Left ventricular false aneurysm characterized by cardiovascular magnetic resonance and late enhancement technique

Left ventricular pseudoaneurysm is a rare complication of myocardial infarction. Differentiation between true and false aneurysms, although difficult, is crucial, because of the different treatment options they entail. We present a rare case of a giant pseudoaneurysm of the left ventricle related with a previous myocardial infarction. The present case highlights the pivotal role of magnetic resonance imaging for differential diagnosis between these entities

Left ventricular false aneurysm characterized by cardiovascular magnetic resonance and late enhancement technique

Left ventricular pseudoaneurysm is a rare complication of myocardial infarction. Differentiation between true and false aneurysms, although difficult, is crucial, because of the different treatment options they entail. We present a rare case of a giant pseudoaneurysm of the left ventricle related with a previous myocardial infarction. The present case highlights the pivotal role of magnetic resonance imaging for differential diagnosis between these entities

A parallel finite volume method for incompressible and slightly compressible reactive flows

Copyright © 2022 The Authors. In this article, a parallel formulation of the finite volume method is presented for solving three-dimensional, turbulent, mixed, reactive, and slightly compressible flows. It can also be used for incompressible laminar/turbulent flows. The method is designed for nonorthogonal meshes, and oscillations caused by the advective terms are treated by a deferred correction technique. The chosen finite volume scheme is cell centered. The studied fluid is a single-phase multicomponent gas with Newtonian behavior. The focus is mainly on gas mixtures with predominance of N 2 , since the chemical reaction of greatest interest is the combustion process in the air. The buoyancy is caused by the gradient of the specified mass, which is a function of the temperature and the composition of the gas mixture. The mathematical model uses an approximation for low Mach numbers, describing slightly compressible flows. The coupling between the fluid dynamic equations is given by the nonlinear Picard's method, with the pressure-velocity coupling treatment given by the SIMPLE algorithm (semi-implicit method for pressure-linked equations). The complete mathematical model includes the sensitive enthalpy equation for the conservation of energy. The LES (large eddy simulation) model is used for modeling the turbulence. The chemical reactions are implemented using the EDC (eddy dissipation concept) and the EDM (eddy dissipation model) approaches. The parallel strategy is based on a subdomain-by-subdomain approach, and uses the MPI and OpenMP standards in a hybrid parallel scheme. Compressed data structures are used to store the matrix coefficients.Conselho Nacional de Desenvolvimento Cientifico e Tecnologico (CNPq, Brazil), Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior (CAPES, Brazil)

Plasmacytoma of the lumbar spine

Solitary bone plasmacytoma is a plasma cell disorder characterized by the formation of a single tumor in the bone. Most commonly, the tumor develops in the spine, and is progressively less frequent in the pelvis, ribs, upper extremities, skull, femur and sternum. Symptoms are mainly local. In most cases, multiple myeloma ensues, conferring it a poor prognosis. The authors describe the case of a 53-year-old male patient who presented with persistent low back pain without apparent cause until a radiography of the lumbar spine was performed. It revealed a lytic lesion, which was proven to be a plasmacytoma after a computed tomography guided biopsy

Perfil da fluência: comparação entre falantes do Português Brasileiro e do Português Europeu

