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1.
Braz J Microbiol ; 55(2): 1759-1772, 2024 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-38622468

RESUMEN

Due to specific bacterial microbiota, raw milk cheeses have appreciated sensory properties. However, they may pose a threat to consumer safety due to potential pathogens presence. This study evaluated the microbiological contamination of 98 raw milk cheeses from Beira Baixa, Portugal. Presence and enumeration of Coagulase Positive Staphylococci (CPS), Listeria monocytogenes, Salmonella spp., pathogenic Escherichia coli, and indicator microorganisms (non-pathogenic E. coli and Listeria spp.) was attained. E. coli antimicrobial resistance (AMR) was also evaluated. PCR and/or Whole genome sequencing (WGS) was used to characterize E. coli, Salmonella spp. and L. monocytogenes isolates. Sixteen cheeses (16.3%) were classified as Satisfactory, 59 (60.2%) as Borderline and 23 (23.5%) as Unsatisfactory/Potential Injurious to Health. L. monocytogenes, CPS > 104 cfu g-1, Extraintestinal pathogenic E. coli (ExPEC) and Salmonella spp. were detected in 4.1%, 6.1%, 3.1% and 1.0% of the samples, respectively. Listeria innocua (4.1%) and E. coli > 104 cfu g-1 (16.3%) were also detected. AMR E. coli was detected in 23/98 (23.5%) of the cheese samples, of which two were multidrug resistant. WGS identified genotypes already associated to human disease and Listeria spp. cluster analysis indicated that cheese contamination might be related with noncompliance with Good Hygiene Practices during cheese production.


Asunto(s)
Queso , Microbiología de Alimentos , Leche , Queso/microbiología , Portugal , Animales , Leche/microbiología , Inocuidad de los Alimentos , Listeria monocytogenes/genética , Listeria monocytogenes/aislamiento & purificación , Listeria monocytogenes/clasificación , Bacterias/aislamiento & purificación , Bacterias/clasificación , Bacterias/genética , Higiene , Escherichia coli/genética , Escherichia coli/aislamiento & purificación , Contaminación de Alimentos/análisis , Farmacorresistencia Bacteriana , Humanos
2.
Environ Sci Pollut Res Int ; 30(7): 18078-18090, 2023 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-36205870

RESUMEN

Tannins are polyphenols that can be extracted from different parts of the plant and have different known commercial applications. The extraction of tannins generates a significant amount of low-density wastes. An alternative that can be applied to ensure energy reuse of this low-density waste is a densification process, such as briquetting. Thus, this research work aimed to assess the energy potential of the residue from the extraction of tannins of different forest species, aiming at its energy reuse in the form of briquettes. Stem barks of 6 forest species (Acacia mangium, AM; Anacardium occidentale, AO; Anadenanthera colubrina, AC; Azadirachta indica, AI; Mimosa caesalpiniaefolia, MC; Mimosa tenuiflora, MT) were used after tannin extraction. Bulk density, energy (higher, lower, and net heating value) and thermal (TG/DTG) properties, and chemical constitution (extractives, lignin, and holocellulose) of the materials were determined. In addition, briquette compaction ratio, apparent density, volumetric expansion, and water adsorption over the days were evaluated. The highest bulk densities were found in the barks of Anadenanthera colubrina (0.529 g.cm-3) and Mimosa tenuiflora (0.407 g.cm-3), whereas the species that showed the best result of higher heating value was Acacia mangium (20.44 MJ.kg-1), followed by Azadirachta indica (19.39 MJ.kg-1) and Mimosa caesalpiniifolia (18.85 MJ.kg-1). Briquetting increased the density of the evaluated material by 2.3 to 4.9 times. All briquettes produced with wastes from tannin extraction evaluated in this work showed potential for energy production. With more information on the quantification of waste generated and data on the economic viability of production, these tannin-producing industries can benefit both environmentally and economically, by reusing these wastes for energy production.


