ABSTRACT Knowing the distribution and spatial pattern of species within a plant community is essential for planning conservation strategies and establishing sustainable management measures in forest formations, especially in Caatinga areas. In this sense, the aim of the study was to analyze the structure and spatial distribution of Pilosocereus pachycladus F. Ritter subsp. pernambucoensis (F. Ritter) in natural populations in areas of Caatinga and Brejo vegetation in the semi-arid region of Paraíba, in the municipalities of Bananeiras and Arara, respectively. In the study areas, 25 plots of 20 m x 20 m were demarcated, totaling a sample area of 10,000 m2 (1 ha). Within the plots, all individuals were labeled and the total height and circumference were measured at the base of the stem using a measuring tape. The spatial structure of the populations was obtained by collecting the geographic coordinate of each individual in each area and expressed through maps of spatial distribution. 61 specimens were sampled in the Caatinga of Bananeiras, with an absolute density of 61 ind.ha-1 and absolute frequency (FA) of 52%. 64 specimens were sampled in the Caatinga of Arara, with an absolute density of 64 ind.ha-1 and absolute frequency (FA) of 56%. The two populations were arranged in a cluster pattern (Pi = 3.74 and 3.47, respectively). P. pachycladus subsp. pernambucoensis of the two areas have a habit of aggregate growth and population structure with few regenerating individuals. Regional conservation actions for Cactaceae species in their habitat need to take these findings into account to ensure the survival of these species.

RESUMO Conhecer a distribuição e o padrão espacial de espécies dentro de uma comunidade vegetal é imprescindível para o planejamento de estratégias de conservação e estabelecer medidas de manejo sustentável em formações florestais, sobretudo em áreas de Caatinga. Nesse sentido, o objetivo do estudo foi analisar a estrutura e a distribuição espacial de Pilosocereus pachycladus F. Ritter subsp. pernambucoensis (F. Ritter) em populações naturais em áreas de Caatinga e de Brejo no Semiárido Paraibano, nos municípios de Bananeiras e Arara, respectivamente. Nas áreas de estudo, foram demarcadas 25 parcelas de 20 m x 20 m, totalizando uma área amostral de 10.000m2 (1 ha). Dentro das parcelas, todos os indivíduos foram etiquetados e a altura total e a circunferência foram auferidas ao nível da base do caule com auxílio de uma fita métrica. A estrutura espacial das populações foi obtida pela coleta da coordenada geográfica de cada indivíduo em cada área e expressa por meio de mapas de distribuição espacial. Foram amostrados 61 espécimes na Caatinga do município de Bananeiras, apresentando densidade absoluta de 61 ind.ha-1 e frequência absoluta (FA) de 52%. Foram amostrados 64 espécimes no bioma do município de Arara, apresentando densidade absoluta de 64 ind.ha-1 e frequência absoluta (FA) de 56%. As duas populações estavam dispostas em padrão de agrupamento (Pi = 3,74 e 3,47, respectivamente). Os indivíduos de P. pachycladus subsp. pernambucoensis das duas áreas possuem hábito de crescimento agregado e estrutura populacional com poucos indivíduos regenerantes. As ações regionais de conservação das espécies de Cactaceae em seu habitat precisam levar em consideração essas descobertas para garantir a sobrevivência dessas espécies.

