Resumo O objetivo deste trabalho foi estabelecer um protocolo eficiente para a organogênese in vitro de Dalbergia nigra. Para isso, plântulas com 30 dias de idade foram seccionadas em seus nós cotiledonares e segmentos nodais. Esses materiais foram cultivados em meio com diferentes combinações das citocininas 6-benzilaminopurina e tidiazuron. Após 60 dias em sala de crescimento mantida a 27°C e submetida a fotoperíodo de 16 horas, foram analisadas as características de crescimento. Explantes dos nós cotiledonares apresentam maior potencial morfogenético, independentemente da adição de citocininas. Nós cotiledonares em meio suplementado com 2.22 µmol L-1 de BAP são a melhor combinação para a propagação in vitro de D. nigra.

Abstract The objective of this work was to establish an efficient protocol for the in vitro organogenesis of Dalbergia nigra. For this purpose, 30-day-old seedlings were sectioned at their cotyledonary nodes and nodal segments. These materials were cultivated in a medium with different combinations of the 6-benzylaminopurine and thidiazuron cytokinins. After 60 days in a growth chamber set at 27°C and a 16-hour photoperiod, growth characteristics were analyzed. Explants from the cotyledonary nodes show a greater morphogenetic potential, regardless of the addition of cytokinins. Cotyledonary nodes in the medium supplemented with 2.22 µmol L-1 BAP show the best combination for the in vitro propagation of D. nigra.

RESUMO: Vários patógenos e anticorpos derivados do soro ou produzidos em tecidos associados a cavidade oral estão presentes no fluido oral (FO). Considerando a aplicabilidade dessa amostra alternativa, estudos recentes em medicina veterinária têm testado o FO como substituto do soro para testes diagnósticos. O objetivo desse estudo foi padronizar a imunoperoxidase em monocamada de célula (IPMC) para a detecção de imunoglobulina A e imunoglobulina G anti-Lawsonia intracellularis em amostras de FO de suínos experimentalmente infectados. Um total de 62 suínos foram divididos em dois grupos: controle (T1, n=30) e inoculados com L. intracellularis (T2, n=32). Sangue, FO e amostras de fezes foram coletados aos 0, 7,14, 21, 28 e 42 dias após a inoculação (dpi). Algumas adaptações da técnica foram realizadas na técnica padrão da IPMC para a detecção de IgA e IgG. A IPMC demostrou alta especificidade e sensibilidade para amostras de soro e alta especificidade de moderada sensibilidade para a detecção de IgA e IgG em FO. Houve alta concordância entre resultados de detecção de IgG em soro com a IgA e IgG em amostras de FO. Baseado em nossos resultados, amostras de fluido oral podem ser usadas em avaliações e detecção de anticorpos anti-L. intracellularis em suínos, porém não de forma individual.

ABSTRACT: Several pathogens and antibodies derived from serum or produced in tissues associated with the oral cavity are present in the oral fluid (OF). Considering the applicability of this alternative sample, recent studies in veterinary medicine have tested OF as a replacement for serum in diagnostic assays. The aim of this study was to standardize the immunoperoxidase monolayer assay (IPMA) to detect anti-Lawsonia intracellularis immunoglobulin A (IgA) and immunoglobulin G (IgG) in OF samples from experimentally infected pigs. Sixty-two pigs were divided into two groups: control (T1, n=30) and inoculated with L. intracellularis (T2, n=32). Blood, OF and fecal samples were collected at 0, 7, 14, 21, 28 and 42 days post-inoculation (dpi). Some adaptations of the standard technique for serum were made to IPMA for the detection of IgA and IgG in OF. The IPMA showed high specificity and sensitivity for serum samples and high specificity and moderate sensitivity for the detection of IgA and IgG in OF. There was high agreement between the results of serum IgG and OF IgA and IgG. Based on our results, oral fluid samples may be used for the evaluation and determination of anti-L. intracellularis antibodies in pigs, but not for individual diagnosis of swine proliferative enteropathy.

