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Abstract Introduction: We investigated the clinical course and outcomes of patients submitted to cardiovascular surgery in Brazil and who had developed symptoms/signs of coronavirus disease 2019 (COVID-19) in the perioperative period. Methods: A retrospective multicenter study including 104 patients who were allocated in three groups according to time of positive real time reverse transcriptase-polymerase chain reaction (RT-PCR) for the SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2): group 1, patients who underwent cardiac surgery > 10 days after positive RT-PCR; group 2, patients with a positive RT-PCR within 10 days before or after surgery; group 3, patients who presented positive RT-PCR > 10 days after surgery. The primary outcome was mortality and secondary outcomes were postoperative complications, intensive care unit (ICU) length of stay, and postoperative days of hospitalization. Results: The three groups were similar with respect to age, the European System of Cardiac Operative Risk Evaluation score, and comorbidities, except hypertension. Postoperative complications and death were significantly higher in groups 2 and 3 than in group 1, and no significant difference between groups 2 and 3 was seen. Group 2 showed a high prevalence of surgery performed as an urgent procedure. Although no significant differences were observed in ICU length of stay, total postoperative hospitalization time was significantly higher in group 3 than in groups 1 and 2. Conclusion: COVID-19 affecting the postoperative period of patients who underwent cardiovascular surgery is associated with a higher rate of morbidity and mortality. Delaying procedures in RT-PCR-positive patients may help reduce risks of perioperative complications and death.

https://doi.org/10.21470/1678-9741-2021-0960

Metabolic and volume status evaluation of hemodialysis patients with and without residual renal function in the long interdialytic interval
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Almeida, Lenina Ludimila Sampaio de

; Sette, Luís Henrique Bezerra Cavalanti

; Fonseca, Fernando Luiz Affonso

; Bezerra, Leila Silveira Vieira da Silva

; Oliveira Júnior, Francisco Hélio

; Bérgamo, Ronaldo Roberto

Brazilian Journal of Nephrology

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dec 2019, Volume 41 N. 4 Pages 481 - 491

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo Introdução: Não se sabe ao certo se a função renal residual (FRR) de pacientes dialíticos pode atenuar o impacto metabólico do maior intervalo interdialítico (MII) de 68 horas, no qual ocorre acúmulo de volume, ácidos e eletrólitos. Objetivo: Avaliar os níveis séricos de eletrólitos, balanço hídrico e status ácido-básico de pacientes dialíticos com e sem FRR ao longo do MII. Metodologia: Tratou-se de estudo unicêntrico, transversal e analítico, que comparou pacientes com e sem FRR, definida como diurese acima de 200 mL em 24 horas. Para tal, os pacientes foram pesados e submetidos à coleta de amostras séricas para análise bioquímica e gasométrica no início e fim do MII. Resultados: Foram avaliados 27 e 24 pacientes com e sem FRR, respectivamente. Pacientes sem FRR apresentaram maior aumento de potássio sérico durante o MII (2,67 x 1,14 mEq/L, p < 0,001) atingindo valores mais elevados no fim (6,8 x 5,72 mEq/L, p < 0,001); menor valor de pH no início do intervalo (7,40 x 7,43, p = 0,018), maior proporção de pacientes com bicarbonato sérico < 18 mEq/L (50 x 14,8 %, p = 0,007) e distúrbio ácido-básico misto (70,8 x 42,3 %, p = 0,042), além de maior ganho de peso interdialítico (14,67 x 8,87 mL/kg/h, p < 0,001) e menor natremia (137 x 139 mEq/L, p = 0,02) no fim do intervalo. A calcemia e fosfatemia não foram diferentes entre os grupos. Conclusão: Pacientes com FRR apresentaram melhor controle dos níveis séricos de potássio, sódio, status ácido-básico e da volemia ao longo do MII.

