Orientação espacial em adultos com deficiência visual: efeitos de um treinamento de navegação

O objetivo deste estudo foi demonstrar se um programa de navegação pode ajudar indivíduos com deficiência visual a melhorar a acurácia na orientação dinâmica. Nove participantes com deficiência visual retornaram a um ponto de partida após percorrer rotas em linha reta e triangular. Pré e pós-avaliações foram feitas entre um período de 4 meses, durante o qual o treinamento com navegação foi realizado. Entre pré e pós-teste, erros relativos de desvios angulares (ERDA) foram diferentes apenas na tarefa em linha reta. O valor de ERDA foi maior na tarefa em linha reta possivelmente por causa da magnitude do giro inicial antes de retornar ao ponto de partida (i.e., 180º) em contraste com a tarefa triângulo (i.e., 45º). Conclui-se que, em tarefas de orientação, os erros no desvio angular dependem da amplitude do giro inicial ao retornar para o ponto de partida. Ainda, a acurácia na manutenção da direção é influenciada por um treinamento específico com navegação.

Programa de apoio a cuidadores: uma ação terapêutica e preventiva na atenção à saúde dos idosos

Dans le cadre du service de gériatrie du Centre de Santé-école de la faculté de médecine de Botucatu (Université de São Paulo), a été établi un programme d'appui à ces soignants avec les objectifs suivants: préserver leur qualité de vie et favoriser de meilleures conditions familiales aux patients. Le programme comprend de 10 à 12 réunions par semaine, de deux heures de durée, coordonnées par deux psychologues. on utilise des techniques de psychodrame centrées sur le rôle du soignant et leurs conséquences sociales et émotionnelles. Les informations théoriques sont transmises au moyen de discussions de groupe et de moyens audiovisuels. Les thèmes suivants sont abordés : signification et motivation du soin donné, signaux d'alertes de fatigue physique et mentale du soignant, les possibilités de se traiter et de demander de l'aide, une méthode d'amélioration de la communication face à une déficience visuelle, auditive et cognitive, une méthode pour favoriser l'indépendance et l'autonomie et surmonter les problèmes relatifs à l'hygiène, la mobilité, l'agression, l'irritation, les hallucinations et les idées délirantes de la personne âgée. Au cours de la première réunion de chaque groupe (qui comprend de 10 à 20 participants) on applique une échelle d'évaluation de l'impact émotionnel sur les soignants (Zarit et al., 1980) et le SRQ (Self Report Questionnaire - Mari and Williams, 1986) qui identifient des désordres psychiatriques. Ces échelles sont reproduites à la fin du programme, pour observer d'éventuelles modifications. Les données obtenues indiquent des changements favorables dans l'expression d'émotions, l'établissement de limites et de retour à des activités de loisirs.

Intubação traqueal e o paciente com o estômago cheio

A aspiração pulmonar do conteúdo gástrico, apesar de pouco frequente, exige cuidados especiais para sua prevenção. A depressão da consciência durante a anestesia predispõe os pacientes a esta grave complicação pela diminuição na função do esfíncter esofágico e dos reflexos protetores das vias aéreas. Guias de jejum pré-operatório elaborados recentemente sugerem períodos menores de jejum, principalmente para líquidos, permitindo mais conforto aos pacientes e menor risco de hipoglicemia e desidratação, sem aumentar a incidência de aspiração pulmonar perioperatória. O uso rotineiro de agentes que diminuem a acidez e volume gástrico parece estar indicado apenas para pacientes de risco. A intubação traqueal após indução anestésica por meio da técnica de sequência rápida está indicada naqueles pacientes, com risco de aspiração gástrica, em que não há suspeita de intubação traqueal difícil. A indicação correta da técnica, sua aplicação criteriosa e a utilização racional das drogas disponíveis podem promover condições excelentes de intubação, com curto período de latência, rápido retorno da consciência e da respiração espontânea, caso haja falha na intubação traqueal.O presente artigo tem como objetivo discutir os métodos atualmente utilizados para controlar o volume e o pH do conteúdo gástrico, proteger as vias aéreas durante as manobras de intubação e reduzir o refluxo gastroesofágico.

A questão do desenvolvimento à luz da globalização da economia capitalista

Cet article cherche à dresser, sous la perspective historique, le bilan de la situation des pays périphériques dans les dernières trentes années. Pour cela, il aborde particulièrement les enjeux du développement dans la phase de la globalisation du capital. Ce travail s'appuie surtout sur les études de la vaste bibliographie publiée récemment. Dans quelle mesure la relance du développement concernant plusieurs secteurs stagnés de la périphérie deviendrait-elle une réelle possibilité? Autour de cette question, que nous trouvons centrale dans l'actuelle conjoncture, nous entamons quelques réflexions. Nous envisageons montrer que la stagnation économique à laquelle des nombreux pays non développés font face ne découle pas en partie d'une crise sociale et économique ouverte dans les années soixante-dix et qui s'élargit jusqu'à nos jours malgré les tentatives de restructuration de la société capitaliste. Les stratégies et les mesures politiques à caractère néo-liberal aussi auraient énormément contribué à cette situation étant donné qu'elles ont renforcé les amarres financières qui ont étranglé pour une part les économies périphériques. Outre ces difficultés, ces pays affronteraient les limites écologiques du capitalisme. La relance du développement dans un nouveau stade exigeant la croissance économique, la justice sociale et la préservation de la nature amènerait à une rupture face au capitalisme.

