ABSTRACT Introduction: Kaposi sarcoma is a multifocal malignant neoplasm of endothelial cells which presents with characteristic lesions on the skin, mouth and lymph glands. Objective: Describe a case of Kaposi sarcoma with characteristics that hindered HIV infection diagnosis. Case presentation: A case is presented of a male 30-year-old patient recently diagnosed with acquired immunodeficiency syndrome, and not following any treatment. The patient was referred to the maxillofacial surgery service for right cervical adenopathy biopsy. Physical examination revealed generalized edema in both lower limbs, with hyperpigmented lesions of macular and papular appearance and various shades of color. A purplish pigmented lesion was detected in the hard palate mucosa. The lesion covered the palatal midline and extended toward the left hemiarch. Exeresis of the adenopathy was performed for diagnostic purposes, confirming the diagnosis of Kaposi sarcoma. Conclusions: Lack of familiarity with the clinical characteristics of Kaposi sarcoma, and not performing a biopsy of the skin lesions and a complete examination of the oral cavity, made the neoplasm go unnoticed to routine medical tests, leading to low suspicion of HIV/AIDS infection and delaying timely treatment. In advanced immunosuppression, Kaposi sarcoma related to acquired immunodeficiency syndrome tends to be more aggressive.

RESUMEN Introducción: El sarcoma de Kaposi es una neoplasia maligna multifocal de células endoteliales, que se presenta con lesiones características en la piel, boca y ganglios linfáticos. Objetivo: Describir un caso de sarcoma de Kaposi que, por sus características, entorpeció el diagnóstico de infección por VIH. Presentación del caso: Paciente masculino, de 30 años, diagnosticado recientemente con síndrome de inmunodeficiencia adquirida, sin tratamiento. Fue referido a la consulta de cirugía maxilofacial para biopsia de adenopatía cervical derecha. Durante el examen físico se observó edema generalizado en ambos miembros inferiores, con lesiones hiperpigmentadas de aspecto macular y papular de varias tonalidades. En la mucosa del paladar duro se apreció una lesión pigmentada violácea, que abarcaba la línea media palatina y se extendía hacia la hemiarcada izquierda. Se realizó la exégesis de la adenopatía con fines diagnósticos, con lo cual se confirmó sarcoma de Kaposi. Conclusiones: La falta de familiaridad con las características clínicas, así como la falta de una biopsia de las lesiones cutánea y un examen completo de la cavidad oral, ocasionaron que esta neoplasia pasara desapercibida en los exámenes médicos de rutina en el caso presentado, lo que condujo a un bajo índice de sospecha de la infección por VIH/sida y retrasó el tratamiento oportuno. Cuando la inmunosupresión está avanzada, el sarcoma de Kaposi relacionado al síndrome de inmunodeficiencia adquirida tiende a ser más agresivo.

RESUMO Objetivos: As características físico-químicas e o baixo custo da água de coco foram fundamentais para o este estudo. Analisar o uso de solução a base de água de coco como meio de conservação de córneas humanas em banco de olhos. Métodos: Estudo experimental e controlado realizado no Banco de Olhos do Hospital Geral de Fortaleza. Utilizou-se solução à base de água de coco preparada no laboratório de Tecnologia de Sêmen de Caprinos do Departamento de Medicina Veterinária da Universidade Estadual do Ceará. Foram usadas córneas de descartes divididas em dois grupos: G1 (Conservante com água de coco) - grupo experimental e G2 (grupo Conservante com OPTISOL GS®) grupo controle, em experimentos sequenciais. A osmolaridade do G1 foi analisada sequencialmente com 275, 300, 325, 345, 365 e 400 mOsm/L. A viabilidade das córneas foram realizadas por microscopia especular e biomicroscopia nos 1º, 3º e 7º dias. Resultados: As córneas em solução de 365 e 345 mOsm/L apresentavam transparência nos 8mm centrais até o 3º dia, com edema em toda periferia, dobras centrais e edema 2+, com perda parcial do epitélio até 7º dia, sendo o de maior osmolaridade com melhor transparência durante o seguimento. Grupo com 275, 300 e 400 mOsm/L, córnea opaca, edema difuso, perda total do epitélio no 3º dia. As córneas em Optisol mantiveram seus aspectos. Conclusões: O conservante à base de água de coco manteve em parte a transparência corneana e a integridade epitelial, especialmente nos primeiros 3 dias de seguimento. A solução conservante com água de coco nas formulações utilizadas não se mostrou eficaz para o uso em banco de olhos humanos.

