RESUMO Os piretroides são ectoparasiticidas com grande segurança para mamíferos, utilizados amplamente em animais de produção. Relata-se um surto de intoxicação sistêmica com dermatite irritante por contato, resultante do uso de Cipermetrina Pour-On em bovinos, no estado de Pernambuco. Oito animais adultos foram acometidos: três deles morreram na propriedade e cinco foram recebidos na Clínica de Bovinos da Universidade Federal Rural de Pernambuco, Campus Garanhuns. Todos haviam recebido 100mL de Cipermetrina Pour-On (Ectonil®, Cipermetrina, Labgard, Brasil). Observou-se apatia, hiperexcitabilidade, tremores musculares, sialorreia, bradicardia e lesões crostosas no dorso da região de pescoço, na escápula, mas orelhas, bem como ulcerações em mucosa oral e vaginal. No hemograma, verificou-se hiperfibrinogenemia e leucocitose por neutrofilia com desvio à esquerda regenerativo. Na histopatologia, foram constatadas áreas de erosão e ulceração da epiderme e infiltrado linfo-histiocitário e neutrofílico perivascular na derme superficial. O tratamento de suporte gerou melhora dos sinais sistêmicos e das lesões cutâneas, porém, em um dos animais (que esteve internado por 19 dias), não houve regressão completa das alterações neurológicas de bradicardia e de tremores musculares; mesmo assim, foi possível o retorno à atividade produtiva. Doses elevadas de Cipermetrina Pour-On podem causar intoxicação sistêmica em bovinos e resultarem em bradicardia, hiperexcitabilidade, tremores musculares e sialorreia com dermatite irritante por contato, bem como morte em casos severos.

ABSTRACT Pyrethroids are ectoparasiticides safe for mammals and widely used in farm animals. An outbreak of systemic intoxication with irritant contact dermatitis resulting from the use of cypermethrin pour on in dairy cows is reported in the state of Pernambuco. Eight adult animals were affected, three died on the property and five were referred to the Clínica de Bovinos, Universidade Federal Rural de Pernambuco, Campus Garanhuns. These received 100 mL of pour on Cypermethrin (Ectonil ®, Cipermetrina, Labgard, Brasil). Apathy, hyperexcitability, muscle tremors, sialorrhea, bradycardia and crusted lesions were observed on the dorsum of the neck, scapula, ears and ulcerations in the oral and vaginal mucosa. There was hyperfibrinogenemia and leukocytosis due to neutrophilia with a regenerative left shift. Histopathology showed areas of erosion and ulceration of the epidermis and perivascular lymphohistiocytic and neutrophilic infiltrate in the superficial dermis. Supportive treatment was done with improvement of systemic signs and skin lesions, however, in one animal (with 19 days hospitalized), there was no complete regression of neurological alterations of bradycardia and muscle tremors, even so, it was possible to return to productive activity. High doses of pour on cypermethrin may cause systemic intoxication in cattle and result in bradycardia, hyperexcitability, muscle tremors and sialorrhea with irritant contact dermatitis, and death in severe cases.

RESUMO Descreve-se um caso de ataque de abelha africanizada em um burro, com sinais clínicos de agitação, desidratação, mucosas oculares congestas, edema de língua, taquicardia e dispneia inspiratória, com progressão e morte. Na necropsia, foram verificados edema subcutâneo difuso grave nas regiões de face e cervical, hiperemia pulmonar difusa grave com edema abundante e sem colapso do parênquima. Microscopicamente, foram observados edema marcado difuso na derme profunda e panículo carnoso e edema alveolar difuso acentuado, com população moderada de eosinófilos predominantemente em torno de vasos de maior calibre. O diagnóstico de choque anafilático foi baseado no histórico, em sinais clínicos e em achados anatomopatológicos. Este é o primeiro relato de ataque de abelhas com infiltração eosinofílica pulmonar em um mamífero.

