Cistoadenoma Seroso gigante do ovário em paciente gestante: relato de caso clínico

Os cistos ovarianos serosos, caracterizados pelo revestimento de células epiteliais serosas, podem se manifestar durante a gravidez e representam uma das categorias principais de lesões ovarianos. Apresentamos o caso de uma paciente primigesta de 23 anos, no segundo trimestre da gestação, que apresentou desconforto respiratório e dor abdominal. Exames de imagem revelaram uma formação cística multiloculada de grande dimensão. Em virtude do tamanho do cisto e dos sintomas, optou-se por uma intervenção cirúrgica. A análise anatomopatológica subsequente revelou um cistoadenoma seroso ovariano, os quais são conhecidos por compor cerca de 40-50% das formações anexiais epiteliais benignas. Durante a gravidez, a incidência de cistos ovarianos aumenta, sendo os serosos uma das variedades mais comuns nesse contexto. O diagnóstico diferencial de massas abdominais em gestantes inclui uma variedade de causas. A combinação de achados de imagem, avaliação clínica e análise anatomopatológica são importantes para definição diagnóstica e do manejo. A intervenção cirúrgica pode ser considerada quando os cistos serosos gigantes causam desconforto significativo ou risco de complicações, levando em conta os riscos e benefícios para a mãe e o feto. Em resumo, o cistoadenoma seroso gigante em gestantes é uma ocorrência rara, porém notável. Seu diagnóstico, monitoramento e manejo demandam uma abordagem multidisciplinar

Leucoencefalopatia Tóxica em criança por veneno de escorpião: um relato de caso

O envenenamento por escorpião pode acometer diversos sistemas, dentre eles o cardiovascular, respiratório, hematológico, renal e neurológico. Em relação às manifestações neurológicas, foram relatados na literatura episódios de convulsões, disfunção autonômica e acidente vascular encefálico (isquêmico ou hemorrágico), sendo este último a causa mais prevalente de acometimento neurológico no adulto. A leucoencefalopatia tóxica é um padrão que também pode estar associado ao escorpionismo, principalmente em crianças, que podem ser vítimas de manifestações neurológicas mais graves. Esta condição deve ser reconhecida de maneira a facilitar o diagnóstico, conduzir o acompanhamento e instituir o tratamento o mais breve possível. Em concordância com o contexto do paciente pediátrico, que apresenta mais frequentemente acometimento do sistema nervoso central, o caso apresentado cursou com alteração da substância branca, evoluindo com melhora parcial dos achados, o que provavelmente está associado à neuroplasticidade pediátrica.&nbsp

Measurement of charged jet cross section in pp collisions at √s = 5.02 TeV

The cross section of jets reconstructed from charged particles is measured in the transverse momentum range of 5<pT<100 GeV/c in pp collisions at the center-of-mass energy of s√=5.02 TeV with the ALICE detector. The jets are reconstructed using the anti-kT algorithm with resolution parameters R=0.2, 0.3, 0.4, and 0.6 in the pseudorapidity range |η|<0.9−R. The charged jet cross sections are compared with the leading order (LO) and to next-to-leading order (NLO) perturbative Quantum ChromoDynamics (pQCD) calculations. It was found that the NLO calculations agree better with the measurements. The cross section ratios for different resolution parameters were also measured. These ratios increase from low pT to high pT and saturate at high pT, indicating that jet collimation is larger at high pT than at low pT. These results provide a precision test of pQCD predictions and serve as a baseline for the measurement in Pb−Pb collisions at the same energy to quantify the effects of the hot and dense medium created in heavy-ion collisions at the LHC

Study of J/ψ azimuthal anisotropy at forward rapidity in Pb–Pb collisions at √sNN = 5.02 TeV

The second (v2) and third (v3) flow harmonic coefficients of J/ψ mesons are measured at forward rapidity (2.5 < y < 4.0) in Pb-Pb collisions at sNN−−−√ = 5.02 TeV with the ALICE detector at the LHC. Results are obtained with the scalar product method and reported as a function of transverse momentum, pT, for various collision centralities. A positive value of J/ψ v3 is observed with 3.7σ significance. The measurements, compared to those of prompt D0 mesons and charged particles at mid-rapidity, indicate an ordering with vn(J/ψ) <vn(D0) <vn(h±) (n = 2, 3) at low and intermediate pT up to 6 GeV/c and a convergence with v2(J/ψ) ≈v2(D0) ≈v2(h±) at high pT above 6-8 GeV/c. In semi-central collisions (5-40% and 10-50% centrality intervals) at intermediate pT between 2 and 6 GeV/c, the ratio v3/v2 of J/ψ mesons is found to be significantly lower (4.6σ) with respect to that of charged particles. In addition, the comparison to the prompt D0-meson ratio in the same pT interval suggests an ordering similar to that of the v2 and v3 coefficients. The J/ψ v2 coefficient is further studied using the Event Shape Engineering technique. The obtained results are found to be compatible with the expected variations of the eccentricity of the initial-state geometry

Suppression of Λ(1520) resonance production in central Pb–Pb collisions at √sNN = 2.76 TeV

