Influence of Hydatidiform Mole Follow-Up Setting on Postmolar Gestational Trophoblastic Neoplasia Outcomes A Cohort Study

OBJECTIVE: To assess the influence of hydatidiform mole (HM) management setting (reference center versus other institutions) on gestational trophoblastic neoplasia (GTN) outcomes. METHODS: This cohort study included 270 HM patients attending Botucatu Trophoblastic Diseases Center (BTDC, São Paulo State University, Brazil) between January 1.990 and December 2009 (204 undergoing evacuation and entire postmolar follow-up at BTDC and 66 from other institutions [OIs]). GTN characteristics and outcomes were analyzed and compared according to HM management setting. The confounding variables assessed included age, gravidity, parity, number of abortions and HM type (complete or partial). Postmolar GTN outcomes were compared using Mann-Whitney's test, chi(2) test or Fisher's exact test.RESULTS: Postmolar GTN occurred in 34 (34/204= 16.7%) BTDC patients and in 27 (27/66=40.9%) of those initially treated in other institutions. BTDC patients showed lower metastasis rate (5.8% vs. 48%, p = 0.003) and lower median FIGO (2002) score (2.00 0.00, 3.001 vs. 4.00 [2.00, 7.00], p = 0.003]. Multiagent chemotherapy to treat postmolar GTN was required in 2 BTDC cases (5.9%) and in 8 OI cases (29.6%) (p = 0.017). Median time interval between molar evacuation and chemotherapy onset was shorter among BTDC patients (7.0 [6.0, 10.0] vs. 10.0[7.0, 16.0], p = 0.040). CONCLUSION: BTDC patients showed GTN characteristics indicative of better prognosis. This underscores the importance of GTD specialist centers. (J Reprod Med 2012;57:305-309)

Motile sperm organelle morphology examination (MSOME): intervariation study of normal sperm and sperm with large nuclear vacuoles

Background: Although the motile sperm organelle morphology examination (MSOME) was developed only as a selection criterion, its application as a method for classifying sperm morphology may represent an improvement in evaluation of semen quality, with potential clinical repercussions. The present study aimed to evaluate individual variations in the motile sperm organelle morphology examination (MSOME) analysis after a time interval.Methods: Two semen samples were obtained from 240 men from an unselected group of couples undergoing infertility investigation and treatment. Mean time interval between the two semen evaluations was 119 +/- 102 days. No clinical or surgical treatment was realized between the two observations. Spermatozoa were analyzed at greater than or equal to 8400 x magnification by inverted microscope equipped with DIC/Nomarski differential interference contrast optics. At least 200 motile spermatozoa per semen sample were evaluated and percentages of normal spermatozoa and spermatozoa with large nuclear vacuoles (LNV/one or more vacuoles occupying >50% of the sperm nuclear area) were determined. A spermatozoon was classified as morphologically normal when it exhibited a normal nucleus (smooth, symmetric and oval nucleus, width 3.28 +/- 0.20 mu m, length 4.75 +/- 0.20 mu m/absence of vacuoles occupying >4% of nuclear area) as well as acrosome, post-acrosomal lamina, neck and tail, besides not presenting cytoplasm around the head. One examiner, blinded to subject identity, performed the entire study.Results: Mean percentages of morphologically normal and LNV spermatozoa were identical in the two MSOME analyses (1.6 +/- 2.2% vs. 1.6 +/- 2.1% P = 0.83 and 25.2 +/- 19.2% vs. 26.1 +/- 19.0% P = 0.31, respectively). Regression analysis between the two samples revealed significant positive correlation for morphologically normal and for LNV spermatozoa (r = 0.57 95% CI: 0.47-0.65 P < 0.0001 and r = 0.50 95% CI: 0.38-0.58 P < 0.0001, respectively).Conclusions: The significant positive correlation and absence of differences between two sperm samples evaluated after a time interval with respect to normal morphology and LNV spermatozoa indicated that MSOME seems reliable (at least for these two specific sperm forms) for analyzing semen. The present result supports the future use of MSOME as a routine method for semen analysis.

