Úlcera de cameron como causa incomum de anemia por deficiência de ferro

Cameron ulcers are chronic linear lesions willing on the mucosal folds, the level of diaphragmatic impression, in patients with hiatal hernia. Its clinical relevance is due to the potential risk of gastrointestinal complications, such as acute or chronic bleeding and anemia. Usually, the diagnosis is incidental by upper gastrointestinal endoscopy. Proton pump inhibitors are essential for the conduct of cases and the administration of iron when the anemia is associated. Already, the benefit of surgery is in refractory cases. We present a case of this entity of a 50-year-old patient in postmenopausal who developed anemia due to iron deficiency and normal initial endoscopy.

Avaliação microbiológica da superfície dos implantes ortopédicos metálicos usados para fixar fraturas ósseas

In the majority of cases of bone fracture requiring surgery, orthopedic implants (screw-plate and screw) are used for osteosynthesis and the infections associated with such implants are due to the growth of microorganisms in biofilms. The objective of this study was to identify microorganisms recovered from osteosynthesis implants used to fix bone fractures, to assess the viability of the cells and the ability of staphylococci to adhere to a substrate and to determine their sensitivity/resistance to antimicrobials. After surgical removal, the metal parts of austenitic stainless steel (ASTM F138/F139 or ISO NBR 5832-1/9) were transported to the Laboratory of Clinical Microbiology, washed in buffer and subjected to ultrasonic bath at 40±2 kHz for 5 minutes. The sonicated fluid was used to seed solid culture media and cell viability was assessed under the microscope by with the aid of a fluorescent marker. The production of extracellular polysaccharide by Staphylococcus spp. was investigated by means of adhesion to a polystyrene plate. The profile of susceptibility to antimicrobials was determined by the disk diffusion assay. The most frequently isolated bacteria included coagulase-negative Staphylococcus resistant to erythromycin, clindamycin and oxacillin. Less frequent were Pseudomonas aeruginosa resistant to trimethoprim/sulfamethoxazole and ampicillin, Acinetobacter baumannii resistant to ceftazidime, Enterobacter cloacae resistant to cephalothin, cefoxitin, cefazolin, levofloxacin and ciprofloxacin, Bacillus spp. and Candida tropicalis. The observation of slides by fluorescence microscope showed clusters of living cells embedded in a transparent matrix. The test for adherence of coagulase-negative Staphylococcus to a polystyrene plate showed that these microorganisms produce extracellular polysaccharide. In conclusion, the metal parts were colonized by bacteria related to orthopedic implant infection, which were resistant to multiple antibiotics.

Efeito de cultivares de repolho e doses de extrato aquoso de nim na alimentação e biologia de Plutella xylostella (linnaeus) (lepidoptera: Plutellidae)

The isolated and associated effects of cabbage cultivars Ruby Ball and Chato de Quintal and aqueous extract of seeds of fruits of neem (Azadirachta indica A. Juss.) were evaluated in the concentrations of 5 and 10% on Plutella xylostella (L.) attractiveness, feeding and development. In free-choice no-preference for feeding test, leaf discs of each treatment were placed in Petri dishes where three caterpillars/treatment were released while in no-choice test two caterpillars were placed in Petri dishes with one leaf disc in each dish. In the biology test, neonate larvae were transferred to Petri dishes in the proportion of one per dish, whereas the biological parameters were evaluated: larvae mortality after 1, 3 and 5 days; pupae mortality; total mortality; six day-old larvae weight; 24 hour-old pupae; and adult longevity. Cultivar Ruby Ball showed lower attractiveness to the caterpillars in free-choice test. Neem extract in both concentrations was repellent to the caterpillars in free-choice test. There were no differences in the dry mass consumed by the caterpillars in free-choice and no-choice tests. There were no differences in larval, pupal and total mortality between the cultivars. Both doses of neem extract were equally efficient in the mortality of the diamondback moth. There were no differences in caterpillars and pupae weight and in the longevity of the adults of P. xyostella between the cultivars.

