Abstract Background Systemic Sclerosis (SSc) patients may need hand surgery. Objective To develop a screening tool for rheumatologists to identify potential candidates with systemic sclerosis for hand surgery, optimizing referrals. Methods A pilot cross-sectional study from January 2015 to December 2016. Sample size: 51 participants. Inclusion criteria: ≥ 18 years old, meeting the 2013 American College of Rheumatology/European League Against Rheumatism (ACR/EULAR) classification criteria for SSc and hand impairment. Data collected: age, sex, race, disease duration, SSc subtypes, vasodilator use, skin thickness, finger stiffness, presence of Digital Ulcers (DU) and/or calcinosis, presence of Raynaud's Phenomenon (RP) attacks, health status and disability, disease status, pain intensity and functional status of the hands. Data were analyzed by a multivariate logistic regression model. Results Fulfillment of surgical criteria: 68.8%. The surgical group had higher scores on the HAQ-DI (1.39 vs. 0.96, p =0.032) and CHFS (25.0 vs. 12.0, p =0.005) questionnaires, and a higher frequency of DU (91.43% vs. 18.75%, p <0.0010), calcinosis (60.0% vs. 0.0%, p <0.001), use of vasodilators (100.0% vs. 75.0%, p =0.007) and digital stiffness (28.57% vs. 0.0%, p =0.017). The presence of DU increased the chance of surgical indication by 46.2 times (ORIC 95% = 8.23 to 259.49). The statistical model showed good accuracy (86.3%, p <0.001), sensitivity (91.4%), and specificity (81.2%). Conclusion The presence of DU in SSc could be used as a screening feature for early identification and referral of potential candidates for hand surgery.

Resumo Fundamento A síndrome do PRKAG2 é uma rara doença genética autossômico dominante, fenocópia da miocardiopatia hipertrófica, caracterizada pelo acúmulo intracelular de glicogênio. Manifestações clínicas incluem pré-excitação ventricular, hipertrofia ventricular, distúrbio de condução cardíaca e arritmias atriais. Objetivo Comparar características clínicas e eletrofisiológicas observadas em pacientes com flutter atrial, com e sem síndrome do PRKAG2. Métodos Estudo observacional, comparativo de pacientes com flutter atrial: grupo A, cinco pacientes de família com síndrome do PRKAG2; e grupo B, 25 pacientes sem fenótipo da síndrome. O nível de significância foi de 5%. Resultados Todos os pacientes do grupo A apresentaram pré-excitação ventricular e bloqueio de ramo direito; quatro tinham marca-passo (80%). Pacientes do grupo A tinham menor idade (39±5,4 vs. 58,6±17,6 anos, p=0,021), e maior espessura de septo interventricular (mediana=18 vs. 10 mm; p<0,001) e parede posterior (mediana=14 vs. 10 mm; p=0,001). Quatro do grupo A foram submetidos a estudo eletrofisiológico, sendo observada via acessória fascículo-ventricular; em três foi realizada ablação do flutter atrial. Todos os do grupo B foram submetidos à ablação do flutter atrial, sem evidência de via acessória. Observado maior prevalência no grupo B de hipertensão arterial, diabetes mellitus, doença coronariana e apneia do sono, sem diferença estatisticamente significante. Conclusão Portadores da síndrome do PRKAG2 apresentaram flutter atrial em idade mais precoce, e menos comorbidades, quando comparados a pacientes com flutter atrial sem fenótipo da mutação. Importante suspeitar de miocardiopatia geneticamente determinada, como síndrome do PRKAG2, em jovens com flutter atrial, especialmente na presença de pré-excitação ventricular e hipertrofia ventricular familiar.

Abstract Background PRKAG2 syndrome is a rare autosomal dominant disease, a phenocopy of hypertrophic cardiomyopathy characterized by intracellular glycogen accumulation. Clinical manifestations include ventricular preexcitation, cardiac conduction disorder, ventricular hypertrophy, and atrial arrhythmias. Objective To compare the clinical and electrophysiological characteristics observed in patients with atrial flutter, with and without PRKAG2 syndrome. Methods An observational study comparing patients with atrial flutter: group A consisted of five patients with PRKAG2 syndrome from a family, and group B consisted of 25 patients without phenotype of PRKAG2 syndrome. The level of significance was 5%. Results All patients in group A had ventricular preexcitation and right branch block, and four had pacemakers (80%). Patients in group A were younger (39±5.4 vs 58.6±17.6 years, p=0.021), had greater interventricular septum (median=18 vs 10 mm; p<0.001) and posterior wall thickness (median=14 vs 10 mm; p=0.001). In group A, four patients were submitted to an electrophysiological study, showing a fasciculoventricular pathway, and atrial flutter ablation was performed in tree. All patients in group B were submitted to ablation of atrial flutter, with no evidence of accessory pathway. Group B had a higher prevalence of hypertension, diabetes mellitus, coronary artery disease and sleep apnea, with no statistically significant difference. Conclusion Patients with PRKAG2 syndrome presented atrial flutter at an earlier age and had fewer comorbidities when compared to patients with atrial flutter without mutation phenotype. The occurrence of atrial flutter in young individuals, especially in the presence of ventricular preexcitation and familial ventricular hypertrophy, should raise the suspicion of PRKAG2 syndrome.

