Use Of Autologous Fibrin Glue In Dermatologic Surgery: Application Of Skin Graft And Second Intention Healing.

OBJECTIVE: To evaluate the efficiency of biological sealant, an autologous fibrin glue, in dermatological surgery. DESIGN: Randomized clinical trial. SETTING: The Dermatology Service of Hospital das Clinicas, Universidade de Campinas (UNICAMP), referral center. PATIENTS: 14 patients with malign epithelial cutaneous tumors participated in the evaluation, each having two tumors, generally facial and symmetrical, in order to perform a comparative evaluation on the same individual. PROCEDURES: The glue was prepared beforehand with a sample of autologous blood. Surgical extirpation of the tumor was followed by grafts or second intention healing. OUTCOMES: The efficiency of the sealant was then evaluated in relation to hemostasis, adhesion, surgical time and evolution of the granulation tissue, clinically and histologically. RESULTS: Immediate hemostasis and graft adhesion, with a significant reduction of surgical time, and in the open wounds there was immediate hemostasis and a clinical increase in granulation tissue, but with no histological differences among the groups on the 7th day. CONCLUSION: It is an adjuvant resource in skin cancer surgery.11641747175

Imbalance of naive and memory T lymphocytes with sustained high cellular activation during the first year of life from uninfected children born to HIV-1-infected mothers on HAART

The immune consequences of in utero HIV exposure to uninfected children whose mothers were submitted to highly active antiretroviral therapy (HAART) during gestation are not well defined. We evaluated 45 HIV-exposed uninfected (ENI) neonates and 45 healthy unexposed control (CT) neonates. All HIV-infected mothers received HAART during pregnancy, and the viral load at delivery was <50 copies/mL for 56.8%. Twenty-three ENI neonates were further evaluated after 12 months and compared to 23 unexposed healthy age-matched infants. Immunophenotyping was performed by flow cytometry in cord and peripheral blood. Cord blood lymphocyte numbers did not differ between groups. However, ENI neonates had a lower percentage of naive T cells than CT neonates (CD4+, 76.6 vs 83.1%, P < 0.001; CD8+, 70.9 vs 79.6%, P = 0.003) and higher percentages of central memory T cells than CT neonates (CD4+, 13.9 vs 8.7%, P < 0.001; CD8+, 8.6 vs 4.8%, P = 0.001). CD38 mean fluorescence intensity of T cells was higher in ENI neonates (CD4+, 62.2 vs 52.1, P = 0.007; CD8+, 47.7 vs 35.3, P < 0.001). At 12 months, ENI infants still had higher mean fluorescence intensity of CD38 on T cells (CD4+, 34.2 vs 23.3, P < 0.001; CD8+, 26.8 vs 19.4, P = 0.035). Despite effective maternal virologic control at delivery, HIV-exposed uninfected children were born with lower levels of naive T cells. Immune activation was present at birth and remained until at least 12 months of age, suggesting that in utero exposure to HIV causes subtle immune abnormalities.FAPESPCoordenacao de Aperfeicoamento de Pessoal de Nivel Superior (CAPES

Seleção De Espécies E Procedências De Pinus Para Região De Assis, Estado De São Paulo

The objective of the study was the selection of Pinus species and provenances for the region of Assis, state of São Paulo. The species and provenance test was established at the Assis State Forest, using the randomized blocks design with treatments represented by species (Pinus oocarpa, P. maximinoi and P. tecunumanii) and provenances of the species, four blocks and square plots with 49 plants (7 × 7), at a spacing of 3 × 2.5 m. At 21 years after planting the traits were measured: diameter at breast height (DAP), total height (ALT), individual real volume (VOL) and the survival rate (SOBRE). Significant differences were observed between species and provenances of different species (p< 0.01) for SOBRE, indicating the possibility of selection among species and provenances. The genetic divergence between species varied between growth traits from zero to 0.141, and was 0.683 for SOBRE, indicating that most of the genetic variation is distributed within species for growth traits and between species for SOBRE. Genetic and phenotypic significant and positive correlations were observed between the DAP and VOL (minimum 0.926; p< 0.01) indicating that selection for the DAP will result in an increase in the VOL. The results indicate that there are genetic variations among Pinus species and provenances of different species for SOBRE and P. oocarpa is most suitable for commercial reforestation in environmental conditions of Assis.4411167568

