Utilização do índice de resistência vascular na diferenciação entre nódulos mamários benignos e malignos

OBJETIVO: O objetivo deste estudo foi avaliar o significado do Doppler espectral por meio da obtenção do índice de resistência vascular na diferenciação entre lesões mamárias benignas e malignas. MATERIAIS E MÉTODOS: Dezenove lesões malignas e 18 benignas, diagnosticadas por estudo histológico, foram submetidas previamente a análise de sua vascularização por meio do Doppler espectral para se obter o índice de resistência vascular. RESULTADOS: Observou-se diferença estatisticamente significante (p < 0,001) entre os valores médios do índice de resistência para os resultados benigno e maligno (0,62x 0,80, respectivamente), em nódulos maiores que 1 cm. Um índice de resistência 0,69 foi altamente associado a lesões malignas, com sensibilidade de 84,2%, especificidade de 88,9%, taxa de falso-positivo de 11,1% e taxa de falso-negativo de 15,8%. CONCLUSÃO: A análise do índice de resistência vascular pode fornecer grande auxílio na avaliação das lesões nodulares da mama maiores que 1 cm, em conjunto com as informações obtidas por meio da escala de cinzas, com elevada sensibilidade e especificidade.

Avaliação do tempo de trânsito esofágico pelo ultrassom: influência do gênero e índice de massa corpórea

OBJETIVO: Utilizar a ultrassonografia do esôfago intra-abdominal para avaliar o tempo de trânsito esofágico para água e iogurte, em posição ortostática, e avaliar a influência do gênero e índice de massa corpórea. MATERIAIS E MÉTODOS: Foram estudados 89 indivíduos adultos jovens, sem clínica de doenças do trato gastrintestinal superior, sendo 40 do gênero feminino (média de 20,13 ± 1,62 anos) e 49 do gênero masculino (média de 20,43 ± 2,17 anos). O tempo de trânsito esofágico foi cronometrado, com o paciente em posição ortostática, durante a deglutição de água e iogurte. RESULTADOS: O tempo de trânsito esofágico para as mulheres e para os homens foi, respectivamente: para água, de 5,84 ± 1,60 segundos versus 6,66 ± 1,68 segundos, e para iogurte, de 9,12 ± 1,96 segundos versus 9,28 ± 1,70 segundos. Não se constatou diferença entre os gêneros masculino e feminino, apesar de o fator índice de massa corpórea ser menor nas mulheres. CONCLUSÃO: Os dados obtidos do tempo de trânsito esofágico para alimento líquido (água) e pastoso (iogurte), em posição ortostática, em adultos jovens não mostraram diferença entre os gêneros, mesmos nas mulheres com índice de massa corpórea menor em relação aos homens.

A tomografia por emissão de pósitrons com 2-[18F]-fluoro-2-desoxi-D-glicose é custo-efetiva em pacientes com câncer de pulmão não pequenas células no Brasil

OBJETIVO: Comparar a acurácia e a custo-efetividade do estadiamento metabólico (EM) com o FDG-PET em relação ao estadiamento convencional (EC) no estadiamento inicial de pacientes com câncer de pulmão não pequenas células (CPNPC). MATERIAIS E MÉTODOS: Noventa e cinco pacientes com diagnóstico inicial de CPNPC foram estadiados antes do início do tratamento. Os resultados do EC e EM foram comparados quanto a definição do tratamento e incidência de toracotomia fútil em cada estratégia. RESULTADOS: O EM com FDG-PET classificou 48,4% dos pacientes como estádio mais avançado e 5,3% como menos avançado. O resultado do EM modificaria o tratamento em 41% dos pacientes. A toracotomia foi considerada fútil em 47% dos pacientes com EC e em 19% dos casos com EM. O custo das toracotomias fúteis em oito pacientes no EM foi de R$ 79.720, enquanto em 31 pacientes no EC seria de R$ 308.915. Apenas esta economia seria mais que suficiente para cobrir os custos de todos os exames de FDG-PET nos 95 pacientes (R$ 126.350) ou de FDG-PET/CT (R$ 193.515). CONCLUSÃO: O EM com FDG-PET tem maior acurácia que o EC em pacientes com CPNPC. A FDG-PET e FDG-PET/CT são custo-efetivas e sua utilização se justifica economicamente na saúde pública no Brasil.

