RESUMO
This research aims to identify critical contamination points by nutrients, their possible origin (point and nonpoint sources), their spatial distribution, and possible attenuation by natural and anthropogenic processes. The study area is the Velhas River Basin, located in the Southeast Region of Brazil (17.0°-20.5° S; 43.5°-45.0°W). A historical series of water quality monitoring, land cover map, demographic and agricultural censuses, sewage treatment diagnostics, and local hydrographic networks were used to achieve the objectives. In addition, the regions were divided into incremental areas, enabling individualized analyses of each sub-basin. Descriptive statistics, seasonality, categorized data tests, agglomerative hierarchical cluster analysis, and principal component analysis were used. There was a significant contribution of nutrients in the most important urban agglomeration of the basin, resulting in peak concentrations measured at that place. Although the values were reduced by the mouth (650 km), the percentage of legislation violations remained high. The effects of punctual contamination were intensified by the low percentage of treated sewage in the basin, the absence of adequate treatment technologies to remove nutrients, and the disorderly urbanization. Furthermore, it was estimated that the nutrient load from animal husbandry is approximately 75% of the load from domestic effluents due to the high number of cattle in the basin and the low percentage of forests.
Assuntos
Países em Desenvolvimento , Esgotos , Animais , Bovinos , Monitoramento Ambiental , Criação de Animais Domésticos , Nitrogênio , FósforoRESUMO
An apparently new case of the acromegaloid facial appearance syndrome is reported. The main clinical findings were coarse facies and thickened lips, oral mucosa and upper eyelids. The patient also had macrocephaly with an arachnoid cyst in the right middle fossa, an anomaly not previously described in association with this syndrome.
Assuntos
Acromegalia/diagnóstico , Fácies , Acromegalia/complicações , Acromegalia/patologia , Cistos Aracnóideos/complicações , Feminino , Humanos , Lactente , SíndromeRESUMO
PURPOSE: To detect the cardiac manifestations due to the state of hypothyroidism and reversibility after euthyroidism. PATIENTS AND METHODS: Thirteen patients with documented primary hypothyroidism were evaluated through the echocardiography and other noninvasive techniques. A new evaluation was performed six months after thyroid hormone therapy. RESULTS: Most of the changes were reversed after the patients became euthyroid. The main finding was the echocardiographic measurement of the velocity of circumferential fiber shortening that showed a significant positive linear correlation with serum thyroid hormones. CONCLUSION: These data demonstrate the existence of a hypothyroid cardiomyopathy.