The production yield of the Λ(1520) baryon resonance is measured at mid-rapidity in Pb-Pb collisions at sNN−−−√ = 2.76 TeV with the ALICE detector at the LHC. The measurement is performed in the Λ(1520)→pK− (and charge conjugate) hadronic decay channel as a function of the transverse momentum (pT) and collision centrality. The pT-integrated production rate of Λ(1520) relative to Λ in central collisions is suppressed by about a factor of 2 with respect to peripheral collisions. This is the first observation of the suppression of a baryonic resonance at the LHC and the first 3σ evidence of Λ(1520) suppression within a single collision system. The measured Λ(1520)/Λ ratio in central collisions is smaller than the value predicted by the statistical hadronisation model calculations. The shape of the measured pT distribution and the centrality dependence of the suppression are reproduced by the EPOS3 Monte Carlo event generator. The measurement adds further support to the formation of a dense hadronic phase in the final stages of the evolution of the fireball created in heavy-ion collisions, lasting long enough to cause a significant reduction in the observable yield of short-lived resonances

Suppression of Λ(1520) resonance production in central Pb–Pb collisions at √sNN = 2.76 TeV

The production yield of the Λ(1520) baryon resonance is measured at mid-rapidity in Pb-Pb collisions at sNN−−−√ = 2.76 TeV with the ALICE detector at the LHC. The measurement is performed in the Λ(1520)→pK− (and charge conjugate) hadronic decay channel as a function of the transverse momentum (pT) and collision centrality. The pT-integrated production rate of Λ(1520) relative to Λ in central collisions is suppressed by about a factor of 2 with respect to peripheral collisions. This is the first observation of the suppression of a baryonic resonance at LHC and the first evidence of Λ(1520) suppression in heavy-ion collisions. The measured Λ(1520)/Λ ratio in central collisions is smaller than the value predicted by the statistical hadronisation model calculations. The shape of the measured pT distribution and the centrality dependence of the suppression are reproduced by the EPOS3 Monte Carlo event generator. The measurement adds further support to the formation of a dense hadronic phase in the final stages of the evolution of the fireball created in heavy-ion collisions, lasting long enough to cause a significant reduction in the observable yield of short-lived resonances

Production of (anti-)3He and (anti-)3H in p–Pb collisions at √sNN = 5.02 TeV

The transverse momentum (pT) differential yields of (anti-)3He and (anti-)3H measured in p-Pb collisions at sNN−−−√ = 5.02 TeV with ALICE at the LHC are presented. The ratios of the pT-integrated yields of (anti-)3He and (anti-)3H to the proton yields are reported, as well as the pT dependence of the coalescence parameters B3 for (anti-)3He and (anti-)3H. For (anti-)3He, the results obtained in four classes of the mean charged-particle multiplicity density are also discussed. These results are compared to predictions from a canonical statistical hadronization model and coalescence approaches. An upper limit on the total yield of 4He¯ is determined

Measurement of dielectron production in central Pb–Pb collisions at √sNN = 2.76 TeV

The first measurement of dielectron (e+e−) production in central (0−10%) Pb-Pb collisions at sNN−−−√ = 2.76 TeV at the LHC is presented. The dielectron invariant-mass spectrum is compared to the expected contributions from hadron decays in the invariant-mass range 0<mee<3.5 GeV/c2. The ratio of data and the cocktail of hadronic contributions without vacuum ρ0 is measured in the invariant-mass range 0.15<mee<0.7 GeV/c2, where an excess of dielectrons is observed in other experiments, and its value is 1.40±0.28 (stat.)±0.08 (syst.)±0.27 (cocktail). The dielectron spectrum measured in the invariant mass range 0<mee<1 GeV/c2 is consistent with the predictions from two theoretical model calculations that include thermal dielectron production from both partonic and hadronic phases with in-medium broadened ρ0 meson. The fraction of direct virtual photons over inclusive virtual photons is extracted for dielectron pairs with invariant mass 0.1<mee<0.3 GeV/c2, and in the transverse-momentum intervals 1<pT,ee<2 GeV/c and 2<pT,ee<4 GeV/c. The measured fraction of virtual direct photons is consistent with the measurement of real direct photons by ALICE and with the expectations from previous dielectron measurements at RHIC within the experimental uncertainties

Λ+c production in pp collisions at √s = 7 TeV and in p–Pb collisions at √sNN = 5.02 TeV

The pT-differential production cross section of prompt Λ+c charmed baryons was measured with the ALICE detector at the Large Hadron Collider (LHC) in pp collisions at s√=7 TeV and in p-Pb collisions at sNN−−−√=5.02 TeV at midrapidity. The Λ+c and Λ¯¯¯¯−c were reconstructed in the hadronic decay modes Λ+c→pK−π+, Λ+c→pK0S and in the semileptonic channel Λ+c→e+νeΛ (and charge conjugates). The measured values of the Λ+c/D0 ratio, which is sensitive to the c-quark hadronisation mechanism, and in particular to the production of baryons, are presented and are larger than those measured previously in different colliding systems, centre-of-mass energies, rapidity and pT intervals, where the Λ+c production process may differ. The results are compared with the expectations obtained from perturbative Quantum Chromodynamics calculations and Monte Carlo event generators. Neither perturbative QCD calculations nor Monte Carlo models reproduce the data, indicating that the fragmentation of heavy-flavour baryons is not well understood. The first measurement at the LHC of the Λ+c nuclear modification factor, RpPb, is also presented. The RpPb is found to be consistent with unity and with that of D mesons within the uncertainties, and consistent with a theoretical calculation that includes cold nuclear matter effects and a calculation that includes charm quark interactions with a deconfined medium