Magnetic resonance imaging and BMB score in the evaluation of bone involvement in Gaucher’s disease patients

AbstractObjective:To evaluate by magnetic resonance imaging changes in bone marrow of patients undergoing treatment for type I Gaucher’s disease.Materials and Methods:Descriptive, cross-sectional study of Gaucher’s disease patients submitted to 3 T magnetic resonance imaging of femurs and lumbar spine. The images were blindly reviewed and the findings were classified according to the semiquantitative bone marrow burden (BMB) scoring system.Results:All of the seven evaluated patients (three men and four women) presented signs of bone marrow infiltration. Osteonecrosis of the femoral head was found in three patients, Erlenmeyer flask deformity in five, and no patient had vertebral body collapse. The mean BMB score was 11, ranging from 9 to 14.Conclusion:Magnetic resonance imaging is currently the method of choice for assessing bone involvement in Gaucher’s disease in adults due to its high sensitivity to detect both focal and diffuse bone marrow changes, and the BMB score is a simplified method for semiquantitative analysis, without depending on advanced sequences or sophisticated hardware, allowing for the classification of the disease extent and assisting in the treatment monitoring.

High-resolution computed tomography and histopathological findings in hypersensitivity pneumonitis: a pictorial essay

Abstract Hypersensitivity pneumonitis is a diffuse interstitial and granulomatous lung disease caused by the inhalation of any one of a number of antigens. The objective of this study was to illustrate the spectrum of abnormalities in high-resolution computed tomography and histopathological findings related to hypersensitivity pneumonitis. We retrospectively evaluated patients who had been diagnosed with hypersensitivity pneumonitis (on the basis of clinical-radiological or clinical-radiological-pathological correlations) and had undergone lung biopsy. Hypersensitivity pneumonitis is clinically divided into acute, subacute, and chronic forms; high-resolution computed tomography findings correlate with the time of exposure; and the two occasionally overlap. In the subacute form, centrilobular micronodules, ground-glass opacities, and air trapping are characteristic high-resolution computed tomography findings, whereas histopathology shows lymphocytic inflammatory infiltrates, bronchiolitis, variable degrees of organizing pneumonia, and giant cells. In the chronic form, high-resolution computed tomography shows traction bronchiectasis, honeycombing, and lung fibrosis, the last also being seen in the biopsy sample. A definitive diagnosis of hypersensitivity pneumonitis can be made only through a multidisciplinary approach, by correlating clinical findings, exposure history, high-resolution computed tomography findings, and lung biopsy findings.

Validation du GAP Index, un outil prédictif de mortalité dans la fibrose pulmonaire idiopathique

Fibrose pulmonaire idiopathique La fibrose pulmonaire idiopathique (FPI, Idiopathic Pulmonary Fibrosis) est une maladie diffuse du parenchyme pulmonaire de cause inconnue caractérisée par une aggravation de la dyspnée, une réduction du volume pulmonaire et une altération des échanges gazeux. Elle est la plus fréquente de pneumopathies interstitielles idiopathiques (IIPs, Idiopathic Interstitial Pneumonias), avec une incidence annuelle estimée entre 4,6 et 16,3 pour 100'000 personnes et une prévalence de 13 à 20 cas pour 100 000 personnes. Son évolution est progressive, irréversible et de mauvais pronostic avec une survie médiane de 2 à 3.5 ans et une survie à 5 ans de moins de 20%.

Contaminação por mercúrio no Brasil: fontes industriais vs garimpo de ouro

This paper reviews the history of Hg contamination in Brazil by characterizing and quantifying two major sources of Hg emissions to the environment: industrial sources and gold mining. Industry was responsible for nearly 100% of total Hg emissions from the late 1940's to the early 1970's, when efficient control policies were enforced, leading to a decrease in emissions. Gold mining, on the other hand was nearly insignificant as a Hg source up to the late 1970's, but presently is responsible for over 80% of total emissions. Presently, over 115 tons of Hg are released into the atmosphere in Brazil annually. Nearly 78 tons come from gold mining operations, 12 tons come from chlor-alkali industry and 25 tons come from all other industrial uses. Inputs to soils and waters however, are still unknown, due to lack of detailed data base. However, emissions from diffuse sources rather than well studied classical industrial sources are probably responsible for the major inputs of mercury to these compartments.

