Unusual giant complex odontoma: A case report.

Odontomas are benign, non-aggressive, and the most common odontogenic tumor of the jaws. Composed of dental tissues, it can be classified as compound or complex odontomas depending on their radiological and histological features. Among them, complex odontomas are less common and usually is presented as a small and asymptomatic radiopaque mass surrounded by a radiolucent halo, found on routine radiographic examination. Although benign tumors, odontomas can reach large sizes leading to facial asymmetry and decreasing bone strength, which predisposes fractures and infection. Our aim was to present a case report of an unusual giant mandibular odontoma on the left mandibular angle and ramus successfully treated by surgical excision and highlight the importance of the earlier diagnostic to minimize damages.

Oral antioxidant therapy for prevention and treatment of preeclampsia: Meta-analysis of randomized controlled trials.

AIMS: To determine whether oral antioxidant therapies, of various types and doses, are able to prevent or treat women with preeclampsia. DATA SYNTHESIS: The following databases were searched: MEDLINE, CENTRAL, LILACS, and Web of Science. Inclusion criteria were: a) randomized clinical trials; b) oral antioxidant supplementation; c) study in pregnant women; d) control group, treated or not with placebo. Papers were excluded if they evaluated antioxidant nutrient supplementation associated with other non-antioxidant therapies. Data were extracted and the risk of bias of each study was assessed. Heterogeneity was analyzed using the Cochran Q test, and I2 statistics and pre-specified sensitivity analyses were performed. Meta-analyses were conducted on prevention and treatment studies, separately. The primary outcome was the incidence of preeclampsia in prevention trials, and of perinatal death in treatment trials. Twenty-nine studies were included in the analysis, 19 for prevention and 10 for treatment. The antioxidants used in these studies were vitamins C and E, selenium, l-arginine, allicin, lycopene and coenzyme Q10, none of which showed beneficial effects on the prevention of preeclampsia (RR: 0.89, CI 95%: [0.79-1.02], P = 0.09; I2 = 39%, P = 0.04) and other outcomes. The antioxidants used in the treatment studies were vitamins C and E, N-acetylcysteine, l-arginine, and resveratrol. A beneficial effect was found in intrauterine growth restriction. CONCLUSIONS: Antioxidant therapy had no effects in the prevention of preeclampsia but did show beneficial effects in intrauterine growth restriction, when used in the treatment of this condition.

Response of phytoplankton to an experimental fish culture in net cages in a subtropical reservoir / Resposta do fitoplâncton ao cultivo experimental de peixes em tanques-rede em um reservatório subtropical

Abstract This study aimed to evaluate nutrients concentration and spatial-temporal changes in phytoplankton biovolume during an experimental fish culture in net cages in a lateral arm of Salto Caxias reservoir, Brazil. Two sampling stations were placed in the affected lateral arm and other two in a cageless lateral arm. Neither abiotic variables nor phytoplankton biovolume presented significant differences between the treatments. Only temporal changes were confirmed by the analysis performed. Both lateral arms were classified as oligotrophic, reflecting low influence of the net cages. Phytoplankton growth seems to be limited by nitrogen. Biovolume values were, in general, low and five major functional groups were recognized (E, F, G, K and P). In summer higher biovolume values were observed and representatives of Chlorophyceae and Cyanobacteria belonging to the functional groups F and K, respectively, were the most important. In winter phytoplankton was mainly composed by Bacillariophyceae taxa from P group. G group was also restricted to winter and E group occurred in winter and summer. The variations recorded in phytoplankton structure appear to have been mainly influenced by seasonal changes in temperature, precipitation and nutrients availability. The effects of net cages on the abiotic variables and phytoplankton biovolume appear to have been small, probably due to the small number of net cages employed and the system dilution capacity. However, a permanent monitoring of phytoplankton is recommended, since this environment has a carrying capacity, from which the trophic state may increase.

