Indices de atividade da doença inflamatória do intestino: indicadores clínicos e laboratoriais.

The quantification of the degree of activity of inflammatory bowel disease is assuming growing importance nowadays. The activity index of the disease can be attained by clinical and laboratorial indicators. For ulcerative colitis the mostly used clinical parameters are daily bowel movements and presence of bloody diarrhea whereas albumin, hemoglobin, ESR and positive acute phase protein measurements are the laboratory parameters. For Crohn's disease activity besides the daily bowel movements the presence of abdominal pain and discomfort sensation are also frequently used whereas the C-reactive protein is the most used laboratory test which is able to detect the disease reactivation even before the appearance of any clinical sign. The combinations of clinical signs with the laboratory tests earned the sympathy of the specialists and the set of ensembled indicators has been recognized by the author's name. In this sense, the classification of the ulcerative colitis activity originally proposed by Truelove and Witts deserves presently a wide acceptance whereas such agreement is still lacking for Crohn's disease activity. In the mean time, the Bristol index is clinically the most feasible, once the Crohn's disease activity index and the Van Hees index are considered too complex. However the latter indexes are still useful mainly for comparisons among multicentric data. It seems that the currently existing clinical signs used for Crohn's disease activity would be quantitatively improved by adding some easily made laboratory tests such as C-reactive protein.

Partilha de Recursos Alimentares em Peixes em um Riacho de Serra do Sudeste do Brasil

We studied the diet and food resources partitioning by fishes from the Itaúna stream, municipality of Itatinga, Southeastern Brazil. Eighteen species of fish were collected, being Microlepidogaster sp., Hypostomus sp., Astyanax sp., Phalloceros caudimaculatus and Heptapterus sp. the most frequent and abundant ones. Regarding diet, the majority of the species were observed to be insectivorous (61%), while insectivorous-herbivorous and periphyton feeders ranked 22 and 17%, respectively. The food overlap analysis revealed many cases of similarity between the diets. For most cases, however, a detailed analysis of food items and spatial distribution of the species showed differences between the couples under analysis which points toward a reduction in competition for food.

Utilização do metabolismo protéico ( 15N-glicina) na detecção precoce de agravamento da atividade da doença em pacientes portadores de retocolite ulcerativa inespecífica

Disease activity was assessed in 10 (five males and five females) ulcerative colitis patients through the following parameters: clinical, laboratory, sigmoidoscopic and histological. Protein metabolism was also assessed with 15N-glycine and urinary ammonia as end product. Only one patient had exacerbation of the disease two months after the study started. This patient presented in the beginning of the study protein synthesis and breakdown of 4.51 and 3.47 g protein/kg/day, respectively, values higher than all other patients, showing an hypermetabolic state, suggesting an increase of the disease activity. However, this increase was not detected by others indicators and indexes utilised. These data allow to suggest the hypothesis that protein metabolism predicts precociously the exacerbation of disease activity in ulcerative colitis patients.

Doença de Castleman multicêntrica: Relato de um caso

Castleman's disease (CD) is an uncommon lymphoproliferative disorder that is morphologically and clinically heterogeneous. Both a localized benign variant and a multicentric form with systemic manifestations have been described. Although there are many published cases in literature, there are a few reports about this pathology in Brazil. We describe a patient with several manifestations of multicentric CD: lymphadenopathy, weight loss, fever, arthralgia, myalgia, and hepatosplenomegaly. Pathological examination of excised cervical lymph node revealed its rarest form: a CD of the hyaline-vascular type in multicentric presentation.

Acao antioxidante de extratos de alecrim (Rosmarinus officinalis L.) em files de peixes da especie pacu (Piaractus mesopotamicus Holmberg)

The antioxidant effect of plant extract has been an interesting issue for many researchers in past few years. Spices have been identified as products with large amounts of antioxidants, and rosemary is one the most studied spice. Studies have shown evidences that population with high intake of these substances have less incidence of coronary heart disease. The objective of this work was verify the antioxidant action of the commercial rosemary oleoresin Herbalox® (used to feed the pacu (Piaractus mesopotamicus) fish. The juveniles pacu were fed with isocaloric and isoproteic diets, for two groups the lipid source was soybean oil and for the another it was corn oil. For each group of the different lipid sources, rosemary extract Herbalox® (were added in one lot and on the other which was used as control. The results showed that the addition of rosemary extracts to the ration protected them against peroxidation, when compared with the control, the lipid source also have influence on these protection.

