Flow is central to the operation of wells and pipelines and can be postulated to govern the formation of protective corrosion product layers, which is critical to overall infrastructure integrity. However, the phenomena involved remain poorly understood. Therefore, the main objective of this work was to investigate the effect of flow on the heterogeneous precipitation of FeS and FeCO3 as corrosion products on mild steel. Initial corrosion studies were conducted in an autoclave stirred by an impeller. The tests were conducted under quiescent and dynamic conditions for 24 h in an aqueous brine (10 wt.% NaCl, 120°C, 5 bar CO2, 0 and 10-3 mol/l Na2S2O3). The experimental results showed that the increase in rotation speed did not prevent the formation of FeS or FeCO3 crystals. Having confirmed the presence of corrosion product layers, the differences in the trends in corrosion rates may result from the diffusion barrier presented by these layers. layers integrity However understood Therefore FeCO steel impeller 2 10 (1 wt wt. NaCl 120C C 120 120°C CO2 CO 103 3 10- moll mol l Na2S2O3. Na2S2O3 NaSO . Na S O Na2S2O3) crystals 1 ( 12 Na2S2O

Resumo Muitas cidades são impactadas pelo efeito das ilhas de calor. Neste contexto, objetivou-se com esse analisar a distribuição espacial e temporal das ilhas de calor urbanas e a influência das áreas verdes na formação dos microclimas urbanos no município do Rio de Janeiro. Como resultados, observou-se que Rio de Janeiro encontra-se sob influência das ilhas de calor, as áreas mais antigas da cidade e sobretudo mais urbanizadas são as mais acometidas pelas altas temperaturas. Foi possível constatar o papel da vegetação na formação dos microclimas urbanos por meio do coordenador de psicologia negativa entre a temperatura da superfície (Ts) e os índices de vegetação (NDVI) e (EVI), e ainda um coeficiente de transferência positiva entre Temperatura da Superfície (Ts) e Índice de Áreas Construídas por Diferença Normalizada (NDBI), demonstrando a influência da urbanização no aumento da temperatura. contexto objetivouse objetivou se resultados observouse observou encontrase encontra temperaturas Ts (Ts NDVI (NDVI EVI, EVI , (EVI) NDBI, NDBI (NDBI) (EVI (NDBI

Abstract Many cities are impacted by the effect of heat islands. In this context, the aim of this study was to analyze the spatial and temporal distribution of urban heat islands and the influence of green areas on the formation of urban microclimates in the city of Rio de Janeiro. As a result, it was observed that Rio de Janeiro city is under heat islands influence, in which the oldest and most urbanized areas of the city are the most affected by high temperatures. It was possible to verify the role of vegetation in the formation of urban microclimates through the negative correlation coefficient between surface temperature (Ts) and vegetation indexes (NDVI and EVI), along with the positive correlation coefficient between surface temperature (Ts) and the Index of Areas Built by Normalized Difference (NDBI), what demonstrates the influence of urbanization on the increase of temperature. context result temperatures Ts (Ts NDVI EVI, EVI , EVI) NDBI, NDBI (NDBI) (NDBI

Resumen Muchas ciudades se ven afectadas por el efecto de las islas de calor. En este contexto, el objetivo de este estudio fue analizar la distribución espacial y temporal de las islas de calor urbanas y la influencia de las áreas verdes en la formación de los microclimas urbanos en el municipio de Río de Janeiro, Brasil. Como resultados, se observó que Río de Janeiro está influenciada por las islas de calor, siendo las áreas más antiguas y urbanizadas las más afectadas por altas temperaturas. Se pudo constatar el papel de la vegetación en la formación de los microclimas urbanos mediante el coeficiente de correlación negativo entre la temperatura de la superficie (Ts) y los índices de vegetación (NDVI) y (EVI), así como un coeficiente de correlación positivo entre la temperatura de la superficie (Ts) y el Índice de Áreas Construidas por Diferencia Normalizada (NDBI), lo que demuestra la influencia de la urbanización en el aumento de la temperatura. contexto Brasil resultados temperaturas Ts (Ts NDVI (NDVI EVI, EVI , (EVI) NDBI, NDBI (NDBI) (EVI (NDBI