Abstract Introduction: It is unclear whether residual renal function (RRF) in dialysis patients can attenuate the metabolic impact of the long 68-hour interdialytic interval, in which water, acid, and electrolyte accumulation occurs. Objective: to evaluate serum electrolyte levels, water balance, and acid-base status in dialytic patients with and without RRF over the long interdialytic interval (LII). Methodology: this was a single-center, cross-sectional, and analytical study that compared patients with and without RRF, defined by diuresis above 200 mL in 24 hours. Patients were weighed and serum samples were collected for biochemical and gasometric analysis at the beginning and at the end of the LII. Results: 27 and 24 patients with and without RRF were evaluated, respectively. Patients without RRF had a higher increase in serum potassium during the LII (2.67 x 1.14 mEq/L, p < 0.001), reaching higher values at the end of the study (6.8 x 5.72 mEq/L, p < 0.001) and lower pH value at the beginning of the interval (7.40 x 7.43, p = 0.018). More patients with serum bicarbonate < 18 mEq/L (50 x 14.8%, p = 0.007) and mixed acid-base disorder (57.7 x 29.2%, p = 0.042), as well as greater interdialytic weight gain (14.67 x 8.87 mL/kg/h, p < 0.001) and lower natremia (137 x 139 mEq/L, p = 0.02) at the end of the interval. Calcemia and phosphatemia were not different between the groups. Conclusion: Patients with RRF had better control of serum potassium, sodium, acid-base status, and volemia throughout the LII.

https://doi.org/10.1590/2175-8239-jbn-2018-0171 729 downloads

IDENTIFICAÇÃO E NOTIFICAÇÃO DE MAUS-TRATOS EM CRIANÇAS E ADOLESCENTES POR MÉDICOS DE FAMÍLIA NO CEARÁ
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Silva Junior, Geraldo Bezerra da

; Rolim, Ana Carine Arruda

; Moreira, Gracyelle Alves Remigio

; Corrêa, Carlos Roberto Silveira

; Vieira, Luiza Jane Eyre de Souza

Trabalho, Educação e Saúde

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aug 2017, Volume 15 N. 2 Pages 469 - 484

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

Resumo O objetivo deste estudo foi analisar os fatores associados à identificação e notificação de maus-tratos em crianças e adolescentes no exercício da prática de médicos que atuam na atenção primária, assim como a influência de sua formação para essa prática. A pesquisa abrangeu 227 médicos da Estratégia Saúde da Família em municípios cearenses, nos anos de 2010 a 2012. Realizaram-se análises bivariada e multivariada por regressão logística de dados de questionários dirigidos aos participantes. A maioria referiu não ter participado de treinamento sobre o assunto na graduação (73,6%), não conhecia a ficha de notificação de violência (59%) e relatou que a unidade em que trabalhava não tinha a ficha (80,5%). A maior parte também referiu não conhecer instituições de assistência à s vítimas de maus-tratos (85,6%). Dos participantes, 53,1% identificaram pelo menos um caso de maus-tratos contra criança e adolescente durante a prática profissional, e destes, 52,6% notificaram o caso. Tempo de formado, conhecimento da ficha de notificação e confiança nos órgãos de proteção estavam associados à identificação de maus-tratos. Os fatores para a notificação foram: presença da ficha de notificação na unidade e conhecimento de local para onde encaminhar as vítimas. Concluiu-se que a identificação desse problema e o manejo de sua notificação deveriam ser discutidos e orientados durante a formação médica.

Abstract The aim of this study was to analyze factors associated with the identification and reporting of abuse of children and adolescents in the course of the practice of physicians working in primary care, as well as the influence their training had in this practice. Carried out between 2010 and 2012, the survey involved 227 Family Health Strategy physicians in municipalities of the state of Ceará, Brazil. Bivariate and multivariate logistic regression analyses were done based on data from questionnaires the participants responded to. Most reported not having been trained in the subject during their undergraduate studies (73.6%), that they did not know the form used to report violence (59%), and that the unit where they worked did not have such a form available (80.5%). Most also reported not knowing institutions they could refer victims of abuse to (85.6%). Of the participants, 53.1% had already identified at least one case of abuse of children and adolescents during their professional practice and 52.6% reported the case. Time since graduation, awareness of the notification form, and confidence in protection agencies were associated with the identification of abuse. The availability of the notification form at the unit and knowledge of a place to refer the victims to were factors for notification. It was concluded that there is a need to discuss and guide training physicians in the identification of this issue and in the handling of its notification.

