Características clínicas e implicações prognósticas do acometimento renal no mieloma múltiplo.

The renal involvement in patients with multiple myeloma has been described as a sign of poor prognosis. The influence of renal insufficiency in the clinical patterns and in the prognosis of patients with multiple myeloma was studied retrospectively in 45 patients. Patients with renal insufficiency, at first visit, more often presented weight loss, proteinuria, hypercalcemia. The means of uricemia, ESR, were higher and the hematocritic mean was lower in patients with renal insufficiency. There was no difference in edema, arterial hypertension, fractures and bone pain. The reversibility of renal insufficiency occurred in 47% of the cases, which happened more often in the first months of the follow up. The creatinine mean was lower in patients with reversible renal insufficiency. The median survival was: patients with renal insufficiency: 11 months; patients with normal renal function: 50 months. Among patients with renal insufficiency those with recuperation of renal function showed a higher median survival (24 months) than those with irreversible renal insufficiency (1 month). The renal involvement then is frequent and often reversible. Patients with impaired renal function showed a worse prognosis; normalization of the renal function was associated with a better outcome.

Pulpal and periodontal reactions of immature permanent teeth in the dog to intrusive trauma.

Pulpal and periodontal tissues of immature incisors of 10 dogs were radiographically and histopathologically evaluated immediately, 7, 15, 30 and 60 days after experimental intrusion induced by mechanical blows. Forty upper central and mesial lateral incisors showing incomplete root formation on radiographs were submitted to intrusive force. After the observation periods, the dogs were killed, two at a time. The hemi-maxilas were removed and processed for histopathologic examination. The traumatized teeth showed accelerated apical formation with reduced radicular length. Pulpal vitality was maintained and the subjacent tissues did not present irreversible changes. All traumatized teeth re-erupted spontaneously.

Foreign body in the tracheobronchial tree

A 20-year experience with the treatment of 74 patients (83.8% children) for foreign body aspiration is reviewed. The object of this review is to show the clinical manifestations, the radiological findings, the nature and distribution in the bronchial tree, and complications due to longstanding (months or years) foreign bodies in the bronchial tree. The most common foreign bodies found were peanuts (13.5%), corn (13.5%), and beans (13.5%). The most frequent clinical manifestation was choking (67.5%), and the most frequent radiological finding was atelectasis (41.8%). The most serious complication was bronchiectasis needing resection in six patients who had the foreign body retained for years in the bronchial tree. In conclusion, in spite of an obvious foreign body in the tracheobronchial tree many cases are not diagnosed, and a longstanding foreign body in the airway may be responsible for irreversible complications.

Phytochrome and light influence on germination and vigor of ocimum gratissimum L. (Lamiaceae) seeds under high irradiance conditions

Ocimum gratissimum seed germination (% germination and vigor) has been found as phytochrome dependent, having a typical High Irradiant Response (HIR). Seven treatments were tested: daylight (DL), red (R), far-red (FR), blue (B), green (G), dark (DK), and reversible (RVB). No statistical difference among the DL, R, FR, B, and G were found. DK and RVB were statistically equal and presented the lowest results. The germination also occurred in the DK treatment but in non-useful rates, and it was nonreversible in the RVB treatment. It allows these seeds to be classified as positively photoblastic. The minimum energy need to initiate the germination was evaluated by a fluency-response curve. It plotted four different exposition times to R light (1 second, 60 seconds, 1 hour, and 13 hours) against percent germination. Useful germination occurred only after 1 hour, confirming the high energy needed to incite the process. The germination rate increased with the raise of the photoequilibrium (j). The high positive correlation index found confirms the phytochrome influence in this process. Facing all the results presented here, it is suggested to sow these seeds under direct and highly intense sunlight. It is preferable to avoid places exposed to variations in the shading, because inhibition induced by dense shade effects (low R/FR ration and consequently low j established) were demonstrated irreversible, and it can lead to undesirable loss of the germination power.

The phenomenon of photoinhibition of photosynthesis and its importance in reforestation

Photoinhibition, defined as the inhibition of photosynthesis caused by excessive radiance, affects field production to a great extent. This phenomenon is particularly relevant in reforestation practices, when one deals with forests of rapid growth such as Eucalyptus. The imposition of additional stress factors during exposure to high radiance increases the potential for photoinhibitory effects, so the inhibition of photosynthesis indicates that the plant is submitted to stressful conditions. Photoinhibition can be reversible, playing a protective role for the photosynthetic systems, but it can also reflect damage that has already occurred in the photosynthetic apparatus, being irreversible in this case. In this review, we present the physiological and molecular mechanisms of photoinhibition and discuss the interaction between light and other stress factors and its effects on plants destined for reforestation. In addition, the present work analyzes some of the features and strategies that help plants avoid or restrict the occurrence of photoinhibition. For instance, pigments and enzymes which naturally occur in plants can prevent photoinhibition, while preadaptation to nonideal conditions can enhance tolerance to a certain stress factor. Most of these morphological, metabolic, and biochemical mechanisms of defense are related to the dissipation of excessive energy such as heat. Understanding these mechanisms can help improve cultivation procedures, avoid the plants' death, and increase productivity in the field.

