Aneurysm of the Superior Labial Artery

This is a case report of a true and dissecting aneurysm of the superior labial artery in a 51-year-old patient without risk factors for vascular pathology. The patient complained of swelling of the upper lip, mostly on the left side. A Doppler ultrasonography was used in the diagnosis. The definitive treatment was surgical resection, and the histopathological analysis confirmed the diagnosis. The progress of the patient was satisfactory, leaving a slight change in sensitivity in the area. This seems to be the first reported case of true and dissecting aneurysm of the superior labial artery in the medical literature.

Carcinoma de pequenas células do esôfago: estudo clínico patológico de dois casos

RACIONAL: O carcinoma de pequenas células primário do esôfago é tumor raro, agressivo, morfologicamente indistinguível de seu correspondente no pulmão. OBJETIVO: Apresentar os aspectos clínico-patológicos de dois pacientes com carcinoma de pequenas células do esôfago. RELATO DE CASOS: Paciente 1: masculino, 56 anos com disfagia progressiva há seis meses e emagrecimento, com antecedentes de tabagismo e etilismo. A endoscopia mostrou lesão vegetante dos 30 aos 40 cm da arcada dentária superior e o exame anatomopatológico, diagnosticou neoplasia maligna indiferenciada de pequenas células com marcadores imunoistoquímicos positivos para cromogranina e sinaptofisina, caracterizando a linhagem neuroendócrina da neoplasia. Após dois ciclos de quimioterapia (cisplatina e etoposide) associada à radioterapia ele apresentou remissão da disfagia. Paciente 2: masculino, 55 anos, com queixas de pirose, disfagia, rouquidão há seis meses, com emagrecimento de 10 kg no período. A endoscopia mostrou lesão vegetante à 30 cm da arcada dentária superior, obstrutiva. O exame anatomopatológico revelou carcinoma de pequenas células, com os mesmos marcadores imunoistoquímicos positivos para linhagem neuroendócrina. Tomografia computadorizada mostrou metástases hepáticas. Frente ao estadio avançado da doença optou-se pela indicação de gastrostomia. O paciente desenvolveu pneumonia e faleceu dois meses após o diagnóstico. CONCLUSÃO: A evolução dos portadores de carcinoma de pequenas células do esôfago depende do estadiamento da doença e apesar da alta agressividade biológica, este tumor apresenta boa resposta à quimioterapia associada à radioterapia.

Câncer de pulmão: histologia, estádio, tratamento e sobrevida

OBJETIVO: Analisar os principais tipos histológicos, estádio, tratamento e sobrevida dos portadores de câncer de pulmão. MÉTODOS: Estudo retrospectivo a partir da análise dos prontuários de pacientes acompanhados no Hospital das Clínicas da Faculdade de Medicina de Botucatu, num período de seis anos. RESULTADOS: de janeiro de 2000 a janeiro de 2006, foram acompanhados 240 doentes com câncer de pulmão, com predominância do sexo masculino (64%). O tipo histológico mais freqüente foi o carcinoma escamoso (37,5%), seguido pelo adenocarcinoma (30%), carcinoma neuroendócrino (19,6%) e carcinoma de grandes células (6,6%). Apenas 131 pacientes (54,6%) foram tratados. Destes, 52 pacientes (39,7%) foram submetidos à quimioterapia exclusiva, 32 (24,4%) realizaram quimioterapia associada à radioterapia e 47 (35,9%) foram submetidos à cirurgia associada ou não à quimioterapia exclusiva e/ou radioterapia. Somente 27 pacientes (20,6%) foram submetidos à cirurgia exclusiva.Em relação ao estadiamento, 34,4% apresentavam, no momento do diagnóstico, estádio IV, 20,6% estádio IIIB, 16,8% estádio IIIA e os outros 28,2% pertenciam aos estádios I e II. A sobrevida em cinco anos foi de 65% para o estádio I e 25% para os estádios remanescentes. CONCLUSÕES: O tipo histológico predominante foi o carcinoma escamoso e o de menor freqüência foi o carcinoma de grandes células. A maioria se encontrava em estádio avançado ao diagnóstico, estando nos estádios iniciais menos de 30% dos casos. Isto justifica a baixa sobrevida e a pequena quantidade de pacientes submetidos ao tratamento cirúrgico exclusivo, em comparação à maioria que foi submetida à quimioterapia exclusiva.