RESUMO O presente estudo teve como objetivo avaliar a relação entre a contagem de folículos antrais (CFA) e a morfologia ovariana de Bos indicus em diferentes faixas etárias: 12-23 meses (G1), 24-35 meses (G2), 36-47 meses (G3), 48-59 meses (G4) e >60 meses (G5). Os ovários foram coletados individualmente e enviados ao laboratório, onde suas características morfológicas foram medidas: CFA, diâmetro e peso dos ovários, do folículo dominante (FD, ≥8 mm), do corpo lúteo (CL) e dos folículos pequenos (SF, <8 mm). A CFA foi classificada como alta, intermediária-alta, intermediária-baixa e baixa. Um grupo de ovários foi submetido à aspiração folicular para avaliar a qualidade morfológica dos complexos cumulus oócitos (COCs) recuperados. A CFA média não variou entre as idades. A característica morfológica que se correlacionou mais intimamente com a CFA foi o peso dos folículos pequenos. Não houve relação entre a CFA e o peso e o diâmetro do FD e do CL. A qualidade dos COCs foi superior em ovários em que o CL estava presente, mas não variou entre as classes de CFA. Concluiu-se que a CFA pode ser realizada em um único ovário, independentemente da presença, do diâmetro e do peso do CL e do FD em zebuínos entre 12 e 60 meses de vida.

ABSTRACT This study aimed to evaluate the relationship between the antral follicle count (AFC) and the ovarian morphology of Bos indicus in different age groups: 12-23 months (G1), 24-35 months (G2), 36-47 months (G3), 48-59 months (G4), and >60 months (G5). Ovaries were collected individually and sent to the laboratory, where we measured AFC, the diameter and weight of the ovaries, dominant follicle (DF, ≥8mm), corpus luteum (CL), and small follicles (SF, <8mm). AFC were classified as high, intermediate-high, intermediate-low, and low. A group of ovaries was subjected to follicular aspiration to evaluate the morphological quality of the recovered cumulus oocyte complexes (COCs). Mean AFC did not vary between ages. The morphological characteristic that was most closely correlated with AFC was the weight of the small follicles. There was no relationship between AFC and the weight and diameter of the DF and CL. Quality of the COCs was superior in ovaries in which the CL was present, but it did not vary between the AFC classes. We conclude that AFC can be performed on a single ovary, regardless of the presence, diameter, and weight of the CL and DF in zebu between 12 and 60 months old.

RESUMO O objetivo deste estudo foi desenvolver e avaliar os modelos linear, quadrático e alométrico para predizer o peso vivo (PV), usando-se a fórmula do volume corporal (VC) em novilhas mestiças criadas no sudeste do México. O PV (426,25±117,49kg) e o VC (338,05±95,38dm3) foram medidos em 360 novilhas, com idade entre três e 30 meses. Regressões lineares e não lineares foram utilizadas para construir os modelos de predição. A adequação dos modelos foi avaliada utilizando-se o critério de informação de Akaike (AIC), o critério de informação bayesiano (BIC), o coeficiente de determinação (R2), o quadrado médio do erro (QME) e a raiz do QME (RQME). Além disso, os modelos desenvolvidos foram avaliados por meio de validação cruzada (k-folds). A capacidade dos modelos ajustados em prever os valores observados foi avaliada com base no RQME, no R2 e no erro médio absoluto (EMA). O modelo quadrático apresentou os menores valores de AIC (2688,39) e de BIC (2700,05). Por outro lado, o modelo linear apresentou os menores valores de QME (7954,74) e de RQME (89,19); esse modelo apresentou os maiores valores de AIC (2709,70) e de BIC (2717,51). Apesar disso, todos os modelos apresentaram o mesmo valor para o R2 (0,87). A avaliação de ajuste por validação cruzada (k-folds) mostrou que o modelo quadrático teve melhores valores de RQME (41,49), R2 (0,85) e EMA (31,95). Recomenda-se o modelo quadrático para predição do peso vivo de novilhas de corte mestiças utilizando-se o volume corporal como preditor.

