ABSTRACT Background: This study aimed to assess the frequency and intensity of anxious and depressive symptoms in patients diagnosed with metabolic dysfunction-associated steatotic liver disease (MASLD). Methods: This is a descriptive and cross-sectional study, resulting from 106 patients from the Hepatology outpatient clinic at the Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HC-FMUSP), São Paulo, Brazil without a history of alcohol abuse, verified by the alcohol use disorders identification test (AUDIT). These were assessed using the sociodemographic data sheet, Hospital Anxiety and Depression Scale (HADS), Hamilton Anxiety Rating Scale (HAM-A), and Hamilton Depression Scale (HAM-D). Results: A total of 69.8% were women and 30.2% were men, with a mean age of 61 years. The majority (71.7%) discovered MASLD through routine exams, presenting as comorbidities: Type 2 diabetes mellitus (59.4%), Dyslipidemia (49.1%), Arterial hypertension (68.9%), Obesity (61.3%) and Metabolic syndrome [MetS (63.2%)]. The HADS scale indicates 34% probability of anxiety and 33% depressive symptoms. The Hamilton’s scales of intensity indicates 63.9% severe anxiety and 54.3% severe depression. There is also a relationship between anxiety, depression and the female gender, as well as between depression and MetS. Conclusion: The findings point to the presence of anxiety and depression in more than one third of MASLD patients, most with severe symptoms. The group is concentrated in the elderly, with many comorbidities, including MetS. There was a positive correlation between anxiety, depression and being female; also, being significant between MetS and depression. Background dysfunctionassociated dysfunction associated MASLD. . (MASLD) Methods crosssectional cross sectional 10 HCFMUSP, HCFMUSP HC FMUSP , (HC-FMUSP) abuse AUDIT. AUDIT (AUDIT) sheet HADS, (HADS) HAMA, HAMA HAM (HAM-A) HAMD. HAMD D (HAM-D) Results 698 69 8 69.8 302 30 30.2 men 6 years 71.7% 717 71 7 (71.7% exams comorbidities 59.4%, 594 59.4% 59 4 (59.4%) 49.1%, 491 49.1% 49 1 (49.1%) 68.9%, 689 68.9% 68 9 (68.9%) 61.3% 613 3 (61.3% 63.2%. 632 63.2% 63 (63.2%)] 34 33 Hamiltons s 639 63.9 543 54 54.3 gender Conclusion elderly (MASLD (HC-FMUSP (AUDIT (HADS (HAM-A (HAM-D 69. 30. 71.7 (71.7 59.4 5 (59.4% 49.1 (49.1% 68.9 (68.9% 61.3 (61.3 63.2 (63.2%) 63. 54. 71. (71. 59. (59.4 49. (49.1 68. (68.9 61. (61. (63.2% (71 (59. (49. (68. (61 (63.2 (7 (59 (49 (68 (6 (63. ( (5 (4 (63

