Síndrome dolorosa complexa regional: epidemiologia, fisiopatologia, manifestações clínicas, testes diagnósticos e propostas terapêuticas

JUSTIFICATIVA E OBJETIVOS: A Síndrome Dolorosa Complexa Regional (SDCR), assim denominada a partir de 1994 pelo Consenso da Associação Internacional para o Estudo da Dor (AIED) e anteriormente denominada de várias formas, tais como Distrofia Simpático Reflexa, Causalgia, Algodistrofia ou Atrofia de Sudeck, é uma doença cuja compreensão dos limites clínicos, fisiopatologia e implicações de patogenia ainda é pobre. Disto resulta a enorme insatisfação não só para os pacientes como para os profissionais da saúde quanto aos métodos terapêuticos atualmente disponíveis. O objetivo deste trabalho é rever a literatura e atualizar um conjunto de informações com o intuito da melhor compreensão desta importante síndrome dolorosa. CONTEÚDO: Este é um trabalho de revisão da literatura nos diversos aspectos da SDCR, com ênfase em suas causas, definição e taxonomia, fisiopatologia, características clínicas, testes diagnósticos e propostas de tratamentos mais recentes. CONCLUSÕES: Poucos são os estudos controlados adequadamente, encobertos e aleatórios, publicados com grandes amostras, havendo muitas dúvidas sobre esta doença. Desta forma, ainda há enorme empirismo na sua terapêutica, e os resultados obtidos são insatisfatórios.

Ecologia da polinização de Ipomoea asarifolia (Ders.) Roem. & Schult. (Convolvulaceae) na região semi-árida de Pernambuco

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Efeito do período de fornecimento de ração semi-complexa na fase inicial, sobre o ganho de peso compensatório nas fases de crescimento e terminação

One hundred and twenty crossbred pigs (Large White x Landrace) weaned at an average age of 28 days, were used. Pigs were alloted to five dietary treatments according to weight, sex and litter as follows: T1- Simple diet (SD) during whole Starter phase (SP) (28-63 days); T2- Semi-complex diet (SCD) for the first seven days followed by a SD during 28 days of SP; T3- SCD for the first 14 days followed by SD during 21 days of SP; T4- SCD for the first 21 days followed by SD during 14 days of SP; T5- SCD during the entire SP. A completely randomized block design was used with six replications. At the end of the SP one castrated male and one female, weighing closest to the average live weight of the group, were transferred to growing-finishing pens and fed growing-finishing diets ad libitum until they reached approximately 90kg live weight. Increasing the period of feeding the semi-complex diet resulted in a linear increase in average daily feed intake and average daily gain during the first 28 days of the initial phase. However, when the entire initial phase was considered there was a linear increase only in daily feed intake. There were no differences in incidence and severity of diarrhea in SP or in the performance of pigs during the growing-finishing phases. There were was no differences in average daily gain among diets from weaning to 90 kg body weight. It was concluded that the advantage of the semi-complex starter diet tended to disappear as age increased.

A complexa fisiopatologia dos episódios vasooclusivos na anemia falciforme

Hemolytic anemia and vasoocclusion are the cardinal clinical features of sickle cell anemia. Vasoocclusion is a complex process involving not only the polymerization of deoxygenated sickle hemoglobin tetramers, but also interactions between sickle erythrocytes, vascular endothelium, platelets, leukocytes, and plasma proteins. The increased adherence of sickle erythrocytes to endothelium has been implicated as an early step in vasoocclusion. Other researchers have focused on leukocytes and platelets which might also contribute to disturbed blood flow. Microvascular occlusion results in acute painful crises, whereas macrovascular occlusion seems to be the cause of organ failure. The anemia results from the markedly shortened circulatory survival of sickle erythrocytes, together with a limited erythropoietic response. The erythropoiesis increases intensively, but it is not enough to balance the increased rate of erythrocytes destruction to maintain normal levels of total erythrocytes and hemoglobin concentrations; mainly by the low oxygen affinity of hemoglobin S and increased 2,3-Diphosphoglycerate. It is very difficult to separate processes leading to anemia or to vasoocclusion. Understanding the involvement of multiple blood componentes in vasoocclusion may elucidate the clinical manifestations and complications of sickle cell anemia, and may give new insights into the preventive and curative therapy.