ABSTRACT The objective of this study was to develop and evaluate linear, quadratic, and allometric models to predict live weight (LW) using the body volume formula (BV) in crossbred heifers raised in southeastern Mexico. The LW (426.25±117.49kg) and BV (338.05±95.38 dm3) were measured in 360 heifers aged between 3 and 30 months. Linear and non-linear regression were used to construct prediction models. The goodness-of-fit of the models was evaluated using the Akaike Information Criterion (AIC), Bayesian Information Criterion (BIC), coefficient of determination (R2), mean squared error (MSE), and root MSE (RMSE). In addition, the developed models were evaluated through cross-validation (k-folds). The ability of the fitted models to predict the observed values was evaluated based on the RMSEP, R2, and mean absolute error (MAE). The quadratic model had the lowest values of AIC (2688.39) and BIC (2700.05). On the other hand, the linear model showed the lowest values of MSE (7954.74) and RMSE (89.19), and the highest values of AIC (2709.70) and BIC (2717.51). Despite this, all models presented the same R2 value (0.87). The cross-validation (k-folds) evaluation of fit showed that the quadratic model had better values of MSEP (41.49), R2 (0.85), and MAE (31.95). We recommend the quadratic model to predictive of the crossbred beef heifers' live weight using the body volume as the predictor.

RESUMO Rhipicephalus (Boophilus) microplus (Canestrini) é um dos parasitas que mais impactam a pecuária de países tropicais e subtropicais, incluindo o Brasil, com perdas em torno de US$ 3,24 bilhões por ano. Ocorrências de populações resistentes a diferentes classes de acaricidas e suas associações têm sido amplamente diagnosticadas em todo o Brasil. Para isso, bioensaios utilizando o teste de pacote larval (LPT) impregnado com cipermetrina e diazinon em diferentes concentrações foram realizados para caracterizar a resistência fenotípica (nível de resistência, RL), a resistência molecular (mutação no domínio III - S6 T2134A) e o metabolismo enzimático do diazinon e da cipermetrina em algumas populações de R. (Boophilus) microplus coletadas em diferentes regiões do estado de São Paulo. Dentre as 40 propriedades analisadas, 18 delas apresentaram fatores de resistência à cipermetrina, sendo RL I (53%) e RL II (47%). A mutação do domínio III T2134A foi encontrada pela primeira vez no Brasil, em sete fazendas. Larvas heterozigotas foram constatadas em seis delas, e larvas homozigotas resistentes em quatro. Nenhuma diferença (P>0,05) na atividade enzimática de α-esterase e β-esterase foi observada em testes com larvas vivas e mortas em uma concentração de cipermetrina de 409,6μg/cm2. Noventa por cento das propriedades apresentaram resistência ao agente ativo diazinon: RL I em 6%, RL II em 30% e RL III em 64%. Houve diferenças significativas (P<0,05) na atividade enzimática na concentração mais elevada (3,2μg/cm2) entre os grupos de larvas vivas e mortas.

ABSTRACT Rhipicephalus (Boophilus) microplus is one of the parasites that has an impact on livestock farming in Brazil. Bioassays using the larval packet test (LPT) impregnated with cypermethrin and diazinon at different concentrations were performed to characterize phenotypic resistance (resistance level, RL), molecular resistance (mutation in domain III - S6 T2134A) and enzymatic metabolism of diazinon and cypermethrin in some populations of R. microplus that were collected in different regions of the state of São Paulo. Among the 40 farms analyzed, 18 of them presented resistance factors for cypermethrin, with RL I (53%) and RL II (47%). Mutation of domain III T2134A was found for the first time in Brazil, on seven farms. Heterozygous larvae were found on six of them and resistant homozygous larvae on four. No differences (p>0.05) in enzymatic activity of α-esterase and β-esterase were found in tests with live and dead larvae at a cypermethrin concentration of 409.6μg/cm2. Ninety percent of the farms showed resistance to the active agent diazinon: RL I in 6%, RL II in 30% and RL III in 64%. There were significant differences (p<0.05) in enzymatic activity at the highest concentration (3.2μg/cm2).