Abstract Background Cardiovascular disease is the main cause of death worldwide. There is a lack of studies addressing this issue in women and its risk factors, such as hypertension. Objective To evaluate the clinical and therapeutic profile of women with hypertension and to determine which factors are related to treatment adherence and blood pressure control. Methods Cross-sectional study of 181 hypertensive women treated at an outpatient referral clinic. Data were obtained from medical records, face-to-face interviews, and physical examination, using a standardized form. Statistical analysis was performed with prevalence ratio, chi-square and Student’s t test. Significance was accepted at p<0.05. Results Most patients were mixed-race or black (91.7%) and the mean age was 66.09 years. Only 44.2% of patients had controlled blood pressure. The prevalence of stroke was 14.9%, whereas the prevalence of coronary artery disease was 19.3%. The mean number of oral antihypertensive drugs prescribed to each individual was 3.41. A history of stroke was more often found in patients with uncontrolled blood pressure (p=0.013) and in those using three or more antihypertensives (p=0.023). Eighty patients (44.2%) had high treatment adherence. Depression was more frequently reported by patients with poorer adherence to treatment (p=0.026). Conclusion Women with hypertension presented a high prevalence of cardiovascular risk factors and cardiovascular events, including a significantly higher prevalence of stroke in those with uncontrolled hypertension. Self-reported depression may help identify patients at risk of nonadherence to treatment.

This work presents and analyzes experimental-based subsystem models for Erbium doped fiber amplifiers (EDFAs) and wavelength selective switches (WSSs) under operation in a metropolitan optical network testbed. Firstly, the performance of the EDFAs and two gain control types are analyzed in a heterogeneous experimental setup with lightpaths modulated at 10G/100G/200G. Secondly, the WSS optical shape filter is experimentally characterized. Subsequently, simulation models are proposed accordingly to the experimental data obtained from the experimental setups. Results of output power and spectrum shape for both amplifiers under test showed good agreement between simulation and experiment. In addition, the optical signal-to-noise ratio (OSNR) for all channels was also analyzed and it was obtained error values bellow 1 dB, which are within an acceptable error margin. The developed sub-system models will provide greater flexibility to simulate different network scenarios and enable the development and validation of future optical network intelligence algorithms.

Pyrostegia venusta (Ker Gawl.) Miers, Bignoneaceae, é utilizada no tratamento de vitiligo e de outras doenças, mas seus efeitos genotóxicos não são conhecidos. Neste sentido, o presente estudo teve por objetivo avaliar o efeito genotóxico de extratos de P. venusta em camundongos utilizando os Testes de Micronúcleo (MN) e o de Aberração Cromossômica (AC). O vegetal foi coletado, selecionado, seco, triturado e extraído com etanol. Camundongos de 40 g foram divididos em grupos experimentais e controles. Os grupos experimentais receberam concentrações crescentes do extrato (50, 100 e 200 mg/kg por peso corporal), por v.o. O grupo controle negativo (CN) recebeu água. O grupo controle positivo (CP) recebeu Ciclofosfamida® por v.i. Realizou-se o sacrifício, retirada da medula óssea, homogeneização e preparação das lâminas. As freqüências de eritrócitos policromáticos micronucleados (EPCMN) foram: CN = 0,35±0,09; CP = 2,87±1,78; 50 = 0,09±0,04; 100 = 0,16±0,08 e 200 = 0,10±0,03. O teste de AC apresentou as seguintes freqüências: CN = 0,12±1,87; CP = 0,62±5,61; 50 = 0,12±1,58; 100 = 0,072±0,54 e 200 = 0,124±1,64. As freqüências de EPCMN dos grupos experimentais foram significantemente inferiores quando comparadas com as dos controles. A freqüência de cromossomos aberrantes não teve diferença significativa se comparada com o CN, mas foi estatisticamente menor que a do CP. P.venusta não apresentou atividade genotóxica.