Resumen El objetivo de este estudio fue estudiar los factores asociados a la identificación y notificación de maltrato en niños y adolescentes durante el ejercicio de la práctica de médicos que actúan en la atención primaria, así como la influencia de su formación en esta práctica. La investigación contempló 227 médicos de la Estrategia Salud de la Familia, en municipios del estado de Ceará, Brasil, durante los años 2010 a 2012. Se realizaron análisis bivariado y multivariado por regresión logística de datos de cuestionarios dirigidos a los participantes. La mayoría manifestó no haber participado en capacitación sobre el tema durante el pregrado (73,6%), no conocía la ficha de notificación de violencia (59%) y observó que la unidad en que trabajaba no contaba con la ficha (80,5%). La mayor parte también relató no conocer instituciones de asistencias a las víctimas de maltrato (85,6%). De los participantes, el 53,1% identificó por lo menos un caso de maltrato contra niños y adolescentes durante la práctica profesional y de ellos 52,6% notificó el caso. Tiempo de graduado, conocimiento de la ficha de notificación y confianza en los órganos de protección estaban asociados a la identificación de maltrato. Los factores para la notificación fueron: presencia de la ficha de notificación en la unidad y conocimiento de lugar adonde encaminar las víctimas. Se concluyó que la identificación de este problema y el manejo de su notificación deberían ser discutidos y orientados durante la formación médica.

https://doi.org/10.1590/1981-7746-sol00058 2719 downloads

Acute kidney injury in HIV-infected children: comparison of patients according to the use of highly active antiretroviral therapy
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Soares, Douglas de Sousa

; Cavalcante, Malena Gadelha

; Ribeiro, Samille Maria Vasconcelos

; Leitão, Rayana Café

; Vieira, Ana Patrícia Freitas

; Pires Neto, Roberto da Justa

; Silva Junior, Geraldo Bezerra da

; Daher, Elizabeth de Francesco

Jornal de Pediatria

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dec 2016, Volume 92 N. 6 Pages 631 - 637

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo Objetivo: Avaliar dados clínicos e laboratoriais, bem como ocorrência de lesão renal aguda (LRA), em crianças HIV positivas com e sem uso de terapia antirretroviral altamente ativa (TARV) antes da admissão. Métodos: Estudo retrospectivo em pacientes pediátricos HIV positivos (< 16 anos). Foram comparadas as crianças que estavam em uso com aquelas sem uso de TARV prévia à internação. Resultados: Foram incluídos 63 pacientes, com média de 5,3 ± 4,27 anos, 55,6% do sexo feminino. LRA foi encontrada em 33 casos (52,3%). Os pacientes que usavam TARV apresentaram menores níveis de potássio (3,9 ± 0,8 vs. 4,5 ± 0,7 mEq/L, p = 0,019) e bicarbonato (19,1 ± 4,9 vs. 23,5 ± 2,2 mEq/L, p = 0,013), bem como maior taxa de filtração glomerular estimada (102,2 ± 36,7 vs. 77,0 ± 32,8 mL/min/1,73m2, p = 0,011), do que o pacientes sem TARV prévia. Na análise multivariada o uso de TARV prévia à internação foi fator protetor contra LRA (p = 0,036; RC = 0,30; IC de 95% = 0,097-0,926). Conclusão: A LRA é uma complicação comum da infecção pediátrica pelo HIV. O uso de TARV antes da internação foi associado a melhor taxa de filtração glomerular e foi fator de proteção contra LRA, porém desencadeou efeitos colaterais como hipocalemia e acidose metabólica.

Abstract Objective: To assess clinical and laboratory data, and acute kidney injury (AKI) in HIV-infected children using and not using highly active antiretroviral therapy (HAART) prior to admission. Methods: A retrospective study was conducted with HIV-infected pediatric patients (<16 years). Children who were using and not using HAART prior to admission were compared. Results: Sixty-three patients were included. Mean age was 5.3 ± 4.27 years; 55.6% were females. AKI was observed in 33 (52.3%) children. Patients on HAART presented lower levels of potassium (3.9 ± 0.8 vs. 4.5 ± 0.7 mEq/L, p = 0.019) and bicarbonate (19.1 ± 4.9 vs. 23.5 ± 2.2 mEq/L, p = 0.013) and had a higher estimated glomerular filtration rate (102.2 ± 36.7 vs. 77.0 ± 32.8 mL/min/1.73 m2, p = 0.011) than those not on HAART. In the multivariate analysis, the use of HAART prior to the admission was a protective factor for AKI (p = 0.036; OR = 0.30; 95% CI = 0.097-0.926). Conclusion: AKI is a common complication of pediatric HIV infection. Use of HAART prior to the admission preserved glomerular filtration and was a protective factor for AKI, but increased medication side effects, such as hypokalemia and renal metabolic acidosis.

https://doi.org/10.1016/j.jped.2016.03.009 1598 downloads

Allium sativum Compared to Cilostazol as an Inhibitor of Myointimal Hyperplasia
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Lima, Paulo Roberto da Silva

