ABSTRACT Two hundred and forty Japanese quail aged 125 days were randomly allocated to five treatment groups based on laying (%) and quail’s weight (90.71 ± 1.8% egg/day × 100 and 178.05 ± 9.38 g, respectively), each of which included six replicates of eight quails. The diets were formulated based on corn, soybean meal, and industrial amino acids. An optimal diet achieves 100% of amino acids required by the quail requirements, except for threonine. Five treatments were made: 20% less amino acid; 10% less amino acid; optimal diet; 10% more amino acid; and 20% more amino acids than those in the optimal diet. The increase in amino acid levels in a fixed Lys: amino acid ratio led to histological alterations in the liver and uterine epithelium, reduction in blood lipid peroxidation, lower hepatic HSP70 gene expression, and the performance of laying Japanese quail. The optimal diet based on the NRC with an adjusted Thr: Lys 78 ratio (Lys 1.0%) improved the performance and efficiency of Japanese quail from 125 to 230 days of age.

ABSTRACT Emulsifiers and exogenous lipases are feed additives used to increase lipid utilization in broiler diets. A meta-analysis was carried out to quantify the effects of the supplementation of emulsifiers and exogenous lipases on broiler weight gain (BWG, g/broiler/d) and feed conversion ratio (FCR, g/g) during the whole production cycle. Studies were obtained from the PubMed, Scielo, Science Direct, Scopus, and Web of Science databases. A total of 2669 studies were identified, 25 of which composed the database for the meta-analysis, representing data from a total of 14,643 broilers. These results demonstrate that there is evidence in the literature supporting that supplementation with emulsifiers or lipases improves broiler weight gain and feed conversion during the whole production cycle. However, the effect of the additives is influenced by bird sex, lipid source and concentration, type of additive and concentration, energy level of the feed, and bird strains. The isolated use of emulsifiers increases weight gain by 1.62g/day and reduces feed conversion by 0.04. However, there is no evidence that exogenous lipase use alone improves weight gain or feed conversion in broilers during the whole production cycle. The latter result may be due to the small number of studies with the additive in question, rather than its possible effects on weight gain and feed conversion. Therefore, further investigation should be conducted on this topic, especially studies on females fed diets supplemented with lipases.

Resumo Objetivo Analisar a relação da presença e da gravidade da lesão do manguito rotador (MR) com a obesidade e o tempo de exposição à obesidade. De forma secundária, avaliar a relação e a prevalência de fatores demográficos e metabólicos em indivíduos obesos com lesão do MR. Métodos Trata-se de um estudo transversal, com 235 pacientes obesos (índice de massa corporal [IMC] 30 kg/m2). Dados demográficos (idade e gênero), metabólicos (hipertensão, diabetes mellitus, perfil lipídico, e tempo de exposição à obesidade), exame físico (peso, estatura, circunferência abdominal, e testes clínicos), e exame ultrassonográfico musculoesquelético foram utilizados para a análise dos resultados. Resultados Não foi evidenciada associação da lesão do MR com IMC (p ¼ 0,82), tempo de exposição à obesidade (p ¼ 0,29), ou circunferência abdominal (p ¼ 0,52). No subgrupo com lesão, a idade (p < 0,001), a presença de diabetes melito (p ¼ 0,013), a hipertensão (p < 0,001), o nível de lipoproteína de alta densidade (high-density lipoprotein, HDL, em inglês) (p ¼ 0,026), e o tempo de exposição à obesidade (p < 0,001) foram significativamente maiores em comparação ao subgrupo sem lesão do MR. Na busca por demais parâmetros associados de forma independente para lesão do MR, foram observadas associações com idade (p ¼ 0,0003) e hipertensão (p ¼0,004). Conclusão Não evidenciamos associação da obesidade e do tempo de exposição a ela coma ocorrência e a gravidadeda lesãodo MR. Porém, indivíduos comlesão apresentaram maior tempo de exposição à obesidade e prevalência de disfunções metabólicas do que indivíduos sem lesão. Além disso, nossos achados sugerem uma associação entre hipertensão arterial sistêmica (HAS) e idade avançada com a lesão do MR.

