Avaliação do tratamento da hérnia inguinal sob anestesia local e sedação em 1560 pacientes

OBJETIVO: Analisar a aplicabilidade da anestesia local da região inguinal no tratamento da hérnia inguinal. MÉTODO: Foram estudados os dados de 1560 pacientes submetidos ao tratamento operatório para cura de hérnia inguinal, entre maio de 1996 e dezembro de 2003, pela técnica de Lichtenstein, sob anestesia local da região inguinal associada à sedação. Foram analisados so seguintes dados: idade,sexo,índice de massa corporal, número de recidivas, as intercorrências pré e pós-operatórias, tempo de permanência hospitalar. Os tipos de hérnia foram classificados segundo Nyhus. RESULTADOS: Todas as operações foram concluídas sob a anestesia local e sedação não sendo necessário nenhuma complementação. As complicações pós-operatórias ocorreram em 7,16 % dos pacientes, nenhum deles necessitou de reinternação. CONCLUSÕES: A anestesia loco-regional da região inguinal na totalidade dos casos produziu conforto para os pacientes e boas condições de operabilidade para os cirurgiões.

The 1623 Plan for Global Governance: the obscure history of its reception

Abstract In the present article we analyze the characteristics and the reception of the first plan for global governance, the New Cyneas by Émeric Crucé. With this goal in mind, we examine the history of its readings and the possible influence on the Duke of Sully's project for European confederation, the case most often cited by historians of ideas. Our analysis takes into consideration the 17th century reception, the scant dissemination of the work and the possible causes of its limited impact. Our conclusions support, on the one hand, the novelty of Crucé's principal ideas, and on the other, their limited impact over the time with the exception of the period surrounding the creation of the League of Nations.

POSSIBLE ROLE OF LUTZOMYIA MARANONENSIS AND LUTZOMYIA ROBUSTA (DIPTERA: PSYCHODIDAE) AS VECTORS OF HUMAN BARTONELLOSIS IN THREE PROVINCES OF REGION NOR ORIENTAL DEL MARAÑON, PERU

Human bartonellosis is found predominantly in Perú2, 6, 8, 12, 15, as well as in Ecuador3, 7, 10 and Colombia13, 15. In Peru, the disease is restricted to the valleys of the western-side and a few inter-andean and eastern-slopes of the andean valleys6, 15, 18 at altitudes between 1000 and 3200 masl. Most human cases are reported from the regions of Chavin, Nor Oriental del Marañon and Lima16. Lutzomyia verrucarum is presumed to be the only vector of human bartonellosis in the valleys of Peru1, 2, 8, 11, 17, 19/ Our research objetive was to detect the presence of Lu. verrucarum in various localities known to be endemic for human bartonellosis in three provinces of Region Nor Oriental del Marañon. Sandfly collections were made between 1987 and 1992 during four visits to bartonellosis-endemic provinces: San Ignacio (districts of San José de Lourdes: 1020-1260 m and La Coipa: 1200-1560 m), Jaén (districts of Santa Rosa: 1300-1680 m and Jaén: 1220-1680 m) and Utcubamba (districts of Lonya Grande: 1200 m and El Milagro: 1200-1540 m)

Positive IgG Western Blot for Borrelia burgdorferi in Colombia

In order to evaluate the presence of specific IgG antibodies to Borrelia burgdorferi in patients with clinical manifestations associated with Lyme borreliosis in Cali, Colombia, 20 serum samples from patients with dermatologic signs, one cerebrospinal fluid (CSF) sample from a patient with chronic neurologic and arthritic manifestations, and twelve serum samples from individuals without clinical signs associated with Lyme borreliosis were analyzed by IgG Western blot. The results were interpreted following the recommendations of the Centers for Diseases Control and Prevention (CDC) for IgG Western blots. Four samples fulfilled the CDC criteria: two serum specimens from patients with morphea (localized scleroderma), the CSF from the patient with neurologic and arthritic manifestations, and one of the controls. Interpretation of positive serology for Lyme disease in non-endemic countries must be cautious. However these results suggest that the putative "Lyme-like" disease may correlate with positivity on Western blots, thus raising the possibility that a spirochete genospecies distinct from B. burgdorferi sensu stricto, or a Borrelia species other than B. burgdorferi sensu lato is the causative agent. Future work will focus on a survey of the local tick and rodent population for evidence of spirochete species that could be incriminated as the etiologic agent.

