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Daniela Oliveira Werneck Rodrigues,1,2 Roberta Wolp Diniz,2 Leonardo Cunha Dentz,1 Monica de Albuquerque Costa,3 Roberto Heleno Lopes,2 Lucas Fernandes Suassuna,4 Jane Rocha Duarte Cintra,2 Christian Domenge2 1Department of Medicine, Centro Universitário Presidente Antônio Carlos, Juiz de Fora, MG, Brazil; 2Department of Oncohematology, Hospital 9 de Julho/ Instituto Oncológico de Juiz de Fora, Juiz de Fora, MG, Brazil; 3Department of Dematology, Secretaria de Saúde da Prefeitura Municipal de Juiz de Fora, Juiz de Fora, MG, Brazil; 4Department of Medicine, Universidade Federal de Juiz de Fora (UFJF), Juiz de Fora, MG, BrazilCorrespondence: Daniela Oliveira Werneck Rodrigues, Instituto Oncológico de Juiz de Fora, R. Santos Dumont, 56 - Granbery, Juiz de Fora, MG, 36010-510, Brazil, Tel +553232573126, Email danielawerneckhemato@hotmail.comAbstract: Rosai-Dorfman Disease (RDD) is a rare non-Langerhans histiocytosis, usually self-limited and presenting with massive, painless, bilateral cervical lymphadenopathy, with or without constitutional symptoms. Extranodal disease is frequently present, and may happen in the absence of lymph node involvement, symptomatology and differential diagnosis will depend on the site affected and fatal cases may occur. The authors present two cases of Rosai-Dorfman disease (RDD), diagnosed through immunohistochemistry, with different progressions, one with complete remission and one culminating in death, highlighting the variety of presentations and the diagnostic difficulty. RDD is a rare condition with clinical presentations similar to several diseases, and should be considered in the differential diagnosis of lymphadenopathy with extranodal lesions.Keywords: Rosai Dorfman disease, immunohistochemistry, diagnosis, differential diagnosis (MeSH-NCBI)

Homologues and xenogenous bones are currently the most used grafts in dentistry because of their performance. However, some inherent disadvantages of these materials have not yet been overcome, such as the lack of biological properties to improve the new bone formation in situ and the long remodeling time. The main aim of this work was to improve the performance of the commercial bone-based grafts and study its properties in vitro. For this purpose, rat bone was combined with bioglass, a synthetic biomaterial that displays high degradation kinetics and bioactivity properties, endowed with biological properties. The sol-gel method was used for 45S5 bioglass (45S5) synthesis, using TEOS and water soluble salts as starting materials. 45S5 was then associated with the rat bone, generating the new graft. FTIR results indicated the hydroxyapatite formation after the bioactivity tests. SEM and bioactivity results were used to assess the evolution of the graft. The bioactivity tests showed that after 30 days the mass gain of about 30 wt.% was due to the deposition of hydroxyapatite crystals at the surface of the grafts, suggesting the potential properties of this new graft for application in implantology.

Nowadays, the issue of rural development has a central place on the agenda of policy-makers, prompting a discussion on the instrumental and procedural options of public policies. This paper seeks to contribute to the reflection on the potentialities and limitations of promoting rural development based on innovative strategies sustained by territorial governance modalities, which entail an active involvement of local agents, especially local authorities. For this, it takes as case studies three public policy experiences led by local authorities within a Portuguese low-density region, with one of the lowest development rates among EU regions. Specifically, it aims to discuss: (a) the effectiveness of adopting innovative policies in the context of low-density rural areas; and (2) the role of territorial governance in the success of those policies. The research followed a document analysis and interviews with local development actors. The analysis suggests that peripheral rural areas are not condemned to human desertification. There is a wide spectrum of opportunities for these areas. They can bring together a strategic view of the future, and an institutional leadership capable of dynamizing an adjusted territorial governance model. This is the challenge currently facing rural development policy.