Abstract Objective To analyze the relationship between the presence and severity of rotator cuff (RC) injury with obesity and the time of exposure to obesity. Secondarily, to evaluate the relationship and prevalence of demographic and metabolic factors in obese individuals with RC injury. Methods This is a cross-sectional study with 235 obese patients (body mass index [BMI] 30 kg/m2). Demographic data (age and gender), metabolic data (hypertension, diabetes mellitus, lipid profile, and time of exposure to obesity), physical examination (weight, height, waist circumference, and clinical tests), and musculoskeletal ultrasound examination were used to analyze the results. Results There was no evidence of an association between RC injury and BMI (p ¼ 0.82), time of exposure to obesity (p ¼ 0.29), or abdominal circumference (p ¼ 0.52). In the subgroup with injury, age (p < 0.001), presence of diabetes mellitus (p ¼ 0.013), hypertension (p < 0.001), level of high-density lipoprotein (HDL) (p ¼ 0.026), and time of exposure to obesity (p < 0.001) were significantly greater compared to the subgroup without injury. In the search for other parameters independently associated with RC injury, associations were observed with age (p ¼ 0.0003) and hypertension (p ¼ 0.004). Conclusion We did not evidence an association between obesity and the time of exposure to it with the occurrence and severity of RC injury. However, individuals with injury had a longer time of exposure to obesity and prevalence of metabolic disorders than individuals without RC injury. In addition, our findings suggest an association between systemic arterial hypertension (SAH) and advanced age with RC injury.

Resumo Fundamento A regurgitação mitral (RM) é prevalente em pacientes submetidos a implante transcateter de válvula aórtica (TAVI). Há algumas controvérsias sobre o impacto prognóstico da RM na sobrevida de pacientes submetidos a TAVI. Objetivo Examinar a relação entre TAVI e RM em uma população de pacientes do Registro Brasileiro de TAVI. Métodos Setecentos e noventa e cinco pacientes do Registro Brasileiro de TAVI foram divididos na linha de base, alta e acompanhamento de acordo com o grau da RM da maneira seguinte: ausente/leve (RMAL) ou moderado/grave (RMMG). Eles foram subsequentemente reagrupados de acordo com as mudanças imediatas e tardias na gravidade da RM após TAVI da maneira seguinte: RM sem mudança, melhora ou piora. Foram analisados os preditores e o impacto prognóstico na linha de base, bem como as mudanças na gravidade da RM. A significância estatística foi estabelecida em p < 0,05. Resultados RMMG basal estava presente em 19,3% dos pacientes e foi um preditor de aumento da mortalidade tardia. Imediatamente após o TAVI, 47,4% dos casos melhoraram para RMAL, previsto por uma pontuação mais alta da Society of Thoracic Surgeons e um grau mais alto de regurgitação aórtica basal. No acompanhamento, 9,2% dos casos de RMAL pioraram para RMMG, enquanto 36,8% dos casos de RMMG melhoraram para RMAL. Fração de ejeção do ventrículo esquerdo (FEVE) mais baixa na linha de base e melhora na FEVE durante o acompanhamento foram preditores de melhora da RM. Piora progressiva da RM no acompanhamento foi um preditor independente de maior mortalidade tardia após TAVI (p = 0,005). Conclusões A RMMG na linha de base é um preditor de mortalidade tardia após TAVI. FEVE mais baixa e melhora na FEVE durante o acompanhamento são preditores de melhora da RM após TAVI. A pior progressiva da gravidade da RM durante o acompanhamento é um preditor independente de mortalidade tardia; isto é um achado raro na literatura.

Abstract Background Mitral regurgitation (MR) is prevalent in patients undergoing transcatheter aortic valve implantation (TAVI). There are some controversies about the prognostic impact of MR in survival of TAVI patients. Objective To examine the relationship between TAVI and MR in a patient population from the Brazilian TAVI Registry. Methods Seven hundred and ninety-five patients from the Brazilian TAVI Registry were divided at baseline, discharge, and follow-up according to their MR grade as follows: absent/mild (AMMR) or moderate/severe (MSMR). They were subsequently regrouped according to their immediate and late changes in MR severity after TAVI as follows: no change, improved, or worsened MR. Predictors and prognostic impact on baseline as well as changes in MR severity were analyzed. Statistical significance was set at p < 0.05. Results Baseline MSMR was present in 19.3% of patients and was a predictor of increased late mortality. Immediately after TAVI, 47.4 % of cases improved to AMMR, predicted by a higher Society of Thoracic Surgeons score and a higher grade of baseline aortic regurgitation. Upon follow-up, 9.2% of cases of AMMR worsened to MSMR, whereas 36.8% of cases of MSMR improved to AMMR. Lower baseline left ventricular ejection fraction (LVEF) and improvement in LVEF at follow-up were predictors of MR improvement. Progressive worsening of MR upon follow-up was an independent predictor of higher late mortality after TAVI (p = 0.005). Conclusions Baseline MSMR predicts late mortality after TAVI. Lower LVEF and improved LVEF at follow-up predict MR improvement after TAVI. Progressive worsening of MR severity at follow-up is an independent predictor of late mortality, which is a rare finding in the literature.