Influência do manejo de mamada sobre o retorno ao estro em ovelhas no pós-parto

Conduziu-se este estudo, com o objetivo de avaliar o retorno ao estro pós-parto de ovelhas submetidas a diferentes manejos de mamada. Foram utilizados 56 ovelhas Santa Inês e Bergamácia, 71 cordeiros e 3 rufiões. Os manejos de mamada (MM) foram: 1: contínua; 2: duas mamadas diárias; 3: mamada durante a noite. O período experimental foi dos 15 dias pós-parto até o desmame aos 60 dias. Até os 15, dias de idade os cordeiros permaneceram com suas mães em período integral. No MM 1, as ovelhas permaneceram com seus cordeiros em uma baia, em período integral. No MM 2, as ovelhas passaram a noite em uma baia e o dia em pastagem, momento em que não possuíam contato físico e visual com as crias. Seus cordeiros permaneceram em outra baia em período integral, para onde as ovelhas eram encaminhadas no momento da amamentação. No MM 3, as ovelhas passaram o dia em pastagem e a noite com seus cordeiros em uma baia, na qual os cordeiros permaneceram em período integral. Todas as ovelhas e todos os cordeiros receberam alimentação nas baias. Para identificação das ovelhas em estro foram utilizados rufiões, os quais permaneceram com elas em período integral. Os dados foram submetidos à análise de variância (PROC GLM, Sas®), e as médias comparadas por contrastes. O MM 2 possibilitou retorno ao estro pós-parto precoce quando comparado ao MM 3 e ao MM 1. Houve pouca ou nenhuma influência do anestro lactacional, pois 80% das ovelhas apresentaram estro durante a amamentação.

Aspectos fisiológicos, comportamentais e produtivos de cabras Alpinas submetidas ao transporte

Objetivou-se avaliar as alterações fisiológicas, produtivas e comportamentais em cabras da raça Alpina submetidas ao transporte. Foram utilizadas 12 cabras pluríparas em final de lactação. A produção, composição e contagem de células somáticas do leite e as respostas comportamentais das cabras durante a ordenha foram mensuradas três dias antes, no dia e três dias após o transporte. Também foram colhidas amostras de sangue antes (-120 e -10 minutos) e após (10 e 120 minutos) o transporte para determinação dos níveis de cortisol e glicose. Entre os comportamentos estudados durante a ordenha, apenas sobrepasso e coçar foram significativamente influenciados pelo transporte. Também foram observados aumentos significativos nos níveis de glicose e cortisol 10 minutos após o transporte. Os níveis de glicose permaneceram elevados até 120 minutos após o transporte, enquanto os de cortisol aos 120 minutos foram semelhantes aos observados antes do transporte. O transporte com retorno às instalações conhecidas e ao manejo rotineiro de ordenha causa pequenas alterações fisiológicas e comportamentais que não alteram significativamente a produção, a composição e a contagem de células somáticas do leite.

Efficiency of geotextile filters in dewatering wastes (sludge) from water treatment works

This paper evaluates the efficiency of geotextile filters for sludge from a compact water treatment plant (WTP). The key aspects required in the methodology of selection and designing geotextile filters for sludge from dewatering was investigated based on laboratory tests results. The analyses were supported by the measured filtrated volume of water and turbidity resulting from variable head permeability tests carried out in two geotextiles and using the conventional granular filter (sand and gravel). The results of the present study showed that more than 75% of the dewatering sludge can be filtrated with low turbidity, which permits that this water can return to the treatment plan in order to be reuse in another cycle. The reduced volume of sludge retained by the geotextile that is transferred to the drying pound increases its efficiency by reducing the drying time. The low volume of the dry waste can be removed and the geotextile can be easily cleaned or replaced when needed. These procedures significantly reduce the volume of water needed in dewatering and also avoids waste discharges in the environment.

