ABSTRACT The Madeira River is characterized by large amount of woody material transported, especially during floods, which interferes with the operation of the Jirau Hydroelectric Power Plant. There are many logs and the log boom structures inserted to retain them do not always present the desired efficiency. This work involves the hydrodynamic simulation of the Madeira River and the three-dimensional simulation of these woody materials to analyze their trajectories along the river and to obtain knowledge of their transport and position according to the flow, different plant operations ways and the influence of log booms. The logs are simulated as particles by the PART module of Delft3d, using the Lagrangian particle tracking model. The hydrodynamic model was validated and it was possible to represent the main variations of three-dimensional velocities and water levels. The particle tracking simulation was consistent with the flow distribution and thus it was possible to identify the most attractive destination for the logs, according to power plant operations. transported floods Plant efficiency threedimensional three dimensional booms Delft3d Delftd Delft d levels

RESUMO O rio Madeira é caracterizado pela grande quantidade de material lenhoso transportado, principalmente durante as cheias, e isso acaba influenciando as condições operativas tornando-se um grande desafio para a geração de energia na UHE Jirau. São muitos troncos e as barreiras flutuantes do log boom que tem a função de retê-los, nem sempre apresentam a eficiência desejada, em especial pelas inúmeras variáveis envolvidas e o regime de vazões. Este trabalho envolve a simulação hidrodinâmica do rio Madeira e a simulação tridimensional desse material lenhoso, para analisar seu comportamento ao longo do rio e ter conhecimento da sua posição conforme o escoamento, do seu destino e da influência das barreiras de log boom na hidrodinâmica e no transporte de partículas. Os troncos foram simulados como partículas pelo módulo PART do Delft3d, através do modelo Lagrangiano. O modelo hidrodinâmico foi validado e foi possível representar as principais variações de velocidades tridimensionais e níveis d’água. A simulação de partículas foi condizente com a distribuição de vazões e assim foi possível identificar, conforme a operação da usina, os destinos mais atrativos para os troncos. transportado cheias tornandose tornando se Jirau retêlos, retêlos retê los, los retê-los desejada escoamento Delft3d Delftd Delft d Lagrangiano dágua. dágua água. água d’água identificar usina

ABSTRACT BACKGROUND: Duodenal adenocarcinoma is a small percentage of gastrointestinal neoplasms, around 0.5%, and its treatment is based on resection of the tumor, classically by pancreaticoduodenectomy. In recent years, however, segmental resections of duodenal lesions, that do not involve the second portion or the periampullary region, have gained relevance with good surgical and oncological outcomes as well as the benefit of avoiding surgeries that can result in high morbidity and mortality. AIMS: To report a case of an elderly female patient with malignant neoplastic lesion in the third and fourth duodenal portion, non-obstructive, submitted to surgical treatment. METHODS: The technical option was the resection of the distal duodenum and proximal jejunum with preservation of the pancreas and reconstruction with side-to-side duodenojejunal anastomosis. RESULTS: The evolution was satisfactory and the surgical margins were free of neoplasia. CONCLUSIONS: Segmental resections of the duodenum are feasible and safe, offering the benefit of preventing complications of pancreaticoduodenectomies. BACKGROUND neoplasms 05 0 5 0.5% tumor pancreaticoduodenectomy years however lesions region mortality AIMS nonobstructive, nonobstructive non obstructive, obstructive non-obstructive METHODS sidetoside side anastomosis RESULTS neoplasia CONCLUSIONS safe pancreaticoduodenectomies 0.5 0.