ABSTRACT Purpose: The aim of this study was to evaluate the physical and chemical characteristics of coconut water and to analyze the use of coconut water solution for the conservation of human corneas. Methods: This was an experimental and controlled study performed at the Eye Bank of the General Hospital of Fortaleza. The coconut water-based solution was prepared at the Goat Seed Technology Laboratory of the Department of Veterinary Medicine of the State University of Ceará. Discarded corneas from the Eye Bank were divided into two groups for sequential experiments: G1, coconut water-based solution (experimental group), and G2, conservative treatment with OPTISOL GS® (control group). The osmolality of corneas in G1 was analyzed sequentially at 275, 300, 325, 345, 365, and 400 mOsm/L. The viability of the corneas was determined by specular microscopy and biomicroscopy on the first, third, and seventh days. Results: Corneas preserved in a solution of 365 and 345 mOsm/L had a transparency of 8 mm until the third day and had diffuse edema in the periphery, central folds, and partial epithelium loss until the seventh day. The 365-mOsm/L solution was associated with the worst results during follow-up. Corneas placed in Optisol-GS retained their original aspects. Conclusions: Coconut water-based preservative partially maintained corneal transparency and epithelial integrity, especially during the first three days of follow-up. The coconut water-based solutions used were not effective for use as preservatives in a human eye bank.

ABSTRACT: The hereditary autosomal recessive disorders bovine citrullinemia (BC), bovine leukocyte adhesion deficiency (BLAD), factor XI deficiency (FXID), and complex vertebral malformation (CVM) have affected dairy cattle breeding significantly around the world. This study examined the carrier frequency of BC, BLAD, FXID, and CVM autosomal recessive disorders in Bos taurus Holstein cows bred in the Altos Norte region of the state of Jalisco, Mexico. We extracted DNA from 408 random samples of peripheral blood, and then used polymerase chain reaction (PCR) to identify insertion mutations for FXID, and PCR with restriction fragment length polymorphism (PCR-RFLP) for CVM, BC and BLAD. We visualized the PCR products using agarose gel electrophoresis stained with GelRed®. We found that 100% of wild-type (N/N) allele homozygous animals for genes CD18, ASS, and FXI were free of the mutations for BLAD, BC and FXID respectively. For gene SLC35A3 we estimated total carrier frequency of 10.3% and allele frequency of 5%.

Resumen Contexto: Entre las fuentes de biodiésel, el aceite de fritura usado es un potencial combustible alternativo para reducir las emisiones de efecto invernadero de los motores diésel sin modificaciones tecnológicas considerables. Método: Los experimentos se realizaron en condiciones estables, en un motor diésel de un cilindro de cuatro tiempos, mediante tres mezclas de combustible diésel puro con biodiésel obtenido de aceite de fritura usado (B10, B20 y B30) y combustible diésel comercial B5. El motor funcionó a velocidades variables entre 1000 - 1600 r.p.m., a plena carga y cargas variables del motor correspondientes a la potencia efectiva a 1600 r.p.m. Resultados: Los resultados experimentales muestran que el índice de opacidad de B10, B20 y B30 a 1600 r.p.m., con velocidad nominal 1600 r.p.m. del motor a carga constante fue menor comparado con el combustible comercial B5 en 0,3 %, 24 % y 46 %, respectivamente. Sin embargo, al incrementar la carga del motor a velocidad constante de 1600 rpm, el índice de opacidad alcanzó su máximo valor para B20 comparado con los otros combustibles utilizados. Conclusiones: Es viable el uso de biodiésel de aceite de fritura usado en mezclas con diésel puro y comercial para disminuir las emisiones tóxicas, como el material particulado (hollín) de los motores diésel en el medio ambiente. Por tanto, la reutilización de dicho aceite disminuye significativamente los problemas medioambientales.

