Relato de caso: Linfoma difuso de grandes células B no colo uterino

Relatamos o caso de mulher, 32 anos, branca, previamente hígida, atendida com corrimento vaginal e metrorragia há 3 meses. Exame colpocitológico descreveu esfregaço intensamente hemorrágico e lesão intraepitelial de alto grau com displasia acentuada (NIC III). Ultrassonografia transvaginal e ressonância magnética da pelve caracterizaram aumento dimensional do colo uterino, exibindo aspecto em “barril”, por processo expansivo difuso de aspecto infiltrativo. Estudo anatomopatológico e imunohistoquímico de biopsia do colo uterino revelou um linfoma não Hodgkin difuso de grandes células BWe report the case of a woman, 32 years old, white, previously healthy, presenting vaginal discharge and metrorrhagia for three months. Pap smear described intensely hemorrhagic smear and high-grade squamous intraepithelial lesions with severe dysplasia (CIN III). Transvaginal ultrasound and MRI of the pelvis characterized an increase in the dimensions of the cervix, displaying aspect “barrel” due process of expansive diffuse infiltrative appearance. The histopathological and immunohistochemistry of the cervical biopsy showed a diffuse non-Hodgkin’s lymphoma large B cel

Systematic analysis of jellyfish galaxy candidates in Fornax, Antlia, and Hydra from the S-PLUS survey: A self-supervised visual identification aid

© 2024 The Author(s). Published by Oxford University Press on behalf of Royal Astronomical Society. This is an open access article distributed under the terms of the Creative Commons Attribution License (CC BY), https://creativecommons.org/licenses/by/4.0/We study 51 jellyfish galaxy candidates in the Fornax, Antlia, and Hydra clusters. These candidates are identified using the JClass scheme based on the visual classification of wide-field, twelve-band optical images obtained from the Southern Photometric Local Universe Survey. A comprehensive astrophysical analysis of the jellyfish (JClass > 0), non-jellyfish (JClass = 0), and independently organized control samples is undertaken. We develop a semi-automated pipeline using self-supervised learning and similarity search to detect jellyfish galaxies. The proposed framework is designed to assist visual classifiers by providing more reliable JClasses for galaxies. We find that jellyfish candidates exhibit a lower Gini coefficient, higher entropy, and a lower 2D Sérsic index as the jellyfish features in these galaxies become more pronounced. Jellyfish candidates show elevated star formation rates (including contributions from the main body and tails) by 1.75 dex, suggesting a significant increase in the SFR caused by the ram-pressure stripping phenomenon. Galaxies in the Antlia and Fornax clusters preferentially fall towards the cluster's centre, whereas only a mild preference is observed for Hydra galaxies. Our self-supervised pipeline, applied in visually challenging cases, offers two main advantages: it reduces human visual biases and scales effectively for large data sets. This versatile framework promises substantial enhancements in morphology studies for future galaxy image surveys.Peer reviewe

Predicting smear negative pulmonary tuberculosis with classification trees and logistic regression: a cross-sectional study

BACKGROUND: Smear negative pulmonary tuberculosis (SNPT) accounts for 30% of pulmonary tuberculosis cases reported yearly in Brazil. This study aimed to develop a prediction model for SNPT for outpatients in areas with scarce resources. METHODS: The study enrolled 551 patients with clinical-radiological suspicion of SNPT, in Rio de Janeiro, Brazil. The original data was divided into two equivalent samples for generation and validation of the prediction models. Symptoms, physical signs and chest X-rays were used for constructing logistic regression and classification and regression tree models. From the logistic regression, we generated a clinical and radiological prediction score. The area under the receiver operator characteristic curve, sensitivity, and specificity were used to evaluate the model's performance in both generation and validation samples. RESULTS: It was possible to generate predictive models for SNPT with sensitivity ranging from 64% to 71% and specificity ranging from 58% to 76%. CONCLUSION: The results suggest that those models might be useful as screening tools for estimating the risk of SNPT, optimizing the utilization of more expensive tests, and avoiding costs of unnecessary anti-tuberculosis treatment. Those models might be cost-effective tools in a health care network with hierarchical distribution of scarce resources

Nitrogen supply method affects growth, yield and must composition of young grape vines (Vitis vinifera L. cv Alicante Bouschet) in southern Brazil.