RESUMO RACIONAL: O adenocarcinoma duodenal é uma pequena porcentagem das neoplasias gastrointestinais, em torno de 0,5%, e seu tratamento baseia-se na ressecção da massa tumoral, classicamente por pancreatoduodenectomia. Nos últimos anos, porém, as ressecções segmentares de lesões duodenais que não envolvem a segunda porção ou a região periampular têm ganhado relevância com bons resultados cirúrgicos e oncológicos e com o benefício de evitar uma cirurgia que pode apresentar alta morbimortalidade. OBJETIVOS: Reportar o caso de uma paciente feminina, idosa, com lesão neoplásica maligna na terceira e quarta porção duodenal, não obstrutiva, submetida a tratamento cirúrgico. MÉTODOS: A opção técnica foi a ressecção do duodeno distal e jejuno proximal com preservação do pâncreas e reconstrução com anastomose duodenojejunal látero-lateral. RESULTADOS: A evolução foi satisfatória e as margens cirúrgicas foram livres de neoplasia. CONCLUSÕES: As ressecções segmentares do duodeno são factíveis e seguras, com os benefícios de evitar as complicações das pancreatoduodenectomias. RACIONAL gastrointestinais 05 0 5 0,5% baseiase baseia se tumoral pancreatoduodenectomia anos porém morbimortalidade OBJETIVOS feminina idosa obstrutiva cirúrgico MÉTODOS láterolateral. láterolateral látero lateral. lateral látero-lateral RESULTADOS neoplasia CONCLUSÕES seguras pancreatoduodenectomias 0,5 0,

Abstract Objectives Prominent ear abnormalities affect 5% of the population. A prospective, double-blind study of patients who underwent otoplasty procedures to correct these abnormalities was conducted to compare two surgical techniques. They diverge by the preservation or not of conchal cartilage. Methods The two techniques were compared by measuring the cephalo-auricular and scapho-conchal angles. Measurements were performed in pre and 6-months post-operative periods using alginate molding. Twenty patients were randomly assigned to two groups (with and without cartilage preservation) with 10 participants each. Student’s t-test, Covariance Analysis Model (ANCOVA), and non-parametric Mann-Whitney were used in the statistical analyses. Results A significant reduction in the average of the cephalo-auricular and scapho-conchal angles was observed in both surgical procedures (p < 0.001). However, no significant difference was found between them (p = 0.887). Conclusion The two techniques analyzed in this study fulfilled their objectives. Therefore, further comparative studies are needed to confirm the superiority of one over the other. Level I Evidence obtained from at least one properly designed randomized controlled trial. 5 population prospective doubleblind double blind cephaloauricular cephalo auricular scaphoconchal scapho 6months months 6 postoperative post operative molding 1 each Students Student s ttest, ttest t test, test t-test ANCOVA, ANCOVA , (ANCOVA) nonparametric non parametric MannWhitney Mann Whitney analyses p 0.001. 0001 0.001 . 0 001 0.001) However 0.887. 0887 0.887 887 0.887) objectives Therefore other trial (ANCOVA 000 0.00 00 088 0.88 88 0.0 08 0.8 8 0.

Background: Vena cava (VC) involvement in kidney tumors occurs in 4 to 10% of cases, and is associated with a higher mortality. Nephrectomy with thrombectomy of the VC, performed by a multidisciplinary team, improves survival. Aim: To report a series of consecutive nephrectomies with caval thrombectomy performed in an academic center. Patients and Methods: We report 32 patients with cT3b and 3c renal tumors, who underwent radical nephrectomy with VC thrombectomy between 2001 and 2021. A descriptive analysis of clinical, surgical and pathological variables was performed. Overall survival (OS) and cancer-specific survival (CSS) was calculated using Kaplan-Meier curves. Results: The mean tumor size was 9.7 cm. According to Mayo classification 3/32 (9%) patients had a type I thrombus, 10/32 (31%) had a type II thrombus, 8/32 (25%) had a type III thrombus, and 5/32 (16%) had a type IV thrombus. The mean bleeding was 2000 cc. There was one intraoperative death. Nineteen percent of patients had complications >= 3 according to Clavien-Dindo classification. Reoperations occurred in 9%. Pre and postoperative creatinine levels were 1.17 and 1.91 mg/dl respectively (p < 0.01). Pre and postoperative Hematocrit levels were 47.9 and 31% respectively (p = 0.02). Sixty six percent of tumors were clear cell renal cancer, 9% were papillary and 3% were chromophobic. Mean OS was 10 months. Two-year SCE was 40%. Conclusions: Our results are similar to those reported elsewhere. Despite being an unusual pathology, the surgical technique has been improving, thanks to the multidisciplinary work of urologists and surgeons.