RESUMO Contexto: Este estudo teve como objetivo avaliar a frequência e a intensidade dos sintomas ansiosos e depressivos em pacientes com diagnóstico de doença hepática esteatótica associada à disfunção metabólica [do inglês: Metabolic dysfunction-associated steatotic liver disease (MASLD)]. Métodos: Trata-se de um estudo descritivo e transversal, resultante do acompanhamento de 106 pacientes do Ambulatório de Doença Hepática Esteatótica Associada à Disfunção Metabólica (A2MG700) da Disciplina de Gastroenterologia Clínica do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HC-FMUSP), São Paulo, Brasil, sem história de abuso de álcool, verificada pelo Alcohol Use Disorders Identification Test (AUDIT). Foram avaliados os dados sociodemográficos, Escala hospitalar de ansiedade e depressão [do inglês: Hospital Anxiety and Depression Scale (HADS)], Escala de avaliação de ansiedade de Hamilton [do inglês: Hamilton Anxiety Rating Scale (HAM-A)] e Escala de depressão de Hamilton [do inglês: Hamilton Depression Scale (HAM-D)]. Resultados: Um total 69,8% dos indivíduos eram do sexo feminino com idade média de 61 anos. A maioria dos indivíduos avaliados (71,7%) descobriu a doença por meio de exames de rotina e apresentavam diabetes mellitus tipo 2 (59,4%), dislipidemia (49,1%), hipertensão arterial (68,9%), obesidade (61,3%) e síndrome metabólica [SM (63,2%)]. A análise da escala HADS demonstrou probabilidade de ansiedade em 34% dos participantes e 33% de sintomas depressivos. A escala de intensidade de Hamilton demonstrou que 63,9% dos indivíduos apresentavam ansiedade severa e 54,3% depressão severa. Observamos também relação entre ansiedade, depressão e o sexo feminino, assim como, entre depressão e SM. Conclusão: Nossos achados demonstram a presença de ansiedade e depressão em mais de 1/3 dos indivíduos com MASLD avaliados e a maioria apresenta sintomas graves. O grupo era composto por pacientes idosos e com comorbidades, incluindo SM. Observamos correlação positiva entre ansiedade, depressão e sexo feminino, sendo significativa entre SM e depressão. Contexto inglês dysfunctionassociated dysfunction associated MASLD. . (MASLD)] Métodos Tratase Trata se transversal 10 A2MG700 AMG MG (A2MG700 HCFMUSP, HCFMUSP HC FMUSP , (HC-FMUSP) Brasil álcool AUDIT. AUDIT (AUDIT) sociodemográficos HADS, (HADS)] HAMA HAM (HAM-A) HAMD. HAMD D (HAM-D)] Resultados 698 69 8 69,8 6 anos 71,7% 717 71 7 (71,7% 59,4%, 594 59,4% 59 4 (59,4%) 49,1%, 491 49,1% 49 1 (49,1%) 68,9%, 689 68,9% 68 9 (68,9%) 61,3% 613 3 (61,3% 63,2%. 632 63,2% 63 (63,2%)] 34 33 639 63,9 543 54 54,3 Conclusão 13 1/ graves comorbidades (MASLD) A2MG70 (A2MG70 (HC-FMUSP (AUDIT (HADS) (HAM-A (HAM-D) 69, 71,7 (71,7 59,4 5 (59,4% 49,1 (49,1% 68,9 (68,9% 61,3 (61,3 63,2 (63,2%) 63, 54, (MASLD A2MG7 (A2MG7 (HADS (HAM-D 71, (71, 59, (59,4 49, (49,1 68, (68,9 61, (61, (63,2% A2MG (A2MG (71 (59, (49, (68, (61 (63,2 (7 (59 (49 (68 (6 (63, ( (5 (4 (63

Abstract Proteases are enzymes that act in the hydrolysis of proteins and have several industrial applications. Moreover, proteases have gained prominence as enzymes for the generation of bioactive peptides from the hydrolysis of different protein sources. Milk is the most studied protein source to obtain peptides due to its nutritional and physiological effects and has been studied as complementary therapeutic approaches for the cancer treatment, interacting specifically with cancer cells, consequently fewer side effects. The ability of Eupenicillium javanicum metalloprotease to generate whey-derived peptides with antioxidant activity has already been demonstrated. For this reason, we thus hypothesized that whey-derived peptides from Eupenicillium javanicum metalloprotease hydrolysis could also have a potential against melanoma cell lines. In this study, B16F10 melanoma cells were treated for 72 h with whey-derived peptides and the effects on cell viability were determined. Moreover, the protein profiles of the treated and nontreated cells were compared in proteomic assay and mass spectrometry analyzes. Whey-derived peptides impaired about 62% cell viability, and proteomic approach associated this behavior to modulate proteins involved in proliferation, energy, apoptosis, metastatic and malignancy rates. This study describes the relevance of microbial enzymes in generation of whey-derived peptides with biological activity against melanoma cells.

Objective: Current treatment for borderline personality disorder (BPD) involves psychological and pharmacological interventions. However, neuromodulation techniques such as repetitive transcranial magnetic stimulation (rTMS) may positively affect BPD symptomatology. The objective of this study was to evaluate the clinical and neuropsychological effects of rTMS on the dorsomedial prefrontal cortex (DMPFC) in BPD patients. Methods: Fourteen patients with BPD were randomized into two groups (active vs. sham) for 15 sessions of rTMS on the DMPFC. Clinical effects were measured using the Borderline Symptoms List (BSL), Clinical Global Impression Scale for BPD (CGI-BPD), Borderline Evaluation of Severity over Time (BEST), Hamilton Depression Rating Scale (HDRS), Hamilton Anxiety Rating Scale (HARS), and Barratt’s Impulsiveness Scale (BIS). Neuropsychological effects were determined by a Stop-Signal Task (SST), the Wisconsin Card-Sorting Test (WCST), and the Iowa Gambling Test (IGT). Results: Within-group comparison showed significant differences (p < 0.05) in CGI-BPD (total score and six of nine psychopathologic domains), BEST, HDRS, HARS, and IGT scores for active modality. Conclusion: The 5 Hz-DMPFC rTMS technique was well tolerated and lessened the severity of BPD symptomatology, especially abandonment, affective issues, interpersonal relationships, suicidal behavior, anger, and paranoid ideation. Cognitive improvement was seen in decision-making. Additional studies are needed to fully evaluate the effects of rTMS on BPD symptomatology. Clinical Trial Registration: NCT03832777.