In this work, multivariate optimization techniques were applied to develop an acid digestion procedure in digester block using “cold finger” as reflux system to determine minerals in almond pulp samples by inductively coupled plasma optical emission spectrometry. Two-level full factorial design and Box-Behnken design were applied to evaluate and optimize the factors involved in the acid digestion process. In both experimental designs, Function D and Function MR multiple responses were used to establish the method condition for all analytes and with greater digestion efficiency. Two apple and spinach leaves certified reference materials were analyzed to confirm the proposed method accuracy. The digestion efficiency was evaluated by residual carbon content which showed 1.32-1.77% range. The concentration values found for each element in almond pulp collected in Salvador, Bahia, Brazil in mg 100 g-1; were: 3.08 (Ca), 0.209 (Cu), 0.407 (Fe), 356 (K), 21.5 (Mg), 0.096 (Mn), 34.4 (P) and 0.289 (Zn). The developed method was simple and efficient for almond pulp mineral composition evaluation. This unconventional fruit has nutritional relevance with future application for new food recipes and pharmaceutical products formulation.

ABSTRACT Three experiments were conducted to estimate the optimal digestible threonine to lysine ratios (Thr:Lys) of meat-type quails during the pre-starter (1 to 7 days), starter (8 to 14 days) and grower I (15 to 21 days) phases. In each experiment, 600 birds were distributed according to a completely randomized experimental design into five treatments, consisting of five dietary Thr:Lys ratios (0.66, 0.71, 0.76, 0.81 and 0.86%), with eight replicates of 15 quails each. Performance parameters and intestinal morphology were evaluated. During the pre-starter phase, feed intake, threonine intake, weight gain, and ileal villus height linearly increased (p<0.01) as dietary digestible Thr:Lys increased. During the starter phase, increasing digestible Thr:Lys ratios had a linear effect (p<0.01) on threonine intake and livability, and linear and quadratic effects (p<0.01) on feed intake. During the grower I phase, increasing digestible Thr:Lys ratios promoted linear increase in threonine intake and feed conversion ratio (p<0.05), and a linear decrease in weight gain. The estimated digestible Thr:Lys ratios recommended for meat-type quails are 0.85, 0.73 and 0.66%, for the pre-starter, starter and grower I phases, respectively.

Resumo: Introdução: A residência multiprofissional (RM) é uma modalidade de pós-graduação que agrega graduados de diversas áreas da saúde. Trata-se de uma modalidade de aprendizado em serviço. O objetivo deste estudo foi investigar os condicionantes motivacionais para a escolha do programa de RM de uma universidade situada no Vale de Itajaí, em Santa Catarina, por seus candidatos. Método: Para a realização desta pesquisa, adotou-se uma abordagem mista, quantitativa e qualitativa, em que se aplicaram questionários aos alunos da graduação do ensino superior e realizaram-se entrevistas com residentes do segundo ano. O número de participantes da pesquisa foi estipulado considerando o número total de alunos em sala de aula e, dentre estes, aqueles que tinham interesse em ingressar na RM. Participaram da amostra 123 alunos, dos quais 81 não tinham interesse em realizar a RM e 42 gostariam de participar do programa. Na análise dos dados oriundos dos questionários, utilizou-se a estatística descritiva (frequência simples e relativa). Os conteúdos da entrevista foram submetidos à análise de conteúdo. Participaram da aplicação de questionários 123 alunos dos últimos períodos dos cursos de Psicologia, Educação Física, Fisioterapia, Fonoaudiologia, Medicina, Enfermagem e Nutrição; além disso, foram entrevistados oito residentes. Resultados: Constatou-se que 62% dos participantes buscam a residência como uma forma de capacitação profissional, dois quais 21% têm interesse em atuar em saúde coletiva/SUS, e outros 19% referem ter interesse em participar da residência em função da atuação multiprofissional. Conclusões: A análise de conteúdo indica que os residentes percebem como desafios a tarefa de atuar no sistema público devido a falta de mão de obra, dos aparelhos instrumentais e saturação de demanda e relações interpessoais com os colegas de outras especialidades. Entre os fatores motivacionais para entrada dos estudantes no programa de RM, destacam-se a experiência profissional, o interesse em saúde coletiva/SUS e o comprometimento social. A presença de profissionais que são referência na saúde coletiva também emergiu como um aspecto motivador importante na escolha dos profissionais por essa área de atuação. Os resultados deste estudo reforçam o importante do papel da RM na formação profissional visando atendimento em saúde coletiva.

