Avaliação e manejo da oclusão trombótica de cateteres de longa permanência dos pacientes em hemodiálise

Pós-graduação em Fisiopatologia em Clínica Médica - FMB

Reação de híbridos de milho à mancha-de-macrospora

Macrospora leaf spot, caused by the fungus Stenocarpella macrospora, has shown to be frequent and important among corn fields in Brazil. Genetic resistance is one of the main strategies to control corn leaf diseases. In Brazil, there is scarce information on the resistance of hybrids to Stenocarpella macrospora. The aim of this study was to evaluate the reaction of 25 corn hybrids to macrospora leaf spot. The experiment was conducted in 2011, in a greenhouse under controlled temperature and relative humidity conditions. Experimental design was completely randomized, with five replicates, each experimental unit consisting of a pot with five plants. Inoculation was done in the V2 growth stage (two fully expanded leaves), and the whorl of each plant received 2.0 mL suspension of 1.8 x 10(4) conidia mL-1 pathogen. The four used fungal isolates were obtained from infected crop residues at the municipalities Lages and Quilombo, Santa Catarina State, and Campinas do Sul and Vacaria, Rio Grande do Sul State. Disease severity was assessed at 21 days after inoculation in the V4 stage (four fully expanded leaves). No tested hybrid was totally resistant to the fungus S. macrospora. There was a significant difference in the disease severity between hybrids and fungal isolates. Hybrids inoculated with Quilombo isolate showed four reaction groups, while the isolates Vacaria, Lages and Campinas do Sul showed two groups. Some hybrids had varied behaviors against the isolates, suggesting different aggressiveness levels. There were hybrids that showed similar reaction to the isolates, suggesting greater stability for macrospora leaf spot.

Características produtivas, morfogênicas e estruturais do capim Piatã submetido à adubação orgânica

The organic fertilizer can be a viable alternative in the production of forage grasses, however there is little information regarding doses and composition of the major organic fertilizers. The aim of this paper was to verify the influence of the different doses of organic compost produced from two types of poultry litter on the structural, morphogenetic and productive characteristics of Brachiaria brizantha cv 'Piatã'. The experiment was conducted in a greenhouse in a completely randomized design in a factorial scheme l with parcel subdivided in time. The parcels were composed by six treatments: two types of compost (poultry litter based in sugar cane and napier grass) in three doses (100, 200 and 300kg ha-1 equivalent N.) and the subparcels by the four different periods of cut. The composts were applied in a unique dose, after the uniformization cut, at the quantities: 11,36 and 11,83, 22,73 and 23,67, 34,09 and 35,50 g pot-1 for the poultry litter based in sugar cane and napier grass, respectively which are equivalent to the rates of 0, 100, 200 and 300kg ha-1 of N. The variables measured were: dry matter production (DMP), leaf appearance rate (LApR), phyllochron, leaf elongation dose (LER) and shoots elongation rate (SER), number of green leaves (NGL), final size of the leaf (FSL). No significant difference between the types of composts and in the interaction compost x doses was observed, thus, both could be used without the risk of loss in the use of the nutrients by the plants evaluated in the experiment. There was a significant difference between the DMP, LApR, phyllochron, LER, SER, NGL and FSL because of the increasing rates of nitrogen, followed by a linear model of prediction. The effect of the periods of slaughter was also observed, where the slaughters carried out in the summer presented a better performance over the morphogenetic and structural features evaluated.

Recanalization after acute deep vein thrombosis

O processo de recanalização das veias dos membros inferiores, após um episódio de trombose venosa profunda aguda em pacientes anticoagulados com heparina e inibidores da vitamina K, faz parte da evolução natural da remodelagem do trombo venoso. Esse complexo processo de remodelagem envolve a adesão do trombo à parede da veia, à resposta inflamatória da parede do vaso, levando à organização e subsequente contração do trombo, à neovascularização e à lise espontânea de áreas no interior do trombo. A presença de fluxo arterial espontâneo em veias com trombose recanalizada tem sido descrita como secundária à neovascularização e se caracteriza pelo desenvolvimento de fluxo com padrão de fístulas arteriovenosas, identificadas por meio de mapeamento dúplex colorido. Nesta revisão, são discutidos alguns aspectos controversos da história natural da trombose venosa profunda, para uma melhor compreensão da sua evolução e do seu impacto sobre a doença venosa.