Abstract: Somatic embryogenesis from explants from hermaphrodite papaya mother plants is an alternative for the production of true-to-type plants without the need for sexing. This study aimed to analyze hormonal and osmotic inducers in different somatic embryogenesis stages in the commercial hermaphrodite hybrid papaya UENF/Caliman 01. Leaf disks from in vitro shoots originated from ex vitro hermaphrodite plants were cultured in induction medium supplemented with different concentrations of 2,4-D (6, 9, 12, 15, and 18 μM) and 4-CPA (19, 22, 25, 28, and 31 μM). After 90 days, the formation of somatic embryos was verified. The 2,4-D induced the formation of light brown calli with low frequency (20%) of somatic embryogenesis. However, 4-CPA (25 μM) induced 96% of embryogenic calli, which were transferred to maturation medium (MM) and cultured for 30 days. The MM contained ABA (0.5 μM) and AC (15 g L-1) and produced 36.6 somatic embryos callus-1, mainly on cotyledonary stage. Cotyledonary embryos were transferred to germination medium supplemented with gibberellic acid (GA3) (0.0, 1.44, 2.88, and 4.32 µM), and the conversion into plantlets was enhanced with GA3 at 2.88 µM.

Abstract This study evaluated the effect of osmoregulators and carbohydrates on the maturation and germination of somatic embryos of papaya ‘Golden THB’. Cotyledon explants from papaya seedlings germinated in vitro on basal MS medium were cultured on somatic embryogenesis induction medium (IM) containing MS salts, myo-inositol, sucrose, agar and p-chlorophenoxyacetic acid. After 50 days, embryogenic calli were transferred onto maturation media (MM) for 45 additional days. For experiment 1, a MS-based medium supplemented with abscisic acid, activated charcoal and concentrations of PEG 6000 (0; 40; 50; 60 and 70 g L-1) was used, whereas for experiment 2 malt extract concentrations (0; 0.1; 0.2; 0.3 and 0.4 g L-1) were assessed. The normal cotyledonary somatic embryos produced in experiment 2 were transferred to the germination medium (GM). The GM consisted of full-strength MS medium, sucrose, agar and was supplemented with myo-inositol at varying concentrations (0; 0.275; 0.55 and 0.825 mM). The PEG concentrations tested impaired the maturation of ‘Golden THB’ papaya somatic embryos. The MM, supplemented with malt extract at 0.153 g L-1, promoted the greatest development of normal somatic embryos (18.28 SE calli-1), that is, two cotyledonary leaves produced 36.56 SE calli-1. The supplementation with 0.45 mM myo-inositol provided the highest germination percentage (47.42%) and conversion to emblings.

ABSTRACT The aim of this study was to evaluate somatic embryogenesis in juvenile explants of the THB papaya cultivar. Apical shoots and cotyledonary leaves were inoculated in an induction medium composed of different concentrations of 2,4-D (6, 9, 12, 15 and 18 µM) or 4-CPA (19, 22, 25, 28 and 31 µM). The embryogenic calluses were transferred to a maturation medium for 30 days. Histological analysis were done during the induction and scanning electron microscopy after maturing. For both types of auxin, embryogenesis was achieved at higher frequencies with cotyledonary leaves incubated in induction medium than with apical shoots; except for callogenesis. The early-stage embryos (e.g., globular or heart-shape) predominated. Among the auxins, best results were observed in cotyledonary leaves induced with 4-CPA (25 µM). Histological analyses of the cotyledonary leaf-derived calluses confirmed that the somatic embryos (SEs) formed from parenchyma cells, predominantly differentiated via indirect and multicellular origin and infrequently via synchronized embryogenesis. The secondary embryogenesis was observed during induction and maturation phases in papaya THB cultivar. The combination of ABA (0.5 µM) and AC (15 g L-1) in maturation medium resulted in the highest somatic embryogenesis induction frequency (70 SEs callus-1) and the lowest percentage of early germination (4%).