Abstract Context: Among the sources of biodiesel, waste cooking oil is a potential alternative fuel to reduce the emission of greenhouse gases from diesel engines without considerable technological changes. Method: In this study, the experiments were performed under stable conditions on a single-cylinder four-stroke diesel engine using three different blends of pure diesel fuel with biodiesel made from waste cooking oil (B10, B20 and B30) and commercial diesel fuel B5. The engine ran at variable speed between 1000 - 1600 rpm, at full load and variable engine loads corresponding to the effective power at 1600 rpm. Results: The experimental results show that smoke opacity of B10, B20, and B30 is lower compared to the commercial B5 at 0.3%, 24% and 46% respectively, when evaluated at nominal speed 1600 rpm and at full load. However, by increasing the engine load at a constant speed of 1600 rpm, smoke opacity reached its maximum value with B20 compared to other fuels used. Conclusions: It is feasible to use biodiesel made with waste cooking oil in blends with pure and commercial diesel to reduce the effects of toxic emissions such as particulate matter (soot) of diesel engines on the environment. Therefore, recycling waste cooking oil significantly reduces environmental problems.

Abstract Complex vertebral malformation (CVM) is an autosomal recessive genetic syndrome present in Holstein cattle. The disease results in direct economic losses for cattle ranchers due to abortions and deaths of newborn calves. The purpose of the study was to estimate the allelic and genotypic frequencies of CVM syndrome in three Holstein cow herds in western Mexico and determine whether an improving effect between CVM genotype and milk production exists. A total of 308 cows were genotyped using the polymerase chain reaction-restriction fragment length polymorphism (PCR/RFLP) assays. The cow’s genotypes and first- and second-lactation total milk yield adjusted to 305 days were compared using a mixed statistical model, and the genotypic frequencies were calculated. The total recessive allele frequency of the CVM was 0.06. Milk production by lactation did not differ between CVM carriers and normal cows. It is concluded that not a direct relationship was found between milk production and CVM carrier status in the Mexican herds sampled.

Resumen El complejo de malformación vertebral (CVM) es un síndrome genético autosómico recesivo presente en el ganado Holstein. La enfermedad causa pérdidas económicas directas para los ganaderos debido a los abortos y la muerte de becerros neonatos. El propósito del estudio fue estimar las frecuencias génicas y genotípicas del síndrome CVM en tres hatos de vacas Holstein en el occidente de México y determinar si existe un efecto mejorante entre el genotipo CVM y la producción de leche. Se genotiparon 308 vacas usando la técnica de reacción en cadena de la polimerasa con polimorfismos de longitud de fragmento de restricción (PCR/RFLP, por sus siglas en inglés). Se compararon los genotipos de las vacas y los promedios de producción de leche de primera y segunda lactancia ajustados a 305 días utilizando un modelo estadístico mixto, y se calcularon frecuencias génicas y genotípicas. La frecuencia total del alelo recesivo de CVM fue de 0.06. La producción de leche por lactancia no difirió entre los portadores CVM y las vacas normales. Se concluyó que no hay una relación directa entre la producción de leche y el genotipo de portador de CVM en los hatos mexicanos muestreados.

ABSTRACT Background: Risk adjustment systems based on diagnosis stratify the population according to the observed morbidity. The aim of this study was to analyze the total health expenditure in a health area, relating to age, gender and morbidity observed in the population. Methods: Observational cross-sectional study of population and area of health care costs in the Health District of Denia-Marina Salud (Alicante) in 2013. Population (N=156,811) were stratified by Clinical Risk Groups into 9 states of health, state 1 being healthy, and state 9 the highest disease burden. Each inhabitant was charged with the hospital costs, primary care and outpatient pharmacy to obtain the total costs. Health status and severity by age and gender, as well as the costs of each group were analysed. The statistical tests, student t and χ2 were applied to verify the existence of significant differences between and intra groups. Results: The average cost per inhabitant was 983 euros which increased from 240 euros to 42,881 at the state 9 and severity level 6. Patients of health states 5 and 6 caused the largest expenditure by concentration of the population, but health states 8 and 9 had the highest average expenditure, with 80% of hospitalised cost. Conclusions: A different composition of health expenditure per individual morbidity was corroborated, with an exponential growth in hospital spending.