ABSTRACT A case of a donkey attacked by Africanized honeybee is reported here with clinical signs of agitation, dehydration, congestion of the ocular mucous membranes, tongue edema, tachycardia and inspiratory dyspnea, and progression to death. At necropsy, diffuse, severe subcutaneous edema at face and cervical regions and severe diffuse pulmonary hyperemia with abundant edema without parenchymal collapse were observed. Microscopically, marked, diffuse deep dermis and panniculus carnosus edema and marked diffuse alveolar edema, with moderate population of eosinophils predominantly around larger caliber vessels were noted. The final diagnosis of anaphylactic shock was supported by history, clinical signs, and anatomic pathology findings. This is the first report of a honeybee attack with pulmonary eosinophilic infiltration in a mammal.

RESUMO Este relato descreve os achados clínicos, ultrassonográficos e anatomopatológicos em um caso de melanoma metastático em uma cabra Saanen adulta. Clinicamente, a cabra apresentava apatia, estrutura firme palpável intra-abdominal e áreas exofíticas queratinizadas na pele do úbere. A ultrassonografia revelou estruturas ovais não encapsuladas, com ecogenicidade heterogênea e marcada vascularização central e periférica, além de áreas hepáticas multifocais a coalescentes hipoecoicas. No úbere, havia estruturas ovais não encapsuladas, com ecogenicidade heterogênea e centro hiperecogênico circundado por tecido hipoecogênico. Macroscopicamente, havia áreas pretas multifocais a coalescentes no fígado, bem como nódulos pretos nos linfonodos mamários e mesentéricos, no útero, no baço e no miocárdio; microscopicamente, proliferação neoplásica melanocítica multifocal foi observada na derme e na junção da epiderme do úbere. A maioria das células neoplásicas apresentava grânulos citoplasmáticos de melanina. No fígado, havia áreas de tecido neoplásico comprimindo o parênquima adjacente, com focos centrais de necrose, desmoplasia leve e infiltração multifocal de células malignas nos tecidos adjacentes. Achados semelhantes foram observados nos nódulos linfáticos mamários e mesentéricos, no útero, no baço e no miocárdio, que caracterizaram o melanoma metastático. A ultrassonografia desempenhou um papel fundamental para estipular o diagnóstico de um melanoma metastático e ajudou a estabelecer um protocolo de manejo clínico adequado.

ABSTRACT This report describes clinical, ultrasonographic and anatomopathological findings in a case of metastatic melanoma in an adult Saanen goat. Clinically, the goat had apathy, an intra-abdominal palpable firm structure, and exophytic keratinized areas on the skin of the udder. Ultrasound revealed non-encapsulated oval structures, with heterogeneous echogenicity and marked central and peripheral vascularization, and hypoechoic hepatic multifocal to coalescent areas. In the udder, there were non-encapsulated oval structures with heterogeneous echogenicity and hyperechoic center surrounded by hypoechogenic tissue. Grossly, there were black multifocal to coalescent areas in the liver, as well as black nodules in mammary and mesenteric lymph nodes, uterus, spleen, and myocardium. Microscopically, multifocal melanocytic neoplastic proliferation was observed in the dermis and junction of the udder epidermis. Most of the neoplastic cells had cytoplasmic granules of melanin. In the liver there were areas of neoplastic tissue compressing the adjacent parenchyma, with central foci of necrosis, mild desmoplasia, and multifocal infiltration of malignant cells into the adjacent tissues. Similar findings were observed in the mammary and mesenteric lymph nodes, uterus, spleen, and myocardium, which characterized metastatic melanoma. Ultrasonography played a key role for establishing the diagnosis of a metastatic melanoma and helped establish a proper clinical management protocol.

Abstract:Avicennia schaueriana is found in Brazilian mangrove coast. The cytotoxicity in vitro of the Aqueous Extract of Leaves of Avicennia schaueriana (AELAs) and the healing activity of the plant in cream on mice skin wounds were evaluated in this study. The cytotoxic evaluation was performed on Vero cells. The healing activity was evaluated on mice treated during 5, 10 and 15 days with cream at 5%, solution of sodium chloride at 0.9% and dexpanthenol in cream at 5%. The extract did not show cytotoxicity, but showed mitogenic activity (100μg/ml). In morphometric analysis, the percentage of wound contraction after 10 days was higher in dexpanthenol group (93.41%). In 15 days, the lowest percentage of contraction was observed in the dexpanthenol group (94.41%) and the highest in the AELAs cream group (98.50%). In histomorphometry the dexpanthenol showed the lowest length of re-epithelialization in 10 days. In 15 days, the AELAs cream group showed 100% of re-epithelialization. The number of fibroblasts found in AELAs cream group was higher than the saline solution in 10 days. In 15 days, AELAs cream group maintained a higher amount of fibroblasts when compared to the others. A. schaueriana did not show cytotoxicity. Furthermore, topical application of AELAs cream decreased the wound area, stimulated the re-epithelialization and increased the number of fibroblasts. The species A. schaueriana could become a topical treatment in tissue repair process.