Resumo Este estudo objetivou avaliar alterações nas variáveis abióticas e no biovolume fitoplanctônico durante o cultivo experimental de peixes em tanques-rede em um braço lateral do reservatório de Salto Caxias, Brasil. Foram selecionadas duas estações de amostragem no braço com tanques-rede e outras duas em um braço sem tanques. As variáveis abióticas e o biovolume fitoplanctônico não apresentaram diferenças significativas entre os locais estudados. Apenas mudanças temporais foram confirmadas pelas análises utilizadas. Os dois braços laterais foram classificados como oligotróficos, refletindo a baixa influência dos tanques-rede. O crescimento do fitoplâncton parece ter sido limitado principalmente por nitrogênio. Os valores de biovolume foram, em geral, baixos e cinco principais grupos funcionais foram observados (E, F, G, K e P). No verão, os maiores valores de biovolume foram observados e representantes de Chlorophyceae e Cyanobacteria dos grupos funcionais F e K, respectivamente, se destacaram. No inverno, o fitoplâncton foi composto principalmente por táxons de Bacillariophyceae do grupo P. O grupo G também foi restrito ao inverno e o grupo E ocorreu no inverno e verão. As variações registradas na estrutura do fitoplâncton parecem ter sido principalmente influenciadas pelas mudanças sazonais de temperatura, precipitação e disponibilidade de nutrientes. Os efeitos dos tanques-rede sobre as variáveis abióticas e biovolume fitoplanctônico parecem ter sido pequenos, provavelmente devido ao pequeno número de tanques utilizados e a capacidade de diluição do sistema. Entretanto, o monitoramento permanente do fitoplâncton é recomendado, uma vez que este ambiente possui uma capacidade de suporte, a partir da qual o estado trófico pode aumentar.

Structure and dynamics of the planktonic diatom community in the Iguassu River, Paraná State, Brazil / Estrutura e dinâmica da comunidade de Diatomáceas planctônicas do rio Iguaçu, estado do Paraná, Brasil

Abstract The evaluation of abiotic and biotic variables can provide information for understanding the structure and function of lotic systems. To obtain this information, measurements of 15 chemical and physical variables and of phytoplankton were conducted at two sampling stations. The present study aims to evaluate the temporal and spatial variation of planktonic diatoms in terms of abiotic variables and the trophic level of the river water and to select diatom species as descriptors of the physical and chemical conditions of the water upstream (S1) and downstream (S2) of the Iguassu River over an annual cycle. Sampling station S1 was classified as oligotrophic to mesotrophic, and S2 was classified as ultra-oligotrophic to oligotrophic. A total of 98 diatom species distributed among 39 genera was recorded, showing no dominant species but 36 abundant species. Although the differences of chemical and physical variables between S1 and S2 were limited to greater turbulence and turbidity, processes triggered by heavy rainfall exerted a significant influence on community structure, and a temporal change in composition was observed. At the end of the dry period, due to the recovery of nutrients and high transparency, there was an abundance of Cocconeis placentula var. lineata. In the rainy period, with increased turbulence and turbidity processes resulting from higher rainfall, there was an abundance of Aulacoseira granulata var. granulata.

Resumo A avaliação das variáveis abióticas e bióticas pode prover informações para o entendimento da estrutura e do funcionamento dos sistemas lóticos. No intuito de obter tais informações, quinze variáveis físicas e químicas e o fitoplâncton foram analisadas em duas estações de amostragem. O presente trabalho tem como objetivo avaliar a variação temporal e espacial das diatomáceas planctônicas em função das variáveis abióticas e do nível trófico da água do rio, e eleger populações descritoras das condições físicas e químicas da água a montante (S1) e a jusante (S2) das cataratas do rio Iguaçu, ao longo de um ciclo anual. A estação de amostragem S1 foi classificada como oligotrófica à mesotrófica e a S2, de ultraoligotrófica à oligotrófica. Um total de 98 espécies de diatomáceas distribuídas entre 39 gêneros foram registrados, não apresentando espécies dominantes, mas 36 espécies abundantes. Mesmo apresentando diferenças das variáveis químicas e físicas entre S1 e S2, apenas a maior turbulência e turbidez da água, processos desencadeados pela elevada pluviosidade, exerceram papel significativo na estruturação da comunidade, sendo observado mudança temporal na composição. No final do período seco, pela recuperação de nutrientes e pela elevada transparência, observou-se a abundância de Cocconeis placentula var. lineata. No período chuvoso, com maior turbulência e turbidez, processos decorrentes da maior pluviosidade, registrou-se a abundância de Aulacoseira granulata var. granulata.

