Papel da ranitidina como meio de aprimorar a qualidade do exame de colangiopancreatografia por ressonância magnética

OBJETIVO: Avaliar o impacto da ranitidina por via oral na qualidade do exame de colangiopancreatografia por ressonância magnética (CPRM). MATERIAIS E MÉTODOS: Trinta e dois pacientes realizaram CPRM com aquisições 3D e 2D, com três estratégias de supressão do sinal líquido gastrintestinal: a) apenas em jejum; b) 12 horas após ingerir 300 mg de ranitidina; c) após a ingestão de solução de gadolínio. Três observadores avaliaram os estudos, atentos para o grau de visualização da árvore biliopancreática. Foi medida a concordância interobservador com o teste kappa. A diferença entre técnicas e formas de aquisição foi avaliada pela média da soma dos escores de graduação. RESULTADOS: As três estratégias de supressão do sinal líquido gastrintestinal apresentaram elevada reprodutibilidade. A supressão do sinal líquido gastrintestinal com a ranitidina foi semelhante ao jejum e ambas foram piores do que a solução de gadolínio. As aquisições 3D superaram a 2D apenas na visualização do ducto cístico e da vesícula biliar, sendo inferior ou equivalente nos demais segmentos ductais biliopancreáticos. CONCLUSÃO: O uso da ranitidina não parece justificado para aprimorar a avaliação da árvore biliopancreática em exames de CPRM. A CPRM 2D apenas em jejum permite a visualização ductal com elevada qualidade e reprodutibilidade na maioria dos casos.

Ressonância magnética na síndrome da interseção do antebraço: ensaio iconográfico

A ressonância magnética tem papel importante na avaliação de pacientes com dor na face dorsal do antebraço distal e do punho. Entre as causas de dor destaca-se a síndrome da interseção, um processo inflamatório dos tendões do segundo compartimento extensor do antebraço (extensor radial curto do carpo e extensor radial longo do carpo), geralmente provocado por trauma local direto ou atividades repetitivas que exigem a flexão e extensão do punho. Nosso trabalho visa a ilustrar os achados típicos da síndrome da interseção do antebraço e discutir os principais diagnósticos diferenciais.

Lesões expansivas intraventriculares à ressonância magnética: ensaio iconográfico - parte 2

Ilustramos este ensaio iconográfico com imagens de ressonância magnética obtidas em nosso serviço nos últimos 15 anos e discutimos as principais características de imagem de lesões intraventriculares, de etiologia tumoral (cisto coloide, oligodendroglioma, astroblastoma, lipoma, cavernoma) e de etiologia inflamatória/infecciosa (neurocisticercose e uma incomum apresentação da neuro-histoplasmose). Estas lesões representam um subgrupo de lesões intracranianas com características próprias e alguns dos padrões de imagem que podem facilitar o diagnóstico diferencial.

Estimulación temprana en la práctica psicomotriz

El següent treball es basa en l’estudi sobre els conceptes teòrics de la Psicomotricitat i de l’Estimulació Primerenca. Així s’arriba a crear una programació pròpia on es plantegen diferents activitats per estimular els nens mitjançant la pràctica psicomotriu. Es realitza una explicació detallada sobre els principals aspectes de l’educació psicomotriu en l’Etapa Infantil. Seguidament, s’exposen una sèrie de consideracions sobre l’Estimulació Primerenca tenint en compte les necessitats, qualitats i capacitats del nen.

Ressonância magnética nuclear de platina-195 em compostos organometálicos

A brief review of 195Pt NMR is presented, focusing organometallic compounds. This article gives initially basic information of NMR processes involving 195Pt nucleus. It is followed by a discussion of the factors which affect the chemical shifts and coupling constants. Finally, some aspects of 195Pt NMR of solids are commented.

Caracterização de polimorfismo em fármacos por ressonância magnética nuclear no estado sólido

This review aims to present some features about solid state NMR and its application in the field of pharmaceutical chemistry, for the characterization of polymorphism of pharmaceutical molecules.

