Re-ensiling of previously ensiled forage has been a common practice in Brazil, and the use of inoculants may provide a means of reducing dry-matter (DM) loss. This study aimed to determine the effect of reensiling and the use of microbial inoculants on the quality of sorghum silage. Treatments were presence/ absence of an inoculant (Lactobacillus plantarum and Propionibacterium acidipropionici) in the silage, and the re-ensiling, or not, of the material after 24 h of exposure to air, and these were tested in a factorial 2 9 2 design. Losses due to gas, effluent and total DM were assessed, as were the fermentation characteristics, chemical composition, aerobic stability, and aerobic counts of microorganisms. Effluent loss was higher in re-ensiled silage, and these silages had lower lactic acid content and higher levels of acetic and propionic acids. The in vitro DM digestibility was lower in the reensiled sorghum silages. The re-ensiled silage had higher aerobic stability. The inoculant only increased the acetic acid content of the silage. The re-ensiling of sorghum silage increased effluent loss by 71Á2%, and reduced DM digestibility by 5Á35%. The use of inoculant did not influence the quality of sorghum silage.

The compromising of the spinal canal by cysticercus is considered infrequent, varying from 16 to 20% in relation to the brain involvement. In the spinal canal the cysticercus predominantly places in the subarachnoid space. Clinical signs in spinal cysticercosis can be caused by direct compression of the spinal cord/roots by cysticerci and by local or at distance inflammatory reactions (arachnoiditis). Another mechanism of lesion is degeneration of the spinal cord due to pachymeningitis or circulatory insufficiency. The most frequent clinical features are signs of spinal cord and/or cauda equina compression. The diagnosis of spinal cysticercosis is based on evidence of cerebral cysticercosis and on neuroradiological examinations (myelography and myelo-CT) that show signs of arachnoiditis and images of cysts in the subarachnoid space and sometimes, signs of intramedullary lesions, but the confirmation can only be made through immunological reactions in the CSF or during surgery. The clinical course of 10 patients with diagnosis of spinal cysticercosis observed among 182 patients submitted to surgical treatment due to this disease are analyzed. The clinical pictures in all cases were signs of spinal cord or roots compression. All but two presented previously signs of brain cysticercosis. Neuroradiological examinations showed signs of arachnoiditis in 4 patients, images of cysts in the subarachnoid space in 5, and signs of arachnoiditis and images of cysts in one. The 6 patients that presented intraspinal cysts were submitted to exeresis of the cysts and 2 patients with total blockage of the spinal canal underwent surgery for diagnosis. The 2 remaining patients with arachnoiditis and blockage of the spinal canal were clinically treated. All of the six patients submitted to cyst exeresis had initial improvement but 4 of them later developed arachnoiditis and recurrence of the clinical signs and only 2 remained well for long-term. The 2 non operated patients had no improvement of their clinical signs. Two patients died later due to complications of cerebral cysticercosis. Based on the experience acquired in the management of these patients we indicate surgical treatment for patients that present free cyst in subarachnoid space. For those who present arachnoiditis, surgery is indicated only when there is doubt in the diagnosis. Intramedullary cysts should also be surgically treated.

