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Introduction: Over the past few years, liver surgery has been in constant evolution and gained many improvements that helped surgeons push limits further. A complex procedure such as left extended trisectionectomy, as described by Makuuchi in 1987, may be performed in selected cases. Aim: Describe a case of successful resection of a huge bilobar liver sarcoma involving all hepatic veins from a young female patient, in which the blood outflow was preserved through an inferior right hepatic vein, leaving only segment 6 as liver remnant. Case Report. A 19-year-old female with a 3-month history of abdominal pain, vomiting, and weight loss was referred for our evaluation. CT scan and MRI revealed a heterogeneous and bulky expansive hepatic lesion, sparing only segment 6, with an estimated volume of 530 cm3, corresponding to a 1.2 FLR/BW ratio. The tumor involved the three major hepatic veins, but an inferior right hepatic vein was present, draining the spared segment 6. She was submitted to a left trisectionectomy extended to the caudate lobe and segment 7, including resection of all hepatic veins and lymphadenectomy of the hepatic pedicle. She was discharged on the 7th postoperative day without complications. The histopathological and immunohistochemical analysis demonstrated an undifferentiated embryonal sarcoma of the liver. Conclusion: Inferior right hepatic vein-preserving left extended trisectionectomy is a safe and feasible procedure that should be performed by a hepatobiliary team experienced in major complex hepatectomies.

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OBJECTIVES: Recently, controlled attenuation parameter (CAP) was incorporated for XL probe. However, its performance through M and XL probes has been scarcely evaluated in nonalcoholic fatty liver disease (NAFLD). The performance of probes regarding transient elastography by Fibroscan is still under debate. AIM: Compare the performance of CAP and transient elastography in NAFLD patients obtained through XL with M probes using histological analysis as gold standard. METHODS: NAFLD patients underwent liver biopsy and FibroScan/CAP with M and XL probes the same day. C-statistic evaluated CAP performance in the identification of moderate/severe (≥33%) and severe (≥66%) steatosis by both probes and transient elastography performance for identification of significant fibrosis (≥F2). RESULTS: Eighty-one patients (74% female; age 54.2 ± 9.9 years; BMI 32.8 ± 5.2/ BMI ≥ 25 92.6%; 96% metabolic syndrome; 60% diabetes mellitus) were included. Mean CAP with M and XL probes was 314 ± 39 and 325 ± 47 dB/m, respectively. The areas under receiver operating characteristic curves (AUROCs) of the M and XL probes for steatosis detection ≥33% were 0.75 (0.64-0.84) and 0.76 (0.65-0.84) (P = 0.95) and for steatosis ≥66% 0.83 (0.73-0.90) and 0.82 (0.71-0.89) (P = 0.73), respectively, with similar performances for both degrees of steatosis. Regarding transient elastography, AUROCs of M and XL probes for ≥F2 were 0.82 (0.71-0.93) and 0.80 (0.69-0.92) (P = 0.66). CONCLUSION: Performance of M and XL probes is similar for the diagnosis of moderate and severe steatosis and significant fibrosis even on a overweight population with NAFLD.

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OBJECTIVE:   To evaluate the agreement of three MR elastography (MRE) sequences in patients undergoing liver MRI for clinical care.  Methods:  A cross-sectional retrospective study was performed with 223 patients referred for liver MRI, including 12 patients with liver iron overload. Data obtained with spin-echo (SE) and gradient-echo (GRE) MRE sequences were compared. Multiple linear regression adjusted for the presence of liver fat was also performed to assess the correlation between fat infiltration and stiffness measurements results. Agreement between two SE sequences was assessed in patients with liver iron overload.  Results: We found strong correlation between the GRE sequence and two SE sequences. Spearman's correlation coefficients between the GRE, SE, and SE-EPI MRE sequences in patients with liver R2* <75Hz were 0.74, 0.81, and 0.80. GRE-MRE failed in patients with liver R2* > 75 Hz. In this subgroup, the correlation coefficient between both SE-MRE sequences was 0.97. Liver fat did not interfere with the results. CONCLUSION: In clinical setting, there is a high correlation between the GRE and SE MRE stiffness measurements, independently of the degree of liver fat infiltration measured by PDFF. A strong correlation between SE-MRE sequences is found even in patients with iron overload.  Advances in knowledge: Our study addresses liver iron and fat content simultaneously to describing the technical feasibility and correlation between different MRE sequences in consecutive unselected patients refereed for liver MRI. EPI SE-MRE should be considered an optimal alternative to assess liver fibrosis in patients in whom GRE-MRE failures, such as iron-overloaded, in pediatric, elderly, or severely ill populations.

