��n��lise da capacidade funcional e da distribui����o regional da ventila����o pulmonar em pacientes com doença de chagas

INTRODUCTION: Cardiac and pulmonary manifestations of the Chagas disease (CD) affect between 20-30% of the infected subjects. The chronic Chagas cardiomyopathy (CCC) has some peculiarities such as arrhythmias and, especially heart failure (HF) and is potentially lethal due to left ventricular dysfunction. How respiratory disorders, patients get progressive loss of functional capacity, which contributes to a poor quality of life related to disease. Measurements of lung volume by the movement of the chest wall surface are an alternative evaluation of lung function and kinematics of complex thoracoabdominal for these patients. OBJECTIVE: evaluate the kinematics of the thoracoabdominal complex through the regional pulmonary volumes and to correlate with functional evaluation of the cardiorrespiratory system in patients with Chagas disease at rest. MATERIALS AND METHODS: a cross-section study with 42 subjects had been divided in 3 groups, 15 composed for patients with CCC, 12 patients with HF of different etiologies and 15 healthful presented control group. An optoelectronic plethysmography (POE), Minnesota questionnaire, six minute walk test, spirometer and manovacuometer was used. RESULTS: It was observed in the 6MWT where group CRL presented greater distance 464,93��44,63m versus Group HF with 399,58�� 32,1m (p=0,005) and group CCC 404��68,24m (p=0,015), both the groups presented difference statistics with regard to Group CRL. In the manovacuometer 54,59��19,98; of the group CCC and 42,11��13,52 of group IC found group CRL presented 81,31��15,25 of the predicted versus, presenting in relation to group CRL. In the POE it observed a major contribution in abdominal compartment in patients with IC if compared like CCC and control groups. On the basis of the questionnaire of quality of life of Minessota, verified a low one groups CCC and IC 43,2��15,2 and 44,4��13,1, respectively (p<0,05) when compared with the control group (19,6��17,31). CONCLUSION: it seems that the patients with CCC possess same functional and respiratory characteristics, observed for the POE, 6MWT, manovacuometer and spirometer to the patients of group HF, being able to consider similar interventions for this complementary group as therapeutical of this neglected disease

Doença de Chagas: caracteriza����o de formas cl��nicas e estratifica����o do risco de morte no Oeste do Estado do Rio Grande do Norte

Coordena����o de Aperfei��oamento de Pessoal de N��vel Superior - CAPES

Efeitos da estimula����o ambiental sobre os aspectos motores, cognitivos e neuronais em um modelo farmacol��gico progressivo da doença de Parkinson

Coordena����o de Aperfei��oamento de Pessoal de N��vel Superior

Avalia����o do banco de disserta����es e teses da associa����o brasileira de antropologia: uma an��lise cienciom��trica

VITULLO, Nadia Aurora Vanti. Avalia����o do banco de disserta����es e teses da Associa����o Brasileira de Antropologia: uma an��lise cienciom��trica. 2001. 143 f. Disserta��ao (Mestrado) - Curso de Mestrado em Biblioteconomia e Ci��ncia da Informa����o, Pontif��cia Universidade Cat��lica de Campinas, Campinas, 2001.

Biblioteca digital de teses e disserta��oes: uma refer��ncia fundamental

OLIVEIRA, Raimundo Muniz de. Biblioteca digital de teses e disserta��oes: uma referencia fundamental. In: CINFORM ENCONTRO NACIONAL DE ENSINO E PESQUISA DA INFORMA��AO,HUMANISMO E DESENVOLVIMENTO CIENTIFICO E TECNOLOGICO,7.,2007,Salvador. Anais...Salvador:UFBA, 2007.Disponivel em:www.cinform.ufba.br>. Acesso em: 27 set. 2007. Acesso em: 27 set. 2010.

Bibblioteca Digital de Teses e Disserta����es: uma estrat��gia de preserva����o digital

CUNHA, Jacqueline de Ara��jo. Biblioteca Digital de Teses e Disserta����es: uma estrat��gia de preserva����o da mem��ria cient��fica. 2009. 141f. Disserta����o (Mestrado)- Programa de P��s-Gradua����o em Ci��ncia da Informa����o. Universidade Federal da Para��ba, Jo��o Pessoa, 2009.

