"The blue catheter" - case report.

The ventriculoperitoneal shunt placement procedure is common throughout the world, with a prevalence of approximately 30,000 procedures per year in the United States (5). However, the rate of complications is still important and must be remembered, with a percentage of 11 to 25% after the first year of implantation. Abdominal complications are described in 5-47% of the cases (6), and the abdominal pseudocyst is one of them. We present the case of a patient colonized by multidrug-resistant bacteria, who underwent exteriorization surgery of a ventriculoperitoneal shunt. Intraoperatively, a blue coloration was observed in the catheter, a phenomenon previously described in urinary infections (1)(2) but not before in pathologies of the central nervous system. Our objective is to present an atypical case of dysfunction of the ventriculoperitoneal shunt, whose diagnosis couldbe evidenced through the coloration of the catheter exteriorized in surgery.

New Papiliotrema laurentii UFV-1 strains with improved acetic acid tolerance selected by adaptive laboratory evolution.

The production of yeast oil from lignocellulosic biomasses is impaired by inhibitors formed during the pretreatment step, mainly acetic acid. Herein, we applied Adaptive Laboratory Evolution (ALE) to select three Acetic acid Tolerant Strains (ATS) of P. laurentii UFV-1. Different phenotypes emerged alongside evolution. The ATS II presented trade-offs in the absence of acetic acid, suggesting that it displays a specialized phenotype of tolerance to growth on organic acids. On the other hand, ATS I and ATS III presented phenotypes associated with the behavior of generalists. ATS I was considered the most promising evolved strain as it displayed the oleaginous phenotype in all conditions tested. Thus, we applied whole-genome sequencing to detect the mutations that emerged in this strain during the ALE. We found alterations in genes encoding proteins involved in different cellular functions, including multidrug resistance (MDR) transporters, energy metabolism, detoxification, coenzyme recycling, and cell envelope remodeling. To evaluate acetic acid stress responses, both parental and ATS I strains were cultivated in chemostat mode in the absence and presence of acetic acid. In contrast to ATS I, the parental strain presented alterations in the cell envelope and cell size under acetic acid stress conditions. Furthermore, the parental strain and the ATS I presented differences regarding acetic acid assimilation. Contrary to the parental strain, the ATS I displayed an increase in unsaturated fatty acid content irrespective of acetic acid stress, which might be related to improved tolerance to acetic acid. Altogether, these results provided insights into the mechanisms involved with the acetic acid tolerance displayed by ATS I and the responses of P. laurentii to this stressful condition.

Brachio-cervical inflammatory myopathy associated with systemic sclerosis. Case series and review of literature.

This study was aimed at describing a case series of brachio-cervical inflammatory myopathy (BCIM) associated with systemic sclerosis (SSc), due to its rarity and limited coverage in published data. Another aim was to provide a literature review. We reported four cases of BCIM-SSc from our tertiary center. In addition, we researched the literature and found six articles featuring 17 patients who fit this phenotype. We pooled all cases and reported their features. Most patients were female and had limited SSc, and the median time of BCIM presentation was three years after SSc diagnosis. Asymmetric muscle involvement, scapular winging, dropped head, axial weakness, camptocormia, dysphagia, and dermatomyositis stigmas were common features. All patients had esophageal involvement. Most had positive antinuclear antibody results, a scleroderma pattern in their capillaroscopy images, elevated serum creatine phosphokinase, myopathic electrophysiology, and muscle involvement in magnetic resonance imaging. Muscle histopathological findings varied widely, but in general all showed the presence of lymphoid infiltrates, muscle atrophy, increased MHC-I expression, MAC deposits, vasculopathy, and muscle fiber necrosis. The response to immunosuppressive therapy was highly irregular. BCIM-SSc is a rare disorder that shares many similar phenotypes among the described cases, but has a highly heterogeneous response to treatment. At present, more data on the physiopathology, clinical features, and treatment is still needed.

Fluorescence Characteristics of [(Benzoyloxy)methyl]anthracene Donor-Acceptor Systems.

