PURPOSE: To assess the efficacy of an adjustable inspiratory occlusion valve in experimental bronchopleural fistula during mechanical ventilation.METHODS:We studied six mechanically ventilated pigs in a surgically created, reproducible model of bronchopleural fistula managed with mechanical ventilation and water-sealed thoracic drainage. An adjustable inspiratory occlusion valve was placed between the thoracic drain and the endotracheal tube. Hemodynamic data, capnography and blood gases were recorded before and after the creation of the bronchopleural fistula as well as after every adjustment of the inspiratory occlusion valve.RESULTS:When compared with the standard water-sealed drainage treatment, the use of an adjustable inspiratory occlusion valve improved the alveolar tidal volume and reduced bronchopleural air leak (p<0.001), without hemodynamic compromise when compared with conventional water sealed drainage.CONCLUSION: The use of an adjustable inspiratory occlusion valve improved the alveolar tidal volume, reduced alveolar leak, in an experimental reproducible model of bronchopleural fistula, without causing any hemodynamic derangements when compared with conventional water sealed drainage.

PURPOSE:To investigate the hemodynamic and ventilatory changes associated with the creation of an experimental bronchopleural fistula (BPF) treated by mechanical ventilation and thoracic drainage with or without a water seal.METHODS :Six large white pigs weighing 25 kg each which, after general anesthesia, underwent endotracheal intubation (6mm), and mechanically ventilation. Through a left thoracotomy, a resection of the lingula was performed in order to create a BPF with an output exceeding 50% of the inspired volume. The chest cavity was closed and drained into the water sealed system for initial observation of the high output BPF.RESULTS:Significant reduction in BPF output and PaCO2 was related after insertion of a water-sealed thoracic drain, p< 0.05.CONCLUSION: Insertion of a water-sealed thoracic drain resulted in reduction in bronchopleural fistula output and better CO2 clearance without any drop in cardiac output or significant changes in mean arterial pressure.

O objetivo é discutir a percepção do brasileiro em relação ao papel do Poder Judiciário no processo de competição política e as consequências desta percepção para a governança eleitoral. Para isso, exploramos as eleições ocorridas em outubro de 2010 e o episódio da lei da "ficha limpa". Ao contrário da maioria dos estudos correntes que focam na percepção do Judiciário como instituição única, abordamos as especificidades da justiça eleitoral como poder político e prestador de serviço público - lembrando que a justiça eleitoral atua não apenas resolvendo litígios mas organizando e realizando o processo eleitoral. Adicionamos novos elementos empíricos a uma questão antiga: o brasileiro confia ou desconfia do Poder Judiciário? Nosso argumento é de que quando se trata da organização e fiscalização das eleições, o brasileiro confia no Judiciário como garantidor da realização e lisura do processo eleitoral. Mas quando se trata da resolução de conflitos, o brasileiro tende a desconfiar do Judiciário - lento, caro e de difícil acesso. O nível educacional é decisivo para determinar esta percepção - quanto maior o nível educacional, mais favorável a visão do Judiciário. A base para a discussão é dada pelos resultados de um survey conduzido pela FGV Direito Rio uma semana após o segundo turno das eleições de outubro de 2010.

The goal is to discuss the public perception regarding the role of the judiciary in the political electoral process and the consequences of this perception to the electoral governance. We explore the Brazilian 2010 elections and the episode of the "clean slate law". Unlike most current studies that focus on perception of the judiciary as a single institution we discuss the specificity of electoral justice as a political power and a public service provider - considering that the electoral judiciary operates, not only resolving electoral disputes but organizing and conducting the electoral process. We add new empirical evidence to an old question: do Brazilians trust or distrust the judiciary? Our argument is that when it comes to the organization and supervision of elections, Brazilians are confident in the judiciary as a guarantor of the fairness of the electoral process. But when it comes to conflict resolution, Brazilians tend to distrust the judiciary - slow, expensive and difficult to use. The educational level is decisive for this perception - the higher the educational level, the more favorable view of the judiciary. The basis for our discussion is given by the results of a survey conducted by FGV Law School a week after the second round of 2010 elections.