Response of phytoplankton to an experimental fish culture in net cages in a subtropical reservoir.

This study aimed to evaluate nutrients concentration and spatial-temporal changes in phytoplankton biovolume during an experimental fish culture in net cages in a lateral arm of Salto Caxias reservoir, Brazil. Two sampling stations were placed in the affected lateral arm and other two in a cageless lateral arm. Neither abiotic variables nor phytoplankton biovolume presented significant differences between the treatments. Only temporal changes were confirmed by the analysis performed. Both lateral arms were classified as oligotrophic, reflecting low influence of the net cages. Phytoplankton growth seems to be limited by nitrogen. Biovolume values were, in general, low and five major functional groups were recognized (E, F, G, K and P). In summer higher biovolume values were observed and representatives of Chlorophyceae and Cyanobacteria belonging to the functional groups F and K, respectively, were the most important. In winter phytoplankton was mainly composed by Bacillariophyceae taxa from P group. G group was also restricted to winter and E group occurred in winter and summer. The variations recorded in phytoplankton structure appear to have been mainly influenced by seasonal changes in temperature, precipitation and nutrients availability. The effects of net cages on the abiotic variables and phytoplankton biovolume appear to have been small, probably due to the small number of net cages employed and the system dilution capacity. However, a permanent monitoring of phytoplankton is recommended, since this environment has a carrying capacity, from which the trophic state may increase.

Structure and dynamics of the planktonic diatom community in the Iguassu River, Paraná State, Brazil.

The evaluation of abiotic and biotic variables can provide information for understanding the structure and function of lotic systems. To obtain this information, measurements of 15 chemical and physical variables and of phytoplankton were conducted at two sampling stations. The present study aims to evaluate the temporal and spatial variation of planktonic diatoms in terms of abiotic variables and the trophic level of the river water and to select diatom species as descriptors of the physical and chemical conditions of the water upstream (S1) and downstream (S2) of the Iguassu River over an annual cycle. Sampling station S1 was classified as oligotrophic to mesotrophic, and S2 was classified as ultra-oligotrophic to oligotrophic. A total of 98 diatom species distributed among 39 genera was recorded, showing no dominant species but 36 abundant species. Although the differences of chemical and physical variables between S1 and S2 were limited to greater turbulence and turbidity, processes triggered by heavy rainfall exerted a significant influence on community structure, and a temporal change in composition was observed. At the end of the dry period, due to the recovery of nutrients and high transparency, there was an abundance of Cocconeis placentula var. lineata. In the rainy period, with increased turbulence and turbidity processes resulting from higher rainfall, there was an abundance of Aulacoseira granulata var. granulata.

Bacterial indicator taxa in soils under different long-term agricultural management.