A participatory system dynamics modelling approach is advanced to support conceptualization of feedback processes underlying ecosystem services and to foster a shared understanding of leverage intervention points. The process includes systems mapping workshop and follow-up tasks aiming at the collaborative construction of causal loop diagrams. A case study developed in a natural area in Portugal illustrates how a stakeholder group was actively engaged in the development of a conceptual model depicting policies for sustaining the climate regulation ecosystem service.

In 1995, the so-called “turbot war” between Spain and Canada was pivotal for Iberian fisheries. The main objective of this research is to revisit the turbot war to reflect on the issue of governing fisheries on the high seas, the cause behind the war, and how it was resolved. This paper provides guidelines for future research on the management of high seas fisheries.

The use of IPv6 on the general Internet continues to grow. The transition of the Worldwide Large Hadron Collider Computing Grid (WLCG) central and storage services to dual-stack IPv6/IPv4 is progressing well, thus enabling the use of IPv6-only CPU resources as agreed by the WLCG Management Board and presented by us at earlier CHEP conferences. During the last year, the HEPiX IPv6 Working Group has continued to chase and support the transition to dual-stack services. We present the status of the transition and some tests that have been made of IPv6-only CPU showing the successful use of IPv6 protocols in accessing WLCG services. The dual-stack deployment does however result in a networking environment which is more complex than when using just IPv6. The group is investigating the removal of the IPv4 protocol in places. We present the areas where this could be useful together with our future plans.

Patrícia O Guimarães,1 Scott Kaatz,2 Renato D Lopes11Duke Clinical Research Institute, Duke Medicine, Durham, NC, 2Hurley Medical Center, Flint, MI, USAAbstract: Atrial fibrillation (AF) is an important risk factor for thromboembolic events, and anticoagulation therapy can reduce this risk. Vitamin K antagonists (VKAs), such as warfarin, have been used for decades in patients with AF for stroke prevention. Currently, non-VKA oral anticoagulants (NOACs) are approved and available for non-valvular AF patients who are at increased risk of stroke. These agents are safe and effective and have important advantages over VKAs, such as significant reduction in intracranial hemorrhage and no need for routine laboratory monitoring. Thus, should all VKA-treated patients be switched to a NOAC? The aims of this article are: 1) to review the advantages of NOACs over VKAs; 2) to identify the group of patients who most benefit from receiving a NOAC and, therefore, are higher priority to be switched from VKAs; and 3) to provide clinical and practical guidance on how to switch patients safely from VKAs to NOACs.Keywords: anticoagulation, atrial fibrillation, clinical practice, stroke prevention

Two recent and promising additions to the internet protocols are TCP-BBR and QUIC. BBR defines a congestion policy that promises a better control in TCP bottlenecks on long haul transfers and can also be used in the QUIC protocol. TCP-BBR is implemented in the Linux kernels above 4.9. It has been shown, however, to demand careful fine tuning in the interaction, for example, with the Linux Fair Queue. QUIC, on the other hand, replaces HTTP and TLS with a protocol on the top of UDP and thin layer to serve HTTP. It has been reported to account today for 7% of Google’s traffic. It has not been used in server-to-server transfers even if its creators see that as a real possibility. Our work evaluates the applicability and tuning of TCP-BBR and QUIC for data science transfers. We describe the deployment and performance evaluation of TCP-BBR and comparison with CUBIC and H-TCP in transfers through the TEIN link to Singaren (Singapore). Also described is the deployment and initial evaluation of a QUIC server. We argue that QUIC might be a perfect match in security and connectivity to base services that are today performed by the Xroot redirectors.