OBJECTIVES: The intrathecal route has not yet been thoroughly standardized and evaluated in an experimental model of spinal cord injury (SCI) in Wistar rats. The objective of this study was to standardize and evaluate the effect of intradural injection in this animal model. METHOD: The animals were divided into 6 groups: 1) laminectomy and intradural catheter; 2) laminectomy, intradural catheter and infusion; 3) only SCI; 4) SCI and intradural catheter; 5) SCI, intradural catheter and infusion; and 6) control (laminectomy only). Motor evaluations were performed using the Basso, Beattie and Bresnahan (BBB) scale and the horizontal ladder test; motor evoked potentials were measured for functional evaluation, and histological evaluation was performed as well. All experimental data underwent statistical analysis. RESULTS: Regarding motor evoked potentials, the groups with experimental SCI had worse results than those without, but neither dural puncture nor the injection of intrathecal solution aggravated the effects of isolated SCI. Regarding histology, adverse tissue effects were observed in animals with SCI. On average, the BBB scores had the same statistical behaviour as the horizontal ladder results, and at every evaluated timepoint, the groups without SCI presented scored significantly better than those with SCI (p<0.05). The difference in performance on motor tests between rats with and without experimental SCI persisted from the first to the last test. CONCLUSIONS: The present work standardizes the model of intradural injection in experimental SCI in rats. Intrathecal puncture and injection did not independently cause significant functional or histological changes.

RESUMO O presente estudo avaliou o efeito da suplementação com OmniGen-AF® na proliferação de linfócitos e títulos de anticorpos após vacinação em bovinos leiteiros. Amostras de sangue periférico foram coletadas de 32 vacas leiteiras para quantificação dos títulos de anticorpos anti-Leptospira, e amostras de sangue periférico de 16 vacas leiteiras foram também coletadas para avaliação da proliferação de linfócitos. Observou-se que a suplementação com OmniGen-AF® aumentou a proliferação basal de linfócitos (sem estímulos) 21 dias após a vacinação (P=0,03), apesar de reduzir a proliferação de linfócitos B quando estimulada com Leptospira borgpetersenii serovar Hardjo inativada pelo calor (P=0,03). Ademais, nenhum efeito da suplementação sobre a proliferação de linfócitos no momento imediatamente anterior à vacinação e nos títulos de anticorpos anti-Leptospira foi encontrado. Além disso, a proliferação de linfócitos estimulada com lipopolissacarídeos foi maior em vacas multíparas que em primíparas 21 dias após a vacinação (P=0,03). Desse modo, o presente estudo demonstra que a suplementação com OmniGen-AF® não afetou de forma robusta a proliferação de linfócitos e os títulos de anticorpos anti-Leptospira após vacinação em vacas leiteiras sadias.

RESUMO O objetivo deste estudo foi avaliar o efeito da ω-conotoxina MVIIC e das células-tronco mesenquimais (CTM) de forma isolada e sua associação nos ratos submetidos ao trauma medular agudo (TMA). Trinta Rattus novergicus, linhagem Wistar, três meses de idade, foram distribuídos igualmente em cinco grupos experimentais: controle negativo (CN), controle positivo (CP), ω-conotoxina MVIIC (MVIIC), células-tronco mesenquimais da medula óssea (CTM-MO) e associação (MVIIC + CTM-MO). O grupo CN foi submetido à laminectomia sem trauma medular, e os grupos CP, MVIIC, CTM-MO e MVIIC + CTM-MO foram submetidos ao trauma medular contusivo. O grupo CP recebeu, uma hora após o TMA, 10μL de PBS estéril, e os grupos MVIIC e MVIIC + CTM-MO receberam 10μL de PBS contendo 20pmol da ω-conotoxina MVIIC, todos por via intratecal. Os grupos CTM-MO e MVIIC + CTM-MO receberam, 24 horas após, 1x106 de CTM via intravenosa. Avaliou-se a recuperação da função locomotora até o sétimo dia pós-trauma. Os animais tratados com MVIIC + CTM-MO obtiveram recuperação motora após o trauma medular agudo (P<0,05). Conclui-se que essa associação apresentou efeito neuroprotetor com melhora na função locomotora em ratos Wistar.

