Hepatocellular carcinoma (HCC) rupture is a rare complication, with a higher prevalence in countries of Asia and Europe. Its clinical manifestations can be nonspecific, from abdominal pain and bloating to hemodynamic involvement. We report a 70-year-old male patient with a history of chronic liver disease, presenting with an enlargement and ecchymosis of the scrotum, associated with abdominal bloating. The initial abdominal ultrasound study showed increased liquid content in the scrotal sac and regional edema. A CT of the abdomen and pelvis showed a liver mass with characteristics of hepatocellular carcinoma, associated with extensive hemoperitoneum that drained into the scrotal sac. The patient was treated with embolization of the right hepatic artery and later with surgical resection of the tumor mass, with a good clinical evolution.

Abstract Conyza species are important weeds in global agriculture, especially due to their capacity to evolve resistance to multiple herbicide mechanisms of action. We aimed to evaluate the frequency and distribution of resistance to glyphosate and chlorimuron-ethyl in Conyza spp. populations from Brazil. Seed samples were collected from grain production areas across nine Brazilian states over five consecutive years (2014 to 2018). Prior to resistance monitoring trials, dose-response assays were conducted to determine a single dose of glyphosate or chlorimuron-ethyl to discriminate resistant and susceptible populations. Resistance monitoring based on plant responses to the application of discriminatory doses of glyphosate (960 g ha-1) or chlorimuron-ethyl (20 g ha-1). Populations were classified as resistant, moderately resistant, or susceptible to either herbicide. While glyphosate resistance was highly frequent (71.2%) in all the five years, chlorimuron-ethyl resistant populations occurred at 39.8% of the total. The frequency of multiple resistance to both herbicides (35.3%) was proportional to the occurrence of chlorimuron-ethyl resistance (39.6%). Resistance to glyphosate and to chlorimuron-ethyl were found across all states evaluated.

RESUMO Objetivou-se com este estudo avaliar a alteração nos teores de metais em um Ultisol, cultivado com palma forrageira (Nopalea cochenillifera) e irrigado com diluições de água produzida de petróleo tratada. O experimento foi montado no delineamento em blocos casualizados, com cinco tratamentos (T1 - 100% de água subterrânea; T2 - 75% de água subterrânea mais 25% de água produzida; T3 - 50% de água subterrânea mais 50% de água produzida; T4 - 25% de água subterrânea mais 75% de água produzida; e T5 - 100% de água produzida), com cinco repetições. O trabalho foi conduzido em 25 vasos de 20 L dentro de casa de vegetação, em Mossoró, RN. Aos 240 dias após o plantio foram coletadas amostras do solo, nas profundidades de 0 a 0,10 m e de 0,10 a 0,20 m, para avaliação dos metais Fe, Mn, Cu, Zn, Cr, Ni, Cd e Pb. O uso de diluições da água produzida do petróleo tratada não acarretou contaminação do solo cultivado com palma forrageira em relação aos metais, sendo que no T2 houve os menores aportes de metais. Ocorreu aumento significativo de Cr e Pb no solo, indicando que a aplicação de água produzida do petróleo tratada não deve ser realizada de forma contínua em uma mesma área.

ABSTRACT The objective of this study was to evaluate changes in soil metal contents in an Ultisol cultivated with forage cactus (Nopalea cochenillifera) irrigated with diluted treated oil produced water (TOPW). The experiment was conducted in a randomized block design with five replications. The treatments consisted of 100% underground water (T1); 75% underground water plus 25% TOPW (T2); 50% underground water plus 50% TOPW (T3); 25% underground water plus 75% TOPW (T4); and 100% TOPW (T5). The plots consisted of 25 pots of 20 L in a greenhouse, in Mossoró, RN, Brazil. Soil samples from the 0-0.10 m and 0.10-0.20 m layers were collected at 240 days after planting, and Fe, Mn, Cu, Zn, Cr, Ni, Cd, and Pb contents were evaluated. The use of irrigations with diluted TOPW caused no contamination of the soils cultivated with forage cactus by the evaluated metals. T2 presented the lowest metal contents. Cr and Pb contents in the soil were significantly high, indicating that the application of TOPW should not be used continuously in the same area.

Resumo Este estudo objetivou caracterizar o perfil acadêmico dos professores líderes de grupos de estudo brasileiros que desenvolvem pesquisas na subárea de treinamento desportivo. A metodologia usada foi a pesquisa descritiva dos currículos acadêmicos encontrados no banco de dados da Plataforma Lattes, tendo em vista que os dados quantitativos foram interpretados a partir da análise qualitativa das informações. Os resultados revelam que os grupos estão vinculados principalmente a universidades da Região Sudeste, a maioria dos líderes é doutor e a prevalência da produção científica está relacionada à preparação orgânica, pedagógica, psicológica e desportiva dos atletas.

