Análise dos fatores de risco para gagueira em crianças disfluentes sem recorrência familial

OBJETIVO: analisar os fatores gênero, idade, tipo de surgimento da gagueira, tempo de duração e tipologia das disfluências, fatores estressantes físicos e emocionais, e fatores comunicativos e qualitativos associados em crianças disfluentes sem recorrência familial do distúrbio. MÉTODO: participaram 43 crianças com alto risco para a gagueira de ambos os gêneros. A coleta de dados foi realizada por meio do Protocolo de Risco para a Gagueira do Desenvolvimento - PRGD. RESULTADOS: a razão masculino/feminino foi de 3,3:1. A única diferença estatisticamente significante dos fatores de risco analisados nos gêneros masculino e feminino foi a maior ocorrência de fatores comunicativos associados no gênero masculino (p=0,003). Houve uma semelhança dos achados entre os meninos e as meninas: quanto ao tempo de duração das disfluências a maioria apresentou mais de 12 meses de duração, a tipologia gaga foi a mais freqüente, a presença de fatores estressantes emocionais ocorreu na maior parte das crianças, e finalmente os fatores qualitativos associados, como taxa de elocução aumentada, tensão visível e incoordenação pneumo-fono-articulatória estiveram presentes em grande parte da amostra. CONCLUSÃO: os resultados desta investigação permitiram concluir que nos casos de crianças com alto risco para a gagueira isolada ocorreu a interação de inúmeros fatores, sugerindo que o distúrbio é multifatorial. Também foi possível concluir que a interação de alguns fatores como gênero masculino, tipologia gaga manifestada por mais de 12 meses, com início persistente, na presença de fatores qualitativos e comunicativos associados pode representar risco maior para o desenvolvimento da gagueira persistente.

A single intraoperative sub-Tenon's capsule triamcinolone acetonide injection for the treatment of post-cataract surgery inflammation

Purpose: To compare a single intraoperative sub-Tenon's capsule triamcinolone acetonicle injection with steroid drops in the treatment of ocular inflammation after cataract surgery.Design: Randomized, double-masked controlled trial.Participants: A total of 100 patients were randomized prospectively into 2 groups: 50 patients treated with 1% prednisolone eyedrops (control group A) and 50 patients treated with sub-Tenon's capsule triamcinolone (treatment group B).Methods: All patients underwent phacoemulsification and intraocular posterior lens implantation. After surgery, patients were randomized to receive either (group B) an intraoperative 40 mg triamcinolone acetonicle sub-Tenon's capsule injection or (group A) 1% prednisolone acetate eyedrops, according to the following schedule: 1 drop 4 times daily (week 1), 3 times daily (week 2), 2 times daily (week 3), once daily (week 4). To mask the study, group B received vehicle drops administered on a similar schedule, and group A received an intraoperative sub-Tenon's capsule injection of a 1 ml balanced salt solution.Main Outcome Measures: the main outcome measures included inflammation (cell, flare, ciliary flush), intraocular pressure, and lack of response.Results: Triamcinolone was shown to have anti-inflammatory efficacy clinically equivalent to conventional 1% prednisolone eyedrops in reducing intraocular inflammation, as measured by clinical methods. Triamcinolone was found to be as safe as the prednisolone in terms of adverse effects, changes in visual acuity, intraocular pressure, and biomicroscopic and ophthalmoscopic variables. on the third, seventh, fourteenth, and twenty-eighth postoperative days, a significantly lower intraocular pressure (P<0.01) was noted in the triamcinolone group than in the prednisolone group.Conclusions: A single intraoperative 40-mg triamcinolone acetonide sub-Tenon's capsule injection demonstrated a clinically equivalent therapeutic response and ocular tolerance compared with 1% prednisolone drops in controlling postoperative inflammation after uncomplicated cataract surgery and merits further investigation. (C) 2004 by the American Academy of Ophthalmology.