Doença pulmonar obstrutiva crônica

In this review the definition of COPD is presented and the epidemiology and risk factors for disease development are briefly discussed. Characteristics clinical features, pulmonary functions indices, radiologics signs and arterial blood gases alterations are presented and discussed. Classification of disease severity and components of COPD management are also described.

Prevalência, sazonalidade e intensidade de infecção por Diplostomum (Austrodiplostomum) compactum Lutz, 1928 (Digenea, Diplostomidae), em peixes do reservatório de Volta Grande, Estado de Minas Gerais, Brasil

The present study was conducted in the Aquaculture Station of Hydroeletric Power Station situated in Volta Grande Reservoir, MG, Brazil. Seventy freshwater corvinas, Plagiscion squamosissimus, and 66 tucunarés, Cichla ocellaris were captured bimonthly from April 2000 through April 2001 with net and hook. The helmints were identified as Diplostomun (A.) compactmn which showed the highest prevalence in the corvina's eyes in April 2000 (70%), February 2001 (80%) and April 2001 (60%), while in tucunaré occurred in April 2000 (33.3%), August 2000 (18.2%) and October 2000 (18.2%). Nevertheless, increase in the mean intensity of parasites was related in April (6.6), June (6.0), August (18.5) 2000 and February (5.7), April (4.8) 2001 for corvina and in August (16.0) and October (7.0) 2000 for tucunaré. Corvina's females showed infection during all period, while males did not show the same prevalence in June 2000 and April 2001. On the other hand, tucunare's males were infected in all months while females in August and October 2000. The highest prevalence in corvina was observed in the months which presented elevated water temperature (April, October, December 2000 and April 2001). The number of parasites collected in corvina on February 2000 was higher than the one observed in August 2000. The same was not observed for tucunaré. This work demonstrate corvina's high susceptibility to metacercariae of Diplostomum.

Metacercárias de Diplostomum (Austrodiplostomum) compactum Lutz, 1928 (Digenea, Diplostomidae) em peixes do rio Paraná, Brasil. Prevalência, sazonalidade e intensidade de infecção

This paper aims at evaluating the occurrence of Diplostommn (Anstrodiplostomum compactum (Digenea: Diplostomatidae) in the eyeball of Plagioscion sqnamosissimus (corvina) and Cichla ocellaris (tucunaré), monthly captured in Paraná river, Presidente Epitácio, state of São Paulo, Brazil. From 61 corvinas under analysis, 56 of them contained parasites (92%) with intensity rate of 42.0 host parasites. From an amount of 81 tucunarés, 45 contained parasites (55%) with intensity rate of 9.3 parasites. Corvinas showed prevalence from 71 to 100% with the highest intensity rates (103.3 and 106.9) from February to March, 2001. Comparatively, the tucunaré showed the highest prevalence from November 2000 (90%) to February 2001 (80%). The tucunaré highest intensity rates occurred on September, 2000 (12.7), December, 2000 (12.2) and February, 2001 (16.1). Metacercariae showed a hollow womb body and a posterior region of a sinuous conic protuberance, an oral sucker smaller than the acetabulae, a simple acetabulae located in the pre-equatorial region of helminto. A short pre-pharynx followed by a muscular pharynx, genital pore next to acetubulae. Corvina metacercariae presents 1.434,0 μm (880 to 1.840) long by 611.2 ± 93.4 μm (400 to 792) wide. Tucunaré metacercariae, 1.462.4 μm (960 to 2.480) by 710.8 μm (560 to 960). Authors confirmed corvina great susceptibility to Diplomastum and the relationship between the parasitism and the aquatic and climatic parameters.

Associações de espécies de peixes em ambientes lóticos da bacia do rio Iguatemi, Estado do Mato Grosso do Sul

The aim of this paper is to describe the patterns of associations between fish species and their distribution in lotic habitats at basin level. Samples were accomplished in 27 localities of Iguatemi river basin, distributed in four environments (Iguatemi river, Jogui river, Puitã river and streams). The presence/absence data of those species which occurred in 2 or more sites were submitted at multivariate methods with the aim to describe the major species associations. The species distribution was considered determinative in these communities (C-score = 17,33; P = 0,000), with significant difference among the studied environments (ANOSIM r = 0,082; P = 0,012), with verified difference between Iguatemi river and streams (P = 0,001) and also streams and Jogui river (P = 0,014). We verified a strong segregation among species from headstreams and more discharge river stretches or even larger streams.