Resumo Introdução: A pielonefrite xantogranulomatosa consiste em um processo infeccioso e inflamatório crônico do parênquima renal, variante da pielonefrite obstrutiva crônica. É mais prevalente em adultos na meia-idade, de ocorrência rara em pacientes pediátricos, com menos de 300 casos relatados em pediatria no mundo. Relato: Pré-escolar de 2 anos e 11 meses, do sexo masculino, com quadro de 2 meses de distensão e aumento da temperatura abdominal e palidez intensa, associado a anemia microcítica refratária ao uso de sulfato ferroso. Apresentava ainda, havia 1 semana da internação, abaulamento em região do flanco esquerdo e massa palpável, de consistência endurecida. Exames de imagem (ultrassonografia e tomografia) revelaram aumento global do rim esquerdo, destruição do parênquima renal e intensa dilatação calicial formando o sinal da "pata de urso", com presença de cálculo coraliforme em pelve. Submetido a tratamento com antibioticoterapia e nefrectomia total, com produto enviado para anatomopatológico. Discussão: Doença de incidência incerta na faixa pediátrica, a pielonefrite xantogranulomatosa é mais prevalente no sexo masculino na infância e acomete principalmente o rim esquerdo, estando frequentemente associada à presença de cálculos. Clinicamente apresenta-se como quadro arrastado de sintomas inespecíficos, sendo os mais comuns distensão abdominal e astenia. Laboratorialmente, apresenta-se com anemia microcítica, leucocitose, trombocitose e aumento de provas inflamatórias, piúria, hematúria e proteinúria, além de crescimento bacteriano em cultura de urina. O diagnóstico é anatomopatológico, porém pode ser sugerido pela tomografia computadorizada com contraste, que tem como sinal clássico a "pata de urso". O tratamento pode incluir nefrectomia e antibioticoterapia de amplo espectro.

Abstract Introduction: Xanthogranulomatous pyelonephritis consists of a chronic infectious and inflammatory process of the renal parenchyma, a variant of chronic obstructive pyelonephritis. It is more prevalent in middle-aged adults, rare in pediatric patients, with less than 300 cases reported in children worldwide. Report: Preschooler, aged 2 years and 11 months, male, with 2 months of abdominal distention, increased temperature and intense pallor, associated with microcytic anemia refractory to the use of ferrous sulfate. 1 week before, he had a bulging in his left flank and a hard palpable mass there. Imaging exams (ultrasound and tomography) revealed an overall enlargement of the left kidney, destruction of the renal parenchyma and intense calyceal dilation, forming the "bear's paw" sign, with a staghorn calculus in the pelvis. He underwent treatment with antibiotic therapy and total nephrectomy, with a specimen sent for pathological examination. Discussion: a disease of uncertain incidence in the pediatric age group, xanthogranulomatous pyelonephritis is more prevalent in male children and affects mainly the left kidney, being frequently associated with the presence of stones. Clinically, it has nonspecific symptoms, the most common being abdominal distension and asthenia. Laboratory exams shows microcytic, leukocytosis, thrombocytosis and increased inflammation, pyuria, hematuria and proteinuria, in addition to bacterial growth in urine culture. The diagnosis is anatomopathological, but it can be hinted by contrasted CT scan, with the classical sign of the "bear's paw". Treatment may include nephrectomy and broad-spectrum antibiotic therapy.

RESUMO As sementes de cactáceas que ocorrem em florestas tropicais sazonais secas estão sujeitas a múltiplos estresses, a exemplo do estresse salino, que limita a embebição e, consequentemente a germinação. Assim, objetivou-se comparar o desempenho germinativo de sementes de Cereus jamacaru subsp. jamacaru e Pilosocereus pachycladus subsp. pernambucoensis em condições de salinidade. Para isso, utilizou-se soluções de NaCl e KCl nos seguintes potenciais osmóticos: 0,0 (controle);-0,2;-0,4;-0,6;-0,8;-1,0 e-1,2 MPa. As sementes foram colocadas para germinar sob a temperatura de 25 °C e fotoperíodo de 12 horas. A contagem do número de sementes germinadas foi realizada diariamente durante 21 dias após a protrusão radicular. As variáveis analisadas foram: teor de água, germinação, plântulas normais, índice de velocidade de germinação e tempo médio de germinação. O delineamento foi inteiramente casualizado seguindo o esquema fatorial de 2 × 7 (espécie × potencial osmótico) para cada fonte salina. A restrição hídrica e o efeito iônico causados pelos sais favoreceram a germinação e o vigor das sementes de ambas as espécies nos potenciais osmóticos de-0,2 e-0,4 MPa, entretanto, a partir de-0,8 MPa houve diminuição expressiva da germinação nos dois sais. As sementes de C. jamacaru subsp. jamacaru e P. pachycladus subsp. pernambucoensis foram tolerantes ao estresse salino, pois conseguiram germinar em potenciais de até-0,8 MPa (NaCl) e-1,2 MPa (KCl), este último, apenas no caso do P. pachycladus subsp. pernambucoensis.