Técnicas in situ de baixo custo em eletroquímica: a microbalança a cristal de quartzo

Among in situ techniques, the electrochemical quartz crystal microbalance (EQCM) is a powerful tool for the study of electrochemical reactions that produce mass changes in the electrode/solution interface. This review present some systems in which the EQCM combined with classical electrochemical techniques, gives relevant information for understanding the charge transport process at a molecular level. The aim of this review is to do a brief description of experimental arrangements, with emphasis on some special cares that must be considered by the users. Secondly, some chosen electrochemical systems where the technique was successfully applied are discussed. Finally, a brief analysis of electroacoustic impedance experiments was done in order to show when the Sauerbrey equation can be used.

Construção e otimização de um reator de baixo custo para a fotodegradação da matéria orgânica em águas naturais e sua aplicação no estudo da especiação do cobre por voltametria

This work describes the construction of a home-made low-cost reactor, using easily available materials, capable of destroying efficiently dissolved organic matter. Just 30 minutes of irradiation were sufficient to destroy more than 99% of the humic acids present in a solution of 4 mg C L-1. Copper speciation was evaluated in natural waters of different salinities to test the reactor's efficiency in destroying organically complexed metal species. The effect of the organic matter concentration, salinity, dissolved oxygen and temperature in the photo-oxidation process is discussed.

Geoquímica e índice de geoacumulação de mercúrio em sedimentos de superfície do estuário de Santos - Cubatão (SP)

The concentrations of mercury in surface sediments (<63mum fraction) from Santos-Cubatão Estuary, located in State of São Paulo, southeast Brazil, were determined to obtain the level of contamination in this highly polluted area. Fifteen stations distributed though seven rivers were sampled (156 samples collected) from September 1997 to August 1998 (12 stations sampled monthly) and during March, June, September and December 1998 (three stations sampled quarterly). The levels of mercury varied from 0.10 to 6.77 ppm, with the index of geoaccumulation of the rivers varying between grades 1 and 3 (annual average). The Cubatão is the most polluted river and the main agent of Hg dispersion in the study area. Geochemical data revealed that Hg levels in surface from Santos-Cubatão Estuary at present are as elevated as in past (for instance, by comparison 1980's), when Cubatão city was known as one of the most polluted cities in the world.

Métodos de baixo custo para purificação de reagentes e controle da contaminação para a determinação de metais traços em águas naturais

Probably one of the most difficult and challenging aspects of measuring trace metals in natural waters is to avoid contamination during sampling, manipulation and analysis. This work discusses how to avoid contamination using simple procedures, and considers alternative methods to purify deionised water and low grade reagents to enable accurate determination of trace metals in natural waters in a common laboratory. Measurements were performed by cathodic stripping voltammetry and copper was used as a model metal to test the procedures. It was possible to evaluate copper speciation in natural waters even when total dissolved copper concentration was as low as 1.5 nmol L-1. The methods' accuracy was confirmed by analysis of certified seawater.

Desenvolvimento de um dispositivo de baixo custo para medidas por quimiluminescência

A simple and low cost device (ca. US$ 150) that comprises two photodiodes fixed in lab-made Perspex flow cell is proposed for chemiluminescence measurements. The characteristics of the device (large observation window and reduced thickness) allow maximizing the amount of the emitted radiation detected. A sensitivity improvement of ca. 50 % was observed by employing two photodiodes for signal measurements. The performance of the device was assessed by the oxidation of luminol by hydrogen peroxide, yielding a linear response within the range of 2.50 to 500 µmol L-1 H2O2. The detection limit was estimated as 0.8 µmol L-1 hydrogen peroxide which is comparable with those obtained by using equipments based on photomultipliers.