RESUMO O sistema de cultivo Clearfield(r) utiliza os herbicidas imazethapyr e imazapic no controle de plantas daninhas. Um dos principais problemas relacionados ao uso desse sistema é a restrição ao cultivo de outras culturas, causada pelo efeito residual dos herbicidas. Três experimentos foram realizados para avaliar a persistência do imazethapyr e imazapic em solos utilizados no sistema Clearfield(r). Cada experimento correspondeu a um solo avaliado: Plintossolo Háplico, Latossolo Vermelho-Amarelo ou Gleissolo Háplico. O imazethapyr e o imazapic isolados e em mistura comercial foram aplicados no solo, e seu residual foi avaliado em 11 épocas (1, 15, 30, 45, 60, 75, 90, 105, 120, 135 e 150 dias após o tratamento). A planta indicadora utilizada foi o sorgo (Sorghum vulgare). O imazethapyr e sua mistura com o imazapic causaram reduções da matéria seca das plantas indicadoras superiores a 94%, mesmo após 150 dias da aplicação, independentemente do solo avaliado. O imazapic causou menor inibição do crescimento do sorgo, indicando menor efeito residual desse herbicida nos solos. A mistura comercial teve maior persistência, comparada à aplicação isolada dos herbicidas. Independentemente do tipo de solo, a persistência do imazethapyr foi maior que a do imazapic.

ABSTRACT The commercial mixture of imazethapyr and imazapic herbicides has been used for the control of red rice and several other species of weeds found in rice crops; this system called Clearfield. However, its use may limit the succession of non-tolerant crops for long residual activity. The research objective with this work was to determine the persistence of imazethapyr, imazapic and their mixture in three soils in the Brazilian state of Tocantins. Three experiments were conducted in a completely randomized design with four replications, each corresponding to the evaluated soil (Haplic Plinthosol (FX), red-yellow Latosol (LVA) and Haplic Gleysol (GX)). The treatments were arranged in a split plot design, with the allocated plots herbicides (imazethapyr and imazapic alone and commercial mixture) and the plots allocated the 11 evaluation times (1, 15, 30, 45, 60, 75, 90, 105, 120, 135, 150 days after treatment (DAT)), and a control without application. Contacted up long residual effect of imazethapyr and commercial mixture of imazethapyr and imazapic, regardless of assessed soil. After 150 days of applying herbicides or the commercial mixture, their residues in the soil also inhibited approximately 94% of the mass of the dry matter accumulation of the indicator plants. When imazapic was applied alone, there was a higher dry matter accumulation of the indicator plants, indicating less residual effect of this herbicide in the soil and this was attributed to the lower dose of this herbicide applied. The attributes of the soil pH, texture and iron oxides were what most affected the persistence of the herbicides. It can be concluded that the persistence of imazethapyr and imazapic is too long in the Brazilian state of Tocantins soils and the use of these herbicides in the region should be avoided due to the high risk of the occurrence of carryover,or be well planned, as land use in rotation for susceptible crops.