A theoretical investigation on fluorescence properties of [(benzoyloxy)methyl]anthracene derivatives containing different groups (OCH3, CH3, H, CF3, F, CN, and NO2) as substituent on the phenyl ring is reported. Electron transfer rate constants for the molecules were calculated using Marcus theory. Theoretical electron transfer rate constants agreed with experimentally observed trend of fluorescence quenching. Large electron transfer rate constants were obtained for molecules containing strongly electron withdrawing groups as the substituent on the phenyl ring. Calculations were conducted at Hartree-Fock and density functional (HF/6-31G(d) and B3LYP/6-31G(d)) levels of theory. Density functional theory predicted spurious charge transfer excited states for molecules containing NO2, CN, and CF3 as the substituent on the phenyl ring.

Interpeduncular Sulcus Approach to the Posterolateral Pons.

OBJECTIVE: In this article, we describe a new safe entry point for the posterolateral pons. METHODS: To show the adjacent anatomy and measure the part of the interpeduncular sulcus that can be safely accessed, we first performed a review of the literature regarding the pons anatomy and its surgical approaches. Thereafter, 1 human cadaveric head and 15 (30 sides) human brainstems with attached cerebellums were bilaterally dissected with the fiber microdissection technique. A clinical correlation was made with an illustrative case of a dorsolateral pontine World Health Organization grade I astrocytoma. RESULTS: The safe distance for accessing the interpeduncular sulcus was found to extend from the caudal end of the lateral mesencephalic sulcus to the point at which the intrapontine segment of the trigeminal nerve crosses the interpeduncular sulcus. The mean distance was 8.2 mm (range, 7.15-8.85 mm). Our interpeduncular sulcus safe entry zone can be exposed through a paramedian infratentorial supracerebellar approach. When additional exposure is required, the superior portion of the quadrangular lobule of the cerebellar hemispheric tentorial surface can be removed. In the presented case, surgical resection of the tumor was performed achieving a gross total resection, and the patient was discharged without neurologic deficit. CONCLUSIONS: The interpeduncular sulcus safe entry zone provides an alternative direct route for treating intrinsic pathologic entities situated in the posterolateral tegmen of the pons between the superior and middle cerebellar peduncles. The surgical corridor provided by this entry point avoids most eloquent neural structures, thereby preventing surgical complications.

Fluorescence quenching and bonding properties of some hydroxamic acid derivatives by iron(III) and manganese(II).

Spectrophotometric investigations of highly fluorescent metal chelating molecules are of relevance due to their potential application in novel, selective fluorescence-based sensors. Benzene and naphthalene chromophores are highly fluorescent while hydroxamic acids are widely used as ligands for complexation of transition metals. In order to develop fluorescence probes, several phenyl derivatives of N-phenylbenzohydroxamic acid and an aminodihydroxamic acid linked with a naphthalene chromophore were synthesized and their selective ionophoric properties towards iron(III) and manganese(II) ions were investigated using fluorescence and absorption spectroscopy. Both methods confirm the formation of 1:1 and 1:2 complexes for iron(III) and a 1:1 complex for manganese(II). The complex that is formed depends on the concentration of the ligand and pH of the medium. The amino dihydroxamic acid exhibits a prominent selectivity towards iron(III) with a two-step 1:1 and 1:2 quenching mechanism at pH 3 and towards manganese(II) with a 1:1 quenching mechanism at a probe concentration of 1 x 10(-5) mol dm(-3) at pH 9.5 The logarithm of overall formation constants of 1:1 and 1:2 complexes of iron(III) were estimated as 3.30 and 9.05, respectively.

Probing arrays of circular magnetic microdots by ferromagnetic resonance.