Il viaggio di Faust in Italia : percorsi di ricezione di un mito moderno

La tesi descrive il fenomeno di ricezione del mito faustiano all'interno della tradizione letteraria italiana di Otto e Novecento (1808-1945) nel suo sviluppo diacronico, individuando i nodi processuali emergenti ritenuti sistematici accanto alle tipologie predominanti della risposta testuale e alle più proficue rifunzionalizzazioni letterarie. La storia del mito di Faust è stata considerata aristotelicamente nella sua natura complessa ed evolutiva di fabula rinarrata, e di volta in volta risemantizzata in nuovi sistemi di valori, estetici e ideologici. Ma soprattutto in nuovi sistemi testuali. Scopo primario è stato infatti quello di comprendere come il mito di Faust sia entrato dentro alla cultura letteraria italiana e come abbia agito al suo interno, interferendo con essa. Naturalmente lo scambio e gli sviluppi hanno investito in modo reciproco e la tradizione accogliente e il mito stesso, producendo un allargamento esegetico delle sue possibilità semantiche: è infatti emersa una storia testuale che tematizza nel tempo il medesimo mito lungo assi interpretative anche estremamente divergenti. La ricerca ha portato alla scoperta di una ricca testualità rimossa dal canone della storia della letteratura italiana, anche se spesso prevalgono i testi-documento sui testi esteticamente più validi e significativi in sé; si tratta di una testualità talmente quantitativamente ricca da invitare ad un ripensamento qualitativo del fenomeno generale. Il mito di Faust, per due secoli percepito dalla critica dominante come distante ed estraneo alla cultura letteraria italiana, è invece riuscito ad entrare nella tradizione letteraria italiana, anche se attraverso modalità molto controverse: in linea di massima è potuto passare dal canone statico al canone dinamico laddove ha saputo influenzare e stimolare nuove vie significative di sviluppo formale. Il confronto della cultura letteraria italiana con il mito di Faust è stato in effetti caratterizzato subito da un doppio movimento discratico di rifiuto e dialogo. Il principale fattore di rifiuto è stato di carattere culturale: la difficoltà ad accettare un equilibrio fatto non di antitesi risolte in una sintesi ma di polarità aperte, irrisolte, in perpetuo bilanciamento, anche a livello formale reso in una tragedia franta in scene apparentemente autonome, divisa in due parti così diverse e chiusa da un lieto fine, mal si confaceva ai diffusi canoni classicisti di equilibrio formale, nonché alle esigenze romantiche di poesia moralmente chiara nel suo messaggio. Da qui le diffuse accuse di scarsa chiarezza e ambiguità morale, che andavano direttamente ad incontrarsi e sommarsi con i pregiudizi più propriamente teologico- religiosi di estraneità a quel mito nato come saga luterana dichiaratamente anti-papale. La condanna di carattere moralistico-cattolico risulta nei fatti propria più di certa cultura che non del largo pubblico che invece nel corso dell'Ottocento dimostra di gradire le versioni per musica e balletto di argomento faustiano, per quanto semplificata ed edulcorate rispetto alla leggenda originaria così come rispetto alla tragedia goethiana. Rispetto a tutti questi elementi di resistenza e rifiuto l'opera Mefistofele di Boito si presenta come snodo di opposizione consapevole e riferimento duraturo d'interrogazione critica. La principale linea di avvicinamento invece tra la cultura letteraria italiana e il mito di Faust resta quella del parallelo, già ideato dagli stessi intellettuali tedeschi d'inizio Ottocento, con l'opera ritenuta massima nel nuovo canone nazionale italiano da fine Settecento ad oggi: la Divina Commedia. Tanta critica, almeno fino alla metà del XX secolo, si rifà più o meno esplicitamente a questo parallelo pregiudiziale e testualmente piuttosto infondato ma molto produttivo, come si è attestato, a livello creativo. Questa ricostruzione ha voluto nel suo complesso dimostrare sul campo il valore di questo macrotesto faustiano come una delle vie maestre della dialettica tra tradizione e modernità, ancor più significativa nell'ambito di una cultura letteraria come quella italiana che, dopo l'estinguersi della sua centralità in epoca rinascimentale, si è rivelata particolarmente resistente al dialogo con le altre letterature fino al pieno Novecento.