OBJETIVO: Analisar o resultado cirúrgico em portadores de transposição das grandes artérias com septo interventricular intacto, operados após o período neonatal. MÉTODOS: Entre janeiro de 1998 e março de 2004 foram atendidas 121 crianças com transposição das grandes artérias com septo interventricular intacto, sendo 29 (24%) após o período neonatal. A seleção para tratamento cirúrgico foi baseada na avaliação ecocardiográfica pelo cálculo da massa do ventrículo esquerdo e da configuração do septo interventricular. Das 29 crianças, 12 foram selecionadas para correção anatômica primária, 12 para correção em dois estágios, após preparo cirúrgico do ventrículo esquerdo e 5 submetidas a correção atrial. RESULTADOS: No grupo submetido à correção anatômica primária houve 1 (8,3%) óbito hospitalar por sepsis. No grupo de correção em dois estágios, 5 pacientes foram submetidos ao preparo lento, com correção 3-6 meses após o 1º estágio, ocorrendo 4 óbitos após o 1º estágio. Este fato determinou mudança no nosso protocolo, adotando-se a técnica de preparo rápido nos outros 7 pacientes, tendo todos atingido o 2º estágio. Das 8 crianças submetidas ao 2º estágio houve 1 óbito hospitalar e outro óbito tardio. A evolução clínica tardia das crianças de ambos os grupos é excelente. CONCLUSÃO: A seleção ecocardiográfica adequada da transposição de grandes artérias com septo interventricular intacto quando abordada após o período neonatal, permitiu uma orientação segura da escolha da melhor abordagem cirúrgica nestes pacientes.

The application of the expectation-maximization (EM) algorithm to channel estimation results in a well-known iterative channel-and-symbol estimator (ICSE). The EM-ICSE iterates between a symbol estimator based on the forward-backward recursion (BCJR equalizer) and a channel estimator, and may provide approximate maximum-likelihood blind or semiblind channel estimates. Nevertheless, the EM-ICSE has high complexity, and it is prone to misconvergence. In this paper, we propose the extended-window (EW) estimator, a novel channel estimator for ICSE that can be used with any soft-output symbol estimator. Therefore, the symbol estimator may be chosen according to performance or complexity specifications. We show that the EW-ICSE, an ICSE that uses the EW estimator and the BCJR equalizer, is less complex and less susceptible to misconvergence than the EM-ICSE. Simulation results reveal that the EW-ICSE may converge faster than the EM-ICSE.

Several methodologies concerning the preparation of 2-aryl and 2-heteroarylcyclohexanones are presented. The use of these intermediates in the synthesis of chemically and biologically interesting organic compounds is also discussed.

Neste trabalho avaliou-se o comportamento de híbridos de famílias endogâmicas de milho obtidos pelo método dos híbridos crípticos, produzidos pelo programa de melhoramento de milho do Departamento de Biologia da UFV. A caracterização dos híbridos foi feita com base em 22 ambientes, usando-se os métodos de Eberhart & Russell e de Carneiro. Pelo método de Eberhart & Russell, foram identificados 15 híbridos com produção acima da média geral. Entre eles, 53,3% tiveram bom desempenho em qualquer ambiente, e alta estabilidade (84-6, 86-1, 86-19, 86-11, 86-15, 86-21, 86-27 e 86-10), e 20% são mais responsivos à melhoria ambiental e possuem alta estabilidade (86-22, 85-2 e 84-5). Os híbridos 85-1, 85-3 e 86-2 apresentaram bom desempenho em qualquer ambiente e baixa estabilidade, correspondem também a 20% dos mais produtivos. O último (86-8), correspondendo a 6,7%, apresentou adaptação específica a ambientes favoráveis, e baixa estabilidade. Pela análise, considerando o método de Carneiro, foram identificados os híbridos 86-22, 86-8, 84-5, 85-2 e 86-19 como os mais responsivos à melhoria do ambiente. Os híbridos 86-11, 85-3, 86-27 e 86-2 apresentaram adaptação a ambientes desfavoráveis.