Um banho termostático de baixo custo (temperatura ambiente até 0ºC)

Thermal baths to decrease ambient temperature are an indispensable tool for most research and teaching laboratories, especially those in tropical or equatorial regions. A simple and inexpensive thermal bath has been developed based on a scratched compressor. It has three possible setups for cooling: sample immersed into the bath, sample flowing through the bath, and cooling liquid flowing in a jacket around the sample. It has been tested for 40 months. The temperature ranges from room temperature to 0 &deg;C, when using water. The repeatability is better than 3% and the precision varies from 0.5% to 2%.

Recuperação de sílica-gel utilizando processos oxidativos avançados: uma alternativa simples e de baixo custo

Silica gel is widely used as adsorbent for isolating and purifying natural compounds. Intensive use and high cost make this process expensive and generate solid residues contaminated with many different organic compounds. In the present work a simple method for recycling silica was investigated, by using Advanced Oxidative Processes. Silica gel was treated with H2O2/solar light and compared with a sample treated by conventional methods (high temperature and oxidation with KMnO4). High temperature treatment changes the structure of the silica and, consequently, the separation efficiency. Oxidation by using KMnO4 requires multiple steps and produces residues, including manganese and oxalic acid. The method using H2O2/solar light to recuperate silica gel does not modify its separation efficiency and is less expensive than the traditional methods. Additionally, HPLC and GC-MS analysis indicate that H2O2/solar light eliminates all residues of the silica gel.

Multímetro interfaceado de baixo custo para aquisição de dados

A digital multimeter (~U$ 240.00 on the national market) connected to a microcomputer by a RS-232 serial interface is proposed for data acquisition in equipment with analog output. Data are measured at the rate of 2 points per second and stored in text files by the software that accompanies the device, running in a Windows environment. The performance of the multimeter was verified by monitoring the transient signals generated in flow injection systems associated with fluorimetric, spectrophotometric and flame photometric detection. In addition, the performance of the proposed device was similar to that attained by employing an interface card with a 12-bit analog-to-digital converter for acquisition of the signals generated by a capillary electrophoresis equipment with oscillometric detection.

Montagem de câmara com lâmpada de ultravioleta de baixo custo

Thin layer chromatography is a quick, inexpensive and effective way of screening mixtures of non-volatile organic compounds and it is highly recommended for analytical studies. Inspection of plates under ultraviolet light for the detection of colourless compounds should be performed before any further chemical methods are applied. Construction of a low-cost UV-viewing cabinet with lamp employing parts easily found on the local market is described.

Um fotômetro multi-led microcontrolado, portátil e de baixo custo

A microcontrolled, portable and inexpensive photometer is described. It uses six light-emitting diodes (LEDs) as radiation sources and a phototransistor as detector, as well as a microcontroller (PIC - Programmable Controller of Interruption). This device provided total autonomy to the proposed photometer, which was successfully applied to determination of Fe2+ in ferrous syrups and of seven clinical biochemical parameters. As the components are cheap (~U$30.00) and easy to find, the proposed photometer is an economical alternative for routine chemical analyses in small laboratories, for research and teaching. Being portable and microcontrolled, it allows doing field chemical analyses.

Construção de amostrador passivo de baixo custo para determinação de dióxido de nitrogênio

A new passive sampling system for monitoring NO2 in air has been developed to measure gas concentrations in indoor and outdoor air. The sampler is inexpensive, and easy to construct and operate. Nitrogen dioxide forms a derivative after reaction with a filter coated with triethanolamine and ethyleneglycol. The nitrogen dioxide derivative is extracted from the filter, and the concentration is determined by colorimetry. To test the sampler for measuring ambient level nitrogen dioxide, measurements were carried out inside homes and in a range of workplace environments.