Abstract This study aimed at characterizes the leader teacher academic profile of the Brazilian's study groups that develop research in the sports training subarea. The methodology was descriptive research of academics CVs found at the Lattes Platform data base, considering that we interpreted quantitative data based on qualitative analysis information. The results show that the groups are mainly linked to universities in the southeast region, the most of the leaders have doctorate and the prevalence of the scientific production is related to the organic, pedagogical, psychological and sports preparation of the athletes.

Resumen Este estudio intentó definir el perfil académico de los profesores líderes de grupos de estudio brasileños que llevan a cabo investigaciones en la subárea del entrenamiento deportivo. La metodología usada fue la investigación cualitativa de los currículos académicos que se encuentran en la base de datos de la plataforma Lattes, teniendo en cuenta que los datos cuantitativos fueron interpretados a partir del análisis cualitativo de la información. Los resultados revelan que los grupos están vinculados principalmente con las universidades de la región sudeste, la mayoría de los líderes son doctores y el predominio de la producción científica se relaciona con la preparación orgánica, pedagógica, psicológica y deportiva de los atletas.

The main adverse effects of dopaminergic drugs used in Parkinson's disease are hypotension, somnolence, hallucinations and impulse control disorder. Less common is leg edema. We report on a 68-year-old male receiving levodopa and pramipexole consulting for severe leg edema lasting two years, whose etiology was not ascertained with multiple lab tests. This edema subsided substantially when pramipexole was discontinued and the dose of levodopa was increased to treat motor symptoms.

Resumo Eriocaulaceae compreende 10 gêneros e cerca de 1200 espécies distribuídas nos trópicos. A maioria destas espécies são ervas em roseta que portam inflorescência do tipo capítulo. Embora muitos estudos taxonômicos em Eriocaulaceae já tenham sido realizados na Cadeia do Espinhaço, principal centro de diversidade da família, pouco se conhece da diversidade fora dela. No estado do Rio de Janeiro, ainda são escassos os dados sobre riqueza, abundância e distribuição geográfica das espécies de Eriocaulaceae. O presente trabalho apresenta o tratamento florístico das Eriocaulaceae ocorrentes na região serrana, que representa a porção norte da Serra do Mar no estado do Rio de Janeiro. Foi registrada a ocorrência de oito espécies distribuídas em quatro gê neros: uma de Syngonanthus, uma de Leiothrix, uma de Tonina e cinco de Paepalanthus. São apresentadas ilustrações, descrições, chave de identificação, além de comentários sobre distribuição geográfica e variação morfológica das espécies.

Abstract Eriocaulaceae comprises 10 genera and circa of 1200 species distributed in the tropics. Most of these species are rosulate herbs bearing a capitulum. Although many taxonomic treatments of Eriocaulaceae from the Espinhaço Range, the family main diversity center, are already published, the information about the species outside of this area is still lacking. In the state of Rio de Janeiro, the data on species richness, abundance, and geographical distribution of the Eriocaulaceae species are unavailable. This manuscript is the floristic treatment of the Eriocaulaceae from the serrana region of Rio de Janeiro state. A total of eight species was recorded, those distributed in four genera: one of Syngonanthus, one of Leiothrix, one of Tonina, and five of Paepalanthus. Species illustrations, descriptions, and an identification key, as well as comments on geogra phical distribution and morphological variation are provided.

Background: Restless legs syndrome (RLS) affects 10% of the general population. Aim: To analyze a series of patients with a minimum follow-up period of four years, treated during an interval of 14 years. Material and Methods: Retrospective analysis of medical records of 200 patients assessed and followed by the authors at a private outpatient clinic. Results: Fifty patients aged 25 to 90 years (34 females), who had a mean follow-up of 6,3 years (range 4-14 years), were selected. Sixty percent responded to therapy that initially consisted in dopamine agonists in 78% of cases. Thirty four percent remained symptomatic and 4% worsened. RLS severity scale improved from an initial score of 19,2 to 12,5 at the last follow-up visit (p < 0.05). Thirty-three patients (66%) experienced an overall worsening of symptoms beyond pretreatment levels during follow-up. The strategies to overcome this augmentation were the change to another agonist, use of ligands such as pregabalin and gabapentin, opioids and iron. Low ferritin was common in most of the patients in whom it was measured (24 of 45 results), mainly in those with augmentation (p < 0,05). Six percent of patients treated with dopamine agonist developed an impulse control disorder. Conclusions: RLS is a treatable condition during a long period of follow-up in most patients. We found a high rate of potentiation at presentation which can be explained by the inadequate use of high doses of dopaminergic agents.