RESUMO Objetivo: identificar fatores associados à ferida cirúrgica complexa em mama e abdome em pacientes ambulatoriais. Método: estudo observacional do tipo caso-controle, envolvendo 327 pacientes, sendo 160 casos (ferida cirúrgica complexa) e 167 controles (ferida cirúrgica simples). Os dados foram extraídos dos prontuários e para análise foi utilizado o modelo de regressão logística binária, considerando nível de significância de 5%. Resultados: os fatores associados a uma maior chance de ocorrência da ferida cirúrgica complexa foram faixa etária 18 a 59 anos (p = 0,003), escolaridade < 8 anos (p = 0,049), radioterapia (p < 0,001), histerectomia (p = 0,017), hernioplastia (p = 0,003), laparotomia (p = 0,004), glicemia ≤ 99 mg/dL (p = 0,007) e hipertensão arterial (p = 0,033), enquanto quadrantectomia (p = 0,025) atuou como fator protetor. Conclusão: a radioterapia foi o fator com maior significância para complicações da ferida cirúrgica. Alteração glicêmica foi um resultado inesperado, o que mostra a necessidade de mais estudos relacionados a esse tema.

ABSTRACT Objective: to identify factors associated with complex surgical wounds in the breasts and abdomen in outpatients. Method: observational case-control study involving 327 patients, distributed into 160 cases (complex surgical wound) and 167 controls (simple surgical wound). Data were extracted from the medical records and a binary logistic regression model was used for analysis, considering a significance level of 5%. Results: the factors associated with greater chance of occurrence of complex surgical wound were 18 to 59 years of age (p = 0.003), schooling < 8 years (p = 0.049), radiotherapy (p < 0.001), hysterectomy (p = 0.003), glycemia (≤ 99 mg/dL) and arterial hypertension (p = 0.033), while quadrantectomy (p = 0.025) served as a protective factor. Conclusion: radiotherapy was the most significant factor for surgical wound complications. Glycemic alteration was an unexpected result and shows the need for further studies related to this topic.

RESUMEN Objetivo: identificar factores asociados a la herida quirúrgica compleja en mama y abdomen en pacientes de ambulatorios. Método: estudio observacional del tipo caso-control, envolviendo 327 pacientes, siendo 160 casos (herida quirúrgica compleja) y 167 controles (herida quirúrgica simple). Los datos fueron extraídos de los expedientes médicos y fue utilizado el modelo de regresión logística binaria para análisis, considerando nivel de significancia de 5%. Resultados: los factores asociados a una mayor chance de ocurrencia de la herida quirúrgica compleja fueron las edades de 18 a 59 años (p = 0,003), escolaridad < 8 años (p = 0,049), radioterapia (p < 0,001), histerectomía (p = 0,017), cirugía de hernia (p = 0,003), laparotomía (p = 0,004), glicemia ≤ 99 mg/dL (p = 0,007) e hipertensión arterial (p = 0,033), mientras cuadrantectomía (p = 0,025) actuó como factor protector. Conclusión: la radioterapia fue el factor con mayor significancia para complicaciones de la herida quirúrgica. Alteración glicémica fue un resultado inesperado, lo que muestra la necesidad de más estudios relacionados a ese tema.

ABSTRACT Objective: to identify factors associated with complex surgical wounds in the breasts and abdomen in outpatients. Method: observational case-control study involving 327 patients, distributed into 160 cases (complex surgical wound) and 167 controls (simple surgical wound). Data were extracted from the medical records and a binary logistic regression model was used for analysis, considering a significance level of 5%. Results: the factors associated with greater chance of occurrence of complex surgical wound were 18 to 59 years of age (p = 0.003), schooling < 8 years (p = 0.049), radiotherapy (p < 0.001), hysterectomy (p = 0.003), glycemia (≤ 99 mg/dL) and arterial hypertension (p = 0.033), while quadrantectomy (p = 0.025) served as a protective factor. Conclusion: radiotherapy was the most significant factor for surgical wound complications. Glycemic alteration was an unexpected result and shows the need for further studies related to this topic.