Knowledge of firefighters with special paramedic training of the emergency management of avulsed teeth

Immediate replantation into the socket is the ideal procedure in cases of accidental avulsion of permanent teeth. In Brazil, firefighters with special paramedic training are in charge of providing first-aid care to victims of road accidents and might have to deal with tooth avulsions. This study assessed the knowledge of firefighters regarding the emergency management of avulsed teeth. Information was collected from a questionnaire submitted to 110 volunteer firefighters in seven cities in the São Paulo State (Brazil). The results revealed that 70.9% of the respondents did not know what tooth avulsion was; 53.6% did not know what tooth replantation was or defined it incorrectly; 60% would not act properly in tooth avulsion cases; 20.9% did not consider replantation of the avulsed tooth into the socket as a treatment option; the ideal time interval for tooth replantation was unknown to 40% of the interviewees; 90% of the participants answered that they would not be able to perform tooth replantation. Among those who considered themselves unable to perform tooth replantation, 47.3% chose saline as the best storage medium for an avulsed tooth, 21.8% chose milk, 3.6% chose the patient's mouth and 20% reported not knowing where to store the tooth; 81.8% of the firefighters reported not to have ever received any specific directions on tooth replantation and 100% of them considered this knowledge a requirement for first-aid care to accident victims. In conclusion, the knowledge of the surveyed firefighters regarding emergency management after tooth avulsion was unsatisfactory in several aspects that are important for the success of replantation procedures. Firefighters with special paramedic training should be educated on how to proceed in cases of dentoalveolar traumas and tooth avulsions in order to improve treatment prognosis and increase the survival rate of replanted teeth.

Luxation injuries in primary teeth: a retrospective study in children assisted at an emergency service

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Effect of alternative photostimulable phosphor plates erasing times on subjective digital image quality

Objective: To evaluate the influence of alternative erasing times of DenOptix (R) (Dentsply/Gendex, Chicargo, IL) digital plates oil subjective image quality and the probability of double exposure image not Occurring.Methods: Human teeth were X-rayed with phosphor plates using tell different erasing times. Two observers evaluated the images for subjective Image quality (sharpness, brightness, contrast, enamel definition, dentin definition and dentin-enamal Junction definition) and for the presence or absence of double exposure image. Spearman's correlation analysis and ANOVA was performed to verify the existence ora linear association between the subjective image quality parameters and the alternative erasing times. A contingency table was constructed to evaluate the agreement among the observers, and a binominal logistic regression was performed to verify the correlation between the erasing time and the probability of double exposure image not occurring.Results: All 6 parameters or image quality were rated high by the examiners for the erasing times between 25 s and 130 s. The same erasing time range, from 25 to 130 s, was considered a safe erasing time interval, with no probability of a double exposure image Occurring.Conclusions: The alternative erasing times from 25 s to 130 s showed high quality and no probability of double image Occurrence. Thus, it is possible to reduce the operating time or the DenOptix (R) digital system Without jeopardizing the diagnostic task.Dentomaxillofacial Radiology (2010) 39, 23-27. doi: 10.1259/dmfr/49065239.

Cytokine production in lungs and adrenal glands of high and low antibody producing mice infected with Paracoccidioides brasiliensis