Objetivo: estudar o resultado da ablação endometrial histeroscópica, com o uso de ressectoscópio, em pacientes com sangramento uterino anormal de etiologia benigna e refratária ao tratamento clínico, e relatar os fatores associados aos insucessos. Métodos: foram avaliados retrospectivamente informações sobre 64 pacientes com sangramento uterino anormal de causa benigna, submetidas à intervenção entre abril de 1994 e fevereiro de 2000. A média de idade foi de 42,9 anos e a paridade média, de 2,6 partos. Foi realizada histeroscopia diagnóstica com biópsia endometrial pré-operatoriamente. Duas pacientes receberam previamente gestrinona, seis danazol e 44 análogo do GnRH. No ato cirúrgico realizou-se a cauterização elétrica do fundo uterino e das regiões cornuais. Depois, com o ressectoscópio, foi removido o endométrio até 1 cm cranialmente ao orifício interno e na profundidade de 2 a 3 mm na musculatura. A distensão uterina se fazia com glicina a 1,5% até há dois anos, quando se passou a usar o manitol a 3%. O seguimento foi de 11,5 meses em média. Resultados: estabeleceu-se amenorréia em 31,2% das pacientes e hipomenorréia em 45,3%. Houve persistência do sangramento anormal em 23,5%. Houve uma perfuração uterina na cérvico-dilatação (1,5%). Os resultados foram melhores nas pacientes com mais de 40 anos de idade, nas multíparas e nas que usaram análogos do GnRH. Nos casos de falhas houve freqüência estatisticamente significante (p=0,04) de miomas submucosos de 46,6% contra 20,6% no grupo com hipomenorréia e 20% no grupo com amenorréia. O uso de análogo do GnRH fez decrescer de modo significante (p=0,03) os insucessos. No grupo de pacientes nos quais se considerou haver falha da cirurgia, 46% tiveram, ao exame anatomopatológico, endométrio secretor; no grupo com hipomenorréia, 10,3% tiveram este resultado histológico e no grupo com amenorréia, 10%, o que não apresentou significância estatística (p=0,12). Conclusão: o método mostrou-se útil para tratar o sangramento uterino anormal de etiologia benigna. Recomenda-se o uso de análogos do GnRH previamente à intervenção. Sugere-se que as pacientes mais jovens, com menor paridade e com diagnóstico pré-operatório de mioma submucoso recebam atenção especial, pois entre elas ocorrem falhas com maior freqüência.

Avaliaram-se as alterações do líquido sinovial do joelho de 19 cães submetidos à desmotomia unilateral do cruzado cranial, baseado no modelo experimental de Pond & Nuki, colhido e analisado aos 30 dias de pós-operatório. Cinco animais foram analisados novamente aos 90 dias de pós-operatório. As características analisadas foram volume, cor, aspecto, densidade, pH, proteínas, fibrinogênio, coágulo de mucina, contagem de hemácias e contagem total e diferencial de células nucleadas. O líquido sinovial apresentou padrão inflamatório que persistiu durante todo o período de observação, com efusão articular. Houve aumento na contagem de células nucleadas e na concentração de fibrinogênio aos 90 dias. A qualidade da precipitação da mucina apresentou melhora aos 90 dias quando comparada à de 30 dias, porém ainda marcadamente anormal. Foi possível concluir que até 90 dias de pós-operatório no modelo utilizado o fluído sinovial apresenta características inflamatórias e não degenerativas.

RESUMO - Conduziu-se este experimento em pastagem de capim-elefante, pertencente à Embrapa - Gado de Leite, com o objetivo de comparar métodos de estimação da disponibilidade de forragem, bem como avaliar o comportamento de três observadores nestas avaliações. Os métodos do Corte, da Altura da planta, da Cobertura do solo pela forrageira, do índice Altura da planta x Cobertura do solo, da regressão linear múltipla com a altura e a cobertura e do Rendimento Visual Comparativo, foram comparados com as produções totais das respectivas metades das áreas avaliadas. O método Rendimento Visual Comparativo proporcionou sempre os maiores coeficientes de determinação das equações estimadoras, seguido pelo método da equação linear múltipla com altura e cobertura. Já com os métodos de Altura da planta e o da Cobertura do solo foram obtidos os piores resultados, demonstrando a baixa confiabilidade de estimação da disponibilidade de capim-elefante, por meio dessas variáveis isoladas. Apesar de o método Rendimento Visual Comparativo fornecer os maiores coeficientes, o método da equação linear múltipla demonstrou ser aceitável, principalmente pela grande praticabilidade e pelos bons resultados. Observadores pouco experientes obtiveram sempre os piores resultados, principalmente nas primeiras avaliações e em áreas sob pastejo.

