Resumo Introdução A extensão da lesão epitelial na rinite alérgica e não alérgica e sua associação com alterações inflamatórias no lavado nasal ainda não estão esclarecidas. Objetivo Verificar a relação entre o processo inflamatório no lavado nasal, extensão da lesão epitelial e espessamento da membrana basal na mucosa nasal de pacientes com rinite; determinar o ponto de corte do percentual de eosinófilos no lavado nasal associado à presença de atopia. Método Foram selecionados pacientes com rinite e indicação de septoplastia e (ou) turbinectomia por hipertrofia de conchas nasais, os quais foram submetidos aos testes cutâneos alérgicos, lavado nasal com determinação das concentrações de albumina, interleucina-8 (IL-8), contagem total e diferencial de células, análise da extensão da lesão epitelial, e grau de espessamento da membrana basal por meio de histopatologia da mucosa. Resultado Foram estudados 56 pacientes, mediana de 24,5 anos com diagnóstico de rinite alérgica (n = 36) e rinite não alérgica (n = 20). Nos atópicos os testes cutâneos alérgicos foram positivos para D. pteronyssinus em 35 (97,0%) e L. perenne em 18 (50,0%). Atópicos apresentaram maior índice de escore clínico para rinite em comparação a não atópicos. A contagem total de células, neutrófilos e níveis de albumina e IL-8 não foi diferente entre o lavado nasal de atópicos e não atópicos. O ponto de corte da contagem de eosinófilos no fluido nasal para a distinção de rinite alérgica e rinite não alérgica foi de 4%. Algum grau de lesão epitelial foi mais frequente em pacientes com rinite alérgica (94%) do que em pacientes com rinite não alérgica (65%). Na presença de espessamento da membrana basal, como marcador de remodelamento, não houve diferença no lavado nasal entre pacientes com rinite alérgica e não alérgica. Conclusão Nesta casuística, 4% foi o ponto de corte do número de eosinófilos no lavado nasal, para diferenciação de atopia. Remodelamento da via aérea superior pelo espessamento da membrana basal revelou infiltrado semelhante de células inflamatórias no lavado nasal, independentemente da presença de atopia.

Abstract Introduction The extent of epithelial lesion in allergic and non-allergic rhinitis and its association with inflammatory changes in nasal lavage has not been clarified. Objective To verify the association between the inflammatory cells in the nasal lavage, epithelial lesion extent and basement membrane thickness, in the nasal mucosa of patients with rhinitis; to determine the cutoff point of the percentage of eosinophils in the nasal lavage associated with the atopic patients. Methods Patients with rhinitis and indication for septoplasty and (or) turbinectomy for turbinate hypertrophy were selected, and were submitted to allergy skin tests, nasal lavage with measurement of albumin and interleukin-8 levels, total and differential counting of cells, and mucosal histopathological analysis to determine the extent of epithelial lesion, and degree of basement membrane thickening. Results Fifty-six patients with a median age of 24.5 years and a diagnosis of allergic rhinitis (n = 36) and non-allergic rhinitis (n = 20) were studied. In atopic subjects, allergy skin tests were positive for Dermatophagoides pteronyssinus in 35 (97.0%) and Lolium perenne in 18 (50.0%). Atopic subjects showed a higher clinical score index of rhinitis compared to non-atopic ones. The total count of cells, neutrophils, and levels of albumin and IL-8 were not different in the nasal lavage of atopic and non-atopic subjects. The cutoff point for eosinophil count in nasal fluid for the distinction between allergic rhinitis and non-allergic rhinitis was 4%. Some degree of epithelial lesion was more frequent in allergic rhinitis (94%) than in non-allergic rhinitis (65%) patients. In the presence of basement membrane thickness, as a marker of remodeling, there was no difference in the nasal lavage of patients with allergic rhinitis and non-allergic rhinitis. Conclusion In this series, 4% was the cutoff point for the number of eosinophils in the nasal lavage, for atopy differentiation. Upper airway remodeling accessed by basement membrane thickness showed similar inflammatory cell infiltrate in the nasal lavage, regardless of the presence of atopy.

O objetivo do estudo foi verificar a presença de Anastrepha grandis e identificar demais espécies de moscas-das-frutas coletadas em armadilhas modelo MacPhail instaladas em áreas de cucurbitáceas sob Sistema de Mitigação de Risco (SMR) para A. grandis na região Vale do São Patrício, GO, de novembro de 2004 a outubro de 2009. Um total de 812 espécimes de Anastrepha foram capturadas, sendo 639 machos (78,7%) e 173 fêmeas (21,3%). Destas foram identificadas 14 espécies de Anastrepha, ocorrentes em todas as estações do ano. A. dissimilis Stone, A. quiinae Lima e A. pickeli Lima foram registradas pela primeira vez em Goiás e primeiro registro de A grandis, com baixa prevalência, nos municípios de Jaraguá e Uruana, constituintes da área de SMR, indicando ótimas condições para manutenção de área de baixa prevalência. A. manihoti Lima (34,10%) foi a espécie mais frequente na região, seguidade A. obliqua (Macquart) (19,65%) e A. pickeli (13,87%).

The objective of this study was verify the presence of A. grandis and identify other fruit-fly species collected in MacPhail traps, installed in areas of Cucurbitaceae under a risk mitigation system for Anastrepha grandis Macquart in the Vale do São Patrício Region, state of Goiás, Brazil, from November 2004 to October 2009. A total of 812 specimens of Anastrepha were captured, of which 639 were males (78.7%) and 173 were females (21.3%). Fourteen species of Anastrepha were identified occurring in all seasons of the year. A. dissimilis Stone, A. quiinae Lima and A. pickeli Lima were recorded for the first time in the state of Goiás, and A. grandis and was recorded for the first time, with a low prevalence, in the municipalities of Jaraguá and Uruana, which belong to the risk mitigation system area, indicating good conditions for maintaining an area of low prevalence status. A. manihoti Lima (34.10%) was the most frequent species in the region, followed by A. obliqua (Macquart) (19.65%) and A. pickeli Lima (13.87%).