Phylogenetic and evolutionary aspects of Paracoccidioides brasiliensis reveal a long coexistence with animal hosts that explain several biological features of the pathogen

The habitat of the mycelial saprobic form of Paracoccidio ides brasiliensis, which produces the infectious propagula, has not been determined and has proven difficult for mycologists to describe. The fungus has been rarely isolated from the environment, the disease has a prolonged latency period and no outbreaks have been reported. These facts have precluded the adoption of preventive measures to avoid infection. The confirmation of natural infections in nine-banded armadillos (Dasypus novemcinctus) with P. brasiliensis, in high frequency and wide geographic distribution, has opened new avenues for the study and understanding of its ecology. Armadillos belong to the order Xenarthra, which has existed in South America ever since the Paleocene Era (65 million years ago), when the South American subcontinent was still a detached land, before the consolidation of what is now known as the American continent. on the other hand, strong molecular evidence suggests that P. brasiliensis and other dimorphic pathogenic fungi - such as Blastomyces dermatitidis, Coccidioides immitis and Histoplasma capsulatum - belong to the family Onygenaceae sensu Into (order Onygenales, Ascomycota), which appeared around 150 million years ago.P. brasiliensis ecology and relation to its human host are probably linked to the fungal evolutionary past, especially its long coexistence with and adaptation to animal hosts other than Homo sapiens, of earlier origin. Instead of being a blind alley, the meaning of parasitism for dimorphic pathogenic fungi should be considered as an open two-way avenue, in which the fungus may return to the environment, therefore contributing to preserve its teleomorphic (sexual) and anamorphic (asexual) forms in a defined and protected natural habitat. (c) 2006 Elsevier B.V. All rights reserved.

Comparative study between atropine and hyoscine-N-butylbromide for reversal of detomidine induced bradycardia in horses

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

EFFECTS of SELENIUM SUPPLEMENTATION on CATTLE ANTI-RABIES HUMORAL IMMUNE RESPONSE and LEVELS of SERUM SELENIUM and CORTISOL

This study evaluated the effect of different concentrations of selenium (Se) supplementation on cattle anti-rabies humoral immune response, serum Se concentrations and cortisol levels. Sixty uncastrated male Nelore calves from 10 to 12 months grazing on Brachiaria decumbens forage were studied. The animals were assigned to one of four groups (n = 15 each), which received non-supplemented diets (Gc) or supplemented with daily and individual Selenium ( Se) concentrations of 3.6 mg (G(3.6)), 5.4 mg (G(5.4)) or 6.4 mg (G(6.4)). The calves were immunized on day 0 with one dose of commercial liquid inactivated rabies vaccination. on days 15, 30, 60, 90 and 120, the cattle underwent the same stressing procedures used for vaccination in the corral. Cattle blood samples were collected after vaccination and stressing procedures to determine serum Se levels, rabies antibody titers and serum cortisol. Se levels were also determined in forage samples collected from the paddocks in which the cattle were held. Se concentration in B. decumbens was 0.04 mg of Se/kg dry matter. Baseline Se levels obtained on day 0 were higher in Gc than in G(5.4) and G(6.4) (P = 0.005). Serum Se levels decreased in Gc throughout the experiment (P < 0.004), increased in G(3.6) (P < 0.000) and G(5.4) (P < 0.000) and were kept high from day 60 on in group G(6.4) (P < 0.002). Rabies antibody titers did not differ among control and supplemented groups. However, 120 days after vaccination rabies antibody titers were kept above protective levels (>= 0.5 UI/mL) only in group G(3.6) (P < 0.00002), whereas they dropped in the other groups (P < 0.05). Serum cortisol levels did not differ among the experimental groups (P = 0.79), reached peak levels on day 90 and returned close to baseline levels on day 120. Se and cortisol levels were not markedly correlated. Serum cortisol and rabies antibody titers were correlated only in group G(6.4), on day 60 (R = 0.513; P = 0.05) and 120 (R = 0.644; P = 0.009). Serum Se and rabies antibody titers were correlated only in group G(6.4), on day 60 (R = -0.580; P = 0.023). In conclusion: a) the profile of Se variation is different among groups receiving different concentrations of this element; b) the supplementation dosage of 3.6 mg Se/animal/day is efficient to treat/prevent marginal Se deficiency; c) individual supplementation with daily concentrations of 3.6 mg Se enhances the maintenance of rabies antibody titers in cattle; d) individual supplementation with daily concentrations of 3.6; 5.4 and 6.4 mg Se are ineffective in reducing serum cortisol; e) repeated cattle handling in corrals stress animals that adapt to these procedures, although serum cortisol does not return to baseline levels by 120 days; and f) the stress generated by repeated management in cattle in the corral does not diminish antibody titers after vaccination against rabies.

Atmospheric cosmic rays in the South Atlantic anomaly region

To study the production and propagation of fast secondaries particles in the atmosphere, data collected during eleven quiet-time balloon flights are analysed. Comparisons of these data with those obtained in different geomagnetic rigidity regions permit to estimate the contributions of the proton and electron components in the measured intensities. Derivations of this last component in the «upward» and «downward» moving electrons fluxes indicate that in the anomaly region a fraction of these particles, produced by the primary protons, are leaving the atmosphere and will not return to the Earth. © 1991 Società Italiana di Fisica.