Among autoimmune encephalitides, a prevalent group are those associated with antibodies against the N-Methyl-D-aspartate receptor, which present with behavior abnormalities, psychosis, seizures and abnormal movements. A new variant, mediated by antibodies against the GABA-A receptor, was recently described. We report a 66-years-old female with this form of encephalitis whose main manifestation was the presence of severe seizures leading to status epilepticus. The patient had a good response to immunomodulatory therapy with intravenous methylprednisolone, azathioprine and anticonvulsants. The laboratory tests initially detected anti-thyroid peroxidase antibodies which lead to the misdiagnosis of Hashimoto Encephalitis, which was ruled out after the detection of antibodies against GABA-A receptor. No malignancy was detected.

Background: Dimensional models of psychopathology demonstrate that two correlated factors of fear and distress account for the covariation among depressive and anxiety disorders. Nevertheless, these models tend to exclude variables relevant to psychopathology, such as temperament traits. This study examined the joint structure of DSM-IV-based major depression and anxiety disorders along with trait negative affect in a representative sample of adult individuals residing in the cities of São Paulo and Rio de Janeiro, Brazil. Methods: The sample consisted of 3,728 individuals who were administered sections D (phobic, anxiety and panic disorders) and E (depressive disorders) of the Composite International Diagnostic Interview (CIDI) 2.1 and a validated version of the Positive and Negative Affect Schedule. Data were analyzed using correlational and structural equation modeling. Results: Lifetime prevalence ranged from 2.4% for panic disorder to 23.2% for major depression. Most target variables were moderately correlated. A two-factor model specifying correlated fear and distress factors was retained and confirmed for models including only diagnostic variables and diagnostic variables along with trait negative affect. Conclusions: This study provides support for characterization of internalizing psychopathology and trait negative affect in terms of correlated dimensions of distress and fear. These results have potential implications for psychiatric taxonomy and for understanding the relationship between temperament and psychopathology.

ABSTRACT. Marine protected areas of multiple uses (MPA-MU), are an important management tool to protect biodiversity and regulate the use of coastal marine resources. However, robust conservation plans require an explicit consideration of not only biological but also social components, balancing the protection of biodiversity with a sustainable exploitation of marine resources. Here we applied the decision-making algorithm MARXAN to provide a zoning analysis at the Mejillones Peninsula MPA-MU in northern Chile, one of largest MPA's of the Humboldt Current Marine Ecosystem. We set conservation goals for coarse and fine-filter conservation targets that were crossed out against different threats and pressure factors from human activities across the area. We identified a portfolio of sites for conservation, within the Mejillones Peninsula MPA-MU, representing different ecological systems with different levels of human impacts and vulnerability. These results may serve as a foundational guideline for the future administration of the MPA-MU.

Las áreas marinas protegidas de múltiples usos (AMCP-MU), son una importante herramienta de manejo para la protección de la biodiversidad y la regulación del uso de recursos marinos costeros. Sin embargo, planes robustos para la conservación, deben considerar explícitamente no sólo componentes biológicos sino además sociales, equilibrando la protección de la biodiversidad con la explotación sustentable de los recursos marinos. En este trabajo se aplica el algoritmo de toma de decisiones MARXAN, para entregar un análisis de zonificación del AMCP-MU, de la península de Mejillones, en el norte de Chile, una de las AMP más grandes del Ecosistema Marino del sistema de la Corriente de Humboldt. Se fijaron metas de conservación para objetivos de conservación de filtro grueso y fino, que fueron cruzados contra diferentes amenazas y factores de presión, generados por las actividades humanas registradas en la zona. Se identificó un portafolio de sitios prioritarios de conservación, dentro de la AMCP-MU, representativos de diferentes sistemas ecológicos, sometidos a diferentes niveles de impacto humano y vulnerabilidad. Estos resultados pueden proveer las guías fundacionales para el futuro plan de administración de la AMCP-MU de la península de Mejillones.

Objective: Positive and negative affect are the two psychobiological-dispositional dimensions reflecting proneness to positive and negative activation that influence the extent to which individuals experience life events as joyful or as distressful. The Positive and Negative Affect Schedule (PANAS) is a structured questionnaire that provides independent indexes of positive and negative affect. This study aimed to validate a Brazilian interview-version of the PANAS by means of factor and internal consistency analysis. Methods: A representative community sample of 3,728 individuals residing in the cities of São Paulo and Rio de Janeiro, Brazil, voluntarily completed the PANAS. Exploratory structural equation model analysis was based on maximum likelihood estimation and reliability was calculated via Cronbach's alpha coefficient. Results: Our results provide support for the hypothesis that the PANAS reliably measures two distinct dimensions of positive and negative affect. Conclusion: The structure and reliability of the Brazilian version of the PANAS are consistent with those of its original version. Taken together, these results attest the validity of the Brazilian adaptation of the instrument.