Mice genetically selected for high (H) and low (L) antibody production (HIV-A and L-IV-A) were used in an experimental model of paracoccidioidomycosis. In a previous work, it was observed that male HIV-A animals were more susceptible to the infection due to adrenal gland damage. Male HIV-A and LIV-A animals were intravenously inoculated with Paracoccidioides brasiliensis (strain 18) and sacrificed 2, 4, 6, 8 and 10 weeks after inoculation. At each time interval, lungs and adrenals were removed to estimate recoverability of the fungus, as well as to determine Th1 (IFN-gamma, TNF-alpha) and Th2 (IL-4 and IL-10) cytokine profiles. While viable fungi recoverability from the lungs of HIV-A mice was higher after 4 and 8 weeks, there was less fungal recovery from the adrenals of LIV-A animals after the 2nd week, with total fungal elimination after the 8th week. With regard to Th2 cytokines, there was an inhibition in IL-4 production in the organs from infected animals, the extent of which varied according to the organ and the time period after initiation of infection. IL-10 production was found to be lower in both organs. Determination of Th1 cytokines revealed that IFN-gamma production increased in both organs, mainly in the adrenal of LIV-A after 8 and 10 weeks, when these animals showed a total fungal elimination. A significant difference was observed between HIV-A and LIV-A concerning TNF-alpha production in both organs and at all recovery times, in that LIV-A produced a higher level of this cytokine, mainly in the adrenal. These results may explain the high susceptibility of HIV-A to P. brasiliensis infection, is due, at least in part, to adrenal involvement. The higher production of Th1 cytokines by LIV-A in comparison to HIV-A mice may account for LIV-A resistance to P. brasiliensis infection. Our data reveal the importance of this experimental model in the study of the adrenal involvement in paracoccidioidomycosis, since this gland may be highly compromised in the patients, leading to the development of Addison's Disease.

Reproductive behavior of the swimming crab Arenaeus cribrarius (Lamarck, 1818) (Crustacea, Brachyura, Portunidae) in captivity

In this study, the reproductive behavior exhibited by Arenaeus cribrarius in captivity was described, and the duration of each behavioral stage was measured. Swimming crabs were trawled in Ubatuba, northern littoral of São Paulo State, Brazil, and maintained in aquaria. Water conditions and food items were provided according to this species' natural requirements in the wild. In the presence of premolt females, intermolt males exhibited a courtship display that became intensified when the potential mate was visually perceived. After mate selection, the male carried the female under itself (precopulatory position) for 29.8 +/- 5.1 d until the female molted. Afterwards, the male manipulated the recently molted female, and inverted her position under itself as to penetrate her with his first pair of pleopods (copulation), a process that took 17.1 +/- 4.6 h. After copulation the male continued to carry his soft-shelled mate for 29.7 +/- 5.8 d (postcopulatory position). The time elapsed between copulation and spawning was 57.8 +/- 3.8 d and the time interval between successive spawns 33.8 +/- 7.1 d. Total embryonic development took 13.5 +/- 2.1 d in temperature conditions of 25.0 +/- 2.0 degrees C. During the last 4.7 +/- 1.4 d embryos' eyes were already visible. The reproductive behavior pattern in A. cribrarius is very similar to those previously described in other portunids.

Uso do procedimento de bissecção temporal na avaliação de idosos com doença de Alzheimer: uma revisão sistemática

OBJETIVO: Realizar revisão sistemática de artigos que utilizaram o método de bissecção, para avaliar a percepção de tempo em idosos com doença de Alzheimer e analisar seus parâmetros. MÉTODO: As buscas dos artigos foram conduzidas no período de março a maio de 2011, nas seguintes bases de dados: Web of Science, Science Direct on Line, Biological Abstracts, PsychoInfo e Medline. As palavras-chave e operadores booleanos foram: interval timing ou perception of time ou time discrimination ou reproduction of time e Alzheimer's disease. Também foram realizadas buscas manuais nas referências dos artigos selecionados. RESULTADOS: Quatro artigos contemplavam todos os critérios de inclusão, nos quais foram encontradas grandes variações nos parâmetros utilizados no método. CONCLUSÃO: Pacientes com doença de Alzheimer apresentam prejuízos nas tarefas de bissecção de tempo, que podem ser explicados pelo declínio gradual nas habilidades que são utilizadas no teste de percepção de tempo. Há grandes variações nos intervalos de tempo utilizados. Neste contexto, há necessidade de mais estudos, controlados e randomizados, para investigar potenciais efeitos das variações nos intervalos de tempo do método de bissecção. Os resultados de tais estudos poderão contribuir para o estabelecimento de parâmetros mais adequados e fidedignos.