Light-related photosynthetic characteristics of lotic macroalgae

Photosynthetic characteristics in response to irradiance were analysed in 42 populations of 33 macroalgal species by two distinct techniques (chlorophyll fluorescence and oxygen evolution). Photosynthesis-irradiance (PI) curves based on the two techniques indicated adaptations to low irradiance reflected by low saturation values, high to moderate values of photosynthetic efficiency (alpha) and photoinhibition (beta), for Bacillariophyta and Rhodophyta, which suggests they are typically shade-adapted algae. In contrast, most species of Chlorophyta were reported as sun adapted algae, characterized by high values of I-k and low of alpha, and lack of or low photoinhibition. Cyanophyta and Xanthophyta were intermediate groups in terms of light adaptations. Photoinhibition was observed in variable degrees in all algal groups, under field and laboratory conditions, which confirms that it is not artificially induced by experimental conditions, but is rather a common and natural phenomenon of the lotic macroalgae. Low values of compensation irradiance (I-c) were found, which indicate that these algae can keep an autotrophic metabolism even under very low irradiances. High ratios (>2) of photosynthesis/respiration were found in most algae, which indicates a considerable net gain. These two physiological characteristics suggest that macroalgae may be important primary producers in lotic ecosystems. Saturation parameters (I-k and I-s) occurred in a relatively narrow range of irradiances (100-400 mumol photons m(-2) s(-1)), with some exceptions (higher in some filamentous green algae or lower in red algae). These parameters were way below the irradiances measured at collecting sites for most algae, which means that most of the available light energy was not photochemically converted via photosynthesis. Acclimation to ambient PAR was observed, as revealed by lower values of I-k and I-c and higher values of alpha and quantum yield in algae from shaded streams, and vice versa. Forms living within the boundary layer (crusts) showed responses of shade-adapted species and had the highest values of P-max, alpha and quantum yield, whereas the opposite trend was observed in gelatinous forms (colonies and. laments). These results suggests adaptation to the light regime rather than functional attributes related to the growth form.

Parasitos e/ou comensais intestinais em pacientes neoplásicos submetidos à quimioterapia

The objective of this study was to verify the prevalence of intestinal parasites and/or commensals in the neoplastic patients undergoing chemotherapy. Stool samples were analyzed by the method of Lutz (1919) and Rugai (1954), in triplicate. This work was composed of three groups, the first one (GI) formed by neoplastic patients that are not undergoing chemotherapy, the second (GII) comprised patients who were undergoing chemotherapy, and the third group (GIII) consisting of patients who completed chemotherapy. A total of 30 patients (GI-5, GII-18 and GIII-7) were screened at the Assis Regional Hospital of the Unified Health System of Assis, São Paulo. Additional information on antiparasitic treatment and tumor type were obtained by questionnaire. The positivity was 66.7% (20 cases) for intestinal parasites and/or commensals. The helminths were Ascaris lumbricoides (36.7%), Hookworms (20%) and Hymenolepis diminuta (3.3%). Among the highlights are protozoan Giardia lamblia (46.7%), Entamoeba coli (6.7%), E. histolytica/dispar (3.3%), Endolimax nana (3.3%) and Iodameba butschlii (3.3%). The high frequency of intestinal parasites and/or commensals in the neoplastic patients can be attributed to poor personal hygiene and lack of immunity to reinfection and poor knowledge of the prophylaxis of infection by protozoa and helminths. The results indicate the necessity of adopting a new criterion for neoplastic patients undergoing chemotherapy, primarily performing parasitological diagnosis, treatment and monitoring of cure of intestinal parasitic infections in this risk group.

Detection of Toxoplasma gondii DNA in the milk of naturally infected ewes

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Cardiovascular remodeling induced by passive smoking

Coronary heart disease (CHD) is the most common cause of death in many developed countries. The major risk factors for CHD are smoking, high blood pressure, diabetes, high cholesterol levels, and lack of physical activity. Importantly, passive smoke also increases the risk for CHD. The mechanisms involved in the effects of passive smoke in CHD are complex and include endothelial dysfunction, lipoprotein modification, increased inflammation and platelet activation. Recently, several studies have shown that exposure to tobacco smoke can result in cardiac remodeling and compromised cardiac function. Potential mechanisms for these alterations are neurohumoral activation, oxidative stress, and MAPK activation. Although the vascular effects of cigarette smoke exposure are well known, the effects of tobacco smoking on the heart have received less attention. Therefore, this review will focus on the recent findings as to the effects of passive smoking in acute and chronic phases of vascular and cardiac remodeling. © 2009 Bentham Science Publishers Ltd.

