Resumo Objetivou-se compreender as experiências de dupla maternidade na atenção à saúde durante o pré-natal, parto e puerpério a partir de um método qualitativo, utilizando entrevistas individuais on-line e grupo focal on-line assíncrono com mulheres cisgêneros, a maioria em relacionamentos homoafetivos. Os resultados revelaram a marginalização das vivências parentais dessas mulheres, destacando a violência institucional presente nos serviços de saúde brasileiros, sendo apresentados em dois eixos temáticos: 1) Cisheteronormatividade e seu impacto nas experiências de dupla maternidade e 2) Violência institucional nos serviços de saúde: da curiosidade à LGBTQIA+fobia. Conclui-se que a cisheteronormatividade prejudica a atenção à saúde para essas experiências, especialmente ao invisibilizar a mãe não gestante, destacando a urgência de capacitar profissionais de saúde, repensar e desafiar as normas cisgênero e heterossexuais e promover políticas inclusivas para garantir cuidados equitativos e combater a violência institucional.

Abstract The objective was to understand experiences of double motherhood during antenatal, childbirth and postpartum healthcare, using a qualitative method involving individual online interviews and asynchronous, online focus groups of cisgender women, mostly in same-sex relationships. The results revealed how these women’s experiences of parenting were marginalised, highlighting institutional violence in Brazilian healthcare services, which are presented here in two thematic dimensions: 1) Cisheteronormativity and its impact on experiences of double motherhood; and 2) Institutional violence in healthcare services: from curiosity to LGBTQIA+phobia. It was concluded that cisheteronormativity hinders healthcare for these experiences, especially by rendering the non-gestational mother invisible. This underscores the urgent need to train healthcare personnel, rethink and challenge cisgender and heterosexual norms and promote inclusive policies to ensure equitable care and combat institutional violence.

Resumo Nesta revisão objetivou-se investigar e sintetizar o que há na literatura científica sobre as relações entre as masculinidades e as pessoas moradoras de rua, com enfoque em relações sociais, trajetória e processo saúde-doença. Foi feita uma busca sistemática em dez bases de dados com os descritores: “Masculinities”, “Hegemonic Masculinities”, “Gender Identity” e “Homeless Persons”, “Homeless, Roofless” e “Houseless”. Obteve-se 2.459 resultados, com 25 referências finais após aplicação dos critérios de inclusão e exclusão, compostas em grande parte por estudos internacionais. Identificou-se seis temas-chave: Masculinidade enquanto prática performativa nas ruas, Masculinidades e relações de violência nas ruas, Masculinidades entre homens moradores de rua: percepções de liberdade e encarceramento, Paternidade dos homens moradores de rua, Estigmas e deságios no processo de busca pela masculinidade hegemônica nas ruas e Masculinidades como determinante social de saúde nas ruas. A revisão aborda as influências das masculinidades entre a População Moradora de Rua (PMR), destacando sua transversalidade nas vivências e atitudes do grupo, e explora a relação entre masculinidades e violência, os desafios na paternidade e os estigmas ligados à condição de vida nas ruas e impactos na saúde. Conclui-se que as normas sociais relacionadas ao masculino atuam como uma forma de se adaptar as vidas nas ruas, mas influenciam negativamente no processo saúde-doença da PMR, em especial dos homens.

Abstract This study aimed to investigate and synthesize the scientific literature regarding the relationships between masculinities and individuals experiencing homelessness by focusing on social relationships, life trajectories, and the health-disease process. A systematic search was conducted in 10 databases using the following descriptors: “Masculinities,” “Hegemonic Masculinities,” “Gender Identity,” “Homeless Persons,” “Homeless, Roofless,” and “Houseless.” In total, 2459 results were retrieved. Overall, 25 studies remained after the application of inclusion and exclusion criteria, most of which were international studies. This study identified six key themes: 1) Masculinity as a performative practice on the streets, 2) Masculinities and relationships of violence on the streets, 3) Masculinities among men experiencing homelessness: perceptions of freedom and imprisonment, 4) Fatherhood among men experiencing homelessness, 5) Stigmas and challenges in the pursuit of hegemonic masculinity on the streets, and 6) Masculinities as a social determinant of health on the streets. This review addresses the influences of masculinities on individuals experiencing homelessness, emphasizing the cross-cutting nature of these ideals in the experiences and attitudes of this group. It explores the relationship between masculinities and violence, as well as addressing challenges in fatherhood. It highlights stigmas linked to the condition of being homeless that impact health and quality of life. It is concluded that social norms related to masculinity act negatively as social determinants of health for the homeless population, especially men.