AIMS: In this study, the species indicator test was used to identify key bacterial taxa affected by changes in the soil environment as a result of conservation agriculture or conventional practices. METHODS AND RESULTS: Soils cultivated with wheat (Triticum spp. L.) and maize (Zea mays L.) under different raised bed planting systems for 20 years, that is, varying crop residue and fertilizer management, were used. Taxonomic- and divergence-based 16S-metagenomics, and IndVal analysis were used to study the bacterial communities and identify indicator taxa (genus and OTU97 ) affected by agricultural practices. Although, some phyla were affected significantly by different treatments, the taxonomic assemblages at phylum level were similar. Bacterial taxa related to different processes of the N-cycle were indicators of different fertilization rates, for example, Azorhizobium, Nostoc and Nitrosomonas. A large number of OTU97 were indicators for conventionally tilled beds and their distribution was defined by soil organic carbon. IndVal analysis identified different taxa in each of the residue management systems. This suggests that although the same organic material remains in the field, crop residue management affects specific taxa. The taxa indicator of the burned residues belonged mainly to the order SBR1031 (Anaerolineae, Chloroflexi), and the genera Bacillus and Alicyclobacillus. CONCLUSIONS: N-fertilizer application rates affected N-cycling taxa. Tillage affected Actinobacteria members and organic matter decomposers. Although the same crop residue was retained in the field, organic material management was important for specific taxa. SIGNIFICANCE AND IMPACT OF THE STUDY: In this study, we report that agricultural practice affected soil bacterial communities. We also identified distinctive taxa and related their distribution to changes in the soil environment resulting from different agricultural practices.

Influence of fish farming in net cages on phytoplankton structure: a case study in a subtropical Brazilian reservoir.

This study investigated the enrichment influence due to fish farming in net cages on the phytoplankton composition, density and diversity in two arms of a subtropical reservoir (Salto Caxias, Paraná). There were no statistically significant differences in the phytoplankton composition and diversity, as well as for concentrations of nutrients among the handled treatment. The density values were higher during the summer. Richness and Shannon diversity values were low during the study period. The equitability values were high during the winter and low in the summer. Variations of phytoplankton community and nutrients were mainly influenced by seasonality. The absence of significant differences between the treatments was probably due to the small number of net cages and fish used, as well as to the hydrodynamics of the studied environments, which are influenced by upstream rivers inflows.

Diseño de un instrumento para educación terapéutica dietoterápica en pacientes pediátricos con enfermedad renal crónica en hemodiálisis: Resultados preliminares / Design of a tool for education in medical nutrition therapy for children with chronic kidney disease on hemodialysis: Preliminary results

Introducción: En la ERC en edad pediátrica la malnutrición, las alteraciones del metabolismo fosfocálcico, las complicaciones cardiovasculares aumentan la morbimortalidad y afectan el crecimiento y desarrollo. Los nutrientes críticos son proteínas, fósforo y sodio. Las enfermedades crónicas demandan adherencia al tratamiento y autocuidado, es fundamental la Educación Terapéutica del Paciente. Objetivo: Evaluar el uso de un instrumento didáctico diseñado para fomentar adherencia al tratamiento dietoterápico y autoeficacia de pacientes pediátricos con enfermedad renal. Materiales y métodos: Estudio descriptivo longitudinal. Población: pacientes de 9 a 18 años en tratamiento de hemodiálisis en un hospital pediátrico. La propuesta es el diseño y presentación de material didáctico para educación nutricional en el cuidado de nefropatías. Se evaluó conocimiento pre y post educación ingesta previa y post, y p sérico. Resultados: La muestra contempló 20 niños. Las encuestas de conocimiento posteriores a la intervención mostraron un incremento, promediando 90.3%, versus 72.8% previo. La adecuación de la ingesta de fósforo acorde a la RDA mejoró en 25% de los casos, 10% para proteínas, y 60% para sodio. Los análisis bioquímicos posteriores mostraron una disminución de fósforo sérico en 55% de los casos. Conclusiones: Se demostró una respuesta favorable a la intervención según los ejes abordados. El uso del instrumento representa una herramienta pedagógica sencilla para la adquisición de los conocimientos, que permite un aprendizaje activo y desarrollo de habilidades en la práctica cotidiana (AU)