; Bandeira, Francisco Chavier Vieira

; Rolim, Janio Cipriano

; Nogueira, Manuel Ricardo Sena

; Pordeus, Mizael Armando Abrantes

; Oliveira, Andressa Feitosa Bezerra de

; Pitta, Guilherme Benjamin Brandão

Brazilian Journal of Cardiovascular Surgery

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sep 2016, Volume 31 N. 4 Pages 291 - 299

Abstract: En | Text: En | PDF: En

Abstract Objective: Intimal hyperplasia is associated with graft failure and vascular sutures in the first year after surgery and in postangioplasty restenosis. Allium sativum (common garlic) lowers cholesterol and has antioxidant effects; it also has antiplatelet and antitumor properties and, therefore, has great potential to reduce or inhibit intimal hyperplasia of the arteries. Our objective is to determine if the garlic has an efficacy to inhibit myointimal hyperplasia compared to cilostazol. Methods: Female New Zealand rabbits were divided into the following groups (n=10 each) according to treatment: group A, garlic, 800 µg×kg-1×day-1, orally; group C, cilostazol, 50 mg.day-1, orally; group PS, 10 ml of 0.9% physiological saline solution, orally. Our primary is the difference of the mean of myointimal hyperplasia. Statistical analysis was performed by using ANOVA and Tukey tests, as well as the Chi-square test. We calculated the 95% confidence interval for each point estimate, and the P value was set as < 0.05. Results: Group PS had a mean hyperplasia rate of 35.74% (95% CI, 31.76–39.71%); group C, 16.21% (95% CI, 13.36–19.05%); and group A, 21.12% (95% CI, 17.26–25.01%); P<0.0001. Conclusion: We conclude that Allium sativum had the same efficacy in inhibiting myointimal hyperplasia when compared to the positive control, cilostazol.

https://doi.org/10.5935/1678-9741.20160069 755 downloads

Evidence of exploitative competition among egg parasitoids of Spodoptera frugiperda (Lepidoptera: Noctuidae) in maize
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BEZERRA DASILVA, CHERRE SADE

; MENDES VIEIRA, JACI

; LOIÁCONO, MARTA

; MARGARÍA, CECILIA

; POSTALI PARRA, JOSÉ ROBERTO

Revista Colombiana de Entomología

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dec 2015, Volume 41 N. 2 Pages 184 - 186

Abstract: Es En | Text: Es En | PDF: Es | PDF: En

Telenomus remus and Trichogramma spp. (Hymenoptera: Platygastridae, Trichogrammatidae) are known egg parasitoids of the fall armyworm (FAW), Spodoptera frugiperda (Lepidoptera: Noctuidae) in Brazil. Parasitism of Trichogrammatid on eggs of S. frugiperda has been relatively common, whereas the occurrence of T. remus in Brazilian crops has rarely been reported. Consequently, literature that gives insights about the interspecific competition among individuals of T. remus and Trichogramma spp. in the field is very scarce. Here we report the simultaneous occurrence of T. remus, Trichogramma pretiosum, and Tr. atopovirilia on eggs of the FAW in maize (Piracicaba, Sao Paulo, Brazil). Our findings imply that these three egg parasitoid species were engaged in exploitative competition (indirect interactions in which the depletion of resources by one species prevents the other access to them) toward eggs of S. frugiperda . Moreover, given the emergence of combinations of two and three of these parasitoid species from a single egg mass, our data strongly suggest that T. remus , Tr. pretiosum and Tr. atopovirilia were also engaged in interference competition (direct interactions among adults and/or immature individuals resulting in behavioral changes or even death of individuals). Both exploitative and interference competition may affect the population dynamics of parasitoids, with consequences for the biological control of pests. Hence, the present findings highlight the importance of determining the outcome of competition among T. remus , Tr. pretiosum and Tr. atopovirilia toward eggs of S. frugiperda in laboratory and field studies.