Pyrostegia venusta (Ker Gawl.) Miers, Bignoneaceae, is used in the treatment of vitiligo and other diseases, but its genotoxic effects are unknown. In this way, this study aimed to evaluate the genotoxic effect of extracts of P. venusta in mice using the micronucleus (MN) and chromosome aberration tests (CA). The plant was collected, selected, dried, pounded and extracted with ethanol. Mice weighing 40 g were divided in experimental and control groups. The experimental groups received different concentrations (50, 100, and 200 mg/kg body weight), by oral gavage. The negative control group (NC) received water. The positive control group (PC) received Ciclophosphamide® by v.i. It was performed the sacrifice, removal of bone marrow, homogenization and slides preparation. Frequency of micronucleated polychromatic erythrocytes (MNPCE) was: NC = 0.35±1.87; PC = 2.87±9.02; 50 = 0.09±0.83; 100 = 0.16±0.10 e 200 = 0.10±0.71. The CA test showed the frequency: NC = 0.12±1.87; PC = 0.62±5.61; 50 = 0.12±1.58; 100 = 0.072±0.54 e 200 = 0.124±1.64. The frequency of MNPCE of experimental controls was significantly lower when compared with NC, but it was statistically lower than PC's frequency. P.venusta didn't show genotoxicity activity.

A produção de forragens conservadas utilizando-se um tráfego intenso de maquinário sob condições inadequadas de água no solo, tem condicionado compactação do solo e a degradação das pastagens. No enfrentamento desta grave questão faz-se necessário o conhecimento do potencial de descompactação do solo, promovido por algumas forrageiras. Objetivou-se, com o presente trabalho, avaliar a descompactação de um Argissolo ao ser cultivado com capim-tifton 85 e sua produção. O experimento foi conduzido na Universidade Federal de Lavras, no período de fevereiro a junho de 2007, em delineamento inteiramente casualizado cultivando-se o capim-tifton nos seguintes graus de compactação do solo: 66, 83, 88, 92 e 98%. Avaliaram-se os atributos físicos, o comportamento compressivo do solo e a produção de massa seca do capim. A descompactação foi quantificada pela redução da pressão de preconsolidação após o cultivo. Os modelos de capacidade de suporte de carga refletiram as alterações na macroporosidade do solo. Nas condições do estudo o capim-tifton 85 promoveu a descompactação do solo, a qual é diretamente proporcional ao grau de compactação inicial. A produção de forragem aumenta sempre que o solo é descompactado.

The production of conserved forages using an intense traffic of machinery under inadequate conditions of water content in the soil has caused soil compaction and the degradation of pastures. In order to face this serious problem it is necessary to know the potential of soil loosening by some forage plants. The objective of the present study was to evaluate the loosening of an Argisol cultivated with Tifton 85 grass, as well as its production. The experiment was conducted at the Federal University of Lavras, from February to June 2007, using a completely randomized design, cultivating the Tifton 85 grass under the following compaction degrees: 66, 83, 88, 92 and 98%. The physical attributes, the compressive behavior of soil and the production of dry mass of grass were evaluated. The loosening was quantified by the reduction of the preconsolidation pressure after cultivation. The bearing capacity models reflected the changes in soil macroporosity. Under study conditions, the Tifton 85 grass promoted the soil loosening proportional to the initial compression degree. The production of forage increased as the soil is loosened.

De 3.250 fezes diarréicas, recebidas para diagnóstico microbiológico em laboratório clínico particular, no Recife, Brasil, isolaram-se 55 (1,7%) linhagens de Vibrio. O estudo foi realizado entre maio de 1989 e maio de 1991. Para o isolamento de Vibrio, os espécimes fecais foram enriquecidos em água peptonada alcalina suplementada com 2% de NaCl e subcultivados em ágar tiosulfato-citrato-sais biliares-sacarose (TCBS). Das espécies isoladas, V. parahaemolyticus foi a mais freqüente (24 cepas), seguida de V. furnissii (15 cepas), V. cholerae não 01 (6 cepas), V. alginolyticus (4 cepas), V. fluvialis (2 cepas) e Vibrio sp. (1 cepa). Do ponto de vista custo-benefício, a baixa taxa de isolamento de Vibrio levanta dúvidas acerca da utilidade do TCBS na rotina enterobacteriológica dos laboratórios clínicos

Of 3250 diarrheal stools received for microbiologic diagnosis at a private clinical laboratory in Recife, Brazil, strains of Vibrio were isolated from 55 (1.7%). The study was carried out from May 1989 through May 1991. For recovering Vibrio, fecal samples were enriched in alkaline peptone water supplemented with 2% NaCl and subcultured on thiosulfate-citrate-bile salts-sucrose agar (TCBS). Of the recovered species, V. parahaemolyticus was most commonly found (24 strains), followed by V. furnissii (15 strains), V. cholerae non-01 (6 strains), V. alginolyticus (4 strains), V. fluvialis (2 strains), and Vibrio sp. (1 strain). The low isolation rate of Vibrio raises doubts about the cost-effectiveness of the use of TCBS in the routine enterobacteriologic workup of clinical laboratories