Mesh cancer: long-term mesh infection leading to squamous-cell carcinoma of the abdominal wall

Purpose: It is recognized that chronic inflammation can cause cancer. Even though most of the available synthetic meshes are considered non-carcinogenic, the inflammatory response to an infected mesh plays a constant aggression to the skin. Chronic mesh infection is frequently the result of misuse of mesh, and due to the challenging nature of this condition, patients usually suffer for years until the infected mesh is removed by surgical excision. Methods: We report two cases of squamous-cell carcinoma (SCC) of the abdominal wall, arising in patients with long-term mesh infection. Results: In both patients, the degeneration of mesh infection into SCC was presumably caused by the long-term inflammation secondary to infection. Patients presented with advanced SCC behaving just like the Marjolin's ulcers of burns. Radical surgical excision was the treatment of choice. The involvement of the bowel played an additional challenge in case 1, but it was possible to resect the tumor and the involved bowel and reconstruct the abdominal wall using polypropylene mesh as onlay reinforcement, in a single stage operation. He is now under adjuvant chemotherapy. The big gap in the midline after tumor resection in case 2 required mesh bridging to close the defect. The poor prognosis of case 2 who died months after the operation, and the involvement of the armpit, groin and mesenteric nodes in case 1 shows how aggressive this disease can be. Conclusion: Infected mesh must be treated early, by complete excision of the mesh. Long-standing mesh infection can degenerate into aggressive squamous-cell carcinoma of the skin. © 2013 Springer-Verlag France.

Bilevel approach for optimal location and contract pricing of distributed generation in radial distribution systems using mixed-integer linear programming

In this study, a novel approach for the optimal location and contract pricing of distributed generation (DG) is presented. Such an approach is designed for a market environment in which the distribution company (DisCo) can buy energy either from the wholesale energy market or from the DG units within its network. The location and contract pricing of DG is determined by the interaction between the DisCo and the owner of the distributed generators. The DisCo intends to minimise the payments incurred in meeting the expected demand, whereas the owner of the DG intends to maximise the profits obtained from the energy sold to the DisCo. This two-agent relationship is modelled in a bilevel scheme. The upper-level optimisation is for determining the allocation and contract prices of the DG units, whereas the lower-level optimisation is for modelling the reaction of the DisCo. The bilevel programming problem is turned into an equivalent single-level mixed-integer linear optimisation problem using duality properties, which is then solved using commercially available software. Results show the robustness and efficiency of the proposed model compared with other existing models. As regards to contract pricing, the proposed approach allowed to find better solutions than those reported in previous works. © The Institution of Engineering and Technology 2013.

Resistência da parede abdominal após a remoção cirúrgica dos músculos retos abdominais: estudos experimental em ratos

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Efeito do exercício aeróbio na menopausa induzida por ooforectomia: estudo clínico, biomecânico e densitométrico em ratas

Pós-graduação em Bases Gerais da Cirurgia - FMB

Sistemas de preparo do solo e populações de plantas em espaçamento reduzido: comportamento de cultivares de milho (Zea mays L.)

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Detecção de beta-lactamase de espectro estendido em membros da família Enterobateriaceae

Pós-graduação em Biociências e Biotecnologia Aplicadas à Farmácia - FCFAR

Desenvolvimento embrionário do camarão-da-amazônia Macrobrachium amazonicum (Heller, 1862) (Crustacea, Decapoda, Palaemonidae)

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Estudos das regiões de baixas velocidades próximas ao lóbulo de Roche de um planeta gigante

Pós-graduação em Física - FEG

Interferometria óptica aplicada à medição de amplitudes de vibração nanométricas em piezoatuadores flextensionais

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Caracterização genotípica microrganismos isolados de infecções da corrente sanguína relacionadas a cateteres em recém-nascidos

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)