-Two cases of intramedullary paracoccidioidomycosis are reported. Paracoccidioidomycosis is a systemic disease that involves the buccopharyngeal mucosa, lungs, lymph nodes and viscera and infrequently the central nervous system. Localization in the spinal cord is rare. Case 1: a 55-year old male admitted with crural pararesis, tactile/painful hypesthesia and sphincter disturbances of 15 days duration. Cutaneous-pulmonary blastomycosis was diagnosed 17 years ago. Myelotomography showed a blockade of T3-T4 (intramedullary lesion). The lesion surgically removed was a Paracoccidioides brasiliensis granuloma. Treatment with sulfadiazine was started after the surgery. Follow-up of 15 month showed an improvement of the clinical signs. Case 2: a 57-year old male was admitted elsewhere 6 months ago and, with a radiologic diagnosis of pulmonary paracoccidioidomycosis, was treated with amphotericin B. He progressively developed paresthesia and tactile/ pain anaesthesia on the left side, sphincter disturbances and tetraparesis with bilateral extensor plantar response and clonus of the feet. Myelotomography showed a blockade of C4-C6 (intramedullary lesion). The lesion was not found during surgical exploration and the patient deteriorated and died. Post-mortem examination revealed an intramedullary tumor above the site of the mielotomy (Paracoccidioides brasiliensis granuloma). The preoperative diagnosis of intramedullary paracoccidioidomycotic granulomas is difficult because the clinical and radiologic manifestations are uncharacteristic. Clinical suspicion was possible in our cases based on the history of previous systemic disease. Contrary to intracranial localizations, paracoccidioidomycotic granulomas causing progressive spinal cord compression may require early surgery because response to clinical treatment is slow and the reversibility of neurological deficits depends on the promptness of the decompression.KEY WORDS: intramedullary paracoccidioidomycosis, granuloma intramedullar blastomycotic, spinal cord compression, surgical treatment, medical treatment. Granuloma paracoccidioidomicótico intramedular: relato de dois casosRESUMO -São relatados dois casos de granuloma blastomicótico intramedular. A paracoccidioidomicose é micose sistêmica que atinge predominantemente a mucosa bucofaríngea, pulmões, linfonodos e vísceras e infrequentemente o sistema nervoso. A localização medular é rara. Caso 1: paciente masculino, de 55 anos, admitido com parestesias, hipoestesia táctil/dolorosa, paraparesia crural e distúbios esfincterianos. Tinha diagnóstico de blastomicose cutâneo-pulmonar há 17 anos. A mielotomografia mostrou bloqueio em T3-T4 (lesão intramedular). A lesão removida cirurgicamente revelou-se um granuloma blastomiótico. Após a cirurgia foi tratado com sulfadiazina. Durante o seguimento (15 meses) apresentou melhora do quadro clínico. Caso 2: paciente masculino, de 57 anos, internado em outro hospital há 6 meses por blastomicose pulmonar e tratado com anfotericina B. Desenvolveu parestesias, hipoestesia táct...

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O papel do enfermeiro na manutenção do doador após o diagnóstico de Morte Encefálica (ME) é imprescindível. Objetivo:verificar o conhecimento do enfermeiro no processo de doação de órgãos e tecidos para transplantes, em um Hospital Geral deSergipe. Metodologia: transversal, descritivo, quantitativo, realizado através de entrevistas com 45 enfermeiros das unidadesde terapia intensiva e emergência. Resultados: 55,6% afirmaram que a ME não é de notificação compulsória; 8,9% indicaramtodos os exames gráficos necessários. Conclusão: os enfermeiros apresentaram considerável conhecimento em relação aoprocesso de doação, e baixo em relação a manutenção do potencial doador.Descritores: Enfermagem, Doação de órgãos, Morte encefálica.NURSES KNOWLEDGE IN THE PROCESS OF ORGAN DONATIONThe nurse’s role in donor maintenance after the diagnosis of Brain Death (ME) is essential. Objective: To check the nurse’sknowledge in the organ donation process and tissues for transplantation, in a General Hospital of Sergipe. Methodology:Cross-sectional, descriptive, quantitative, conducted through interviews with 45 nurses of the emergency and intensivecare units. Results: 55.6% said that the ME is not reportable; 8.9% indicated all the necessary graphics tests. Conclusion: thenurses had considerable knowledge regarding the donation process, and low relative maintenance of the potential donor.Descriptors: Nursing, Organ donation, Brain death.CONOCIMIENTO DEL ENFERMERO EN EL PROCESO DE DONACIÓN DE ÓRGANOSEl papel de la enfermera en el mantenimiento de los donantes después del diagnóstico de muerte encefálica (ME) es esencial.Objetivo: Para comprobar el conocimiento de la enfermera en el proceso de donación de órganos y tejidos para trasplante, enun Hospital General de Sergipe. Metodología: Estudio transversal, descriptivo, cuantitativo, realizado a través de entrevistas con45 enfermeras de las unidades de emergencia y cuidados intensivos. Resultados: el 55,6% dijo que el ME no es de notificaciónobligatoria; 8,9% indicó todas las pruebas de gráficos necesarios. Conclusión: las enfermeras tenían un conocimientoconsiderable sobre el proceso de donación, y bajo mantenimiento relativo de la posible donante.Descriptores: Enfermería, La donación de órganos, La muerte cerebral.

In this paper, we give necessary conditions for Lie-stability of the equilibrium solutions of autonomous and periodic Hamiltonian systems with n degrees of freedom which possess multiple resonances of arbitrary order. Necessary conditions for instability in the sense of Lyapunov in some cases of multiple resonances are provided. These conditions depend on the order of the resonance and the coefficients of the Hamiltonian function.

We evaluated culture-negative, community-acquired endocarditis by using indirect immunofluorescent assays and molecular analyses for Bartonella spp. and Coxiella burnetii and found a prevalence of 19.6% and 7.8%, respectively. Our findings reinforce the need to study these organisms in patients with culture-negative, community-acquired endocarditis, especially B. henselae in cat owners.

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