Background: Thoracoabdominal aortic aneurysm (TAAA) is an infrequent disease and demands a highly specialized and experienced management. Open repair (OR) is the gold standard but it is associated with significant morbidity and mortality. Paraplegia and renal failure are the most important complications. Aim: To report our results with OR treatment of TAAA. Material and Methods: Descriptive study including all patients with TAAA operated electively and consecutively by OR between 1983 and 2019. Main outcomes are operative mortality, renal and neurological morbidity, and long-term survival. Results: We report 45 operated patients aged 33 to 84 years, 74% males. Aneurysm extension according to Crawford classification was I in 18%, II in 18 %, III in 36% and IV in 29%. Operative mortality was 4%. The frequency of paraplegia or paraparesis at discharge was 9%. No patient was discharged on hemodialysis. Survival at 5 and 10 years were 60% and 40% respectively. Conclusions: OR of TAAA is a complex procedure. Our results show perioperative mortality rates comparable to highly experienced centers. Although being a major procedure, OR remains an alternative to treat this serious condition.

Introduction Gastrointestinal stromal tumors (GIST), corresponds to 1%, of all gastrointestinal neoplasms, however, only 3%-5% developed in duodenum. Aim To report a case of a male patient with atypical location of gastrointestinal stroma tumor and the treatment proposed. Case report 50-year-old male patient, with medical history of organic brain damage secondary a traumatic brain injury, smoker, occasional alcohol consumer and branquial cystomy during childhood. Consulted in the emergency department for a high digestive hemorrhage case with hemodynamic compromise. Upper digestive endoscopy, computed tomography and nuclear magnetic resonance were performed, which impresses tumor-like lesion in the second duodenal portion. Discussion Although the GIST clinical presentation is variable, most often they are asymptomatic patients. In some times, as in this report, they may present with abdominal pain and/or upper gastrointestinal bleeding. The preoperative diagnosis was difficult, because the imaging study (CT, RNM, EDA) only stablished the suspicion and the final diagnosis was made by biopsy (we don't have endosonography in our center). Due to the anatomic repair, there is not a standardized surgery, in this case, due tumor location, infiltration and characteristics, it was decided to perform a pancreatoduodenectomy.

Resumen Introducción Los tumores del estroma gastrointestinal (GIST) corresponden al 1% de todas las neoplasias gastrointestinales, sin embargo, sólo el 3-5% de estos se desarrollan en el duodeno. Objetivo Reportar el caso de un paciente masculino con localización atípica de un tumor de estroma gastrointestinal y su manejo. Caso clínico paciente masculino de 50 años con antecedente de traumatismo encefalo craneano (TEC) con daño orgánico cerebral secundario, tabaquismo, consumidor de alcohol ocasional y sometido a quistectomía branquial en la infancia, que consulta en el servicio de urgencias por cuadro de hemorragia digestiva alta con compromiso hemodinámico. Tras realizar endoscopia digestiva alta (EDA), resonancia nuclear magnética (RNM) y tomografía computada (TC) de abdomen, se pesquisa masa tumoral en segunda porción de duodenal. Discusión A pesar de que la presentación clínica de los GIST es variable, lo más frecuente es que sean pacientes asintomáticos. En algunas ocasiones, al igual que en este reporte, pueden presentarse con dolor abdominal y/o hemorragia digestiva alta. El diagnóstico preoperatorio fue difícil ya que el estudio con imágenes (TC, RNM, EDA) sólo permite establecer la sospecha; el diagnóstico definitivo se realizó con biopsia (no contamos con endosonografía en nuestro centro). Debido a los sitios de reparo anatómico, no existe una cirugía estandarizada; en este caso, debido a la localización, infiltración y características, se decidió realizar una pancreatoduodenectomía.