Innovation in the tourism sector: a case study from the Commonwealth of Dominica

Includes bibliography

Acidosis ruminal en bovinos lecheros: Implicaciones sobre la producción y la salud animal

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Herbicide selectivity in herbaceous ornamental gardens of tagetes erecta L.

One of the major problems in landscaping in tropics is weed management. The herbaceous ornamental plant, Tagetes erecta L. (Asteraceae), is very popular for its beautiful flowers which can be used in landscape and also as cut flowers. The increase use of this plant and lack of selective herbicides led to the objective of this study to evaluate the herbicide metribuzin selectivity for this ornamental plant. The experimental design was completely randomized using four treatments (herbicide metribuzin doses: 0, 0.5, 1.0 and 1.5 L ha-1, equivalent to 0, 240, 480 and 720 g ha-1) and five replicates. The herbicide was applied over the seedling of T. erecta as pre-emergence of the weed seeds. Evaluations were performed at 7, 14, 21 and 28 days after application (DAA) by visual analysis of the toxicity symptoms over the ornamental, using the European Weed Research Council (EWRC) scale (1 to 9), where 1 is the total absence of symptoms and 9 to death plants. Polynomial regression statistical analysis was used. It was verified that, from the dose of 1.0 L ha-1, T. erecta plants died by 14 DAA, which the most of them had presented a very strong toxicity symptom; for the 0.5 L ha-1 treatment the plants had survived until 28 DAA. However, most of them already exhibited the high toxicity level, dying at 35 DAA. Thus, metribuzin was not suitable for T. erecta even at the lowest rate tested in this study.

A new mid-Cretaceous Neomeris (dasycladacean alga) from the Potiguar Basin, Brazil

Neomeris (Lamouroux, 1816) is an extant taxon, the origin of which can be tracked back into Early Cretaceous times. The introduction of a new mid-Cretaceous species from Brazil, i.e., Neomeris srivastavai n. sp., offers the opportunity to review the subdivision of the genus into three subgenera, to complete the catalogue of the fossil calcareous algae of Brazil, and to point out the huge stratigraphic gap and lack of documentation between the first occurrence of the dasycladacean model of reproduction, i.e., choristospory, and the oldest record so far known of an undescribed fossil Neomeris (from Portugal). © Springer-Verlag Berlin Heidelberg 2012.

Validation of the brazilian version of the apathy inventory

Background Apathy is a frequent neuropsychiatric condition in neurodegenerative disorders, depression, and often in mild cognitive impairment. The Apathy Inventory (AI) is a reliable instrument for improving the accuracy of the apathy diagnosis. The aim was to establish the validity of the Apathy Inventory for the Brazilian community. Methods We established the concurrent validity, internal consistency, inter-rater reliability, and the sensitivity and specificity of AI for the Brazilian community in a cohort of 175 individuals with Alzheimer's disease, Parkinson's disease, depression, mild cognitive impairment, and healthy controls. The three dimensions of the AI (emotional blunting, lack of initiative, and lack of interest) were compared with the Apathy domain of the Neuropsychiatric Inventory-Clinician rating scale (NPI-C) in an independent scheme. Results The analyses demonstrated high correlation coefficients in AI's individual dimensions and in AI-total score (F = 0.965). Concerning the NPI-C/Apathy domain, intra-class correlation coefficients were also high (F = 0.977). Concurrent validity was high according to both raters on AI dimensions × NPI-C/Apathy domain and regarding total score (rater 1: rho = 0.956 vs. rater 2: rho = 0.970). The internal consistency of the AI was also high concerning the AI's individual dimensions and total score (rater 1: 0.945 vs. rater 2: 0.958). Conclusion We observed high internal consistency, high concurrent validity, and inter-rater reliability of the Apathy Inventory. In addition, we found that its sensitivity and specificity were high. We suggest that the Brazilian version of the Apathy Inventory would be an appropriate instrument to identify the apathy syndrome in Brazilian patients. © 2012 John Wiley & Sons, Ltd.

Questões preliminares sobre aspectos do vazio na arte contemporânea

Pós-graduação em Artes - IA

Implementação de um ambiente computacional para ensino à distância

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

A preparação e a execução de tarefa de alcance ao alvo em crianças com transtornos do desenvolvimento da coordenação

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Respostas de curto período das características fotossintéticas da alga vermelha Batrachospermum delicatulum a temperatura e irradiância

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)