The purpose of the study was to compare the speech fluency of Brazilian Portuguese speakers with that of European Portuguese speakers. The study participants were 76 individuals of any ethnicity or skin color aged 18–29 years. Of the participants, 38 lived in Brazil and 38 in Portugal. Speech samples from all participants were obtained and analyzed according to the variables of typology and frequency of speech disruptions and speech rate. Descriptive and inferential statistical analyses were performed to assess the association between the fluency profile and linguistic variant variables. We found that the speech rate of European Portuguese speakers was higher than the speech rate of Brazilian Portuguese speakers in words per minute (p=0.004). The qualitative distribution of the typology of common dysfluencies (p<0.001) also discriminated between the linguistic variants. While a speech fluency profile of European Portuguese speakers is not available, speech therapists in Portugal can use the same speech fluency assessment as has been used in Brazil to establish a diagnosis of stuttering, especially in regard to typical and stuttering dysfluencies, with care taken when evaluating the speech rate.O objetivo do estudo foi comparar a fluência de fala de falantes do Português Brasileiro com a de falantes do Português Europeu. Participaram deste estudo 76 indivíduos, sem distinção de raça e cor, com idades entre 18 e 29 anos, sendo 38 residentes no Brasil e 38 em Portugal. Foram obtidas amostras de fala de todos os participantes e analisadas segundo as variáveis de tipologia e frequência das disfluências e velocidade de fala. Foi realizada análise estatística descritiva e inferencial para verificar a associação entre as variáveis do perfil da fluência e da variante linguística. Foi observado que a velocidade de fala dos falantes do Português Europeu em palavras por minuto (p=0,004) é maior que a dos falantes do Português Brasileiro. A distribuição qualitativa das tipologias das disfluências comuns (p<0,001) também diferencia as variantes linguísticas. Enquanto não há um perfil de fluência de fala dos falantes do Português Europeu, para se estabelecer um diagnóstico de gagueira, os fonoaudiólogos podem utilizar em Portugal a mesma avaliação de fluência de fala utilizada no Brasil, principalmente no que se refere às disfluências comuns e gagas, tendo cuidado apenas no que se refere à velocidade de falaFundação de Amparo à Pesquisa do Estado de Minas Gerais (CDS – APQ – 02141-11)info:eu-repo/semantics/publishedVersio

Evolução na utilização e nos gastos de uma operadora de saúde

Brazil’s aging population and the rising number of people reliant upon the country’s supplementary healthcare system have elicited the concern of public and private managers regarding the increase in healthcare costs. In this paper, the costs per gender, per type of medical expenses and per age group of a major Brazilian self-managed healthcare provider between 2007 and 2013 were analyzed. This healthcare provider is of interest because, besides portraying a single condition of revenue growth restricted to the existing contributors, it also replicates the demographic profile expected for Brazil in 2050, when approximately one-third of its population will be over 60 years of age. The analyses confirm the current literature as they show an increase in healthcare plan usage by the elderly and the difference between admission rates by gender. They also reveal an increase in average length of stay in hospital and the increase in medical costs far above inflation, especially for materials and medicines. It is hoped that this study will help scholars and others interested in comparisons of medical expense trends, especially by age and sex, and that it encourages further collaboration on the sustainability of health insurance providers in Brazil

Vector competence of Culex quinquefasciatus Say, 1823 exposed to different densities of microfilariae of Dirofilaria immitis (Leidy,1856)

Vector competence of Cuter quinquefascictus Say, 1823 exposed to different densities of microfilariae of Dirofilaria immitis (Leidy, 1856). The metropolitan region of Recife, Brazil is endemic for Dirofilaria immitis and has an environment favorable to the development of Culex quinquefasciatus. The goal of this study was to evaluate the vector competence of the Cx. quinquefasciatus RECIFE population for D. immitis transmission. A total of 2.104 females of Cx. quinquefasciatus RECIFE population were exposed to different densities of D. immitis microfilariae blood meals, ranging from 1,820 to 2,900 mf/ml of blood, in a natural membrane apparatus. The results showed a variation between 92.3% and 98.8% of females fed. The exposure of the Cx. quinquefasciatus RECIFE population to different densities of microfilariac did not influence the mortality of the mosquitoes. Infective larvae from D. immitis were observed in the Malpighian tubules beginning on the 12(th) day, whereas larvae were observed in the head and proboscis beginning oil the 13(th) day following infection. The vector efficiency index (VEI) presented by the mosquitoes ranged front 7.8 to 56.5. The data demonstrates that the Cx. quinquefasciatus RECIFE population has great potential for the transmission of D. immitis, as it allowed the development of the filarid until the infectious stage at the different densities of microfilariae to which it was exposed.52465866