RESUMO Introdução: Diferentes técnicas cirúrgicas foram desenvolvidas para a redução do volume glandular e para a correção da ptose mamária com o objetivo de obter resultados eficientes e de qualidade com o menor número de complicações possível. Este artigo descreve a técnica de mastopexia idealizada pelo Dr. Roberto Antonio Barjaz Millan e a avaliação do nível de satisfação das mulheres após o procedimento. Métodos: Trata-se de um estudo transversal, observacional e analítico desenvolvido a partir da análise da técnica de mastopexia na redução mamária e na correção de ptose mamária padronizada pelo Dr. Millan, realizado no Setor de Cirurgia Plástica do Centro Universitário Saúde ABC. Participaram do estudo 20 mulheres com ptose mamária grau II e III, segundo classificação de Regnault, ou hipertrofia mamária, definida pelos critérios de Sacchini et al. e de Franco & Rebello, ainda não submetidas a cirurgia e 20 mulheres previamente submetidas a mastopexia pela técnica de Millan, com idades entre 18 e 60 anos. Para análise do nível de satisfação após o procedimento, foi aplicado o questionário BREAST-Q®. Resultados: Não houve diferenças significantes das mulheres que fizeram a cirurgia (grupo pós-cirúrgico) quando comparadas às que não fizeram cirurgia (grupo controle) em relação às variáveis idade (p=0,357), Índice de Massa Corporal (p=0,695), grau de hipertrofia (p=0,799) e grau de ptose mamária (p=0,391). Em relação às variáveis de satisfação com mamas, psicossocial, sexual, físico, todas as pacientes submetidas a cirurgia apresentaram valores maiores comparados aos valores obtidos nas pacientes do grupo sem cirurgia (p<0,009). Conclusão: A técnica de mastopexia idealizada pelo Dr. Millan apresenta resultados que foram considerados satisfatórios pelas pacientes avaliadas.

ABSTRACT Introduction: Different surgical techniques were developed to reduce glandular volume and correct breast ptosis, with the objective of efficient and quality results for the patients and with the fewest possible complications. This study describes the treatment technique standardized by Dr. Roberto Millan and the level of women’s satisfaction after performing the procedure. Methods: This is a cross-sectional, observational and analytical study carried out from the analysis of the breast treatment technique standardized by Dr. Millan performed at the Plastic Surgery Sector of Centro Universitário Saúde ABC. The study included 20 women with grade II and III breast ptosis, according to Regnault’s classification, or breast hypertrophy, defined by the criteria of Sacchini et al. and by Franco & Rebello; and 20 women previously submitted to mastopexy or reduction mammoplasty using the Millan technique, aged between 18 and 60 years. The BREAST-Q® questionnaire was applied to analyze the level of satisfaction after the procedure. Results: It is observed that there were no significant differences between women who underwent the surgery Mass group (post-surgical group) when compared to those who did not undergo surgery (control group) concerning age (p=357), (p=0.695), degree of hypertrophy (p=0.799) and degree of breast ptosis (p=0.391). Regarding breast satisfaction, psychosocial, sexual, and physical variables all presented higher values in women with surgery than those without surgery (p<0.009). Conclusion: The breast treatment technique standardized by Dr. Millan presents results that led to patient satisfaction.

RESUMO: O objetivo da presente pesquisa foi avaliar as diferenças nas propriedades químicas e na estrutura física do iogurte produzido com leite de diferentes espécies (ovinos, bovinos e caprinos). Para cada experimento, leite de ovelha cru (S), vaca (C) e cabra (G), foram usados para fabricar 4L de iogurtes (Y) de cada espécie (SY, CY e GY, respectivamente). O SY demonstrou os maiores (P<0,05) valores de sólidos totais, proteína e conteúdo lipídico, refletindo em maior (P<0,05) firmeza, viscosidade aparente e capacidade de retenção de água e menor (P<0,05) índice de sinérese do que CY e GY. Consequentemente, o SY exibiu uma microestrutura mais compacta e uma matriz homogênea com menos poros. Além disso, a microestrutura CY e GY continha um maior número de poros, que exibiam maior heterogeneidade de tamanho do que o SY. Portanto, com base nas propriedades físico-químicas e micro estruturais avaliadas do iogurte, o SY demonstrou os valores de parâmetros mais desejáveis para a indústria de laticínios, representando uma alternativa de produto adequada aos iogurtes à base de leite de vaca.

