Abstract Breast cancer is the most frequent and lethal neoplastic disease among women worldwide. Psidium Guajava is a promising functional food against cancer, owing to a variety of bioactive compounds. This study aimed to evaluate the anticarcinogenic potential of Pedro Sato (PS), Hitigio (HI) and Tsumori (TS) guava cultivars fruit pulp extracts in MDA-MB-435 and MCF-7 human breast cancer cells. The antioxidant capacity of the extracts and their effect on cell viability, cell cycle and apoptosis were assessed. Additionally, the concentration of carotenoids, total phenolics, ascorbic acid and other physicochemical parameters were evaluated. PS pulp extract showed the highest in vitro antioxidative activity by all tested methods, as well as the highest content of lycopene and total phenolics, while TS pulp extract presented the highest concentration of β-carotene. After 48 hours treatment, all guava cultivars’ extracts caused reduction of MDA-MB-435 and MCF-7 cells viability, with PS and HI being the most effective extracts. All guava extracts caused MDA-MB-435 and MCF-7 cell count reduction in G0/G1 and G2/M phases and increased apoptosis. The present results strongly suggest that guava pulp exerts antiproliferative effect on breast adenocarcinoma cells.

Abstract Objective: To evaluate in vitro the effect of a red propolis ethanolic extract (RPE) in the prevention of growth of a cariogenic biofilm and its cytotoxic potential. Material and Methods: Minimum inhibitory and bactericidal concentrations (MIC and MBC) of RPE against Streptococcus mutans and Lactobacillus casei were determined. The cytotoxic potential of 0.4% RPE in oral fibroblasts was observed after 1, 3 and 5 min of contact. Cellulose membrane disks (13 mm, N=12) were used for biofilm formation (24 h) of S. mutans and L. casei, which were treated (1 min) with 0.4% RPE or 0.12% Chlorhexidine (CHX). The control group of biofilm formation was not submitted to any treatment. Serial dilutions were then made to evaluate microbial viability. Descriptive data analysis and, for microbial viability, Mann Whitney test were performed (p≤0.05). Results: RPE showed similar MIC and MBC (4.46 mg/mL) against S. mutans and, for L. casei, they were 8.92 mg/mL (MIC) and 17.85 mg/mL (MBC). CHX presented MIC and MBC <0.00002 mg/mL for S. mutans and 0.00047 mg/mL for L. casei. After 1, 3 and 5 min, the RPE exhibited, respectively, 69.38%, 43.91% and 40.36% of viable cells. The RPE (6.55) and CHX (6.87) presented similar efficacy to reduce the total number of viable bacteria (p>0.05). Regarding the total number of viable bacteria (Log10 CFU/mL), the RPE (6.55) and CHX (6.87) presented similar efficacy (p>0.05). Conclusion: Red propolis extract showed antibacterial activity against the tested strains, exhibited acceptable cytotoxicity and reduced the colonization of S. mutans and L. casei in a biofilm membrane model.

RESUMO Objetivo: Avaliar a de resistência de união da interface adesiva associada a uma camada hidrofóbica extra de selamento, e comparar após três e seis meses de armazenamento em água destilada. Métodos: Foram utilizados 12 terceiros molares humanos extraídos hígidos (n=6), que foram divididos em dois grupos, sendo grupo SB - controle - autocondicionante; e grupo SBHidrof - autocondicionante associado à camada hidrofóbica (Adhesive layer, 3m ESPE). Após restauração incremental com resina composta (Opalis, FGM), os dentes foram fatiados para obtenção de espécimes (1mm2) e em seguida, submetidos à máquina de ensaio universal (INSTRON 1mm/min.) imediato e após três e seis meses. Os dados obtidos foram submetidos à normalidade (Shapiro Wilk), e análise comparativa ANOVA (dois fatores: técnica e tempo) e Tukey (p<0,05). Resultados: Nos valores imediatos não houve diferença estatisticamente significante (p>0,05), porém após três e seis meses de imersão dos espécimes, em água destilada, foi observado manutenção dos valores de resistência de união no grupo que recebeu a camada hidrofóbica (p<0,05). Conclusão: Ao incorporar uma camada hidrofóbica sobre um sistema adesivo universal, foi possível preservar a longevidade da adesão dentinária.