Influência do alecrim (Rosmarinus officinallis L.) na atividade de água e oxidação lipídica de peixes de uma espécie de tilápia (Oreochromis ssp-var. vermelha Flórida) submetidos à salga

Salting have been a very utilized fish conservation method, however only in the last years the basic mechanism involved in salting fish has been understood. The objectives of this study were determine the addition in brine salt of rosemary leaves, rosemary extracts and tocopherol, and your action in the followed parameters: water activity (Aw), moisture, ash, salt content and TBARS. The results showed that the addition of antioxidants was difficulted the salt absorption, however didn't have differences between rosemary or tocopherol use. In the salting time of 3 hours the values of Aw and salt levels, was respectively: 0.77±0.01 and 14.42±1.69. for control treatment; 0.85±0.02 and 9.09±1.39for rosemary filtrate; 0.78±0.03 and 10.63±0.69 rosemary without filtrating and 0.85±0.02 and 11.96±1.78 tocopherol, showed that didn't grow indigenous bacterias. Lipid oxidation was evaluated by TBARS and the results showed the oxidative effect of salt and the pro oxidant effects of alls antioxidants used in brine salting.

Habitat, distribuição e aspectos adaptativos de peixes da microbacia do ribeirão Grande, Estado de São Paulo, Brasil

The ichthyofauna of ribeirão Grande microbasin that runs through one of the few remaining fragments of Atlantic Forest (in Mantiqueira mountain range, Valley of Paraíba) was studied. Fish samples were obtained with an electric fishing powered by a maximum capacity generator of 155 V and 60-Hz alterning current, gill-nets and traps. In three collecting days, during July/2001, October/2001, January/2002 and April/2002, 2865 fishes were sampled. These fishes belonged to 12 families, 23 genera and 37 species. The species were more abundant between the piedmont and the plain of the Valley of Paraíba. The Characidium, Trichomycterus genera and the Imparfinis minutus species presented only one ovary or testis and no swim bladder. The ecological significance of morphological features in stream mountain fishes was used to predict the niche adaptation for those conditions, towards K-strategy.

Doença pulmonar obstrutiva crônica

The chronic obstructive lung disease is reviewed with emphasys on its epidemiology and risk factors. The diagnosis, clinical aspects pulmonary, functional alterations and laboratorial findings are discussed. The treatment is also reviewed, based on the actual consensus, considering the following classes of approaches: bronchodilators, inhaled β-agonists, corticoids, methilxanthines, prolonged domiciliar-orygen therapy.

Doença arterial coronariana: Um novo paradigma na AIDS

The HIV-infected individuals have been identified as a peculiar group whose propensity to the development of abnormalities in lipids metabolism supports the hypothesis that AIDS itself can be considered as an independent risk factor for the occlusive diseases development. The AIDS progression, as well as the therapy against HIV has been capable to show an array of metabolic disturbances that HIV-infected patients are prone to. These metabolic alterations affect the fate of plasmatic lipids and homocysteine as a result of three factor mainly: (i) the viral infection per se which triggers the development of hypertriglyceridemia and hipocholesterolemia; (ii) multiple vitamins and micronutrients deficiencies, that favors an onset of hyperhomocysteinemia; (iii) the state-of-the-art therapy for HIV infection, which is accompanied to idiosyncratic effects encompassing the lipid metabolism. In this context, a variety of risk factors to atherosclerosis can be identified in the HIV-infected individual. Of note, it must be considered that once life expectancy of these patients has been expanded due to the effective therapy, on the other hand they can accelerate atherosclerotic disease or its pathological appearance in the same extent.

Organização das assembléias de peixes em riachos da bacia do rio Iguatemi, Estado do Mato Grosso do Sul

Aiming to describe the patterns of the fish assemblages organization in streams of the Iguatemi River basin we sampled streams with seine nets and sieves from November/1999 to August/2000. We collected 567 individuals distributed in 24 species. We detected statistically significant influence of the streams characteristics upon species diversity. The species composition was hardly explained by the physical and chemical characteristics of the streams. Then we detected significant influence of the fish ecomorphology in the species occurrence (Mantel r = -0.34; P = 0.04), but not in the distribution of its abundance (Mantel r = -0.21; P = 0.07). We verified through the species co-occurrence index (C-score) that its composition in the studied streams is stochastic.