Abstract: Introduction: Multiprofessional residency (MR) is a postgraduate program which brings together graduates from diverse areas of health. It is a model of in-service learning. The objective of this study was to investigate the motivational factors behind the candidates’ decision to choose the MR program of a university located in the Vale of Itajaí - SC. Method: For this research a mixed, quantitative and qualitative approach was used, applying questionnaires to undergraduate students and interviews with second year residents. The entire study sample was composed of 123 undergraduate students in the final semester of the Psychology, Physical Education, Physiotherapy, Speech Language Pathology, Medicine, Nursing and Nutrition courses: 81 respondents were not interested in MR and 42 were interested in participating in the program. Data from the questionnaires were analyzed using descriptive statistics (simple and relative frequency). A further eight student residents were interviewed. The contents of the interviews were submitted to content analysis. Results: It was found that 62% of the participants seek the residency program as a form of professional training, 21% are interested in working in Collective Health/SUS (Unifed Health Service), another 19% of the participants reported an interest in participating in the residency because of multiprofessional work. Conclusion: The content analysis indicates that residents perceive the task of operating within the public health system as a challenge due to the lack of manpower, instrumental devices coupled with saturated demand and interpersonal relationships with colleagues in other specialties. As motivational factors for their entry into the multiprofessional residency program students cited the professional experience, interest in Collective Health/SUS and social commitment. The presence of professionals who are a reference in collective health also emerged as an important motivational aspect in professional choosing to move into this field. The results of this study reinforce the importance of the role of the multiprofessional residency in vocational training aimed geared toward collective health care.

RESUMO Meloidogyne enterolobii (=M. mayaguensis) é um patógeno de plantas capaz de induzir galhas e reduzir produtividade de uma vasta gama de espécies hospedeiras. Este patógeno tem sido também reportado como ameaça global para a cultura do tomateiro (Solanum lycopersicum), principalmente, por causa da sua habilidade de suplantar a resistência a algumas espécies de Meloidogyne mediada pelo gene Mi-1. Apesar da importância potencial deste nematoide, fontes de resistência a M. enterolobii ainda não estão disponíveis para fins de melhoramento. O principal objetivo do presente trabalho foi avaliar um amplo germoplasma de Solanum (seção Lycopersicum) composto por nove espécies e uma variedade botânica, objetivando identificar fontes de resistência a M. enterolobii. No primeiro ensaio, 101 acessos e a cultivar Santa Cruz, empregada como padrão de suscetibilidade, foram inoculados e avaliados sob condição controlada. As variáveis foram o índice de galhas, número de galhas e de ovos nas raízes e o fator de reprodução. Vinte acessos promissores quanto à reação de resistência a M. enterolobii, no primeiro ensaio, foram selecionados e testados no ensaio seguinte. Os acessos S. lycopersicum ‘Yoshimatsu’, S. lycopersicum ‘CNPH 1246’ e S. pimpinelifolium CGO 7650 (= CNPH 1195) foram identificados com melhor comportamento de resistência a M. enterolobii. Estes acessos foram reavaliados contra uma população distinta de M. enterolobii e também contra M. javanica e M. incognita raça 1. Sob maior pressão de inóculo, ‘Yoshimatsu’ foi resistente a M. javanica e a M. incognita raça 1, mas, suscetível a M. enterolobii. Os outros dois acessos foram suscetíveis aos três nematoides. Germoplasmas adicionais devem ser avaliados uma vez que fontes de resistência a M. enterolobii ainda não foram encontradas.