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This study aimed at identifying the species caught in competitive fishing events and to analyze the profile of recreational fishers in Sergipe. Sampling took place during nine rounds of the XXI Campeonato Sergipano de Pesca da ASPA-BV in 2014. Sampled shes were identified, measured, weighed, and had their sex and maturation stage identified. A total of 2,794 fishes (449 kg) were caught, from which 61.7% were sampled. The most commonly caught species were Sciades proops, Menticirrhus littoralis, and Polydactylus virginicus. The minimum catch size (TLmin) was set at 15 cm. At this size, many specimens of these three species were immature and thus we suggest an increase of the minimum size to 20 cm. A questionnaire was used to describe the profile of local anglers. All recreational fishers interviewed (75) were males, 16-64 years old and mainly with monthly mean income of 6-10 minimum wages. All surveyed anglers go fishing in coastal and estuarine regions, 52 in fresh water and 40 in oceanic areas. The main target species cited by respondents, which are also caught, were mojarra, snook, jacks, and mackerels, and the main baits used were Litopenaeus vannamei, Mugil spp., and Clupeiformes.

Este estudo teve como objetivo identificar as espécies capturadas em eventos de pesca competitiva e analisar o perfil do pescador esportivo em Sergipe. As amostragens foram realizadas durante nove etapas do XXI Campeonato Sergipano de Pesca da ASPA-BV em 2014. Os peixes amostrados foram identificados, medidos, pesados, sexados e seu estágio de maturação avaliado. No campeonato foram capturados 2794 peixes (449 kg), sendo amostrados 61,7%. As espécies capturadas mais comuns foram Sciades proops, Menticirrhus littoralis e Polydactylus virginicus. O tamanho mínimo de captura (CTmin) estabelecido foi 15 cm. Com esse tamanho, um grande número de exemplares das três espécies encontra-se imaturo, sugerindo-se um aumento do tamanho mínimo para 20 cm. Um questionário foi usado para descrever o perfil dos pescadores esportivos. Todos eles (75) eram homens, com 16-64 anos e renda mensal dominante de 6-10 salários mínimos. Todos pescadores entrevistados praticam pesca na região costeira e estuarina, 52 em água doce e 40 em região oceânica. As principais espécies-alvo citadas pelos respondentes, que também são capturadas, foram carapeba, robalo, xaréu, cavala e serra, e as iscas mais usadas são Litopenaeus vannamei, Mugil spp. e Clupeiformes.

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This study aimed at identifying the species caught in competitive fishing events and to analyze the profile of recreational fishers in Sergipe. Sampling took place during nine rounds of the XXI Campeonato Sergipano de Pesca da ASPA-BV in 2014. Sampled shes were identified, measured, weighed, and had their sex and maturation stage identified. A total of 2,794 fishes (449 kg) were caught, from which 61.7% were sampled. The most commonly caught species were Sciades proops, Menticirrhus littoralis, and Polydactylus virginicus. The minimum catch size (TLmin) was set at 15 cm. At this size, many specimens of these three species were immature and thus we suggest an increase of the minimum size to 20 cm. A questionnaire was used to describe the profile of local anglers. All recreational fishers interviewed (75) were males, 16-64 years old and mainly with monthly mean income of 6-10 minimum wages. All surveyed anglers go fishing in coastal and estuarine regions, 52 in fresh water and 40 in oceanic areas. The main target species cited by respondents, which are also caught, were mojarra, snook, jacks, and mackerels, and the main baits used were Litopenaeus vannamei, Mugil spp., and Clupeiformes.(AU)