RESUMEN Fundamentos: Los sistemas de ajuste de riesgo basados en diagnóstico estratifican la población según la morbilidad observada. El objetivo de este trabajo fue analizar el gasto sanitario total en un área de salud en función de la edad, el sexo y la morbilidad observada en la población. Métodos: Estudio observacional de corte transversal y de ámbito poblacional de los costes de atención sanitaria en el Departamento de salud Dénia-Marina Salud (Alicante) durante el año 2013. Se estratificó a la población (N=156.811) según Grupos de Riesgo Clínico en 9 estados de salud, siendo sano el estado 1 y el 9 el de mayor carga de morbilidad. A cada habitante se le imputaron los costes hospitalarios, de atención primaria y de farmacia ambulatoria para obtener los costes totales. Se analizaron los estados de salud y gravedad por edad y sexo así como los costes de cada grupo. Se aplicaron las pruebas estadísticas t de student y χ2 para verificar la existencia de diferencias significativas entre e intra grupos. Resultados: El coste medio por habitante fue de 983 euros oscilando desde 240 hasta 42.881 en el estado 9 y nivel de gravedad 6. Los pacientes de los estados de salud 5 y 6 realizaron el mayor gasto, pero los estados de salud 8 y 9 tuvieron el mayor gasto medio, siendo el 80% hospitalario. Conclusiones: Se corrobora una diferente composición del gasto sanitario por morbilidad individual, con un crecimiento exponencial del gasto hospitalario.

O filo Myxozoa Grassé, 1970, consiste em um grupo heterogêneo de cerca de 50 gêneros que são disseminados em todo o mundo em uma grande variedade de meios aquáticos. No presente estudo, quarenta e três espécimes de Pimelodus ornatus foram coletados a partir de uma área adjacente à cidade de Cachoeira do Arari, na Ilha do Marajó, no Estado do Pará, em 2013. À análise macroscópica verificou-se a presença de plasmódios esbranquiçados, localizados no músculo cardíaco e também na região entre o bulbus arteriosus e o atrium cordis. A análise microscópica dos tecidos parasitados revelou esporos que eram tipicamente piriformes, com a porção anterior um pouco mais estreita do que a extremidade posterior, sendo suas válvulas simétricas. A prevalência do parasitismo observada foi de 13,9% (6/43). Esta nota de pesquisa relata a primeira ocorrência de Myxobolus como um parasita do coração no peixe teleósteo P. ornatus, na Região Amazônica e, confirma a ocorrência de miocardite secundária causada por esse parasitismo. A raridade da ocorrência de Myxobolus sp. neste tecido, associado a outras características morfológicas dos esporos no peixe, sugere que é uma espécie não descrita.

The phylum Myxozoa Grassé, 1970, consists of a heterogenous group of around 50 genera that are worldwide disseminated in a wide variety of aquatic media. In the present study, 43 specimens of Pimelodus ornatus were collected from an adjacent area to the Cachoeira do Arari municipality on Marajó Island, in the Brazilian state of Pará, in 2013. Macroscopic analysis showed the presence of whitened plasmodia located in the cardiac muscle and also in the region between the bulbus arteriosus and atrium cordis. Microscopic analysis on the parasitized tissues revealed spores that were typically piriform, with the anterior portion slightly narrower than the posterior end. The spore valves were symmetrical. The present species is placed in the genus Myxobolus Butschli, 1882, because of the presence of a pair of equal polar capsules in each spore. The prevalence of parasitism observed was 13.9% (6/43). This research note reports the first occurrence of Myxobolus as a parasite of the heart in the teleostean fish P. ornatus in the Amazon region and confirms the occurrence of secondary myocarditis in this fish, caused by parasitism by Myxobolus sp. The rarity of this parasitic species of Myxobolus at this tissue site, associated with other spore morphology characteristics in the fish, suggests that it is an undescribed species.