As vias da fosfatidilinositol-3-cinase e da proteína cinase ativada por mitógeno medeiam crescimento, proliferação, sobrevivência e morte das células β. Investigamos se a restrição proteica durante a prenhez altera a morfometria da ilhota ou a expressão e a fosforilação de diversas proteínas envolvidas nas vias da fosfatidilinositol-3-cinase e da proteína cinase ativada por mitógeno. Como controles, ratas adultas não prenhes e prenhes foram alimentadas com uma dieta norpoproteica (17%). As ratas não prenhes e prenhes dos grupos experimentais foram alimentadas com dieta hipoproteica (6%) por 15 dias. A dieta hipoproteica durante a prenhez aumentou as concentrações séricas de prolactina, reduziu as concentrações séricas de corticosterona e a expressão da proteína cinase B/AKT1 (AKT1) e da proteína p70 ribossomal S6 cinase (p70S6K), bem como a área das ilhotas, mas não alterou o conteúdo de insulina nas ilhotas pancreáticas. A prenhez aumentou a expressão da proteína homóloga ao colágeno com domínio SH2 (SHC) e a proteína cinase regulada por sinal extracelular 1/2 (ERK1/2), independente da dieta consumida. A fosforilação da ERK1/2 (pERK1/2) foi similar em ilhotas de ratas prenhes e não prenhes alimentadas com dieta hipoproteica, e foi maior em ilhotas de ratas prenhes do que não prenhes alimentadas com dieta normoproteica. Portanto, um curto período de dieta hipoproteica durante a prenhez foi suficiente para reduzir o conteúdo de proteínas da via da fosfatidilinositol-3-cinase e afetar a morfometria da ilhota.

The phosphatidylinositol 3-kinase and mitogen-activated protein kinase pathways mediate β cell growth, proliferation, survival and death. We investigated whether protein restriction during pregnancy alters islet morphometry or the expression and phosphorylation of several proteins involved in the phosphatidylinositol 3-kinase and mitogen-activated protein kinase pathways. As controls, adult pregnant and non-pregnant rats were fed a normal-protein diet (17%). Pregnant and non-pregnant rats in the experimental groups were fed a low-protein diet (6%) for 15 days. Low protein diet during pregnancy increased serum prolactin level, reduced serum corticosterone concentration and the expression of both protein kinase B/AKT1 (AKT1) and p70 ribosomal protein S6 kinase (p70S6K), as well as the islets area, but did not alter the insulin content of pancreatic islets. Pregnancy increased the expression of the Src homology/collagen (SHC) protein and the extracellular signal-regulated kinases 1/2 (ERK1/2) independent of diet. ERK1/2 phosphorylation (pERK1/2) was similar in islets from pregnant and non-pregnant rats fed a low-protein diet, and was higher in islets from pregnant rats than in islets from non-pregnant rats fed a normal-protein diet. Thus, a short-term, low-protein diet during pregnancy was sufficient to reduce the levels of proteins in the phosphatidylinositol 3-kinase pathway and affect islet morphometry.

O objetivo deste estudo foi avaliar o perfil de ácidos graxos (AG), os índices de qualidade nutricional e a estabilidade oxidativa (EO) de manteigas produzidas do leite de vacas alimentadas com dietas à base de cana-de-açúcar contendo níveis crescentes de óleo de girassol (OG): 0 (controle); 1,5; 3,0 e 4,5% da matéria seca (MS). O perfil de AG das manteigas foi analisado por cromatografia gasosa, e a EO foi determinada utilizando-se o equipamento Rancimat®, modelo 743, operado a 120ºC e fluxo de ar de 20L/h. As concentrações dos AG rumênico (CLA cis-9, trans-11), vacênico (C18:1 trans-11) e oleico (C18:1 cis-9) na gordura das manteigas foram aumentadas em 867, 687 e 148%, respectivamente, à medida que se aumentou de 0 para 4,5% o nível de OG na dieta. Por outro lado, as concentrações dos AG saturados de cadeia média foram linearmente reduzidas (P<0,0001) na gordura das manteigas, em razão do incremento de OG nas dietas. Quanto aos índices de qualidade nutricional, houve redução linear (P<0,0001) no índice de aterogenicidade e no de trombogenicidade e aumento da relação entre AG hipo e hipercolesterolêmicos, em resposta ao aumento do nível de OG na dieta. Consistente com o incremento (P<0,0001) nas concentrações totais dos AG mono e poli-insaturados, a EO da gordura das manteigas foi linearmente reduzida (P<0,0001) em razão do incremento de OG nas dietas. Concluiu-se que a suplementação com OG melhorou a qualidade nutricional das manteigas produzidas do leite de vacas Holandês x Gir devido a mudanças positivas no perfil de AG da gordura. Entretanto, tais mudanças na composição dos AG da gordura foram acompanhadas de redução da EO das manteigas, associada à menor vida de prateleira.