RESUMEN Objetivo: identificar factores asociados a la herida quirúrgica compleja en mama y abdomen en pacientes de ambulatorios. Método: estudio observacional del tipo caso-control, envolviendo 327 pacientes, siendo 160 casos (herida quirúrgica compleja) y 167 controles (herida quirúrgica simple). Los datos fueron extraídos de los expedientes médicos y fue utilizado el modelo de regresión logística binaria para análisis, considerando nivel de significancia de 5%. Resultados: los factores asociados a una mayor chance de ocurrencia de la herida quirúrgica compleja fueron las edades de 18 a 59 años (p = 0,003), escolaridad < 8 años (p = 0,049), radioterapia (p < 0,001), histerectomía (p = 0,017), cirugía de hernia (p = 0,003), laparotomía (p = 0,004), glicemia ≤ 99 mg/dL (p = 0,007) e hipertensión arterial (p = 0,033), mientras cuadrantectomía (p = 0,025) actuó como factor protector. Conclusión: la radioterapia fue el factor con mayor significancia para complicaciones de la herida quirúrgica. Alteración glicémica fue un resultado inesperado, lo que muestra la necesidad de más estudios relacionados a ese tema.

RESUMO Objetivo: identificar fatores associados à ferida cirúrgica complexa em mama e abdome em pacientes ambulatoriais. Método: estudo observacional do tipo caso-controle, envolvendo 327 pacientes, sendo 160 casos (ferida cirúrgica complexa) e 167 controles (ferida cirúrgica simples). Os dados foram extraídos dos prontuários e para análise foi utilizado o modelo de regressão logística binária, considerando nível de significância de 5%. Resultados: os fatores associados a uma maior chance de ocorrência da ferida cirúrgica complexa foram faixa etária 18 a 59 anos (p = 0,003), escolaridade < 8 anos (p = 0,049), radioterapia (p < 0,001), histerectomia (p = 0,017), hernioplastia (p = 0,003), laparotomia (p = 0,004), glicemia ≤ 99 mg/dL (p = 0,007) e hipertensão arterial (p = 0,033), enquanto quadrantectomia (p = 0,025) atuou como fator protetor. Conclusão: a radioterapia foi o fator com maior significância para complicações da ferida cirúrgica. Alteração glicêmica foi um resultado inesperado, o que mostra a necessidade de mais estudos relacionados a esse tema.

Abstract INTRODUCTION: The Kato-Katz technique is the standard diagnostic test for Schistosoma mansoni infection in rural areas. However, the utility of this method is severely limited by the day-to-day variability in host egg excretion in the stool. In high-transmission areas, the point-of-care circulating cathodic antigen (POC-CCA) urine assay has proven to be a reliable test. However, investigations of the reliability of the POC-CCA assay in low-transmission regions are under way. This study aimed to evaluate the sensitivity and specificity of the POC-CCA assay and the morbidity of schistosomiasis in a low-endemic area in Brazil. METHODS: Pains City is a low-transmission zone for schistosomiasis. A total of 300 subjects aged 7-76 years were randomly selected for the POC-CCA cassette test. For S. mansoni diagnosis, three stool samples on six slides were compared with one urine sample for each subject. The sensitivity and specificity in the absence of a gold standard were calculated using latent class analysis. Clinical examinations and abdominal ultrasounds were performed in 181 volunteers to evaluate morbidity associated with schistosomiasis. RESULTS: The sensitivity and specificity of the Kato-Katz technique were 25.6% and 94.6%, respectively. By contrast, the sensitivity and specificity of the POC-CCA assay were 68.1% and 72.8%, respectively. Hepatosplenic schistosomiasis was diagnosed in two patients (1.1%). CONCLUSIONS: Overall, the POC-CCA urine assay proved to be a useful test for diagnosing S. mansoni in a low-endemic area in Brazil. Severe clinical forms of schistosomiasis can be present even in such low-endemic areas.