ABSTRACT Meloidogyne enterolobii (=M. mayaguensis) is an emerging plant pathogen capable of inducing root galls and yield reduction in a wide range of host species. This pathogen has also been reported as a global threat for tomato (Solanum lycopersicum) crop production mainly due to its ability to overcome the resistance meditated by the Mi-1 gene. Despite the potential importance of this nematode, sources of resistance to M. enterolobii are not yet available for breeding purposes. The main objective of the present work was to evaluate a large Solanum (section Lycopersicum) germplasm (comprising nine species and one botanic variety) aiming to identify useful sources of resistance to M. enterolobii. In the first screening assay, 101 accessions and the susceptible standard S. lycopersicum ‘Santa Cruz’ were inoculated and evaluated under controlled conditions. The phenotypic criteria used for evaluation were the number of root galls, gall index, number of eggs, and the reproduction factor. Plants of the 20 selected accessions were cultivated in 0.4 L pots filled with sterile soil. Inoculation procedures were identical to the first assay, but with higher inoculum pressure (3,300 eggs per plant). Three accessions with superior tolerance levels to M. enterolobii were identified viz. S. lycopersicum ‘Yoshimatsu’, S. lycopersicum ‘CNPH 1246’ and S. pimpinelifolium CGO 7650 (= CNPH 1195). These accessions were re-evaluated against a distinct M. enterolobii population as well as against two other root-knot nematode species (M. javanica and one M. incognita race 1). Under higher inoculum pressure, ‘Yoshimatsu’ was found to be resistant to M. javanica and M. incognita race 1, but susceptible to M. enterolobii from guava. The other two sources displayed susceptibility to all three nematodes. Additional germplasm screening is needed since no source of stable genetic resistance to M. enterolobii was found so far.

RESUMO A residência médica (RM) é um curso de pós-graduação cujo ensino se baseia principalmente na prática voltada a determinada especialidade. Ao decidir se especializar, o acadêmico de Medicina precisa entender como funciona o processo de seleção, o número de vagas, as fases, a necessidade de se matricular em um curso preparatório para residência, quais as especialidades de cada serviço, seus pontos negativos e positivos, entre outros aspectos. Dessa forma, este estudo tem como objetivo identificar o conhecimento de alunos de Medicina do Centro Universitário do Estado do Pará (CESUPA) sobre a residência médica, as principais fontes de informação a respeito do assunto e as lacunas nesse conhecimento. Foi realizado um estudo observacional do tipo transversal, exploratório, de caráter descritivo e analítico, com uso de um questionário próprio, com 259 acadêmicos do curso de Medicina do CESUPA. Observou-se que 99,6% dos participantes desejam cursar residência médica, tendo a maioria se declarado com baixo e médio conhecimento sobre o tema (49% e 42%, respectivamente). Mais de 60% já realizaram algum tipo de pesquisa sobre o assunto, sendo a internet a fonte de informações mais utilizada. Foi identificado que apenas 6,6% dos participantes sabem corretamente o número de fases obrigatórias do processo seletivo e 89,6% acham necessária a realização de curso preparatório. Conclui-se que ainda existem lacunas no conhecimento dos acadêmicos de Medicina a respeito dos programas de residência médica, devendo este assunto ser mais explorado no meio acadêmico mediante intervenções que possam ampliar os horizontes dos alunos, deixando-os mais aptos e críticos no momento de decidir onde irão fazer a residência médica e como irão se preparar para ela.

ABSTRACT Medical residency (MR) is a postgraduate course in which learning is based mainly on practice focused on a particular medical specialty. Once the medical student decides to become a specialist, it is important to understand how the selection process works, the number of vacancies available, the steps they need to go through, whether they need to enroll in a preparatory course for the residency, which specialties exist in each service, and the negative and positive aspects of each one, among other inherent aspects. This study aims to identify the knowledge of MR among medical students of the Centro Universitário do Estado do Pará (CESUPA), the main sources of information available on the subject, and their gaps in this knowledge. An observational cross-sectional, exploratory, descriptive, analytical study was carried out with 259 students of the Cesupa medical school. It was observed that 99.6% of the participants hoped to enroll in a medical residency, with the majority stating that they have low and medium knowledge about the subject (49% and 42% respectively). More than 60% had already done some research on the topic, the Internet being the most used source of information. Only 6.6% of participants correctly knew the number of mandatory steps in the selection process, and 89.6% considered it necessary to take a preparatory course. It is concluded there are still gaps in medical students’ knowledge about medical residency programs, and this subject should be further explored in the academic environment, through interventions that will broaden students’ horizons, enabling them to become more apt and critical when it comes to deciding where to take the MR, and how to prepare for it.