FUNDAMENTO: O diabetes mellitus é uma doença crônica muito comum e ultimamente tem apresentado um considerável aumento da prevalência e incidência. Os diabéticos apresentam uma grande mortalidade cardiovascular na qual as arritmias ventriculares malignas parecem estar implicadas. OBJETIVO: Este trabalho propõe o estudo dos efeitos do diabetes nos parâmetros da repolarização ventricular responsáveis pelo aumento da suscetibilidade a arritmias ventriculares malignas e/ou morte súbita. MÉTODOS: Foi selecionado um grupo de 110 diabéticos e outro de 110 controles com a mesma distribuição de idade, sexo e raça. Avaliaram-se os parâmetros da repolarização ventricular QTmáx, QTméd, QTmín, QTc máx, QTc méd, QTc mín, dispersão de QT e de QTc, intervalo Tpeak-Tend e jTpeak-jTend (D II, V2 e V5), dispersão de Tpeak-Tend e de jTpeak-jTend. A aquisição do eletrocardiograma (ECG) foi efetuada pelo mesmo operador e a avaliação pelos mesmos observadores. Os intervalos QT foram corrigidos segundo a fórmula de Bazzet. RESULTADOS: Foram encontrados em diabéticos valores significativamente superiores aos controles de QTc máx (p < 0,001), QTc méd (p < 0,001), dispersão de QT (p < 0,001), dispersão de QTc (p < 0,001), dispersão de Tpeak-Tend (p < 0,001) e dispersão de jTpeak-jTend (p < 0,001). Em diabéticos verificaram-se valores prolongados do intervalo QTc (5,5%), dispersão de QT (0,9%), dispersão de QTc (0%), intervalo Tpeak-Tend (7,3%), intervalo jTpeak-jTend (6,4%), dispersão de Tpeak-Tend (16,4%) e dispersão de jTpeak-jTend (12,7%). Nos controles não se verificaram valores prolongados de nenhum parâmetro. CONCLUSÃO: Concluímos que o diabetes causa prolongação e dispersão espacial da repolarização, podendo contribuir para maior instabilidade elétrica ventricular da qual as arritmias ventriculares malignas poderão ser a expressão clínica expectável.

BACKGROUND: Diabetes mellitus is a chronic and very common condition, and there has been lately a considerable increase in its prevalence and incidence. Diabetic patients have increased cardiovascular mortality, in which malignant ventricular arrhythmias seem to be implicated. OBJECTIVE: To study the effects of diabetes on ventricular repolarization parameters responsible for an increased susceptibility to malignant ventricular arrhythmias and/or sudden death. METHODS: We selected a group of 110 diabetic patients and a group of 110 controls with the same distribution of age, gender and race. We evaluated the following parameters of ventricular repolarization: QTmax, QTmean, QTmin, QTc max, QTc mean, QTc min, QT and QTc dispersions, Tpeak-Tend and jTpeak-jTend intervals (D II, V2 and V5), Tpeak-Tend and jTpeak-jTend dispersions. The electrocardiograms (ECG) were performed by the same operator and reviewed by the same observers. QT intervals were corrected according to Bazzet's formula. RESULTS: We found significantly higher values of QTc max (p < 0.001), QTc mean (p < 0.001), QT dispersion (p < 0.001), QTc dispersion (p < 0.001), Tpeak-Tend dispersion ( p < 0.001), and jTpeak-jTend dispersion (p < 0.001) in diabetic patients than in controls. In diabetic patients, we observed prolonged values of QTc interval (5.5%), QT dispersion (0.9%), QTc dispersion (0%), Tpeak-Tend interval (7.3%), jTpeak-jTend interval (6.4%), Tpeak-Tend dispersion (16.4%), and jTpeak-jTend dispersion (12.7%). In the controls there were no prolonged values of any of the parameters. CONCLUSION: We concluded that diabetes causes prolongation and spatial dispersion of repolarization, and it may contribute to a greater ventricular electrical instability, whose expected clinical expression may be malignant ventricular arrhythmias.

To determine the geographic distribution of ocelot in the state of San Luis Potosí, Mexico, we obtained new records. The study was conducted from January 2007 to April 2009. We recorded 41 ocelot records by interviews and camera-trapping. Ocelots records were located in tropical deciduous forest (37%), semitropical thornscrub (22%), oak forest (15%), tropical forest (10%), tall tropical deciduous forest, desert scrub, pine-oak forest and clouded forest (10%). Ocelot records were located in the municipalities of Ciudad del Maíz, El Naranjo, Cerritos, Guadalcazar, San Nicolás Tolentino and Ciudad Valles where the elevation ranged from 38 to 2 400 m. The evidence of this research suggests that ocelot range is more extended to the west than its original geographical range. This study defined new regions with presence of ocelots that may be considered to develop conservation strategies for ocelots in San Luis Potosí.