The wine grape (Vitis vinifera) cv. Cabernet Sauvignon has recently been introduced at a 1160 m altitude in the São Joaquim área (Santa Catarina State, Southern Brazil). The aim of this work was to evalúate the maturation of Cabernet Sauvignon grapes subjected to a Y training system or a vertical shoot positioning trellis (VSP). Grapes were sampled at 10-day intervals throughout their maturation during two consecutive vintage years (2004-2005 and 2005-2006). Climate data were assessed. Based on the results obtained in both vintage years at maturity, titratable acidities (TA) ranged from 0.67 to 0.85 g-100 mL-1 of tartaric with the pH fluctuating between 3.49 and 3.77. The maturation Índex (total soluble solids/TA) at maturity ranged from 26 to 35, and was always higher for berries from the VSP system. Significant differences were observed for the anthocyanin content (TMA) and total polyphenol Índex (TPI) valúes that may be attributed to differences in vintage year and climate conditions. Climatic conditions strongly influenced the grape quality, and it is important to note that São Joaquim is a warm región according to the Winkler scale, with 1668-1944 GDD °C. Under these environmental conditions, the VSP system provided better results for TSS, berry weight and acidity than the Y system, which could be seen more clearly in 2005-2006 due to lower rainfall.

El objetivo de este trabajo fue evaluar la maduración de uvas Cabernet Sauvignon bajo dos sistemas de conducción: sistema en Y y sistema de espaldera alta (VSP). Las viñas han sido cultivadas recientemente en la ciudad de São Joaquim, Estado de Santa Catarina (Brasil), a 1160m de altitud. Las uvas fueron muestreadas para el análisis de su maduración en dos vendimias consecutivas, 2004-2005 y 2005-2006, cada 10 días, desde envero a cosecha. Parámetros del mesoclima también fueron determinados. Los resultados muestran que a madurez, en ambas vendimias los valores de acidez total (TA) fluctuaron entre 0,67 y 0,85 g-100 mL-1 de ácido tartárico y el pH entre 3,49 y 3,77. En general, TA a madurez fue más baja en 2004-2005 que en 2005-2006. El índice de maduración (sólidos solubles totales/TA) en la madurez varió desde 26 a 35, y fue más alto para bayas cultivadas en VSP. Se observaron diferencias significativas en los valores de antocianas y en el índice de los polifenoles totales (TPI); la vendimia y el clima explicaron las fuertes diferencias entre los niveles de antocianas y TPI. Las condiciones climáticas influyeron fuertemente en la calidad de la uva. En Sao Joaquim, el clima fue clasificado como 'Región III', según la Escala de Winkler, una región cálida (1668 a 1944 °C). En general, el sistema VSP dio mejores resultados en lo referente a TSS, peso de la baya y acidez los que se percibieron más claramente en 2006 debido al menor nivel de precipitaciones.

The presence of enterotoxigenic Bacteroides fragilis and nontoxigenic B. fragilis (NTBF) among 109 strains isolated from 1980-2008 in Brazil were investigated by PCR. One strain, representing 0.9% of the total analyzed strains, harbored the bft gene which was identified as bft-1 isoform based on PCR-RFLP and sequencing. Forty-nine strains (44.9%) exhibited the NTBF pattern III which possesses the flanking region required for pathogenicity island acquisition in which the bftgene is codified. These data reinforce the potential of B. fragilis as an emerging enteropathogen in our country.

OBJETIVO: Avaliar a Carga de Ruptura de implantes de membranas de celulose microbiana (Zoogloea sp.) e de politetrafluoretileno expandido em defeitos agudos produzidos na parede abdominal de ratos. MÉTODOS: Sessenta ratos machos Wistar, com média de peso de 437,7g ± 40,9, anestesiados com uma mistura de cetamina (5mg/100g) e xilazina (2mg/100g), foram submetidos à excisão retangular (2x3cm) na parede ventral do abdômen, incluindo fáscia, músculo e peritônio. Subseqüentemente, foram tratados com implante de membranas de celulose microbiana (CM) (Grupo CM - 30 animais) ou de politetrafluoretileno expandido (PTFEe) (Grupo PTFEe - 30 animais). Cada grupo foi ainda subdividido nos Subgrupos 14º DPO, 28º DPO e 60º DPO. Os animais foram submetidos à eutanásia com doses letais de tiopental no 14º DPO, 28º DPO e 60º DPO, para avaliação da Carga de Ruptura na área do implante. RESULTADOS: Os níveis da Carga de Ruptura foram significativamente elevados (p<0,05) entre os Subgrupos 14º DPO, 28º DPO e 60º DPO de cada grupo estudado. Quando comparados entre Grupos, os valores da Carga de Ruptura foram significativamente maiores (p<0,05) no Grupo PTFEe do que no Grupo CM. CONCLUSÃO: A interface implante/hospedeiro apresentou maior resistência a tração no Grupo PTFEe do que no Grupo CM.