ABSTRACT Objective: evaluate bond strength of a universal adhesive, associated to an extra hydrophobic sealing layer, and compare after three and six months immersed in distilled water. Methods: After ethical approval of the CEP / HUUFMA, 12 human third molars (n = 6) were extracted, which were divided into two groups: SB - control group - selfetching; and SBHidrof - selfetching group associated to the hydrophobic layer (Adhesive layer, 3m ESPE). After incremental restoration with composite resin (Opalis, FGM), the teeth were sliced to obtain specimens (1mm2) and then submitted to the universal test machine (INSTRON 1mm / min.), immediate and after three and six months. The data were submitted to normality (Shapiro Wilk), and comparative Analysis of variance (two ways: technique and time) and Tukey (p <0.05). Results Immediate values showed no statistically significant difference (p> 0.05), but after three and six months of immersion of the specimens, in distilled water, bond strength values were maintained in the group that received the hydrophobic layer (p<0.05). Conclusion: It was observed that, by incorporating a hydrophobic layer on a universal adhesive system, it was possible to preserve dentin adhesion.

RESUMO Este estudo investigou as percepções sobre limites e possibilidades do uso pedagógico das tecnologias na educação superior a distancia de docentes que atuam em um curso presencial de ciências contábeis. Realizou-se uma pesquisa descritiva - qualitativa, os dados foram coletados por meio de formulário online com questões “abertas” e analisados por meio da análise de conteúdo. Constatou-se que os benefícios da EaD, na visão dos docentes são “o acesso à educação superior”; a “flexibilização do tempo e do espaço”; a “autodisciplina e a autoaprendizagem do aluno”. Como pontos críticos citaram a “falta de formação para a inclusão digital do grupo de professores e alunos e a “dificuldade para promover a interação”. Como desafio citaram a “superação da ausência da relação direta aluno/professor, o “face-a-face”, típico da sala de aula; o “uso de estratégias e recursos que promovam a troca de experiências e a interação”; o “perfil do aluno”; a ”falta de maturidade” a “autodisciplina”. Conclui-se, assim, que, as mídias digitais são vistas pelos docentes ainda como instrumentos didáticos apenas, fato que dificulta uma leitura mais critica das tecnologias e a exploração de todo o potencial que possuem, principalmente como meio de expressão e de produção cultural.

ABSTRACT This study investigated of the limits and possibilities of the pedagogical use of technologies in distance higher education according to the perceptions of professors working um a regular accounting course. Qualitative-descriptive research was done, with data collected by means of an online questionnaire with open-questions and then analyzed by means of content analysis. The following benefits of Distance Higher Education, according to the professors, were found: “the access to higher education”, “flexibility of time and physical space”, “student's self-discipline and self-learning”. As critical points, they mentioned “lack of an online educational background of professors and students” and the “difficulty promoting professor/student interaction”. As a challenge, the professors mentioned “dealing with the absence of a direct relationship professor/student”, that is, the “face-to-face situation", which is common in a classroom; the use of strategies and resources that promote the exchange of experiences and interaction”, the “student's profile”, “lack of student's maturity”, “self-discipline”. Therefore, it is concluded that digital media are also regarded by professors as mere instructional tools, which a fact that makes a more critical understanding of technologies and the use of their full potential, especially as a way of cultural expression and production.