The objective of this study was to evaluate the fatty acid (FA) profile, nutritional quality and oxidative stability (OE) indexes of butter obtained from milk of cows fed sugar cane-based diets containing increasing levels of sunflower oil (SO): 0 (Control); 1.5; 3.0 and 4.5% of diet DM. The butter FA profile was analyzed by gas chromatography and OE was determined using the Rancimat® equipment (model 743) operated at 120ºC and air flow of 20 L/h. The concentrations of rumenic acid (cis-9 trans-11 CLA), vaccenic acid (trans-11 C18:1) and oleic acid (cis-9 C18:1) in butter fat were increased by 867, 687 and 148%, respectively, as the dietary SO level increased from 0 to 4.5%. In contrast, the concentrations of medium chain saturated FA were linearly reduced (P<0.05) in butter fat from cows fed increasing levels of SO. Regarding the butter nutritional quality, a linear decrease (P<0.0001) in atherogenicity and thrombogenicity indexes and a linear increase (P<0.0001) in the hypocholesterolemic/ hypercholesterolemic ratio were observed compared to control, 1.5, 3.0 and 4.5% SO, respectively. Consistent with the increased (P<0.0001) concentration of mono and polyunsaturated FA, the OE of butter fat was linearly reduced (P<0.0001) as the dietary SO level increased. It was concluded that diet supplementation with SO improved the nutritional quality of butter fat of Holstein x Gir dairy cows as a result of positive changes in milk FA profile. However, these changes in milk FA composition were accompanied by a reduction in the SO of butter, which in turn is associated with a shorter shelf life.

Avaliou-se o efeito da glutamina, associada ao ácido glutâmico, proveniente de um produto comercial, sobre o desenvolvimento e a atividade enzimática em frangos de corte. Foram utilizados 800 pintos de corte, machos, de um a 42 dias de idade, distribuídos em cinco tratamentos, sendo quatro níveis de suplementação do Aminogut®: 0,5; 1,5; 3,0 e 5,0% + uma dieta-controle, isenta do produto. Observou-se melhor índice de eficiência produtiva para os frangos alimentados com dietas suplementadas com 2,8% de Aminogut®. Independentemente dos tratamentos, verificou-se aumento das atividades da maltase, sacarase e fosfatase alcalina intestinais com o avanço da idade das aves. Para as enzimas pancreáticas, observou-se maior atividade da amilase e lipase aos 14 dias de idade, coincidindo com a maior taxa de crescimento alométrico do pâncreas.

Evaluation of the effect of glutamine associated with glutamic acid in a commercial product, on the growth and enzyme activities in broiler chickens. 800 day-old male broiler chicks were used during the 42 days of trial, and were allotted to five treatments, four levels of Aminogut® supplementation - 0.5, 1.5, 3.0 and 5.0% + control-diet, free product. The best index of productive efficiency in broiler chickens was observed in those fed diets supplemented with 2.8% Aminogut®. Regardless of the treatment, there was increase in maltase, sucrase and alkaline phosphatase activities as the age of the chickens increased. For pancreatic enzymes, more activity of amylase and lipase can be observed at 14 days of age, coinciding with the highest rate of allometric growth of pancreas.

Estimaram-se os parâmetros da cinética de degradação ruminal in situ da fibra em detergente neutro (DgFDN) da cana-de-açúcar e das silagens de capim-elefante, de milho e de sorgo em diferentes tempos de incubação, tamanhos de partícula (1 e 2mm) e espécies (ovinos e bovinos). A DgFDN foi obtida nos tempos de incubação: 3, 6, 12, 24, 36, 48, 72, 96, 120, 144 e 240 horas. A avaliação dos tamanhos de partículas e das espécies na degradabilidade foi realizada pelo teste de identidade de modelos de regressão não linear e interpretada pela análise de fatores. As taxas de degradação da FDN (k d) também foram estimadas, matematicamente, utilizando-se apenas de dois tempos de incubação in situ (tempos 6 e 24h ou 6 e 36h). Os valores de k d estimados em 2 tempos ou 11 tempos de incubação foram comparados pelo teste t com arranjo em pares. Os valores de k d estimados com dois tempos de incubação, quando comparados com os valores obtidos em vários tempos de incubação mostraram-se similares (P>0,05). Em estudos da cinética de degradação ruminal in situ da FDN, ovinos não devem ser considerados modelos experimentais para bovinos, mas o tamanho de partícula do alimento incubado, de 1 ou 2mm, tem pouca influência nos parâmetros de degradação ruminal.