Asunto(s)
Acacia , Fabaceae , Administración de Residuos , Taninos/química , Lignina
3.
Acta amaz ; 52(1): 60-68, 2022. mapas, graf, tab, ilus
Artículo en Inglés | VETINDEX | ID: biblio-1437377

RESUMEN

The Machado River is the main tributary of the Madeira River in the state of Rondônia, a region that has been impacted by deforestation, livestock, urban development, alluvial gold mining and urban and industrial effluents that likely contribute to the introduction of mercury (Hg) in the aquatic system. We aimed to determine the concentrations of total Hg (THg) in muscle and liver of Plagioscion squamosissimus, a main fishing resource in the region. Fish were sampled for two years at five sites, along a 90-km stretch of the middle Machado River. THg concentrations were analyzed in 64 muscle and 54 liver samples by cold vapor atomic absorption spectrophotometry (FIMS-400). THg levels were related with fish size and sex and with periods of the hydrological cycle. THg concentrations in both organs were positively and significantly related with fish body size. There was no significant variation in THg among periods of the hydrological cycle. Mean THg concentrations in muscle (1.09 ± 0.72 mg kg-1) and liver (1.28 ± 1.23 mg kg-1) were higher than the limit established by the WHO. Our results suggest that residual mercury from former alluvial gold extraction and lixiviation of mercury naturally occurring in the soil due to large-scale deforestaion is accumulating in the aquatic food chain in the Machado River. We conclude that it is necessary to monitor the levels of mercury in commercially important fish species in the region.(AU)


O Rio Machado é o principal afluente do Rio Madeira no estado de Rondônia, uma região impactada por desmatamento, pecuária, desenvolvimento urbano, mineração de ouro e efluentes urbanos e industriais, que provavelmente contribuem para a introdução de mercúrio (Hg) no sistema aquático. Nosso objetivo foi determinar as concentrações de Hg total (THg) em músculo e fígado de Plagioscion squamosissimus, um importante recurso pesqueiro na região. Os peixes foram amostrados durante dois anos em cinco locais ao longo de 90 km no médio Rio Machado. As concentrações de THg foram analisadas em 64 amostras de músculos e 54 de fígado por espectrofotometria de absorção atômica com vapor frio (FIMS-400). As concentrações de mercúrio foram relacionadas ao tamanho e sexo dos peixes, e com períodos do ciclo hidrológico. As concentrações de THg em ambos os órgãos foram relacionadas positiva e significativamente com o tamanho corporal dos peixes. Não houve variação significativa do THg entre os períodos do ciclo hidrológico. As concentrações médias de THg no músculo (1,09 ± 0,72 mg kg-1) e no fígado (1,28 ± 1,23 mg kg-1) foram superiores ao limite estabelecido pela OMS. Os resultados sugerem que o mercúrio residual da extração de ouro e lixiviação de mercúrio que ocorre naturalmente no solo desmatado está se acumulando na cadeia alimentar aquática do Rio Machado. Concluímos que é necessário monitorar os níveis de mercúrio em espécies de peixes comerciais na região.(AU)


Asunto(s)
Contaminación Química del Agua/análisis , Perciformes/fisiología , Intoxicación por Mercurio/veterinaria , Brasil
4.
Pathogens ; 10(10)2021 Sep 26.
Artículo en Inglés | MEDLINE | ID: mdl-34684193

RESUMEN

Begomoviruses can be found in association with alphasatellites, which are capable of autonomous replication but are dependent on the helper begomovirus for systemic infection, encapsidation and vector transmission. Previous studies suggest that the presence of NW alphasatellites (genus Clecrusatellite) is associated with more severe symptoms. To better understand this interaction, we investigated the effects of two alphasatellites on infectivity, symptom development, viral DNA accumulation and vector transmission of three begomoviruses in three hosts. In tomato and Nicotiana benthamiana, all combinations were infectious. In Leonurus sibiricus, only the ToYSV/ToYSA combination was infectious. The presence of EuYMA increased symptom severity of EuYMV and ToYSV in N. benthamiana, and the presence of ToYSA was associated with more severe symptoms of ToYSV in N. benthamiana and L. sibiricus. EuYMA increased the accumulation of ToYSV in N. benthamiana but reduced the accumulation of EuYMV in tomato and of ToSRV in N. benthamiana. The presence of ToYSA decreased the accumulation of ToYSV in N. benthamiana and L. sibiricus. ToYSA negatively affected transmission of ToSRV by Bemisia tabaci MEAM1. Together, our results indicate that NW alphasatellites can interact with different begomoviruses, increasing symptom severity and interfering in the transmission of the helper begomovirus. Understanding this interaction is important as it may affect the emergence of diseases caused by begomovirus-alphasatellite complexes in the field.