Biblioteca Digital de Teses e Disserta����es: grau de utiliza����o pelos mestrandos do curso de Ci��ncia da Informa����o das Universidades P��blicas Brasileiras

A pesquisa aborda o uso das Tecnologias de Informa����o e Comunica����o, que vem revolucionando as atividades e ocasionando muitas mudan��as relacionadas ao acesso e uso de informa����es. O objetivo foi analisar o grau de utiliza����o do conhecimento cient��fico produzido pelos Programas de P��s-Gradua����o das Universidades P��blicas Brasileiras, atrav��s da BDTD, pelos mestrandos dos referidos programas. Nos procedimentos metodol��gicos realizados, procurou-se inicialmente analisar o amplo espectro da popula����o do corpus da pesquisa. Em raz��o da impossibilidade de trabalhar com os Programas de P��s-Gradua����o como um todo, optou-se por fazer um recorte, elegendo os cursos de P��s-Gradua����o em Ci��ncia da Informa����o, vez que estes representam o principal segmento social de interesse da pesquisa. Foi utilizado o m��todo de estudo de usu��rios, onde se optou por adotar o grupo, ���estudos orientados aos usu��rios���, que identifica as necessidades e comportamento de acesso e uso da informa����o. Para coletar os dados, elaborou-se um question��rio semi-estruturado com 25 quest��es, que versavam sobre o uso, dificuldades de acesso e recupera����o da informa����o, bem como a satisfa����o na utiliza����o dessa fonte informacional. Dentre os v��rios resultados obtidos, podemos destacar o fato de que a maioria dos mestrandos (71,8%) s�� teve contato com a BDTD somente no momento em que se encontrava cursando o mestrado e, somente 24,3%, tiveram contato durante a gradua����o. Estes resultados representam um problema, que pode afetar o bom desempenho do projeto BDTD, o qual consiste em disseminar e divulgar a produ����o cient��fica dos Programas de P��s-Gradua����o das Universidades P��blicas Brasileiras para a sua comunidade. Foi observado tamb��m, que os mestrandos oriundos do curso de Biblioteconomia tende a ter contato com a BDTD bem mais cedo do que mestrandos de outros cursos de gradua����o. A fim de minimizar o problema detectado, prop��e-se uma divulga����o mais eficaz na gradua����o atrav��s de dois procedimentos: Primeiro, o docente deve fazer uma divulga����o mais eficaz da BDTD junto aos discentes de todos os cursos de gradua����o; segundo: dever�� ser feita a divulga����o na m��dia eletr��nica, atrav��s da inser����o de ��cones da BDTD, nos portais dos Departamentos dos Cursos de Gradua����o das Universidades P��blicas Brasileiras. Acredita-se que com estes procedimentos seja poss��vel aperfei��oar o uso dessa fonte de informa����o cient��fica.

Bibliotecas digitais de teses e disserta����es brasileiras: paradigma do acesso livre �� informa����o cient��fica

A evolu����o da comunica����o cient��fica ao longo do tempo e o impacto causado pela A evolu����o da comunica����o cient��fica ao longo do tempo e o impacto causado pela A evolu����o da comunica����o cient��fica ao longo do tempo e o impacto causado pela se analisar as contribui����es da Biblioteca Digital de Teses e Disserta����es (BDTD)para a comunica����o cient��fica atual, destacando possibilidades emergentes e desafios a serem superados. Apresenta uma breve evolu����o da comunica����o cient��fica ao longo do tempo; discute os impactos causados pela Internet na comunica����o, disponibiliza����o e acessibilidade de informa����es t��cnico-cient��ficas; e caracteriza BDTD destacando os desafios a serem superados. Dentre eles est��o, a quest��o dos direitos autorais que ocasionam a baixa ades��o dos autores ao projeto piloto do IBICT para disponibilizar teses e disserta����es no meio eletr��nico. Para este desafio, s��o apontadas sugest��es.

Panorama brasileiro das bibliotecas digitais de teses e disserta����es

As bibliotecas de teses e disserta����es t��m um papel fundamental para o desenvolvimento cient��fico e cultural de um pa��s. Nesse sentido, buscou-se, de modo geral, analisar o panorama brasileiro das bibliotecas digitais de teses e disserta����es. Especificamente, objetivou-se caracterizar a sociedade da informa����o enquanto contexto das BDTD; caracterizar os v��rios tipos de bibliotecas surgidos a partir da inser����o das novas tecnologias de informa����o e comunica����o; identificar as diretrizes norteadoras da implanta����o de BDTD; e levantar as BDTD existentes no Brasil. Para tato, al��m de levantamento bibliogr��fico, realizou-se uma pesquisa nos sites de institui����es de ensino superior brasileiras que j�� disp��e de bibliotecas digitais de teses e disserta����es em funcionamento. A an��lise e interpreta����o destes dados nos permite considerar que no Brasil as BDTD encontram-se num est��gio embrion��rio, sendo relevante pesquisar a hist��rica implanta����o e configura����o desse novo modelo de biblioteca.