Resumo Introdução: Trombocitopenia é um achado comum em pacientes que residem em áreas com alta endemicidade de esquistossomose mansônica. Recentemente, diferentes graus de esteatose hepática também têm sido associados a níveis baixos de plaquetas em todo o mundo. Investigamos a associação de níveis séricos de plaquetas com a forma grave da esquistossomose e com esteatose hepática em área de baixa prevalência de esquistossomose no Brasil. Método: Pains, cidade localizada no estado de Minas Gerais/Brasil, tem população de 8.307 habitantes e prevalência de esquistossomose de 8%. Em quatro microáreas dessa região, 1.045 habitantes foram avaliados para o estudo. Amostra de sangue foi coletada para realização do hemograma. Oitenta e sete (87) pessoas com níveis baixos de plaquetas formaram o grupo 1 (8,3%), e 94 voluntários com hemograma normal foram randomizados para compor o grupo 2 (8,9%). Todos os participantes dos grupos 1 e 2 foram submetidos a exame clínico e ultrassonografia (US) abdominal. Esteatose hepática foi caracterizada como presente ou ausente pela ultrassonografia (US) abdominal. Baços com mais de 12 cm de comprimento à US foram considerados aumentados. Os dados coletados foram analisados pelo programa de estatística SPSS 19.0. Resultados: Vinte e dois (22) indivíduos do grupo 1 (25,3%) e 11 do grupo 2 apresentaram esteatose hepática (11,7%) (p=0,02). Esquistossomose hepatoesplênica foi diagnosticada em dois pacientes (p>0,05). Conclusão: Trombocitopenia não foi um bom marcador de esquistossomose mansônica hepatoesplênica em área de baixa prevalência da esquistossomose no Brasil. Esteatose hepática foi associada com trombocitopenia no presente estudo.

Summary Introduction: Thrombocytopenia is commonly found in patients living in highly endemic areas for Schistosoma mansoni. Recently, different degrees of liver steatosis have also been associated with low platelet counts worldwide. We investigated the association of platelet counts with hepatosplenic schistosomiasis and with liver steatosis in an area of low prevalence of schistosomiasis in Brazil. Method: Pains, a city in the state of Minas Gerais, Brazil, had a population of 8,307 inhabitants and a schistosomiasis prevalence of 8%. Four micro-areas comprising 1,045 inhabitants were selected for this study. Blood sample was collected and a complete blood count (CBC) was performed. Eighty-seven (87) patients had low platelet counts (group 1 - 8.3%) and 94 volunteers presenting normal CBC were randomized (group 2 - 8.9%). They underwent clinical and ultrasound examinations. Liver steatosis was determined as either present or absent using abdominal ultrasound. A spleen > 12 cm in length, measured by ultrasound (US), was considered to be increased. Data collected were analyzed using SPSS software version 19.0. Results: Twenty-two patients (22/25.3%) in group 1 had liver steatosis compared with 11 volunteers (11.7%) in group 2 (p=0.02). Hepatosplenic schistosomiasis was diagnosed in two patients (p>0.05). Conclusion: Thrombocytopenia was not a good marker of hepatosplenic schistosomiasis mansoni in a low prevalence area in Brazil. Liver steatosis was associated with thrombocytopenia in our study.

RESUMO Larvas de duas linhagens de tilápias do Nilo (Oreochromis niloticus) foram submetidas a diferentes densidades de estocagem. O ensaio foi conduzindo em um fatorial 2 x 4, sendo quatro densidades de estocagem (6,25; 12,50; 18,75 e 25,00 ind. L-1), e duas linhagens (GIFT e Tailandesa). Larvas irmãs das linhagens Tailandesa e GIFT (4.000 ind.), foram distribuídas em 32 aquários com 8 L de água cada, de modo casualizado com quatro repetições cada. Por um período de 36 dias, as larvas foram mantidas em aquários providos de aeração constante e fotoperíodo natural. As variáveis limnológicas estiveram dentro da faixa adequada à espécie. Os dados foram interpretados por meio de ANOVA e para os efeitos densidade, utilizou-se Teste de Tukey. Quanto às variáveis biológicas, não houve interação entre linhagem e densidade. A linhagem GIFT apresentou melhor desempenho em comprimento total e biomassa para o 36o dia. Dentre as densidades para cada linhagem os melhores resultados de comprimentos, peso e ganho de peso, foram para a densidade 6,25 ind. L-1, mas ao se utilizar 25 ind. L-1 ocorre aumento na biomassa e otimização do espaço utilizado. Portanto, indica-se as linhagens GIFT na densidade de 25,00 ind. L-1.