ABSTRACT Introduction: In childhood chronic kidney disease, undernourishment, disorders of the phosphocalcium metabolism, and cardiovascular complications increase morbidity and mortality and affect growth and development. Critical nutrients are proteins, phosphorus, and sodium. Chronic diseases require adherence to treatment and self-care and therapy education of the patient is fundamental. Objective: To evaluate the use of a teaching tool designed to encourage adherence to medical nutrition therapy and self-efficacy of children with kidney disease. Material and methods: A descriptive longitudinal study was conducted. Population: Patients between 9 and 18 years of age in hemodialysis at a pediatric hospital were evaluated. Educational materials for the care of nephropathies were designed. Knowledge on pre- and post-education food intake as well as serum phosphorus were assessed. Results: The study sample consisted of 20 children. Questionnaires on post-intervention knowledge showed a significant increase, of a mean of 90.3% versus a previous of 72.8%. Adequate phosphorus intake according to the RDA improved in 25%, protein intake in 10%, and sodium intake in 60% of the cases. Subsequent biochemical analysis showed a decrease in serum phosphorus levels in 55% of the cases. Conclusions: Considering the study parameters a favorable response to the intervention was found. The teaching tool proved to be adequate and easy for knowledge acquisition, allowing for active learning and the development of skills in daily practice (AU)

Seasonal variation of the phytoplankton community structure in the São João River, Iguaçu National Park, Brazil.

The limnological characteristics and the phytoplankton community of the pelagic region of the São João River, tributary of the Iguaçu River, Iguaçu National Park were analyzed from August 2008 to July 2009. 221 taxa were identified and the Bacillariophyceae class was the most representative. Bacillariophyceae and Chrysophyceae were the dominant classes in density and Bacillariophyceae in biovolume. According to the DCA carried out for phytoplankton density and biovolume, significant differences were identified between the periods, and between the sites and study periods, respectively. The highest richness of species reached 40 taxa in September 2008 at station 1. The Shannon-Wiener diversity indexes and evenness, calculated from the density of phytoplankton, were temporally heterogeneous and spatially similar. In general, the significant temporal variations in the composition of the phytoplankton community were due to variations in limnological conditions, mainly temperature, transparency and nutrients. Spatially the structure was more similar due to the proximity among the stations. Moreover, the similarity of the distribution of communities in lotic environments were due to the unidirectional flow.

Nutrición de yodo en escolares de Calama, Chile: persitencia de niveles elevados de yodo urinario / Iodine nutrition in school children of Calama city, Chile: persistence of high urinary iodine levels

Introducción: El año 2000 se determinó que la mediana de la concentración urinaria de yodo (CUI) en escolares de educación básica de Calama estaba en 2600 ug/L, valor muy elevado, el que descendió a 487 ug/L el año 2004 después de reducir los niveles oficiales de yodación de la sal de 100 ppm a 40 ppm el año 2000. Objetivo: Investigar la nutrición de yodo en escolares de Calama, 12 años después del cambio de legislación. Sujetos y métodos: 332 escolares de ambos sexos de una escuela municipal de educación básica de Calama fueron evaluados sobre la prevalencia de bocio mediante la palpación de la glándula tiroides; al 22% de los mismos (72) se les evaluó la nutrición de yodo mediante la determinación de CUI en muestras casuales de orina por espectrofotometría. Se recolectaron 58 muestras de sal de consumo humano, seleccionadas aleatoriamente en locales comerciales, comedores de la escuela y en los hogares de los escolares, para determinar su contenido de yodo por la técnica de almidón. Adicionalmente, en todos los escolares se registró peso, talla e IMC. Resultados: Se encontró una prevalencia de bocio de 8.2%, todos del grado 1. La mediana de la concentración urinaria de yodo fue 448 ug/L. La concentración de yodo en la sal fue 31,4 ± 17.8 ppm, valor dentro de los estándares oficiales establecidos en el Reglamento Sanitario de los Alimentos (RSA) del Ministerio de Salud de Chile. Comentarios y conclusiones: Los resultados muestran un leve aumento en la prevalencia de bocio y que persiste una alta CUI en escolares de Calama, probablemente debido a una excesiva ingesta de yodo, no obstante que el promedio de contenido de yodo en la sal para consumo humano estuvo dentro del rango recomendado por OMS-UNICEF-ICCIDD (20-40 ppm). Estos hallazgos plantean la necesidad de investigar otras probables fuentes de ingesta de yodo, como causa del exceso de yodo que persiste en Calama.

