ABSTRACT Objective: To evaluate the etiology of and factors associated with pulmonary infection in kidney and kidney-pancreas transplant recipients. Methods: This was a single-center case-control study conducted between December of 2017 and March of 2020 at a referral center for kidney transplantation in the city of Belo Horizonte, Brazil. The case:control ratio was 1:1.8. Cases included kidney or kidney-pancreas transplant recipients hospitalized with pulmonary infection. Controls included kidney or kidney-pancreas transplant recipients without pulmonary infection and matched to cases for sex, age group, and donor type (living or deceased). Results: A total of 197 patients were included in the study. Of those, 70 were cases and 127 were controls. The mean age was 55 years (for cases) and 53 years (for controls), with a predominance of males. Corticosteroid use, bronchiectasis, and being overweight were associated with pulmonary infection risk in the multivariate logistic regression model. The most common etiologic agent of infection was cytomegalovirus (in 14.3% of the cases), followed by Mycobacterium tuberculosis (in 10%), Histoplasma capsulatum (in 7.1%), and Pseudomonas aeruginosa (in 7.1%). Conclusions: Corticosteroid use, bronchiectasis, and being overweight appear to be risk factors for pulmonary infection in kidney/kidney-pancreas transplant recipients, endemic mycoses being prevalent in this population. Appropriate planning and follow-up play an important role in identifying kidney and kidney-pancreas transplant recipients at risk of pulmonary infection.

RESUMO Objetivo: Avaliar a etiologia da infecção pulmonar e os fatores a ela associados em pacientes que receberam transplante de rim ou rim-pâncreas. Métodos: Estudo unicêntrico de caso-controle realizado entre dezembro de 2017 e março de 2020 em um centro de referência em transplantes de rim em Belo Horizonte (MG). A proporção caso:controle foi de 1:1,8. Os casos foram pacientes que haviam recebido transplante de rim ou rim-pâncreas e que foram hospitalizados em virtude de infecção pulmonar. Os controles foram pacientes que haviam recebido transplante de rim ou rim-pâncreas e que não apresentaram infecção pulmonar, emparelhados com os casos pelo sexo, faixa etária e tipo de doador (vivo ou falecido). Resultados: Foram incluídos no estudo 197 pacientes. Destes, 70 eram casos e 127 eram controles. A média de idade foi de 55 anos (casos) e 53 anos (controles), com predomínio de pacientes do sexo masculino. O uso de corticosteroides, bronquiectasias e sobrepeso relacionaram-se com risco de infecção pulmonar no modelo de regressão logística multivariada. O agente etiológico de infecção mais comum foi o citomegalovírus (em 14,3% dos casos), seguido de Mycobacterium tuberculosis (em 10%), Histoplasma capsulatum (em 7,1%) e Pseudomonas aeruginosa (em 7,1%). Conclusões: O uso de corticosteroides, bronquiectasias e sobrepeso parecem ser fatores de risco de infecção pulmonar em pacientes que receberam transplante de rim ou rim-pâncreas, e as micoses endêmicas são prevalentes nessa população. O planejamento e acompanhamento adequados desempenham um papel importante na identificação de pacientes transplantados de rim/rim-pâncreas nos quais haja risco de infecção pulmonar.

Resumo A síndrome de Cockayne é doença multissistêmica autossômica recessiva devido à falha no reparo do DNA. Originalmente descrita em 1936 em crianças com baixa estatura, atrofia retiniana e surdez, é caracterizada por nanismo, caquexia, fotossensibilidade, envelhecimento acelerado e déficits neurológicos. O mais típico é a fácies, descrita como similar à de um pássaro: maxila proeminente, atrofia do coxim adiposo bucal, olhos profundos, orelhas grandes e nariz fino. Tem sido descrita dificuldade no manejo da via aérea com estreitamento subglótico e risco de aspiração gástrica. Embora as características clínicas da síndrome de Cockayne sejam bem relatadas em publicações pediátricas, há apenas um relato de anestesia em paciente obstétrica na literatura. Relatamos o caso de gestante com diagnóstico de síndrome de Cockayne, submetida com sucesso a raquianestesia para parto cesariano por desproporção cefalopélvica. Diante da difícil decisão entre induzir anestesia geral em paciente com provável via aérea difícil ou anestesia neuroaxial, em meio a limitações cardiovasculares, respiratórias e neurocognitivas da paciente, conduta individualizada é sugerida para alcançar os melhores resultados para a gestante e o neonato.