Abstract Introduction: Peripheral arterial disease has become a worldwide problem, with chronic limb-threatening ischemia(CLTI) being its most extreme manifestation. Recently, endovascular strategies evolved and became the first approach in many revascularization procedures. However, infrapopliteal (IP) disease is still a therapeutic challenge. This study aims to present a surgical technique, named inverted T bypass, that can be applied to patients with: an IP artery with poor collateralization to the foot, an infra-malleolar artery with poor runoff and availability of only a short venous graft. Methods: A single-center retrospective analysis of all patients submitted to inverted T bypass. The end points of the present study were limb-based patency (LBP), primary patency (PP) and secondary patency (SP) rates, freedom from CLTI, recurrence of CLTI, freedom from major index limb amputation, amputation free-survival, and overall survival. Results: A total of twenty-five patients with CLTI (68% male) with a median age of 77 years were submitted to 25 inverted T bypasses. The median follow-up was 25 months (interquartile range of 32). Twenty-one preoperative angiographies were performed. Severe femoropopliteal (FP) and IP anatomic patterns (GLASS FP and IP grade 4) were predominant (57% and 86%, respectively) with 100% of limbs classified as GLASS stage III. Three patients (12%) had previously failed endovascular treatment. LBP, PP and SP were, respectively, 75%, 75% and 79% at 1 year, and 61%, 61% and 64% at 2 years. After one year, 86% of the limbs were free from CLTI and 79% of them remained without recurrences during a follow-up of 2 years. Eighty-one percent of the patients were free from major index limb amputation at 2 years. Conclusion: The inverted T bypass is a creative surgical solution for CLTI patients with poor runoff and lacking an adequate venous graft. The results are promising, rendering this technique a viable option for distal and ultra-distal revascularization in complex cases.

Originária da América Tropical, a goiabeira ( Psidium guajava L. ) tem grande símbolo para o Brasil. Contudo, a evolução do patossistema designado como declínio da goiabeira, problema fitossanitário provocado pelo parasitismo das raízes pelo nematoide-das-galhas ( Meloidogyne enterolobii Yang & Eisenback) em associação com fungos oportunistas, dizimou muitos pomares em todas as regiões do Brasil e em outros países. No presente estudo, propagou-se vegetativamente, por miniestaquia, acessos de goiabeiras seminíferas mantendo seus genótipos preservados e reavaliando a resistência por meio dos clones de forma a comprovar ou não as reações das plantas hospedeiras. Os resultados apontam para alta virulência do parasita, bem como alta hospedabilidade da espécieP. guajava , além da existência de grande variação da reação entre plantas do mesmo genótipo e entre genótipos distintos, o que indica que a estratégia de preservação do germoplasma e a reavaliação da reação em clones pode ser importante na busca e seleção de germoplasma com algum grau de ou resistência de tolerância a M. enterolobii . A progênie da cv. Paluma P02R5R2 obteve uma menor média de Fator de Reprodução do parasita (FR = 22,11) entre os genótipos avaliados, sendo classificado como moderadamente resistente e preservado para estudos posteriores.