ABSTRACT The objective of this study was to evaluate the effect of isolated ω-conotoxin MVIIC and mesenchymal stem cells (MSCs) and its association in rats submitted to acute spinal cord injury (SCI). Thirty Rattus norvegicus, Wistar strain, three-month-old rats were randomly distributed in five experimental groups with six animals: negative control (CN), positive control (CP), ω-conotoxin MVIIC (MVIIC), bone marrow mesenchymal stem cells (CTM-MO) and the association (MVIIC + CTM-MO). The CN group underwent laminectomy without spinal cord trauma, and groups CP, MVIIC, CTM-MO and MVIIC + CTM-MO were submitted to contusive spinal cord trauma. The CP group received 10μl of PBS one hour after SCI, and groups MVIIC and MVIIC + CTM-MO received 10μl of PBS containing 20pmol of ω-conotoxin MVIIC, both intrathecally. Groups CTM-MO and MVIIC + CTM-MO received 1x106 of MSCs intravenously 24 hours later. The recovery of locomotor function was evaluated up to seven days post-injury. The animals treated with MVIIC + CTM-MO obtained motor recovery after SCI (P<0.05). It is concluded that this association showed neuroprotective effect with improvements in locomotor function in Wistar rats.

Abstract In this study, we developed and validated a chromatographic method by High-performance Liquid Chromatography coupled to Diode-Array Ultraviolet Detector for quantification of acetaminophen in small volumes of plasma. This analytical method is particularly suitable for studies of gastric emptying time and pharmacokinetics in small rodents. Orally administered acetaminophen is promptly and completely absorbed in the intestines, with negligible absorption from the stomach. Owing to these kinetic features, acetaminophen can be used to study gastric emptying. The newly-validated analytical method was employed to investigate whether plants used as anti-dyspeptics in the Brazilian traditional medicine affect the gastric emptying. Lyophilized aqueous extracts from leaves of Baccharis trimera (Less) DC., Asteraceae (carqueja), Maytenus ilicifolia Mart. Ex Reissek, Celastraceae (espinheira-santa) and Lippia alba (Mill.) N.E.Br. ex Britton & P. Wilson, Verbenaceae (erva-cidreira) were administered by gavage to female Wistar rats 30 min before a single oral dose of acetaminophen (50 mg/kg). L. alba extract (50 mg/kg) did not alter acetaminophen plasma concentration versus time curve an indication that it has no effect on gastric emptying. Extracts of B. trimera (50 mg/kg) and M. ilicifolia (30 and 50 mg/kg, but not 10 mg/kg), however, slightly delayed gastric emptying. M. ilicifolia given by intraperitoneal route (30 mg/kg) also retarded gastric emptying. In conclusion, the newly-validated analytical method is adequate for studying the effects of medicinal plants on gastric emptying.

RESUMO O objetivo deste trabalho foi avaliar a produção de forragem e o potencial de utilização do capim faixa-branca submetido a frequências de desfolhação. Os tratamentos foram constituídos de quatro frequências de desfolhação: muito alta (25cm), alta (35cm), média (45cm) e baixa (55cm), avaliados em duas épocas do ano (maior e menor insolação), entre 2015 e 2016. Utilizou-se o delineamento em blocos ao acaso, com quatro repetições e medidas repetidas no tempo. A produção diária de folhas foi menor na frequência muito alta em relação às outras frequências. A redução das frequências de desfolhação aumentou a produção diária de colmo, senescência diária de folhas, produção total diária e acúmulo líquido diário de forragem e diminuiu o potencial de utilização da forragem. No período de maior insolação, a produção diária de colmos, o acúmulo líquido diário de forragem e o potencial de utilização de forragem foram maiores e a senescência diária de folhas foi menor. A frequência de desfolhação muito alta não proporcionou um bom desenvolvimento da planta, enquanto a frequência baixa apresentou elevada produção de colmos. As frequências de desfolhação alta e média são mais indicadas para a desfolhação do capim faixa-branca, promovendo uma melhor proporção de folhas em relação a colmos.