Geometric Phases in Graphitic Cones

In this article we use a geometric approach to study geometric phases in graphitic cones. The spinor that describes the low energy states near the Fermi energy acquires a phase when transported around the apex of the cone, as found by a holonomy transformation. This topological result can be viewed as an analogue of the Aharonov-Bohm effect. The topological analysis is extended to a system with $n$ cones, whose resulting configuration is described by an effective defect.Comment: 4 pages, revtex

Classical self-forces in a space with a dispiration

We derive the gravitational and electrostatic self-energies of a particle at rest in the background of a cosmic dispiration (topological defect), finding that the particle may experience potential steps, well potentials or potential barriers depending on the nature of the interaction and also on certain properties of the defect. The results may turn out to be useful in cosmology and condensed matter physics.Comment: 5 pages, 4 figures, revtex4 fil

Early interruption of exclusive breastfeeding: results from the eight-country MAL-ED study

We report the infant feeding experiences in the first month of life for 2,053 infants participating in \u201cMalnutrition and Enteric Infections: Consequences for Child Health and Development\u201d (MAL-ED). Eight sites (in Bangladesh, India, Nepal, Pakistan, Brazil, Peru, South Africa, Tanzania), each followed a cohort of children from birth (by day 17), collecting detailed information on infant feeding practices, diet and illness episodes. Mothers were queried twice weekly regarding health status, breastfeeding and the introduction (or no) of non-breast milk liquids and foods. Here, our goal is to describe the early infant feeding practices in the cohort and evaluate factors associated with termination of exclusive breastfeeding in the first month of life. With data from enrollment to a visit at 28-33 days of life, we characterized exclusive, predominant or partial breastfeeding (using a median of 6-9 visits per child across the sites). Only 6 of 2,053 infants were never breastfed. By one month, the prevalences of exclusive breastfeeding were &lt; 60% in 6 of 8 sites, and of partial breastfeeding (or no) were &gt; 20% in 6 of 8 sites. Logistic regression revealed that prelacteal feeding (given to 4-63% of infants) increased the likelihood of partial breastfeeding (Odds Ratio (OR): 1.48 (95% confidence interval (CI): 1.04, 2.10), as did the withholding of colostrum (2-16% of infants) (OR: 1.63:1.01, 2.62), and being a first-time mother (OR: 1.38:1.10, 1.75). Our results reveal diversity across these sites, but an overall trend of early transition away from exclusive breastfeeding in the first month of life. Interventions which introduce or reinforce the WHO/UNICEF Ten Steps for Successful Breastfeeding are needed in these sites to improve breastfeeding initiation, to reinforce exclusive breastfeeding and delay introduction of non-breast milk foods and/or liquids

Glicerina bruta em suplementos para bovinos de corte a pasto no período seco

O objetivo deste trabalho foi avaliar o efeito da substituição do milho pela glicerina bruta (GB) sobre os parâmetros nutricionais e o desempenho de bovinos de corte em pastagem de Urochloa brizantha 'Marandu', no período seco. Para a avaliação dos parâmetros ruminais, foram utilizados cinco bovinos da raça Nelore não fistulados, com peso corporal (PC) inicial de 331,7±29,6 kg, distribuídos em delineamento em quadrado latino 5x5. Para a avaliação do desempenho, foram utilizados 30 bovinos, com PC médio de 312,4±23,3 kg, distribuídos em delineamento inteiramente casualizado. Avaliaram-se suplementos concentrados (20% de proteína bruta) com 0, 33, 66 e 100% de GB em substituição ao milho, fornecidos na quantidade de 4,0 kg por animal por dia. Os consumos de matéria seca (MS) de suplemento, total e de pasto, bem como o de matéria orgânica (MO) digestível, apresentaram comportamento quadrático frente aos níveis de substituição. As digestibilidades aparentes de MS, MO, fibra em detergente neutro e MO digerida, bem como o ganho médio diário, também apresentaram comportamento quadrático. Em suplementos concentrados fornecidos na quantidade de 10 g kg-1 de peso corporal, a substituição total do milho pela glicerina bruta reduz o consumo de suplemento e de matéria orgânica digerida, além do desempenho de bovinos de corte em pastejo