5.
Microb Drug Resist ; 27(1): 87-98, 2021 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-32460607

RESUMEN

Salmonella enterica serovars Heidelberg and Minnesota frequently display several genetic mobile elements making them potential spreaders of resistance genes. Here, we phenotypically determined the antibiotic resistance profile and subsequently performed whole-genome sequencing on 36 isolates recovered from samples of fresh poultry meat, within the Portuguese Official Inspection Plan for Imported Foodstuffs. Several isolates of both serovars showed high genetic relatedness either with isolates from raw poultry meat imported to the Netherlands from Brazil or with isolates from samples from the broiler production chain in Brazil. The multidrug-resistant (MDR) character was common to the vast majority (94.4%) of isolates from both serovars, and several isolates carried the plasmid IncA/C2 containing the ß-lactamase gene blaCMY-2 and IncX1 containing a type IV secretion system. These results somehow mirror the scenario observed in the Netherlands, showing the introduction, through fresh imported poultry meat in compliance with European legislation, of MDR Salmonella enterica serovars Heidelberg and Minnesota in Europe, with the potential spread of resistance markers. These data suggest the need to revise the hygiene criteria for foodstuffs monitoring before its placement on the market, with the determination of the resistome being an invaluable contribute to limit the dissemination of resistance markers.


Asunto(s)
Antibacterianos/farmacología , Carne/microbiología , Salmonella enterica/efectos de los fármacos , Salmonella enterica/genética , beta-Lactamasas/genética , Animales , Brasil , Pollos/microbiología , Farmacorresistencia Bacteriana Múltiple , Plásmidos/genética , Portugal , Secuenciación Completa del Genoma
6.
Environ Monit Assess ; 192(10): 647, 2020 Sep 19.
Artículo en Inglés | MEDLINE | ID: mdl-32948923

RESUMEN

The energy transfer in the aquatic food chain is an important way for mercury (Hg) to enter other trophic levels. The objective of this work was to evaluate the Hg concentrations in plankton upstream and downstream of the Samuel Hydroelectric Reservoir, Rondônia, Brazil. Phytoplankton and zooplankton samples were collected with 20-µm and 68-µm nylon nets. An aliquot was removed for taxonomic analysis and another for total mercury determination, performed by cold vapor atomic absorption spectroscopy. Water physical-chemical parameters were also measured. The Hg concentrations in total plankton (phytoplankton and zooplankton samples) obtained at the three sampling upstream stations showed the same behavior, with the highest values registered in June 2005 (232 µg kg-1, 118 µg kg-1, 128 µg kg-1). The lowest values at stations J1 and M1 were recorded in November 2005 (4 µg kg-1 and 22 µg kg-1, respectively), while the lowest values at stations M4 and M8 were recorded in October 2005 (22 µg kg-1 and 5 µg kg-1, respectively). The Hg results found in the plankton in this study corroborate the results of other recent studies in the same region. The statistical analyses revealed that Hg concentrations in plankton do not explain the distribution of these organisms at the four sampling stations of Samuel Reservoir. Graphical Abstract.


Asunto(s)
Mercurio/análisis , Contaminantes Químicos del Agua/análisis , Animales , Brasil , Monitoreo del Ambiente , Peces , Cadena Alimentaria , Plancton
7.
Infect Genet Evol ; 84: 104477, 2020 10.
Artículo en Inglés | MEDLINE | ID: mdl-32736040