Estudou-se a eficácia da aplicação de Trichoderma spp. no controle do mofo-branco do feijoeiro cultivado no outono-inverno na Zona da Mata de Minas Gerais. Não houve efeito do antagonista em reduzir a severidade da doença, o que pode ser explicado pelas baixas temperaturas e pela alta pressão de inóculo no campo. Conclui-se que aplicações de Trichoderma não são recomendadas para o controle do mofo-branco do feijoeiro no outono-inverno em regiões com temperatura média abaixo de 20 °C, considerando que essa condição climática favorece mais o desenvolvimento do patógeno do que o do antagonista.

We studied the effectiveness of application of Trichoderma spp. in controlling white mold on common beans at the fall-winter crop in the Zona da Mata region of the State of Minas Gerais, Brazil. There was no effect of the antagonist in reducing the disease severity, which could be explained by the low temperatures and the high inoculum pressure in the field. We concluded that Trichoderma applications are not recommended for control of white mold on common beans at the fall-winter season in regions with average temperature bellow 20 °C, since this condition favor more the pathogen than the antagonist.

A eficácia de seis produtos comerciais à base de Trichoderma (PCT) no controle da podridão-radicular-seca do feijoeiro (PRS) foi avaliada em condições de campo. Três PCT, usados no tratamento de sementes ou aplicados no sulco de plantio, aumentaram a emergência das plântulas tanto quanto o fungicida fludioxonil. A incidência de PRS não foi afetada, mas todos os PCT e o fludioxonil reduziram a severidade em relação à testemunha. A aplicação de produtos à base de Trichoderma spp. foi tão eficaz quanto o fludioxonil no manejo da PRS.

The effectiveness of six Trichoderma-based commercial products (TCP) in controlling Fusarium root rot (FRR) in common bean was assessed under field conditions. Three TCP, used for seed treatment or applied in the furrow, increased seedling emergence as much as the fungicide fludioxonil. FRR incidence was not affected, but all TCP and fludioxonil reduced the disease severity, compared to control. Application of Trichoderma-based products was as effective as that of fludioxonil in FRR management.

OBJETIVO: Estudo comparativo da receptividade (colaboração) e sensibilidade da seriografia do esôfago, estômago e duodeno em relação à ultrassonografia do esôfago intra-abdominal em pacientes com suspeita de refluxo gastroesofágico. MATERIAIS E MÉTODOS: Foram incluídos no estudo 42 pacientes pediátricos (26 masculinos, com idade média de 33,64 ± 34,33 meses, e 16 femininos, com idade média de 31,02 ± 35,56 meses) com suspeita de refluxo gastroesofágico, os quais foram submetidos, inicialmente, a seriografia do esôfago, estômago e duodeno, e posteriormente, a ultrassonografia do esôfago intra-abdominal. RESUL-TADOS: A análise estatística comparativa entre os sexos e as idades sugere não haver evidência de associação com a colaboração, tanto para a seriografia do esôfago, estômago e duodeno como para a ultrassonografia do esôfago intra-abdominal. Entretanto, na classificação quanto ao tipo de colaboração, a técnica de seriografia do esôfago, estômago e duodeno apresentou menos de 50% de colaboração, enquanto 80,49% dos pacientes colaboraram com a ultrassonografia do esôfago intra-abdominal. Quanto à sensibilidade do diagnóstico de refluxo gastroesofágico, a técnica de ultrassonografia do esôfago intra-abdominal (85,7%) foi significativamente superior à de seriografia do esôfago, estômago e duodeno (47,6%). CONCLUSÃO: O presente estudo sugere que se proceda a ultrassonografia do esôfago intra-abdominal, mesmo na ausência de refluxo gastroesofágico na seriografia do esôfago, estômago e duodeno.

OBJECTIVE: Comparative study of receptiveness (cooperation) and sensitivity of upper gastrointestinal series and intraabdominal esophagus ultrasonography in patients with suspicion of gastroesophageal reflux. MATERIALS AND METHODS: The present study included 42 pediatric patients (26 male, with mean age of 33.64 ± 34.33 months, and 16 female, with mean age of 31.02 ± 35.56 months) with suspicion of gastroesophageal reflux, who were initially submitted to upper gastrointestinal series and subsequently to intraabdominal esophagus ultrasonography. RESULTS: The statistical comparative analysis covering sexes and ages suggests no evidence of association with cooperation, both for the upper gastrointestinal series and the intraabdominal esophagus ultrasonography. However, in the classification of the patients' cooperation, the technique of upper gastrointestinal series presented less than 50% of cooperation, while 80.49% of patients cooperated in the intraabdominal esophagus ultrasonography examinations. As regards the methods sensitivity for the diagnosis of gastroesophageal reflux, the technique of intraabdominal esophagus ultrasonography was significantly superior (85.7%) to the upper gastrointestinal series (47.6%). CONCLUSION: The present study suggests that an intraabdominal esophagus ultrasonography should be performed even if gastroesophageal reflux even if it is not detected at the upper gastrointestinal series.