Temporal correlator in YM32 and reflection-positivity violation

We consider numerical data for the lattice Landau gluon propagator obtained at very large lattice volumes in three-dimensional pure SU(2) Yang-Mills gauge theory (YM32). We find that the temporal correlator C(t) shows an oscillatory pattern and is negative for several values of t. This is an explicit violation of reflection positivity and can be related to gluon confinement. We also obtain a good fit for this quantity in the whole time interval using a sum of Stingl-like propagators.

Sudden death of entanglement and teleportation fidelity loss via the Unruh effect

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Transition to complete synchronization in phase-coupled oscillators with nearest neighbor coupling

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Contadores eletrônicos no laboratório didático: parte II. Medida de intervalos de tempo sucessivos

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Usando um voltímetro para medir tempo

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Contadores eletrônicos no laboratório didático: parte I. Montagem e aplicações

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Dinâmica do herbicida amicarbazone (Dinamic) aplicado sobre palha de cana-de-açúcar (Saccarum officinarum)

O objetivo deste trabalho foi estudar a dinâmica do herbicida amicarbazone (Dinamic) aplicado sobre palha de cana-de-açúcar deixada sobre o solo, em sistema de cana crua. Três ensaios foram realizados para avaliar a dinâmica desse herbicida aplicado sobre diferentes quantidades de palha de cana-de-açúcar, em diferentes intervalos de tempo e volumes de simulação de chuvas após aplicação do herbicida. No primeiro ensaio, foi avaliada a interceptação do herbicida por 0, 1, 2,5, 5, 7,5, 10, 15 e 20 t de palha de cana-de-açúcar ha-1. A lixiviação do herbicida em 5, 10, 15 e 20 t de palha ha-1 foi avaliada sob simulação de chuva de 2,5, 5, 10, 15, 20, 35 e 65 mm, um dia após a aplicação (DAPC) do segundo ensaio. As chuvas foram acumulativas, aplicando-se de 2,5 em 2,5 mm. No terceiro ensaio, foi avaliado o efeito dos intervalos de tempo entre a aplicação do herbicida e a primeira chuva na lixiviação do herbicida Dinamic (0, 1, 7, 15 e 30 dias) em 10 t de palha ha-1, em função das mesmas precipitações simuladas no segundo ensaio. Nos segundo e terceiro ensaios foi realizada uma simulação de 20 mm em intensidade de 115 mm h-¹ aos 7 e 14 dias após as primeiras chuvas (DAPC). Os resultados obtidos no segundo e terceiro ensaios foram ajustados pelo modelo de Mitscherlich (Y = a * (1-10-c * (b + x))). A quantificação do herbicida foi realizada por cromatografia líquida de alta eficiência. Quantidades de palha iguais ou superiores a 5 t ha-1 apresentam interceptação quase que total do herbicida no momento da aplicação, sendo nula a transposição. Com o aumento da quantidade de palha, ocorreu diminuição na quantidade de herbicida lixiviado pela ação da chuva simulada, principalmente para valores de 15 e 20 t de palha de cana-de-açúcar ha-1. Quanto maior o intervalo de tempo entre a aplicação do herbicida e a primeira chuva, menor é a lixiviação total do produto. em relação às chuvas aos 7 e 14 DAPC, no segundo e terceiro ensaios, foram observadas pequenas quantidades extraídas do herbicida, considerando-se que grande parte do amicarbazone foi lixiviada com as primeiras chuvas, que indicaram que os primeiros 20 mm de chuva simulada foram importantes para lixiviação da maior parte do amicarbazone (Dinamic) retido pela palha no momento da aplicação.