Impacto do padrão geométrico ventricular na remodelação cardíaca após o infarto do miocárdio

BACKGROUND: The relevance of left ventricular (LV) geometric pattern after myocardial infarction is not known. OBJECTIVES: To analyze the presence of different LV geometric patterns and teir impact as a predictor of remodeling in patients with myocardial infarction. METHODS: Patients with anterior acute myocardial infarction (n = 80) were divided according to the geometric pattern: normal (normal left ventricular mass index [LVMI] and normal relative wall thickness [RWT]), concentric remodeling (normal LVMI and increased RWT), concentric hypertrophy (increased LVMI and RWT) and eccentric hypertrophy (increased LVMI and normal RWT). After six months, echocardiographic assessment was repeated. RESULTS: Four patients died. Of the survivors, 41 showed remodeling (R +), whereas 39 did not (R-). Considering the geometric pattern, the cases were distributed as follows: 24 patients with normal pattern, 13 with concentric remodeling, 29 with concentric hypertrophy and 14 with eccentric hypertrophy. Patients who showed remodeling had larger infarction sizes analyzed by peak CPK (R + = 4,610 (1,688-7,970), R- = 1,442 (775-4247), p <0.001) and CK-MB (R + = 441 (246 - 666), R- = 183 (101-465), p <0.001), trend towards higher prevalence of concentric remodeling (R+ = 10, R- = 3, p = 0.08) and lower prevalence of eccentric hypertrophy (R + = 2 R- = 12, p = 0.006). In the multivariate regression analysis, infarction size was a predictor (OR = 1.01, p = 0.020) and eccentric hypertrophy was a protective factor (OR = 0.189, p = 0.046) of ventricular remodeling after coronary occlusion. CONCLUSION: The LV geometric pattern of can have an impact on the remodeling process in patients with myocardial infarction.

Efeitos da omissão de nutrientes em plantas de Caesalpinia echinata

The objective of this study was to evaluate the growth, the morphological alterations and the mineral composition of brazilwood (Caesalpinia echinata) plants caused by mineral nutrients omission in a green house experiment. The experimental units were distributed in the green house according to a completely random design. The treatments, each repeated five times, were the following : check (natural soil), complete (N, P, K, Ca, Mg, S, B, Cu, Mn, and Zn) and a complete solution but for the omission of one of the nutrients in parenthesis. Each plot was represented by a plant growing in a 7 dm3 vase filled with Quartzarenic Neosol. The analyzed variables were the following: visual nutritional deficiency symptoms, plant height, stem diameter, shoot dry matter, stem, branches and leaves included, and leaf nutrients level. The omission of nitrogen limited plant growth in height and shoot biomass production. The first visual deficiency symptoms were those due to N omission followed by those caused by P, Ca, Mg, S, Cu, and Mn omissions. Later on the K and B deficiency symptoms became visible. The omission of a nutrient always caused its level in the leaves to be significantly lower than that found when it was not omitted.

Reação de crisântemos a Meloidogyne incognita, Meloidogyne javanica e Meloidogyne enterolobii

This study aimed to evaluate the resistance of 14 chrysanthemum varieties to the nematodes Meloidogyne incognita, M. javanica and M. enterolobii. The experiment was conducted in a completely randomized design, consisting of 15 treatments and 4 replicates per nematode species. Each plot was constituted of one plant per pot; plants were kept in a greenhouse and inoculated with 5,000 eggs and possible juveniles of M. incognita, M. javanica and M. enterolobii. After 60 days, the rates of egg masses, the number of nematodes per gram of root and the reproduction factor were evaluated. The varieties showed immunity to M. incognita, M. javanica and M. enterolobii, except 'Capello Vermelho' and 'White Reagon', which were susceptible and resistant, respectively, to M. incognita.