ABSTRACT Larvae from two Nile tilapia (Oreochromis niloticus) lineages were subjected to different storage densities. An experiment was conducted arranged in a 4 x 2 factorial scheme, four storage densities (6.25, 12.50, 18.75 and 25.00 larvae L-1) and two lineages (GIFT and Thai). Larvae from the lineage GIFT and Thai (4,000) were distributed in 32 aquariums with 8 liters of water each, in a randomized order with four replications. The larvae were maintained in the aquariums with constant aeration and natural photoperiod for 36 days. Limnological variables were within the proper range to the specie. Data were subjected to ANOVA, and the Tukey test was used for the density effects. Regarding the biological variables, there was no interaction between lineage and density. The GIFT lineage presented better performance on total length and biomass at the 36th day. Regarding the densities of each lineage, the greater length, weight and weight gain results were found with a density of 6.25 larvae L-1, however, an increase in biomass and a space use optimization occurs using 25 larvae L-1. Therefore, the lineage GIFT at density of 25.00 larvae L-1 is indicated for larval culture.

Introduction This study aimed to evaluate whether a low platelet count is a good surrogate marker of hepatosplenic schistosomiasis (HSS) in a rural area of Brazil. A small district in southeastern Brazil, with a population of 1,543 individuals and a 23% prevalence of schistosomiasis, was selected for this investigation. Methods In July 2012, 384 volunteers were subjected to clinical, ultrasonography (US), and laboratory examinations, including stool sample analysis. The HSS patients were classified into four groups: Group 1 consisted of patients with a spleen >13cm and liver fibrosis; Group 2 consisted of patients with a palpable spleen and spleen>13cm measured by US; Group 3 consisted of patients with a spleen >13cm measured by US; and Group 4 consisted of patients with a palpable spleen. Results Eight patients were in Group 1 (2.1%), twenty-one were in Group 2 (5.5%), eight were in Group 3 (2.1%), and eighteen were in Group 4 (4.7%). A significant difference in the mean platelet counts was observed between the patients with and without HSS (p<0.01). Based on the receiver operating characteristic (ROC) curve (platelet count <143,000/mm3), the sensitivity was greater than 92% in all groups, and the specificity varied from 44.4% to 75%. Conclusions We concluded that in endemic areas, thrombocytopenia demonstrates good sensitivity for detecting HSS and may be used as a screening tool to identify patients with HSS.

IntroductionThe diagnosis of schistosomiasis mansoni on early stages of infection is important to prevent late morbidity. A simple, cheap, sensitive and specific assay for routine diagnosis of schistosome infection based on the detection of specific IgG for schistosomula tegument antigens (ELISA-SmTeg) was developed by our group.MethodsWe describe here an acute outbreak involving a travel group of 80 individuals from a non-endemic area of the State of Minas Gerais, Brazil. These individuals were in contact with a freshwater pool where Biomphalaria glabrata was found. Results obtained from our new methodology were compared to IgG antibody titers against soluble worm antigenic preparation (SWAP) by ELISA and, also to parasitological examination, nuclear magnetic resonance and clinical findings.ResultsELISA-SmTeg was capable of detecting 64 positive cases among the 80 individuals participating at the survey with a positivity ratio of 80% and a higher sensitivity than ELISA-SWAP that was only sensitive for 56% of positive cases. Besides, a significant correlation was found for the severity of the infection and the specific IgG titers against SmTeg.ConclusionsOur data showed that ELISA-SmTeg might serve as the initial diagnostic tool for acute stages of the infection in community-based helminth control programs or for the surveillance of individuals from non-endemic areas.

