Evolução do peso corporal e desenvolvimento da mandíbula de ratos em função da administração de flúor.

The body weights evolution and the development of mandible were analyzed in rats that received 0.25 mg F contained into a commercial product, during 30 and 60 days consecutively, beginning at birth. The study presented the following conclusions: 1. The treated animals showed body weights always inferior to the controls, with more evident difference at 60 days period; 2. Analysis showed a reduction in the horizontal linear measurements, but not in the length of the mandibular diastem. No influence was observed in relation to the verticals.

Determinantes da evolução do peso e altura em crianças de 3 meses a 6 anos assistidas em creche: Análise por modelo linear não hierarquizado em ensaio quase-experimental

Objective. To assess factors determining growth in a group of children between 3 months and 6 years old enrolled in a public municipal (i.e., government-supported, not private) day-care center, in comparison to a group of children with similar characteristics but who were not enrolled in the center. Methods. A quasi-experimental study was designed to observe 444 children aged 3 to 72 months from a low-income neighborhood in the city of Sorocaba, in the state of São Paulo, Brazil. Two groups were studied: 164 children enrolled in a local municipal day-care center (intervention group) and 280 not receiving care at the center (nonintervention, comparison group) but instead being cared for at home. Both groups were seen four times over a period of 16 months. At each observation session, the children's weight and height were measured. Information was also collected on the mother's sociodemographic characteristics and the illnesses she had suffered as well as the child's weight and other health characteristics at birth, the child's illnesses in the 15 days before each observation, and any hospitalizations. Results. The children in both groups were from low-income families, with 65% of the families having an average monthly income below US$ 100; 80% of the mothers had received 8 years of schooling or less. Multivariate linear regression analysis showed that at the first observation (just before enrollment in the day-care center), birth weight was the only factor that explained the nutritional differences between the two groups. Subsequent analyses showed that being in day care was the factor that best explained the differences between the groups, especially in terms of the adequacy of weight for age, after controlling for birthweight, sex, age at the beginning of the study, and illnesses in the 15 days before an observation session. The nutritional impact of the intervention was significant as early as 3 months after being enrolled in day care. Conclusions. The nutritional benefits of the care provided at the center outweighed the negative effects sometimes seen in such centers, such as the greater morbidity that children in day-care centers often experience in comparison to children receiving care at home.

Evolução no diagnóstico citológico do câncer de colo uterino - Novas tecnologias para o rastreamento citológico cervical

The cancer of the uterine cervix remains a serious public health problem in developing countries with low social-economic conditions. Papanicolaou smear has been used to screen women for cervical cancer since 1940, and it is widely recognized as an effective method for preventing cervical cancer. In Brazil, conventional Papanicolaou is the most common method used in diagnosis cytopathological routine, involving the morphological cell analysis by microscopic examination of cervical samples smeared on glass slides. On the other hand, the liquid cytology is an advantageous method whose specimen collected is put into a fluid alcohol based to guarantee the potential use of residual cellular material in cytobrush. Moreover, this method permits additional diagnostic studies, preserving the morphological cell features as the conventional one does. The aim of the present study was report the historical evolution of different cervical cytologic tests, emphasizing the advantages and disadvantages between conventional Papanicolaou method and new technologies in liquid based cytology.

Uso antenatal de corticosteóide e evolução clínica de recém-nascidos pré-termo

Objectives: To describe the use of antenatal corticosteroid and clinical evolution of preterm babies. Methods: An observational prospective cohort study was carried out. All 463 pregnant women and their 514 newborn babies with gestational age ranging from 23 to 34 weeks, born at the Brazilian Neonatal Research Network units, were evaluated from August 1 to December 31, 2001. The data were obtained through maternal interview, analysis of medical records, and follow-up of the newborn infants. Data analysis was performed with the use of chi-square, t Student, Mann-Whitney, and ANOVA tests and multiple logistic regression, with level of significance set at 5%. Results: Treatment was directly associated with the number of prenatal visits, with maternal hypertension and with the antenatal use of tocolytic agents. Babies from treated pregnant women presented better Apgar scores at the 1st and 5th minute, reduced need for intervention in the delivery room and lower SNAPPE II. They were born with higher birth weight, longer gestational age and needed less surfactant use, ventilation, and oxygenation time. After multiple logistic regression, the use of antenatal corticosteroid independently improved birth conditions, decreased ventilation time, being related to increased occurrence of neonatal sepsis. Conclusions: The use of corticosteroid was associated with better prenatal care and birth conditions, better preterm evolution but higher risk of infection. © 2007 Sociedad Chilena de Pediatría.