ABSTRACT: The aim of the present research was to evaluate differences in chemical properties and physical structure of yoghurt produced with milk from different species (sheep, cow, and goat). For each trial, whole raw sheep (S), cow (C), and goat (G) milk were used to manufacture 4L of yoghurts (Y) from each species (SY, CY, and GY, respectively). The SY demonstrated the greatest (P<0.05) values of total solids, protein, and lipid contents, reflecting on greater (P<0.05) firmness, apparent viscosity and water-holding capacity, and lower (P<0.05) syneresis index than CY and GY. Consequently, SY exhibited a more compact microstructure and homogeneous matrix with fewer pores. Furthermore, CY and GY microstructure contained a greater number of pores, which exhibited greater size heterogeneity than SY. Therefore, based on the evaluated physicochemical and microstructural properties of yoghurt, SY demonstrated the most desirable parameter values for dairy industry representing an alternative substitution for cow’s milk yogurt.

RESUMO: O objetivo desse estudo foi investigar a influência do tipo muscular na oxidação proteica, perfil de textura (dureza, elasticidade, coesividade e mastigabilidade) e composição centesimal da carne de bovinos Bos indicus (Nelore) terminados com grãos no Brasil. Os músculos longissimus lumborum (LL) e psoas major (PM) foram obtidos 24 horas post mortem de oito (n=8) carcaças de touros Nelore, cortados em cinco bifes (1,5 cm), e dispostos em condições aeróbicas por nove dias a 4 °C. Composição centesimal e perfil de textura foram analisados no dia 0, enquanto que a oxidação proteica foi analisada durante 9 dias de estocagem. Os bifes LL demonstraram maior (P<0.05) concentração de proteína em relação aos bifes PM, enquanto que PM apresentou maior (P<0.05) conteúdo de lipídeos e cinzas que LL. Além disso, os bifes LL exibiram maior (P<0,05) dureza, elasticidade, coesividade e mastigabilidade em relação aos bifes PM. Em contraste, a oxidação proteica foi maior (P<0,05) nos bifes PM do que nos bifes LL em todos os dias de estocagem. Os resultados sugerem que as diferenças no metabolismo e na composição muscular contribuíram para a variação nos atributos bioquímicos e perfil de textura entre os bifes LL e PM. Estratégias músculo-específicas são indicadas a fim de promover a estabilidade de cor nos bifes PM oriundos de bovinos Bos indicus terminados com grãos.

ABSTRACT: The aim of this research was to investigate the influence of muscle type on protein oxidation, texture profile (hardness, springiness, cohesiveness and chewiness) and proximate composition of beef from grain-finished Bos indicus (Nellore) cattle in Brazil. The muscles longissimus lumborum (LL) and psoas major (PM) were collected 24 h post mortem from eight (n=8) Nellore bull carcasses, fabricated into five steaks (1.5-cm) and displayed under aerobic conditions for nine days at 4 °C. Proximate composition and texture profile were analyzed on day 0, whereas protein oxidation was analyzed during 9 days of storage. LL exhibited greater (P<0.05) protein concentration than PM steaks, whereas PM demonstrated greater (P<0.05) lipid and ash content than their correlative LL. In addition, LL steaks exhibited greater (P<0.05) hardness, springiness, cohesiveness and chewiness than PM steaks. In contrast, protein oxidation was greater (P<0.05) in PM than in LL steaks throughout the storage. The results suggest that the differences of muscle metabolism and composition contributed to the variation on biochemical attributes and texture profile of LL and PM steaks. Muscle-specific strategies are indicated to improve the color stability of PM steaks from grain-finished Bos indicus cattle.

RESUMO A atrofia muscular bulboespinhal ligada ao cromossomo X (doença de Kennedy) é uma rara doença de neurônio motor inferior, recessiva, ligada ao X, e caracterizada por fraqueza, atrofia e fasciculações da musculatura apendicular e bulbar. É causada por uma expansão da repetição CAG no gene do receptor de androgênio. Pacientes com doença de Kennedy apresentam mais de 39 repetições CAG. O paciente deste relato era do sexo masculino, 57 anos, morador de Monte Dourado (PA, Brasil), com queixa de paresia braquiocrural há 3 anos, acompanhada de fasciculações e tremores de extremidades. Em seguida, ele desenvolveu disartria, disfagia e disfunção sexual. Também apresentava comprometimento da marcha, hiporreflexia global, atrofia muscular proximal dos membros superiores, desvio da úvula para direita à fonação e atrofia de língua com fasciculações. Foi realizada cirurgia para tratamento de ginecomastia há 30 anos. A eletroneuromiografia sugeriu quadro de atrofia muscular espinhal. Imagens de ressonância magnética demonstraram afilamento da medula espinhal cervical e torácica. A creatina quinase estava elevada. Diante dos achados, solicitou-se investigação para doença de Kennedy, e foram identificadas 46 repetições CAG no gene do receptor de androgênio, o que confirmou a suspeita diagnóstica. Este foi o primeiro caso de doença de Kennedy diagnosticado e descrito na Amazônia brasileira. Existem, além deste relato, apenas outros quatro trabalhos publicados sobre a doença em pacientes do Brasil. Também realizamos breve revisão de aspectos etiopatogênicos, clínicos e diagnósticos.