Electrochemical reduction and voltammetric determination of diloxanide furoate in non-aqueous medium

The electrochemical reduction of diloxanide furoate (DF) in acetonitrile on glassy carbon electrode was studied in this work. It was observed that DF is reduced after a reversible one-electron transfer followed by an irreversible chemical reaction, diagnosed as C-Cl bond cleavage. Its reduction was followed by linear (LSV), differential pulse (DPV) and square wave voltammetry (SWV). Analytical curves were obtained for DF determination using all the investigated voltammetric techniques. For LSV was obtained a linear range (LR) from 5.0 × 10-4 to 1.0 × 10-2 mol L-1, with detection limit (DL) of 1.5 × 10-4 mol L-1 and sensitivity (S) of 2.1 × 104 μA mol-1 L. The analytical parameters obtained by DPV were: LR = 5.0 × 10-4 to 2.2 × 10-3 mol L-1, DL = 7.8 × 10-5 mol L-1, S = 3.7 × 104 μA mol-1 L. For SWV were obtained a LR = 7.5 × 10-6 to 1.2 × 10 -3 mol L-1, DL = 5.5 × 10-6 mol L -1 and S = 2.8 × 105 μA mol-1 L. Thus, the SWV was the most sensible technique, which can be used for DF determination at low concentration levels. Statistics methods were used to evaluate the analytical procedure, where recovery around to 100% was obtained for all voltammetric techniques. Relative standard deviations were lower than 5.0% (N=5). The obtained t values evaluating all the three voltammetric methods were less than the tabulated ones, indicating that there are no evidences of systematic error. ©2005 Sociedade Brasileira de Química.

Maxillary canine - First premolar transposition: Restoring normal tooth order with segmented mechanics

Tooth transpositions present at a relatively low incidence in the world population and primarily affect maxillary canines and premolars. Treatment of this disturbance should take into account aspects such as facial pattern, age, malocclusion, tooth-size discrepancy, stage of eruption, and magnitude of the transposition. Mechanics for correction should be entirely individualized, reducing the risks and adverse effects. Practitioners often select simpler options, indicating extraction of permanent teeth, which is an irreversible procedure that may bring about damages to the patient. This study presents a case report and treatment of unilateral transposition of maxillary canine and premolar with repositioning of affected teeth to their respective normal positions. © 2006 by The EH Angle Education and Research Foundation, Inc.

Anthracycline-induced cardiotoxicity

The anthracyclines constitute a group of drugs widely used for the treatment of a variety of human tumors. However, the development of irreversible cardiotoxicity has limited their use. Anthracycline-induced cardiotoxicity can persist for years with no clinical symptoms. However, its prognosis becomes poor after the development of overt heart failure, possibly even worse than ischemic or idiopathic dilated cardiomyopathies. Due to the successful action of anthracyclines as chemotherapic agents, several strategies have been tried to prevent/ attenuate their side effects. Although anthracycline-induced injury appears to be multifactorial, a common denominator among most of the proposed mechanisms is cellular damage mediated by reactive oxygen species. However, it remains controversial as to whether antioxidants can prevent such side effects given that different mechanisms may be involved in acute versus chronic toxicity. The present review applies a multisided approach to the critical evaluation of various hypotheses proposed over the last decade on the role of oxidative stress in cardiotoxicity induced by doxorubicin, the most used anthracycline agent. The clinical diagnosis and treatment is also discussed. © 2008 Bentham Science Publishers Ltd.

El desarrollo sustentable: transformación productiva, equidad y medio ambiente

Incluye Bibliografía

Sustainable development: changing production patterns, social equity and the environment

Includes bibliography

Estresse oxidativo nos estágios finais da doença renal crônica em pequenos animais

The chronic kidney disease (CKD) it is characterized by irreversible structural lesions that can develop progressively for uremia and chronic renal failure (CRF). In the CRF it happens the incapacity of executing the functions of maintenance of the electrolyte balance and acid-base, catabolitos excretion and hormonal regulation appropriately. When the mechanism basic physiopathology of the renal upset is analyzed, it is observed that present factors, predispose to the unbalance oxidative. Most of the time, the renal patient comes badly nurtured, with lack in reservations of vitamins and minerals, what reduces the antioxidant defense mechanisms, what favors the installation of the renal oxidative stress, with the formation of species you reactivate of reactive oxygen species (ROS), substances these potentially harmful to the organism. The reduction of the glomerular filtration rate (GFR) in the evolution of CKD in dogs and cats is a component for the installation of the renal oxidative stress. The ROS possesses important action in the kidneys, and these substances are highly reactivate, and when presents in excess damage lipids, proteins, DNA and carbohydrate, driving functional and structural abnormalities taking the cellular apoptosis and necrosis. Against the harmful potential action of these substances you reactivate, she becomes fundamental a delicate control of his production and consumption in the half intracellular, in other words, a balance of his concentration intra and extracellular. That is possible due to the activity of the antioxidants. Like this, to present literature revision had as objective describes the participation of the oxidative stress in CRF, as well as the mechanisms defenses against the harmful action of those substances.

Economics of climate change in Latin America and the Caribbean: summary 2009

Includes bibliography

Economics of climate change in Latin America and the Caribbean: summary 2010

Spanish version available at the Library

Climate Change and Development in Latin America and the Caribbean. Overview 2009

Includes bibliography

"Tablero de comando" para la promoción de los biocombustibles en Colombia

Incluye Bibliografía