Abstract Cockayne syndrome is an autosomal recessive multi-systemic disorder due to DNA repair failure. It was originally described in 1936 in children of small stature, retinal atrophy and deafness, characterized by dwarfism, cachexia, photosensitivity, premature aging and neurologic deficits. The most typical feature is described as birdlike facies: protruding maxilla, facial lipoatrophy, sunken eyes, large ears and thin nose. Difficult airway management with subglottic stenosis and risk of gastric content aspiration has been described. Although the clinical characteristics of Cockayne syndrome have been well described in pediatric publications, there is only one report in the literature on anesthesia for an obstetric patient. We report the case of a pregnant patient diagnosed with Cockayne syndrome, submitted successfully to spinal anesthesia for a cesarean section due to cephalopelvic disproportion. In view of the difficult decision between inducing general anesthesia in a patient with a likely difficult airway, or neuraxial anesthesia in a patient with cardiovascular, respiratory and neurocognitive limitations, we suggest tailored management to reach the best results for the mother and newborn.

ABSTRACT Peanut or groundnut (Arachis hypogaea L.) is a globally important oilseed crop, with important nutritional qualities, and a rich source of amino acids and protein. Another 80 species have been described in the genus Arachis, 64 of which are found in Brazil, and even though their morphology and agronomic traits remain largely unknown, they have been cultivated for forage and for landscaping and have great potential for breeding with cultivated peanut. Thus, the morphological characterization of wild Arachis species is essential for their conservation and use. In this study, we present a morphological and agronomic characterization of 29 diploid accessions of eleven wild Arachis species and one of the tetraploid A. monticola (section Arachis) with A and B genomes and determine their intra- and interspecific variability in greenhouse and field conditions. In total, 35 morphological descriptors were developed a priori from greenhouse accessions in the first crop year and used in field accessions in the second crop year. Significant differences in descriptors compiled in the greenhouse and the field support the use of different descriptors for different experimental conditions. PCA analysis showed that the distribution of accessions accorded with the taxonomy of species. The ten morphological descriptors that were important in differentiating section Arachis accessions were seed length, lateral branch length, right apical leaflet length, right apical leaflet width, height and diameter of main stem, branch color, standard petal base color, number of flowers, and presence of bristles on rachis.

Objective: The Barratt Impulsiveness Scale (BIS-11) is a valid and reliable instrument, and one of the most often used tools to assess impulsivity. This study assesses the performance of a large sample of adults by using a version of BIS-11 adapted to Brazilian Portuguese. Methods: We assessed 3,053 adults from eight Brazilian states. Internal consistencies and performance data were presented for two correction criteria of BIS-11: original and the two-factor score. Results: The associations between age, sex, region, and education and the BIS-11 scores present very small effect sizes. Therefore, we provided a percentile rank parameter for the different BIS-11 subscores considering the whole sample. Given the internal consistency of the two correction systems, we found that only the two-factor system fulfills the psychometric criteria of Cronbach’s alpha (cutoff value of at least 0.6). Conclusion: Our results support the use of the Brazilian adaptation of BIS-11 in different regions of the country as a measure of impulsivity. Since high impulsiveness is a characteristic of several dysfunctional behaviors, the establishment of normative parameters is of utmost relevance and should be extended to other age ranges and populations in future studies.