Chagas disease, adipose tissue and the metabolic syndrome

Trypanosoma cruzi infection of the adipose tissue of mice triggers the local expression of inflammatory mediators and a reduction in the expression of the adipokine adiponectin. T. cruzi can be detected in adipose tissue by PCR 300 days post-infection. Infection of cultured adipocytes results in increased expression of cytokines and chemokines and a reduction in the expression of adiponectin and the peroxisome proliferator-activated receptor ³, both of which are negative regulators of inflammation. Infection also results in the upregulation of cyclin D1, the Notch pathway, and extracellular signal-regulated kinase and a reduction in the expression of caveolin-1. Thus, T. cruzi infection of cultured adipocytes leads to an upregulation of the inflammatory process. Since adiponectin null mice have a cardiomyopathic phenotype, it is possible that the reduction in adiponectin contributes to the pathogenesis of chagasic cardiomyopathy. Adipose tissue may serve as a reservoir for T. cruzi from which parasites can become reactivated during periods of immunosuppression. T. cruzi infection of mice often results in hypoglycemia. In contrast, hyperglycemia as observed in diabetes results in increased parasitemia and mortality. Adipose tissue is an important target tissue of T. cruzi and the infection of this tissue is associated with a profound impact on systemic metabolism, increasing the risk of metabolic syndrome.

Evaluating leaf litter beetle data sampled by Winkler extraction from Atlantic forest sites in southern Brazil

Evaluating leaf litter beetle data sampled by Winkler extraction from Atlantic forest sites in southern Brazil. To evaluate the reliability of data obtained by Winkler extraction in Atlantic forest sites in southern Brazil, we studied litter beetle assemblages in secondary forests (5 to 55 years after abandonment) and old-growth forests at two seasonally different points in time. For all regeneration stages, species density and abundance were lower in April compared to August; but, assemblage composition of the corresponding forest stages was similar in both months. We suggest that sampling of small litter inhabiting beetles at different points in time using the Winkler technique reveals identical ecological patterns, which are more likely to be influenced by sample incompleteness than by differences in their assemblage composition. A strong relationship between litter quantity and beetle occurrences indicates the importance of this variable for the temporal species density pattern. Additionally, the sampled beetle material was compared with beetle data obtained with pitfall traps in one old-growth forest. Over 60% of the focal species captured with pitfall traps were also sampled by Winkler extraction in different forest stages. Few beetles with a body size too large to be sampled by Winkler extraction were only sampled with pitfall traps. This indicates that the local litter beetle fauna is dominated by small species. Hence, being aware of the exclusion of large beetles and beetle species occurring during the wet season, the Winkler method reveals a reliable picture of the local leaf litter beetle community.

Disponibilidade de nitrogênio, sobrevivência e contribuição dos perfilhos ao rendimento de grãos do milho

O N influencia os processos de morfogênese e perfilhamento nas espécies da família Poaceae. Contudo, seu efeito sobre o perfilhamento do milho é pouco conhecido. Este trabalho foi realizado com o objetivo de avaliar se a dose de N e a época de aplicação da cobertura nitrogenada interferem na emissão, sobrevivência e contribuição dos perfilhos ao rendimento de grãos de híbridos de milho. O experimento foi instalado no município de Lages (SC), nos anos agrícolas de 2006/07 e 2008/09. O delineamento experimental empregado foi o de blocos casualizados dispostos em parcelas subdivididas. No primeiro ano, as parcelas foram constituídas de dois híbridos de milho (AS 1560 e P30F53); as subparcelas, por três doses de N (0, 100 e 200 kg ha-1 de N); e as sub-subparcelas, por três épocas de aplicação do N (V4, V4+V8 e V8). No segundo ano, avaliaram-se quatro doses de N nas parcelas (0, 50, 100 e 200 kg ha-1 de N) e as mesmas épocas de aplicação usadas no primeiro ano, nas subparcelas. Determinaram-se a percentagem de plantas perfilhadas, o número de perfilhos por planta, o rendimento de grãos e os componentes do rendimento. O híbrido P30F53 teve maior capacidade de perfilhamento e maior rendimento de grãos do que o AS 1560. A aplicação de N em cobertura reduziu a mortalidade dos perfilhos na colheita no primeiro ano, e até a floração, na segunda safra. A realização da cobertura nitrogenada em V4 estimulou o perfilhamento e permitiu maior sobrevivência dos perfilhos na colheita em 2008/09. A aplicação de N em cobertura aumentou o rendimento de grãos nos dois anos de ensaio e incrementou a contribuição direta dos perfilhos à produtividade em 2006/07. A época de aplicação do N em cobertura não interferiu no rendimento de grãos. A capacidade de perfilhamento no milho difere entre híbridos. Os perfilhos contribuem diretamente para o rendimento de grãos do milho em condições de boa disponibilidade de N.