Originária da América Tropical, a cultura da goiabeira (Psidium guajava L.) tem grande relevância para o Brasil. Contudo, surgimento do patossistema designado como declínio da goiabeira, problema fitossanitário provocado pelo parasitismo das raízes por nematoides da espécie Meloidogyne enterolobii Yang & Eisenback em associação com fungos oportunistas, dizimou muitos pomares em todas as regiões do Brasil e em outros países. No presente estudo, propagou-se vegetativamente, por miniestaquia, acessos de goiabeiras seminíferas mantendo seus genótipos preservados e reavaliando a resistência por meio dos clones de forma a comprovar ou não as reações das plantas hospedeiras. Os resultados apontam para alta virulência do parasita, bem como alta hospedabilidade da espécie P. guajava, além da existência de grande variação da reação entre plantas do mesmo genótipo e entre genótipos distintos, o que indica que a estratégia de preservação do germoplasma e a reavaliação da reação em clones pode ser importante na busca e seleção de germoplasma com algum grau de resistência ou características de tolerância ao M. enterolobii. A progênie da cv. Paluma P02R5R2 obteve a menor média de Fator de Reprodução do parasita (FR = 22,11) entre os genótipos avaliados, sendo classificada como moderadamente resistente e preservada para estudos posteriores.

Abstract Introduction: The progression of diabetes mellitus to a global epidemic resulted in an increased prevalence of tibioperoneal disease in chronic limb threatening ischemia (CLTI). Distal disease still poses an enormous challenge to vascular surgeons. Crural angioplasty was formerly restricted to patients with short stenotic lesions or to high-risk patients for bypass surgery. Nevertheless, endovascular treatment has been used preferentially over bypass surgery in most centres. The aim of this study is to analyse the results of open ultra-distal revascularization in a single-centre with a limb preservation program for CLTI. Methods: The present study consists in a single-centre retrospective analysis of all patients with CLTI submitted to below the ankle bypass. The end points were limb-based patency (LBP), primary patency (PP) and secondary patency (SP) rates, freedom from CLTI, freedom from new CLTI, freedom from major index limb amputation, amputation free-survival, and overall survival. Patients were categorized in subgroups based on age (above or below 75 years), dialysis status, wound and infection grade (0 and 1 vs 2 and 3 in WIfI classification). Statistical analysis was carried out using Stata 12.1 (StataCorp®, Lakeway Drive, College Station, Texas, USA). Time-to-event end points were presented with Kaplan-Meier estimates, censored at major amputation, death, or last follow-up, and compared with the log rank test. Results: A total of 134 limbs in 122 patients with CLTI (83% male, median age of 68 years) were submitted to below the ankle bypasses. The median follow-up was 33.7 months. LBP, PP and SP were, respectively, 78%, 78% and 92% at 1 year, 73%, 73% and 88% at 2 years, and 62%, 62% and 79% at 4 years. At 1 year, 83% of the limbs were free from CLTI. Of these patients, 89% and 74% remained free from new CLTI at 2 and 4 years, respectively. Eighty-two percent of the patients were free from major index limb amputation at 4 years. Thirty-day mortality was 1.6% (2 patients) and 1-year and 2-year survival was 90% and 81%, respectively. Age, dialysis status and wound/infection grade (WIfI classification) did not influence patency rates. Conclusion: Below the ankle bypass is safe and has excellent clinical outcomes. The present study emphasizes the value of open surgery in a challenging territory, with high rates of patency, limb salvage, freedom from CLTI and from new CLTI. These results were not affected by patient status or clinical severity factors.