Resumo Anaplasma marginale é uma bactéria Gram-negativa intracelular obrigatória de eritrócitos de ruminantes e responsável pela anaplasmose bovina. A diversidade genética de A. marginale tem sido caracterizada com base nas sequências das principais proteínas de superfície (MSPs), como a MSP1α. O objetivo deste estudo foi investigar a diversidade genética de A. marginale em bovinos no estado do Maranhão, Nordeste do Brasil. Dessa forma, 343 amostras de sangue foram submetidas ao ensaio iELISA, utilizando-se a proteína recombinante MSP5. Das 343 amostras de sangue, 235 (68,5%) foram escolhidas aleatoriamente e submetidas à extração de DNA, qPCR e PCR convencional para gene msp1α, para determinação das sequências de aminoácidos e classificação dos genótipos. Os resultados do iELISA mostraram 81,34% de soropositividade (279/343), enquanto qPCR revelou 224 amostras positivas (95,32%). Dentre estas na qPCR, 67,4% (151/224) mostraram-se positivas no PCR convencional. Das 50 sequências obtidas, 21 cepas não haviam sido relatadas anteriormente. Em relação aos genótipos, H (26/50) e E (18/50) foram os mais frequentes, enquanto os genótipos F e C foram identificados apenas duas vezes cada, e B e G uma vez cada. Em conclusão, alta prevalência e marcante diversidade genética de A. marginale foram observadas em rebanhos leiteiros no estado do Maranhão.

Abstract Anaplasma marginale is an obligate intracellular Gram-negative bacterium found in ruminants’ erythrocytes and is the etiological agent of bovine anaplasmosis. The bacterium’s genetic diversity has been characterized based on sequences of major surface proteins (MSPs), such as MSP1α. The aim of the present study was to investigate the genetic diversity of A. marginale in cattle in the state of Maranhão, northeastern Brazil. To this end, 343 blood samples were harvested and subjected to iELISA assays using the recombinant surface protein MSP5. Out of 343 blood samples, 235 (68.5%) were randomly chosen and submitted to DNA extraction, qPCR and conventional PCR targeting the msp1α gene to determine amino acid sequences and classify the genotypes. The iELISA results showed 81.34% seropositivity (279/343), whereas qPCR revealed 224 positive samples (95.32%). Among these qPCR-positive samples, 67.4% (151/224) were also positive in the cPCR. Among the 50 obtained sequences, 21 strains had not been previously reported. Regarding the genotypes, H (26/50) and E (18/50) were identified most often, while genotypes F and C were only identified twice each and B and G once each. In conclusion, high prevalence and genetic diversity for A. marginale were observed in dairy cattle herds in the state of Maranhão.

Resumen Hay poca información sobre la inmunidad innata de los triatominos contra Trypanosoma rangeli, un parásito infeccioso para el humano, aunque no patógeno, y T. cruzi, el agente causal de la enfermedad de Chagas. En este trabajo se buscó llenar ese vacío mediante el estudio de la actividad tripanolítica in vitro de la hemolinfa de insectos no infectados con T. rangeli o T. cruzi. Se examinaron ocho especies de triatominos: Rhodnius prolixus, R. robustus, R. colombiensis, R. pallescens, R. pictipes, Triatoma dimidiata, T. maculata, y Panstrongylus geniculatus. La hemolinfa de las colonias de laboratorio de R. prolixus y R. robustus presentó una fuerte actividad tripanolítica durante las primeras 14 horas de incubación con los parásitos, evidenciando 81 y 90 % de lisis para los genotipos C y E de T. rangeli y 95 % para la unidad taxonómica discreta (DTU) de TcII, 94 % para TcV, 96% para TcVI, 94 % para Tcbat y 90 % para Tcmarinkellei. No se detectó lisis a las 14 ni a las 24 horas de incubación de los parásitos con las hemolinfas de colonias de laboratorio de R. pictipes, R. pallescens, P. geniculatus y T. maculata. Se registraron resultados idénticos (ausencia de lisis) con la hemolinfa de colonias de laboratorio de R. colombiensis y T. dimidiata y de especímenes capturados en ambientes selváticos. La actividad lítica de la hemolinfa fue similar en cultivos recientes de TcII (95 % de lisis) y en aquellos mantenidos por periodos prolongados (96 % de lisis). La actividad lítica de la hemolinfa de R. prolixus fue similar en ninfas, machos y hembras y en insectos alimentados con sangre de gallina o sangre de ratón. Este es el primer estudio comparativo de la actividad tripanolítica en la hemolinfa de diferentes especies de triatominos contra genotipos de T. rangeli y T. cruzi. Aunque la estructura química de los factores líticos, así como los mecanismos que determinan su expresión, aún no se han establecido completamente, su identificación permitirá comprender mejor la inmunidad innata de los triatominos y su papel en la trasmisión de los tripanosomas.