Telenomus remus y Trichogramma spp. (Hymenoptera: Platygastridae, Trichogrammatidae) son parasitoides de huevos del gusano cogollero del maíz (GCM), Spodoptera frugiperda (Lepidoptera: Noctuidae) en Brasil. Mientras que los informes sobre el parasitismo de Trichogramma en huevos de S. frugiperda son relativamente comunes, los registros de T. remus en los cultivos brasileños son escasos. En consecuencia, la literatura sobre la competencia entre T. remus y Trichogramma spp. en campo es poca. En este trabajo, se presenta la presencia simultánea de T. remus, Trichogramma pretiosum y Tr. atopovirilia en huevos del GCM en el cultivo de maíz (Piracicaba, Sao Paulo, Brasil). Los resultados muestran que estas tres especies de parasitoides estuvieron involucradas en competencia exploratoria (interacción indirecta, donde el agotamiento de los recursos por parte de una especie impide que la otra tenga acceso a ellos) por los huevos de S. frugiperda. Sin embargo, teniendo en cuenta que se observó el surgimiento de dos y tres especies de parasitoides de una sola masa de huevos, los resultados sugieren que T. remus , Tr. pretiosum y Tr. atopovirilia también participaron en competencia por interferencia (interacciones directas entre los adultos y/o inmaduros que resultan en cambios en el comportamiento o muerte de los individuos). Ambos tipos de competencia pueden afectar la dinámica poblacional de parasitoides con consecuencias para el control biológico de plagas. Por consiguiente, nuestro trabajo destaca la importancia de investigar la competencia entre T. remus , Tr. pretiosum y Tr. atopovirilia por huevos de S. frugiperda en estudios de laboratorio y campo.

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FLUCTUATING JAUNDICE IN THE ADENOCARCINOMA OF THE AMPULLA OF VATER: a classic sign or an exception?
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ALVES, José Roberto

; AMICO, Enio Campos

; SOUZA, Dyego Leandro Bezerra de

; OLIVEIRA, Patrick Vanttinny Vieira de

; MARANHÃO, Ícaro Godeiro de Oliveira

Arquivos de Gastroenterologia

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jun 2015, Volume 52 N. 2 Pages 147 - 151

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Contexto Alguns autores consideram a icterícia flutuante como um sinal clássico do adenocarcinoma da ampola de Vater. Objetivo Determinar a frequência de icterícia flutuante em suas formas de apresentação nos pacientes portadores de adenocarcinoma de ampola de Vater. Métodos Estudo observacional e restrospectivo, realizado a partir de análise de prontuários médicos de pacientes submetidos à ressecção cefálica pancreática entre fevereiro de 2008 e julho de 2013, cujo anatomopatológico confirmou o diagnóstico de adenocarcinoma de ampola de Vater. Conceituação e diferenciação entre icterícia flutuante clínica e laboratorial foram padronizadas. Icterícia flutuante laboratorial foi dividida em tipo A e B. Resultados Vinte pacientes foram selecionados. Um deles permaneceu sempre anictérico, 11 pacientes desenvolveram icterícia progressiva, 2 desenvolveram icterícia flutuante clínica e laboratorial, 5 apresentaram apenas icterícia flutuante laboratorial e 1 não apresentou significativa variação nos níveis séricos de bilirrubina total. Entre os sete pacientes com icterícia flutuante, dois foram classificados como tipo A, um como tipo B e quatro não foram classificados devido à falta de informações. Finalmente, icterícia progressiva foi a apresentação mais prevalente nos pacientes selecionados (11 casos). Conclusão Este artigo sugere que a icterícia flutuante clínica é um sinal incomum em pacientes portadores de adenocarcinoma de ampola de Vater.

Background Some authors consider the fluctuating jaundice as a classic sign of the adenocarcinoma of the ampulla of Vater. Objetive Assessing the frequency of fluctuating jaundice in their forms of its depiction in the patients with adenocarcinoma of the ampulla of Vater. Methods Observational and retrospective study, conducted through analyses of medical records from patients subjected to pancreatic cephalic resections between February 2008 and July 2013. The pathological examination of the surgical specimen was positive to adenocarcinoma of the ampulla of Vater. Concepts and differences on clinical and laboratory fluctuating jaundice were standardized. It was subdivided into type A and type B laboratory fluctuating jaundice. Results Twenty patients were selected. One of them always remained anicteric, 11 patients developed progressive jaundice, 2 of them developed clinical and laboratory fluctuating jaundice, 5 presented only laboratory fluctuating jaundice and one did not present significant variations on total serum bilirubin levels. Among the seven patients with fluctuating jaundice, two were classified as type A, one as type B and four were not classified due to lack information. Finally, progressive jaundice was the prevailing presentation form in these patients (11 cases). Conclusion This series of cases suggested that clinical fluctuating jaundice is a uncommon signal in adenocarcinoma of the ampulla of Vater.

https://doi.org/10.1590/S0004-28032015000200014 4652 downloads

Nodular fasciitis on the zygomatic region: a rare presentation
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Souza, Ilner de Souza e