X-band ferromagnetic resonance (FMR) was used to characterize in-plane magnetic anisotropies in rectangular and square arrays of circular nickel and Permalloy microdots. In the case of a rectangular lattice, as interdot distances in one direction decrease, the in-plane uniaxial anisotropy field increases, in good agreement with a simple theory of magnetostatically interacting uniformly magnetized dots. In the case of a square lattice a four-fold anisotropy of the in-plane FMR field H(r) was found when the interdot distance a gets comparable to the dot diameter D. This anisotropy, not expected in the case of uniformly magnetized dots, was explained by a non-uniform magnetization m(r) in a dot in response to dipolar forces in the patterned magnetic structure. It is well described by an iterative solution of a continuous variation procedure. In the case of perpendicular magnetization multiple sharp resonance peaks were observed below the main FMR peak in all the samples, and the relative positions of these peaks were independent of the interdot separations. Quantitative description of the observed multiresonance FMR spectra was given using the dipole-exchange spin wave dispersion equation for a perpendicularly magnetized film where in-plane wave vector is quantized due to the finite dot radius, and the inhomogenetiy of the intradot static demagnetization field in the nonellipsoidal dot is taken into account. It was demonstrated that ferromagnetic resonance force microscopy (FMRFM) can be used to determine both local and global properties of patterned submicron ferromagnetic samples. Local spectroscopy together with the possibility to vary the tip-sample spacing enables the separation of those two contributions to a FMRFM spectrum. The global FMR properties of circular submicron dots determined using magnetic resonance force microscopy are in a good agreement with results obtained using conventional FMR and with theoretical descriptions.

Effectiveness of highly active antiretroviral therapy using non-brand name drugs in Brazil.

In Brazil, HIV-infected individuals receive drugs (including non-brand name drugs which comprise locally produced generics and drugs that have not been tested in bioequivalence trials) free of charge from the government. The objective of the present study was to evaluate the effectiveness of highly active antiretroviral therapy (HAART) in Rio de Janeiro, Brazil, where non-brand drugs are widely used. For this purpose, we estimated the proportion of subjects with virologic failure (plasma HIV viral load greater than 400 copies/mL at 6 months after initiation of treatment). This was a retrospective cohort study of drug-naive HIV-infected subjects who initiated HAART. Subjects were included in the analysis if they were 18 years of age or older, were treatment naive, started HAART with a minimum of 3 drugs, and had available information on blood plasma HIV-1 viral load after 6 months on therapy. All subjects used antiretrovirals in dosing regimens recommended by the Brazilian National Advisory Committee for Antiretroviral Therapy. Chart reviews were conducted in three settings: at two public health outpatient units, at one clinical trial unit and at one private office. No comparisons of the effectiveness of non-brand name with the effectiveness of brand name drugs were made. We present results for 485 patients; of these, 354 (73%), 55 (11%), and 76 (16%) were seen at the public health outpatient units, private office, and clinical trial unit, respectively. Virologic failure was observed in 119 (25%) of the subjects. This study demonstrates the effectiveness of HAART in a setting where non-brand name drugs are widely used.

A direct ligand-binding radioassay for the measurement of methotrexate in tissues and biological fluids.

A direct ligand-banding radioassay for methotrexate (MTX) has been developed using dihydrofolate reductase, contained in the lysate of L1210 leukemia cells, as the binding determinant. The procedure is a two-phase reaction system where standard MTX concentrations or the sample being assayed in incubated with the reagent lysate in the first phase, and [3H]MTX is then added in the second phase to titrate the remaining unoccupied binding sites on the enzyme. This method eliminates the need for measuring the residual catalytic activity of the enzyme. The sensitivity of the radioassay is limited only by the specific activity of the [3H]MTX and how approximates 10 pg of the drug. Folic acid, methyltetrahydrofolate, formyltetrahydrofolate, and dehydrofolate in concentrations that are physiological do not interfere in the radioassay. Both mercaptoethanol and reduced nicotinamide andnine dinucleotide phosphate increase the binding capacity of the lysate for MTX; but the reduced nucleotide also increases the affinity of the enzyme for the inhibitor. MTX added to serum can be assayed without extraction if the concentration is greater than 500 pg/ml and recovery of the drug added to serum is about 92%. MTX has been assayed in serum, spinal fluid, and urine of patients who were treated with this drug. It has also been assayed in the lysates of L1210 cells from C57BL X DBA/2 F1 mice treated with MTX. The procedure is simple, rapid, and accurate and should permit better correlation of the therapeutic and toxic effects of MTX with blood concentrations over long-term treatment periods.

