Reflux esophagitis and gastroesophageal reflux disease: a cross-sectional study of gastroesophageal reflux disease patients by age group

The purpose of this study was to explore the relationship between the intensity of acid reflux and severity of esophageal tissue damage in a cross-sectional study of patients with gastroesophageal reflux disease (GERD). Seventy-eight patients with were selected in accordance with the strict 24-hour ambulatory esophageal pHmetry (24h-pHM) criteria and distributed into three age groups: Group A: 14 - 24 years of age. Group B: 25 - 54; and Group C: 55 - 64. The 24h-pHM was carried out in accordance with DeMeester standardization, and the Savary-Miller classification for the diagnosis of reflux esophagitis was used. The groups were similar in 24h-pHM parameters (p > 0.05), having above normal values. For the study group as a whole, there was no correlation between age group and intensity of acid reflux, and there was no correlation between intensity of acid reflux and severity of esophageal tissue damage. However, when the same patients were sub-grouped in accordance with the depth of their epithelial injury and then distributed into age groups, there was a significant difference in esophagitis without epithelial discontinuity. Younger patients had less epithelial damage than older patients. Additionally, although there was a significant progression from the least severe to the moderate stages of epithelial damage among the age groups, there was no apparent difference among the age groups in the distribution between the moderate stages and most severe stages. The findings support the conclusion that the protective response of individuals to acid reflux varies widely. Continued aggression by acid reflux appears to lead to the exhaustion of individual mechanisms of epithelial protection in some patients, but not others, regardless of age or duration of the disease. Therefore, the diagnosis and follow-up of GERD should include both measurements of the quantity of refluxed acid and an assessment of the damage to the esophageal epithelium.

Cholestasis in a murine experimental model: lesions include hepatocyte ischemic necrosis

OBJECTIVE: To establish a murine experimental model of bile duct obstruction that would enable controlled observations of the acute and subacute phases of cholestasis. METHODOLOGY: Adult male isogenic BALB/c mice underwent a bile duct ligation (22 animals) or a sham operation (10 animals). Fifteen days after surgery, or immediately after the animal's death, macroscopic findings were noted and histological study of the liver, biliary tree, and pancreas was performed (hematoxylin-eosin and Masson trichromic staining). RESULTS: Beginning 24 hours after surgery, all animals from the bile duct ligation group presented progressive generalized malaise. All animals presented jaundice in the parietal and visceral peritoneum, turgid and enlarged liver, and accentuated dilatation of gallbladder and common bile duct. Microscopic findings included marked dilatation and proliferation of bile ducts with accentuated collagen deposits, frequent areas of ischemic necrosis, hepatic microabscesses, and purulent cholangitis. Animals from the sham operation group presented no alterations. CONCLUSION: We established a murine experimental model of induced cholestasis, which made it possible to study acute and subacute tissue lesions. Our data suggests that in cholestasis, hepatic functional ischemia plays an important role in inducing hepatic lesions, and it also suggests that the infectious process is an important factor in morbidity and mortality.

Effects of forest structure components on the occurence, group size and density of groups of bare-face tamarin (Saguinus bicolor - primates: Callitrichinae) in Central Amazonia

This study analyzed the influence of forest structural components on the occurence, size and density of groups of Bare-face Tamarin (Saguinus bicolor) - the most threatened species in the Amazon - and produced the first map of distribution of groups in large-scale spatial within the area of continuous forest. Population censuses were conducted between November 2002 and July 2003, covering 6400 hectares in the Ducke Reserve, Manaus-AM, Brazil. Groups of S. bicolor were recorded 41 times accordingly distributed in the environments: plateau (20); slopes (12); and lowlands (09). The mean group size was 4.8 indiv./group, and ranged from 2 to 11 individuals. In the sites where the groups were recorded, and in an equivalent number of sites where no tamarins were found located at least 500 m from those where they had been recorded, we placed 50 m x 50 m plots to record the following forest structural components: abundance of trees; abundance of lianas; abundance of fruiting trees and lianas; abundance of snags; abundance of logs; percentage of canopy opening; leaf litter depth; and altitude. Bare-face Tamarin more often uses areas with lower abundance of forest logs, smaller canopy opening and with higher abundance of snags, areas in the forest with smaller canopy opening present higher density of S. bicolor groups. Apparently this species does not use the forest in a random way, and may select areas for its daily activities depending on the micro-environmental heterogeneity produced by the forest structural components.