; Rochael, Mayra Carriijo

; Farias, Rogério Estevam

; Vieira, Roberto Bezerra

; Vieira, Janaina Silva Tirapelle

; Schimidt, Nathalia Campos

Anais Brasileiros de Dermatologia

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dec 2013, Volume 88 N. 6 Pages 89 - 92

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

A fasciíte nodular é um tumor benigno, decorrente da proliferação reativa de células fibroblásticas ou miofibroblásticas. Pode ser confundida com os sarcomas, devido a seu rápido crescimento e rica celularidade. Apesar da possibilidade da involução espontânea, a excisão é o tratamento de escolha. É apresentada uma paciente de 24 anos, com um nódulo de 3 meses de evolução na região zigomática. Foi realizada biópsia excisional. O exame histopatológico associado à imuno-histoquímica com os marcadores HHF35, AML e Ki-67 permitiram a confirmação diagnóstica. A principal relevância do caso apresentado é sua rara localização, sugerindo a sua inclusão entre os diagnósticos diferenciais das lesões tumorais na face.

Nodular fasciitis is a benign tumor, resulting from reactive proliferation composed of fibroblastic/myofibroblastic cells. Due to its rapid growth and high cellularity it may be mistaken for sarcoma. Despite the possibility of spontaneous regression, excision is the treatment of choice. A 24-year-old female patient presented with a nodule on the zygomatic region with 3 months of evolution. Excisional biopsy was performed. Histopathological examination associated with immunohistochemical markers HHF35, AML and Ki-67 allowed diagnostic confirmation. The main relevance of the case presented is its rare location, suggesting its inclusion among the differential diagnoses of tumor lesions on the face.

https://doi.org/10.1590/abd1806-4841.20132474 2718 downloads

Coccidioidomycosis in armadillo hunters from the state of Ceará, Brazil
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Brillhante, Raimunda Sâmia Nogueira

; Moreira Filho, Renato Evando

; Rocha, Marcos Fábio Gadelha

; Castelo-Branco, Débora de Souza Collares Maia

; Fechine, Maria Auxiliadora Bezerra

; Lima, Rita Amanda Chaves de

; Picanço, Yuri Vieira Cunha

; Cordeiro, Rossana de Aguiar

; Camargo, Zoilo Pires de

; Queiroz, José Ajax Nogueira

; Araujo, Roberto Wagner Bezerra de

; Mesquita, Jacó Ricarte Lima de

; Sidrim, José Júlio Costa

Memórias do Instituto Oswaldo Cruz

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sep 2012, Volume 107 N. 6 Pages 813 - 815

Abstract: En | Text: En | PDF: En

Coccidioidomycosis is a systemic mycosis with a variable clinical presentation. Misdiagnosis of coccidioidomycosis as bacterial pneumopathy leads to inappropriate prescription of antibiotics and delayed diagnosis. This report describes an outbreak among armadillo hunters in northeastern Brazil in which an initial diagnosis of bacterial pneumonia was later confirmed as coccidioidomycosis caused by Coccidioides posadasii. Thus, this mycosis should be considered as an alternative diagnosis in patients reporting symptoms of pneumonia, even if these symptoms are only presented for a short period, who are from areas considered endemic for this disease.

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10.

Relation between three-dimensional and two-dimensional echocardiography and biochemical analysis in patients with ST-segment elevation myocardial infarction percutaneously treated
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Vieira, Marcelo Luiz Campos

; Oliveira, Wercules Antônio

; Cury, Alexandre Ferreira

; Cordovil, Adriana

; Rodrigues, Ana Clara Tude

; Naccarato, Gustavo Alberto Frazatto

; Monaco, Claudia Gianini

; Costa, Lea Paula Ravani Beneti

; Romano, Renata Barbara

; Calatroia, João Roberto

; Afonso, Tania Regina

; Tavares, Glaucia Maria Penha

; Guimarães, Laise Antônia Bonfim

; Lira Filho, Edgar Bezerra

; Perin, Marco Antonio

; Fischer, Claudio Henrique

; Morhy, Samira Saady

einstein (São Paulo)

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mar 2010, Volume 8 N. 1 Pages 53 - 61