Tomato plant inheritance of antixenotic resistance to tomato leafminer

The objective of this work was to determine the inheritance of resistance by antixenosis in tomato plants (Lycopersicon esculentum) to tomato leafminer [Tuta absoluta (Lepidoptera: Gelechiidae)]. Evaluations were performed for tomato plants of the generations P1, P2, F1, F2, RC1 and RC2. The measured characteristic in the parents, BGH-1497 (P2 male) and 'Santa Clara' (P1 female), and in the F1, F2, RC1 and RC2 generations was the number of eggs per plant. This number was converted to the oviposition nonpreference index. The inheritance of antixenosis resistance of genotype BGH-1497 is ruled by a gene of greater effect and polygenes in epistatic interactions, with a phenotypic proportion of 13:3 between susceptible and resistant genotypes, respectively.

Os três princípios e as doenças: a visão de dois filósofos químicos

Paracelsus (1493 - 1541) developed a theory about three principles (sulphur, mercury, and salt) that would constitute matter, and whose mutual interactions within man's body could cause diseases. This paper discusses the influence of this theory on the work of two chemical philosophers. Oswald Crollius (1560 - 1609) considered that the conceptions of matter and disease were strongly related because of the macro - microcosm analogy, and classified diseases in sulphurean, mercurial and saline. On the other hand, J. B. Van Helmont (1579 - 1644) stated that sulphur, mercury, and salt were not true principles, and that every disease would have a specific origin. Instead of the principles, Van Helmont put the Archeus at the center of both his medical and matter theories.

Controle químico do oídio do mamoeiro

Realizaram-se três experimentos, em Linhares-ES, de controle do oídio (Ovulariopsis sp.) do mamoeiro (Carica papaya). A severidade da doença foi estimada usando escala de notas de 0 a 4. Em casa de vegetação, utilizaram-se mudas de 'Improved Sunrise Solo Line 72/12', em delineamento inteiramente casualizado com seis tratamentos e cinco repetições. Foram feitas três pulverizações de triflumizole (150, 225 e 300 mg.l-1 i.a.), enxofre (1560 mg.l-1 i.a.) e tiofanato metílico (700 mg.l-1 i.a) e quatro avaliações da severidade da doença a intervalos semanais. Em campo, realizaram-se dois experimentos com o 'Baixinho de Santa Amália', tendo delineamento em blocos casualizados e quatro repetições. Foram feitas cinco pulverizações, a intervalos bissemanais e cinco avaliações da severidade da doença, sendo uma previamente e as demais aos 21, 35, 49 e 63 dias após a primeira pulverização. Em casa de vegetação, todos os produtos reduziram a área abaixo da curva de progresso da doença (AACPD). Triflumizole foi mais eficiente, não tendo diferenças entre suas doses. No primeiro experimento de campo, enxofre (1560 mg.l-1 i.a.) e bicarbonato de sódio (2000 mg.l-1) foram os produtos mais eficientes na redução da AACPD, seguidos por triflumizole, que não apresentou diferenças entre as doses aplicadas (150, 225 e 300 mg.l-1 i.a.). Tiofanato metílico (700 mg.l-1 i.a.) não diferiu da testemunha. No segundo experimento, azoxystrobin (20 a 100 mg.l-1 i.a.) aplicado a cada 14 ou 28 dias, com ou sem adjuvante-molhante, e enxofre (1560 mg.l-1 i.a.) não reduziram a AACPD. Este trabalho mostrou a possibilidade de utilização de enxofre e de bicarbonato de sódio no controle do oídio do mamoeiro.

Reference value of brachial-ankle pulse wave velocity for the eastern Chinese population and potential influencing factors

The present study was conducted to obtain reference values for brachial-ankle pulse wave velocity (baPWV) and to evaluate influencing factors of baPWV according to gender. Using automatic devices, baPWV was measured simultaneously in 2095 subjects. A total of 647 healthy subjects, none of whom presented atherosclerotic risk factors, were analyzed in the present study. Two different statistical methods were used to obtain reference values for baPWV according to subject gender and age. The association between baPWV value and gender, as well as other features, were analyzed. For male subjects, multiple stepwise analysis showed that age, systolic blood pressure (SBP), heart rate (HR), and plasma levels of triglycerides (TG) were independent predictors of baPWV. For female subjects, age, SBP, HR, and plasma levels of uric acid (UA) were independent predictors of baPWV. In male subjects, the upper limits of baPWV values were 1497.43/1425.00, 1518.67/1513.25, 1715.97/1726.50, 1925.20/1971.90, and 2310.18/2115.00 cm/s, obtained using two different statistical methods for the age ranges of 30-39, 40-49, 50-59, 60-69, and 70 and older, respectively. For females, the upper limits of baPWV values were 1426.70/1411.13, 1559.15/1498.95, 1733.50/1739.00, 1958.63/1973.78, and 2720.80/2577.00 cm/s for the age ranges of 30-39, 40-49, 50-59, 60-69, and 70 and older, respectively. Aging is the most important influencing factor for baPWV value and its effect is more prominent in females. The reference values of baPWV according to age and gender may be useful for the clinical diagnosis and preventive therapy of cardiovascular diseases.