Para definir la distribución geográfica del ocelote en el estado de San Luis Potosí, México, se obtuvieron nuevos registros de la especie. El estudio se realizó de enero de 2007 a abril de 2009. Se obtuvieron 41 registros de ocelotes por medio de entrevistas y trampeo-fotográfico. Los registros se localizaron en comunidades vegetales de selva baja caducifolia (37%), matorral submontano (22%), bosque de encino (15%), selva mediana (10%), selva alta perennifolia, bosque mesófilo de montaña, bosque de pino-encino y matorral desértico micrófilo (10%). La presencia de ocelotes se ubicó en los municipios de Ciudad del Maíz, El Naranjo, Cerritos, Guadalcázar, San Nicolás Tolentino y Ciudad Valles en de elevaciones de 38 a 2 400 m snm. Los resultados de esta investigación sugieren una distribución del ocelote más hacia el oeste del estado respecto a su distribución original. El presente estudio definió nuevas regiones con presencia de ocelotes que pueden ser consideradas en el desarrollo de estrategias de conservación de la especie en el estado de San Luis Potosí.

O objetivo deste trabalho foi avaliar os estoques de C e N do solo e os teores destes elementos na fração leve livre (FLL) da matéria orgânica (MOS) de um Neossolo Quartzarênico, sob diferentes usos agrícolas, no Cerrado. Foram selecionadas cinco áreas para avaliação: cerrado nativo; duas áreas com plantio convencional de soja; uma área ocupada anteriormente com pastagem e convertida em plantio direto de soja; e uma área com pastagem de baixa produtividade. Amostras de solo foram coletadas das camadas de 0-5, 5-10, 10-20 e 20-30 cm de profundidade, para determinação dos estoques de carbono (C) e nitrogênio (N) totais do solo. Os teores destes elementos na FLL foram determinados nas profundidades 0-5 e 5-10 cm. Em comparação à área sob cerrado, foi observado aumento nos estoques de C total do solo nas áreas de soja com até cinco anos de implantação. Houve redução das quantidades de FLL e dos teores de C à profundidade 0-5 cm, nas áreas com plantio de soja e pastagem. Considerando-se o baixo aporte natural de C e N no Neossolo Quartzarênico avaliado, é necessária a adoção de sistemas agrícolas que promovam aporte adequado de resíduos para a manutenção ou incremento da matéria orgânica do solo.

The objective of this work was to evaluate C and N stocks in the soil and their contents in the free light fraction (FLL) of the soil organic matter (MOS), in a Typic Quartzipsamment under different land-use in Cerrado. Five areas were selected for evaluation: native cerrado; two areas with soybean under conventional tillage; one area formerly under pasture and afterwards cultivated with soybean under no-tillage; and one area under pasture with low productivity. Soil samples were collected from 0-5, 5-10, 10-20 and 20-30-cm depth layers to determine total C and N stocks of the soil. Contents of C and N in the FLL were determined at 0-5 and 5-10-cm depth. An increase was observed in the total C stocks in soybean areas implemented until five years, in comparison to the native cerrado area. There was a reduction in the amount of FLL and C content at 0-5 cm depth, in areas with soybean and pasture. Considering the low C and N natural input onto the Typic Quartzipsamment, the adoption of agricultural systems that can promote an adequate supply of residues is necessary for maintaining or increasing the soil organic matter.

En este artículo relacionamos el fenómeno del envejecimiento de la población con el uso de las nuevas tecnologías como indicador clave del progreso del mundo actual. Se aportan argumentos acerca de la necesidad de planificar las políticas dirigidas a las personas mayores contando con las tecnologías de información y la comunicación, así como con las tecnologías de ayuda para potenciar la integración sociofamiliar, la autonomía personal y la calidad de vida. Esto supone de hecho un paso más, y muy importante, con relación a las actuales políticas económicas, sanitarias o asistenciales.

In this article we relate the phenomenon of population aging to the use of new technologies as an important indicator of the progress of the current world, contributing arguments about the need to plan the policies directed to the major persons considering the technologies of information and the communication and the technologies of help to promote the family and social integration, the personal autonomy and the quality of life, that supposes in fact one more step, and very importantly, on the current economic, sanitary or welfare policies.