Resumo O tamanho corporal influencia o efeito de indivíduos e assembleias no funcionamento dos ecossistemas e define como estes respondem à alterações ambientais. Investigamos como a estrutura do tamanho corporal de assembleias e grupos funcionais de peixes responde ao uso da terra quantificado em três escalas espaciais (sub-bacia, ripária e local), em 40 riachos do Pampa, sul do Brasil. Para tanto, calculamos média, coeficiente de variação, assimetria e kurtose usando biomassa individual em nível de assembleia e grupo funcional. As respostas do tamanho corporal dependeram da métrica utilizada, do grupo funcional e da escala de uso da terra. Entre os 11 grupos funcionais identificados, apenas cinco mostraram uma resposta clara ao uso da terra. Em geral, a maioria dos grupos mostrou uma assimetria na distribuição em favor de menores tamanhos corporais e uma concentração de tamanhos em uma distribuição estreita e central (alta kurtose) em resposta ao uso da terra quantificado nas três escalas espaciais. Entretanto, as respostas foram complexas e variaram entre grupos funcionais. A consideração de atributos ecomorfológicos e tróficos separadamente por grupo funcional e a avaliação de múltiplas métricas contribuem de forma importante para detectar a influência do uso da terra no tamanho corporal de peixes.

Abstract Body size influences the effect of individuals and assemblages on ecosystem functioning and defines how they respond to ecosystem changes. We evaluated how body size structure of fish assemblages and functional groups respond to human modifications at catchment, riparian and local scales in 40 streams of the Pampa grasslands, southern Brazil. To describe body size structure, we calculated the mean, coefficient of variation, skewness, and kurtosis, using individual biomass data for the entire fish assemblages and separately by functional group. The results suggested that body size response depends on body size metrics, functional group, and the spatial scale of land use. From 11 functional groups, only five showed a clear response to land use. In general, most functional groups had a higher concentration of small sizes (left-skewed) in response to increased land use measured at distinct spatial scales (local, riparian, and catchment), and a greater concentration of sizes in a narrow and central distribution (higher kurtosis). However, the responses were complex and varied between the functional groups. We conclude that considering ecomorphological and trophic features separately by functional group and assessing multiple body size metrics contributed greatly to detecting the influence of land use on fish body size.

SUMMARY: Mucinous cystic neoplasm of the pancreas (MCNP) are variable types of tumors, which predominantly affect women (90-95 %), and usually appear incidentally in the 5th to 7th decade of life. They are generally solitary lesions, with no involvement of the main pancreatic duct, rarely symptomatic and are associated with malignancy (10 % to 40 %). The aim of this manuscript was to report a case of giant mucinous cystic neoplasm of the pancreas surgically treated and review the existing evidence regarding its morphological, therapeutic and prognosis characteristics. Patient: A 29-year-old woman with a slightly symptomatic abdominal mass. The diagnosis was verified with ultrasound, computed axial tomography and magnetic nuclear resonance. The patient underwent surgery; an uneventful corporocaudal pancreatectomy with splenic preservation was performed. She was discharged on the fifth day, and has evolved adequately, without postoperative complications. MCNP is a complex lesion, which can be associated with malignancy, but the preoperative diagnosis of malignancy cannot be established with certainty. Its prognosis depends on early diagnosis and timely treatment.