RESUMOOs autores apresentam uma série de casos incluindo oito pacientes com ataxia cerebellar de início muito tardio (média de 75,5 anos de idade) apresentando ataxia de marcha, associada à atrofia cerebelar.Método: 26 pacientes adultos com diagnóstico de ataxia cerebelar de início tardio idiopática foram analisados ambulatorialmente e acompanhados regularmente ao longo de 20 anos. Destes, oito pacientes idosos foram diagnosticados como provável ataxia cerebelar início muito tardio. Os pacientes foram submetidos a um exame neurológico completo, avaliação cognitive e oftalmológica assim como ressonância magnética do cérebro e eletroneuromiografia tambem foram realizados.Resultados: 62,5% dos pacientes eram do sexo masculino, com idade média de 81,9 anos, com média de idade de início aos 75,5 anos. Ataxia cerebelar predominante de marcha foi observada em todos os pacientes, bem como, a atrofia cerebelar na ressonância magnética cerebral. Comprometimento cognitivo leve e perda visual, devido à degeneração macular, foram observados em 50% dos casos. Coréia foi encontrada em 3 pacientes.Conclusão: Acreditamos que esta condição é semelhante à descrita por Marie-Foix-Alajouanine apresentando disartria leve, associada a ataxia de marcha, disfunção cognitiva e coréia.

ABSTRACTThe authors present a Brazilian case series of eight patients with idiopathic very-late onset (mean 75.5 years old) cerebellar ataxia, featuring predominantly gait ataxia, associated with cerebellar atrophy.Method: 26 adult patients with a diagnosis of idiopathic late onset cerebellar ataxia were analyzed in a Brazilian ataxia outpatient clinic and followed regularly over 20 years. Among them, 8 elderly patients were diagnosed as probable very late onset cerebellar ataxia. These patients were evaluated with neurological, ophthalmologic and Mini-Mental Status examinations, brain MRI, and EMG.Results: 62.5% of patients were males, mean age was 81.9 years-old, and mean age of onset was 75.5 years. Gait cerebellar ataxia was observed in all patients, as well as, cerebellar atrophy on brain MRI. Mild cognitive impairment and visual loss, due to macular degeneration, were observed in 50% of cases. Chorea was concomitantly found in 3 patients.Conclusion: We believe that this condition is similar the one described by Marie-Foix-Alajouanine presenting with mild dysarthria, associated with gait ataxia, and some patients had cognitive dysfunction and chorea.

Apesar da importância do zinco na nutrição do cafeeiro, quase não há informações que relacionem o suprimento de zinco e a qualidade dos grãos. Este trabalho avaliou o efeito de zinco sobre a produção e a qualidade dos grãos de café. O experimento foi conduzido com Coffea arabica L. na Zona da Mata de Minas Gerais, Brasil. O delineamento utilizado foi inteiramente ao acaso, com dois tratamentos: suplementação com zinco (oito parcelas) e controle, sem zinco (quatro parcelas). Cada parcela útil constou de quatro plantas competitivas. Foram avaliados a produtividade, número de grãos defeituosos, grãos atacados por brocas, tamanho de grãos, qualidade da bebida, teor de zinco nos grãos, potássio lixiviado, condutividade elétrica, índice de coloração, acidez total titulável, pH, teores de ácidos clorogênicos e atividade antioxidante dos grãos de café. O zinco afetou positivamente a qualidade dos grãos de café, que apresentou menor percentagem de grãos de tamanhos médio e pequeno, menor incidência de broca, menor lixiviação de potássio e condutividade elétrica, maiores teores de zinco e ácidos clorogênicos e maior atividade antioxidante, em comparação com os grãos do controle.

Besides its importance in the coffee tree nutrition, there is almost no information relating zinc nutrition and bean quality. This work evaluated the effect of zinc on the coffee yield and bean quality. The experiment was conducted with Coffea arabica L. in "Zona da Mata" region, Minas Gerais, Brazil. Twelve plots were established at random with 4 competitive plants each. Treatments included plants supplemented with zinc (eight plots) and control without zinc supplementation (four plots). Plants were subjected to two treatments: zinc supplementation and control. Yield, number of defective beans, beans attacked by berry borers, bean size, cup quality, beans zinc concentration, potassium leaching, electrical conductivity, color index, total tritable acidity, pH, chlorogenic acids contents and ferric-reducing antioxidant activity of beans were evaluated. Zinc positively affected quality of coffee beans, which presented lower percentage of medium and small beans, lower berry borer incidence, lower potassium leaching and electrical conductivity, higher contents of zinc and chlorogenic acids and higher antioxidant activity in comparison with control beans.