ABSTRACT The X-linked spinal and bulbar muscular atrophy (Kennedy’s disease) is a rare X-linked, recessive, lower motor neuron disease, characterized by weakness, atrophy, and fasciculations of the appendicular and bulbar muscle. The disease is caused by an expansion of the CAG repetition in the androgen receptor gene. Patients with Kennedy’s disease have more than 39 CAG repetitions. We report a case of 57-year-old man, resident of Monte Dourado (PA, Brazil) who complained of brachiocrural paresis evolving for 3 years along with fasciculations and tremors of extremities. In addition, he also developed dysarthria, dysphagia, and sexual dysfunction. The patient clinical picture included gait impairment, global hyporeflexia, proximal muscle atrophy of upper limbs, deviation of the uvula to right during phonation and tongue atrophy with fasciculations. The patient reported that about 30 years ago he had undergone gynecomastia surgery. His electroneuromyography suggested spinal muscular atrophy, and nuclear magnetic resonance imaging showed tapering of the cervical and thoracic spinal cord. Patient’s creatine kinase level was elevated. In view of the findings, an exam was requested to investigate Kennedy’s disease. The exam identified 46 CAG repetitions in the androgen receptor gene, which confirmed the diagnostic suspicion. This was the first case of Kennedy’s disease diagnosed and described in the Brazilian Amazon. To our knowledge only other four papers were published on this disease in Brazilian patients. A brief review is also provided on etiopathogenic, clinical and diagnostic aspects.

Introduction : This paper presents a detection method for upper limb movement intention as part of a brain-machine interface using EEG signals, whose final goal is to assist disabled or vulnerable people with activities of daily living. Methods EEG signals were recorded from six naïve healthy volunteers while performing a motor task. Every volunteer remained in an acoustically isolated recording room. The robot was placed in front of the volunteers such that it seemed to be a mirror of their right arm, emulating a Brain Machine Interface environment. The volunteers were seated in an armchair throughout the experiment, outside the reaching area of the robot to guarantee safety. Three conditions are studied: observation, execution, and imagery of right arm’s flexion and extension movements paced by an anthropomorphic manipulator robot. The detector of movement intention uses the spectral F test for discrimination of conditions and uses as feature the desynchronization patterns found on the volunteers. Using a detector provides an objective method to acknowledge for the occurrence of movement intention. Results When using four realizations of the task, detection rates ranging from 53 to 97% were found in five of the volunteers when the movement was executed, in three of them when the movement was imagined, and in two of them when the movement was observed. Conclusions Detection rates for movement observation raises the question of how the visual feedback may affect the performance of a working brain-machine interface, posing another challenge for the upcoming interface implementation. Future developments will focus on the improvement of feature extraction and detection accuracy for movement intention using EEG data.

Two new synthetic melanin-like oligomers inspired by the synthesis of pheomelanin (cys-DOPA) were prepared using L-DOPA as a precursor and the amino acids serine (ser-DOPA) and threonine (thr-DOPA) for modifications. The products obtained exhibited appreciable antioxidant activity. The compounds were characterized by liquid chromatography-mass spectrometry (LC-MS), elemental analysis and infrared spectroscopy. The pKa values of the groups present in each melanin suspension were determined in aqueous solution by potentiometric and spectrophotometric titration. Cytotoxicity assays showed an IC50 > 500 mg L-1 resulting in non-toxic compounds for living cells. Finally, cys-DOPA, ser-DOPA and thr-DOPA exhibited antioxidant activity determined by the DPPH scavenging assay, with EC50 = 7.69, 1.02 and 27.60 mg L-1, respectively.