Prevalência de lesões cutâneas actínicas em pacientes com carcinoma basocelular do segmento cefálico: um estudo caso-controle

OBJETIVO: Avaliar a prevalência de lesões cutâneas actínicas em portadores de carcinoma basocelular do segmento cefálico. MÉTODOS: Foi conduzido estudo tipo caso-controle. Os casos, constituídos por pacientes com carcinoma basocelular sólido, primário, menor que dois centímetros, no segmento cefálico; e controles, por pacientes com outras dermatoses. Foram analisadas variáveis constitucionais, comportamentais e lesões actínicas. RESULTADOS: Avaliaram-se 120 casos e 360 controles. Mílio facial (OR = 2,3), leucodermia puntacta de membros superiores (OR = 2,9) e cutis romboidalis nuchae (OR = 1,8) associaram-se à neoplasia independentemente das demais variáveis, sugerindo um fenótipo de risco. Houve ainda associação com fenótipos claros, genética familiar e exposição solar cumulativa. Queimadura solar, tabagismo e alcoolismo não foram identificados como fatores de risco. O uso de fotoprotetores não evidenciou proteção; porém, o grupo controle era composto por pacientes dermatológicos, aos quais são indicados fotoprotetores regularmente. CONCLUSÃO: Lesões actínicas foram mais prevalentes em portadores de carcinoma basocelular sólido do segmento cefálico que em controles, especialmente mílio, cutis romboidalis nuchae e leucodermia puntacta, independentemente dos demais fatores de risco conhecidos.

Você conhece esta síndrome?

A síndrome de Rothmund-Thomson é distúrbio autossômico recessivo de expressividade variável associado a mutações do gene RecQL4. Caracteriza-se por poiquilodermia, alopecia, defeitos de crescimento e desenvolvimento, catarata juvenil, alterações dentárias e esqueléticas e predisposição ao câncer cutâneo e ao osteossarcoma. Relata-se caso de paciente de 29 anos de idade com lesões cutâneas desde a infância, catarata bilateral antes dos 20 anos e carcinoma espinocelular aos 26 anos de idade.

Avaliação de dois métodos de extração de DNA de material parafinado para amplificação em PCR

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Ultrastructural Analysis of the Oocytes of Female Rhipicephalus sanguineus (Latreille, 1806) (Acari: Ixodidae) Ticks Subjected to the Action of Azadirachta indica A. Juss (Neem)

The present study provides ultrastructural information about the acaricidal effects of neem (Azadirachta indica A. Juss) on the ovaries of R. sanguineus engorged females. In general, the main damage caused in the oocytes was alteration in the shape of the cell and of the germinal vesicle, ring-shaped nucleolus, cytoplasmic vacuolation, and disorganization of the organelles and of the cell membranes (including the chorion), all of which indicate that these cells could be in the process of death. The results showed that azadirachtin would be an efficient acaricide agent for inhibiting and/or neutralizing the reproduction process of R. sanguineus females, impairing the reproductive ability of this species.

Anatomical aspects of the gynoecium of species of Anthurium sect. Urospadix Engl. (Araceae, Alismatales)

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

Regeneration of the Corneal Epithelium after Debridement of its Central Region: An Autoradiographic Study on Rabbits

Purpose: To investigate the proliferative behavior of the corneal and limbal epithelia after debridement on the central region of the rabbit cornea. Methods: After scraping a circular epithelial area, 5 mm in diameter, in the center of the cornea, (3)H-thymidine ((3)H-TdR) was injected intravitreally, and the rabbits killed from 1 to 49 days afterward. The cornea, together with the adjacent conjunctiva, was processed for autoradiography. Results: The regenerating epithelium at the center of the cornea exhibited high frequencies of labeled nuclei when compared to controls. The mitotic indexes for the limbus were comparable in experimental and control eyes. The unique basal stratum of the limbal epithelium exhibited quick proliferation and vertical migration in all eyes. Cells that remained labeled for four weeks or more were observed throughout the corneal epithelium, including its basal stratum, and this did not depend on epithelial damage. Conclusion: Corneal epithelium wounds are healed by sliding and proliferation of cells surrounding the epithelial gap without any evidence for the participation of the limbal epithelium. Daughter cells labeled with (3)H-TdR were visualized in all layers of the corneal epithelium up to 7 weeks after the DNA precursor injection. However, at this long interval, the only labeled cells in the limbus were in the suprabasal layers.