Administration of medicines is an ally in the health recovery process, especially in the emergency and casualty sector. Since the nurse is the person with most responsibility in this practice and considering that any failing in this activity could have irreversible consequences for the patient, the study seeks to describe the knowledge of the nurses about this issue and to verify aspects of their training in a search for continuous updating and education in the health service. The study is descriptive and exploratory and of a quantitative approach. It was carried out in casualty and emergency units of the Distrito Sanitario Leste de Goiânia, Goiás. 37 nurses participated in the study, answering a self-administered questionnaire. A statistical and descriptive analysis was carried out, taking a confidence interval of 95% and factors with significance p < 0,05. The study shows the training of nurses in terms of medicine administration in casualty and emergency units and highlights gaps that need to be remedied by ongoing training.

A intervenção medicamentosa é uma aliada no processo de recuperação da saúde, principalmente no setor de urgência e emergência. Tendo o enfermeiro como o principal responsável por essa prática e considerando que qualquer falha durante esta atividade pode trazer conseqüências irreversíveis ao paciente, o estudo objetiva descrever o conhecimento dos enfermeiros acerca desta temética e verificar os aspectos da formação, busca de atualização e educação continuada no serviço de saúde. Estudo descritivo, exploratório, de abordagem quantitativa, realizado em unidades de urgência e emergência do Distrito Sanitário Leste de Goiânia, Goiás. Participaram do estudo 37 enfermeiros que responderam um questionário auto-aplicável. Realizou-se análise estatística e descritiva, considerando intervalo de 95% de confiança e fatores com p < 0,05 significantes. Pelo estudo, constata-se o preparo dos enfermeiros quanto à administração de medicamentos em urgência e emergência e aponta lacunas que devem ser sanadas por meio da educação continuada.

La intervención medicamentosa es una aliada en el proceso de recuperación de la salud, principalmente en el sector de urgencia y emergencia. Al ser el enfermero el principal responsable de esa práctica y considerando que cualquier fallo durante esta actividad puede tener consecuencias irreversibles para el paciente, el estudio objetiva describir el conocimiento de los enfermeros acerca de esta temática y verificar los aspectos de la formación, en busca de actualización y educación continuada en el servicio de salud. Estudio descriptivo, exploratorio, de abordaje cuantitativo, realizado en unidades de urgencia y emergencia del Distrito Sanitario Leste de Goiânia, Goiás. Participaron del estudio 37 enfermeros que respondieron a un cuestionario auto-aplicable. Se realizó análisis estadístico y descriptivo, considerando intervalo de 95% de confianza y factores con p < 0,05 significantes. En el estudio, se constata la preparación de los enfermeros en cuanto a la administración de medicamentos en urgencia y emergencia y apunta lagunas que deben ser subsanadas por medio de la educación continuada.

The construction of a hexahistidine-tagged version of the B fragment of diphtheria toxin (DTB) represents an important step in the study of the biological properties of DTB because it will permit the production of pure recombinant DTB (rDTB) in less time and with higher yields than currently available. In the present study, the genomic DNA of the Corynebacterium diphtheriae Park Williams 8 (PW8) vaccine strain was used as a template for PCR amplification of the dtb gene. After amplification, the dtb gene was cloned and expressed in competent Escherichia coli M15™ cells using the expression vector pQE-30™. The lysate obtained from transformed E. coli cells containing the rDTB PW8 was clarified by centrifugation and purified by affinity chromatography. The homogeneity of the purified rDTB PW8 was confirmed by immunoblotting using mouse polyclonal anti-diphtheria toxoid antibodies and the immune response induced in animals with rDTB PW8 was evaluated by ELISA and dermonecrotic neutralization assays. The main result of the present study was an alternative and accessible method for the expression and purification of immunogenically reactive rDTB PW8 using commercially available systems. Data also provided preliminary evidence that rabbits immunized with rDTB PW8 are able to mount a neutralizing response against the challenge with toxigenic C. diphtheriae.

PURPOSE: Report the characteristics of cryopreserved semen from a cohort of male cancer patients, attitudes towards cryopreservation and outcomes of semen samples based on a 12-year cryopreservation program. MATERIAL AND METHODS: Data from 98 male cancer patients whose sperm samples were banked were evaluated. Demographic parameters, semen characteristics, destination of sperm banked samples and questionnaires answered by the patients regarding cryopreservation time were evaluated. RESULTS: The cancer diagnoses were testicle (56.1%), prostate (15.3%), Hodgkin’s lymphomas (9.2%), non-Hodgkin’s lymphomas (7.1%), leukemia (3.1%) and other malignancies (9.2%). The patients with testicular cancer presented lower sperm concentration (p < 0.001); however, there were no differences with the percentage of normozoospermic patients among cancer type groups (p = 0.185). A shorter time between cancer diagnosis and sperm banking was observed for testicular and prostate cancer patients (p < 0.001). Most of the patients (89.5%) favored sperm banking as a fertility preservation method. CONCLUSIONS: Although less than 20% of banked sperm samples were disposed of, the majority of patients related sperm banking with safe for fertility preservation. Our results show that all male cancer patients of reproductive age facing cancer treatment could be offered sperm banking.