Revision of the genus Macrostomus Wiedemann (Diptera: Empididae: Empidinae): II. The pictipennis species-group

All species of Macrostomus Wiedemann allied with Macrostomus pictipennis (Bezzi), are treated in the pictipennis species-group. Three currently recognized species and four new species are included, namely M. cervicicauda Smith, M. cysticercus Smith, M. manauara, sp. nov. from Brazil (Amazonas and Pará states), M. pacaraima, sp. nov. from Brazil (Roraima, Amazonas and Pará states), M. pictipennis (Bezzi), M. smithi, sp. nov. from Guyana and Brazil (Roraima State) and M. utinga, sp. nov. from Brazil (Pará State). All primary types were examined and a key to species is presented.

Seven new species of Lachesilla (Psocodea: 'Psocoptera': Lachesillidae), in the group forcepeta from the Amazon Basin

Seven new species of Lachesilla in the group forcepeta, from the Amazon Basin in Brazil, Colombia and Peru, are here described and illustrated: L. amacayacuensis sp. n. (type locality: Colombia, Amazonas, Leticia, Amacayacú); L.bulbosiforceps sp. n. (type locality: Peru, Cuzco); L. cuzcoensis sp. n. (type locality: Peru, Cuzco); L. marabaensis sp. n. (type locality: Brasil, Pará, Marabá, Serra Norte); L. pilosiforceps sp. n. (type locality: Brasil, Pará, Oriximiná, Rio Trombetas); L. pilosipenna sp. n. (type locality: Peru, Cuzco); L. squamiforceps sp. n. (type locality: Colombia, Amazonas, Leticia). The Amazon Basin is the second most rich world area for species of Lachesilla.

Cardiac involvement in total generalized lipodystrophy (Berardinelli- Seip syndrome)

Total generalized lipodystrophy (Berardinelli--Seip Syndrome) is a rare hereditary disease characterized by insulin-resistant diabetes mellitus and a small quantity of adipose tissue and is of unknown origin. Common cardiovascular alterations related to this syndrome are cardiac hypertrophy and arterial hypertension. This article reports a case of Berardinelli--Seip syndrome and reviews the literature with special emphasis on the cardiovascular manifestations of this syndrome.

Contribution of Doppler echocardiography to the evaluation of systolic and diastolic function of obese women versus a control group

OBJECTIVE: To study by doppler echocardiography the cardiac systolic and diastolic functions of health, uncomplicated obese subjects. METHODS: Fifty-nine obese women with an average body mass index (BMI) of 35 kg/m² were evaluated and compared with 19 subjects with an average BMI of 23 kg/m² (control group). RESULTS: In the obese group, a clear tendency was observed toward higher systolic pressure, increased wall thickness and, consequently, myocardial mass, elevation on the circumference stress of the left ventricular wall, and an indisputable presence of diastolic abnormalities. Filling abnormalities were observed with impaired relaxation, with prolonged isovolumic relaxation time (IVRT) and augmented atrium contribution representing early indexes of cardiac dysfunction when systolic performance is still normal. CONCLUSION: Obesity is generally a chronic condition, and doppler echocardiography can be used as a noninvasive instrument for early evaluation of left ventricular diastolic indexes.

Benefits of exercise training in the treatment of heart failure: study with a control group

OBJECTIVE: Exercise training programs have been proposed as adjuncts to treatment of heart failure. The effects of a 3-month-exercise-training-program with 3 exercise sessions per week were assessed in patients with stable systolic chronic heart failure. METHODS: We studied 24 patients with final left ventricle diastolic diameter of 70±10mm and left ventricular ejection fraction of 37±4%. Mean age was 52±16 years. Twelve patients were assigned to an exercise training group (G1), and 12 patients were assigned to a control group (G2). Patients underwent treadmill testing, before and after exercise training, to assess distance walked, heart rate, systolic blood pressure, and double product. RESULTS: In G2 group, before and after 3 months, we observed, respectively distance walked, 623±553 and 561± 460m (ns); peak heart rate, 142±23 and 146± 33b/min (ns); systolic blood pressure, 154±36 and 164±26 mmHg (ns); and double product, 22211± 6454 and 24293±7373 (ns). In G1 group, before and after exercise, we observed: distance walked, 615±394 and 970± 537m (p<0.003) peak heart rate, 143±24 and 143±29b/min (ns); systolic blood pressure, 136±33 and 133±24 mmHg (ns); and double product, 19907± 7323 and 19115±5776, respectively. Comparing the groups, a significant difference existed regarding the variation in the double product, and in distance walked. CONCLUSION: Exercise training programs in patients with heart failure can bring about an improvement in physical capacity.