Estudo da dissolução oxidativa microbiológica de uma complexa amostra mineral contendo pirita (FeS2), pirrotita (Fe 1-XS) e molibdenita (MoS2)

This work aims to study the oxidation of a complex molybdenite mineral which contains pyrite and pyrrotite, by Acidithiobacillus ferrooxidans. This study was performed by respirometric essays and bioleaching in shake flasks. Respirometric essays yielded the kinetics of mineral oxidation. The findings showed that sulfide oxidation followed classical Michaelis-Menten kinetics. Bioleaching in shake flasks allowed evaluation of chemical and mineralogical changes resulting from sulfide oxidation. The results demonstrated that pyrrotite and pyrite were completely oxidized in A. ferrooxidans cultures whereas molybdenite was not consumed. These data indicated that molybdenite was the most recalcitrant sulfide in the sample.

Os Répteis do Município de São Paulo: Diversidade e ecologia da fauna pretérita e atual

The reptile fauna in the municipality of São Paulo is well sampled due to intensive collection in the last 100 years. In the present work we provide a checklist of reptile species in São Paulo municipality based on preserved specimens in scientific collections. The reptile fauna was also characterized by three ecological parameters: habitat use, substrate use, and diet. We recorded a total of 97 reptile species (two turtles, one crocodilian, 19 lizards, seven amphisbaenians, and 68 snakes). Approximately 70% of the lizards and 40% of the snakes are typical of forest habitats of the Serra do Mar mountain range. Other squamates are typical of open formations that occur mainly on inland Cerrado habitats. All turtles and the crocodilian are associated to riparian habitats. Approximately 63% of the lizards are predominantly terrestrial, and the remaining species are arboreal. Most species of snakes are terrestrial (38%) or subterranean/criptozoic (25%) whereas a smaller proportion are arboreal (18%) or aquatic (9%). Lizards feed upon arthropods. Almost 50% of the snake species are specialized or feed mainly upon anuran amphibians. Other important items consumed by snakes are mammals (24%), lizards (18%), subterranean vertebrates (10%), and invertebrates (earthworms, mollusks and arthropods; 15%). A total of 51 reptile species have not been recorded for the last six years. Probably many of these species are extinct in the region due the intense local urbanization and habitat loss. The survey of species collected in São Paulo municipality and received in the Instituto Butantan in recent years allowed the identification of 10 lizards at least 42 snake species already occurring in the region. The high species richness of the original fauna seems related to the geographic location of the municipality, in a contact zone between forested areas of the Atlantic Forest (ombrophilous forest) and open formations (savannas, high-altitude grassland). Thus, the original habitat composition probably allowed sympatry among different species pools typical of both open and forested formations. The extant snake fauna recorded in the last three years indicates a higher loss of the species in open formations when compared to the forested areas.

Aplicações da teoria da potência complexa instantânea no cálculo das grandezas de Buchholz-Goodhue

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Mamíferos de médio e grande porte e ecologia alimentar de carnívoros em remanescentes de Floresta Ombrófia Mista e palntios de Pinus spp. na região centro-sul do Estado do Paraná, Brasil

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Ecologia termal da jararaca-ilhoa, Bothrops insularis (Serpentes, Viperidae): um estudo em condições naturais

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Padrão de atividades, ecologia alimentar e área de vida em um grupo de Callithrix penicillata (Humboldt, 1812)

Pós-graduação em Biologia Animal - IBILCE

Análise faunística de dípteros necrófagos: ecologia e aplicação forense

Pós-graduação em Biologia Geral e Aplicada - IBB

Ecologia de hemiepífitas estranguladoras no Parque Estadual da Ilha do Cardoso

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Avaliação da chuva e banco de sementes em áreas de restinga, morfoecologia e potencial biótico de espécies ocorrentes nestes locais

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Ecologia da polinização de Eschweilera nana Miers, uma Lecythidaceae do cerrado

Pós-graduação em Ciências Biológicas (Biologia Vegetal) - IBRC

Mapeamento de fragmentos de mata no município de Maringá, PR: uma abordagem da ecologia da paisagem

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)