RESUMEN: La neoplasia quística mucinosa del páncreas (NQMP) es un tumor infrecuente, que afecta predominantemente a mujeres (90-95 %), afectando especialmente entre la quinta y séptima década de la vida; cuyo descubrimiento suele ser incidental. Por lo general, son lesiones solitarias, sin compromiso del conducto pancreático principal; poco sintomáticas y asociadas a malignidad (10 % a 40 %). El objetivo de este manuscrito fue reportar un caso de neoplasia quística mucinosa gigante del páncreas intervenida quirúrgicamente y revisar la evidencia existente respecto de sus características morfológicas, terapéuticas y pronósticas. Mujer de 29 años, con masa abdominal poco sintomática. El diagnóstico se verificó por medio de ultrasonografía, tomografía axial computarizada y resonancia nuclear magnética. Se intervino quirúrgicamente, realizándose pancreatectomía corporocaudal con preservación esplénica, sin incidentes. La paciente fue dada de alta al quinto día, sin complicaciones, y evolucionó de forma adecuada, sin complicaciones postoperatorias. La NMQP es una lesión compleja, que puede asociarse a malignidad, pero el diagnóstico preoperatorio de malignidad no puede establecerse con seguridad. El pronóstico depende de un diagnóstico precoz y un tratamiento oportuno.

RESUMO A pimenta Habanero é popular no mercado internacional e começa a despertar maior interesse no nacional, porém poucas cultivares adaptadas às condições edafoclimáticas e com resistência às principais doenças como murcha bacteriana (MB) e murcha de fitóftora (MF), causadas respectivamente por Ralstonia pseudosolanacearum (RP) e Phytophthora capsici (PC), estão disponíveis no Brasil. O objetivo deste estudo foi avaliar a reação de linhagens avançadas de pimenta do grupo Habanero desenvolvidas pelo programa de melhoramento da Embrapa Hortaliças à MB e MF. Apesar de não ser exigida no processo de registro, proteção e lançamento de novas cultivares, esta informação é importante para os produtores. As linhagens avançadas identificadas como CNPH 15.737, CNPH 15.740, CNPH 15.744, CNPH 15.745, CNPH 15.749 e CNPH 15.750 foram inoculadas com três isolados de RP e um de PC. Quantificaram-se as plantas com folhas murchas (RP) e com necrose do caule, murcha das folhas e tombamento para PC. A área total abaixo da curva de progresso da doença (AACPD) foi obtida utilizando-se valores de incidência e, também, o índice de severidade para RP. CNPH 15.740 e CNPH 15.737 apresentaram alta resistência a RP. CNPH 15.749 apresentou nível moderado de resistência à PC. Merece destaque especial a linhagem CNPH 15.740, com nível elevado de resistência aos isolados de RP e intermediário a PC e que também possui características agronômicas desejáveis tendo, portanto, alto potencial como nova cultivar a ser disponibilizada aos produtores.

ABSTRACT Habanero pepper is important in the international market and is becoming popular in the national market; however, few cultivars adapted and resistant to devastating diseases caused by the soilborne pathogens Ralstonia pseudosolanacearum (RP) and Phytophthora capsici (PC) are available in Brazil. The aim of this study was to evaluate the reaction of Habanero-type advanced inbred lines, developed by Embrapa Hortaliças breeding program, to RP and PC. Although not required for the process of protection, registration and release of new cultivars, this information is important. CNPH 15.737; CNPH 15.740; CNPH 15.744; CNPH 15.745; CNPH 15.749 and CNPH 15.750 were inoculated with three RP and one PC isolates. Plants showing wilted leaves (RP) and stem necrosis, leaf wilting and damping off (PC) were quantified. Total area under the disease progress curve (AUDPC) was obtained using incidence values and also severity index for RP. CNPH 15.740 and CNPH 15.737 were highly resistant to RP. CNPH 15.749 displayed considerable resistance levels to PC. CNPH 15.740 showed high resistance to RP isolates and intermediate resistance to PC isolates which also shows agronomic traits of interest to the sector, therefore with a high potential to be released as a new cultivar.