O objetivo foi avaliar a metodologia de enxertia pela modalidade garfagem no topo hipocotiledonar em fenda cheia, utilizando miniestacas adultas de segmentos apicais de P. edulis f. flavicarpa, P. edulis, P. alata, P. mucronata e P. foetida e internodais de P. mucronata. O experimento foi conduzido em casa de vegetação equipada com sistema de irrigação com nebulização intermitente, do Centro Universitário Norte do Espírito Santo (CEUNES), da Universidade Federal do Espírito Santo (UFES). Os índices de pegamento nas combinações de P. edulis f. flavicarpa/P. edulis f. flavicarpa, P. edulis/P. edulis f. flavicarpa, P. alata/P. edulis f. flavicarpa, P. mucronata/P. edulis f. flavicarpa, P. foetida/P. edulis f. flavicarpa foram de 90; 90; 68; 80 e 90, respectivamente. A metodologia empregada é uma nova opção de enxertia para essas espécies do gênero Passiflora.

The objective was to evaluate the graft methodology based on cleft grafting on the top of the hypocotyls, using adult minicuttings of apical segments of P. edulis f. flavicarpa, P. edulis, P. alata, P. mucronata and P. foetida, and intermodal of P. mucronata. The experiments were carried out under greenhouse conditions, equipped with intermittent mist irrigation, at Centro Universitário Norte do Espírito Santo (CEUNES), Universidade Federal do Espírito Santo (UFES). The rates of grafting success in combinations of P. edulis f. flavicarpa/P. edulis f. flavicarpa, P. edulis/P. edulis f. flavicarpa, P. alata/P. edulis f. flavicarpa, P. mucronata/P. edulis f. flavicarpa, P. foetida/P. edulis f. flavicarpa were 90, 90, 68, 80 and 90, respectively. The proposed methodology is a novel grafting option for those species of the genus Passiflora.

INTRODUÇÃO: Avaliou-se a frequência de glomerulonefrite em pacientes com esquistossomose hepatosplênica no Brasil. MÉTODOS: Selecionou-se para o estudo, 63 pacientes (idade média de 45,5±11 anos) avaliados consecutivamente no ambulatório de doenças infecciosas de um hospital universitário de Belo Horizonte, Brasil, no período de 2007 a 2009. O diagnóstico da esquistossomose foi baseado em dados epidemiológicos, clínicos, parasitológicos e de imagem. Os oito pacientes que apresentaram albuminúria acima de 30mg em 24 horas submeteram-se a biópsia renal percutânea dirigida por ultrassonografia. As amostras de tecido renal foram analisadas à microscopia óptica, eletrônica e de fluorescência direta. RESULTADOS: Havia expansão do mesângio em todos. Em cinco, houve proliferação de células mesangiais e em quatro observou-se duplicação da membrana basal glomerular. Áreas de esclerose glomerular foram diagnosticadas em quatro. Depósitos de imunglobulinas M e C3 foram patentes em seis amostras; IgG em quatro, IgA em três e C1q em duas. Em todos os pacientes relatou-se fluorescência para IgA dentro dos túbulos renais. Depósitos de kappa e lambda foram vistos em seis amostras. A microscopia eletrônica demonstrou depósitos eletrondensos em tecido glomerular. A presença de hipertensão arterial, varizes do esôfago de pequeno calibre, pequenos aumentos de creatinina e diminuição de albumina sérica associaram-se à ocorrência de dano renal. CONCLUSÕES: A frequência de lesão renal foi de 12,7%, no presente estudo, e a glomerulonefrite membranoproliferativa do tipo I foi encontrada em 50%. A lesão renal associada à esquistossomose permanece um problema importante no Brasil.