Objetivo: avaliar os resultados do tratamento videolaparoscópico de 32 pacientes com endometrioma ovariano. Métodos: estudo retrospectivo que incluiu trinta e duas pacientes encaminhadas ao setor de Endoscopia Ginecológica do Serviço de Ginecologia e Obstetrícia do Hospital do Servidor Público Estadual "Francisco Morato de Oliveira" - São Paulo, as quais tinham diagnóstico clínico e ultra-sonográfico de endometrioma ovariano e foram tratadas por videolaparoscopia. Onze pacientes com endometriomas com diâmetro menor que 3 cm foram submetidas à drenagem do endometrioma e exérese da cápsula na primeira laparoscopia. Vinte e uma pacientes com endometriomas com diâmetros maior que 3 cm foram submetidas à drenagem do endometrioma e lavagem do cisto na primeira laparoscopia. A seguir, utilizaram análogo do GnRH por quatro meses (1 ampola mensal) e então foram submetidas à segunda laparoscopia para retirada da cápsula do endometrioma. O exame histopatológico do material obtido na cirurgia foi realizado em todos os casos. Avaliou-se o resultado imediato do procedimento e a freqüência de recidivas. Resultados: não se registraram intercorrências cirúrgicas ou complicações pós-operatórias. Ocorreram três recidivas em um período de seis a doze meses, todas no grupo de 21 pacientes com endometriomas com o diâmetro maior que 3 cm. Conclusão: o tratamento videolaparoscópico dos endometriomas ovarianos com retirada da cápsula apresenta bons resultados e baixo índice de recidiva.

Digital radiography in the inspection of welded pipes to be installed under deep water offshore gas and oil pipelines, like a presalt in Brazil, in the paper has been investigated. The aim is to use digital radiography for nondestructive testing of welds as it is already in use in the medical, aerospace, security, automotive, and petrochemical sectors. Among the current options, the DDA (Digital Detector Array) is considered as one of the best solutions to replace industrial films, as well as to increase the sensitivity to reduce the inspection cycle time. This paper shows the results of this new technique, comparing it to radiography with industrial films systems. In this paper, 20 test specimens of longitudinal welded pipe joints, specially prepared with artificial defects like cracks, lack of fusion, lack of penetration, and porosities and slag inclusions with varying dimensions and in 06 different base metal wall thicknesses, were tested and a comparison of the techniques was made. These experiments verified the purposed rules for parameter definitions and selections to control the required digital radiographic image quality as described in the draft international standard ISO/DIS 10893-7. This draft is first standard establishing the parameters for digital radiography on weld seam of welded steel pipes for pressure purposes to be used on gas and oil pipelines.

Abstract Introduction Bilateral macular hemorrhage is a rare ocular finding and to the best of our knowledge, this is the first report of such hemorrhages as a presentation of drug-induced anemia. Case presentation We describe the case of a 14-year-old Caucasian boy who presented with a toxoplasmic retinochoroiditis and was treated with sulfadiazine and pyrimethamine. Three months later, he presented with a bilateral macular hemorrhage as a complication of a toxic induced anemia. Conclusion Our patient presented with toxic anemia secondary to the treatment of a very common disease, ocular toxoplasmosis. Prophylactic use of folinic acid could prevent such complications but in many cases, it is not prescribed owing to its cost or is mistakenly substituted with folic acid, which does not present as a valid substitute.

Abstract Background Testing for selection is becoming one of the most important steps in the analysis of multilocus population genetics data sets. Existing applications are difficult to use, leaving many non-trivial, error-prone tasks to the user. Results Here we present LOSITAN, a selection detection workbench based on a well evaluated Fst-outlier detection method. LOSITAN greatly facilitates correct approximation of model parameters (e.g., genome-wide average, neutral Fst), provides data import and export functions, iterative contour smoothing and generation of graphics in a easy to use graphical user interface. LOSITAN is able to use modern multi-core processor architectures by locally parallelizing fdist, reducing computation time by half in current dual core machines and with almost linear performance gains in machines with more cores. Conclusion LOSITAN makes selection detection feasible to a much wider range of users, even for large population genomic datasets, by both providing an easy to use interface and essential functionality to complete the whole selection detection process.