Abstract There is limited information about the innate immunity of triatomines against Trypanosoma rangeli, an infectious, non-pathogenic human parasite, and T. cruzi, the causative agent of Chagas' disease. This study aimed at addressing this gap by studying the in vitro trypanolytic hemolymph activity from insects not infected by T. rangeli or T. cruzi. Eight triatomine species were examined including Rhodnius prolixus, R. robustus, R. colombiensis, R. pallescens, R. pictipes, Triatoma dimidiata, T. maculata, and Panstrongylus geniculatus. The hemolymph of R. prolixus and R. robustus laboratory colonies demonstrated strong trypanolytic activity during the first 14 hours of parasite incubation with 81% lysis for the T. rangeli C genotype, 90% for the E genotype, 95% for T. cruzi discrete taxonomic unit (DTU) TcII, 94% for TcV, 96% for TcVI, 94% for Tcbat, and 90% for Tcmarinkellei. No lysis activity was detected 14 or 24 hours after parasite incubation with the hemolymph of insects from R. pictipes R. pallescens, P. geniculatus, and T. maculata colonies. Identical results (absence of lysis) were observed using hemolymph from R. colombiensis and T. dimidiata laboratory colonies and specimens captured in sylvatic environments. The hemolymph lytic activity against recently obtained cultures (95% decrease in live parasite count) and long-term T. cruzi TcII ones (96% decrease) was similar. Lytic activity was similar in hemolymph from R. prolixus nymphs, males and females and insects fed on chicken or mouse blood. This is the first comparative study of the trypanolytic activity of hemolymph from different triatomine species against T. rangeli and T. cruzi genotypes. Although the chemical structures of such lysis factors and the mechanisms determining their expression have not been fully determined, their identification furthers our understanding of triatomines' innate immunity and their role in Trypanosoma transmission.

Abstract The grinding process is defined as an abrasive cutting action of a tool known as grinding wheel, which is submitted to high rotations, promoting excellent finishing and accuracy in dimensions, respecting the parameters established in each project. During the machining, the cutting edges of the abrasive grains undergo wearing and this increases the contact surface of the tool with the workpiece, increasing the machining temperature and creating possibilities of damaging it. Therefore, it is necessary to use a cutting fluid, responsible for lubricating and cooling the cutting zone, removing the chips from the cutting region between the workpiece and the wheel, and even having an anticorrosive action. However, its composition causes contamination to the environment and to the operator. In face of the increasingly strict environmental laws, it has become necessary to search for new methods of cooling that are at least as effective as conventional one and economically practicable. Thus, the Minimum Quantity of Lubrication was developed as a mist of air and oil applied at high pressure, reducing drastically the use of contaminants. In this work, two oil flows were used for the MQL technique, 30 ml/h and 120 ml/h. The wheel used was a CBN (Boron Cubic Nitride) one, composed of synthetic grains and the workpiece, in a ring format, were produced in AISI 4340 steel quenched and tempered. It was observed from results that MQL can be applied in the industrial processes without losing piece quality.

RESUMO Objetivou-se avaliar o impacto do apoio social sobre os sintomas de mulheres brasileiras com fibromialgia (FM). Trata-se de um estudo observacional descritivo que selecionou 66 mulheres que atendiam aos critérios do Colégio Americano de Reumatologia (ACR) de 1990. O apoio social foi medido com o Social Support Survey (MOS-SSS), a funcionalidade com o Questionário do Impacto da Fibromialgia (FIQ), a depressão com o Inventário de Depressão de Beck (BDI), a ansiedade com a Escala de Ansiedade de Hamilton (HAS), a afetividade com o Positive and Negative Affect Schedule (Panas) e foi feita algometria para registrar o limiar da dor à pressão (LDP) e a tolerância álgica à pressão (TAP) nos 18 pontos recomendados pelo ACR. Os pacientes foram divididos nos grupos apoio social normal (ASN) ou ruim (ASR); o ASR foi definido como uma pontuação nos MOS-SSS abaixo do percentil 25 da amostra total. Usou-se o teste de Mann-Whitney ou o teste t não pareado para comparar variáveis intergrupos e o de Fisher para as variáveis categóricas. Usaram-se a análise de covariância e o teste de correlação de Pearson. Não houve diferença nas variáveis sociodemográficas entre os grupos ASN e ASR. Observaram-se diferenças entre os grupos ASN e ASR para todas as quatro subcategorias de apoio social e pontuação total do MOS-SSS. Encontraram-se diferenças significativas entre o ASN e o ASR na depressão (p = 0,007), afeto negativo (p = 0,025) e LDP (p = 0,016). A subcategoria apoio afetivo mostrou correlação positiva entre a dor e o afeto positivo no grupo ASR. A subcategoria interação social positiva mostrou uma correlação negativa entre o FIQ e o estado de depressão. Portanto, o apoio social parece contribuir para a melhoria na saúde mental e física na FM.