Introduction: the chronic renal disease is considered a world health problem affecting almost 10 % of the population, it is under diagnosed and supposes an important morbidity. Objectives: determining the incidence of the infantile chronic renal disease in the province of Matanzas, describing the natural history of the disease, studying those factors that may influence in its course, and creating the bases for elaborating a standard protocol for the surveillance and treatment of these patients. Methods: we carried out a transversal, descriptive research, in the teaching Pediatric provincial Hospital of Matanzas, in the period from January 1st 2000 to December 31st 2011. To develop it, we took into consideration the clinical data of children aged 0-18 years old, who entered the hospital and were followed in consultations of Nephrology during the period and were diagnosed a renal disease with risk factors for presenting a chronic renal disease. Results: from 22 diagnosed patients, the chronic renal disease was predominant in the male sex, and 41 % of the cases were diagnosed in ages between 13 and 18 years old. The most frequent causes we found were the reflux nephropathy (40,9 %) followed by the structural anomalies (31,8 %). 47 % of the patients presented anemia, and 41,2 % arterial hypertension in the last assessment. 50 % of the diagnosed patients are under pre-dialytic treatment. Conclusions: we presented the first study on chronic renal disease, emphasizing the causal agents, the indicators of possible progressive damage, and the evolution of the chronic renal disease among the pediatric population of the province.

Introducción: la enfermedad renal crónica está reconocida como un problema mundial de salud pública que afecta aproximadamente al 10 % de la población, está infradiagnosticada y conlleva una importante morbilidad. Objetivos: determinar la incidencia de la enfermedad renal crónica infantil en la provincia de Matanzas, describir la historia natural de la enfermedad, estudiar aquellos factores que puedan influir en el curso de la misma y crear las bases para elaborar un protocolo estándar para la vigilancia y el tratamiento de estos pacientes. Métodos: se realizó una investigación descriptiva, transversal, en el Hospital Provincial Pediátrico Docente de Matanzas, en el período comprendido entre el 1 de enero de 2000 y el 31 de diciembre de 2011. Para llevar a efecto la mima se tuvo en consideración los datos clínicos de niños en edades de 0-18 años, que ingresaron en el Centro y seguidos en consulta de Nefrología en el período señalado y tuvieron como diagnóstico una nefropatía con factores de riesgo de presentar enfermedad renal crónica. Resultados: de 22 pacientes diagnosticados, la enfermedad renal crónica predominó en el sexo masculino y el 41 % se diagnosticó entre los 13-18 años de edad. La nefropatía de reflujo (40,9 %), seguida de las anomalías estructurales (31,8 %) fueron las causas más frecuentes encontradas. El 47 % de los pacientes presentan anemia y el 41,2 % hipertensión arterial en la última valoración. El 50 % de los pacientes diagnosticados se encuentran en tratamiento predialítico. Conclusiones: se presentó el primer estudio sobre enfermedad renal crónica, en el que se destaca los agentes causales, los indicadores de posible daño progresivo la evolución de la enfermedad renal crónica en la población pediátrica de la provincia.

