Tratamento radioterápico adjuvante nos sarcomas de extremidades de alto grau

OBJETIVO: Avaliar as terapias utilizadas em nossa instituição no tratamento dos sarcomas de extremidades de alto grau, mediante análise da sobrevida global do tratamento multidisciplinar. MATERIAIS E MÉTODOS: Estudo retrospectivo com 36 pacientes, no período de 1993 a 2007, em estádios IIb/III, submetidos a radioterapia externa após cirurgia com ou sem reforço de dose com braquiterapia. RESULTADOS: Trinta e seis pacientes foram submetidos a tratamento cirúrgico seguido de radioterapia externa, sendo que quatro pacientes (11%) receberam reforço de dose com braquiterapia e sete pacientes (19%) receberam quimioterapia. A dose mediana de radioterapia foi de 50 Gy (IC95%: 47-53 Gy), sendo realizado reforço de dose em quatro pacientes com braquiterapia, com dose variando de 16,2-35 Gy. A quimioterapia foi indicada em sete pacientes (19%) com margens positivas. Quinze pacientes apresentaram recidiva local e/ou a distância (42%) e todos faleceram. Vinte e um pacientes (58%) encontram-se sem evidência clínica e radiológica de recidiva local e/ou a distância. O seguimento mediano é de 88 meses (IC95%: 74-102). A taxa de sobrevida global para sete anos foi de 80%. CONCLUSÃO: Concluímos que a associação cirurgia + radioterapia apresenta-se como tratamento eficaz e com ótimas respostas e melhora da sobrevida global na possibilidade de associação da braquiterapia.

Programa de gerenciamento de resíduos dos laboratórios de graduação da Universidade Regional Integrada do Alto Uruguai e das Missões - Campus Erechim

This work presents a proposal for the management of residues from teaching laboratories. The main goals of the proposal are: scale reduction of experiments, reuse of residues as raw materials for new experiments and appropriate treatment and storage of residues. The methodology includes standardized labels for residue classification and registration of experimental classes and their residues in files. The management seemed to be efficient, resulting in a reduction of the amount of reagents utilized and residues generated, and an increase of reutilization of residues. A considerable decrease of needed storage space and suitable methods for correct residue disposal were achieved. We expect that all laboratories, including those exclusively for research activities, become involved, in a near future, in the Residue Management Project of URI - Campus Erechim.

Óxidos de ferro magnéticos de um tufito da região do Alto Paranaíba, MG

The Mössbauer analysis along with the structural Rietveld refinement based on powder X-ray data for the magnetic fraction (saturation magnetization, sigma = 19 J T-1 kg-1) separated from a tuffite material from Alto Paranaíba, state of Minas Gerais, Brazil, reveal that a (Ti, Mg)-rich maghemite (deduced sigma = 17 J T-1 kg-1) and, for the first time observed in this lithodomain, magnesioferrite (characteristic sigma = 21 J T-1 kg-1) respond for the magnetization of the rock material. Consistent models for the ionic distribution in these iron-rich spinel structures are proposed.

Avaliação do teor de metais em sedimento do rio Betari no Parque Estadual Turístico do Alto Ribeira: PETAR, São Paulo, Brasil

The subsoil of the Vale do Ribeira was the focus of mining industries for the exploration of lead, mainly inside the park - PETAR. Despite the fact that the exploration has ended, the environmental effects of those activities are still present, due to great amounts of heavy metals that are leached. Concentrations of pseudo-total and bioavailable metals were determined in sediment samples of the Betari River, using atomic absorption spectrometry. The results demonstrated that the sediments are contaminated by Pb, Zn and Cu. The findings can contribute to an efficient and environmentally and economically adequate management of the park, for the conservation and the protection of the area.

Tratamento estatístico dos parâmetros da qualidade das águas da bacia do alto curso do Rio das Velhas

Water quality was monitored at the upper course of the Rio das Velhas, a major tributary of the São Francisco basin located in the state of Minas Gerais, over an extension of 108 km from its source up to the limits with the Sabara district. Monitoring was done at 37 different sites over a period of 2 years (2003-2004) for 39 parameters. Multivariate statistical techniques were applied to interpret the large water-quality data set and to establish an optimal long-term monitoring network. Cluster analysis separated the sampling sites into groups of similarity, and also indicated the stations investigated for correlation and recommended to be removed from the monitoring network. Principal component analysis identified four components, which are responsible for the data structure explaining 80% of the total variance of the data. The principal parameters are characterized as due to mining activities and domestic sewage. Significant data reduction was achieved.

Mecanismos químicos e mineralógicos de transformação da magnesioferrita de solo derivado de tufito, da região do Alto Paranaíba, MG

Magnetic soils forming on tuffite of the region of Alto Paranaíba, Minas Gerais, Brazil, usually contain iron-rich spinels exceptionally rich in magnesium and titanium. In this work, samples of the magnetically separated portion from the sand fraction of a Brunizém (Chernossolo) and from its mother-rock material were analyzed with synchrotron X-ray diffraction and 57Fe-Mössbauer spectroscopy. Magnesioferite (MgFe2O4) and maghemite (its pure non-stoichiometric spinel structure, Fe8/3 ⊕ 1/3 O4, where ⊕ = cation vacancy, corresponds to γFe2O3) were the magnetic iron oxides so identified. Basing on these data, a consistent chemical-mineralogical model is proposed for the main transformation steps involving these iron oxides in the pedosystem, starting on magnesioferrite to finally render hematite (αFe2O3), passing through maghemite as an intermediate specie.

