Abdominal tuberculosis: a radiological review with emphasis on computed tomography and magnetic resonance imaging findings

AbstractTuberculosis is a disease whose incidence has increased principally as a consequence of HIV infection and use of immunosuppressive drugs. The abdomen is the most common site of extrapulmonary tuberculosis. It may be confused with several different conditions such as inflammatory bowel disease, cancer and other infectious diseases. Delay in the diagnosis may result in significantly increased morbidity, and therefore an early recognition of the condition is essential for proper treatment. In the present essay, cases with confirmed diagnosis of abdominal tuberculosis were assessed by means of computed tomography and magnetic resonance imaging, demonstrating the involvement of different organs and systems, and presentations which frequently lead radiologists to a diagnostic dilemma. A brief literature review was focused on imaging findings and their respective prevalence.

Readjustment of abdominal computed tomography protocols in a university hospital: impact on radiation dose

AbstractObjective:To assess the reduction of estimated radiation dose in abdominal computed tomography following the implementation of new scan protocols on the basis of clinical suspicion and of adjusted images acquisition parameters.Materials and Methods:Retrospective and prospective review of reports on radiation dose from abdominal CT scans performed three months before (group A – 551 studies) and three months after (group B – 788 studies) implementation of new scan protocols proposed as a function of clinical indications. Also, the images acquisition parameters were adjusted to reduce the radiation dose at each scan phase. The groups were compared for mean number of acquisition phases, mean CTDIvol per phase, mean DLP per phase, and mean DLP per scan.Results:A significant reduction was observed for group B as regards all the analyzed aspects, as follows: 33.9%, 25.0%, 27.0% and 52.5%, respectively for number of acquisition phases, CTDIvol per phase, DLP per phase and DLP per scan (p < 0.001).Conclusion:The rational use of abdominal computed tomography scan phases based on the clinical suspicion in conjunction with the adjusted images acquisition parameters allows for a 50% reduction in the radiation dose from abdominal computed tomography scans.

Prevalence and sonographic changes compatible with fatty liver disease in patients referred for abdominal ultrasound examination in Aracaju, SE

Abstract Objective: To estimate the prevalence and evaluate sonographic findings compatible with changes consistent with hepatic steatosis in patients referred for abdominal ultrasonography at four reference centers in Aracaju, SE, Brazil. Materials and Methods: Prospective, descriptive survey, with analytical and quantitative approach, comprising abdominal ultrasonography scans performed with a convex, dynamic 3.75 MHz transducer. Liver dimensions and parenchymal echotexture were evaluated, classifying hepatic steatosis into grades (1, 2 or 3). The SPSS® 22.0 software was used for statistical analysis, adopting p < 0.05 as significance level. Results: A total of 800 individuals (561 women and 239 men) were evaluated. The prevalence of steatosis was 29.1%, and the male patients were most affected, presenting with more advanced grades of disease (p = 0.021), as follows: 119 grade 1 (51.0%); 94 grade 2 (40.4%); and 20 grade 3 (8.6%). The median age patients' was 46 years. Conclusion: In the present study sample, the prevalence of hepatic steatosis was high, particularly in the male patients. Ultrasonography is suggested as a first choice for the diagnosis of this condition, considering its wide availability, low cost and absence of side effects or risks to the patient.

Composição química da glândula abdominal da fêmea da mariposa Castnia licus (Drury) (Lepidoptera:Castniidae): possíveis feromônios e precursores

The hexane and methanolic extracts from pheromonal glands of Castnia licus (Drury) virgin females have been studied. Analyses by gas chromatography and mass spectrometry allowed us to determine the major constituents present in the hexane extract as n-alkanes C21 to C30, (Z)-9-hexadecenoic acid (C16), and (Z)-9-octadecenoic acid (C18) and hexadecanoic acid (C16). Aldehyds, alkenes and acetates were also detected in low concentrations in the extracts. Female pheromone glands were analysed for pheromone precursors using the methanolic extract. In addition to the compounds methyl hexadecanoate and methyl (Z)-9-octadecenoate, the glandular tissue contains a homologous series of methyl esters from C12 to C24. The hexane extract of the female abdomenal glands elicited activity from males in a behavioural bioassay.