Avaliação da dinâmica dos processos erosivos lineares e sua relação com a evolução do uso da terra

The development of linear erosion processes is directly related with the environment natural characteristics or with modifications that have occurred on them by the anthropic action. In this context, the present article has as a general objective to evaluate the dynamic of the linear erosion processes and their relations with the evolution of the land use and with the lito-pedologic characteristics of the Cavalheiro hydrographic basin - Analândia, SP. In order to reach such objective, maps of erosive features and land use of several settings were elaborated, besides cartographic representations of the geological and pedological data of the study area. The obtained data were analyzed starting from the principles that concern to the General Systems Theory. Such analysis evidenced the intrinsic bond of the development of linear erosion processes with the several forms of land use and with the natural attributes of the studied area. Therefore, the methodological procedure adopted in this research has been considered as fundamental tool to understand the linear erosion processes dynamic, making it possible to take data of extreme relevance for the planning of the use and occupation of the land.

Evolução da margem atlântica equatorial do Brasil: Três fases distensivas

The extension of the Pangaea started in the Upper Triassic and evolved to uplifts, magmatism and development a triple junction during the Mesozoic, and opening the Central Atlantic Ocean. The Brazilian Equatorial Atlantic margin was formed in three Mesozoic extensional events. The first event is recorded by the Calçoene Graben of the Foz do Amazonas Basin. The second event started in the Valangian and is recognized by the enlargement of the Foz do Amazonas Basin, formation of the Marajó and Grajaú basins, and the Gurupi Graben System. The third event commenced in the Albian related to northwestward progression of the rift system, which enlarged the Foz do Amazonas and formed the Potiguar, Ceará, Barreirinhas and Pará-Maranhão basins. At the end of the Lower Cretaceous the movements attenuated in the Marajó Basin and Gurupi Graben System; the extension concentrated in the Foz do Amazonas, Pará-Maranhão and Barreirinhas basins, and evolved to continental rupture of northern South America and western Africa opening of the Equatorial Atlantic Ocean.

Análise da evolução da paisagem no entorno da represa dos rios jaguari e jacareí, estado de são paulo, com base em sensoriamento remoto e SIG

The primary objective of this study is to evaluate by means of remote sensing and GIS, the landscape evolution around the Jaguari and Jacareí River Dam, located in the eastern section of the State of São Paulo, Brazil. For this purpose we used LANDSAT 5/YM and CBERS-2/CCD images from 1984/1985 and 2006, respectively, considering the following classes of land use: forest, cultivated forest, agriculture, urban areas and water bodies. The two selected dates reflect important changes in the region such as the installation of the dam and subsequent urbanization of parts of its margins and the enlargement of the Fernão Dias Federal Highway, which contributed to an increase of areas of anthropic activities in the studied region. The results also indicate an increase in areas covered by native and planted forests, thus confirming a similar trend in other areas of the State of São Paulo.

Modelagem em escala regional da erosão relacionada com a evolução da cobertura do solo: Um estudo de caso no sudeste do Brasil

Accelerated soil erosion is, at present, one of the most widespread environmental problems in the world. Geographic Information Systems (GIS) have become an essential tool in soil erosion studies and consequently in the development of appropriate soil conservation strategies. The objective of this paper was to assess the degree of soil erosion associated with land cover dynamics through GIS analysis and to validate the modeling with indicators of soil erosion. Universal Soil Loss Equation (USLE) model, GIS technology and ground-truth dataset (erosion indicators) were employed to elaborate the soil loss maps for four dates at Sorocaba Municipality (SP, Brazil). It was verified that, although the predicted soil loss rate is normally small along the study area, such rate is significantly greater than the soil formation rate. This shows a non-sustainable situation of soil and land cover management. Unplanned urban expansion seems be the main driving force that acts in increasing the erosion risk/occurrence along the study area.