ABSTRACT Cactus seeds in seasonal dry tropical forests are subject to several stressors, such as salt stress which limits imbibition and therefore germination. Thus, this study aimed to compare germination performance of Cereus jamacaru subsp. jamacaru and Pilosocereus pachycladus subsp. pernambucoensis seeds under salinity conditions. To this end, NaCl and KCl solutions were used in the following osmotic potentials: 0.0 (control),-0.2,-0.4,-0.6,-0.8,-1.0, and-1.2 MPa. Seeds were placed to germinate at 25 °C and 12-hour photoperiod. The number of germinated seeds was counted daily for 21 days after root protrusion. The variables analyzed were: water content, germination, normal seedlings, germination speed index, and average germination time. The experimental design was completely randomized, following a 2 × 7 factorial scheme (species × osmotic potential) for each saline source. Water restriction and ionic effect caused by salts favored seed germination and vigor in both species at-0.2 and-0.4 MPa. However, from-0.8 MPa onwards, germination decreased significantly for both salts. Seeds of C. jamacaru subsp. jamacaru and P. pachycladus subsp. pernambucoensis were tolerant to salt stress since they germinated up to-0.8 MPa (NaCl) and-1.2 MPa (KCl). The latter occurred only for P. pachycladus subsp. pernambucoensis.

ABSTRACT Cachaça is a typical Brazilian spirit of significant economic and social relevance. The spirit may contain organic and inorganic contaminants that impair its quality, such as ethyl carbamate (EC), which is potentially carcinogenic. The study of factors that cause EC incidence is extremely important to produce cachaça with good physicochemical and sensory quality and for public health reasons. Therefore, this study aimed to analyze and quantify nitrogen (N) in sugarcane juice and correlate it with the EC levels, with copper (Cu) as precursor, in cachaça from stills, produced from the sugar of three different sugarcane varieties (RB857515, RB966928 and RB855453). We used the plantation systems without fertilization and with organic and conventional fertilization. The EC and Cu levels were below the legislation threshold and the N levels were correlated with EC formation in different planting systems.

The volatile compounds present in cachaça can derive from the raw material used in the production of the beverage, from the fermentative process, from distillation or aging. The aim of the research was to evaluate the volatile compounds, in the cachaças from stills produced with different sugarcane varieties, under the organic and conventional managements. The varieties RB867515, RB962869 and RB85553 were cultivated in three distinct ways, planting without fertilization (OUTF); organic planting (ORGN) and conventional planting (CONV). The results showed that for the total esters, higher alcohols and coefficient of congeners present in the cachaça, the varieties and managements are dependent, unlike volatile acidity, total aldehydes, methyl alcohol and furfural. Therefore, the quality, origin and lineage of the sugarcane variety used for the production of cachaça were confirmed to influence the chemical concentrations of the volatile compounds of the beverage, modifying its chemical profile. It is worth reinforcing that none of the volatiles presented concentration above that allowed by the Brazilian legislation.

ABSTRACT: Ethyl carbamate (EC) (NH2COOCH2CH3) is found in cachaça, and its presence in the beverage is conspicuous for its toxicity. Copper, the metal of choice used in the construction of stills, is also considered a beverage contaminant and is often related to the presence of EC in beverages. The study aimed to monitor the quality of cachaça by measuring the presence of copper and EC, and comparing the influences of sugarcane cultivation systems on the concentration of these contaminants. The varieties, RB 867515, RB 962869 and RB 85553, were cultivated under the following management systems: planting without fertilization; organic planting; and conventional planting. For cultivation, a completely randomized design in a factorial scheme of 3 varieties × 3 managements was used as experimental planning, in 4 replications. The concentrations of copper and EC in beverages were evaluated and submitted to univariate analysis of variance (p ≤ 0.05). The organic and conventional systems presented no significant variations in copper content, both of which are recommended for the planting of sugarcane as raw material for cachaça. From amongst the varieties evaluated, RB966928 presented the lowest concentrations of copper for the organic and conventional systems, and was the most recommended for the production of cachaça. To evaluate the EC concentration (μg L–1) in the cachaças produced, all beverages were considered in accordance with national legislation. Significant differences were observed between them, but the conventional and organic systems are favored for deployment in the cultivation of sugarcane as the raw material of cachaça. The same applies to the RB966928, RB867515 and RB855453 varieties.