The aim of this study was to evaluate yield and chemical composition of the must in grapevines subjected to Nitrogen (N) supply methods in sandy soils. The vineyard cultivar was ?Alicante Bouschet? (Vitis vinifera L.) grafted on 1103 Paulsen rootstock, in southern Brazil. The treatments consisted of the application of 20+20 kg N ha−1 without irrigation (NWI), 20+20 kg N ha−1 followed by irrigation (NFI), 20+20 kg N ha−1 via fertigation (NF), 20 kg N ha−1 via fertigation (½NF), and a control (C) without N application. The study was conducted during four crop seasons. Leaves were collected at flowering and veraison to determination N concentration. Stem diameter, grape yield and its components were determined. In the must were evaluated the total soluble solids (TSS), pH, total titratable acidity (TTA) and total anthocyanins (TA). The concentration of nitrate and ammonium in soil solution was determined. N application followed by irrigation or N supplied via fertigation provided to the vines larger stem diameters and leaf N concentrations, in most crop seasons. Grapevines submitted to N application via fertigation or followed by irrigation presented higher yields than conventional application without irrigation, and between two and three times higher than the control. N supply methods little affected total soluble solids contents. The application of N to the soil, regardless of the N supply method, decreased the anthocyanin concentration in the grape must, due to the dilution effect on the pulp/skin ratio, promoted by the yield increase

New Brazilian Floristic List Highlights Conservation Challenges

A comprehensive new inventory of Brazilian plants and fungi was published just in time to meet a 2010 Convention on Biological Diversity target and offers important insights into this biodiversity's global significance. Brazil is the home to the world's richest flora (40,989 species; 18,932 endemic) and includes two of the hottest hotspots: Mata Atlantica (19,355 species) and Cerrado (12,669 species). Although the total number of known species is one-third lower than previous estimates, the absolute number of endemic vascular plant species is higher than was previously estimated, and the proportion of endemism (56%) is the highest in the Neotropics. This compilation serves not merely to quantify the scale of the challenge faced in conserving Brazil's unique flora but also serves as a key resource to direct action and monitor progress. Similar efforts by other megadiverse countries are urgently required if the 2020 targets of the Convention on Biological Diversity and the Global Strategy for Plant Conservation are to be attained.Ministerio do Meio AmbienteMinisterio do Meio AmbienteCentro Nacional de Conservacao da FloraCentro Nacional de Conservacao da FloraNational Council for Scientific and Technological DevelopmentNational Council for Scientific and Technological DevelopmentBentham and Moxon TrustBentham and Moxon Trus

A transcriptomic analysis of gene expression in the venom gland of the snake Bothrops alternatus (urutu)

<p>Abstract</p> <p>Background</p> <p>The genus <it>Bothrops </it>is widespread throughout Central and South America and is the principal cause of snakebite in these regions. Transcriptomic and proteomic studies have examined the venom composition of several species in this genus, but many others remain to be studied. In this work, we used a transcriptomic approach to examine the venom gland genes of <it>Bothrops alternatus</it>, a clinically important species found in southeastern and southern Brazil, Uruguay, northern Argentina and eastern Paraguay.</p> <p>Results</p> <p>A cDNA library of 5,350 expressed sequence tags (ESTs) was produced and assembled into 838 contigs and 4512 singletons. BLAST searches of relevant databases showed 30% hits and 70% no-hits, with toxin-related transcripts accounting for 23% and 78% of the total transcripts and hits, respectively. Gene ontology analysis identified non-toxin genes related to general metabolism, transcription and translation, processing and sorting, (polypeptide) degradation, structural functions and cell regulation. The major groups of toxin transcripts identified were metalloproteinases (81%), bradykinin-potentiating peptides/C-type natriuretic peptides (8.8%), phospholipases A₂(5.6%), serine proteinases (1.9%) and C-type lectins (1.5%). Metalloproteinases were almost exclusively type PIII proteins, with few type PII and no type PI proteins. Phospholipases A₂were essentially acidic; no basic PLA₂were detected. Minor toxin transcripts were related to L-amino acid oxidase, cysteine-rich secretory proteins, dipeptidylpeptidase IV, hyaluronidase, three-finger toxins and ohanin. Two non-toxic proteins, thioredoxin and double-specificity phosphatase Dusp6, showed high sequence identity to similar proteins from other snakes. In addition to the above features, single-nucleotide polymorphisms, microsatellites, transposable elements and inverted repeats that could contribute to toxin diversity were observed.</p> <p>Conclusions</p> <p><it>Bothrops alternatus </it>venom gland contains the major toxin classes described for other <it>Bothrops </it>venoms based on trancriptomic and proteomic studies. The predominance of type PIII metalloproteinases agrees with the well-known hemorrhagic activity of this venom, whereas the lower content of serine proteases and C-type lectins could contribute to less marked coagulopathy following envenoming by this species. The lack of basic PLA₂agrees with the lower myotoxicity of this venom compared to other <it>Bothrops </it>species with these toxins. Together, these results contribute to our understanding of the physiopathology of envenoming by this species.</p