Introduction: In the year2000 it was determined that the median of the urinary iodine concentration (UIE) in primary school children from Calama was 2600 ug/L, a very high level which went down to 487 ugI/L in 2004, after the standards of the Food Sanitary Regulation were scaled down from 100 ppm to 40 ppm in the year 2000. Objective: To search the current iodine nutrition in school children of Calama, 12 years after the change in the legislation. Subjects and methods: 332 primary school children from Municipal School D-48 ofthe City ofCalama were assessed in relation to their prevalence of goiter determined through palpation of the thyroid gland. In 22% ofthem (72 children), UIE was determined by spectrophotometry. 58 samples ofsalt for human consumption saltwere randomly collected from local shops, school canteens and from the children's homes to determine their iodine concentration through the starch technique. In addition, the school children were measured and weighed to determine the adequacy of their height and Body Mass Index (BMI). Results: An 8.2% prevalence ofgoiter was found; all were grade 1. The iodine concentration in the salt was 31.4 ± 17.8 in the 58 samples analyzed, the average met the adequate range of the current Food Sanitary Regulation (FSR) of Health Ministry of Chile. Conclusion and comments: A non significant increase in the prevalence ofgoiter was found, the average of UIE continue being high, possible due to an excessive intake ofiodine, nevertheless average iodine concentration in the salt for human consumption is within de recommended range by WHO-UNICEF-ICCIDD (20-40 ppm). These findings prompt to search another sources of iodine intake, as an explanation of the persistent elevation of UIE in these children.

Antioxidant properties of species from the Brazilian cerrado by different assays / Avaliação da propriedade antioxidante de espécies do cerrado no Brasil detectada por diferentes ensaios

The purpose of this study was to screen the antioxidant activity of medicinal plant extracts from the Brazilian cerrado, through other methods than the total phenolic content and its correlation with the antioxidant activity. Ethanolic extracts of ten species were evaluated through three antioxidant assays, in vitro, including 2,2-diphenyl-1-picrylhydrazyl (DPPH), total antioxidant activity and reducing power; and by using the Folin-Ciocalteu method the total phenolic content was determined. Ethanolic extracts of Stryphnodendron obovatum, Cecropia pachystachya and Duguetia furfuraceae showed strong antioxidant activity (IC50<5 µg mL-1) in the DPPH free radical scavenging assay; the species Vernonia phosphorea, Hymenaea stignocarpa and Jacaranda ulei may also be highlighted. These results were confirmed in the assays of total antioxidant capacity and reducing power. The extracts of S. obovatum and V. phosphorea showed an abundant phenolic content; therefore, the phenolic content may play a role in the antioxidant activity. These two species, traditionally used in Brazil, showed great power in these assay systems and may be a promising source for the development of natural antioxidants and future candidates for phytochemical and pharmacological studies in related diseases.

O objetivo desse trabalho foi triar a atividade antioxidante de extratos de plantas medicinais do cerrado do Brasil, por outros métodos além do conteúdo de fenóis totais e sua correlação com a atividade antioxidante. Assim, o extrato etanólico de dez espécies vegetais do cerrado brasileiro foi avaliado por três ensaios de atividade antioxidante, in vitro: 2,2-difenil-1-picrilhidrazil (DPPH); atividade antioxidante total e poder redutor; e o teor de fenóis determinado pelo reagente de Folin-Ciocalteu. O extrato etanólico de Stryphnodendron obovatum, Cecropia pachystachya e Duguetia furfuraceae apresentaram forte atividade antioxidante (CI50<5 mg mL-1) no ensaio com o DPPH, tendo destaque também as espécies Vernonia phosphorea, Hymenaea stignocarpa e Jacaranda ulei. Os extratos de S. obovatum e V. phosphorea demonstraram maiores teores de fenóis, indicando que esse grupo de substâncias possa ser a responsável pela atividade antioxidante. Essas duas espécies, usadas tradicionalmente no Brasil, representam fontes promissoras para o desenvolvimento de antioxidantes naturais e futuros estudos fitoquímicos e farmacológicos em doenças relacionadas.