ABSTRACT This review aims to demonstrate the possible formation of Ethyl carbamate (EC) in different production stages of cachaça. EC is a carcinogen confirmed in animal experiments and possibly carcinogenic to humans. EC incidence below relevant health limits naturally affects many fermented foods and beverages. Concentrations above 1 mg L–1 are often detected in certain spirits derived from cyanogenic plants. In Brazil, cachaça is widely consumed and therefore consumers are at health risk if they drink EC beverages at high concentrations, since the amount of EC in cachaça (sugar cane brandy) constantly exceeds the threshold 0.21 mg L–1, damaging the health of consumers and hindering exportation to North America and Europe. Many studies have reported on EC formation at different stages of the cachaça production process. Most studies refer to EC formation during fermentation and distillation. In fermentation, reaction occurs between ethanol and nitrogen precursors, such as urea (H2NCONH2) and cyanide (CN–) to form EC. In distillation, cupric ions catalyze cyanide conversion from EC; however, in discontinuous distillation, the bottling fraction of cachaça reduced EC concentration. Although this review describes the possible routes of EC formation at different production stages of cachaça, it presents some studies on EC reduction in alcoholic beverages.

A cachaça, produzida a partir da cana-de-açúcar, é considerada uma bebida genuinamente brasileira. A melhoria na qualidade da cachaça contribuiu para maior aceitação no mercado e maior volume de produção e exportação. O objetivo deste estudo foi avaliar se as variedades (RB 867515, RB 966928 e RB 855453) e manejos de cultivos da cana-de-açúcar (sem adubação, orgânico e convencional) influenciam nas características sensoriais da cachaça. Utilizou-se a Análise Descritiva por Ordenação (ADO) e a aceitação. Os resultados mostraram a existência de diferenciação sensorial entre as bebidas de diferentes variedades e manejos. Estes, por sua vez, influenciaram os atributos sensoriais, avaliados por meio da ADO. Na opinião dos avaliadores durante a análise sensorial de aceitação, a cor não foi fator de diferenciação entre as bebidas, o aroma, sabor, corpo e impressão global podem ter influênciado na aceitação das cachaças produzidas a partir das variedades RB 855453 e RB 867515, na modalidade de manejo orgânico.

Cachaça, produced from sugar cane, is considered a genuine Brazilian drink. The improvement in the quality of cachaça contributed to greater acceptance in the market and greater volume of production and export. The objective of this study was to evaluate if the varieties (RB 867515, RB 966928 and RB 855453) and sugar cane crop management (without organic and conventional fertilization) influence the sensorial characteristics of cachaça. Descriptive Analysis by Ordination (ADO) and acceptance were used. The results showed the existence of sensorial differentiation between the drinks of different varieties and managements. These, in turn, influenced the sensory attributes, evaluated through ADO. In the opinion of the evaluators during the sensorial analysis of acceptance, color was not a factor of differentiation among beverages, aroma, flavor, body and overall impression may have influence of the acceptance of cachaças produced from varieties RB 855453 and RB 867515, in the organic management modality.

RESUMO Objetivo Elaborar uma dieta hiperlipídica rica em gorduras saturadas e suplementada com ômega 3 para estudos experimentais em roedores. Métodos Foram utilizados ingredientes industriais e purificados na elaboração das dietas, e o óleo de linhaça como fonte de ômega 3 na concentração de 3,5% (v/m). As composições centesimal e nutricional, o perfil de ácidos graxos e o consumo das dietas foram avaliados. Verificaram-se os níveis séricos de proteínas totais, albumina, colesterol e glicose das ratas prenhas. A prole foi submetida à avaliação de massa corporal e circunferência abdominal. Na análise estatística, utilizou-se o teste de Kolmogorov-Smirnov, Anova One-Way e o pós-teste de Bonferroni. Resultados As dietas hiperlipídica e hiperlipídica com ômega 3 apresentaram, respectivamente, 37% e 36% de gorduras saturadas, sendo a quantidade de lipídios 80% superior em relação à dieta controle 93G do American Institute of Nutrition. O teor de ômega 3 foi 50% maior na dieta hiperlipídica com ômega 3. Não houve diferença no consumo em gramas dos tipos de dieta. As mães que receberam dieta hiperlipídica tiveram hipercolesterolemia e a prole hiperlipídica apresentou maior massa corporal no 1º dia de vida e aumento de circunferência abdominal nos 30 dias de vida em relação ao grupo controle e hiperlipídica com ômega 3. Conclusão As dietas formuladas atendem aos requerimentos nutricionais do período de gestação e de lactação com uma quantidade superior de ácidos graxos saturados. A dieta hiperlipídica com ômega 3 foi capaz de atenuar as alterações observadas nas mães e na prole.