The effect of the surface free energy of pharmaceutical tablets on liquid penetration.

The surface free energies (gamma SV) of the integral and partial tablet formulations of an antiarrhythmic drug--cibenzoline succinate, have been assessed by contact angle measurements using high-viscosity polyols and Neumann's equation of state. Independent measurements of penetration for these liquids into the tablets yielded pore size values through the use of the Washburn equation. The role of different constituents of the formulations are analysed in terms of their influence upon the free surface energy of the tablets and penetration rates. The relation between (gamma SV) and penetration rates yields for a series of liquids two threshold values: (gamma SV)s 'start' and (gamma SV)r, 'rapid', which define respectively the beginning of the measurable penetration and the rapid penetration.

[The concept of space in epidemiological research]. / A concepção de espaço na investigação epidemiológica.

Epidemiology's conceptual and methodological shortcomings have placed constraints on the study of health phenomena related to human communities, thus posing a challenge to the field. This paper presents some basic principles resulting from the observation of the field of geography in defining its object - space - and the application of this object to medicine and epidemiology. Such principles state the pertinence of a conceptual and methodological strategy focusing on an approach to geographic space as expressing the population's living conditions. Application of this concept to epidemiological studies is still limited, although such proposals have already been developed in other areas of knowledge. Ecological studies, whose unit of analysis is the group, and the ecological model, based on the idea of an inter-relationship of factors, if improved, could become a promising alternative in this direction. The authors emphasize that researchers should have wholeness as their scientific reference in order to guarantee the non-separation of the complex interactive processes determining health phenomena in the population.

[Ascaris lumbricoides in infants: a population-based study in Rio de Janeiro, Brasil]. / Parasitismo por Ascaris lumbricoides em crianças menores de dois anos: estudo populacional em comunidade do Estado do Rio de Janeiro.

Prevalence and intensity of Ascaris lumbricoides infection were analyzed by a cross-sectional study in children addressed in the city of Duque de Caxias, Rio de Janeiro State, from July to December 1997. The study population consisted of children under two years of age (N=387) and mothers of children under one year of age (N=104). Coproparasitologic tests were run using the MIFC and the Kato thick smear (Kato-Katz) methods. Prevalence was 3.3% (95% CI: 1.0-7.8) for children under one year, 30.7% (95% CI: 25.4-36.4) for one-year-olds, and 42.3% (95% CI: 33.0-51.9) for mothers of children under one. Some 38.0% of children under one year of age showed medium-to-heavy infection. These results indicated that ascariasis was an important problem in the first year of life and demonstrated the need for research in the area of maternal and infantile ascariasis.

[Cruciate hemiplegia associated with basilar impression, Arnold-Chiari malformation and syringomyelia. Case report]. / Hemiplegia cruzada associada a impressão basilar, malformação de Arnold-Chiari e siringomielia. Relato de caso.

The authors report a case of cruciate hemiplegia associated with basilar impression, Chiari malformation and syringomyelia. The neuroanatomical controversy, the surgical treatment and the good outcome of the patient are discussed.

Decreased neuroautonomic complexity in men during an acute major depressive episode: analysis of heart rate dynamics.

Major depression affects multiple physiologic systems. Therefore, analysis of signals that reflect integrated function may be useful in probing dynamical changes in this syndrome. Increasing evidence supports the conceptual framework that complex variability is a marker of healthy, adaptive control mechanisms and that dynamical complexity decreases with aging and disease. We tested the hypothesis that heart rate (HR) dynamics in non-medicated, young to middle-aged males during an acute major depressive episode would exhibit lower complexity compared with healthy counterparts. We analyzed HR time series, a neuroautonomically regulated signal, during sleep, using the multiscale entropy method. Our results show that the complexity of the HR dynamics is significantly lower for depressed than for non-depressed subjects for the entire night (P<0.02) and combined sleep stages 1 and 2 (P<0.02). These findings raise the possibility of using the complexity of physiologic signals as the basis of novel dynamical biomarkers of depression.