RESUMEN

It is known that Helicobacter pylori is the main cause of peptic ulceration and gastric cancer. However, there is a lack of information on whether H. pylori strains may differ in gastric cancer histological subtypes. This study aimed to investigate different H. pylori strains considering six cag Pathogenicity Island - cagPAI genes (cagA, cagE, cagG, cagM, cagT, and virb11), and vacuolating cytotoxin - vacA alleles, and their relation to gastric cancer histologic subtypes. For this purpose, tumor samples from 285 patients with gastric carcinoma were used. H. pylori infection and genotypes were determined by polymerase chain reaction (PCR). H. pylori was detected in 93.9% of gastric tumors. For comparative analyzes between histopathological subtypes considering H. pylori cagPAI genes the strains were grouped according to the vacA s1/s2 alleles. In the vacAs1 group, the strains cagA(-)cagE(+), cagA(+)cagE(+)cagG(+), cagA(+)cagM(+), or only cagE(+) strains were more frequent in the intestinal subtype (P = .009; P = .024; P = .046, respectively). In contrast, cagM(+)cagG(+)cagA(-) and cagE(-) were associated with diffuse tumors (P = .036), highlighting the presence of cagE in the development of intestinal tumors, and the presence of cagG and absence of cagE in diffuse tumors. Furthermore, WEKA software and Decision Tree (CART) analyses confirmed these findings, in which cagE presence was associated with intestinal tumors, and cagE absence and cagG(+) with diffuse tumors. In conclusion our results showed that vacAs1 (cagG + cagM) strains, mainly cagG positive with cagE absence, were relevant in the studied population for the diffuse outcome, while the presence of cagE was relevant for the intestinal outcome. These findings suggest the relevance of these H. pylori genes as potential markers for gastric cancer histological outcomes.


Asunto(s)
Proteínas Bacterianas/metabolismo , Biomarcadores , Infecciones por Helicobacter/complicaciones , Helicobacter pylori/metabolismo , Neoplasias Intestinales/microbiología , Neoplasias Gástricas/microbiología , Adulto , Anciano , Anciano de 80 o más Años , Proteínas Bacterianas/genética , Carcinoma/microbiología , Femenino , Genes Bacterianos , Infecciones por Helicobacter/microbiología , Humanos , Neoplasias Intestinales/complicaciones , Neoplasias Intestinales/patología , Masculino , Persona de Mediana Edad , Neoplasias Gástricas/complicaciones , Neoplasias Gástricas/patología , Adulto Joven
8.
Biol Open ; 8(2)2019 Feb 27.
Artículo en Inglés | MEDLINE | ID: mdl-30683674

RESUMEN

Terminalia fagifolia Mart. & Zucc. (Combretaceae) is a plant commonly found in the regions of the Brazilian cerrado, popularly used for the treatment of gastrointestinal disorders. There are no reports in the literature on the use of T. fagifolia for the treatment of the cardiovascular system conditions. Nevertheless, plants of the same genus, such as Terminalia arjuna (Roxb.) Wight & Arn and Terminalia superba Engler & Diels, present cardioprotective, hypotensive and vasodilatating effects. In light of this, the aim of the study was to investigate the effect of the ethanolic extract (Tf-EE) and of its aqueous (Tf-AQF), hexanic (Tf-HEXF) and hydroethanolic (Tf-HAF) partition fractions obtained from the stem bark of T. fagifolia Mart. & Zucc. The effects of the extract and partition fractions of T. fagifolia were evaluated on isometric tensions in the thoracic aorta rings of Wistar rats (250-300 g). Tf-EE, Tf-HEXF and Tf-HAF presented a concentration-dependent vasorelaxant effect, and Tf-AQF presented a vasorelaxant effect that was more potent in the presence of endothelium. The relaxation curves of the aorta promoted by the fraction investigated were attenuated in the presence of the following pharmacological tools: L-NAME, ODQ or PTIO. The vasorelaxant effect of the aorta promoted by Tf-AQF was attenuated in the presence of TEA and 4-AP. Tf-EE induced a concentration-dependent and endothelium-independent vasorelaxation. Tf-HAF and Tf-HEXF presented concentration-dependent and vascular-endothelium-independent vasorelaxation, but did not obtain 100% of relaxation. On the other hand, Tf-AQF presented concentration-dependent vasorelaxation that was more potent in aorta rings with vascular endothelium. The relaxant mechanism induced by the Tf-AQF involves the NO/sGC/cGMP pathway and channels Kv.