Abstract Introduction: The progression of diabetes mellitus to a global epidemic resulted in an increased prevalence of tibioperoneal disease in chronic limb threatening ischemia (CLTI). Distal disease still poses an enormous challenge to vascular surgeons. Crural angioplasty was formerly restricted to patients with short stenotic lesions or to high-risk patients for bypass surgery. Nevertheless, endovascular treatment has been used preferentially over bypass surgery in most centres. The aim of this study is to analyse the results of open ultra-distal revascularization in a single-centre with a limb preservation program for CLTI. Methods: The present study consists in a single-centre retrospective analysis of all patients with CLTI submitted to below the ankle bypass. The end points were limb-based patency (LBP), primary patency (PP) and secondary patency (SP) rates, freedom from CLTI, freedom from new CLTI, freedom from major index limb amputation, amputation free-survival, and overall survival. Patients were categorized in subgroups based on age (above or below 75 years), dialysis status, wound and infection grade (0 and 1 vs 2 and 3 in WIfI classification). Statistical analysis was carried out using Stata 12.1 (StataCorp®, Lakeway Drive, College Station, Texas, USA). Time-to-event end points were presented with Kaplan-Meier estimates, censored at major amputation, death, or last follow-up, and compared with the log rank test. Results: A total of 134 limbs in 122 patients with CLTI (83% male, median age of 68 years) were submitted to below the ankle bypasses. The median follow-up was 33.7 months. LBP, PP and SP were, respectively, 78%, 78% and 92% at 1 year, 73%, 73% and 88% at 2 years, and 62%, 62% and 79% at 4 years. At 1 year, 83% of the limbs were free from CLTI. Of these patients, 89% and 74% remained free from new CLTI at 2 and 4 years, respectively. Eighty-two percent of the patients were free from major index limb amputation at 4 years. Thirty-day mortality was 1.6% (2 patients) and 1-year and 2-year survival was 90% and 81%, respectively. Age, dialysis status and wound/infection grade (WIfI classification) did not influence patency rates. Conclusion: Below the ankle bypass is safe and has excellent clinical outcomes. The present study emphasizes the value of open surgery in a challenging territory, with high rates of patency, limb salvage, freedom from CLTI and from new CLTI. These results were not affected by patient status or clinical severity factors.

Abstract Faced with the recent crises of water capture and distribution, managing water resources is a practice that has been gaining prominence in discussions and debates about environmental issues. Thus, this article aims to analyze, in a spatio-temporal way, the Changes in Land Use and Occupation (LULC) and Surface Temperature (LST) in the water catchment sub-basin of Ribeirão Santa Isabel, located in the municipality of Paracatu, Minas Gerais (MG), between the years 1990 and 2020. The choice of the area is justified by the conflicts of use that encompass the sub-basin and by the fact that this is the only source of capture in the municipality, which has already carried out the alteration of the water resource responsible for the capture of water due to the intensity of agricultural practices in the region in the previous area. Through geoprocessing and Remote Sensing (RS) techniques, images from the Landsat-5 and Landsat-8 satellites were used to perform the LST calculations. Regarding usage and occupancy data, the images provided by the Mapbiomas platform were used. It was verified, through the increase in the percentage of the water class and vegetation and the decrease in the agricultural class, that the practices implemented in the study area, in order to conserve the remnants of the biome and maintain a good water availability to the municipality, are having an effect. It was also possible to conclude that LST is affected by LULC, and that the greatest variations occur in non-vegetated areas.

Resumo: Introdução: A Política Nacional de Saúde Integral de Lésbicas, Gays, Bissexuais, Travestis e Transexuais (PNSILGBT) é formada por um agrupamento de diretrizes e planos, sendo um eixo importante para formação dos profissionais de saúde, por meio de ações e estratégias específicas, para minimizar os efeitos da discriminação de gênero e sexualidade de uma população historicamente marginalizada. Na literatura, encontram-se estudos que evidenciam a falta de carga horária específica para gênero e sexualidade, a falta de transversalidade da temática LGBTI+ ou ainda a ausência da abordagem de aspectos socioeconômicos, políticos e raciais da saúde LGBTI+ dentro dos currículos de Medicina no Brasil e no mundo. Objetivo: Este estudo teve como objetivo comparar a percepção entre discentes assumidamente LGBTI+ e discentes heterossexuais no que concerne à formação dos médicos sobre a saúde de minorias sexuais e de gênero. Método: Trata-se de um estudo qualitativo, em profundidade, com análise de discurso de grupos focais, um com alunos LGBTI+ e outro com alunos não LGBTI+, em que se aplicou um questionário semiestruturado com base na análise de práticas discursivas de Spink. Resultado: A análise dos grupos identificou como questões mais pertinentes: pouca carga horária programática; falta de transversalidade; abordagem do tema com olhar pejorativo e preconceituoso; associação da população LGBTI+ com doenças infectocontagiosas ou psiquiátricas; ausência de abordagem dos aspectos socioeconômicos, culturais e raciais da temática; e atenção primária à saúde como espaço de maior abertura para discussões sobre gênero e sexualidade; Conclusão: Há uma percepção, em ambos os grupos, de que o ensino de saúde LGBTI+ é insuficiente e há um despreparo dos alunos para a abordagem da temática de gênero e sexualidade, o que gera impacto direto na assistência em saúde dessa população. Além disso, são necessários mais estudos sobre educação médica em saúde LGBTI+. Resumo Introdução Lésbicas Gays Bissexuais PNSILGBT (PNSILGBT planos específicas marginalizada literatura encontramse encontram LGBTI socioeconômicos mundo Objetivo Método Tratase Trata qualitativo profundidade focais Spink Resultado pertinentes programática preconceituoso psiquiátricas Conclusão disso