ABSTRACT We aimed to assess the impact of social support on symptoms in Brazilian women with FM. An observational, descriptive study enrolling 66 women who met the 1990 American College of Rheumatology (ACR) criteria. Social support was measured by the Social Support Survey (MOS-SSS), functionality was evaluated using the Fibromyalgia Impact Questionnaire (FIQ), depression was assessed using the Beck Depression Inventory (BDI), anxiety was measured using the Hamilton Anxiety Scale (HAS), affectivity was measured by Positive and Negative Affect Schedule (PANAS), and algometry was carried out to record pressure pain threshold (PPth) and tolerance (PPTo) at 18 points recommended by the ACR. Patients were divided into normal (NSS) or poor social support (PSS) groups with PSS defined as having a MOS-SSS score below the 25th percentile of the entire sample. Mann-Whitney or Unpaired t-test were used to compare intergroup variables and Fisher's for categorical variables. Analysis of covariance and Pearson correlation test were used. No differences in sociodemographic variables between PSS and NSS were found. Differences between NSS and PSS groups were observed for all four subcategories of social support and MOS-SSS total score. Significant differences between NSS and PSS on depression (p = 0.007), negative affect (p = 0.025) and PPTh (p = 0.016) were found. Affectionate subcategory showed positive correlation between pain and positive affect in PSS. Positive social interaction subcategory showed a negative correlation between FIQ and depression state. Therefore social support appears to contribute to ameliorate mental and physical health in FM.

Las herramientas informáticas han permitido la detección de diversas manifestaciones de mala conducta en investigación en la literatura científica. Organismos como The Office for Research Integrity (ORI), el Comité de Ética de la Publicación (COPE), el Retraction Watch y las academias de ciencias de los países, organizan cursos, seminarios e investigaciones para promover valores como la honestidad, la imparcialidad, la objetividad, la fiabilidad, la responsabilidad y el escepticismo en la comunicación científica. En este trabajo se analizaron 1.373 artículos registrados en PubMed entre 1959 y 2015, cuyo texto y nota de retractación eran de libre acceso. Se observó que los artículos retractados entre 2010 y 2015 casi duplicaron el acumulado de los 44 años anteriores. El error admitido, el plagio o autoplagio y la falsificación o fabricación de datos, se presentaron en 32,8 %, 23,7 % y 19,7 % de las ocasiones, respectivamente. En los primeros cuatro meses del 2015, se retractaron 37 artículos por revisoría falsa o influencia de los autores sobre los revisores, una modalidad de mala conducta en la investigación no detectada en estudios anteriores. Los porcentajes de artículos retractados de libre acceso en relación con los artículos de libre acceso publicados por año variaron de 0,0072 % (1/13.861) en 1966 a 0,0472 % (213/45.1021) en el 2013. El porcentaje de artículos retractados en relación con los artículos publicados provenientes de 54 países en el mismo periodo (1959 a 2015), varió entre 0,0042 % (1/23.761) y 0,2732 % (1/366). El número de artículos retractados con más de 10 autores fue menor que aquellos con 6 a10 o 1 a 5 autores. La retractación de 794 (57,8 %) artículos se presentó antes de los dos primeros años y 579 (42.2 %) después de dos años de su publicación. La retractación de 714 (52 %) artículos fue solicitada por los autores, de 485 (35,3 %) por los editores y de 70 (5,1 %) de común acuerdo por ambas partes. El 80,8% (1.110/1.373) de los artículos retractados habían sido citados. En el artículo se discute la importancia de promover la educación sobre la retractación y la corrección de la literatura científica para contribuir a la integridad de la ciencia y a la confianza de la sociedad en la comunidad científica.

Informatics tools have enabled the detection of various types of misconduct regarding research studies in scientific literature. The Office of Research Integrity (ORI) (ORI), the Committee on Publication Ethics (COPE), Retraction Watch and countries' academies of science sponsor courses, seminars and research to promote values such as honesty, impartiality, objectivity, reliability, responsibility and skepticism in scientific communication. We analyzed here 1,373 articles recorded in PubMed from 1959 to 2015 with open access to their text and retraction notes. We observed that articles retracted from 2010 to 2015 almost duplicated those accumulated during the previous 44 years; in 32.8% of them retraction was due to admitted error; 23.7% to plagiarism or self-plagiarism, and 19.7% to data falsification or fabrication. Thirty-seven articles were retracted during the first four months of 2015 due to false review or author influence on reviewers, which represents a research misconduct not detected in previous studies. The percentages of open access retracted articles published per year varied from 0.0072% (1/13,861) in 1966 to 0.0472% (213/451,021) in 2013. The percentage of articles retracted compared to articles published from 54 countries throughout the world during the same period (1959-2015) varied from 0.0042% (1/23,761) to 0.2732% (1/366). The amount of articles retracted signed by more than 10 authors was lower than that for 6 to10 or 1 to 5 authors. We found that 794 (57.8%) articles were retracted before the first two years and 579 (42.2%) more than two years after their publication. The retraction of 714 (52%) of the articles was requested by the authors, of 485 (35.3%), by the editors, and of 70 (5.1%) by mutual agreement; 80.8% (1,110/1,373) of the retracted articles had been cited. We discuss here the importance of promotion, education, retraction and correction of scientific literature as a contribution to scientific integrity and society's confidence in the scientific community.