ABSTRACT Root-knot nematodes are among the main agents that negatively affect the pepper and sweet pepper crop (Capsicum annuum L.), especially Meloidogyne incognita, M. javanica, and M. enterolobii. The objective of this study was to evaluate genotypes of C. annuum L. var. annuum in their response to infection by M. incognita race 3, M. javanica, and M. enterolobii. The experiment was conducted using a completely randomized design arranged in a 27 × 3 factorial scheme with six replicates and each plot consisted of one plant. The experiment was carried out at the UNESP-FCAV in Jaboticabal, Sao Paulo, Brazil. The genotypes were in plastic pots containing an autoclaved mixture of soil, sand, and bovine manure under greenhouse conditions, and they were evaluated for the reproduction index and reproduction factor at 90 d after inoculation. Thirteen genotypes were classified as resistant, based on the reproductive factor, and highly resistant, based on the reproduction index, to M. javanica, while six were resistant and highly resistant materials to M. incognita race 3. No materials resistant to M. enterolobii were identified. The genotypes CNPH 698, CNPH 701, CNPH 702, CNPH 717, and CNPH 718 were simultaneously classified as resistant to M. incognita race 3 and M. javanica based on the reproduction factor.

Resumo A foto-identificação permite o reconhecimento individual de espécies de animais baseando-se em marcas naturais, sendo uma alternativa a outras técnicas de marcação artificial mais estressantes comumente usadas. O número crescente de estudos que usam foto-identificação em diferentes grupos animais mostra que esta técnica pode ser utilizada com sucesso, mas a viabilidade em estudos com peixes de água doce ainda não foi avaliada. Nós demonstramos o uso potencial da foto-identificação para o reconhecimento individual de peixes com indivíduos do loricarídeo Rineloricaria aequalicuspis. Nós testamos foto-identificação em condições de laboratório e de campo com base na variabilidade inter-individual das placas ósseas abdominais. O teste resultou em elevada porcentagem de acerto nas comparações, tanto para a condição de laboratório (100%) quanto para a de campo (> 97%), o que é comparável com outras técnicas confiáveis e com outros estudos que empregaram foto-identificação com sucesso. No teste de campo, o número de acertos não diferiu estatisticamente entre auxílio de computador e olho nu. Entretanto, o tempo médio despendido para concluir as avaliações com o auxílio de computador foi cerca da metade do tempo despendido para as avaliações a olho nu. Esse resultado pode ser exacerbado em avaliações com um grande número de imagens. Nossos resultados indicam que a foto-identificação pode ser uma técnica alternativa viável para estudar peixes de água doce e possibilita um uso mais amplo da marcação e recaptura para estudos ecológicos e comportamentais.

Abstract Photo-identification allows individual recognition of animal species based on natural marks, being an alternative to other more stressful artificial tagging/marking techniques. An increasing number of studies with different animal groups has shown that photo-identification can successfully be used in several situations, but its feasibility to study freshwater fishes is yet to be explored. We demonstrate the potential use of photo-identification for intraspecific recognition of individuals in the stream-dwelling loricariid Rineloricaria aequalicuspis . We tested photo-identification in laboratory and field conditions based on the interindividual variability in abdominal bony plates. Our test yielded high correct matches in both laboratory (100%) and field conditions (> 97%), comparable to other reliable techniques and to studies that successfully used photo-identification in other animals. In field conditions, the number of correct matches did not differ statistically between computer-assisted and naked-eye identification. However, the average time expended to conclude computer-assisted photo evaluations was about half of the time expended to conclude naked-eye evaluations. This result may be exacerbated when using database with large number of images. Our results indicate that photo-identification can be a feasible alternative technique to study freshwater fish species, allowing for a wider use of mark-recapture in ecological and behavioral studies.

Background: To validate the BIRADS in mammography, the calculation of its predictive value in each center is required, as recommended by the American College of Radiology. Aim: To determine the predictive value of the BIRADS system in our center. Material and Methods: All ultrasound guided needle percutaneous biopsies, performed at our center between 2006 and 2010 were reviewed. Predictive value, sensitivity, specificity and diagnostic accuracy of BIRADS were calculated, with a confidence interval of 95%. Results: Of 1,313 biopsies available, 1,058 met the inclusion criteria. Fifty eight percent of biopsies were performed to women with mammographies classified as BIRADS 4 or 5. The presence of cancer in mammographies classified as BIRADS 0 was 4%. The prevalence of cancer for mammographies BIRADS 1, 2, 3, 4 and 5 were 0, 3, 2.7, 17.7 and 72.4% respectively. The positive and negative predictive values of BIRADS classification were 55 and 92 % respectively. Conclusions: In our institution BIRADS classification 4 and 5 has a high positive predictive value for detecting cancer as in developed countries.