PURPOSE: To evaluate the Load of Rupture of implants of membranes of microbial cellulose (Zoogloea sp.) and extended polytetrafuoroethylene in sharp defects of abdominal wall of rats. METHODS: Sixty Wistar male rats, with a mean weight of 437,7g ± 40,9, anesthetized by a mixture of ketamine (5mg/100g) and xylazine (2mg/100g), were submitted to a rectangular (2x3cm) excision of the abdominal wall, including fascia, muscle and peritoneum, and treated with membranes of microbial cellulose (MC) (MC Group- 30 animals) or extended polytetrafluoroethylene (ePTFE) (ePTFE Group- 30 animals). Each group was subdivided in 14th POD, 28th POD and 60th POD Subgroups. Under anesthesia, animals were submitted to euthanasia at 14th POD, 28th POD and 60th POD for evaluation of Load of Rupture. RESULTS: Load of Rupture levels were significantly elevated (p<0, 05) among 14th, 28th and 60th postoperative days from each Group. When compared between groups, values of Load of Rupture were significantly larger (p<0, 05) in ePTFE Group than in MC Group. CONCLUSION: Resistance to strength at implant/host interface was more pronounced in PTFEe Group than in MC Group.

OBJETIVO: Biomateriais podem ser usados como tratamento de grandes defeitos da parede abdominal para evitar tensão durante reparo. Na presente pesquisa pretendeu-se investigar o tipo de incorporação pelo tecido do hospedeiro de membranas de celulose microbiana (CM), produzidas pela bactérias Zoogloea sp., e de politetrafluoretileno (PTFEe) em defeitos da parede abdominal de ratos. MÉTODOS: Sessenta ratos machos Wistar, anestesiados através de cetamina (5mg/100g) e xilazina (2mg/100g), foram submetidos a uma excisão retangular (2x3cm) da parede abdominal, incluindo fascia, músculos e peritoneum e posteriormente tratadas com implantes de celulose microbiana (Groupo CM - 30 animais) ou politetrafluoretileno (Grupo PTFEe - 30 animais). Cada grupo foi subdividido em Subgrupos14º DPO, 28º DPO e 60º DPO. RESULTADOS: Incorporação do biomaterial foi observada através de envoltório e infiltração pelo tecido do receptor. Foi encontrado que o envoltório associado à infiltração de tecido conjuntivo do hospedeiro em implantes de ePTFE estava presente em 100% das amostras observadas, podendo ser responsável por aumento da resistência à tração. Inversamente, envoltório sem infiltração de tecido do hospedeiro foi visto em 100% dos espécimes examinados nos implantes de CM. CONCLUSÕES: Pode-se ser concluído que o envoltório associado à infiltração de tecido do hospedeiro só é vista nos implantes de PTFEe.

PURPOSE: Biomaterials may be used as treatment of great abdominal wall defects to avoid tension during repair. In the present research we intended to investigate incorporation type by host tissue of membranes of microbial cellulose (MC), produced by the bacteria Zoogloea sp., and of polytetrafluoroethylene (ePTFE) in abdominal wall defects of rats. METHODS: Sixty male rats Wistar, anesthetized by ketamine (5mg/100g) and xylazine (2mg/100g), were submitted to a rectangular excision (2x3cm) of the abdominal wall, including fascia, muscles and peritoneum and further treated with implants of microbial cellulose (MC Group - 30 animals) or expanded polytetrafluoroethylene ( ePTFE Group- 30 animals). Each group was subdivided in 14th DPO, 28th DPO and 60th DPO Subgroups. RESULTS: Incorporation of biomaterials was observed by wrapping and infiltration by host tissue. It has been found that wrapping associated to infiltration of host connective tissue in implants of ePTFE were present in 100% of the observed samples, and this may be responsible for increase resistance to traction. Inversely, wrapping without host tissue infiltration was seen in 100% of examined specimens of MC implants. CONCLUSION: Wrapping and host tissue infiltration is seen only in ePTFE implants.

A toxina termo-lábil (LT) é um fator de virulência associado à diarréia secretora não invasiva causada por linhagens de Escherichia coli enterotoxigênica (ETEC) em humanos ou animais domésticos. Diversos métodos de detecção de LT foram descritos na literatura, no entanto, a quantificação da toxina produzida por linhagens selvagens de ETEC é geralmente realizada por ensaio imunoenzimático com o gangliosídeo GM-1 (GM-1 ELISA). Neste estudo, conduzimos uma otimização experimental de um método alternativo de quantificação de LT, o ELISA de captura (cELISA). Análise detalhada de diluições apropriadas dos anticorpos LT específicos de captura e detecção melhorou significantemente a sensibilidade do método. Em adição, testes com diferentes técnicas de extração de LT indicaram que a ruptura das células por ultra-som, mas não o tratamento com polimixina B, clorofórmio ou Triton X-100, aumentou o rendimento da recuperação de LT. Além disto, os dados apresentados demonstram que o desempenho do método de extração de LT baseado no tratamento com polimixina B pode variar entre linhagens selvagens de ETEC.