Foram avaliados o comportamento, as variáveis fisiológicas e o desempenho de bezerros Holandês e mestiços desmamados em diferentes telas de polipropileno e horas de fornecimento de concentrado. Utilizaram-se 24 bezerros, nove da raça Holandesa (H) e 15 mestiços de Holandês (MH), em piquetes parcialmente cobertos com tela de polipropileno com malha de 70 (S70) e 40% (S40) de sombra, recebendo concentrado em três horários: manhã (M), tarde (T) e dias alternados (DA). Os comportamentos comendo e ruminando deitado foram, respectivamente, mais frequentes no ambiente S70 (34,29 e 11,40%) do que no ambiente S40 (30,18 e 6,76%), indicando maior conforto térmico. Os comportamentos ruminando em pé e em pé foram, respectivamente, mais frequentes no ambiente S40 (6,42 e 40,25%) do que no ambiente S70 (5,24 e 31,18%). A temperatura da superfície do pelame apresentou maior valor no ambiente S40 para os animais H (33,87ºC) e MH (33,69ºC), principalmente nas horas mais quentes do dia, quando a radiação solar era maior. A frequência respiratória foi maior para os animais H tanto no ambiente S40 (55,66 mov. min.-1) quanto no ambiente S70 (60,98 mov. min.-1). O ganho de peso médio diário não variou conforme o fornecimento de ração, de sombra e entre grupos genéticos.

It was evaluated the behavior, the physiological variables and the performance of Holstein calves and crossbred calves weaned using different shade screens and hours of concentrate supplying. There were used nine Holstein calves (H) and 15 crossbred Holstein calves (MH), housed on partially covered paddocks with a polypropylene screen (shade) with a loop of 70% of shadow (S70) and 40% (S40) receiving concentrate at three times: morning (M), afternoon (A) and alternate days (AD). The behaviors eating and ruminating lying were, respectively, more frequent on the environment S70 (34.29 and 11.40%) than on the environment S40 (30.18 and 6.76%), showing greater termical comfort for calves. The behaviors ruminating standing and standing were, respectively, more frequent on the environment S40 (6.42 and 40.25%) than the environment S70 (5.24 and 31.18%). The haircoat surface temperature presented higher values on the environment S40 for animals H (33.87ºC) and MH (33.69ºC), mainly on the hottest hours of the day, where the solar radiation was higher. The respiratory rate (RR) was higher for animals H just about on the environment S40 (55.66 mov. min-1) as much as on the environment S70 (60.98 mov. min.-1). The daily average weight gain did not vary according to the ration supplying, shade and genetic groups.

The absence of a satisfactory response to antiepileptic drug (AED) therapy, is an unresolved problem in a significant number of epileptic patients. Mechanisms of intractability are not well understood but may include a combination of poor penetration of AED across a functionally altered blood-brain barrier owing to increased expression of multiple drug resistance transporters. Therefore, the aim of this work was to assess the in vitro efficacy of antiepileptic drugs through human hippocampal slices originating from patients with refractory temporal lobe epilepsy submitted to corticoamygdalohippocampectomy. Slices was prepared from a 1 cm³ block of the hippocampus body 30 min after resection. Briefly, hippocampal slices of 400 µM thickness was cut coronally. Extracellular field potentials was recorded from the st. Granulosum of the dentate gyrus. The antiepileptic drugs added in the bath were Carbamazepine, Topiramate and Phenytoin. The phenytoin was effective reducing the hyperexcitability (polispikes) in 60% of the experiments (n = 5). On the other hand, the carbamazepine promoted a decrease in evoked epileptiform activity in 37,5% of the cases (n = 8). The application of topiramate in the bath reduced in 30% the number of polispikes (n = 10). Our results showed that the phenytoin application resulted in a significant reduction in neuronal excitability, however, the carbamazepine and topiramate were not able to control of the hiperexcitability, suggesting that local neuronal alterations, as well changes in blood brain barrier, could be responsible for such behaviors.