Pseudoaneurysm of the internal carotid artery presenting with massive (recurrent) epistaxes: a life-threatening complication of craniofacial trauma

Vascular lesions can be serious complications resulting of blunt or penetrating trauma(1,2). Internal carotid artery lesion is one of most serious and relatively frequent in all mechanisms of craniofacial trauma. Several clinical manifestations can occur as central neurologic and cranial nerves deficits as well as several degrees of bleeding (from mild symptomatic to fatal). Recurrent and massive epistaxis can occur after trauma due to pseudaoneurysms of the external and internal carotid artery (ICA)(3,4). Considering its life-threatening course, the assisting physician has a relatively narrow time to detect and treat these lesions.We present two cases of recurrent and massive epistaxis secondary to ICA pseudoaneurysm following blunt and perforating trauma. Evolution was fatal in the first case with delayed treatment and uneventfully in the second which was treated by occlusion of the pseudoaneurysm and ICA via endovascular intervention.

cDNA representational difference analysis used in the identification of genes expressed by Trichophyton rubrum during contact with keratin

Dermatophytes are adapted to infect skin, hair and nails by their ability to utilize keratin as a nutrient source. Trichophyton rubrum is an anthropophilic fungus, causing up to 90% of chronic cases of dermatophytosis. The understanding of the complex interactions between the fungus and its host should include the identification of genes expressed during infection. To identify the genes involved in the infection process, representational difference analysis (RDA) was applied to two cDNA populations from T. rubrum, one transcribed from the RNA of fungus cultured in the presence of keratin and the other from RNA generated during fungal growth in minimal medium. The analysis identified differentially expressed transcripts. Genes related to signal transduction, membrane protein, oxidative stress response, and some putative virulence factors were up-regulated during the contact of the fungus with keratin. The expression patterns of these genes were also verified by real-time PCR, in conidia of T. rubrum infecting primarily cultured human keratinocytes in vitro, revealing their potential role in the infective process. A better understanding of this interaction will contribute significantly to our knowledge of the process of dermatophyte infection.

The homeostasis of iron, copper, and zinc in paracoccidioides brasiliensis, cryptococcus neoformans var. Grubii, and cryptococcus gattii: a comparative analysis

Iron, copper, and zinc are essential for all living organisms. Moreover, the homeostasis of these metals is vital to microorganisms during pathogenic interactions with a host. Most pathogens have developed specific mechanisms for the uptake of micronutrients from their hosts in order to counteract the low availability of essential ions in infected tissues. We report here an analysis of genes potentially involved in iron, copper, and zinc uptake and homeostasis in the fungal pathogens Paracoccidioides brasiliensis, Cryptococcus neoformans var. grubii, and Cryptococcus gattii. Although prior studies have identified certain aspects of metal regulation in Cryptococcus species, little is known regarding the regulation of these elements in P. brasiliensis. We also present amino acid sequences analyses of deduced proteins in order to examine possible conserved domains. The genomic data reveals, for the first time, genes associated to iron, copper, and zinc assimilation and homeostasis in P. brasiliensis. Furthermore, analyses of the three fungal species identified homologs to genes associated with high-affinity uptake systems, vacuolar and mitochondrial iron storage, copper uptake and reduction, and zinc assimilation. However, homologs to genes involved in siderophore production were only found in P. brasiliensis. Interestingly, in silico analysis of the genomes of P. brasiliensis Pb01, Pb03, and Pb18 revealed significant differences in the presence and/or number of genes involved in metal homeostasis, such as in genes related to iron reduction and oxidation. The broad analyses of the genomes of P. brasiliensis, C. neoformans var. grubii, and C. gattii for genes involved in metal homeostasis provide important groundwork for numerous interesting future areas of investigation that are required in order to validate and explore the function of the identified genes and gene pathways.