Tempo de latencia e duracao do efeito do brometo de rocuronio no paciente submetido ao transplante renal

Background and Objectives - Successful cadaver kidney transplantation relies on a fast procedure. Patients with chronic renal failure may present with a delayed gastric emptying making it critical a fast tracheal intubation and airway maintenance. Rocuronium a recently introduced nondepolarizing neuromuscular blocker with a fast onset. The aim of this study was to evaluate onset time and duration of rocuronium effects in patients undergoing renal transplantation. Methods - Sixty patients were allocated into two groups of 30: Group R (GR) = patients undergoing renal transplantation and Group N (GN) = patients with normal renal function. All patients were premedicated with oral midazolam (15 mg) and anesthesia was induced with 30 μg.kg-1 alfentanil, 0.3 mg.kg-1 etomidate and 0.6 mg.kg-1 rocuronium injected through a central venous catheter. neuromuscular block was monitored by acceleromyography in the ulnar nerve pathway. The following parameters were evaluated: time between administration of rocuronium and first twitch reduction to 5% after supra-maximal stimulation (T1) (onset time = OT); time for first twitch to return to 25% (clinical duration = R25); time elapsed between 25% and 75% recovery of first twitch (relaxation recovery time = R25-75). Heart rate (HR) and mean blood pressure (MBP) were recorded in 6 moments. Results - Median OT was 31 sec. in GR and 47 sec. in GN. Median R25 was 51.5 min in GR and 33.5 min in GN. Median R25-75 was 28 min in GR and 20 min in GN. MBP and HR were higher in GR. Tracheal intubation conditions were excellent for most patients in both groups. Conclusions - These results open the possibility of 0.6 mg.kg-1 rocuronium being injected through a central venous catheter when a faster onset is needed. Due to wide differences in individual responses, monitoring of neuromuscular block is recommended.

Morphometric evaluation of gingival overgrowth and regression caused by cyclosporin in rats

Cyclosporin A is a selective immunosuppressant, used in organ transplants to prevent graft rejection. Cyclosporin A can cause various side effects including gingival overgrowth. The aim of this work was to evaluate gingival overgrowth of rats treated daily with 10 mg/kg body weight of Cyclosporin A for 60 days, as well as the regression after the interruption of treatment. All rats treated with Cyclosporin A developed gingival overgrowth, with increased thickness of the epithelium, height and width of the connective tissue. The density of fibroblasts and collagen fibers also increased. Five to 90 days after the interruption of treatment with Cyclosporin A, there was a progressive reduction of the gingival volume and of collagen fibers and fibroblast densities. The reduction was more pronounced in the initial periods and after 90 days did not return to the normal values.

Panorama of immigration for Sao Paulo following the Second World War

This article proposes to analyze the results of a research conducted in the São Paulo Immigrants Memorial, whose purpose was to work with an agreement between the state of São Paulo and the Union, according to which the state committed itself to receive, from May 1947 to 1952, immigrants of different European nationalities. Such immigrants had a specific characteristic that conferred them a peculiar status in the eyes of the United Nations, given the fact that they originated from Germany and Austria and where either displaced persons or refugees who could not or did not want to return to their homelands, for several reasons. Italians represented only 0,12% of this group. Italian immigration to Brazil became significant only after 1950, due to the Brazil-Italy immigration agreements.

Effects of deltamethrin pyrethroid on the respiratory metabolism of the neotropical spirostreptid millipedes Gymnostreptus olivaceus and Plusioporus setiger

The effects of deltamethrin on the respiratory metabolism of Gymnostreptus olivaceus and Plusioporus setiger were investigated. Acetone solutions corresponding to half the LD50 values, i.e., 20 μg.g-1g for G. olivaceus and 4.40 μg.g-1 for P. setiger, were used. Metabolism was determined with a Warburg respirometer at 25°C. Respirometric measurements were performed 1, 3 and 6 hours after administration of the pyrethroid to the same groups of millipedes. After 24 hours, daily respirometric measurements lasting 1 hour each were made on different millipede groups for a period of 10 days. Significant differences were detected only between the groups treated with the pyrethroid and the two control groups. In G. olivaceus, respiratory rates increased by about 1.65-fold compared to normal immediately after administration of the pyrethroid, followed by a gradual decrease up to 72 hours and a return to normal levels thereafter. In P. setiger the increase was about 1.1-fold compared to normal, with a decrease up to 96 hours and a return to normal thereafter. Although increased oxygen consumption was observed, a detoxification process occurred in both species, so that the possible metabolism of the pyrethroid may justify the low toxicity of deltamethrin for G. olivaceus and P. setiger.