Para o desenvolvimento de uma tecnologia de cultivo é necessária a determinação da densidade de estocagem ideal. Objetivou-se determinar a melhor densidade de estocagem para juvenis de Brycon orthotaenia, cultivados em tanques-rede, durante a fase de recria. A pesquisa foi conduzida na Fazenda Experimental da Epamig, em Felixlândia, Estado de Minas Gerais, na represa de Três Marias. Foram utilizados 9.000 alevinos, distribuídos em 12 berçários com 2 m³ em tanques-rede, seguindo o delineamento inteiramente casualizado, com três repetições e quatro diferentes densidades de estocagem (150, 300, 450, 600 peixes m-3). Amostras aleatórias de cada tanque-rede foram coletadas para as avaliações, no início do experimento e aos 60 dias de cultivo. Foram estimados os parâmetros produtivos, índice de crescimento específico e uniformidade. Obteve-se uma relação linear positiva (p < 0,05) para biomassa final (r² = 0,88), ganho de peso da biomassa (r² = 0,87), produtividade (r² = 0,86), conversão alimentar aparente (r² = 0,96) e para viabilidade econômica (r² = 0,96). Para sobrevivência (r² = 0,98), a relação linear foi negativa (p < 0,05). Não houve diferença significativa entre os tratamentos (p > 0,05) para os parâmetros de crescimento, uniformidade e peso final. Conclui-se que a densidade de 300 peixes m-3 é a mais indicada, pois, proporciona maior receita líquida, sobrevivência e boa conversão alimentar.

Developing a rearing technology requires the determination of the optimum stocking density. This study aimed to determine the best stocking density for Brycon orthotaenia juveniles grown in net cages, during the rearing phase. The research was conducted at the Experimental Farm of EPAMIG, in Felixlândia, Minas Gerais State, in the Três Marias Reservoir. 9,000 fingerlings were distributed into 12 net cages, 2 m³ each, according to a completely randomized design with three replications and four different stocking densities (150, 300, 450, 600 fish m-3). Random samples were taken from each net cage, at the onset of the experiment and at 60 rearing days, to assess production parameters, specific growth rate and uniformity. We verified a positive linear relationship (p < 0.05) for final biomass (r² = 0.88), weight gain (r² = 0.87), productivity (r² = 0.86), apparent feed conversion (r² = 0.96) and economic viability (r² = 0.96). For survival (r² = 0.98), the relationship was negative (p < 0.05). There were no significant differences between treatments (p > 0.05) for growth parameters, uniformity and final weight. It can be concluded that the density of 300 fish m-3 is the most suitable, because it provides higher net revenue, survival, and a good feed conversion.

The objective of this study was to evaluate the performance of three Nile tilapia Oreochromis niloticus strains cultivated in cages and subjected to different feeding programmes. Initially, 31,200 Nile tilapia juveniles with an average weight of 61.15 g were distributed in 48 cages. Two genetically improved strains were used together with one from the Fish Culture Section of Universidade Federal de Lavras (UFLA). The fish were subjected to four feeding programmes, consisting of different levels of crude protein (CP) in diets provided at different stages of cultivation. There was no interaction effect of the strain and feeding programme for most variables. The UFLA strain presented the highest weight gain, but with greatest lack of uniformity at the end of cultivation. The feeding programme with diets containing 36%, 32% and 28% CP, consecutively, promoted the highest weight gain and highest final biomass. The UFLA strain has great growth potential, justifying the development of a breeding programme for this strain. Crude protein levels below 36% for tilapias between 60 and 170 g and below 32% for tilapias between 170 and 700 g worsen fish performance.

OBJETIVO: Avaliar os resultados do tratamento de GIST no INCA. MÉTODOS: Análise retrospectiva de todos os casos de GIST tratados no INCA no período de 1997 a 2009. RESULTADOS: Analisamos 146 pacientes, com média de idade de 44,5 anos e predomínio do sexo feminino. O principal sintoma foi dor abdominal. Tivemos ocorrência de segundo primário em 22% dos casos e na imuno-histoquímica, 92% foram positivos para CD117. A localização mais frequente foi estômago e predominou o grupo de alto risco. A cirurgia foi R0 (extenso) em 70% e os principais sítios de metástases foram fígado e peritônio. A sobrevida global foi, respectivamente, em dois e cinco anos de 86% e 59%. Houve significante diferença entre a sobrevida global (p=0,29) do grupo de alto risco versus os demais. CONCLUSÃO: Os nossos pacientes apresentam-se principalmente sob forma de doença de alto risco com repercussão óbvia na sobrevida. O uso de Imatinib melhorou a sobrevida dos pacientes com doença metastática e recidivada. Devemos estudar seu uso no cenário de adjuvância e neoadjuvancia visando melhorar os índices do grupo de alto risco. A criação de centros referenciais é uma necessidade para o estudo de doenças pouco frequentes.