The neutral detergent fiber degradability (NDFd) of sugar-cane, and elephantgrass, corn, and sorghum silages were predicted by in situ method, with different time points, sample grind sizes (1 and 2mm) and animal species (sheep and cattle). The feedstuffs were incubated at 3, 6, 12, 24, 36, 48, 72, 96, 120, 144, 240 hours. The effects of sample grind sizes and of the species in NDFd were analyzed through the test of identity of non-linear regression models and interpreted by factor analysis. The rates of degradation of NDF (k d) were also estimated for two times of incubation in situ (times 6 and 24h or 6 and 36h), and they were compared to the k d values estimated at the in situ trial, through the t statistical test. The k d values estimated by different time points and predicted by in situ incubation times were similar (P>0.05). There is little interference of particle size in degradation parameters, and the NDF degradation in situ trials in sheep can not be used as an experimental model for cattle.

Human herpesvirus-8 (HHV-8) appears to be transmitted mainly by sexual contact. However, several studies suggest that in developing countries the infection may be acquired early in life by routes other than sexual transmission. The present study estimated the seroprevalence of HHV-8 in Brazilian children born to HIV-1-infected mothers. The serum samples were collected in a cross-sectional cohort study from 99 children born to HIV-infected mothers (median age 3.27 years; range 1.5-13.8 years) attending the outpatient clinic of the Federal University of São Paulo. IgG antibodies to HHV-8 latency-associated nuclear antigen and lytic phase antigens were detected by immunofluorescence assays. The samples tested were collected from children aged 12 months or older to exclude the possibility of cross-placental antibody transport. The total prevalence of anti-lytic antibodies in this population (5/99; 5%) reveals that HHV-8 infection can occur during childhood. Children aged 1.5 to 2 years had a seroprevalence of 2% (1/50) and children aged 3.25 to 13.8 years had a seroprevalence of 8% (4/49). This difference was not statistically significant, probably because of the small size of the sample, but it suggests that HHV-8 infection occurs more commonly late in infancy. Further prospective studies are necessary to evaluate the timing and risk factors for primary HHV-8 infection in the pediatric population.

Activation of Th1 or Th2 cells is associated with production of specific immunoglobulin isotypes, offering the opportunity to use antibody measurement for evaluation of T cell function. Schistosomiasis and visceral leishmaniasis are diseases associated with Th2 activation. However, an IgE response is not always detected in these patients. In the present study we evaluated specific IgE antibodies to S. mansoni and L. chagasi antigens by ELISA after depletion of serum IgG with protein G immobilized on Sepharose beads or RF-absorbent (purified sheep IgG antibodies anti-human IgG). In schistosomiasis patients, specific IgE to SWAP antigen was demonstrable in only 10 of 21 patients (48%) (mean absorbance ± SD = 0.102 ± 0.195) when unabsorbed serum was used. Depletion of IgG with protein G increased the number of specific IgE-positive tests to 13 (62%) and the use of RF-absorbent increased the number of positive results to 20 (95%) (mean absorbances ± SD = 0.303 ± 0.455 and 0.374 ± 0.477, respectively). Specific IgE anti-L. chagasi antibodies were not detected in unabsorbed serum from visceral leishmaniasis patients. When IgG was depleted with protein G, IgE antibodies were detected in only 3 (11%) of 27 patients, and the use of RF-absorbent permitted the detection of this isotype in all 27 visceral leishmaniasis sera tested (mean absorbance ± SD = 0.104 ± 0.03). These data show that the presence of IgG antibodies may prevent the detection of a specific IgE response in these parasite diseases. RF-absorbent, a reagent that blocks IgG-binding sites and also removes rheumatoid factor, was more efficient than protein G for the demonstration of specific IgE antibodies.

