Extradural hematoma: comparative radiological study between, comatous and noncomatous patients

A series of 129 patients harbouring extradural hematomas was analysed considering the neurological state immediately before operation as the most consistent variable. Seventy eight patients were considered to be comatous (Group I) and 51 were noncomatous. Among the comatous group, 30 were investigated with computerized tomography (23.3% mortality, 50% good results), 31 were submitted to angiography (48.3% mortality, 38.7% good results), and 17 were operated based on the neurological examination and skull radiography (47% mortality, 35.2% good results). The presence or absence of skull fracture and the density of hematoma did not change the final outcome. Associated intracranial lesions increased the mortality and lowered the good results in both groups. Frontal hematomas (10 cases) in the comatous group were associated with high mortality (52.6%) due to bad neurological state (Glasgow 3-5) and to isolated or multiple intracranial associated lesions (6 patients).Considerando o estado neurológico imediatamente antes da operação como a variável miais fidedigna para antecipação do prognóstico dos hematomas extradurais, os autores realizaram estudo radiológico comparativo de 129 pacientes operados por esta patologia. Desta amostra, 78 casos se encontravam em coma (Grupo I) e 51 eram não comatosos (Grupo II). No grupo I, os 30 casos investigados pré-operatoriamente com tomografia tiveram 23,3% de mortalidade e 50% de bons resultados; dos 31 casos submetidos a angiografia, 48,3% faleceram e 38,7% tiveram bons resultados; 17 casos foram operados pela radiografia simples de crânio e exame neurológico, com 47% de mortalidade e 35,2% de bons resultados. A presença de fratura de crânio e a densidade tomográfica do hematoma não interferiram nos resultados. A presença de lesão associada intracraniana aumentou a mortalidade e diminuiu a quantidade de bons resultados tanto no Grupo I quanto no Grupo II. A localização frontal do hematoma foi associada a elevada mortalidade (52,6%) no grupo comatoso, por estarem todos os pacientes entre 3 a 5 pontos na Escala de Glasgow e seis deles por apresentarem lesões associadas intracranianas únicas ou múltiplas.Hospital Santa IsabelEscola Paulista de MedicinaUNIFESP, EPMSciEL

Effect of the phosphate fertilizer with filter cake on soil microbial activity and phosphorous uptake in sugar cane

El objetivo del trabajo fue evaluar el efecto de diferentes dosis de fertilizante fosfatado con la adición de cachaza sobre la actividad microbiana del suelo, y el contenido de fósforo en el suelo y en plantas de caña de azúcar. El experimento se condujo en condi- ciones de invernadero en Jaboticabal Brasil en 2013, usándose plántulas de caña de azúcar (variedad "CTC 05"). Las unidades experimentales estuvieron constituidas por macetas cargadas con un Hapludox. Se empleó un diseño completamente aleatorizado, con el arreglo factorial de 5x2 y tres repeticiones. Los tratamientos fueron cinco dosis de fósforo: 0, 50, 100, 200 y 400 mg dm -3 y dos niveles de cachaza (ausencia y presencia). Se evaluaron la actividad respiratoria, la fosfatasa ácida y la deshidrogenasa, el carbono soluble, el pH y el tenor de P en el suelo, así como el P acumulado en las plántulas. Se encontró interacción entre las dosis de P y la cachaza para todas las variables, excepto para el pH y el carbono soluble. El fosfato con la adición de cachaza aumentó la actividad microbiana y el fósforo disponible en el suelo, reflejándose en la mayor acumulación de P en las plantas.The objective of the work was to evaluate the effect of different doses of phosphate fertilizer with the addition of sugar cane industry filter cake on the soil microbial activity and soil and plant P concentration in sugar cane. The experiment was carried out in vegetation house at Jaboticabal, Brazil, in 2013, and the sugar cane seedlings variety "CTC 05"was used as tests plant. The experimental units were pots containing Hapludox. A completely randomized design was used, with factorial arrangement of 5x2 and three repetitions. The treatments were five phosphorus doses: 0, 50, 100, 200 and 400 mg dm -3 and two levels of filter cake (absence and presence). Soil respiration, acid phosphatase and dehydrogenase activity, soluble carbon, pH value, soil and plant P concentrations. There was interaction among doses of P and filter cake application for all the variables, except for the pH. The phosphate with the addition of filter cake application for all the variables, except for the pH. The phosphate with the addition of filter cake increased the microbial activity, the value of the pH and de P concentration in the soil, being reflected in a higher accumulation of P in the seedling.Fil: Saucedo Castillo, Orlando. Universidad Central "Marta Abreu" de Las Villas (Cuba)Fil: Prado, Renato de Mello. Universidad Estadual Paulista "Júlio de Mesquita Filho" (Brasil)Fil: Castellanos González, Leónides . Universidad de Cienfuegos (Cuba)Fil: Ely, Nahas. Universidad Estadual Paulista "Júlio de Mesquita Filho" (Brasil)Fil: Silva Campos, Cid Naudi. Universidad Estadual Paulista "Júlio de Mesquita Filho" (Brasil)Fil: Silva, Gilmara Pereira Da. Universidad Estadual Paulista "Júlio de Mesquita Filho" (Brasil)Fil: Assis, Luis Carlos. Universidad Estadual Paulista "Júlio de Mesquita Filho" (Brasil

Ave isquêmico criptogênico na artéria basilar em paciente de 16 anos. Relato de caso / Cryptogenic ischemic stroke in the basilar artery in a patient of 16 years. Case report

O acidente vascular encefálico é pouco frequente na população jovem. Entretanto, o impacto permanece devastador sobre a qualidade de vida, sendo uma importante causa de óbito e incapacitação. O objetivo do trabalho foi relatar um caso infrequente de AVE isquêmico em território da artéria basilar em uma paciente de 16 anos, que apresentava dois fatores de risco potenciais, o forame oval patente e o uso de anticoncepcional oral.

