthodontic appliances and fracturated crowns and fillings. Nevertheless, those lesions that have persisted for more than three weeks should be submitted to biopsy or other exams to exclude neoplasic, infectious or immunologic lesions. During the orthodontic treatment, pain and soreness of the oral mucosa can occur as the result of mechanic traumatism caused by increased friction between soft tissues and brackets. Nowadays, the professional owns few resources to prevention or relieve this irritation on the oral mucosa. The aim of this article is to guide the orthodontist to realize the correct diagnoses of the mouth ulcers, the relieve the symptoms and the exact treatment for each type of case.