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.

Um novo índice de qualidade das águas para proteção da vida aquática aplicado ao Rio Atibaia, região de Campinas/Paulínia-SP

In this paper a water quality index is developed to subsidize management actions in the Atibaia River for upon protection of aquatic organisms. This index is composed of two measurable environmental parameters normaly, ammonia and dissolved oxygen, the latter representing the contribution of organic matter. Concentrations of these two variables were normalized on a scale from 0 to 100 and translated into statements of quality (excellent, good, regular, bad and very bad). The index was applied to three monitoring points in the Atibaia River and compared to other indices used by the State of São Paulo Environmental Agency (CETESB). The results showed that the degradation in this watershed follows the urban population density. The developed index is more restricted than the other ones routinely used to infer water quality.

Influência do sulfato de condroitina na formação de filmes isolados de polimetacrilato: avaliação do índice de intumescimento e permeabilidade ao vapor d'água

Natural or modified chondroitin sulfate was incorporated in to polymethacrylate to obtain isolated films. The addition of polysaccharide to synthetic polymers occurred at different rates. Isolated films were micro and macroscopically characterized and swelling index and water vapor transmission were determined. Results indicated changed transparency and flexibility, coupled to their dependence on increase in polysaccharide concentration. A similar occurrence was reported in the permeability to water vapor and swelling degree. Films composed of modified chondroitin sulfate, 90:10 concentration, showed hydration levels, permeability and morphological properties which allow them to be applied as excipients in the development of new drug delivery systems.

Contenido de flavonoides y compuestos fenólicos de mieles chilenas e índice antioxidante

A comparison of the phenolic content of several Chilean honeys showed great variations in flavonoid concentration among the samples analysed. Higher amounts of phenolics are found in honey from dry climates. The antioxidant effect of extracts, using ORAC analysis, did not correlate with the flavonoid content or with the total phenolic concentration.

Utilização do índice de retenção linear para caracterização de compostos voláteis em café solúvel utilizando GC-MS e coluna HP-Innowax

Gas chromatography coupled with mass spectrometry (GC-MS) is widely used for the characterization of volatile compounds. However, due to the complexity of the soluble coffee matrix, a complete identification of the components should not be based on mass spectra interpretation only. The linear index of retention (LRI) is frequently used to give support to mass spectra. The aim of this work is to investigate the characterization of the volatile compounds in soluble coffee samples by GC-MS using LRI values found with a HP-INNOWAX column. The method used allows a significant increase of the reliability of identifying compounds.

Capacidade de oxidação como índice de estabilidade da matéria orgânica de sedimentos de acordo com gradiente fluvial-estuarino do rio Paraíba do Sul

The hummus composition and it redox properties have been used to evaluate the organic matter quality from natural systems. The objectives of this study were the fractionation of the organic matter and the determination of the oxidation capacity of humic acids to evaluate the organic matter quality of sediments from a gradient fluvial-estuarine in the Brazilian Southeast. The carbon/nitrogen and humic acid/fulvic acid relationships of the organic matter and of the oxidation capacity of humic acids were positively correlated and followed the order: estuarine bordered mangroves ≅ fluvial bordered urban center and pasture > estuarine bordered pasture ≅ marine.

Craqueamento termo-catalítico da mistura óleo de fritura usado-lodo de estamparia têxtil para a produção de óleo com baixo índice de acidez

In this work, cracking experiments were performed to carry out the thermal conversion of the mixture of used frying oil and textile stamping sludge in continuous reactor. The textile stamping sludge was used to catalyze the reaction of thermal cracking. The physical and chemical properties of the oil produced were analyzed. Among the results of this analysis the level of acidity in the range of 12 mg KOH/g stands out. Low levels of acidity as this particular mean better quality oil. In this regard it is important that further researches on processes of conversion of residual oil occur.