Estudo ab-initio da a-alanina em meio aquoso

Ab initio Hartree-Fock (HF), Density Functional (B3LYP) and electron correlation (MP2) methods have been used to caracterize the aqueous medium intramolecular hydrogen bond in a-alanine. The 6-31G* and 6-31++G** were taken from Gaussian94 library. We were concerned on the structure of three conformers of a-alanine, in their neutral form plus on the structure of the zwitterionic form (Z). The Z structure is a stationary point at the HF/6-31G* level but it is not when diffuse functions and electron correlation are included. This results shows that the Z form does not exist in the gas phase. The inclusion of solvent effects changed significantly the results obtained in gas phase, therefore this inclusion make the Z form a stationary point within all level of theory, and the relative energy depends dramatically on the level of calculation.

A técnica da reflectância difusa aplicada ao estudo da fluorescência de 2,3-naftalimidas n-substituídas com grupos alquila incluídas em b-ciclodextrina e adsorvidas em celulose microcristalina

The solution fluorescence of N-alkyl-2,3-naphthalimides (1-4) in polar protic and aprotic solvents was compared to the emission from solid samples resulting from the imide complexation with b-cyclodextrin or adsorption on the surface of microcrystalline cellulose. Solid samples of the inclusion complex 2,3-naphthalimides/b-cyclodextrin show maximum for fluorescence emission significantly different to the observed in methanolic solution. Beside this, a clear effect on the alkyl chain length could be observed for these samples which is probably due to differences in probe location inside the cyclodextrin cavity. The constancy for fluorescence quantum yield and fluorescence lifetime for the imides 1 - 4 adsorbed on microcrystalline cellulose suggests that, independently of the polarity of the solvent used for sample preparation, the probe is preferentially located on the cellulose surface. An increase of fluorescence quantum yield and fluorescence lifetime for solid samples, when compared to the values obtained in solution for the different solvents employed in this study (acetonitrile, methanol and water), is fully in accordance with a decrease of the probe mobility due to inclusion in b-cyclodextrin or to adsorption on cellulose.

Validação de modelos de calibração multivariada: uma aplicação na determinação de pureza polimórfica de carbamazepina por espectroscopia no infravermelho próximo

The application of analytical procedures based on multivariate calibration models has been limited in several areas due to requirements of validation and certification of the model. Procedures for validation are presented based on the determination of figures of merit, such as precision (mean, repeatability, intermediate), accuracy, sensitivity, analytical sensitivity, selectivity, signal-to-noise ratio and confidence intervals for PLS models. An example is discussed of a model for polymorphic purity control of carbamazepine by NIR diffuse reflectance spectroscopy. The results show that multivariate calibration models can be validated to fulfill the requirements imposed by industry and standardization agencies.

Modelling nitrogen and phosphorus loads in a Mediterranean river catchment (La Tordera, NE Spain)

Human activities have resulted in increased nutrient levels in many rivers all over Europe. Sustainable management of river basins demands an assessment of the causes and consequences of human alteration of nutrient flows, together with an evaluation of management options. In the context of an integrated and interdisciplinary environmental assessment (IEA) of nutrient flows, we present and discuss the application of the nutrient emission model MONERIS (MOdelling Nutrient Emissions into River Systems) to the Catalan river basin, La Tordera (north-east Spain), for the period 1996–2002. After a successful calibration and verification process (Nash-Sutcliffe efficiencies E=0.85 for phosphorus and E=0.86 for nitrogen), the application of the model MONERIS proved to be useful in estimating nutrient loads. Crucial for model calibration, in-stream retention was estimated to be about 50 % of nutrient emissions on an annual basis. Through this process, we identified the importance of point sources for phosphorus emissions (about 94% for 1996–2002), and diffuse sources, especially inputs via groundwater, for nitrogen emissions (about 31% for 1996–2002). Despite hurdles related to model structure, observed loads, and input data encountered during the modelling process, MONERIS provided a good representation of the major interannual and spatial patterns in nutrient emissions. An analysis of the model uncertainty and sensitivity to input data indicates that the model MONERIS, even in data-starved Mediterranean catchments, may be profitably used by water managers for evaluating quantitative nutrient emission scenarios for the purpose of managing river basins. As an example of scenario modelling, an analysis of the changes in nutrient emissions through two different future scenarios allowed the identification of a set of relevant measures to reduce nutrient loads.