Este estudo teve como objetivo identificar as espécies capturadas em eventos de pesca competitiva e analisar o perfil do pescador esportivo em Sergipe. As amostragens foram realizadas durante nove etapas do XXI Campeonato Sergipano de Pesca da ASPA-BV em 2014. Os peixes amostrados foram identificados, medidos, pesados, sexados e seu estágio de maturação avaliado. No campeonato foram capturados 2794 peixes (449 kg), sendo amostrados 61,7%. As espécies capturadas mais comuns foram Sciades proops, Menticirrhus littoralis e Polydactylus virginicus. O tamanho mínimo de captura (CTmin) estabelecido foi 15 cm. Com esse tamanho, um grande número de exemplares das três espécies encontra-se imaturo, sugerindo-se um aumento do tamanho mínimo para 20 cm. Um questionário foi usado para descrever o perfil dos pescadores esportivos. Todos eles (75) eram homens, com 16-64 anos e renda mensal dominante de 6-10 salários mínimos. Todos pescadores entrevistados praticam pesca na região costeira e estuarina, 52 em água doce e 40 em região oceânica. As principais espécies-alvo citadas pelos respondentes, que também são capturadas, foram carapeba, robalo, xaréu, cavala e serra, e as iscas mais usadas são Litopenaeus vannamei, Mugil spp. e Clupeiformes.(AU)

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O objetivo deste artigo é sustentar a hipótese de uma precariedade subjetiva como face fundamental do fenômeno da terceirização. Para isso, primeiramente foi desenvolvido o argumento de que o fenômeno da terceirização precisa ser compreendido como parte de um processo histórico mais amplo, caracterizado pela transformação do modo de produção fordista no de produção flexível. Numa segunda parte, analisou-se o fenômeno da terceirização em um setor específico do mundo do trabalho, qual seja, dos trabalhadores de telemarketing e call center ou, como serão chamados, dos teleatendentes. Para isso foi realizada revisão bibliográfica de livros e artigos, bem como de uma análise documental com base nos arquivos do Departamento de Saúde do Sindicato dos Trabalhadores em Telecomunicações do Rio de Janeiro (Sinttel Rio) e em dados da Previdência Social do Brasil. Visa-se nesse momento compreender a lógica de funcionamento das empresas terceirizadas desse setor, assim como as relações entre trabalho e adoecimento, próprias desse campo de atividade. Por fim, numa última parte, foram analisadas relações existentes entre terceirização e precariedade subjetiva, que se evidencia, conforme nossa análise, pela fragmentação dos laços sociais, pelo crescimento do assédio moral, pelo medo da exclusão, pela extrema vigilância, pela falta de autonomia, pelo individualismo competitivo e pela impotência

The purpose of this article is to support the hypothesis of a subjective precariousness as the main side of the outsourcing phenomenon. To do this, firstly we developed the argument that the outsourcing phenomenon should be analyzed as part of a larger historical process, characterized by the transformation of the Fordist mode of production into the flexible one. In the second part, we presented an analysis of the outsourcing phenomenon in a specific sector of the labor market, which is the telemarketing and call center operators, or as we call, the telemarketers. In order to do this, we performed a literature review of books and articles, as well as a documentary analysis based on the files of the Health Department of the Telecommunications Laborer's Union from Rio de Janeiro (Sinttel-Rio) and on data from the Brazilian Social Security database. In this part, we aimed to understand the operating logic of the outsourced companies in this sector, and the relation between work and illness, typical of this field of activity. In the last part, we analyzed the correspondence between outsourcing and subjective insecurity, which according to our analysis is evident in fragmentation of social bonds, growth of psychological harassment, fear of exclusion, extreme vigilance, lack of autonomy, competitive individualism and impotence

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