Exhumation of high-pressure granulites of the Guaxupe Complex, southeastern Brazil

This paper describes tectonic and metamorphic features of Precambrian rocks from the Guaxupe Complex and Varginha Shear Zone (VSZ) near the city of Guaxupe in the southern part of the Sao Francisco Craton, southeastern Brazil. The VSZ separates the metasediments of Araxa Group to the north from the granulites of Guaxupe Complex to the south. The sinistral transcurrent VSZ crosses the entire area striking approximately E-W, bending towards SE in the eastern part. Because of this bend, transpressional movement occurred, facilitating the exhumation of the garnet-rich rocks of the deepest exposed part of the granulite-facies terrane.In the garnet granulites the highest pressure-temperature conditions recorded are approximately 1040 degreesC and 14.4 kbar. The rocks underwent decompression from 14.0 kbar to 8.0 kbar, cooling from 980 degreesC to 710 degreesC, the retrograde path following the boundary between the kyanite and sillimanite stability fields. This interval is interpreted to record the uplift of the lower crustal granulite-facies terrane and re-equilibration during magmatic intrusions. For the felsic granulites an interval of 700-810 degreesC and 8.0-11.5 kbar was attained, also pointing to regional decompression.The granulites of the Guaxupe Complex comprise a medium- to high-pressure lower-crustal terrane, with local occurrences of higher-pressure garnet-rich gneisses, which were uplifted along a transpressional segment of the VSZ. Copyright (C) 2000 John Wiley & Sons, Ltd.

Comparative study of the Frankel (FR-2) and bionator appliances in the treatment of Class II malocclusion

The purpose of this investigation was to compare the dentoalveolar and skeletal cephalometric changes produced by the Frankel (FR-2) and bionator appliances in persons with Class 11 malocclusion. Lateral cephalograms were available for 66 patients of both sexes, who were divided into 3 groups of 22. The control group included untreated Class 11 children, with an initial mean age of 8 years 7 months; they were followed without treatment for 13 months. The FR-2 appliance group had an initial mean age of 9 years; those children were treated for a mean period of 17 months. The bionator group initially had a mean age of 10 years 8 months; on average, they were treated for 16 months. The results demonstrated no significant changes in maxillary growth during the evaluation period. Both appliances showed statistically significant increases in mandibular growth and mandibular protrusion, with greater increases in patients treated in the bionator group. Both experimental groups showed an improvement in the maxillomandibular relationship. There were no significant changes in growth direction, while the bionator group had a greater increase in posterior facial height. Both appliances produced similar labial tipping and protrusion of the lower incisors, lingual inclination, retrusion of the upper incisors, and a significant increase in mandibular posterior dentoalveolar height. The major treatment effects of bionator and FR-2 appliances were dentoalveolar, with a smaller, but significant, skeletal effect.

Geochemistry of the Guaxupe Granulites, Minas Gerais, Brazil

Geochemical data for granulite terrain are presented from the northernmost portion of the Guaxupe Massif, at Mantiqueira Province, SE Brazil. Several types of granulites are recognized in the area: basic, intermediate and acid granulite. Major and trace elements (including REE) point to only one ma,oma source for these granulites generated at different times. Geochemical data point to plagioclase and apatite fractionation as responsable in the REE behaviour in intermediate and more basic rocks. Overall composition of the Guaxupe Granulites is similar to average composition of the lower crust.

Rovearinids (stemless crinoids) in the Albian carbonates of the offshore Santos Basin, southeastern Brazil: stratigraphic, palaeobiogeographic and palaeoceanographic significance