Fotodegradação de hidrocarbonetos policíclicos aromáticos em placas de sílica impregnadas com dióxido de titânio

Photodegradation of the PAHs anthracene, chrysene and benzo[k]fluoranthane on silica gel impregnated with TiO2 and over glass plates holding TiO2 was studied. Silica gel plates holding these substances were exposed to solar radiation, developed with hexane and photographed under ultra-violet light. The plates containing benzo[k]fluoranthene were also analysed by both diffuse reflectance and laser induced fluorescence. Diffuse reflectance spectra of the fluorescent spot from non irradiated plates showed small differences when compared with those obtained from irradiated plates. These spectral differences are compatible with formation of less conjugated compounds during irradiation. Fluorescence and time resolved fluorescence spectra observed after irradiation were identical to those obtained with benzo[k]fluoranthene in methanol. On plates holding silica, PAH degradation requires longer periods of solar irradiation when compared with those plates containing silica impregnated with TiO2. Glass plates impregnated with TiO2 also showed very rapid PAH degradation.

Estudio de alta resolución de las fallas activas y procesos sedimentarios asociados al Cañón de São Vicente, margen Sudoeste de Iberia

The Southwest Iberian Margin is caracterized by an intense and diffuse seismic activity due to the convergence between Eurasian and African plates...

Fatores que governam a especiação do cobre em ambientes aquáticos urbanos: evidências da contribuição de sulfetos solúveis

Copper speciation and behavior in different rivers located in the city of Curitiba were evaluated in this work. Sampling locations were selected to cover different levels of urbanization regarding their anthropogenic occupation and land use. Results showed that in highly-developed areas, both organic matter and dissolved sulfides were able to control copper speciation. Dissolved sulfide species were the major complexing agent in areas where dissolved oxygen levels are low. Finally, it was demonstrated that in urban areas anthropogenic factors such as sewage inputs and occupation of the drainage basin are the key aspects controlling copper dynamics and speciation in river waters.

A Method for Sky-Condition Classification from Ground-Based Solar Radiation Measurements

Identification of clouds from satellite images is now a routine task. Observation of clouds from the ground, however, is still needed to acquire a complete description of cloud conditions. Among the standard meteorologicalvariables, solar radiation is the most affected by cloud cover. In this note, a method for using global and diffuse solar radiation data to classify sky conditions into several classes is suggested. A classical maximum-likelihood method is applied for clustering data. The method is applied to a series of four years of solar radiation data and human cloud observations at a site in Catalonia, Spain. With these data, the accuracy of the solar radiation method as compared with human observations is 45% when nine classes of sky conditions are to be distinguished, and it grows significantly to almost 60% when samples are classified in only five different classes. Most errors are explained by limitations in the database; therefore, further work is under way with a more suitable database

Determinação não destrutiva do nitrogênio total em plantas por espectroscopia de reflectância difusa no infravermelho próximo

Diffuse reflectance near-infrared (DR-NIR) spectroscopy associated with partial least squares (PLS) multivariate calibration is proposed for a direct, non-destructive, determination of total nitrogen in wheat leaves. The procedure was developed for an Analytical Instrumental Analysis course, carried out at the Institute of Chemistry of the State University of Campinas. The DR-NIR results are in good agreement with those obtained by the Kjeldhal standard procedure, with a relative error of less than ± 3% and the method may be used for teaching purposes as well as for routine analysis.

Efeito do intemperismo artificial em quatro madeiras tropicais monitorado por espectroscopia de infravermelho (DRIFT)

Four tropical woods, were investigated to compare their performance and natural resistances to artificial weathering using the diffuse reflectance infrared Fourier transform spectroscopy (DRIFT). The species were garapeira (Apuleia leiocarpa), itaúba (Mezilaurus itauba) and tauari (Couratari sp.), woods traditionally indicated for exterior uses, and marupá (Simarouba amara), that served as reference. The samples were submitted to cycles of UV radiation (350 nm) and water until 2,000 h. The photodegradation processes of woods surfaces were accomplished monitoring the changes in the intensities associated to lignin (1508 cm-1) and carbonyl group (1736 cm-1) absorptions. The results have shown that lignin was the first component to be photodegradated, resulting in surfaces mainly composed by cellulose, after 2,000 h of UV irradiation. The processes of formation and lixiviation of carbonyl compounds were different for each species. The experimental conditions used in this work were too severe to evaluate the wood density and extractives content influences during the treatment.