RESUMO Introdução . O padrão de imagem ‘’Mini brain’’ foi identificado como um sinal radiológico para diagnosticar mieloma múltiplo e plasmocitomas solitários em ressonância magnética (MR). No entanto, ainda existem dados escassos sobre a frequência na qual ele pode ser observado ea real precisão diagnóstica. Objetivo: No presente estudo, apresentamos nossa série, discutimos a sensibilidade ea especificidade de’’mini-brain’’ sobre o diagnóstico de mieloma múltiplo (MM)/ plasmocitoma e revisão da literatura. Métodos. A amostra do estudo consistiu de pacientes assintomáticos e/ou sintomáticos consecutivamente diagnosticados com doença vertebral expansiva. Os pacientes foram avaliados com RM. Realizou-se revisão da literatura sobre a relação do sinal radiológico “mini-brain” e o diagnóstico de mieloma múltiplo (MM) ou plamocitoma. Resultados. Quarenta e sete pacientes foram avaliados consecutivamente. Entre os cinco pacientes diagnosticados com mieloma múltiplo, quatro apresentavam padrão MR de “mini-brain”. A sensibilidade do “mini-brain” foi de 80%. A especificidade foi de 97,6%. A acurácia foi de 95,8%. A sensibilidade ea especificidade foram de 100%, quando consideramos diagnósticos diferenciais somente com lesões neoplásicas. Conclusão. ‘’Mini brain’’ é um sinal viável e confiável para diagnosticar mieloma múltiplo/plasmocitoma, orientando os médicos para triagem e tratamento adequados. No entanto, não deve substituir a investigação patológica após biópsia vertebral. Nível de Evidência III; Estudo de caso: Estudo caso-controle.

ABSTRACT Introduction: “Mini brain” image pattern has been identified as a radiological sign for diagnosing multiple myeloma (MM) and solitary plasmacytomas in magnetic resonance imaging (MRI). However, there is still very little data on the frequency with which it can be observed, and its real diagnostic accuracy. Objetive: In this study, we present our case series, discuss sensitivity and specificity of “mini brain” in the diagnosis of multiple myeloma (MM)/plasmacytoma, and conduct a literature review. Methods: The study sample consisted of asymptomatic and/or symptomatic patients consecutively diagnosed with expansive vertebral disease. Patients were evaluated with MRI. A literature review was conducted on the relationship of the radiological sign “mini brain” and the diagnosis of multiple myeloma (MM) or plasmacytoma. Results: Forty-seven patients were evaluated consecutively. Among five patients diagnosed with multiple myeloma, four had an MRI pattern of “mini brain”. The sensitivity of “mini brain” was 80%. The specificity was 97.6%. The accuracy was 95.8%. Sensitivity and specificity were 100% when we considered differential diagnoses only with neoplastic lesions involving the spine. Conclusions: “Mini brain” is a feasible and reliable sign for the diagnosis of multiple myeloma /plasmacytoma, guiding physicians for adequate screening and treatment. Nevertheless, it should not replace pathological investigation after vertebral biopsy. Level of Evidence III; Study of case: Case-control study.