9.
Braz. j. otorhinolaryngol. (Impr.) ; Braz. j. otorhinolaryngol. (Impr.);83(5): 546-551, Sept.-Oct. 2017. tab, graf
Artículo en Inglés | LILACS | ID: biblio-889295

RESUMEN

Abstract Introduction: Topical therapies are the best postoperative treatment option for chronic rhinosinusitis, especially those with high volume and pressure, such as the squeeze bottles. However, they are not an available option in Brazil, where irrigation syringes are used. Objective: To investigate the efficacy of topical sinonasal therapy with syringe and the influence of the middle turbinate on this process Methods: Intervention study in training models (S.I.M.O.N.T.). After standard dissection, three interventions were performed (Nasal Spray 4 puffs, 60-mL syringe and 240-mL Squeeze Bottle) with normal and Sutured Middle Turbinate. Images of each sinus were captured after the interventions, totalizing 144 images. The images were classified by 10 evaluators according to the amount of residual volume from zero to 3, with zero and 1 being considered poor penetration and 2 and 3, good penetration. The 1440 evaluations were used in this study. Results: Considering all middle turbinate situations, the amount of good penetrations were 8.1% for Spray; 68.3% for Syringe, and 78.3% for Squeeze (p < 0.0001). Considering all types of interventions, the Normal Middle Turbinate group had 48.2% of good penetrations and the Sutured Middle Turbinate, 55% (p = 0.01). Considering only the Sutured Middle Turbinates, there was no difference between the interventions with Syringe and Squeeze (76.3% vs. 80.4%; p = 0.27). Conclusion: Topical therapy of irrigation with a 60-mL syringe was more effective than that with nasal spray. The status of the middle turbinate proved to be fundamental and influenced topical therapy. Irrigation with syringe was as effective as the squeeze bottle when the middle turbinate was sutured to the nasal septum.


Resumo Introdução: Terapias tópicas são a melhor opção de tratamento pós-operatório da rinossinusite crônica, principalmente com alto volume e pressão, como os squeeze bottles. Porém, não são opções disponíveis na realidade brasileira, na qual frequentemente são usados seringas para a irrigação. Objetivo: Averiguar a eficácia da terapia tópica nasossinusal com seringa e a influência da concha média nesse processo. Método: Estudo de intervenção em modelos de treinamento (S.I.M.O.N.T.). Após dissecção padronizada, três intervenções foram feitas (spray nasal 4 puffs, seringa de 60 mL e squeeze bottle de 240 mL) com a concha média normal e suturada. Foram capturadas imagens de cada seio após as intervenções, totalizando 144 imagens. As imagens foram classificadas por 10 avaliadores de acordo com a quantidade de volume residual de zero a 3, sendo zero e 1 considerados penetração ruim e 2 e 3, penetração boa. As 1.440 avaliações foram utilizadas neste estudo. Resultados: Considerando todas as situações de concha média, a quantidade de penetrações boas foi de 8,1% para spray; 68,3% para seringa e 78,3% para squeeze (p < 0,0001). Considerando todos os tipos de intervenção, a concha média normal obteve 48,2% de penetrações boas e a concha média suturada, 55% (p = 0,01). Considerando apenas concha média suturada, não houve diferença entre as intervenções seringa e squeeze (76,3% vs. 80,4%; p = 0,27). Conclusão: A terapia tópica de irrigação com seringa de 60 mL foi mais eficaz do que com spray nasal. O status da concha média mostrou-se fundamental e influenciou a terapia tópica. A irrigação com seringa foi tão eficaz quanto a com squeeze bottle quando a concha média foi suturada ao septo nasal.


Asunto(s)
Humanos , Senos Paranasales/diagnóstico por imagen , Sinusitis/terapia , Jeringas , Rinitis/terapia , Cornetes Nasales/cirugía , Cornetes Nasales/diagnóstico por imagen , Brasil , Enfermedad Crónica , Endoscopía , Irrigación Terapéutica/instrumentación
10.
Braz J Otorhinolaryngol ; 83(5): 546-551, 2017.
Artículo en Inglés | MEDLINE | ID: mdl-27528566