Tecendo viv��ncias e sentidos do c��ncer infantil : fam��lia, doença e redes de apoio social em Natal-RN

This paper discusses the experiences related to the treatment of children��s cancer which had children, their mothers and families as their main characters. They were mainly originated from areas in the countryside and urban poor areas in the State of Rio Grande do Norte. The non-governmental organization Grupo de Apoio �� Crian��a com C��ncer (GACC) was the privileged ethnographic location. In this setting, the mother, which was called acompanhante (companion), and the children, defined as pacientes (patients), were often sheltered in reason of therapeutic practices and the treatment undertaken by children in a nearby hospital. This study aims to focus on the therapeutic itinerary, beyond the children��s suffering, dealing with the family as a whole, since the moral values from these popular families imply the complete involvement of the family in relation to the illness and its treatment. Therefore, it is experienced as a family problem. We also intend to understand the construction of meanings to the illness, dealing with the ideological continuity in the relationships between the families and the GACC. These meanings were built in the intersection of these two spheres, which refer particularly to medical, religious and emotional explanations. Ethnographic methods were applied in this research at the entity and another social contexts, such as the family households. I also tried to retrieve the process of treatment outside the GACC, visiting the family context, when doing dense interviews or just having conversations with informants. It was found that the GACC, as a non-governmental organization, generates a negotiation of identities, which develops, then, through the family as a whole, but also through the child and especially the mother, affecting, in some way, their internal organization. Furthermore, the meanings of the experience of illness appeared to be shaped by the family sphere as well as by the logic of public health structures

Anticorpos anti-trypanosoma cruzi como preditivos de infec����o por leishmania infantum

Leishmania infantum and Trypanosoma cruzi are trypanosomatids of medical importance and are, respectively, the etiologic agents of visceral leishmaniasis (VL) and Chagas disease (CD) in Brazil. People infected with L. infantum or T. cruzi may develop asymptomatically, enabling the transmission of pathogens through blood transfusion and / or organs. The assessment of the infection by T. cruzi is included among the tests performed for screening blood donors in Brazil, however, there is no availability of tests for Leishmania. Serological tests for T. cruzi are very sensitive, but not specific, and may have cross-reactions with other microorganisms. Thus, the aim of this study was to determine the prevalence of Leishmania infection in blood donors and assess whether the serological test for T. cruzi detect L. infantum. Among the 300 blood samples from donors, discarded in 2011, 61 were T. cruzi positive, 203 were from donors with other infections and 36 were from handbags with low blood volume, but without infection. We also assessed 144 samples from donors without infections and able to donate blood, totaling 444 subjects. DNA was extracted from blood samples of all to perform quantitative PCR (qPCR) to detect Leishmania DNA. The buffy coat obtained from all samples was grown in Schneider medium supplemented and NNN. All samples were evaluated for the presence of anti-Leishmania antibody. The serological results indicate a percentage of 22% of Leishmania infection in blood samples obtained from discarded bags. A total of 60% of samples positive in ELISA for T. cruzi were negative by IFI, used as confirmatory test, ie 60% false positive for Chagas. Among these samples false positive for Chagas, 72% were positive by ELISA for Leishmania characterizing the occurrence of cross reaction between serologic assays. Of the 300 cultures performed, 18 grew parasites that were typed by qPCR and specific isoenzymes, found the species Leishmania infantum crops. Among the 18 cultures, 4 were purged from scholarships for low volume and all negative serology blood bank, thus demonstrating that there is a real risk of Leishmania transmission via transfusion. It is concluded that in an area endemic for leishmaniasis in Brazil, serological diagnosis performed to detect infection by T. cruzi among blood donors can identify infection by L. infantum and although cause false positive for Chagas, this cross-reactivity reduces the risk of Leishmania infection via blood transfusion, since tests are not applied specific detection of the parasite. In this way, there remains the need to discuss the implementation of a specific serological screening test for Leishmania in endemic countries such as Brazil

An��lise fractal da vasculatura arteriolar e venular da retina em pessoas sem doença ocular