Tromboembolismo pulmonar con trombo móvil en la aurícula / Pulmonary thromboembolism with atrial mobile thrombus

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Avaliação das atividades antioxidante, antimicrobiana e citotóxica de Couepia grandiflora Benth. (Chrysobalanaceae) / Evaluation of cytotoxicity, antioxidant, antibacterial and antifungal activities of Couepia grandiflora Benth. (Chrysobalanaceae)

Couepia grandiflora Benth. é conhecida popularmente como fruta-de-ema, pertence à família Chrysobalanaceae, e ocorre em regiões tropicais e subtropicais. Plantas dessa família são utilizadas pelas populações, principalmente, para o tratamento da diarréia, disenteria e malária. Neste trabalho, avaliou-se as atividades citotóxica, antibacteriana, antifúngica e antioxidante dos extratos hexânico e etanólico de C. grandiflora. O teste com Artemia salina usado para avaliar a citotoxicidade dos extratos hexânico e etanálico apresentou valores de CL50 de 0,1082 mg/mL e 0,1408 mg/mL, respectivamente. O extrato etanálico de C. grandiflora mostrou atividade antibacteriana contra Staphylococcus aureus e Pseudomonas aeruginosa, enquanto que o extrato hexânico mostrou atividade somente contra P aeruginosa. Os dois extratos não mostraram atividade contra Escherichia coli. As Concentrações Inibitórias Mínimas (CIM) do extrato etanólico foram de 188, 125, 188 μL/mL, para Staphylococcus aureus, Escherichia coli e Pseudomonas aeruginosa, respectivamente. Quanto à avaliação da atividade antioxidante, os extratos hexânico e etanólico mostraram-se ativos com valores de CE50= 3,1 e 5,6 μg/mL, respectivamente, quando comparados com os padrões. Na avaliação da atividade antifúngica, os extratos etanálico e hexânico de C. grandiflora não apresentaram tal atividade. Conclui-se que os extratos etanólico e hexânico de C. grandiflora demostraram atividades antibacteriana, antioxidante e citotoxicidade frente à Artemia salina e ausência de atividade antifúngica.

Couepia grandiflora Benth., known popularly as ema fruit, belongs to the family Chrysobalanaceae, and is distributed in tropical and subtropical areas. Plants of this family are used mainly for the treatrnent of the diarrhea. dysentery and malaria. In this work, it was evaluated the cytotoxic, antibacterial, antifungal and antioxidant activíties of the hexane and ethanolic extracts from C. grandiflora. The cytotoxic activíty of the hexane and ethanolic extracts showed a LC50 of 0.1082 mg/mL and 0.1408 mg/mL, respectively. The ethanolic extract of C. grandiflora showed antibacterial activity against Staphylococcus aureus and Pseudomonas aeruginosa. while the hexane extract showed activity just against P. aeruginosa. The two extracts did not show activity against Escherichia coli. The Minímum Inhibitory Concentrations (MIC) of the ethanolic extract were 188, 125 and 188 μL/mL for Staphylococcus aureus, Escherichia coli and Pseudomonas aeruginosa, respectively. The evaluation of the antioxidant activity of the hexane and ethanolic extracts showed good results when compared to the reference drugs(EC50=3.1 and 5.6 mg/mL, respectively). It was not detected antifungal activity for hexane and ethanolic extracts from C. grandiflora.