Vitellogenesis and other physiological responses induced by 17-beta-estradiol in males of freshwater fish Rhamdia quelen.

This study investigated the effects of different doses of 17-beta-estradiol (E(2)) in Rhamdia quelen. Groups of males exposed to different doses of E(2) (0.1 mg kg(-)(1), 1 mg kg(-)(1) and 10 mg kg(-)(1)) were compared with non-exposed male and female fish groups. Among the considered biomarkers, no significant differences were observed for micronuclei test, reduced glutathione concentration and lipid peroxidation. All E(2)-treated individuals had decreased glutathione S-transferase activity. Increased catalase and superoxide dismutase activities, increased vitellogenin expression and decreased metallothionein concentration were observed in males treated with the highest dose. Liver of all test groups showed necrotic areas, but cytoplasm vacuolization was again found only in the individuals exposed to highest dose. E(2) causes deleterious hepatic effects to R. quelen, and vitellogenin expression, catalase and superoxide dismutase activity and metallothionein concentration represent appropriate biomarkers for studying E(2) effects. Additionally, the response of some biomarkers was similar in males exposed to E(2) and unexposed females, and therefore exposure to endocrine disruptors may cause consequences for fish populations.

Probability of pregnancy in beef heifers / Probabilidade de prenhez em novilhas de corte

This study aimed to evaluate the influence of initial weight, initial age, average daily gain in initial weight, average daily gain in total weight and genetic group on the probability of pregnancy in primiparous females of the Nellore, 1/2 Simmental + 1/2 Nellore, and 3/4 Nellore + 1/4 Simmental genetic groups. Data were collected from the livestock file of the Farpal Farm, located in the municipality of Jaíba, Minas Gerais State, Brazil. The pregnancy diagnosis results (success = 1 and failure = 0) were used to determine the probability of pregnancy that was modeled using logistic regression by the Proc Logistic procedure available on SAS (Statistical..., 2004) software, from the regressor variables initial weight, average daily gain in initial weight, average daily gain in total weight, and genetic group. Initial weight (IW) was the most important variable in the probability of pregnancy in heifers, and 1-kg increments in IW allowed for increases of 5.8, 9.8 and 3.4% in the probability of pregnancy in Nellore, 1/2 Simmental + 1/2 Nellore and, 3/4 Nellore + 1/4 Simmental heifers, respectively. The initial age influenced the probability of pregnancy in Nellore heifers. From the estimates of the effects of each variable it was possible to determine the minimum initial weights for each genetic group. This information can be used to monitor the development of heifers until the breeding season and increase the pregnancy rate...

Objetivou-se avaliar a influência do peso inicial, idade inicial, ganho médio diário em peso inicial, ganho médio diário em peso total e grupo genético sobre a probabilidade de prenhez de fêmeas primíparas da raça Nellore, 1/2 Simental + 1/2 Nelore e 3/4 Nelore + 1/4 Simental. Os dados analisados foram do arquivo zootécnico da Fazenda Farpal, localizada no município de Jaíba, Minas Gerais. O resultado do diagnóstico de gestação (sucesso=1 e insucesso=0) foi utilizado para determinar a probabilidade de prenhez que foi modelada por meio de regressão logística pelo procedimento Logistic disponível no SAS, a partir das variáveis regressoras peso inicial, ganho médio diário em peso inicial, ganho médio diário em peso total e grupo genético. O peso inicial foi a variável de maior relevância na probabilidade de prenhez de novilhas e incrementos de 1,0kg no peso inicial possibilitaram acréscimos de 5,8; 9,8 e 3,4% na probabilidade de prenhez de novilhas Nelore, 1/2 Simental + 1/2 Nelore e 3/4 Nelore + 1/4 Simental, respectivamente. Entretanto o ganho médio diário em peso inicial e ganho médio diário em peso total não apresentaram efeito significativo na probabilidade de prenhez das novilhas. A idade inicial influenciou a probabilidade de prenhez das novilhas Nelore. A partir das estimativas dos efeitos de cada variável, foi possível determinar o peso inicial mínimo para cada grupo genético. Essa informação pode ser usada para monitorar o desenvolvimento de novilhas até a estação de monta e aumentar a taxa de prenhez...