Abstract: Introduction: Brazil national public policy for the comprehensive healthcare of the LGBTi+ population consists of several guidelines and plans that include the training of health professionals. Through actions and strategies, it aims to minimize the effects of gender and sexuality discrimination on this historically marginalized population. Studies were found that show a lack of specific hours for gender and sexuality, a lack of transversality of the LGBTI+ topic and a lack of addressing the socioeconomic, political and racial aspects of LGBTI+ health in the curricula of Faculties of Medicine in Brazil and in the world. Objective: To compare the perception between admittedly LGBTI+ students and heterosexual students regarding the training of medical students on the health of sexual and gender minorities. Methodology: An in-depth qualitative study was carried out through two focus groups: one with LGBTI+ students and the other with non-LGBTI+ students. In addition, a semi-structured questionnaire was also applied. The analysis was made through the analysis of Spink’s Discursive Practices. Result: Current problems were identified: low number of programmatic hours on the topic; lack of transversality; addressing the topic through a pejorative and prejudiced look; association of LGBTI+ people with infectious or psychiatric diseases; lack of addressing socioeconomic, cultural and racial aspects; Primary Care as a space of greater openness to fight against the cisheteronormative hegemony; Conclusion: LGBTI+ health education is still insufficient, as students feel unprepared to address the issue of gender and sexuality, which directly impacts the healthcare of this population. Additionally, further studies on medical education in LGBTI+ health are needed. Abstract Introduction LGBTi professionals strategies LGBTI socioeconomic world Objective minorities Methodology indepth depth groups nonLGBTI+ nonLGBTI non non-LGBTI addition semistructured semi structured applied Spinks Spink s Practices Result identified look diseases hegemony Conclusion insufficient Additionally needed

RESUMO No Brasil, as aceroleiras, quando infectadas por Meloidogyne enterolobii, apresentam redução na produtividade e na qualidade dos frutos. Uma das alternativas para solucionar este problema é a utilização de porta-enxerto resistente a esse patógeno. O objetivo deste trabalho foi avaliar a reação de 22 acessos de aceroleira a M. enterolobii, visando identificar, pelo menos, um porta-enxerto resistente. O experimento foi conduzido em blocos ao acaso, com 10 repetições, sendo cada parcela formada por 10 plantas. Cada planta foi inoculada com 350 ovos mais juvenis de segundo estádio de M. enterolobii e, após 90 dias, foram determinados o índice de galhas (IG) e o fator de reprodução (FR). As variáveis foram analisadas pela metodologia de modelos mistos (REML/BLUP). Com base nas duas variáveis avaliadas, destacaram-se os acessos, ACO-13, ACO-14, ACO-18 e BRS Apodi com quatro a seis plantas com reação de resistência ao nematoide-das-galhas, mas a avaliação dos acessos deve ser feita sob maiores doses de inóculo e por tempo mais longo.