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO Objetivo: O prognóstico dos pacientes portadores de infarto agudo do miocárdico depende de múltiplos aspectos que espelhem o grau de agressão ao miocárdio (como marcadores enzimáticos de necrose miocárdica), assim como dos mecanismos de adaptação ao evento agudo. O objetivo do estudo foi verificar a associação entre os achados bioquímicos e ecocardiográficos derivados da análise ecocardiográfica transtorácica tridimensional (ECO 3D) com a fração de ejeção do ventrículo esquerdo (ECO 2D) em pacientes acometidos por infarto agudo do miocárdio com supradesnivelamento do segmento ST, que tenham sido submetidos a tratamento primário percutâneo. Métodos: Estudo prospectivo com Eco 3D e 2D de 23 indivíduos (17 homens, 57 ± 13 anos), acometidos por infarto agudo do miocárdio com elevação do segmento ST, primariamente tratados com implante de stent coronariano. Foi feita a dosagem sérica de creatina cinase fração MB, Troponina I, Mioglobina e peptídeo atrial natriurético e comparada com os parâmetros ecocardiográficos (volumes, fração de ejeção do ventrículo esquerdo e índice de dissincronia ventricular). A análise estatística foi feita com a determinação do coeficiente de correlação (Pearson), IC = 95%, p < 0,05, com teste de regressão linear e teste de Bland & Altman. Resultados: Coeficiente de correlação (r) entre fração de ejeção do ventrículo esquerdo 3D: 1- peptídeo atrial natriurético: r: - 0,7427, p < 0,0001; 2- creatina cinase fração MB: r: -0,660, p = 0,001. fração de ejeção do ventrículo esquerdo 2D (r) : 1- peptídeo atrial natriurético: r: - 0,5478, p = 0,001; 2- creatina cinase fração MB: r: -0,4800, p < 0,0277. As demais associações entre os parâmetros ecocardiográficos e as dosagens séricas não foram significativas. Conclusões: Nesta série, foi observada correlação melhor entre a dosagem sérica de peptídeo atrial natriurético, de creatina cinase fração MB e a fração de ejeção do ventrículo esquerdo aferida por Eco 3D do que a correlação com a fração de ejeção do ventrículo esquerdo aferida por Eco 2D.

ABSTRACT Objective: The prognosis of patients with acute myocardial infarction depends on multiple features that can demonstrate myocardial injury degree (such as serum markers of cardiac necrosis), and also on adaptive mechanisms relative to the acute event. The aim of the study was to assess the relation between biochemical and echocardiographic findings from three-dimensional echocardiographic (3D Echo) analysis and echocardiographic two-dimensional (2D Echo) left ventricular ejection fraction in patients with ST-segment elevation acute myocardial infarction, submitted to primary percutaneous treatment. Methods: A prospective study with 2D Echo and 3D Echo of 23 patients (17 males, mean age of 57 ± 13 years) with ST-segment elevation acute myocardial infarction, primarily percutaneously treated (stent). Serum cardiac markers (creatine kinase MB, Troponin I and Myoglobin) and serum brain natriuretic peptide were compared to echocardiographic parameters (volumes, left ventricular ejection fraction and ventricular dyssynchrony index). The statistical analysis was performed using Pearson's correlation coefficient, 95% CI, p < 0.05, linear regression equation and Bland & Altman test. Results: Pearson's correlation coefficient (r)relative to 3D left ventricular ejection fraction: 1- brain natriuretic peptide: r: - 0.7427, p < 0.0001; 2- creatine kinase MB: r: - 0.660, p = 0.001. Left ventricular ejection fraction 2D (r) : 1- brain natriuretic peptide: r: - 0.5478, p = 0.001; 2- creatine kinase MB: r: - 0.4800, p < 0.0277. Other associations were not significant. Conclusions: In this series, it was observed better correlation in regard to serum creatine kinase MB, brain natriuretic peptide and 3D Echo left ventricular ejection fraction, when compared to 2D Echo left ventricular ejection fraction.

https://doi.org/10.1590/s1679-45082010ao1438 1551 downloads

11.