Insulin Resistance, Dyslipidemia and Cardiovascular Changes in a Group of Obese Children

Introduction: Obesity-related comorbidities are present in young obese children, providing a platform for early adult cardiovascular disorders. Objectives: To compare and correlate markers of adiposity to metabolic disturbances, vascular and cardiac morphology in a European pediatric obese cohort. Methods: We carried out an observational and transversal analysis in a cohort consisting of 121 obese children of both sexes, between the ages of 6 and 17 years. The control group consisted of 40 children with normal body mass index within the same age range. Markers of adiposity, plasma lipids and lipoproteins, homeostasis model assessment-insulin resistance, common carotid artery intima-media thickness and left ventricular diameters were analyzed. Results: There were statistically significant differences between the control and obese groups for the variables analyzed, all higher in the obese group, except for age, high-density lipoprotein cholesterol and adiponectin, higher in the control group. In the obese group, body mass index was directly correlated to left ventricular mass (r=0.542; p=0.001), the homeostasis model assessment-insulin resistance (r=0.378; p=<0.001) and mean common carotid artery intima-media thickness (r=0.378; p=<0.001). In that same group, insulin resistance was present in 38.1%, 12.5% had a combined dyslipidemic pattern, and eccentric hypertrophy was the most common left ventricular geometric pattern. Conclusions: These results suggest that these markers may be used in clinical practice to stratify cardiovascular risk, as well as to assess the impact of weight control programs.

The small species of Belostoma (Heteroptera, Belostomatidae): I. Key to species groups and a revision of the denticolle group

A key to species groups of the genus Belostoma Latreille, 1807, using new taxonomic characters are presented as well as the revision of the four species included in the denticolle group: B. denticolle Montandon, 1903, and three new species: B. orbiculatum from eastern Argentina and southern Brazil, B. retusum from eastern Argentina and B. amazonum from northern Brazil which are described and illustrated.

Effect of bird density on the decision to join a group in the Sicalis flaveola pelzeni (Passeriformes, Emberizidae)

A change in bird density within a captive flock of Sicalis flaveola pelzeni (Sclater, 1872) affected the decision to join a group. Ruling out inter-individual differences and maintaining constant the size of a food patch, birds were found to fly more often to the food source and spend a longer time in its environs when kept in greater groups.

Three new andean species of Drosophila (Diptera, Drosophilidae) of the mesophragmatica group

Three new species of mesophragmatica group, Drosophila amaguana, Drosophila shyri and Drosophila ruminahuii from Pasochoa Forest Reserve, northern Ecuadorian Andes, are described. The two subgroups currently composing the mesophragmatica group are renamed as the mesophragmatica subgroup to which the first two species have been added, and the viracochi subgroup to which the latter species has been added. These subgroups are defined based on the direction of the basal scutellar setae, which are divergent in the species of the former subgroup and convergent in the latter.

First record of Chaunus achavali (Anura, Bufonidae) from Rio Grande do Sul, Brazil, with a key for the identification of the species in the Chaunus marinus group

The bufonid toad Chaunus achavali, a recently described species known only from Uruguay, is recorded for Brazil. This species is morphologically similar to C. ictericus and C. arenarum, and several individuals were labeled in Brazilian scientific collections under these taxa. A lectotype of C. arenarum is designated. Additional field notes on C. achavali and a key for the identification of the species in the Chaunus marinus group are presented.

Two new species of Drosophila belonging to the canalinea group (Diptera, rosophilidae)

Drosophila piratininga sp. nov. and Drosophila sampa sp. nov., belonging to the canalinea group of the subgenus Drosophila, are described based mostly on wild-caught specimens collected at a forest reserve of the Cidade Universitária "Armando de Salles Oliveira", an urban remnant of the montane Atlantic Forest located at west São Paulo city, state of São Paulo, Brazil. The two species are readily distinguished from each other mostly by having different wing patterns: the main crossveins being remarkably clouded in the first one and unclouded in the latter. Illustrations of terminalia are also provided.

Revalidation of Acanthagrion cuyabae (Odonata, Coenagrionidae) and description of the female, with a key to the Brazilian species of the viridescens group

Acanthagrion cuyabae Calvert, 1909 was described based on a male from State of Mato Grosso, Brazil. The female of this species was described based on morphological characters of four individuals collected in copula from State of Mato Grosso do Sul, and three other specimens of same locality. Acanthagrion cuyabae is here revalidated based on morphological characters of the female. Illustrated keys to the groups of Acanthagrion Selys, 1876 and species of the viridescens group occurring in Brazil are provided.