A distonia cervical (CD) afeta a musculatura do pescoço de modo focal ou em combinação com outras partes do corpo. O objetivo deste estudo foi identificar diferenças clínicas entre pacientes com distonia com história familiar e pacientes sem história familiar (esporádicos). Foram selecionados 88 pacientes com DC no Setor de Distúrbios do Movimento entre julho de 2008 e junho de 2009. Somente os pacientes sem diagnóstico etiológico foram admitidos para análise. A idade de início dos sintomas foi mais tardia em pacientes com distonia focal e segmentar do que em pacientes com distonia generalizada (p<0,001). A gravidade dos sintomas foi maior em pacientes com distonia focal esporádicos do que naqueles com história familiar (p<0,01). Os casos generalizados foram mais graves nos pacientes com história familiar (p<0,01). Pacientes esporádicos tiveram níveis maiores de dor em relação aos casos familiares (p<0,05). Esperamos apresentar em breve resultados de análises genéticas desses pacientes.

Cervical dystonia (CD) affects the musculature of the neck in a focal way or associated to other parts of the body. The aim of this study was to identify clinical differences between patients with dystonia patients without family history and with family history (sporadic). Eighty-eight patients with CD were recruited in a Movement Disorders Clinic between June of 2008 and June of 2009. Only patients with no etiological diagnosis were accepted for analysis. The age of onset of symptoms was later in patients with focal and segmental dystonia than in patients with generalized dystonia (p<0.001). The severity of symptoms was higher in patients with sporadic dystonia than in familial patients (p<0.01). Generalized cases were more severe in patients with a family history (p<0.01). Sporadic patients had higher levels of pain than familial cases (p<0.05). We expect soon to present the results of genetic analyzes of these patients.

Relata-se uma série de cinco casos de distonia oromandibular com abertura da boca, secundária à doença de Wilson, em que os pacientes foram tratados com toxina botulínica tipo A. Em todos os casos, a distonia oromandibular com abertura da boca foi parcialmente reduzida três semanas após as injeções. O efeito adverso mais comum foi a disfagia leve e transitória. Este estudo preliminar mostrou melhora parcial da distonia oromandibular com abertura da boca.

We have reported a case series of five patients with jaw-opening oromandibular dystonia secondary to Wilson's disease (WD), in which the patients were treated with botulinum toxin type A (BTX-A). In all cases, dystonia score was partially reduced three weeks after injections. The most common side effect was transient mild dysphagia. This preliminary study showed that jaw-opening oromandibular dystonia in WD may be partially responsive to the use of BTX-A.

Peribiliary gland hamartoma (PGH) or bile duct adenoma corresponds to a benign liver tumor, which represents only 1.3% of all primary liver tumors. Corresponds to a macroscopically well-defined round lesion, subcapsular, and is usually diagnosed as an intra-operative findings or autopsy. We report two patients with incidental diagnosis of PGH conducted in the Pathology Unit of the Hospital Hernán Henríquez in Temuco.

El hamartoma peribiliar (HPB) o adenoma de conductos biliares corresponde a un tumor hepático benigno, que representa tan solo el 1,3% de todos los tumores primarios del hígado. Macroscópicamente corresponde a una lesión redondeada bien delimitada, subcapsular, siendo habitualmente diagnosticado como un hallazgo intra-operatorio o de autopsia. Se presentan dos pacientes con diagnóstico incidental de HPB realizado en la Unidad de Anatomía Patológica del Hospital Hernán Henríquez de Temuco.