Microfacies analysis of marine carbonates cored by Petrobras well 1-SPS-6 in the offshore Santos Basin (southeastern Brazil) has revealed a remarkable fossil assemblage of calpionellids (colomiellids), favusellids, hedbergellids, globigerinelloidids, buliminids, radiolarians, inoceramid prisms, roveacrinids, and saccocomids(?) preserved in lower Albian calcimudstones-wackestones of the lower part of the Guaruja Formation. This assemblage represents an allochtonous accumulation in a deep neritic to shallow bathyal hypoxic environment. Besides 'saccocomid-like' sections, the only determinable sections of roveacrinids are thecal plates of Poecilocrinus dispandus elongatus Peck, 1943. This species was previously only known from the Weno Formation of Texas. The Brazilian material extends its records farther south from at least the lower Albian, which then represents the earliest occurrence of this peculiar family in the South Atlantic region. Taking into account their Albian global distribution and the location of their oldest representative (Hauterivian near Alicante, Spain), the Roveacrinidae dispersed westward throughout all of Cretaceous Tethys. The Tethyan origin of Roveacrinidae is further evidence that, during late Aptian-Albian times, the northern South Atlantic (north of the Walvis-SBo Paulo Ridge) was supplied by a Tethyan water mass. (C) 2001 Elsevier B.V. Ltd. All rights reserved.

An overview of the HIBISCUS campaign

The EU HIBISCUS project consisted of a series of field campaigns during the intense convective summers in 2001, 2003 and 2004 in the State of São Paulo in Brazil. Its objective was to investigate the impact of deep convection on the Tropical Tropopause Layer (TTL) and the lower stratosphere by providing a new set of observational data on meteorology, tracers of horizontal and vertical transport, water vapour, clouds, and chemistry in the tropical Upper Troposphere/Lower Stratosphere (UT/LS). This was achieved using short duration research balloons to study local phenomena associated with convection over land, and long-duration balloons circumnavigating the globe to study the contrast between land and oceans.Analyses of observations of short-lived tracers, ozone and ice particles show strong episodic local updraughts of cold air across the lapse rate tropopause up to 18 or 19 km (420-440 K) in the lower stratosphere by overshooting towers. The long duration balloon and satellite measurements reveal a contrast between the composition of the lower stratosphere over land and oceanic areas, suggesting significant global impact of such events. The overshoots are shown to be well captured by non-hydrostatic meso-scale Cloud Resolving Models indicating vertical velocities of 50-60 m s(-1) at the top of the Neutral Buoyancy Level (NBL) at around 14 km, but, in contrast, are poorly represented by global Chemistry-Transport Models (CTM) forced by Numerical Weather Forecast Models (NWP) underestimating the overshooting process. Finally, the data collected by the HIBISCUS balloons have allowed a thorough evaluation of temperature NWP analyses and reanalyses, as well as satellite ozone, nitrogen oxide, water vapour and bromine oxide measurements in the tropics.

Tectonic setting and U/Pb zircon dating of the plutonic Socorro Complex in the Transpressive Rio Paraíba do Sul Shear Belt, SE Brazil

The Precambrian Rio Paraíba do Sul Shear Belt comprises a 200-km-wide anastomosing network of NE-SW trending ductile shear zones extending over 1000 km of the southeastern coast of Brazil. Granulitic, gneissic-migmatitic, and granitoid terrains as well as low- to medium-grade metavolcanosedimentary sequences are included within it. These rocks were affected by strong contractional, tangential tectonics, due to west-northwestward oblique convergence of continental blocks. Subsequent transpressional tectonics accomodated large dextral, orogen-parallel movements and shortening. The plutonic Socorro Complex is one of many deformed granites with a foliation subparallel to that of the shear belt and exposes crosscutting relationships between its tectonic, magmatic, and metamorphic structures. These relationships point to a continuous magmatic evolution related to regional thrusts and strike slip, ductile shear zones. The tectonic and magmatic structural features of the Serra do Lopo Granite provide a model of emplacement by sheeting along shear zones during coeval strike-slip and cross shortening of country rocks. Geochronological data indicate that the main igneous activity of Socorro Complex spanned at least 55 million years, from the late stage of the northwestward ductile thrusting (650 Ma), through right-lateral strike slip (595 Ma) deformation. The country rocks yield discordant age data, which reflect a strong imprint of the Transamazonian tectono-metamorphic event (1.9 to 2.0 Ma). We propose a model for the origin of calcalkaline granites of the Ribeira Belt by partial melting of the lower crust with small contributions of the lithospheric mantle during transpressional thickening of plate margins, which were bounded by deep shear zones. The transpressional regime also seems to have focused granite migration from deeper into higher crustal levels along these shear zones.