ABSTRACT In Brazil, acerola trees infested by Meloidogyne enterolobii present lower yield and fruit quality. The use of rootstocks resistant to this pathogen is one of the alternatives to overcome this problem. This study aimed to assess the reaction of 22 acerola accessions to M. enterolobii, aiming to identify at least one resistant rootstock. The experiment was carried out in a randomized block design with 10 replications and each plot consisting of 10 plants. Each plant was inoculated with 350 eggs and second-stage juveniles of M. enterolobii, with the gall index (GI) and reproduction factor (RF) being determined after 90 days. The variables were analyzed using the mixed model methodology (REML/BLUP). The accessions ACO-13, ACO-14, ACO-18, and BRS Apodi stood out with four to six plants showing resistance reaction to the root-knot nematode, but the assessment of accessions should be performed under a higher density inoculum and longer time.

RESUMO CONTEXTO: O aumento na incidência e prevalência das doenças inflamatórias intestinais (DIIs) é evidente em muitos países recém-industrializados da Ásia, África, Europa Oriental e do continente Americano. No Brasil, os registros ainda são bastante escassos, sendo necessários mais estudos sobre este tema. OBJETIVO: Avaliar o perfil epidemiológico e as características clínicas dos doentes com DIIs, acompanhados em um serviço de referência no Estado de São Paulo. MÉTODOS: Análise retrospectiva, descritiva, dos prontuários médicos dos pacientes com DIIs acompanhados em um centro de referência no Brasil. RESULTADOS: Foram avaliados 625 doentes, sendo 416 com doença de Crohn (DC), 190 com retocolite ulcerativa (RCU) e 19 com colite indeterminada. A média de idade foi de 31,6 anos, sendo a distribuição homogênea entre os sexos. Na DC predominou a classificação de Montreal A2 L3 e B1, com 44,8% dos doentes apresentando doença perianal; na RCU, E2 e S0. A principal manifestação extraintestinal presente foi reumatológica, vindo a seguir as lesões cutâneas e as oftalmológicas. A maioria dos doentes (85,4%) fazia uso de alguma medicação, sendo as mais frequentes, aminossalicilatos na RCU e terapia biológica na DC. Em relação às cirurgias, na DC um significativo percentual de pacientes foi submetido a algum tipo de procedimento cirúrgico, ao contrário da RCU, incluindo fistulotomias e colocação de sedenhos, estomas de derivação, enterectomia, ileotiflectomia/colectomia direita, colectomia total ou parcial e plastias intestinais. Apenas 195 (31,2%) doentes eram da cidade de Campinas, mas 443 (70,9%) eram provenientes do 7º Departamento Regional de Saúde (DRS), que corresponde a Grande Campinas. CONCLUSÃO: No estudo, houve um predomínio de pacientes do DRS de Campinas; os doentes eram jovens, sem predominância de sexo; a frequência maior foi de doentes com DC (66,6%). A maioria (85,4%) estava em tratamento farmacológico, e um percentual significativo de doentes com DC, havia sido submetido à cirurgia.

ABSTRACT BACKGROUND: The increase in the incidence and prevalence rates of inflammatory bowel disease (IBD) is evident in many newly industrialized countries in Asia, Africa, Eastern Europe, and the American continent. In Brazil, records are still scarce, and further studies on this topic are needed. OBJECTIVE: To evaluate the epidemiological profile and clinical characteristics of patients with IBD who were followed up at a reference service in the state of São Paulo. METHODS: We retrospectively analyzed the medical records of patients with IBD who were followed up in a Brazilian Referral Center. RESULTS: A total of 625 patients was evaluated, 416 with Crohn’s disease (CD), 190 with ulcerative colitis (UC), and 19 with indeterminate colitis. The average age of the patients was 31.6 years, with a homogeneous distribution between males and females patients. In patients with CD, the most predominant Montreal classification was A2, L3, and B1, with 44.8% of patients presenting with perianal disease; in UC, it was E2, and S0. The main extraintestinal manifestation was rheumatologic, followed by cutaneous and ophthalmic lesions. The majority of patients (85.4%) used some type of medication, the most frequent being aminosalicylates in patients with UC and biological therapy in patients with CD. Regarding surgeries, in CD, a significant percentage of patients underwent some type of surgical procedure, unlike the UC patients, including fistulotomies and placement of seton, derivative ostomies, enterectomy, ileocecectomy/right colectomy, total or partial colectomy, and strictureplasty. Only 195 (31.2%) patients lived in the city of Campinas, while 443 (70.9%) were from the 7th Regional Health Department (RHD), which corresponds to the macro-region of Campinas. CONCLUSION: In this study, most patients came from the 7th RHD of Campinas; the patients were young, with no predominance of either sex; there was a higher frequency of patients with CD (66.6%). Most of them (85.4%) were undergoing pharmacological treatment, and a significant percentage of CD patients had undergone surgery.