ABSTRACT Objective To prepare a high fat diet rich in satured fatty acids and supplemented with omega 3 for experimental studies in rodents. Methods Purified industrial ingredients and flaxseed oil as a source of omega 3 at a concentration of 3.5% (v/w) were used in the elaboration of the diets. Centesimal and nutritional compositions, fatty acids profile and dietary intake were evaluated. Serum levels of total protein, albumin, cholesterol and glucose in pregnant rats were verified. The offspring were assessed with regard to body mass and waist circumference. Statistical analysis was performed using the Kolmogorov-Smirnov, Anova One-Way test and Bonferroni post-test. Results High fat and high fat with omega 3 diets presented, respectively, 37% and 36% saturated fat, and the lipid amount was 80% higher than the American Institute of Nutrition 93G control diet. The omega 3 content was 50% higher in the high fat with omega 3 diet. There was no difference in consumption of diet types in weight (grams). The dams that received the High fat diet developed hypercholesterolemia and their High fat offspring exhibited higher body mass on the 1st day of life and increased abdominal circumference on the 30th day of life compared to the control and the high fat with omega 3 offspring. Conclusion The formulated diets with a higher amount of saturated fatty acids meet the nutritional requirements of the gestation and lactation period. The high fat diet with omega 3 was able to attenuate the changes observed in dams and their offspring.

Resumo Introdução: A Organização Mundial da Saúde (OMS) tem recomendado uma maior atenção com a segurança do paciente, mais especificamente em relação aos eventos adversos evitáveis. Foi lançado o programa “Cirurgia Segura Salva Vidas (CSSV)”, que recomenda a aplicação da lista de verificação cirúrgica (checklist) para a conferência de itens relacionados à segurança do procedimento. A implantação do checklist reduziu a mortalidade hospitalar nos primeiros 30 dias. No Brasil, não foram identificados estudos sobre adesão dos anestesiologistas à prática do checklist. Objetivo: Desenvolvimento de uma ferramenta para mensuração da atitude dos anestesiologistas e residentes em relação ao uso do checklist no período perioperatório. Método: Estudo transversal feito durante o 59° Congresso Brasileiro de Anestesiologia (CBA), em Belo Horizonte (MG), cujos participantes foram médicos inscritos e que responderam ao questionário com abordagem epidemiológica quantitativa. Resultados: A amostra constou de 459 participantes que responderam ao questionário, 55% do sexo masculino, 44,2% com menos de 10 anos e 15,5% acima de 30 anos de conclusão do curso médico. Foram selecionados sete itens com coeficiente de confiabilidade de 78%. Houve diferença estatisticamente significativa entre os grupos de anestesiologistas que referiram usar o instrumento em menos ou mais de 70% dos pacientes assistidos. Isso indica que o questionário de atitudes discrimina entre esses dois grupos de profissionais. Conclusões: O questionário de sete itens mostrou adequada consistência interna e uma estrutura fatorial bem delimitada. Pode ser usado como ferramenta para medida das percepções de anestesiologistas quanto à utilidade e a aplicabilidade do checklist.