Projeto de Educação Ambiental e Lazer (PEDAL): dialogando a partir do cicloturismo na escola

The PEDAL had beginning with an interested group in accomplishing walks and bicycle trips looking for fruition of the disentailed leisure of the consumption. The objective of this report of experience is to present the cicloturismo as an alternative of fruition of the leisure that has been making possible debates and reflections that seek to the understanding of alunos/as of the basic education on the interface among the themes leisure, environmental education and quality of the life. In this report we considered intervention accomplished at a school of fundamental teaching in the city of Saint Carlos-SP. Starting from the results of the analysis of the registrations produced pelos/as alunos/as, we considered that the theme, of interest of the same ones, raised the construction of significant reflections, such as: the possibility of the use of the bicycle as means of transportation for the work or for the leisure; the need of public politics that promote and guarantee safety and respect to the cyclist.

A comparison about evolutionary algorithms for optimum-path forest clustering optimization

In this paper we deal with the problem of boosting the Optimum-Path Forest (OPF) clustering approach using evolutionary-based optimization techniques. As the OPF classifier performs an exhaustive search to find out the size of sample's neighborhood that allows it to reach the minimum graph cut as a quality measure, we compared several optimization techniques that can obtain close graph cut values to the ones obtained by brute force. Experiments in two public datasets in the context of unsupervised network intrusion detection have showed the evolutionary optimization techniques can find suitable values for the neighborhood faster than the exhaustive search. Additionally, we have showed that it is not necessary to employ many agents for such task, since the neighborhood size is defined by discrete values, with constrain the set of possible solution to a few ones.

Phytogeographic retrospective in ecotonal areas guided by soil attributes

Re-establishing deforested ecosystems to pre-settlement vegetation is difficult, especially in ecotonal areas, due to lack of knowledge about the original physiognomy. Our objective was to use a soils database that included chemical and physical parameters to distinguish soil samples of forest from those of savannah sites in a municipality located in the southeastern Brazil region. Discriminant analysis (DA) was used to determine the original biome vegetation (forest or savannah) in ecotone regions that have been converted to pasture and are degraded. First, soils of pristine forest and savannah sites were tested, resulting in a reference database to compare to the degraded soils. Although the data presented, in general had a high level of similarity among the two biomes, some differences occurred that were sufficient for DA to distinguish the sites and classify the soil samples taken from grassy areas into forest or savannah. The soils from pastured areas presented quality worse than the soils of the pristine areas. Through DA analysis we observed that, from seven soil samples collected from grassy areas, five were most likely originally forest biome and two were savannah, ratified by a complementary cluster analysis carried out with the database of these samples. The model here proposed is pioneer. However, the users should keep in mind that using this technology, i.e., establishing a regional-level database of soil features, using soil samples collected both from pristine and degraded areas is critical for success of the project, especially because of the ecological and regional particularities of each biome.

PEDAL: projeto de educação ambiental e lazer: um relato de experiências em cicloturismo

El presente artículo tiene como objetivo central presentar un relato de experiencia sobre cicloturismo realizado por los integrantes del Proyecto de Educación Ambiental y Recreación (PEDAL) comprendido en el periodo 2008-2015, destacando las potencialidades educativas que el uso de la bicicleta puede posibilitar. Para esto, hemos hecho la recuperación del proceso vivido y la interpretación y síntesis de las informaciones sobre los viajes. Consideramos que, a partir de las intervenciones de PEDAL en el ámbito escolar y no-escolar, han sido propuestos algunos debates con el objetivo de desarrollar procesos educativos relacionados a la concientización de niños y niñas, jóvenes y adultos en los cuales la bicicleta se presenta como una rica posibilidad para el respetuoso convivir de unos con los otros, con el ambiente, y consigo mismo, fomentando beneficios el ejercicio vinculado a la promoción de salud, y además estimulando la crítica acerca de movilidad urbana, la recreación y la educación ambiental.