Úlcera de estase na insuficiência venosa crônica constitui desafio médico com impacto socioeconômico. Quantificamos caracterização tecidual por imagem fotográfica (f-CATIM) em ferida de perna tratada com bota de Unna por 45 dias. Três fotografias obtidas pré-tratamento, pós-tratamento com bota e pós-cicatrização foram analisadas. Brilhos em imagem cinza foram recalculados para nova escala no zero preta e 200 para brilho de pele adjacente à ferida. Mediana da escala cinza ou Gray Scale Median (GSM) e proporções de pixels em 14 intervalos de brilho foram estimadas. GSM da úlcera aumentou de 110 para 159 pós-tratamento com bota, atingindo 203 pós-cicatrização. Intervalos predominantes na úlcera: 41-153 pré-tratamento, 83% dos pixels; 133-196 pós-bota, 80%; 175-255 pós-cicatrização, 97%. GSM da ferida subcutânea ao redor da úlcera aumentou de 117 a 137 pós-cicatrização, de 67% a 88% dos pixels no intervalo 91-174 (p<0,001). CATIM quantificou evolução fotográfica de cicatrização de úlcera venosa comparada com pele adjacente.

Chronic venous ulcers are a medical challenge with a socioeconomic impact. Tissue characterization was quantified by photographic imaging (p-CATIM) of a leg wound treated with Unna boot for 45 days. Three photographs, taken pre-treatment, post Unna boot and post healing were analyzed. Brightness on a 0-255 gray image was re-scaled with black as 0 and adjacent skin as 200. Gray Scale Median (GSM) and the percentages of pixels in each of 14 brightness intervals were calculated. Open ulcer GSM increased from 110 to 159 post Unna boot treatment, reaching 203 post healing. Predominant brightness intervals for the ulcer were 41-153 pre-treatment, 83% of pixels; 133-196 post Unna boot, 80%; and 175-255 post healing, 97%. The GSM of the subcutaneous wound around the ulcer increased from 117 to 137 post healing; the proportion of pixels in the 91-174 interval increased from 67% to 88% (p<0.001). CATIM quantified photographic changes during venous ulcer healing with comparison to the adjacent skin.

Objective: To evaluate two poorly explored neurotrophins (NT), NT-3 and NT-4/5, in bipolar disorder (BD). Methods: Forty patients with type I BD (18 in remission and 22 in mania) and 25 healthy controls matched for age, gender, and educational attainment were enrolled in this study. All subjects were assessed by the Mini-International Neuropsychiatric Interview; the Young Mania Rating Scale and the Hamilton Depression Rating Scale were used to evaluate severity of symptoms in BD patients. Plasma levels of NT-3 and NT-4/5 were measured by enzyme-linked immunosorbent assay (ELISA). Results: BD patients in mania presented decreased NT-4/5 plasma levels in comparison with controls (p < 0.05). There were no significant differences in NT-3 plasma levels between BD patients and controls. Conclusion: These findings corroborate the view that neurotrophin dysfunction is associated with mood states in patients with BD.

A supermartensitic stainless steel with composition 12.2%Cr-5.8%Ni-1.90%Mo-0.028%C (%wt.) was welded by gas tungsten arc welding (GTAW) with superduplex stainless steel filler metal. Post weld heat treatments (PWHT) at 650 ºC for different periods of time were performed in order to decrease the hardness in the heat affected zone (HAZ). This paper deals with the effect of these heat treatments on the microstructure and mechanical properties of the joint. Mechanical strength of the weld joint was slightly inferior to the base metal, but was not affected by heat treatments. Precipitation of intermetallic phases in the weld metal (WM) due to prolonged PWHT was detected by scanning electron microscopy. The impact toughness of the weld metal decreased with the increase of time of heat treatment, due to intermetallic precipitation. However, even in the specimen treated for 1h, the Charpy energy remained above 27J at -46 ºC. It was found that optimum mechanical properties can be obtained with heat treatment for 30 minutes at 650 ºC.