Abstract Background: The World Health Organization (WHO) has recommended greater attention to patient safety, particularly regarding preventable adverse events. The Safe Surgery Saves Lives (CSSV) program was released recommending the application of a surgical checklist for items on the safety of procedures. The checklist implementation reduced the hospital mortality rate in the first 30 days. In Brazil, we found no studies of anesthesiologists’ adherence to the practice of the checklist. Objective: The main objective was to develop a tool to measure the attitude of anesthesiologists and residents regarding the use of checklist in the perioperative period. Method: This was a cross-sectional study performed during the 59th CBA in BH/MG, whose participants were enrolled physicians who responded to the questionnaire with quantitative epidemiological approach. Results: From the sample of 459 participants who answered the questionnaire, 55% were male, 44.2% under 10 years of practice, and 15.5% with over 30 years of medical school completion. Seven items with 78% reliability coefficient were selected. There was a statistically significant difference between the groups of anesthesiologists who reported using the instrument in less or more than 70% of patients, indicating that the attitude questionnaire discriminates between these two groups of professionals. Conclusions: The seven items questionnaire showed adequate internal consistency and a well-defined factor structure, and can be used as a tool to measure the anesthesiologists’ perceptions about the checklist usefulness and applicability.

A hemofagocitose reativa ou síndrome de ativação macrofágica (SAM) é uma complicação das doenças inflamatórias sistêmicas, causada por expansão de células T e macrófagos, com produção maciça de citocinas pró-inflamatórias, ocorrendo mais freqüentemente na artrite idiopática juvenil sistêmica e raramente no lúpus eritematoso sistêmico juvenil (LESJ). OBJETIVO: Relatar um caso de LESJ que evoluiu com SAM precipitada por infecção e infarto esplênico, com desfecho fatal. RELATO DE CASO: Uma menina de 7 anos, com diagnóstico de LESJ desde os 5 anos, evoluiu com artrite em atividade, alopecia intensa, citopenias, cefaléia, infecções respiratórias recorrentes e elevação intermitente de transaminases. Os anticorpos anti-DNA e anticardiolipina IgG e IgM foram identificados e a biópsia renal evidenciou glomerulonefrite lúpica de classe III. A paciente foi tratada com pulso de metilprednisolona, prednisona, azatioprina e hidroxicloroquina. Após dois anos, na vigência de pneumonia apresentou abdome agudo e convulsões, evoluindo para o choque hemorrágico fatal após esplenectomia, que evidenciou infarto esplênico e infiltração maciça por macrófagos hemofagocíticos CD163+. CONCLUSÃO: A revisão do desfecho sugere a SAM precipitada por infecção e sobreposta a atividade inflamatória do lúpus com febre persistente, citopenias, disfunção hepática, hepatomegalia e esplenomegalia, como efeitos do excesso de produção de citocinas. Os anticorpos anticardiolipina podem ter tido papel precipitante na coagulopatia, que resultou infarto esplênico e choque hemorrágico.

Reactive haemophagocytosis or macrophage activation syndrome (MAS) is a complication of systemic inflammatory disorders, caused by expansion of T cells and haemophagocytic macrophages, with cytokine overproduction. It has been described most often in systemic juvenile idiopathic arthritis and rarely in juvenile systemic lupus erythematosus (JSLE). OBJECTIVE: To report a JSLE case who developed MAS in association with spleen infarct triggered by infection, with fatal outcome. CASE REPORT: A 7-year old-girl diagnosed with lupus since age 5-y developed several episodes of arthritis flare, cytopenias, severe alopecia, headaches and recurrent episodes of respiratory infections with intermittently increased serum transaminases. Anti-DNA and anti-cardiolipin IgG and IgM were identified and Class III lupus glomerulonephritis was diagnosed by renal biopsy. The patient was treated with methylprednisolone pulses, prednisone, azatioprine and hydroxychloroquine. Last admitted due to pneumonia, she evolved into abdominal crisis and seizures, undergoing splenectomy and evolving into haemorragic shock with fatal outcome. A spleen infarct was found and anti-CD163 antibodies staining disclosed intense haemophagocytic macrophage infiltration. CONCLUSION: This outcome suggests infection-triggered MAS overlapping lupus flare with persistent fever, cytopenia, liver dysfunction, hepatomegaly and splenomegaly as cytokine excess driven effect. Anti-cardiolipin antibodies may also had a coagulopathy precipiting role.