Analysis of the Height of Lingual Vallates Papillae in Brazilian Individuals
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de Oliveira, Emanuelle Ribeiro

; Accioly Lins Amorim, Marleyne José Afonso

; Bezerra de Sá, Fabrício

; de Albuquerque Nogueira, Romildo

; de Amorim Júnior, Adelmar Afonso

; Martins Araújo, Bruno

; Fernandes Veloso Neto, Humberto

; Vieira de Mello, Roberto José

International Journal of Morphology

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mar 2006, Volume 24 N. 1 Pages 39 - 42

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

The vallates papillae lingual are located in the surface of the tongue in a area denominated of V lingual and it presents cells gustatory gathered in gustatory buttons. This research evaluated the height papilar in relation to the surface of the tongue of 519 lingual vallates papillae. 45 human tongue samples were selected, of both sexes, inside of the 40-50 year-old age group, obtained from necropsias accomplished in the Service of Verification of Deaths (S.V.O.) of UFPE/Secretaria of Health of the state of Pernambuco, in the city of Recife. The samples were classified different height levels accordingly in relation to the surface of the tongue, not establishing the exact height, where there was the predominance of the height above the lingual surface

Las papilas valadas linguales están localizadas en la superficie dorsal de la lengua, en un área denominada V lingual y presentan células gustativas acumuladas en botones gustativos. Se evaluó la altura papilar en relación con la superficie de la lengua de 519 papilas valadas linguales. Fueron seleccionadas 45 lenguas humanas, de individuos de ambos sexos, de 45 a 50 años de edad, obtenidas de autopsias del Servicio de Verificación de Óbitos de la Universidade Federal ed Pernambuco /Secretaría de Salud del Estado de Pernambuco, Recife, Brasil. Las muestras fueron clasificadas de acuerdo a los niveles de altura en relación con la superficie de la lengua, no estableciéndose la altura exacta, donde hubo predominio de papilas ubicadas sobre la superficie lingual

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12.

Níveis de energia em dietas para ovinos Santa Inês: desempenho
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Alves, Kaliandra Souza

; Carvalho, Francisco Fernando Ramos de

; Véras, Antônia Sherlânea Chaves

; Andrade, Marcelo Ferreira de

; Costa, Roberto Germano

; Batista, Ângela Maria Vieira

; Medeiros, Ariosvaldo Nunes de

; Souto Maior Junior, Rinaldo José de

; Andrade, Dulciene Karla Bezerra de

Revista Brasileira de Zootecnia

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dec 2003, Volume 32 N. 6 Pages 1937 - 1944

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Os consumos de matéria seca (CMS), energia metabolizável (CEM), extrato etéreo (CEE), proteína bruta (CPB), fibra em detergente neutro (CFDN), fibra em detergente ácido (CFDA) e matéria orgânica (CMO) e o ganho em peso diário (GPD), expressos em kg/dia, e a conversão alimentar (CA) foram determinados para avaliar o efeito de três níveis de energia em dietas para ovinos. Utilizaram-se 18 ovinos da raça Santa Inês, machos não-castrados, com idade média de seis meses e peso vivo médio de 20 kg, alimentados com dietas contendo 2,42; 2,66; e 2,83 Mcal de energia metabolizável (EM)/kg de matéria seca (MS), distribuídos em delineamento em blocos casualizados, com seis repetições. Os CMS, em kg/dia, %PV e g/kg0,75 , não foram influenciados pelos níveis de energia na dieta, com médias de 0,88 kg, 3,33% e 75,52 g, respectivamente. Para CFDN e CFDA houve efeito linear decrescente com o aumento dos níveis de energia na dieta. CEE e CEM, por sua vez, cresceram linearmente com o aumento nos níveis de energia da dieta. Quanto ao CPB, não foi observado efeito significativo com incremento energético. Os níveis de energia da dieta não influenciaram o ganho em peso e a conversão alimentar, que foram de 0,123; 0,137; e 0,191 kg e 9,6; 8,4; e 7,0, respectivamente.

The intakes of dry matter (IDM), metabolizable energy (IME), ether extract (IEE), crude protein (ICP), neutral detergent fiber (INDF), acid detergent fiber (IADF) and organic matter (IOM) and the daily weight gain (WG), in kg/day, and feed conversion (FC) were determined to evaluate the effect of three dietary energy levels, for sheep. Eighteen Santa Inês sheep (averaging live weight of 20 kg six months old) were full fed diets with 2.42, 2.66 and 2.83 Mcal of metabolizable energy (ME)/kg of dry matter (DM). A randomized block design, with six replicates, was used. IDM, in kg/day, %LW, g/kg0.75, showed no effect, as the dietary energy levels increased, with average of 0.88 kg, 3.33% and 75.52 g, respectively. INDF and IADF showed linear decreasing effect, as the dietary energy levels increased. IEE and IME increased linearly, as the dietary energy levels increased. There was no significant effect for ICP, as the dietary energy levels increased. Dietary energy levels did not influence weight gain and feed conversion, that were of 0.123, 0.137, and 0.191 kg and 9.6, 8.4, and 7.0, respectively.

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