Although it has been suggested that retinal vasculature is a diffusion-limited aggregation (DLA) fractal, no study has been dedicated to standardizing its fractal analysis . The aims of this project was to standardize a method to estimate the fractal dimensions of retinal vasculature and to characterize their normal values; to determine if this estimation is dependent on skeletization and on segmentation and calculation methods; to assess the suitability of the DLA model and to determine the usefulness of log-log graphs in characterizing vasculature fractality . To achieve these aims, the information, mass-radius and box counting dimensions of 20 eyes vasculatures were compared when the vessels were manually or computationally segmented; the fractal dimensions of the vasculatures of 60 eyes of healthy volunteers were compared with those of 40 DLA models and the log-log graphs obtained were compared with those of known fractals and those of non-fractals. The main results were: the fractal dimensions of vascular trees were dependent on segmentation methods and dimension calculation methods, but there was no difference between manual segmentation and scale-space, multithreshold and wavelet computational methods; the means of the information and box dimensions for arteriolar trees were 1.29. against 1.34 and 1.35 for the venular trees; the dimension for the DLA models were higher than that for vessels; the log-log graphs were straight, but with varying local slopes, both for vascular trees and for fractals and non-fractals. This results leads to the following conclusions: the estimation of the fractal dimensions for retinal vasculature is dependent on its skeletization and on the segmentation and calculation methods; log-log graphs are not suitable as a fractality test; the means of the information and box counting dimensions for the normal eyes were 1.47 and 1.43, respectively, and the DLA model with optic disc seeding is not sufficient for retinal vascularization modeling

Mortalidade da popula����o em idade ativa (PIA) por doença cardiovascular e c��ncer nas capitais e nas regi��es metropolitanas brasileiras: associa����o com indicadores socioecon��micos

Universidade Estadual do Rio Grande do Norte

Sintomatologia depressiva e avalia����o de n��veis de TNF&#945; IL-2 em indiv��duos idosos e com doença pulmonar obstrutiva cr��nica

The aim of the present study was to assess the presence of depressive symptomatology among elderly residents in long-stay institutions (LSI) and in the community of Recife, Brazil. In total, 81 long-stay elderly patients (mean age of 75.55 �� 9.18 years) and 132 elderly (mean age of 73.14 �� 8.27 years) individuals from the community were evaluated. Depressive symptomatology was assessed by the Geriatric Depression Scale (GDS-15), cognitive status by the Mini Mental State Examination (MMSE) and capacity to perform the activities of daily living (ADL) by the Katz Index. Comorbities and the use of medication were recorded. The LSI elderly exhibited more depressive symptoms (p < 0.001) and more dependency (p< 0.001). We observed no differences in MMSE (p = 0.058). The elderly in the community displayed more comorbidities and the LSI elderly consumed more medication (p < 0.001 and p < 0.001, respectively). According to multivariate analysis (logistic regression), being male, having no spouse and having a low schooling level are risk factors for depressive symptoms. In conclusion, most elderly with depressive symptoms received no medication fordepression.

Elabora����o e validade do teste de rastreio de doença da Alzheimer com prov��rbios (TRDAP) para indiv��duos a partir de sessenta anos

A escassez de instrumentos para a avalia����o e a triagem da doença de Alzheimer, (DA), notadamente denominados de rastreio, com caracter��sticas de padroniza����o e validados para o Nordeste, motivou este Estudo. Visando �� triagem de uma etapa mais leve da doença e encaminhamento precoce ao tratamento multidisciplinar foi elaborado o Teste de Rastreio da Doença de Alzheimer com Prov��rbios (TRDAP), a partir de um Jogo de Mem��ria de Prov��rbios, constru��do como recurso terap��utico ocupacional. Est�� composto de tr��s etapas conforme a fun����o neuropsicol��gica avaliada, a A (mem��ria de curto prazo), B (fun����es executivas e linguagem) e C (mem��ria epis��dica), al��m do reconhecimento de prov��rbios. O Estudo foi realizado em uma amostra de conveni��ncia, com 91 idosos (28 DA e 63 controles), a partir de 60 anos, com um ou mais anos de escolaridade. Foram controladas as vari��veis, como doenças intercorrentes ou d��ficits sensoriais que pudessem comprometer o desempenho dos pacientes, nos testes. O protocolo constou de oito testes selecionados por especialistas: Miniexame do Estado Mental (para validade convergente), Escala de Depress��o Geri��trica EDG (validade discriminante), Lista de Palavras, Flu��ncia Verbal, Span de D��gitos, Figura Neuropsi, Teste do Rel��gio, Atividade de Vida Di��ria e Instrumental. Os resultados confirmaram a validade de construto convergente e discriminante, assim como a rela����o significativa (p<0,005) com todos os testes, exceto com o EDG. Quanto �� validade concorrente, n��o houve discord��ncia com o crit��rio da avalia����o m��dica observou-se consist��ncia interna aceit��vel, conferindo confiabilidade no instrumento, o que n��o ocorreu com MEEM. Tais resultados permitem afirmar que o TRDAP possui caracter��sticas psicom��tricas, adequadas ao rastreio da fase leve da DA para popula����o estudada