ABSTRACT The objective of this study was to evaluate the production of forage and the potential of utilization of digit grass subjected to four defoliation frequencies: very high (25cm), high (35cm), medium (45cm), and low (55cm), evaluated at two times of the year (higher and lower insolation), from January 2015 to January 2016. A randomized-block design with four replicates was adopted and measures repeated over time. The daily production of leaves was lower at the very high frequency in relation to the other frequencies. The reduction in defoliation frequency increased the daily production of stems, the daily leaf senescence, the total daily forage production, and the daily forage accumulation, and decreased the potential of forage utilization. At the time of higher insolation, the daily production of stems, the daily forage accumulation, the potential of utilization of forage were higher, and the daily leaf senescence was lower. The very high frequency of defoliation did not provide a good development of the plan, while the lower frequency displayed a high production of stems. The high and medium frequencies of defoliation are more indicated to the defoliation of digit grass, enabling a better proportion of leaves in relation to stems.

RESUMO O objetivo do presente trabalho foi avaliar a vitalidade e a função pulmonar de cordeiros prematuros. Vinte e sete cordeiros foram divididos em quatro grupos: grupo I (n= 6), cordeiros prematuros/controle; grupo II (n= 9), cordeiros prematuros nascidos de mães tratadas com dexametasona antes do parto; grupo III (n= 6), cordeiros prematuros tratados com surfactante; e grupo IV (n= 6), cordeiros prematuros tratados com surfactante e nascidos de mães tratadas com dexametasona antes do parto. O escore APGAR foi realizado após o nascimento (T0) e 15 minutos depois (T1/4). Os parâmetros vitais, hemogasometria, espirometria e capnometria foram avaliados após o nascimento até 48 horas. As radiografias torácicas foram realizadas em T0, T24 e T48. Interações significativas de temperatura retal ocorreram em T1 e T6, dependendo do tipo de tratamento utilizado. Todos os animais apresentaram valores de pH baixos, que foram associados com altos valores de pCO2 e valores de HCO3 que aumentaram ao longo do tempo. Os maiores valores de volume corrente foram observados em T1/4, T1 e T24, quando os animais não foram tratados com surfactante. A capnometria mostrou interações significativas entre tratamentos em T0. Os animais prematuros apresentaram pouca vitalidade e deficiência da função pulmonar.

ABSTRACT The aim of this study was to assess the vitality and lung function of preterm lambs. Twenty seven preterm lambs were divided in four groups. Group I (n=6) preterm lambs/ control; group II (n=9) lambs born to mothers that were treated with dexamethasone antepartum; group III (n=6) lambs treated with surfactant; and group IV (n=6) lambs treated with surfactant and born to mothers that were treated with dexamethasone antepartum. The APGAR score was performed after birth (T0) and 15 minutes later (T1/4) to assess vitality. The vital signs, blood gas analysis, spirometry and capnometry were assessed immediately after birth and continued until 48 hours. Chest radiographs were performed at T0, T24 and T48. Significant rectal temperature interactions occurred at T1 and T6 depending on the type of treatment used. All animals showed low pH values, which were associated with high pCO2 values and HCO3 -values that increased over time from immediately after birth to two days of age. Higher tidal volume values were observed at T1/4, T1 and T24 when the animals were not treated with surfactant. Capnometry showed significant interactions between treatments at T0. Premature animals showed low vitality and impaired pulmonary function.

Abstract Averrhoa bilimbi L. and A. carambola L., Oxalidaceae, are the only two species of the genus Averrhoa L. Their leaves are widely used in folk medicine as an adjuvant in the treatment of diabetes. Some species may contain, for example, calcium oxalate crystals, which may lead to risk in its use when there is predisposition of individuals with reduced renal activity. Therefore, there are still few studies on the content of oxalic acid present in them, highlighting the importance of this investigation. The objective of this work was to conduct a comparative anatomical and histochemical study between the species and determining its content of oxalic acid. Semipermanent histological slides were prepared, following common plant anatomy procedures, for analysis of the leaflets in optical microscopy, polarization and scanning electron microscopy coupled with energy-dispersive X-ray spectrometry. To determine the total, soluble and insoluble oxalate content was used titration with potassium permanganate. The anatomical characterization allowed identifying the characters useful in the differentiation of the species. The histochemistry revealed the location of the metabolites. Chemical microanalyses demonstrated that the crystals are of calcium oxalate. A. carambola presented the highest levels of total oxalate and soluble oxalate. The study assists in the identification and quality control of A. bilimbi and A. carambola and brings new data on its oxalic acid content, which are important, in view of the medicinal use of the species.