RESUMEN

INTRODUCTION: Topical therapies are the best postoperative treatment option for chronic rhinosinusitis, especially those with high volume and pressure, such as the squeeze bottles. However, they are not an available option in Brazil, where irrigation syringes are used. OBJECTIVE: To investigate the efficacy of topical sinonasal therapy with syringe and the influence of the middle turbinate on this process METHODS: Intervention study in training models (S.I.M.O.N.T.). After standard dissection, three interventions were performed (Nasal Spray 4 puffs, 60-mL syringe and 240-mL Squeeze Bottle) with normal and Sutured Middle Turbinate. Images of each sinus were captured after the interventions, totalizing 144 images. The images were classified by 10 evaluators according to the amount of residual volume from zero to 3, with zero and 1 being considered poor penetration and 2 and 3, good penetration. The 1440 evaluations were used in this study. RESULTS: Considering all middle turbinate situations, the amount of good penetrations were 8.1% for Spray; 68.3% for Syringe, and 78.3% for Squeeze (p<0.0001). Considering all types of interventions, the Normal Middle Turbinate group had 48.2% of good penetrations and the Sutured Middle Turbinate, 55% (p=0.01). Considering only the Sutured Middle Turbinates, there was no difference between the interventions with Syringe and Squeeze (76.3% vs. 80.4%; p=0.27). CONCLUSION: Topical therapy of irrigation with a 60-mL syringe was more effective than that with nasal spray. The status of the middle turbinate proved to be fundamental and influenced topical therapy. Irrigation with syringe was as effective as the squeeze bottle when the middle turbinate was sutured to the nasal septum.


Asunto(s)
Senos Paranasales , Rinitis/terapia , Sinusitis/terapia , Jeringas , Brasil , Enfermedad Crónica , Endoscopía , Humanos , Senos Paranasales/diagnóstico por imagen , Irrigación Terapéutica/instrumentación , Cornetes Nasales/diagnóstico por imagen , Cornetes Nasales/cirugía
11.
Braz J Otorhinolaryngol ; 80(1): 29-34, 2014.
Artículo en Inglés, Portugués | MEDLINE | ID: mdl-24626889

RESUMEN

INTRODUCTION: Hyperparathyroidism is an expected metabolic consequence of chronic kidney disease (CKD). Ectopic and/or supernumerary parathyroid glands (PT) may be the cause of surgical failure in patients undergoing total parathyroidectomy (PTX). AIM: To define the locations of ectopic and supernumerary PT in patients with renal hyperparathyroidism and to correlate intraoperative findings with preoperative tests. MATERIALS AND METHODS: A retrospective study was conducted with 166 patients submitted to PTX. The location of PT during surgery was recorded and classified as eutopic or ectopic. The preoperative localizations of PT found by ultrasonography (USG) and Tc99m-Sestamibi scintigraphy (MIBI) were subsequently compared with intraoperative findings. RESULTS: In the 166 patients studied, 664 PT were found. Five-hundred-seventy-seven (86.4%) glands were classified as eutopic and 91(13.6%) as ectopic. Eight supernumerary PT were found. The most common sites of ectopic PT were in the retroesophageal and thymic regions. Taken together, USG and MIBI did not identify 56 (61.5%) ectopic glands. MIBI was positive for 69,7% of all ectopic glands located in the mediastinal and thymic regions. CONCLUSION: The presence of ectopic and supernumerary PT in patients with renal hyperparathyroidism is significant. Although preoperative imaging tests did not locate most of ectopic glands, MIBI may be important for identifying ectopic PT in the mediastinal and thymic regions.


Asunto(s)
Coristoma , Hiperparatiroidismo/cirugía , Glándulas Paratiroides/anomalías , Paratiroidectomía , Adulto , Anciano , Coristoma/diagnóstico por imagen , Coristoma/patología , Estudios Transversales , Femenino , Humanos , Hiperparatiroidismo/diagnóstico por imagen , Fallo Renal Crónico/complicaciones , Masculino , Persona de Mediana Edad , Cintigrafía , Radiofármacos , Estudios Retrospectivos , Tecnecio Tc 99m Sestamibi , Insuficiencia del Tratamiento , Ultrasonografía , Adulto Joven
12.
Braz. j. otorhinolaryngol. (Impr.) ; Braz. j. otorhinolaryngol. (Impr.);80(1): 29-34, Jan-Feb/2014. tab, graf
Artículo en Portugués | LILACS | ID: lil-704077