Efeito da endogamia sobre características morfométricas em cavalosda raça Mangalarga Marchador / Effect of inbreeding on morfhometric traits in Mangalarga Marchador horses

Estimou-se o coeficiente de endogamia e avaliou-se seu efeito sobre características morfométricas dos animais em um criatório no norte de Minas Gerais. As características estudadas foram alturas da cernelha e da garupa, comprimentos da cabeça, do pescoço, do dorso-lombo, da garupa e do corpo, larguras do peito e da garupa. O arquivo continha 2186 informações de parentesco de animais do arquivo zootécnico da fazenda, desde o início da formação da raça, 1951, até o ano de 2006. Calculou-se o coeficiente de endogamia (F) e avaliou-se seu efeito por meio de regressão linear simples sobre as medidas morfométricas. Do total de animais, 27,6% mostraram-se endogâmicos, sendo o F médio da população igual a 1,4%. Considerando-se apenas os animais endogâmicos, a consanguinidade média atingiu 5,3%, mínimo de 0,1 e máximo de 28,1%. Não se verificaram efeitos negativos da endogamia sobre as características morfométricas, exceto para largura da garupa, em que se observou que para cada 10% de acréscimo de F houve aumento de 0,576cm na largura da garupa. Possivelmente, devido ao baixo valor encontrado, a endogamia não influenciou as demais características avaliadas.

The coefficient of inbreeding was estimate and its effect on linear traits of the Mangalarga Marchador horses reared in a ranch in the North of Minas Gerais was evaluated. The characteristics studied were morphometric traits such as wither and hip height, length of head, neck, back-loin, hip and body, as well as chest and hip width. The archive had 2186 data on the genealogy of animals from the herd register of the Catuni Farm. The coefficient of inbreeding (F) was calculated and its effect was evaluated by means of simple linear regression on the linear traits. Of all animals, 27.6% showed inbreeding, with an F average of 1.4% in the population. Considering only the inbred animals, the average consanguinity reached 5.3% minimum of 0.1 and maximum of 28.1%. Negative effects of inbreeding on the morphometric traits were not seen, except for hip width, where for each 10% increase in F there was increase of 0.576cm. Possibly due to the low value found, inbreeding did not influence the other evaluated characteristics.

Atrial natriuretic peptide modifies arterial blood pressure through nitric oxide pathway in rats.

The aim of the present study was to determine the relationship between the hypotensive effect of the atrial natriuretic peptide (ANP) and the nitric oxide (NO) pathway. N(G)-nitro-L-arginine methyl ester bolus (L-NAME, 1 mg/kg) reverted the decrease in mean arterial pressure induced by ANP administration (5 microg/kg bolus and 0.2 microg x kg(-1) x min(-1) infusion), and the injection of L-NAME before peptide administration suppressed the ANP hypotensive response. To confirm these findings, a histochemical reaction was used to determine NADPH-diaphorase activity (a NO synthase marker) in the endothelium and smooth muscle of aorta and arterioles of the small and large intestine. ANP increased aorta and arteriole endothelium staining after both in vivo administration and in vitro tissue incubation. In both cases, L-NAME prevented the ANP effect on NADPH-diaphorase activity. Tissues incubated with 8-bromoguanosine 3',5'-cyclic monophosphate mimicked ANP action. In addition, ANP administration increased urinary excretion of NO(x) end products. These findings indicate that ANP increases NO synthesis capability and NO production and suggest that the cGMP pathway may be involved. In conclusion, the NO pathway could be an intercellular messenger in the ANP endothelium-dependent vasorelaxation mechanism.