Estudio piloto de la relación entre el aumento de la velocidad de onda del pulso en arteria carótida común medida por resonancia magnética y los factores de riesgo vasculares clásicos en sujetos con sospecha de lesión cerebrovascular isquémica

Arterial stiffness assessed by carotid-femoral pulse wave velocity (cfPWV) measurement is now well accepted as an independent predictor of vascular mortality and morbidity. However, the value of cfPWV has been considered to be limited for risk classification in patients with several vascular risk factors. Magnetic resonance (MR) allows measurement of PWV between two points, though to date mainly used to study the aorta. To assess the common carotid artery pulse wave velocity by magnetic resonance, determine their association with classical vascular risk factors and ischemic brain injury burden in patients with suspected ischemic cerebrovascular disease

Parâmetros e símbolos a serem utilizados em Ressonância Magnética Nuclear

NMR is now frequently the technique of choice for determination of chemical structure in solution. Its uses also span structure in solids and mobility at the molecular level in all phases. The research literature in the subject is vast and ever-increasing. Unfortunately, many articles do not contain sufficient information for experiments to be repeated elsewhere, and there are many variations in the usage of symbols for the same physical quantity. It is the aim of the present recommendations to provide simple check-lists that will enable such problems to be minimised in a way that is consistent with general IUPAC formulation. The area of medical NMR and imaging is not specifically addressed in these recommendations, which are principally aimed at mainstream use of NMR by chemists (of all sub-disciplines) and by many physicists, biologists, material scientists and geologists etc. working with NMR.

Interação tensoativo/hidrótropo em sistemas aquosos, utilizando ressonância magnética nuclear de ¹H e 13C

In this work, it was studied the behavior of the nonionic surfactant aqueous solutions, containing or not a hydrotropic agent, by resonance magnetic nuclear (NMR). We have studied monofunctional diblock copolymers of poly(propylene oxide-ethylene oxide) (R-PPO-PEO-OH, where R length is linear C4) as nonionic surfactant and sodium p-toluenesulfonate (NaPTS) as hydrotropic agent. The critical micelle concentration (CMC) of the aqueous copolymer solution was obtained from ¹H-NMR. The preliminary study of the interaction between the copolymer, under the unimer and micelle forms, and the hydrotrope, in aqueous solutions, was evaluated by ¹H-NMR and 13C-NMR.

Aplicação da espectroscopia de ressonância magnética nuclear para estudos de difusão molecular em líquidos: a técnica DOSY

Diffusion coefficients provide uniquely detailed and easily interpreted information on molecular organization and phase structure. They are quite sensitive to structural changes, and to binding and association phenomena, in particular for liquid colloidal or macromolecular systems. This paper describes the principles of diffusion measurements in liquids by pulsed magnetic field gradient spin-echo (PFG-SE) NMR spectroscopy. The important PFG-SE technique known as DOSY is presented and discussed. This is a noninvasive technique that can provide individual multicomponent translational diffusion coefficients with good precision in a few minutes, without the need for radioactive isotopic labelling.

Avaliação da susceptibilidade magnética usando uma balança analítica

A simple system to measure the magnetic susceptibility of different materials is presented. The system uses an analytical scale with sensitivity on the order of micrograms and a permanent NdBFe magnet, based in the Rankine method. In this apparatus, the sample is placed near to the magnet that is fixed on the scale. Depending on the magnetic properties of the sample, an attractive or repulsive force will appear between the magnet and the magnetizing sample. Measuring this force, registered by the scale as a mass, the magnetic parameters such as: permeability and susceptibility of the sample can be determined. Despite it is simplicity the method is quantitative, precise and easily reproducible in many laboratories, what makes it attractive for teaching experiments.

Anestésicos locais: interação com membranas de eritrócitos de sangue humano, estudada por ressonância magnética nuclear de ¹H e 31P

The literature carries many theories about the mechanism of action of local anesthetics (LA). We can highlight those focusing the direct effect of LA on the sodium channel protein and the ones that consider the interaction of anesthetic molecules with the lipid membrane phase. The interaction between local anesthetics and human erythrocyte membranes has been studied by ¹H and 31P nuclear magnetic resonance spectroscopy. It was found that lidocaine (LDC) and benzocaine (BZC) bind to the membranes, increase the mobility of the protons of the phospholipid's acyl chains, and decrease the mobility and/or change the structure of the polar head groups. The results indicate that lidocaine molecules are inserted across the polar and liquid interface of the membrane, establishing both electrostatic (charged form) and hydrophobic (neutral form) interactions. Benzocaine locates itself a little deeper in the bilayer, between the interfacial glycerol region and the hydrophobic core. These changes in mobility or conformation of membrane lipids could affect the Na+-channel protein insertion in the bilayer, stabilizing it in the inactivated state, thus causing anesthesia.