Estimation of hourly, daily and monthly mean diffuse radiation based on MEO shadowring correction

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

Use of botulin toxin in the treatment of diffuse esophageal spasm. A case report

The diffuse esophageal spasm distinguishes from others esophageal disturbs by the symptoms severity and bad results to conservative treatment. This situation requires formal indication to surgical treatment or dilation. In high risk patients this situation becomes a big problem, due to the lack of another therapeutic option. In a patient with this problem we use an endoscopic injection of botulin toxin in cardia with good results in three months follow-up. Despite this short period of observation we believe that the infiltration with botulin toxin in cardia constitutes a valid therapeutic option in treatment of diffuse esophageal spasm.

Pan-Assay interference compounds (PAINS): warning signs in biochemical-pharmacological evaluations

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

Evaluation of clinical, ultrasonographic and hysteroscopic parameters in the differentiation of endometrial polyps and cancer of endometrium

Study Objective: To evaluate the diagnostic accuracy of transvaginal ultrasound and office hysteroscopy in the differentiation between endometrial polyps and endometrial adenocarcinoma. Design: This is a prospective 100 women longitudinal study, 24 to 80 years, submitted to hysteroscopic polypectomy (n = 80) or surgery due to endometrial adenocarcinoma (n = 20), from january 2010 to December 2011. Clinical, ultrasonographic and hysteroscopic parameters were analyzed and compared with histopathologic find. Statistical analysis were performed utilizing the Tukey, Kruskal-Wallis, Dunn and Mann-Whitney test, with a confidence interval of 95% and p\0, 05 statiscally significant. Setting: Botucatu Medical School. Intervention: Prospective analysis of clinical, ultrasonographic and hysteroscopic parameters in patients with diagnosis suspected of endometrial polyps and adenocarcinoma of endometrium were performed. According to the diagnosis, hysteroscopic polypectomy or pan hysterectomy with lymph node sampling was realized. After the surgery and histopathological study, statistical analysis of parameters was performed and the results were compared between groups. It was Research Ethics Committee approved. Measurements and Main Results: There were no differences between age, BMI, menopause, TH use and associated diseases among groups. The main symptom of endometrial cancer was the postmenopausal bleeding, affecting 84,2% of women against 34,8% of polypectomy group. The majority of women with endometrial polyps were asymptomatic. Transvaginal ultrasonography showed no ability to differentiate cases of endometrial cancer compared with the cases of endometrial polyps, considering the presence of endometrial thickness and blood flow on color Doppler. Office hysteroscopy showed significant changes in 75% of the adenocarcinoma cases, especially the presence of diffuse hypervascularity with atypical vessels. Conclusion: Still remains an inability to establish clinical parameters and reliable ultrasound imaging to differentiate endometrial polyps and cancer of endometrium. Attention should be given to hysteroscopic exams presenting diffuse endometrial hypervascularization with architectural distortion of the vessels. The recommendation of our service remains the systematic removal of all endometrial polyps.

Diurnal evolution of the hourly diffuse solar radiation incident on tilted surfaces in Southeast of Brazil

Evaluation has been made on the monthly and annual average diurnal evolution of the hourly diffuse radiation as well as its radiometric fractions on surfaces inclined at 12.85, 22.85 and 32.85° to face North, in climate conditions of Botucatu, São Paulo, Brazil (22.85° S and 48.43° W). Measurements were made between 04/1998 to 08/2001 for 22.85°; 09/2001 to 02/2003 for 12.85° and 01/2004 to 12/2007 for 32.85°, with concomitant measures in the horizontal. For all surfaces the diffuse radiation was obtained from different method. Assessment has been performed as well on the radiometric fractions obtained from the ratio of diffuse radiation and global radiation (KDH and KDβ) and between radiation and diffuse radiation at the top of the atmosphere (KʹDH and KʹDβ) for the horizontal and tilted surfaces in hourly partition. The diffuse radiation levels were dependent on variations in precipitation and cloudiness. There was an increase in the differences between the diffuse radiation and the radiometric fractions with the increment of the angle, and in horizontally, which affected higher levels of diffuse radiation in spring and summer. The values of KDH and KDβ present in an inverse behavior were compared to diffuse radiation and theydecreased in the southern passage due to the increase of the direct component in the total of incident radiation.