Abstract The aim of the present article is to report the case of a young patient with bowenoid papulosis who was a carrier of other sexually-transmitted infections (STIs), such as HIV and high-grade vulva lesion (usual-type vulvar intraepithelial neoplasia, VIN), and to demonstrate the strategy used to manage the case, as well as to discuss important issues regarding the standardization of intraepithelial lesions.8

RESUMO A meloidoginose da alface interfere negativamente no desenvolvimento da planta, o que reduz a produtividade da cultura. O objetivo desse trabalho foi identificar espécies de Meloidogyne em áreas de cultivo de alface localizadas na região Agreste do estado de Alagoas. Foram realizadas coletas de solo rizosférico e de raízes totalizando 23 amostras, provenientes de sete municípios. As raízes com sintomas de meloidoginose foram cortadas e incorporadas, juntamente com o solo rizosférico, a tomateiros Santa Cruz cv. Kada Gigante, previamente cultivados em vasos contendo solo esterilizado e mantidos sob condições de telado. A identificação das espécies de Meloidogyne foi realizada por meio da análise do perfil da isoenzima esterase. As espécies de M. incognita fenótipos I1 e I2 e de M. javanica fenótipo J3 foram detectadas em 20 e em três áreas, respectivamente.

ABSTRACT Lettuce root-knot negatively influences the plant development, reducing the crop yield. The objective of this study was to identify Meloidogyne species that occur in lettuce cultivation areas in the “Agreste” region of Alagoas State, Brazil. Sample collection was performed from the rhizosphere soil and roots, totaling 23 samples from seven municipalities. Roots exhibiting symptoms of root-knot were harvested and incorporated with the rhizosphere soil in tomato plants “Santa Cruz” cv. ‘Kada Gigante’ previously grown in pots containing sterile soil and kept under greenhouse conditions. Meloidogyne species were identified based on esterase isozyme analysis. Meloidogyne incognita phenotypes I1 and I2 and M. javanica phenotype J3 were detected in 20 and three areas, respectively.

Resumo O tumor de Buschke-Lowenstein, também conhecido como condiloma acuminado gigante, é uma lesão rara da região anorretal e perianal, sexualmente transmitida, associada ao papiloma vírus humano, Tipos 6 e 11. Histologicamente, trata-se de um tumor benigno, mas clinicamente atinge grandes proporções e pode se comportar de forma agressiva. O objetivo deste estudo é relatar o caso de um paciente com diagnóstico de HIV e psoríase há 14 anos, associado ao tumor de Buschke-Lowenstein e outras lesões condilomatosas difusas no corpo.

Abstract The Buschke-Lowenstein tumor, known as the giant condyloma acuminatum, is a rare lesion of the anorectal and PerianaL region; it is sexually transmitted and associated with human papilloma virus, types 6 and 11. Histologically, it is a benign tumor, but it can reach big proportions and may behave aggressively. The purpose of this study is to report the case of a patient diagnosed with HIV and psoriasis 14 years ago, associated with Buschke-Lowenstein tumor and other diffuse condylomatous lesions in the body.