OBJETIVO: Contribuir para o achado do óstio de Wirsung durante a técnica da papilo-esfincteroplastia, prevenindo a pancreatite aguda pós-operatória. CASUÍSTICA E MÉTODO: Foram estudados 27 pacientes submetidos a papilo-esfincteroplastia por coledocolitíase com ou sem odite. Após a papilo-esfincterotomia (PET) terapêutica, por via duodenal, realizou-se estudo da localização do óstio do ducto de Wirsung. A PET transforma a ampola de Vater em um triângulo isósceles, cujas medidas foram obtidas através de compasso. Utilizando-as, o óstio do Wirsung poderá ser facilmente identificado e cateterizado no trans-operatório, antes de se fazer a sutura muco-mucosa da papila seccionada. RESULTADOS: O óstio geralmente é encontrado medialmente na metade esquerda do triângulo e a uma distância média de 0,19cm a 0,25cm acima da base do triângulo, considerando-se a ausência ou presença de inflamação, respectivamente. CONCLUSÃO: A determinação transoperatória das distâncias padronizadas neste estudo, permite a detecção e cateterização segura do óstio do Wirsung na presença ou não de odite.

PURPOSE: The aim of this study is to suggest a feasible method to find the ostium of the Wirsung's duct during sphincteroplasty of the Vater's papilla, in order to avoid post-operative complications such as acute pancreatitis. PATIENTS AND METHODS: A total of 27 patients were submitted to sphincteroplasty for choledocolithiasis with or without Odditis. After therapeutic papillotomy and sphincterotomy through the duodenun, the location of the ostium of the Wirsung's duct was determined and studied. After papillotomy, the Vater's papilla becomes an isosceles triangle and its measurements were made with a compass. Thereby the ostium of Wirsung's duct was easily detected and a catheter was inserted before the suture of the mucosa of the papilla. RESULTS: The ostium was generally found medially, on the left side of the triangle, 0.19cm to 0.25cm on average above its base whether there was inflammation or not, respectively. CONCLUSION: The transoperative determination of the dimensions as proposed in this study, allows a safety detection and cannulation of the Wirsung's duct with or without inflammation of the Oddi's sphincter.

INTRODUÇÃO E OBJETIVOS: Ciclosporina A é uma droga imunossupressora potente e efetiva no combate à rejeição de órgãos transplantados. No presente estudo, os autores avaliaram o emprego de um imunoensaio monoclonal com fluorescência polarizada (FPIAm), como um método alternativo ao radioimunoensaio (RIA) para determinação dos níveis de ciclosporina em sangue total. MATERIAL E MÉTODOS: Amostras de sangue de 65 pacientes submetidos a transplante renal foram colhidas em frascos com EDTA 12 horas após a última dose de ciclosporina, via oral. Os níveis de ciclosporina foram avaliados por meio de radioimunoensaio com anticorpo monoclonal e imunoensaio monoclonal com fluorescência polarizada. RESULTADOS E CONCLUSÃO: A análise estatística revelou um coeficiente de correlação entre os métodos de r = 0,9817 e o teste t de Student pareado mostrou haver diferença estatisticamente significaante entre eles (p<0,05). A análise da regressão revelou que os métodos poderiam ser comparáveis por meio da equação Cya(FPIAm) = 1,06xCya(RIA) + 5,8, mostrando que FPIAm é um excelente método alternativo ao RIA, com as vantagens de ser rápido, de fácil execução, reprodutível e com resultados comparavéis aos obtidos por RIA.

BACKGROUND: Cyclosporin A is a potent immunosuppressive drug effective in combatting rejection following organ transplantation. In na effort to replace a radioimmunoassay (RIA) for whole blood determination of cyclosporine (Cya) we compared RIA with fluorescence polarization immunoassay (FPIAm). METHOD: 65 blood samples were analysed from kidney transplanted patients. The samples were collected into tubes containing EDTA as anticoagulant and analysed by RIA and FPIAm. RESULTS: The statistical analysis revealed a difference between both methods (p<0.05). The linear-regression comparassion of Cya concentration measured by RIA and FPIAm showed the following relationship: Cya(FPIAm) = 1.06 x Cya(RIA) + 5.8 (r=0.9817). CONCLUSION: We conclude that FPIAm provides na alternative method for measuring cyclosporine in whole blood with the added advantages of being reasonably rapid, precise and easy to perform.