RESUMEN Introducción: Se ha identificado un patrón de imagen ‘’mini brain’’ como una señal radiológica para el diagnóstico de mieloma múltiple (MM) y plasmocitomas solitarios en resonancia magnética (RM). Sin embargo, todavía los datos sobre la frecuencia con la que se puede observar y su exactitud diagnóstica real son escasos. Objetivo: En el presente estudio, presentamos nuestra serie de casos, discutimos la sensibilidad y la especificidad del “mini brain” en el diagnóstico de mieloma múltiple/plasmocitoma y revisamos la literatura. Métodos: La muestra del estudio consistió en pacientes asintomáticos y/o sintomáticos consecutivamente diagnosticados con enfermedad vertebral expansiva. Los pacientes fueron evaluados con RM. Se realizó una revisión de la literatura sobre la relación entre la señal radiológica “mini brain” y el diagnóstico de mieloma múltiple o plasmocitoma. Resultados: Cuarenta y siete pacientes fueron evaluados consecutivamente. Entre los cinco pacientes diagnosticados con mieloma múltiple, cuatro tenían un patrón de resonancia magnética de “mini brain”. La sensibilidad del “mini brain” fue del 80%. La especificidad fue 97,6%. La precisión fue 95,8%. La sensibilidad y la especificidad fueron del 100% cuando consideramos diagnósticos diferenciales únicamente con lesiones neoplásicas que afectan a la columna vertebral. Conclusiones: El ‘’mini brain ‘’ es una señal factible y confiable para diagnosticar mieloma múltiple/plasmocitoma, que guía a los médicos para detección y tratamiento adecuados. Sin embargo, no debería reemplazar la investigación patológica después de la biopsia vertebral. Nivel de Evidencia III; Tipo de Estudio: Estudio de caso control.

RESUMO: O manejo de plantas espontâneas em pomares de macieira (Malus domestica) pode afetar a lixiviação de nitrogênio (N) do solo. O trabalho objetivou avaliar a lixiviação de formas de N em solo sob pomar de macieiras com diferentes manejos de plantas espontâneas. O experimento foi conduzido em um pomar de macieira implantado em 2008. Em outubro de 2011, foram selecionadas 80 plantas e implantados os tratamentos: sem manejo das plantas espontâneas (SM); dessecamento das plantas espontâneas na linha de plantio com uso de herbicidas (DL) e roçada mecânica das plantas espontâneas na linha de plantio (RL). Nas safras 2011/2012, 2012/2013 e 2013/2014 foi avaliada a produtividade. Em maio de 2012 foram instalados lisímetros com cápsula porosa nos tratamentos SM, DL e RL; e na solução coletada a 0,20m em dezesseis épocas foram analisados NH4 +-N e NO3 --N, e calculado o teor de N-mineral. Os maiores teores de NO3 --N e mineral-N ocorreram na solução no solo com DL, o que aumenta a disponibilidade do nutriente às macieiras, mas também potencializa as perdas. O manejo de plantas espontâneas e o fluxo de N na solução não afetaram a produtividade de maçã.

ABSTRACT: Weed management in apple orchards (Malus domestica) can affect the leaching of nitrogen (N) in soil. The study aimed to evaluate the potential leaching of N forms in soil of an apple orchard with different weed management treatments. The experiment was conducted in an apple orchard implanted in 2008. In October 2011, 80 plants were selected and the following treatments were implemented: no weed management (NM), desiccation of weeds on the tree row with herbicide use (DR) and mechanical mowing of weeds on the tree row (MR). Yield was evaluated in the 2011/2012, 2012/2013 and 2013/2014 crop seasons. In May 2012 porous cup lysimeters were installed in the NM, DR and MR treatments. In the solution collected at 0.20m, NH4 +-N and NO3 --N were analyzed sixteen times and mineral N concentration was calculated. The highest concentrations of NO3 --N and mineral N occurred in soil solution with DR, which increases availability of the nutrient to apple trees, but also enhances the potential losses. Weed management and N flow in the solution did not affect apple yield.

Abstract Studies to assess the effects of therapies on pain and masticatory muscle function are scarce. Objective To investigate the short-term effect of transcutaneous electrical nerve stimulation (TENS) by examining pain intensity, pressure pain threshold (PPT) and electromyography (EMG) activity in patients with temporomandibular disorder (TMD). Material and Methods Forty patients with myofascial TMD were enrolled in this randomized placebo-controlled trial and were divided into two groups: active (n=20) and placebo (n=20) TENS. Outcome variables assessed at baseline (T0), immediately after (T2) and 48 hours after treatment (T1) were: pain intensity with the aid of a visual analogue scale (VAS); PPT of masticatory and cervical structures; EMG activity during mandibular rest position (MR), maximal voluntary contraction (MVC) and habitual chewing (HC). Two-way ANOVA for repeated measures was applied to the data and the significance level was set at 5%. Results There was a decrease in the VAS values at T1 and T2 when compared with T0 values in the active TENS group (p<0.050). The PPT between-group differences were significant at T1 assessment of the anterior temporalis and sternocleidomastoid (SCM) and T2 for the masseter and the SCM (p<0.050). A significant EMG activity reduction of the masseter and anterior temporalis was presented in the active TENS during MR at T1 assessment when compared with T0 (p<0.050). The EMG activity of the anterior temporalis was significantly higher in the active TENS during MVC at T1 and T2 when compared with placebo (p<0.050). The EMG activity of the masseter and anterior temporalis muscle was significantly higher in the active TENS during HC at T1 when compared with placebo (p<0.050). Conclusions The short-term therapeutic effects of TENS are superior to those of the placebo, because of reported facial pain, deep pain sensitivity and masticatory muscle EMG activity improvement.