ABSTRACT Introduction: Spinal cord stimulation systems can use percutaneous electrodes or percutaneous (PP) paddles, unlike surgical paddles that require a surgical approach for implantation by laminotomy or laminectomy. To date, there are no reports in the world literature regarding percutaneous withdrawal of dysfunctional (PP). Materials and methods: It is a case report, descriptive and retrospective. Who required implantation of implanted medullary neurostimulator (NEMI) with (PP) for refractory chronic neuropathic pain, who attended with dysfunction and later candidate for replacement of the (PP) with percutaneous technique. Performed in service of Pain Clinic of the National Medical Center "November 20" in September 2016. Results: A 54-year-old female with a diagnosis of Schwannoma of the left L2 root who presented dysfunction of the (PP) of the (NEMI) during an automobile accident. A percutaneous approach is performed in a fluoroscopy room using the Epiducer TM of ST. Jude Medical as a "bridge" for the removal of the dysfunctional (PP) and replacement of the new (PP) without conducting a laminotomy or laminectomy approach. Conclusions: The percutaneous approach to replacement of (PP) is an effective minimally invasive technique, with a lower probability of complications and without the need for laminectomy or laminotomy.

RESUMEN Introducción: Los sistemas de estimulación medular espinal pueden utilizar electrodos percutáneos (EP) o paletas percutáneas, a diferencia de los electrodos quirúrgicos que se requiere un abordaje quirúrgico para su implantación mediante laminotomía o laminectomía. Hasta la fecha no existen reportes en la literatura mundial acerca del retiro percutáneo de EP disfuncional. Materiales y métodos: Es un reporte de caso, descriptivo y retrospectivo, que ha requerido de colocación de Neuroestimulador Medular Implantable (NEMI) con EP por dolor neuropático crónico refractario, que cursó con disfunción y posteriormente candidato para recambio del EP con técnica percutánea. Realizado en el servicio de Clínica del Dolor del Centro Médico Nacional "20 de Noviembre" en el mes de septiembre de 2016. Resultados: Paciente de sexo femenino de 54 años con diagnóstico de schwannoma de raíz L2 izquierda, que presentó disfunción del EP del NEMI durante accidente automovilístico. Se realizó abordaje percutáneo en sala de fluoroscopia mediante el uso del EpiducerTM de ST. Jude Medical como "puente" para el retiro del EP disfuncional y recolocación del nuevo EP sin realizar abordaje por laminotomía o laminectomía. Conclusiones: El abordaje percutáneo para recambio de EP es una técnica efectiva mínimamente invasiva, con menor probabilidad de complicaciones y sin necesidad de realizar laminectomía o laminotomía.

The aims of this study were 1) to characterize the intensity of the vibration stimulation in women diagnosed with fibromyalgia (FM) compared to a control group of healthy women (HW) matched by age and anthropometric parameters, and 2) to investigate the effect of a single session of whole body vibration (WBV) on inflammatory responses. Levels of adipokines, soluble tumor necrosis factor receptors (sTNFr1, sTNFr2), and brain-derived neurotrophic factor (BDNF) were determined by enzyme-linked immunosorbent assay. Oxygen consumption (VO2) was estimated by a portable gas analysis system, heart rate (HR) was measured using a HR monitor, and perceived exertion (RPE) was evaluated using the Borg scale of perceived exertion. Acutely mild WBV increased VO2 and HR similarly in both groups. There was an interaction (disease vs vibration) in RPE (P=0.0078), showing a higher RPE in FM compared to HW at rest, which further increased in FM after acute WBV, whereas it remained unchanged in HW. In addition, there was an interaction (disease vs vibration) in plasma levels of adiponectin (P=0.0001), sTNFR1 (P=0.000001), sTNFR2 (P=0.0052), leptin (P=0.0007), resistin (P=0.0166), and BDNF (P=0.0179). In conclusion, a single acute session of mild and short WBV can improve the inflammatory status in patients with FM, reaching values close to those of matched HW at their basal status. The neuroendocrine mechanism seems to be an exercise-induced modulation towards greater adaptation to stress response in these patients.