The heat-labile toxin (LT) is a key virulence-associated factor associated with the non-invasive secretory diarrhea caused by enterotoxigenic Escherichia coli (ETEC) strains either in humans or domestic animals. Several LT detection methods have been reported but quantification of the toxin produced by wild-type ETEC strains is usually performed by the GM1 ganglyoside enzyme-linked immunosorbent assay (GM1 ELISA). In this study we conducted the optimization of an alternative LT-quantification method, the antibody-capture ELISA (cELISA). Detailed analysis of the appropriate dilutions of capture and detecting LT-specific antibodies significantly improved the sensitivity of the method. Additionally, testing of different LT extraction techniques indicated that sonic disruption of the bacterial cells enhanced LT recovery yields, in contrast to the usual procedure based on addition of polymyxin B to the culture medium as well as extraction methods based on chloroform or Triton X-100. Moreover, the present data indicate that performance of the LT extraction method based on polymyxin B treatment can vary among wild ETEC strains.

Relato do caso de uma mulher com 83 anos apresentando nódulo e retração de pele na mama direita com oito meses de evolução. Ao exame físico verificou-se nódulo sólido de 5 cm, localizado no quadrante súpero-lateral de mama direita, associado a presença de retração de pele correspondente e linfonodos axilares não coalescentes ipsilaterais. O resultado da mamografia evidenciou nódulo de 4 cm de diâmetro irregular no quadrante súpero-lateral da mama direita (bi-rads V). Estádio clínico: T2N1M0 (IIB). O tratamento cirúrgico incluiu mastectomia radical modificada (à Maden) com dissecção axilar níveis I, II e III. Avaliação histopatológica demonstrou a presença de carcinoma lobular infiltrativo que mediu 2,5 cm (T2), presença de linfadenite granulomatosa causada por tuberculose em linfonodos dos níveis I, II e III, associados a metástase de carcinoma lobular em um único nível linfático, nível I. Estádio patológico: pT2pN1aM0. A paciente recebeu tratamento para tuberculose ganglionar com rifampicina, isoniazida e pirazinamida por um ano. Foram solicitados receptores hormonais, os quais mostraram-se positivos, sendo feito terapia adjuvante com tamoxifeno. Durante o primeiro ano de seguimento a paciente evoluiu bem, sem sinais de recidiva local ou metástases a distância.

Report of a case of an 83-year-old woman presenting a nodule and skin retraction in the right breast for eight months. On physical examination, a solid nodule of 5 cm was observed, located in the upper-lateral quadrant of the right breast, associated with skin retraction and ipsilateral lymph nodes. Mammographic findings showed irregularly limited nodules of 4 cm in the upper-lateral quadrant of the right breast (bi-rads V). Clinical staging: T2N1M0 (IIB). Surgical treatment included a modified radical mastectomy with axillary dissection levels I, II, and III. Histopathologic evaluation demonstrated the presence of an infiltrating lobular carcinoma measuring 2.5 cm (T2), presence of granulomatous lymphadenitis caused by tuberculosis in level I, II, and III lymph nodes, associated with lobular carcinoma metastasis in a single level I lymph node. Pathologic staging: pT2pN1aM0. The treatment for the axillary tuberculous lymphadenitis was done with rifampin, isoniazid and pyrazinamide for one year. Hormone receptors were positive, and adjuvant therapy was initiated with tamoxifen. During the first year of follow-up the patient had no signal of local recurrence or distant metastases.

O presente trabalho versa sobre o estudo das convolvuláceas do Estado do Ceará. Realizamos pesquisa bibliográfica e examinamos diversos herbários nacionais, elaboramos "Chaves" para os gêneros e espécies, delimitamos áreas de ocorrência e esperamos, deste modo, ter colaborado para o melhor conhecimento da flora deste estado brasileiro.

Abstract In this paper the study of Convolvulaceae from the State of Ceará, Brazil. Keys for the identification of each genus and species, have been made. Results this documented by short descriptions of each genus and species, by a few figures, and the states where they can be found in Brazil.

SUMMARY In this paper 6 genera with 20 species to CONVOLVULACEAE, from the State of Espirito Santo, Brazil, are studied. Keys for different species are presented, geographical distribution in Brazil, and list of examined specimens are given.

SUMMARY In this paper, 7 genera with 50 species of the State of Goiás, Brazil, are studied. Keys for identification of genera and species, geographical distribution in Brazil, and list of examined specimens are given.

Summary In this paper a revision of Convolvulaceae of the State of Amazonas, Brazil, is made. 11 genera with the total of 40 species are studied. Keys for the identification of each genus and each species are shown. Results are documented by general characteristics of family, by short descriptions of each genus and by figures.