RESUMEN

Introdução: O hiperparatireoidismo é uma consequência metabólica esperada na doença renal crônica (DRC). Paratireoides (PT) ectópicas e/ou supranumerárias podem ser causa de falha cirúrgica nos pacientes submetidos à paratireoidectomia total (PTX). Objetivo: Definir cirurgicamente a localização das PT, em pacientes com hiperparatireoidismo associado à DRC, e correlacionar esses achados com os exames pré-operatórios. Materiais e métodos: Foi conduzido um estudo retrospectivo com 166 pacientes submetidos à PTX. A localização das PT no intraoperatório foi registrada, sendo classificada como tópica ou ectópica. A localização pré-operatória, definida pela ultrassonografia (USG) e pela cintilografia Tc99m-Sestamibi (MIBI), foi comparada com aos achados cirúrgicos. Resultados: Nos 166 pacientes, foram identificadas 664 PT. Foram classificadas como tópicas e ectópicas 577 (86,4%) e 91(13,6%) glândulas, respectivamente. Oito PT supranumerárias foram encontradas (7 tópicas e 1 ectópica). As localizações mais comuns de PT ectópicas foram as regiões retroesofágica e tímica. Associadas, a USG e a MIBI não identificaram 56 glândulas (61,5%) ectópicas. Entretanto, a MIBI foi positiva para 69,7% daquelas localizadas nas regiões tímicas e mediastinal. Conclusão: A presença de glândulas ectópicas e supranumerárias em pacientes com hiperparatireoidismo associado à DRC é significativa. Os exames de imagem pré-operatórios não localizaram a maioria das glândulas ectópicas. A MIBI pode ter importância na identificação de PT nas regiões tímica e mediastinal. .


Introduction: Hyperparathyroidism is an expected metabolic consequence of chronic kidney disease (CKD). Ectopic and/or supernumerary parathyroid glands (PT) may be the cause of surgical failure in patients undergoing total parathyroidectomy (PTX). Aim: To define the locations of ectopic and supernumerary PT in patients with renal hyperparathyroidism and to correlate intraoperative findings with preoperative tests. Materials and methods: A retrospective study was conducted with 166 patients submitted to PTX. The location of PT during surgery was recorded and classified as eutopic or ectopic. The preoperative localizations of PT found by ultrasonography (USG) and Tc99m-Sestamibi scintigraphy (MIBI) were subsequently compared with intraoperative findings. Results: In the 166 patients studied, 664 PT were found. Five-hundred-seventy-seven (86.4%) glands were classified as eutopic and 91(13.6%) as ectopic. Eight supernumerary PT were found. The most common sites of ectopic PT were in the retroesophageal and thymic regions. Taken together, USG and MIBI did not identify 56 (61.5%) ectopic glands. MIBI was positive for 69,7% of all ectopic glands located in the mediastinal and thymic regions. Conclusion: The presence of ectopic and supernumerary PT in patients with renal hyperparathyroidism is significant. Although preoperative imaging tests did not locate most of ectopic glands, MIBI may be important for identifying ectopic PT in the mediastinal and thymic regions. .


Asunto(s)
Adulto , Anciano , Femenino , Humanos , Masculino , Persona de Mediana Edad , Adulto Joven , Coristoma , Hiperparatiroidismo/cirugía , Paratiroidectomía , Glándulas Paratiroides/anomalías , Estudios Transversales , Coristoma/patología , Coristoma , Coristoma , Hiperparatiroidismo , Hiperparatiroidismo , Fallo Renal Crónico/complicaciones , Estudios Retrospectivos , Radiofármacos , Insuficiencia del Tratamiento
13.
Rev. adm. pública ; 43(2): 295-321, mar.-abr. 2009. ilus
Artículo en Portugués | LILACS | ID: lil-521121

RESUMEN

Como a energia elétrica é um bem essencial em nossa sociedade, este artigo analisa a evolução da formação e estruturação do setor elétrico brasileiro, desde o surgimento da energia elétrica no Brasil, em 1880, até o final de 2002. A análise se faz a partir da descrição histórica linear, com cortes em fatos determinantes que são detalhados e analisados, mostrando-se os principais atores sociais, seus interesses e influência, na data desses cortes. Foi utilizada a metodologia qualitativa e o referencial da teoria institucional, com base na configuração do campo organizacional, além da análise de documentos e de entrevistas em profundidade, realizadas com dirigentes do setor que participaram dessa história. Finalmente, o artigo mostra como o ambiente externo é o principal elemento que influencia a trajetória do setor elétrico, nomeadamente quanto ao investimento ou não de recursos financeiros.


Considering that electricity is essential to modern society, this article analyzes the formation and organization of the Brazilian electricity sector, from its beginning in this country until the end of 2002. The study is based on a linear description of historical facts, with emphasis on crucial events, which were detailed and analyzed, showing the main social players, their interest and influences in these events. It used qualitative methodology and references by the institutional theory, based on the configuration of the organizational field. It also analyzed documents and carried out semi-structured in-depth interviews with directors who took part of the sector's history. Finally, it shows how the external environment is the main influence on the sector's development, especially on the decision to invest or not in it.