[thrombolysis In Massive Pulmonary Embolism Based On The Volumetric Capnography].

This is the first report of a patient submitted to chemical thrombolysis due to massive pulmonary embolism (PE) during the postoperative period of neurosurgery, in whom due to the lack of adequate clinical conditions, no imaging assessment was performed. Clinical, gasometric and capnographic data allowed the decision to perform the thrombolysis with safety. The P(a-et)CO2 gradient decreased from 46.4 mmHg to 11.8 mmHg (normal < 5 mmHg) and the end-tidal alveolar dead space fraction decreased from 0.85 to 0.37 (normal < 0.15) from the pre-thrombolysis period to the 7th day post-thrombolysis. We conclude that the volumetric capnography (VC) was useful in the patient's diagnosis and clinical follow-up.95e97-e9

Efecto de la fertilización fosfatada con cachaza sobre la actividad microbiana del suelo y la absorción de fósforo en caña de azúcar (Saccharum spp.)

The objective of the work was to evaluate the effect of different doses of phosphate fertilizer with the addition of sugar cane industry filter cake on the soil microbial activity and soil and plant P concentration in sugar cane. The experiment was carried out in vegetation house at Jaboticabal, Brazil, in 2013, and the sugar cane seedlings variety "CTC 05"was used as tests plant. The experimental units were pots containing Hapludox. A completely randomized design was used, with factorial arrangement of 5x2 and three repetitions. The treatments were five phosphorus doses: 0, 50, 100, 200 and 400 mg dm-3 and two levels of filter cake (absence and presence). Soil respiration, acid phosphatase and dehydrogenase activity, soluble carbon, pH value, soil and plant P concentrations. There was interaction among doses of P and filter cake application for all the variables, except for the pH. The phosphate with the addition of filter cake increased the microbial activity, the value of the pH and the P concentration in the soil, being reflected in a higher accumulation of P in the seedling. &nbsp;El objetivo del trabajo fue evaluar el efecto de diferentes dosis de fertilizante fosfatado con la adición de cachaza sobre la actividad microbiana del suelo, y el contenido de fósforo en el suelo y en plantas de caña de azúcar. El experimento se condujo en condiciones de invernadero en Jaboticabal Brasil en 2013, usándose plántulas de caña de azúcar (variedad "CTC 05"). Las unidades experimentales estuvieron constituidas por macetas cargadas con un Hapludox. Se empleó un diseño completamente aleatorizado, con el arreglo factorial de 5x2 y tres repeticiones. Los tratamientos fueron cinco dosis de fósforo: 0, 50, 100, 200 y 400 mg dm-3 y dos niveles de cachaza (ausencia y presencia). Se evaluaron la actividad respiratoria, la fosfatasa ácida y la deshidrogenasa, el carbono soluble, el pH y el tenor de P en el suelo, así como el P acumulado en las plántulas. Se encontró interacción entre las dosis de P y la cachaza para todas las variables, excepto para el pH y el carbono soluble. El fosfato con la adición de cachaza aumentó la actividad microbiana y el fósforo disponible en el suelo, reflejándose en una mayor acumulación de P en las plantas

Efeitos da Drenagem Linfática Manual na Diminuição do Edema de Membros Inferiores em Gestantes

Avaliar os efeitos da drenagem linfática na prevenção e diminuição do edemade membros inferiores em gestantes no segundo e terceiro trimestre gestacional.Trata-se de uma série de caso. A população foi composta por 10 gestantes no segundoe terceiro trimestre gestacional. A drenagem linfática foi realizada com a paciente emdecúbito dorsal, a 45 graus. Foi iniciada com a estimulação na região cervical por 15minutos, em seguida estímulos nos linfonodos inguinais de ambos os membros inferiores,poplíteo e maleolar. Cada membro inferior foi drenado durante 20 minutos.Houve redução do edema nos membros inferiores das gestantes em média de doiscentímetros logo após a primeira sessão (efeito agudo) e após a última sessão (efeitotardio) com redução de até cinco centímetros. Houve diferença significativa tanto noefeito agudo quanto no efeito tardio em relação à dor e a fadiga nos membros inferiores.Todas as gestantes ficaram satisfeitas e recomendariam o tratamento. A técnica dedrenagem linfática manual se mostrou eficiente na prevenção e diminuição do edema,dor e fadiga nos membros inferiores em fase aguda e no efeito tardio. Todas as gestantesficaram satisfeitas com a drenagem linfática e recomendariam o tratamento

A list of land plants of Parque Nacional do Caparaó, Brazil, highlights the presence of sampling gaps within this protected area

Brazilian protected areas are essential for plant conservation in the Atlantic Forest domain, one of the 36 global biodiversity hotspots. A major challenge for improving conservation actions is to know the plant richness, protected by these areas. Online databases offer an accessible way to build plant species lists and to provide relevant information about biodiversity. A list of land plants of “Parque Nacional do Caparaó” (PNC) was previously built using online databases and published on the website "Catálogo de Plantas das Unidades de Conservação do Brasil." Here, we provide and discuss additional information about plant species richness, endemism and conservation in the PNC that could not be included in the List. We documented 1,791 species of land plants as occurring in PNC, of which 63 are cited as threatened (CR, EN or VU) by the Brazilian National Red List, seven as data deficient (DD) and five as priorities for conservation. Fifity-one species were possible new ocurrences for ES and MG states