OBJETIVOS: Avaliar a função macular por eletrorretinografia focal e angiofluoresceinografia em pacientes com degeneração macular relacionada à idade neovascular submetidos à terapia fotodinâmica com verteporfina. MÉTODOS: Estudo prospectivo incluindo 22 pacientes (12 homens) com degeneração macular relacionada à idade e lesão neovascular coroídea subfoveal predominantemente clássica, não consecutivos, tratados com terapia fotodinâmica com verteporfina padrão e acompanhados por um período de 12 meses. A acuidade visual melhor corrigida foi medida utilizando tabela ETDRS, as alterações das lesões foram avaliadas pela angiofluoresceinografia e a função dos cones foram obtidas pela eletrorretinografia focal na visita inicial e nas subsequentes a cada três meses. RESULTADOS: Todos os pacientes completaram as visitas programadas. Após uma média de 3,5 sessões por paciente, a variação da acuidade visual melhor corrigida não foi significante no decorrer do estudo. Em 50% dos pacientes a variação da acuidade visual melhor corrigida foi >1 linha. Ao final do estudo observou-se ausência de vazamento em 86% dos pacientes. A média da amplitude e latência do ERG focal na visita inicial foram de, respectivamente, 194,88 nV e 29,19 ms e as variações no decorrer do estudo não foram significantes. CONCLUSÕES: Não foram encontradas diferenças na amplitude e latência do eletrorretinografia focal após um período de 9 meses. A acuidade visual melhor corrigida não sofreu variações significativas ao longo dos 12 meses. A lesão foi significativamente reduzida ao longo do tempo e houve uma correlação negativa entre a amplitude e a acuidade visual melhor corrigida.

PURPOSE: To evaluate macular function by focal electroretinography and fluorescein angiography (FA) in patients with neovascular age-related macular degeneration submitted to verteporfin photodynamic therapy (VPT). METHODS: Prospective study involving 22 patients with age-related macular degeneration and predominantly classic subfoveal neovascular membrane, in non consecutive series, treated with VPT and followed for 12 months. They had their best corrected visual acuity measured by ETDRS chart, changes of lesion measured by fluorescein angiography and cone function assessed by focal electroretinography at baseline and each 3month follow-up. RESULTS: All 22 patients completed the scheduled follow-up. After a mean of 3.5 sessions of treatment per patient, the mean visual acuity variation was not significant at the end of study. Eleven patients showed variation >1 line. 86% of patients achieved stabilization of lesion leakage at the end of the study. Focal electroretinography showed a mean of 194.88 nV in amplitude and 29.19 ms in latency and did not present a significant variation during treatment. CONCLUSIONS: There were no significant differences in focal electroretinography amplitudes and latencies after a 9-month period. Visual acuity did not show important variations during the 12 months. The decrease of lesion size showed a significant difference at 12 months with negative correlation between the amplitude of focal electroretinography and best corrected visual acuity.

About 20% of Brazilian raw coffee production is considered inappropriate for exportation. Consequently, these beans are incorporated to good quality beans in the Brazilian market. This by-product of coffee industry is called PVA due to the presence of black (P), green (V) and sour (A) defective beans which are known to contribute considerably for cup quality decrease. Data on the volatile composition of Brazilian defective coffee beans are scarce. In this study, we evaluated the volatile composition of immature, black-immature, black defective beans and PVA compared to good quality beans. Potential defective beans markers were identified.

O schwannoma vestibular, também conhecido como neuroma ou neurinoma do acústico, é o tumor mais freqüente do ângulo pontocerebelar correspondendo a aproximadamente a 9% de todos os tumores intracranianos. APRESENTAÇÃO DO CASO: Os autores apresentam um relato de caso de surdez súbita e zumbido unilateral com melhora dos sintomas através de tratamento clínico com Prednisona e Pentoxifilina e posterior diagnóstico por exame de imagem de schwannoma vestibular. DISCUSSÃO: A surdez súbita pode ser descrita como uma perda neurossensorial abrupta e intensa. Costuma ser acima de 30 dB, em três ou mais freqüências contíguas e se desenvolve em menos de três dias. CONCLUSÃO: É de grande importância a pesquisa da etiologia nos casos de surdez súbita para a boa condução do caso e orientação terapêutica.

Vestibular schwannoma, also known as acoustic neurinoma, is the most frequent tumor of the cerebellopontine angle, and represents 9% of all intracranial tumors. CASE REPORT: The authors report a case of sudden deafness with unilateral tinnitus. The patients responded to therapy with Prednisone and Pentoxifylline after the diagnosis of acoustic neurinoma by imaging exams. DISCUSSION: Sudden deafness can be described as an intense and abrupt sensorineural loss. Usually it is higher than 30 dB at three or more frequencies and develops in less than three days. CONCLUSION: Investigation of the etiology of sudden deafness is extremely important to establish the adequate strategy for the case.