Avaliação de atividades biológicas das sementes de Stryphnodendron obovatum Benth. (Leguminosae) / Evaluation of biological activities of the seeds of Stryphnodendron obovatum Benth. (Leguminosae)

Stryphnodendron obovatum Benth., conhecido como "barbatimão", é uma espécie pertencente à família Leguminosae, sub-família Mimosoideae, e é amplamente distribuído em campos e cerrados. Na medicina popular, cascas de S. obovatum são usadas no tratamento de processos inflamatórios, como cicatrizante, para diarréia, frieira. Neste trabalho investigou-se a presença de proteínas e as atividades citotóxica, antibacteriana, antifúngica do extrato salino das sementes de S. obovatum. O extrato salino S. obovatum não apresentou toxidade frente ao ensaio com Artemia salina, nem mostrou atividade antibacteriana contra Staphylococcus aureus, Pseudomonas aeruginosa e Escherichia coli. Na avaliação da atividade antioxidante, o extrato salino apresentou uma CE50 de 12, 193 µg/mL, enquanto a do padrão positivo BHT foi 2,98 µg/mL. O extrato salino de S. obovatum não apresentou atividade antifúngica, tanto na técnica de bioautografia com o fungo Cladosporium sphaerospermum, quanto no método de difusão em disco, realizado com Candida albicans. Foi realizado teste de atividade enzimática na qual observou-se a hidrólise do substrato H-D-Benzoil-arginina-p-nitroanilida (Bz-Arg-pNan).

Stryphnodendron obovatum Benth., popularly known as "barbatimão", belongs to the Leguminosae fami/y, of the Mimosoideae subfamily, and is present in fields and in "cerrados". S. obovatum bark is used in popular medicine for treating inflammatory processes, for healing wounds, and as cure for diarrhea and chílblain. This research investigates the presence of proteins and the cytotoxic, antifungal, antibacterial and antioxidant activities of the S. obovatum seed saline extract. The saline extract did not show cytotoxicity against Artemia salina nor any antibacterial activíty against Staphylococcus aureus, Pseudomonas aeruginosa and Escherichia colí. The evaluation of the antioxidant activity showed a CEso=12.193 µg/mL, and the BHT positive pattern presented 2.98 µg/mL. The S. obovatum saline extract was tested against Cladosporium sphaerospermum and Candida albicans, using the bioautography technique and the disk diffusion method. Benzoyl­arginine-p-nitroanilide (Bz-Arg-pNan) was hydrolyzed by the saline extract.

Ligadura de las arterias ilíacas internas: hipogástrica en cirugía obstétrica / Ligation of the internal iliac arteries: hypogastric in obstetrical surgery

Se presentan diez casos de ligadura de arteria hipogástrica de causa obstétrica. Describimos la técnica, se analiza las indicaciones, riesgos y complicaciones quirúrgicas. El procedimiento fue efectivo en controlar la hemorragia en todos los casos. La principal indicación fue la inercia uterina

Tratamiento médico del embarazo ectópico / Medical treatment of the ectopic pregnancy

Se presenta el resultado de 21 casos de embarazo ectópico (EE) no complicados que fueron tratados con metotrexato y manejo expectante, desde enero 2000 a marzo de 2001. Objetivos: Conocer la incidencia de EE en nuestro servicio, evaluar la efectividad del tratamiento médico, y efectuar estudio de costos comparando tratamiento médico versus quirúrgico. Material y métodos: Estudio prospectivo de 21 casos de EE no complicados hospitalizados en la unidad de alto riesgo, 13 casos manejados con metotrexato parenteral y 8 casos con manejo expectante. Resultados: En 3 casos se requirío resolución quirúrgica secundaria, determinando una tasa de éxito de tratamiento médico de 85, 7 por ciento. No hubo correlación entre el nivel inicial de ß-HCG con el tamaño de masa anexial, tiempo de negativización de ß-HCG, necesidad de segunda dosis de MTX ni aparición de complicaciones de EE durante el tratamiento. Costo total, un 22,7 por ciento inferior para el tratamiento médico con respecto a la cirugía. Conclusión: Las 2 alternativas de tratamiento médico analizadas, son validas en pacientes con EE no complicado