Asunto(s)
Organizaciones , Electricidad/historia , Recursos Financieros en Salud , Brasil
14.
Sci Total Environ ; 368(1): 344-51, 2006 Sep 01.
Artículo en Inglés | MEDLINE | ID: mdl-16242177

RESUMEN

This work presents quality control results on the mercury concentrations in different environmental (river sediments, forest soils, river suspended matter and fish) and human samples from the lower Madeira River, Amazon sampled between 2001 and 2003, about 15-20 years after the nearly cessation of gold mining activities in the region, which reached its peak in the late 1980s. The study aimed to compare mercury concentrations in these environmental samples with those reported by other authors during the gold rush of the Madeira River Basin. Today, in the Madeira River the releases of mercury register a sudden reduction due the gold price fall in the international trade. However, about 100 t of Hg were released to the atmosphere and to aquatic systems in the region during the gold rush. The present survey shows that notwithstanding the reduction of Hg emissions to the Madeira River Basin from gold mining proper, concentrations in fish and humans are similar to those measured during the gold rush. Reduction in Hg concentrations is restricted to areas close to old point sources and only for abiotic compartments (air and sediments). Remobilization of Hg from bottom sediments plus re-emission from soils due to land use changes are probably responsible for keeping high Hg concentrations in biological samples.


Asunto(s)
Mercurio/análisis , Contaminantes del Suelo/análisis , Contaminantes Químicos del Agua/análisis , Animales , Brasil , Monitoreo del Ambiente , Peces , Contaminación de Alimentos , Sedimentos Geológicos/análisis , Cabello/química , Humanos , Ríos
15.
São Paulo; s.n; 2005. 125 p.
Tesis en Portugués | LILACS | ID: lil-406963

RESUMEN

Objetivo. O presente estudo foi desenvolvido com o objetivo de, por meio de uma revisão bibliográfica, caracterizar o controle químico e discutir sua importância, caracterizar o controle químico e discutir sua importância, efeitos, toxicidade e resistência, assim como fornecer informações sobre a evolução das diferentes substâncias químicas e seu emprego nos programas de controle de endemias em nosso meio. Método. Foi feito um levantamento bibliográfico abrangendo o período de 1940 a 2002. Foram consultadas as bases Medline, Lilacs, Life Science, Biological Abstract, Agriscab entre outras. Conclusão. Atualmente os inseticidas ocupam um lugar de destaque nas campanhas de saúde pública. O uso indiscriminado desses produtos geralmente acaba gerando efeitos colaterais, como por exemplo intoxicações e evolução da resistência. Além disso, a ação inespecífica dos inseticidas freqüentemente utilizados nesses programas leva a desequilíbrios ecológicos, tais como s eliminação de inimigos naturais e a contaminação das cadeias alimentares. Diante desses fatos, fica claro que o controle químico deve estar inserido dentro do manejo de pragas. O seletivo e criterioso uso desses produtos combinados com medidas biológicas e a própria prática do manejo mecânico constituirão o sucesso nos programas de controle de vetores.


Asunto(s)
Culicidae , Insecticidas/toxicidad , Control de Mosquitos , Control Biológico de Vectores
17.
Informacao Psiquiatrica ; 1(3): 22-28, jan./mar. 1982.
Artículo | Index Psicología - Revistas | ID: psi-9520

RESUMEN

De Anton Mesmer a Sigmund Freud, a psicoterapia do 'Magnetismo Animal', os Grupos 'didaticos'de Pratt, os Psicodramaticos de Moreno e os Psicanaliticos de Bion. Tudo isso numa tentativa do autor de fazer um bosquejo da historia da psicoterapia grupal. Nao ha maiores pretensoes de acerto e, certamente, ha muitas lacunas, entretanto, pode-se ao longo do trabalho ter conhecimento dos principios autores e finalmente das principais instituicoes no Brasil que se dedicam, hoje em dia, ao trabalho com grupos.


Asunto(s)
Psicoterapia de Grupo , Historia , Psicoterapia de Grupo , Historia
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