Late-onset sepsis: Epidemiology, evaluation, and outcome

Late-onset neonatal sepsis is a common serious problem in preterm infants in neonatal intensive care units. Diagnosis can be difficult because clinical manifestations are not specific and none of the available laboratory tests can be considered an ideal marker. For this reason, a combination of markers has been proposed. Complete blood count and acute-phase reactants evaluated together help in diagnosis. C-reactive protein is a specific but late marker, and procalcitonin has proven accurate, although it is little studied in newborns. Blood, cerebrospinal fluid, and urine cultures always should be obtained when late-onset sepsis is suspected. Blood culture, the gold standard in diagnosis, is highly sensitive but needs up to 48 hours to detect microbial growth. Various cytokines have been investigated as early markers of infection, but results are not uniform. Other diagnostic tests that offer promise include: neutrophil surface markers, granulocyte colony-stimulating factor, toll-like receptors, and nuclear factor kappa B. The greatest hope for quick and accurate diagnosis lies in molecular biology, using real time polymerase chain reaction combined withDNAmicroarray. Sepsis and meningitis may affect both the short- and long-term prognosis for newborns. Mortality in neonatal meningitis has been reduced in recent years, but short-term complications and later neurocognitive sequelae remain. Late-onset sepsis significantly increases preterm infant mortality and the risk of cerebral lesions and neurosensory sequelae, including developmental difficulties and cerebral palsy. Early diagnosis of late-onset sepsis contributes to improved neonatal prognosis, but the outcome remains far from satisfactory. © 2010 by the American Academy of Pediatrics.

Late Pleistocene and Holocene paleoenvironments in ponds and alluvial sediments of Upper Paraná River, Brazil

Freshwater sponge spicules were analyzed as a paleoenvironmental proxy indicator in five cores of ponds and alluvial fan sediments in the Upper Paraná River's left bank, near Querência do Norte town, northwestern of State of Paraná, southern Brazil. Two optically stimulated luminescence (OSL) dates were obtained from sediments of ponds and one radiocarbon (14C) date was obtained from the alluvial fan. Microscopic analysis of spicules preserved in the sediments allowed a determination of freshwater sponge species. The species assemblage provides evidence for dominantly dry conditions in the Upper Paraná River during the Late Pleistocene. A wetter climate phase was recognized at 14C 7,540 yrs BP, with alluvial fan formation commencing at the transition of the dry Pleistocene climate to the Early Holocene wet climate. This wet interval was characterized by a sponge assemblage marked by the presence of the Neotropical families and typically associated with lotic environments. Sponge spicules analysis from pond sediments reject the possibility that lotic environments contributed to pond genesis and evolution. © 2013 by the Sociedade Brasileira de Paleontologia.

Análise tectono-estratigráfica das sequências permotriassica e jurocretácea da bacia Chacoparanense Uruguaia (Cuenca Norte)

Pós-graduação em Geologia Regional - IGCE

Early Permian post-glacial bivalve faunas of the Itarare Group, Parana Basin, Brazil: Paleoecology and biocorrelations with South American intraplate basins

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

Late-onset obsessive-compulsive disorder: Risk factors and correlates

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Early selection in open-pollinated Eucalyptus families based on competition covariates

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

A new species of Equinoxiodus (Dipnoi: ?Neoceratodontidae) from the Late Cretaceous of Brazil

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)