Abstract Background Helicobacter pylori (Hp) infection is associated with several upper gastrointestinal disorders. Local data on the epidemiology of the infection are scarce in Brazil. The purpose of this study is to measure the prevalence rate and to explore the associated factors among the adult population living in Pelotas, a southern Brazilin city. Methods This was a population-based cross-sectional study. Through a multi-stage sampling method all individuals 20 years and over living at the selected households at the urban area of the city were interviewed regarding past and current socio-economic indicators; demographic characteristics; nutritional and behavioural habits; and history of upper gastrointestinal symptoms.Hp infection was ascertained through the 13C-UBT. Due to the high prevalence, data were analysed through robust Poisson regression. All analyses took into account the family clustering of the data. Results Among 563 eligible individuals, 363 agreed to perform the 13C-UBT (refusal rate of 35.5%). Refusals were associated with female sex, consumption of mate drinking, and presence of upper gastrointestinal symptoms. The prevalence rate of H. pylori infection was 63.4% (95%CI 59.3%–69.3%). In crude analyses, prevalence was associated with increasing age, non-white skin colour, lower current family income, lower education level, higher size of the family, low socio-economic conditions in childhood, higher number of siblings and attendance to day-care centres in childhood, and presence of dyspeptic symptoms. In adjusted analysis the level of education of the father was inversely associated with the infection, whereas number of siblings and attendance to day-care centre in childhood were directly associated with it. Non-white skin colour remained significantly associated with increased prevalence even after allowing for past and current socio-economic characteristics, age and sex. Compared to non-symptomatic individuals, those reporting dyspeptic symptoms presented a higher prevalence of the infection even after allowing for current and past socio-economic conditions, ethnicity, age, and sex. Conclusion Hp infection is as common among adults in southern Brazil as it is in other developing countries. Socio-economic conditions in childhood besides ethnicity and presence of dyspeptic symptoms were the factors significantly associated with the infection.

The application of the expectation-maximization (EM) algorithm to channel estimation results in a well-known iterative channel-and-symbol estimator (ICSE). The EM-ICSE iterates between a symbol estimator based on the forward-backward recursion (BCJR equalizer) and a channel estimator, and may provide approximate maximum-likelihood blind or semiblind channel estimates. Nevertheless, the EM-ICSE has high complexity, and it is prone to misconvergence. In this paper, we propose the extended-window (EW) estimator, a novel channel estimator for ICSE that can be used with any soft-output symbol estimator. Therefore, the symbol estimator may be chosen according to performance or complexity specifications. We show that the EW-ICSE, an ICSE that uses the EW estimator and the BCJR equalizer, is less complex and less susceptible to misconvergence than the EM-ICSE. Simulation results reveal that the EW-ICSE may converge faster than the EM-ICSE.

To characterize methicillin-resistant Staphylococcus aureus isolates from an intensive care unit of a tertiary-care teaching hospital, between 2005 and 2010. A total of 45 isolates were recovered from patients admitted to the intensive care unit in the study period. Resistance rates higher than 80% were found for clindamycin (100%), erythromycin (100%), levofloxacin (100%), azithromycin (97.7%), rifampin (88.8%), and gentamycin (86.6%). The SCCmec typing revealed that the isolates harbored the types III (66.7%), II (17.8%), IV (4.4%), and I (2.2%). Four (8.9%) isolates carried non-typeable cassettes. Most (66.7%) of the isolates were related to the Brazilian endemic clone from CC8/SCCmec III, which was prevalent (89.3%) between 2005 and 2007, while the USA100/CC5/SCCmec II lineage emerged in 2007 and was more frequent in the last few years. The study showed high rates of antimicrobial resistance among methicillin-resistant S. aureus isolates and the replacement of Brazilian clone, a well-established hospital lineage, by the USA100 in the late 2000s, at the intensive care unit under study. Keywords: Clonal complex, MRSA, PFGE lineages, SCCmec