Resumo Fundamentos: Os mecanismos subjacentes pelos quais a doença cardíaca reumática (DCR) levam à disfunção valvar grave não são totalmente compreendidos. Objetivo: O presente estudo avaliou as alterações histopatológicas nas valvas mitrais (VM) buscando uma associação entre o padrão de disfunção valvar predominante e os achados histopatológicos. Métodos: Em 40 pacientes submetidos à troca da VM devido a DCR e em 20 controles submetidos a transplante cardíaco, foram analisados os aspectos histológicos da VM excisada. Dados clínicos e ecocardiográficos também foram coletados. As análises histológicas foram realizadas usando coloração com hematoxilina-eosina. Determinou-se inflamação, fibrose, neoangiogênese, calcificação e metaplasia adiposa. Valores de p<0,05 foram considerados estatisticamente significativos. Resultados: A idade média dos pacientes com DCR foi de 53±13 anos, sendo 36 (90%) do sexo feminino, enquanto a idade média dos controles foi de 50±12 anos, semelhante aos casos, sendo a maioria do sexo masculino (70%). O endocárdio valvar reumático apresentou espessura maior que os controles (1,3±0,5 mm versus 0,90±0,4 mm, p=0,003, respectivamente), e infiltrado inflamatório mais intenso no endocárdio (78% versus 36%; p=0,004), com predominância de células mononucleares. Ocorreu fibrose moderada a acentuada mais frequentemente em válvulas reumáticas do que em válvulas controle (100% vs. 29%; p<0,001). Ocorreu calcificação em 35% das valvas reumáticas, principalmente entre as valvas estenóticas, associada à área valvar mitral (p=0,003). Conclusões: Apesar do intenso grau de fibrose, o processo inflamatório permanece ativo na valva mitral reumática, mesmo em doença tardia com disfunção valvar. A calcificação predominou em valvas estenóticas e em pacientes com disfunção ventricular direita.

Abstract Background: The underlying mechanisms by which rheumatic heart disease (RHD) lead to severe valve dysfunction are not completely understood. Objective: The present study evaluated the histopathological changes in mitral valves (MV) seeking an association between the pattern of predominant valvular dysfunction and histopathological findings. Methods: In 40 patients who underwent MV replacement due to RHD, and in 20 controls that underwent heart transplant, histological aspects of the excised MV were analyzed. Clinical and echocardiographic data were also collected. Histological analyses were performed using hematoxylin-eosin staining. Inflammation, fibrosis, neoangiogenesis, calcification and adipose metaplasia were determined. A p value<0.05 was considered to be statistically significant. Results: The mean age of RHD patients was 53±13 years, 36 (90%) were female, whereas the mean age of controls was 50±12 years, similar to the cases, with the majority of males (70%). The rheumatic valve endocardium presented greater thickness than the controls (1.3±0.5 mm versus 0.90±0.4 mm, p=0.003, respectively), and a more intense inflammatory infiltrate in the endocardium (78% versus 36%; p=0.004), with predominance of mononuclear cells. Moderate to marked fibrosis occurred more frequently in rheumatic valves than in control valves (100% vs. 29%; p<0.001). Calcification occurred in 35% of rheumatic valves, especially among stenotic valves, which was associated with the mitral valve area (p=0.003). Conclusions: Despite intense degree of fibrosis, the inflammatory process remains active in the rheumatic mitral valve, even at late disease with valve dysfunction. Calcification predominated in stenotic valves and in patients with right ventricular dysfunction.

ABSTRACT Adjuvants are tools to maximize pesticide spray quality. This study aimed to evaluate the interaction effects between adjuvants and the fungicide azoxystrobin + benzovindiflupyr on the physicochemical characteristics, droplet evaporation time, and spray droplet size. The experiment was carried out using a 2×6 factorial scheme, in which the first factor was the absence or presence of the fungicide mixture (water or water + fungicide) and the second factor was the presence of different adjuvants (water and five adjuvants). The parameters evaluated were surface tension, pH, viscosity, electrical conductivity, droplet evaporation time, volume median diameter, percentage of droplets smaller than 100 μm, and relative amplitude of the droplet spectrum. The silicone and propionic acid + soy lecithin adjuvants reduced the pH of the spray solution, and the sodium lauryl ether sulfate, propionic acid + soy lecithin, and orange essential oil adjuvants reduced droplet evaporation when mixed with the fungicide. All tested adjuvants improved spray quality related to the characteristics of the droplet spectrum, reducing the percentage of droplets smaller than 100 μm, and allowing more uniform droplet size. The fungicide azoxystrobin + benzovindiflupyr affected droplet evaporation time.

ABSTRACT Knowledge of droplet spectra generated by spray nozzle tips is important to ensure the quality of applications of plant protection products. However, there are different methods for this evaluation, which can cause difficulty in interpreting the results. This study aimed to evaluate the droplet spectra produced by the flat fan spray tip AD 11002 operated under different pressures and using different techniques and equipment. The volume median diameter (VMD), percentage of spray volume in droplets smaller than 100 µm diameter and relative spam (RS), considering pressures of 200, 300, and 400 kPa were determined using two direct measurement equipment (Spraytec and Shadow Sizer), based on laser diffraction and image analysis, respectively, and a measure based on indirect analysis, through the digitization of water-sensitive paper. Thus, the use of different analysis techniques led to variations of the analyzed parameters. Among the direct measurement equipment, a difference of up to 58% was observed in VMD. The use of water-sensitive paper to characterize droplet spectra must be carried out with great discretion because there is an underestimation of fine droplets. Pressure variations of 200 to 400 kPa did not influence VMD and RS.