Incidência e evolução da polipose nasal em crianças e adolescentes com fibrose cística

Nasal polyps are a clinical sign of alert for investigating Cystic Fibrosis (CF). Aims: To study the incidence of nasal polyps in children and adolescents with cystic fibrosis, its possible association with age, gender, clinical manifestations, genotype and sweat chlorine level, and its evolution with topical steroid therapy. Methods: Clinical symptoms, sweat chlorine level and genotype were studied in 23 cystic fibrosis patients. Nasal polyps were diagnosed by nasal endoscopy and treated with topical steroids during 6 months, followed by a second nasal endoscopy. Fisher test was used for statistical analysis. Results: Nasal polyps were found in 39.1% of the patients (five bilateral, four unilateral), all older than six years, recurrent pneumonia in 82.6%, pancreatic insufficiency in 87% and malnutrition in 74%. No association was seen between nasal polyps and sweat chlorine level, genotype, clinical sings of severity and nasal symptoms. Seven patients improved in their nasal polyps with topical steroids, six showed complete resolution. Conclusion: The study showed a high incidence of nasal polyps in older children, who span the entire range of clinical severity, even in the absence of clinical nasal symptoms. Topical steroid therapy showed good results. An interaction among pediatricians and otolaryngologists is necessary for diagnosis and follow-up. 2008 © Revista Brasileira de Otorrinolaringologia. All Rights reserved.

Evolução da perda de peso entre indivíduos da fila de espera para a cirurgia bariátrica em um ambulatório multidisciplinar de atenção secundária à saúde

Objective: The objective of this study is to characterize the assistance and analyze patient's adherence to nutritional follow-up while in the waiting line for bariatric surgery in a multidisciplinary, secondary healthcare outpatient clinic. Methods: This retrospective study was based on the nutritional records of 59 patients subjected to bariatric surgery at the Hospital das Clinics de Botucatu, from 2001 to 2008. The population studied was distributed into 8 groups and analyzed according to follow-up duration. The analysis took into account the evolution of body weight and the number of follow-up visits in a given period. The Kruskal-Wallis test was used to compare data between groups while Spearman's coefficient was used to test correlations. Results: Among the 59 studied patients, 42 (71.2%) returned to the clinic at least once in six months. Of these, 67.8% lost weight while in the waiting line and 27.1% of them lost more than 10% of their body weight. The greatest weight losses in the preoperative period were found in the groups that had more than six months of nutrition follow-up. There was a mean delay of three months between return visits, which could have contributed to the low adherence to follow-up. Conclusion: The patients in the waiting line for surgery analyzed in this study presented low adherence to the long-spaced return visits. The greatest weight losses were observed in groups that had been followed for more than six months. This shows that, to achieve the desired weight loss and an adequate education process before surgery, at least six months of follow-up and regular visits are necessary.

Evolução geológica dos batólitos granitóides neoproterozóicos do sudeste do estado de são paulo

The Neoproterozoic granitogenesis related to the Central Mantiqueira Province comprise the calc alkaline to alkaline granitoid complexes of Sorocaba, San Francisco, São Roque, Ibiúna and Piedade. These complexes occur in a ruptil tectonic to tardi (Sn+3) event. The emplacement of the different facies in transtractives structures of the pull-apart type are characterized in the area by the main transcurrent shear zones of Taxaquara-Pirapora, Itu-Jundiuvira, Moreiras, Cangüera and Caucáia of ENE-WSW general direction. The massifs present complex internal architecture characterized by intrusions in restrict initial phase of intermediate equigranular nature. Also present a main phase of porfiroid monzo and sienogranite that fragments the previous phase, followed by lateral accretion of equi to inequigranular material, and in some cases by the accretion of late phases of circular bodies of porfiroid rapakivi granites, and a late to final phase of aplitic to pegmatitic composition. This magmatism grew with the intrusions of successive magmatic pulses, partially controlled by many reactivations of the shear zones. The REE also suggest that the magmatic phases are similar, synchronous and repetitive in four of the complexes in both domains, present in the São Francisco Complex. The crystallization starts from accretion processes, but compositionally quite different from the others. The variation in compositions and ages (TDM) for these granites reflect the derivation from different sources developed under different magmatic conditions, followed by processes of contamination that frequently occur in the crust.