Incidência e índice de doença do mosaico do trigo em cereais de inverno e em gramíneas de verão, associados ao Polymyxa graminis

O Soil-borne wheat mosaic virus (SBWMV) é transmitido pelo fungo de solo Polymyxa graminis. Em ensaios conduzidos a campo, por dois anos, avaliaram-se a incidência, severidade e presença do vetor do vírus no sistema radicular das gramíneas: aveia (Avena sativa e A. strigosa), azevém (Lilium multiforum), cevada (Hordeum vulgare), milhã (Digitaria sp.), milheto (Pannisetum americanum), milho (Zea mays), papuã (Brachiaria sp.), sorgo (Sorghum bicolor), trigo (Triticum aestivum) e triticale (Triticum secale). A incidência da virose foi calculada com base no percentual de plantas sintomáticas, sendo atribuído notas de 0-5 para determinar o ID (%) . Os segmentos radiculares foram coletados, corados com solução de lactofenol-azul de algodão e visualizados em microscópio luminoso, atribuindo-se níveis de infestação pela quantidade de grupos de esporos de resistência de P. graminis. Em espécies de aveia, não foram observados sintomas e esporos de resistência do vetor. Na cultura da cevada, não foram observados sintomas, mas sim esporos de resistência no sistema radicular. Para o triticale e o trigo, na primeira época de plantio, a incidência e ID (%) foram mais elevados quando comparados à segunda época. Observou-se uma relação direta entre o ID (%) e a quantidade de esporos de resistência. Nas gramíneas de verão, não foram observados sintomas de SBWMV nem esporos de resistência no sistema radicular.

Prevenção e atendimento inicial do trauma e doenças cardiovasculares: um programa de ensino

A Faculdade de Medicina da Universidade de São Paulo, ao cumprir as prerrogativas da universidade quanto ao ensino, pesquisa e prestação de serviços à comunidade, tem desenvolvido programas direcionados à graduação e à coletividade, abrangendo diversos aspectos do trauma e das doenças cardiovasculares. Respeitando protocolos internacionais, cursos teórico-práticos são organizados e ministrados por instrutores reconhecidos pela American Heart Association e American College of Surgeons. A comparação entre pré e pós-testes demonstrou resultado melhor quando os alunos eram profissionais da área da saúde, o que foi atribuído a seu melhor preparo em relação à comunidade leiga. Entretanto, como a finalidade era a capacitação de todos, profissionais da saúde ou não, uma reavaliação da metodologia tornou-se necessária, salientando-se como principal preocupação uma duração maior das atividades práticas e maior possibilidade de discussões.

Variação do índice de área foliar em clones de eucalipto ao longo de seu ciclo de crescimento

O índice de área foliar (IAF) é uma das principais variáveis biofísicas de um dossel florestal, estando diretamente relacionado com a sua evapotranspiração e sua produtividade. Este trabalho apresenta um levantamento da variabilidade temporal do IAF em cinco diferentes clones (designados para efeito deste trabalho como MG1, MG2, MG3, MG4 e MG5) de plantações de eucalipto (híbridos de Eucalyptus grandis), na regional de produção de Aracruz-ES, Brasil. Utilizou-se o equipamento LAI-2000 para medir o IAF em 98 talhões, com didade variando de 12 a 84 meses. o IAF variou de 1,7 a 4,3. Houve correlação negativa significativa entre IAF e idade para os clones MG1, MG2, e MG3. Para os clones MG4 e MG5 foi constatado que não houve relação significativa entre IAF e idade, o que evidencia que sejam adotados valores médios de IAF destes clones como descritores estruturais do dossel para fins de modelagem ou outros (2,57 e 3,04, respectivamente).