Resumo O objetivo do presente estudo foi analisar a regeneração muscular após criolesão no músculo tibial anterior de ratos jovens desnutridos e recuperados. Foram utilizados 40 ratos da linhagem Wistar, divididos em 2 grupos: ratos nutridos receberam dieta normoproteica (14% de caseína) por 90 dias; e ratos desnutridos e recuperado submetidos a duas fases nutricionais pós-desmame, correspondendo a 45 dias de desnutrição com dieta hipoproteica (6% caseína), seguida por 45 dias de dieta normoproteica (14% caseína). Ao completar a fase de recuperação, todos os animais foram submetidos à criolesão no músculo tibial anterior direito e a eutanasia ocorreu 7, 14 e 21 dias após a lesão. A quantidade de tecido conjuntivo e a área de inflamação 14 dias pós-lesão foi maior no grupo desnutrido, recuperado e lesado (MRI – malnourished, recovered and injured group) (p < 0,05). A área de secção transversa (AST) das fibras regeneradas do grupo MRI foi menor (p < 0,05). O conteúdo das proteínas MyoD e Miogenina foi maior no grupo nutridos e lesados. A citocina TGF-β1 não apresentou diferença entre os grupos. O protocolo proposto foi eficaz para demonstrar alterações no processo de regeneração do músculo tibial anterior de ratos jovens, atrasando o reparo muscular mesmo após a recuperação nutricional.

Abstract The aim of this study was to analyze muscle regeneration after cryoinjury in the tibialis anterior muscle of young rats that were malnourished and then recovered. Forty Wistar rats were divided into a nourished group that received a normal protein diet (14% casein) for 90 days and a malnourished and recovered rats group (MR) that was submitted to 45 days of malnutrition with a hypoproteic diet (6% casein) followed by 45 days of a normal protein diet (14% casein). After the recovery period, all of the animals underwent cryoinjury in the right tibialis anterior muscle and euthanasia after 7, 14 and 21 days. The amount of connective tissue and the inflammation area was higher in the malnutrition recovered injury MR group (MRI) at 14 days post-injury (p < 0.05). Additionally, the cross-sectional area (CSA) of the regenerated fibers was decreased in the MRI (p < 0.05). The MyoD and myogenin protein levels were higher in the nourished injury group. Similar levels of TGF-β1 were found between groups. The proposed malnutrition protocol was effective in showing delayed changes in the regeneration process of the tibialis anterior muscle of young rats. Furthermore, we observed a delay in muscle repair even after nutritional recovery.

ABSTRACT Glutaraldehyde (GTA) has been extensively used as a gelatin crosslinking agent, however, new natural ones have been suggested as more biocompatible. Polyphenols are possible candidates and the flavonols, such as rutin (RUT), also exhibit potential synergism with sunscreens and antioxidant agents used in cosmetics. In this work, gelatin microspheres (M0) were obtained and crosslinked with GTA 10 mM (MG) or RUT 10 mM (MR), dissolved in acetone:NaOH 0,01M (70:30 v/v). MG exhibited crosslinking extent of 54.4%. Gelatin, M0, MG and MR did not elicit any signs of skin damage, regarding the formation of erythema, the barrier function disruption and negative interference in the stratum corneum hydration. Oily dispersions containing M0, MG or MR, isolated or combined with benzophenone-3 or octyl methoxycinnamate, suggested that the microspheres, at a 5.0% w/w, had no additional chemical or physical photoprotective effect in vitro. Crosslinking with RUT had occurred, but in a lower degree than GTA. Microspheres had not improved sun protection parameters, although, non-treated gelatin interfered positively with the SPF for both UV filters. The in vivo studies demonstrated that these materials had very good skin compatibility.