Fragmentação socioespacial em cidades médias paulistas

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

Selecting for rust (Puccinia psidii) reistance in Euclyptus grandis in São Paulo state, Brazil

In Brazil, Eucalyptus grandis is a key species for wood production. However, some genotypes are susceptible to rust (Puccinia psidii), mainly in São Paulo State, where climatic conditions are favorable for its development. Rust represents a high economic risk to forest companies because of the high potential of damage to commercial eucalypt plantations. The aims of the present study were (i) to select progenies of E. grandis for stability and adaptability regarding resistance to rust at different locations; (ii) compare the selections under these different climatic conditions; and (iii) compare rust severity in the field with the theoretical model. We observed that climatic conditions were extremely influential factors for rust development, but even under favorable conditions for disease development, we found rust-resistant progenies. In sites unfavorable for rust development, we detected highly susceptible progenies. We found significant correlation among the genetic material, environmental conditions and disease symptoms, however, we observed a simple genotype-environmental interaction and significant genetic variability among the progenies. The average heritability was high among the progenies in all sites, indicating substantial genetic control for rust resistance. We also observed a good relationship between rust severity in the field and the theoretical model that considered annual average temperature and leaf wetness.

Atypical calcified ganglioglioma: a rare case report

Considered rare tumors, gangliogliomas account for 0.4% - 0.9% of intracranial neoplasms. The peak of its incidence occurs between 10 and 20 years of age. These tumors are composed of glial and ganglion cells and they are relatively low-grade neoplasms associated with good prognoses. We report a case of an atypical calcified ganglioglioma in an 18-year-old woman with history of four months of stabbing right-sided parietal headache, paroxysmal. On image studies were noted the presence of thick wall calcification in gangliogliomas. Although rare, this atypical ganglioglioma should be included in the differential diagnosis of lesions occurring in this area of the brain.

Study of stillage biodegradation by respirometry in sandy and clay soils

The stillage, which is a liquid residue from the distillation of the sugarcane ethanolic fermentation, contains organic matter and can be a big source of pollution when it is discarded in the wrong way. Its application as fertilizer has been extended, which is reason to cause concerns regarding the environment. The aim of this work was to evaluate and quantify the biodegradation of stillage in sandy and clay soils, besides verifying the efficiency of the Embiotic Line®inoculum as an accelerator of the biodegradation. Bartha and Pramer respirometric technique was used to determine the production of CO2 during the 50 days of the biodegradation process, and the quantification of the initial and final microorganisms was also conducted. Results were analyzed using the Friedman statistical test. Clay soils were significantly better on stillage decomposition when compared to sandy soils (p=0.0153). Clay soils presented greater efficiency in stillage biodegradation, with higher field capacity, better water, organic matter and microbial retention. Regarding the use of the embiotic line, the experiment has shown this product does not interfere positively in the stillage biodegradation for both soils, possibly needing adjustments in its composition.

Stroke as the First Clinical Manifestation of Takayasu's Arteritis

Takayasu's arteritis is a chronic inflammatory disease, and neurological symptoms occur in 50% of cases, most commonly including headache, dizziness, visual disturbances, convulsive crisis, transient ischemic attack, stroke and posterior reversible encephalopathy syndrome. The aim of this study was to report the case of a young Brazilian female with a focal neurological deficit. She presented with asymmetry of brachial and radial pulses, aphasia, dysarthria and right hemiplegia. Stroke was investigated extensively in this young patient. Only nonspecific inflammatory markers such as velocity of hemosedimentation and C-reactive protein were elevated. During hospitalization, clinical treatment was performed with pulse therapy showing improvement in neurological recuperation on subsequent days. In the chronic phase, the patient was submitted to medicated angioplasty of the brachiocephalic trunk with paclitaxel, with significant improvement of the stenosis. At the 6-month follow-up, the neurological exam presented mild dysarthria, faciobrachial predominant disproportionate hemiparesis, an NIHSS score of 4 and a modified Rankin Scale score of 3 (moderate incapacity). In conclusion, Takayasu's arteritis must be recognized as a potential cause of ischemic stroke in young females.

Equações diferenciais ordinárias não suaves autônomas e não autônomas

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)