The decaffeinated coffee market has been expanding increasingly in the last years. During decaffeination, aroma precursors and bioactive compounds may be extracted. In the present study we evaluate the changes in the chemical composition of C. arabica and C. canephora produced by decaffeination using dichloromethane. A significant change in the chemical composition of both C. arabica and C. canephora species was observed, with differences between species and degrees of roasting. Major changes were observed in sucrose, protein and trigonelline contents after decaffeination. Changes in the levels of total chlorogenic acids and in their isomers distribution were also observed. Lipids and total carbohydrates were not affected as much. The sensory and biological implications of these changes need to be investigated.

Os compostos fenólicos são metabólitos secundários de plantas envolvidos na adaptação a condições de estresse ambiental. Os ácidos clorogênicos (CGA) e compostos relacionados são os principais componentes da fração fenólica dos grãos de café verde, alcançando teores de até 14 % (em peso seco). Estes compostos apresentam propriedades benéficas à saúde, não só devido à sua potente atividade antioxidante, mas também como agentes hepatoprotetores, hipoglicemiantes, e antivirais. Os principais grupos de CGA encontrados nos grãos de café verde incluem os ácidos cafeoilquínicos, dicafeoilquínicos, feruloilquínicos, p-cumaroilquínicos e ésteres mixtos dos ácidos cafeico e ferúlico com ácido quínico, com pelo menos três isômeros por grupo. Durante o processamento do café, os CGA podem ser parcialmente isomerizados, hidrolizados ou degradados a compostos de baixo peso molecular. As altas temperaturas observadas no processo de torrefação produzem também a formação de lactonas e a polimerização dos CGA com outros componentes do café para formar melanoidinas. Esta revisão aborda as características químicas, a biosíntese e a distribuição dos CGA e compostos relacionados nos grãos de café. A influência de fatores que modificam a composição dos grãos verdes, tais como genéticos, fisiológicos e ambientais, assim como o efeito do processamento sobre a composição de CGA do café são discutidos. O impacto dos CGA e compostos derivados sobre a qualidade da bebida do café é outro tópico abordado nesta revisão. Apesar da riqueza de informações na literatura relacionadas aos teores totais de fenólicos e CGA em café, mais investigações são necessárias no que diz respeito tanto à composição de isômeros específicos dos CGA, de seus derivados, e de outros compostos fenólicos minoritários presentes no café, quanto ao seu impacto sobre a qualidade da bebida.

Phenolic compounds are secondary metabolites generally involved in plant adaptation to environmental stress conditions. Chlorogenic acids (CGA) and related compounds are the main components of the phenolic fraction of green coffee beans, reaching levels up to 14 % (dry matter basis). These compounds have a number of beneficial health properties related to their potent antioxidant activity as well as hepatoprotective, hypoglycemic and antiviral activities. The main groups of CGA found in green coffee beans include caffeoylquinic acids, dicaffeoylquinic acids, feruloylquinic acids, p-coumaroylquinic acids and mixed diesters of caffeic and ferulic acids with quinic acid, each group with at least three isomers. During coffee processing, CGA may be isomerized, hydrolyzed or degraded into low molecular weight compounds. The high temperatures of roasting also produce transformation of part of CGA into quinolactones and, along with other compounds, melanoidins. This review focuses on the chemical characteristics, biosynthesis, and distribution of CGA and related compounds in coffee. The influence of genetic, physiological and environmental factors as well as processing on the chemical composition of coffee beans is discussed. The impact of CGA composition of green coffee on cup quality is also approached. Despite the existence of substantial published information on the total levels of CGA in coffee, more research is needed on the composition of minor phenolic compounds and specific CGA isomers (and related substances) in green and roasted coffee beans, as well as their impact on coffee quality.