INTRODUCTION: Bipolar disorder (BD) is a prevalent, chronic and progressive illness. There is a growing body of evidence indicating that brain-derived neurotrophic factor (BDNF) plays an important role in the pathophysiology of BD. OBJECTIVE: The aim of this study was to evaluate BDNF plasma levels in BD patients with long term illness in comparison with controls. METHODS: 87 BD type I patients and 58 controls matched by age, gender and education level were enrolled in this study. All subjects were assessed by the Mini-International Neuropsychiatric Interview and the patients by the Young Mania Rating Scale and the Hamilton Depression Rating Scale. The plasma levels of BDNF were measured by ELISA. RESULTS: On average, patients had suffered from BD for 23.4 years. In comparison with controls, BD patients with mania presented a 1.90-fold increase in BDNF plasma levels (p = .001), while BD patients in remission presented a 1.64-fold increase in BDNF plasma levels (p = .03). BDNF plasma levels were not influenced by age, length of illness or current medications. CONCLUSIONS: The present study suggests that long-term BD patients exhibit increased circulating levels of BDNF.

The study evaluated the replacement of bovine heart by gelatin in the feed training of carnivorous fish, using giant trahira (Hoplias lacerdae) as an experimental model. A completely randomized design with four treatments and five repetitions was employed. The treatments were composed of wet ingredients beef heart (control), gelatin diluted in water, gelatin diluted in beef heart broth, and gelatin diluted in water mixed with fish meal. The fish (3.22±0.03 cm and 0.57±0.01 g) were conditioned to accept industrialized diets by the technique of gradual feed ingredients transition in the diet. Gains in weight and length, efficiency of feed training, specific growth rate, cannibalism, mortality and survival rates were evaluated. There was significant difference in weight and length gains and specific growth rate, whereby the use of bovine heart gave the best results. Greater efficiency of feed training was observed for fish fed diets containing beef heart and gelatin diluted in water mixed with fish meal. The high survival rates and the absence of significant differences among treatments for rates of cannibalism, mortality and survival indicate the feasibility of using gelatin as a moist ingredient in the feed training of carnivorous fish.

FUNDAMENTO: A morte súbita é a principal causa de óbito na doença de Chagas, acometendo pacientes mesmo em fases precoces da doença. É reconhecido o comprometimento do sistema nervoso autônomo nessa doença e seu potencial como deflagrador de arritmias malignas quando associado a alterações estruturais ou metabólicas. OBJETIVO: Buscamos identificar, em pacientes chagásicos com função sistólica preservada, o comprometimento do sistema nervoso autônomo e sua associação com anticorpos funcionalmente ativos contra receptores anti-m2 e anti-β1. MÉTODOS: Mediante análise espectral da variabilidade RR durante teste de inclinação passiva, pacientes chagásicos crônicos foram comparados com controles saudáveis pareados por idade. Posteriormente, a associação de disfunção autonômica com anticorpos funcionalmente ativos com ação anti-m2 e anti-β1 foi pesquisada pelo método de Langendorf. RESULTADOS: Observamos que pacientes chagásicos sem disfunção ventricular expressam atividade parassimpática ante um estímulo vagal, porém com menor intensidade em relação aos controles. Pacientes chagásicos com anticorpos anti-m2 ou anti-β1 apresentaram uma redução ainda mais expressiva da resposta vagal durante a arritmia sinusal respiratória, independentemente da presença de lesão estrutural. Entretanto, a associação de ambos promoveu resposta ao estímulo vagal similar aos chagásicos sem a presença dos mesmos. CONCLUSÃO: A menor reserva vagal em pacientes chagásicos com função preservada esteve associada à presença de anticorpos anti-m2 ou anti-β1 funcionalmente ativos, e não à presença de lesão cardíaca estrutural.

BACKGROUND: Sudden death is the leading cause of death in Chagas' disease, affecting patients even in the early stages of the disease. The impairment of the autonomic nervous system in this disease has been recognized, as well as its potential as a trigger for malignant arrhythmias when associated with structural or metabolic changes. OBJECTIVE: We sought to identify, in Chagas patients with preserved systolic function, the impairment of the autonomic nervous system and its association with functionally active anti-m2 and anti-β1 receptor antibodies. METHODS: Using spectral analysis of RR variability during passive tilt test, chronic chagasic patients were compared with healthy controls matched for age. Subsequently, the association of autonomic dysfunction with functionally active antibodies with anti-m2 and anti-β1 action was investigated by the Langendorf method. RESULTS: We observed that patients with Chagas disease without ventricular dysfunction express parasympathetic activity against a vagal stimulus, however with less intensity compared to controls. Chagasic patients with anti-m2 or anti-β1 antibodies showed a further significant reduction of the vagal response during respiratory sinus arrhythmia, regardless of the presence of structural lesion. However, the association of both factors promoted response to vagal stimulation similar to that seen in Chagas disease without their presence. CONCLUSION: The lower vagal reserve in Chagas patients with preserved function was associated with functionally active anti-m2 or anti-β1 antibodies, and not with the presence of structural heart lesion.