Evolução metamórfica e termobarometria das rochas metamáficas/metabásicas da região de Pontalina - GO

At the Pontalina region, the Magmatic Arc of Goiás is constituted by orthogneisses, metasediments, metaultramafics and metamafic/metabasics, geochemically related to island arcs. Mineral assemblages related to metamorphic peak observed in the study area are typically of the amphibolite facies and were generated before or during the initial stage of the development of the main foliation (S n). Thermobarometric data show the P and T conditions for the amphibole + plagioclase and plagioclase + garnet + amphibole assemblages in the metamafic/metabasic rocks correspond to amphibolite facies (medium to upper grade), and plot in the kyanite stability field. The results indicate that the metamorphic peak (M1) in the amphibolite facies (medium up to upper grade) reached temperatures slightly higher than 700°C, not exceeding 775°C, under conditions of medium pressure (∼10 kbar). Thermobarometric and petrographic data, related to the metamorphism, indicate a clockwise P-T path for the surrounding rocks.

Evolução do rifteamento e paleogeografia da margem Atlântica Equatorial do Brasil: Triássico ao Holoceno

The Equatorial Atlantic Margin evolved from three rift systems recorded by a complex set of sedimentary basins developed since Upper Triassic to the Lower Cretaceous (Albian). The first rift system formed Foz do Amazonas Basin in Upper Triassic; the second phase formed Marajó Basin in Berriasian, a new rift in Foz do Amazonas Basin in Valanginian and Bragança-Viseu, Ilha Nova, São Luís e Barreirinhas basins in Aptian; the third phase formed Barreirinhas and Pará- Maranhão basins and a new rifting in the Foz do Amazonas Basin between the Aptian and Albian and evolved to continental break up. The main paleostress field during rift evolution was NE-SW and after the continental break up took the E-W direction, from the development of transform zones in the oceanic crust. From Miocene, South America was subjected to intraplate tectonics, which resulted in formation of E-W transcurrent faults that generated transtensive and transpressive segments that formed sedimentary basins and hills, resulting in changes in the drainage network. In Quaternary the landscape was modified by the last ice age that changed the sea level; the coastal drainage network was drowning resulting in the formation of the current line coast.

Evolução de pacientes com AIDS pós cART: Evolução clínica e laboratorial de pacientes com AIDS após 48 semanas de tratamento antirretroviral

Combination Antiretroviral Therapy (cART) aims to inhibit viral replication, delay immunodeficiency progression and improve survival in AIDS patients. The objective of this study was to compare two different schemes of cART, based on plasma viral load (VL) and CD4+ T lymphocyte count, during 48 weeks of treatment. For this purpose, 472 medical charts of a Specialized Outpatient Service were reviewed from 1998 to 2005. Out of these, 58 AIDS patients who had received a triple drug scheme as the initial treatment were included in the study and two groups were formed: Group 1 (G1): 47 individuals treated with two nucleoside reverse-transcriptase inhibitors (NRTI) and one non-nucleoside reverse-transcriptase inhibitor; Group 2 (G2): 11 patients treated with two NRTI and one protease inhibitor. In G1 and G2, 53.2% and 81.8% respectively were patients with an AIDS-defining disease. The T CD4+ lymphocyte count increased progressively up until the 24th week of treatment in all patients, while VL became undetectable in 68.1% of G1 and in 63.6% of G2. The study concluded that the evolutions of laboratory tests were similar in the two treatment groups and that both presented a favorable clinical evolution.

Evolução espaço-temporal do uso e cobertura do solo nas estâncias turísticas de Avaré e Paranapanema, no reservatório de Jurumirim (SP)

Pós-graduação em Geografia - IGCE