INTRODUCTION: The current prevalence of glomerulonephritis in patients with hepatosplenic schistosomiasis mansoni in Brazil was evaluated. METHODS: Sixty three patients (mean age 45.5±11 years) attending the outpatient infectious disease clinic of a University Hospital in Belo Horizonte, Brazil, from 2007 to 2009, were consecutively examined and enrolled in the present investigation. Diagnosis of hepatosplenic schistosomiasis was based on epidemiological, clinical and parasitological data and imaging techniques. Eight patients, who presented >30mg/day albuminuria, were submitted to percutaneous ultrasound guided renal biopsy. Kidney tissue fragments were examined under light, direct immunofluorescence and electron microscopy. RESULTS: All patients showed mesangial enlargement. In five, mesangial hypercellularity was observed and four presented duplication of the glomerular basement membrane. Areas of glomerular sclerosis were diagnosed in four. Deposits of immunoglobulin M and C3 were present in six samples; deposits of IgG in four, IgA in three and C1q in two samples. In all patients, immunoglobulin A was reported in the lumen of renal tubules. Deposits of kappa and lambda were observed in six samples. Electron microscopy revealed dense deposits in the glomerular tissue of three patients. Arterial hypertension, small esophageal varices, slight increases in serum creatinine and decreases in serum albumin were associated with glomerular disease. CONCLUSIONS: Renal disease associated with hepatosplenic schistosomiasis was verified in 12.7% of patients and type I membranoproliferative glomerulonephritis was observed in 50% of them. Schistosomal glomerulopathy still is an important problem in patients with hepatosplenic schistosomiasis in Brazil.

OBJETIVO: Determinar a confiabilidade em se correlacionar o índice cardíaco com os dados fornecidos pela gasometria do sangue venoso atrial direito em pacientes submetidos à cirurgia cardíaca, durante o período pós-operatório. MÉTODOS: A partir das amostras de sangue arterial e venoso do átrio direito, colhidas no pós-operatório de cirurgia cardíaca, foram determinados os parâmetros de oxigênio do sangue venoso do átrio direito. Estes parâmetros foram então comparados com o índice cardíaco determinado pela termodiluição. RESULTADOS: Houve boa correlação entre a saturação de oxigênio do sangue venoso do átrio direito (SvO2), diferença artério-venosa do conteúdo de oxigênio do sangue colhido no átrio direito e o índice cardíaco aferido pela termodiluição, com boa sensibilidade e especificidade e alto valor preditivo positivo e negativo. A pressão do sangue do átrio direito (PvO2) apresentou baixa sensibilidade na estimativa de baixo débito cardíaco. CONCLUSÃO: No pós-operatório de cirurgia cardíaca, a SvO2e a diferença artério-venosa do conteúdo de oxigênio (C(av)O2) apresentaram-se como parâmetros confiáveis correlacionados a baixo débito cardíaco. A PvO2 foi pouco sensível no diagnóstico de baixo débito no pós-operatório de cirurgia cardíaca.

OBJECTIVE: To determine, even during postoperative period, the confiability of the cardiac index correlate with the data data given by a central atrial venous blood gasometry in patients who underwent cardiac surgery. METHODS: From the sample of arterial and venous blood of right atrium gathered in postoperative of cardiac surgery, it was determinated the hemoglobin concentration and the gasometric study through what was observed of the venous oxygen saturation (SvO2) and the partial pressure of oxygen from venous blood gathered in right atrium (PvO2), add to the calculation of artery-venous difference of the oxygen content - radial artery / right atrium (C( a-v )O2). Afterwards, these parameters were compared with the cardiac index determined by thermodilution. RESULTS: There was good correlation between SvO2, C(av)O2 of the venous right atrial blood and cardiac index meansured by termodiluition method, with sensibility and especificity good and high positive predict value and negative predict value. The PvO2 demonstrated poor sensibility in the estimative of low output. CONCLUSION: In cardiac surgery postoperative, the SvO2and the C(a-v)O2 were safe parameters correlated with low cardiac output. The PvO2 demonstrated poor sensibility in the estimative of low output in postoperative cardiac surgery.