Reproduction of Meloidogyne enterolobii in rootstocks and cucumber hybrids

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Análise através do método dos elementos finitos das tensões desenvolvidas no reborbo alveolar sob as próteses totais com três diferentes conceitos oclusais

Pós-graduação em Reabilitação Oral - FOAR

Síntese e avaliação farmacológica de novos compostos híbridos úteis para tratamento das complicaçôes da anemia falciforme

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Intoxicação e alterações metabólicas do algodão sensível e resistente ao amônio glufosinate

Pós-graduação em Agronomia (Agricultura) - FCA

Cardiovascular risk and mortality in end-stage renal disease patients undergoing dialysis: sleep study, pulmonary function, respiratory mechanics, upper airway collapsibility, autonomic nervous activity, depression, anxiety, stress and quality of life: a prospective, double blind, randomized controlled clinical trial

Background: Chronic kidney disease (CKD) is one of the most serious public health problems. The increasing prevalence of CKD in developed and developing countries has led to a global epidemic. The hypothesis proposed is that patients undergoing dialysis would experience a marked negative influence on physiological variables of sleep and autonomic nervous system activity, compromising quality of life.Methods/Design: A prospective, consecutive, double blind, randomized controlled clinical trial is proposed to address the effect of dialysis on sleep, pulmonary function, respiratory mechanics, upper airway collapsibility, autonomic nervous activity, depression, anxiety, stress and quality of life in patients with CKD. The measurement protocol will include body weight (kg); height (cm); body mass index calculated as weight/height(2); circumferences (cm) of the neck, waist, and hip; heart and respiratory rates; blood pressures; Mallampati index; tonsil index; heart rate variability; maximum ventilatory pressures; negative expiratory pressure test, and polysomnography (sleep study), as well as the administration of specific questionnaires addressing sleep apnea, excessive daytime sleepiness, depression, anxiety, stress, and quality of life.Discussion: CKD is a major public health problem worldwide, and its incidence has increased in part by the increased life expectancy and increasing number of cases of diabetes mellitus and hypertension. Sleep disorders are common in patients with renal insufficiency. Our hypothesis is that the weather weight gain due to volume overload observed during interdialytic period will influence the degree of collapsibility of the upper airway due to narrowing and predispose to upper airway occlusion during sleep, and to investigate the negative influences of haemodialysis in the physiological variables of sleep, and autonomic nervous system, and respiratory mechanics and thereby compromise the quality of life of patients.

Experience with the sandwich technique in endovascular thoracoabdominal aortic aneurysm repair

Background: The sandwich technique is an endovascular off-the-shelf solution for patients with thoracoabdominal aortic aneurysms (TAAAs). In a sandwich configuration, the chimney stent runs in the middle of a space created by two or three aortic endografts.Methods: All patients with TAAAs who were treated with the sandwich technique were included in the study. Self-expanding Viabahn grafts (W. L. Gore and Associates Inc, Flagstaff, Ariz) were used as parallel grafts in the renal arteries and visceral vessels. Caudad-facing chimney grafts were used for the visceral arteries and cephalad-facing periscope grafts for the renal arteries.Results: During the study period, 32 patients with TAAAs were treated with sandwich grafts. Indication for the procedure in 43% was an acute onset of symptoms, including two patients with a rupture and a retroperitoneal hematoma. Three patients required an additional debranching procedure. A total of 104 chimney grafts were implanted. Two patients died postoperatively because of the operation. Major adverse events were recorded in five patients, including one patient with persistent paraplegia and two with permanent renal failure requiring dialysis. The incidence of chimney graft occlusion was higher in patients with three or four parallel grafts than in those with two chimney grafts only. Patients with chronic dissections had a 12-times higher incidence of chimney graft occlusion than aneurysm patients. The number of patients with type I or III endoleaks was higher in the group with three or four parallel grafts.Conclusions: The sandwich technique is an off-the-shelf endovascular alternative to treat patients with TAAAs in an emergent setting. The combination of chimney grafts with a periscope configuration enables a rapid endovascular aneurysm exclusion with acceptable midterm results.

The Kallikrein Inhibitor from Bauhinia bauhinioides (BbKI) shows antithrombotic properties in venous and arterial thrombosis models

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Calciphylaxis: a rare but potentially fatal event of chronic kidney disease. Case report

Calciphylaxis or calcific uremic arteriolopathy is a rare cutaneous-systemic disease occurring in patients with advanced chronic kidney disease. The classical clinical picture is that of a necrotic and progressive skin ulcer of reticular pattern, mostly in the lower legs and susceptible to local infection. It is a product of mural calcification and occlusion of cutaneous and sub-cutaneous arteries and arterioles. The authors report the case of a 73-year-old male patient in his late stage of renal disease presenting severe necrotic cutaneous ulcers on lower legs followed by local and systemic infection and death due to sepse after parathyroidectomy.