Composição química das águas pluviais e deposição atmosférica anual na bacia do Alto Sorocaba (SP)

Two sampling points were chosen and forty samples were collected between January and December 2006 at Alto Sorocaba basin. The rainwater pH varied from 5.46 to 6.36 (Ibiúna) and 5.26 to 6.81 (Itupararanga), being Ca2+ the main ion responsible for controlling the rainwater pH. The ionic concentrations decreased in the following order: Ca2 +>Na+> Mg2+>K+ for cations and SO4(2-)>HCO3->NO 3->Cl- >PO4(3-) for anions. The annual atmospheric deposition appeared to be controlled mostly by following sources: mining activities and cement factories (Ca2+ and HCO3-), natural soil dust (Na+, Mg2+ and HCO3-), fossil fuel burning (SO4(2-)) and agriculture activities (K+, NO3- and PO4(3-)).

Análise de risco de contaminação de águas superficiais e subterrâneas por pesticidas em municípios do Alto Paranaíba - MG

A preliminary analyses of the possible contamination of surface and groundwater by the active ingredients of the pesticide products used in the areas with intensive agricultural activities of Alto Paranaíba region, MG, Brazil, was carried out. The active ingredients and formulated products most used in the region were identified and their characteristics of environmental importance were presented. The EPA screening criteria, the groundwater ubiquity score (GUS) and the criteria proposed by Goss were used to evaluate which pesticides might contaminate the local waters. Among the active ingredients studied, several present risks to the local aquatic environment.

Hidróxidos duplos lamelares à base de escória de alto forno

Hydrotalcite like compounds (HT) were prepared by co-precipitation (Mg/Al = 3.5), using an acid solution with blast furnace slag and MgCl2.6H2O and aqueous solutions of NaOH. The following synthesis variables were investigated: temperature (30 and 45 ºC) and pH (9 and 12). Depending of the temperature two systems were observed: Mg-Al-CO3 (T = 30 ºC); Mg-Al-Cl-CO3 (T = 45 ºC). An increase in the pH of synthesis and Mg2+ concentration produced HTs well-crystallized and with greater values of all cell parameters. The study showed the potentiality of BFS in the synthesis of well-crystallized LDHs without the presence of other crystalline phases.

Eletrocromismo: fundamentos e a aplicação de nanomateriais no desenvolvimento de eletrodos de alto desempenho

This review deals with the basis and novel trends in electrochromism, describing the basic aspects and methodologies employed for the construction and analyses of different modified electrodes. The work presents the classic materials used for the construction of electrochromic electrodes, such as WO3 and a view on the basic concepts of chromaticity as a useful approach for analyzing colorimetric results. The report also addresses how the incorporation of nanomaterials and the consequent novel modification of electrodes have furthered this area of science, producing electrochromic electrodes with high performance, high efficiency and low response times.

Coat protein and RNAs of Cole latent virus are not present within chloroplasts of Chenopodium quinoa-infected cells

Cole latent virus (CoLV), genus Carlavirus, was studied by electron microscopy and biochemical approaches with respect both to the ultrastructure of the Chenopodium quinoa infected cells and to its association with chloroplasts. The CoLV was observed to be present as scattered particles interspersed with membranous vesicles and ribosomes or as dense masses of virus particles. These virus particles reacted by immunolabelling with a polyclonal antibody to CoLV. Morphologically, chloroplasts, mitochondria and nuclei appeared to be unaltered by virus infection and virus particles were not detected in these organelles. However, virus particle aggregates were frequently associated with the outer membrane of chloroplasts and occasionally with peroxisomes. Chloroplasts were purified by Percoll gradient, and the coat protein and virus-associated RNAs were extracted and analyzed by Western and Northern blots respectively. Coat protein and CoLV-associated RNAs were not detected within this organelle. The results presented in this work indicate that the association CoLV/chloroplasts, observed in the ultrastructural studies, might be a casual event in the host cell, and that the virus does not replicate inside the organelle.

Simulação in Situ, uma Metodologia de Treinamento Multidisciplinar para Identificar Oportunidades de Melhoria na Segurança do Paciente em uma Unidade de Alto Risco

Introdução A simulação é uma metodologia usada para substituir ou amplificar experiências reais por experiências guiadas que evocam ou replicam aspectos do mundo real de maneira interativa. A simulação in situ leva essa técnica diretamente aos locais onde ocorrem atendimentos, com a própria equipe de saúde atuando em seu ambiente de trabalho em cenário simulado. Objetivo Descrever experiência piloto de simulação in situ realizada em unidade de pronto atendimento, destacando oportunidades de avaliação de sistema de atendimento, trabalho em equipe e detecção de ameaças latentes à segurança (ALS). Métodos Estudo aplicado na Unidade Ibirapuera do Hospital Israelita Albert Einstein e realizado pelo Centro de Simulação Realística Albert Einstein. Foi apresentado cenário de paciente de 45 anos com síndrome coronariana aguda que evolui para parada cardiorrespiratória. Simulação híbrida de 30 minutos com uso de ator e simulador de alta fidelidade (SimMan 3G®).Utilizado checklist e filmagem para avaliar habilidades e atitudes, usados em debriefing estruturado com uma hora de duração. Resultados A experiência proporcionou avaliação técnica, comportamental e sistemas. Detectou quatro ALS e permitiu reflexão guiada sobre trabalho em equipe. Conclusão Este piloto contribuiu para o alcance dos objetivos propostos com o cenário e demonstrou oportunidades de treinamento e melhoria. A simulação in situ pode ser usada no futuro sistematicamente para treinamento contínuo de equipes, visando à melhoria da qualidade de atendimento e à segurança do paciente.