A tromboflebite jugular ocorre frequentemente em equinos, decorrendo geralmente de processos mórbidos associados à iatrogenia, podendo levar a perda de função, edema cefálico, diminuição do desempenho atlético e ainda causar o óbito. Esta enfermidade nos equinos apesar de frequente é pouco conhecida quanto à sua evolução e tratamentos. O objetivo deste trabalho foi avaliar a evolução da tromboflebite jugular experimental em equinos, quanto às alterações clínicas e estruturais envolvidas na enfermidade, observando-se os aspectos clínicos, ultra-sonográficos e venográficos no contexto do trombo e do vaso, quanto à possibilidade de recanalização do trombo produzido e da vascularização compensatória. A tromboflebite da veia jugular foi induzida, unilateralmente, em 05 equinos nos quais previamente à indução da tromboflebite e diariamente após foram observadas manifestações clínicas e realizados exames ultra-sonográficos. Venografias foram feitas nos momentos pré-indução, na indução e a cada seis dias após a indução da tromboflebite, verificando-se a recanalização do trombo oclusivo e a presença de vasos na drenagem sanguínea compensatória. Observou-se a ocorrência de edema moderado das regiões parotídea, massetérica e supra-orbitária e discreto edema submandibular que reduziram até o 6º dia, permanecendo apenas discreto aumento parotídeo. O ingurgitamento da jugular cranial a região da indução permaneceu durante todo o período de avaliação. A porção caudal à tromboflebite mostrou ingurgitamento frente ao garrote na entrada do tórax desde o primeiro dia após a indução. Os exames ultra-sonográficos mostraram formação de trombo oclusivo total durante todo o período de observação em 3 animais e o restabelecimento parcial do fluxo na jugular em 2 animais e a presença de vasos colaterais conduzindo o sangue da porção cranial para a porção caudal à obstrução. As venografias revelaram fluxo sanguíneo "linear" normal no momento pré-operatório, constatando nos momentos pós-operatórios a presença oclusiva do trombo, com o contraste preenchendo os vasos tributários compensatórios direcionados à porção caudal à oclusão da veia ou ainda estagnado cranialmente ao trombo. Conclui-se que a trombose oclusiva na tromboflebite jugular experimental e unilateral sofre recanalização e compensação vascular por vasos tributários de drenagem, com redução gradativa dos sinais decorrentes da estase sanguínea de retorno, especificamente as regiões cefálicas com edema. Estudos envolvendo a tromboflebite jugular nos equinos devem evoluir nos aspectos experimental e clínico.

Jugular thrombophlebitis is a common complication of disease processes associated with repeated venipuncture, injection of irritant solutions, and the use of indwelling catheters, especially with bacterial contamination. Bilateral thrombophlebitis may result in edema of the soft tissues of the head, reduction of athletic performance and even death of the animal. This disease, although common in horses, is not much known regarding its evolution and treatment. The aim of this study was to evaluate the clinical and structural changes of experimentally induced jugular thrombophlebitis in horses, through clinical examination, ultrasound and venography of the thrombus and the vessel, verifying the possibility of thrombus recanalization and compensatory produced blood flow. The jugular thrombophlebitis was induced unilaterally into 5 horses, monitored by clinical (general, regional and local) and ultrassonographycs exams. Venographs were made at pre-induction, induction and every 6 days after induction of thrombophlebitis, in order to observe recanalization of the occlusive thrombus and presence of blood vessels in the drainage allowance. Occurrence of moderate edema was observed in the parotid, masseter and supra orbital regions, and mild edema in the submandibular region. The jugular engorgement of the cranial region of induction persisted throughout the period of evaluation. The caudal portion to the thrombophlebitis showed engorgement with compression on the vein at the thorax entrance since the first day after induction. The ultrasound examinations showed total occlusive thrombus formation of 3 animals, partial recirculating flow in the jugular vein in 2 animals, and collateral blood vessels from the cranial obstruction to the caudal portion. The venography revealed normal linear blood flow in the preoperative and occlusive thrombus with contrast directed filling of the vessels to the compensatory portion caudal to the vein occlusion or cranial to the thrombus in the postoperative moments. After vein resection of the segment containing the thrombus, the cephalic edema was less intense than after the induction of the thrombophlebtits. The ultrassonography and venography post resection showed vascularity increase in this region. It was concluded that there is recanalization with endothelialization and vascular compensation made by pre-existing vessels necessary for drainage.