Abstract The identification of families at-risk for hereditary cancer is extremely important due to the prevention potential in those families. However, the number of Brazilian genetic services providing oncogenetic care is extremely low for the continental dimension of the country and its population. Therefore, at-risk patients do not receive appropriate assistance. This report describes the creation, structure and management of a cancer genetics service in a reference center for cancer prevention and treatment, the Barretos Cancer Hospital (BCH). The Oncogenetics Department (OD) of BCH offers, free of charge, to all patients/relatives with clinical criteria, the possibility to perform i) genetic counseling, ii) preventive examinations and iii) genetic testing with the best quality standards. The OD has a multidisciplinary team and is integrated with all specialties. The genetic counseling process consists (mostly) of two visits. In 2014, 614 individuals (371 families) were seen by the OD. To date, over 800 families were referred by the OD for genetic testing. The support provided by the Oncogenetics team is crucial to identify at-risk individuals and to develop preventive and personalized behaviors for each situation, not only to the upper-middle class population, but also to the people whose only possibility is the public health system.

O monitoramento de pesticidas em amostras ambientais em baixas concentrações é necessário devido aos riscos que estes compostos representam a saúde humana e ao meio ambiente. Neste trabalho, o método microextração em gota única (SDME) foi otimizado e validado para a determinação das concentrações traço de oito pesticidas em água utilizando cromatografia gasosa com detector por captura de elétrons (GC/ECD). A cinética de transferência de matéria da fase aquosa para a fase orgânica durante o processo de extração também foi avaliada. O método mostrou recuperações entre 89,5 e 122,7%, com coeficientes de variação menores que 22,9%, e os limites de detecção entre 5,9 e 58,9 ng L-1. O método foi aplicado a amostras fortificadas em diferentes níveis de concentração, e recuperações entre 50,5 e 148% foram obtidas. O processo de extração pode ser descrito pelo modelo de difusão de Noyes-Whitney, e a parationa metílica apresentou a maior taxa de transferência entre as duas fases.

The monitoring of pesticides in environmental samples at low concentrations is needed due to the risks that these compounds can pose to human health and the environment. In this work, a single drop microextraction (SDME) method was optimized and validated for the determination of trace concentrations of eight pesticides in water, using gas chromatography with electron capture detector (GC/ECD). The kinetics of the transfer of material from the aqueous phase to the organic phase during the extraction process was also evaluated. The method showed recoveries between 89.5 and 122.7%, with coefficients of variation smaller than 22.9%, and detection limits between 5.9 and 58.9 ng L-1. The method was applied to spiked samples at different concentration levels, and recoveries between 50.5 and 148% were obtained. The extraction process could be described by the Noyes-Whitney diffusion model, and methyl parathion showed the highest rate of transfer between the two phases.

As mucopolissacaridoses (MPS) constituem um grupo de erros inatos do metabolismo lisossomal dos glicosaminoglicanos (GAG) bastante heterogêneo. A importância das MPS levou-nos a relatar as características de 19 casos. MÉTODO: Realizamos uma avaliação clínica, radiológica e bioquímica, incluindo estudos enzimáticos, que nos permitiram estabelecer o diagnóstico definitivo em 19 casos. RESULTADOS: Nem todos os pacientes apresentaram níveis elevados de GAG na urina, devendo os ensaios enzimáticos serem realizados em todos os pacientes com forte suspeita clínica. O diagnóstico foi estabelecido em média aos 48 meses de idade e os casos, após amplo estudo clínico, radiológico e bioquímico, foram classificados como: Hurler -- MPS I (1 caso); Hunter -- MPS II (2 casos); Sanfilippo -- MPS III (2 casos); Morquio -- MPS IV (4 casos); Maroteaux-Lamy -- MPS VI (9 casos); e Sly -- MPS VI (1 caso). DISCUSSÃO: A proporção relativamente alta de MPS VI (Maroteaux-Lamy) contrasta com a maioria dos dados da literatura e pode expressar uma variabilidade populacional.

The mucopolysaccharidoses (MPS) are a heterogeneous group of inborn errors of lysosomal glycosaminoglycan (GAG) metabolism. The importance of this group of disorders among the inborn errors of metabolism led us to report 19 cases. METHOD: We performed clinical, radiological, and biochemical evaluations of the suspected patients, which allowed us to establish a definite diagnosis in 19 cases. RESULTS: Not all patients showed increased GAG levels in urine; enzyme assays should be performed in all cases with strong clinical suspicion. The diagnosis was made on average at the age of 48 months, and the 19 MPS cases, after a full clinical, radiological, and biochemical study, were classified as follows: Hurler -- MPS I (1 case); Hunter -- MPS II (2 cases); Sanfilippo -- MPS III (2 cases); Morquio -- MPS IV (4 cases); Maroteaux-Lamy -- MPS VI (9 cases); and Sly -- MPS VII (1 case). DISCUSSION: The high relative frequency of Maroteaux-Lamy disease contrasts with most reports in the literature and could express a population variability.