OBJECTIVE: To evaluate the treatment of GIST in INCA. METHODS: We conducted a retrospective analysis of all cases of GIST treated at INCA in the period from 1997 to 2009. RESULTS: We analyzed 146 patients with a mean age of 44.5 years and female predominance. The main symptom was abdominal pain. We observed the occurrence of a second primary tumor in 22% of cases and 92% of the immunohistochemistry exams were positive for CD117. The most frequent location was in the stomach and the high-risk group was predominant. Surgery was considered R0 (extensive) in 70% of the cases and the main sites of metastases were liver and peritoneum. Overall survival in two and five years was, respectively, 86% and 59%. There was a significant difference between overall survival (p = 0.29) of the high-risk group versus the other. CONCLUSION: Our patients presented mainly in the form of high-risk disease, with obvious impact on survival. The use of imatinib improved survival of patients with recurrent and metastatic disease. We should study its use in the setting of adjuvant and neoadjuvant therapy to improve results of the high risk group. The creation of reference centers is a need for the study of rare diseases.

OBJETIVO: Descrever os achados tomográficos do tumor estromal gastrintestinal de origem gástrica. MATERIAIS E MÉTODOS: No período de janeiro de 1999 a dezembro de 2006, foram selecionados 14 pacientes com diagnóstico histopatológico e imuno-histoquímico de tumor estromal gastrintestinal gástrico que apresentavam tomografia computadorizada realizada anteriormente ao tratamento. As variáveis tomográficas analisadas foram: topografia da lesão, dimensões, homogeneidade, contornos, limites, morfologia, padrão e intensidade do realce pelo meio de contraste venoso, padrão de crescimento, invasão de órgãos adjacentes, presença de ulceração, fístula, calcificações, infiltração da gordura mesentérica, linfonodomegalias e metástases a distância. RESULTADOS: Os tumores foram localizados no corpo (57,1%) ou fundo gástrico (42,9%), com dimensões variando entre 6,0 e 23,0 cm (média de 11,5 cm). O crescimento foi predominantemente extraluminal (57,1%) ou intra/extraluminal (35,7%). O realce pelo contraste venoso foi discreto em 50% dos casos, moderado em 50% e heterogêneo em 64,3%. Foram ainda observadas hipodensidade central em 64,3% dos casos, invasão de órgãos adjacentes em 42,9% e metástases hepáticas em 7,2%. CONCLUSÃO: No presente estudo, a maioria dos tumores localizava-se no corpo gástrico, com tamanho médio de 11,5 cm, apresentando área hipodensa central, realce heterogêneo pelo meio de contraste e crescimento predominantemente extraluminal.

OBJECTIVE: The purpose of this study was to describe the tomographic findings of gastric gastrointestinal stromal tumor. MATERIALS AND METHODS: Fourteen patients with histopathologically and immunohistochemically confirmed gastric gastrointestinal stromal tumors, who had already been submitted to computed tomography scans before the treatment, were evaluated in the period between January 1999 and December 2006. The following tomographic variables were analyzed: lesion topography, size/dimensions, homogeneity, contour, margins, morphology, pattern and intravenous contrast-enhancement intensity, growth pattern, invasion of adjacent organs, presence of ulceration, fistula, calcifications, mesenteric fat infiltration, lymphadenomegaly and presence of distant metastasis. RESULTS: Tumors were found in the body (57.1%) or in the gastric fundus (42.9%), with sizes ranging between 6.0 cm and 23.0 cm (mean, 11.5 cm). Predominantly extraluminal growth was observed in 57.1% of cases and intra/extraluminal in 35.7%. Subtle contrast-enhancement was observed in 50%, moderate in 50%, and heterogeneous in 64.3% of cases. Additionally, central hypodensity was observed in 64.3%, invasion of adjacent organs in 42.9%, and hepatic metastasis in 7.2% of cases. CONCLUSION: In the present study, the majority of tumors were found in the gastric body, with an average size of 11.5 cm, presenting with central hypodensity, heterogeneous contrast-enhancement and predominantly extraluminal growth.