Avaliação de sintomas neuropsiquiátricos na demência: Para melhorar a precisão

The issue of this article concerned the discussion about tools frequently used tools for assessing neuropsychiatric symptoms of patients with dementia, particularly Alzheimer's disease. The aims were to discuss the main tools for evaluating behavioral disturbances, and particularly the accuracy of the Neuropsychiatric Inventory - Clinician Rating Scale (NPI-C). The clinical approach to and diagnosis of neuropsychiatric syndromes in dementia require suitable accuracy. Advances in the recognition and early accurate diagnosis of psychopathological symptoms help guide appropriate pharmacological and non-pharmacological interventions. In addition, recommended standardized and validated measurements contribute to both scientific research and clinical practice. Emotional distress, caregiver burden, and cognitive impairment often experienced by elderly caregivers, may affect the quality of caregiver reports. The clinician rating approach helps attenuate these misinterpretations. In this scenario, the NPI-C is a promising and versatile tool for assessing neuropsychiatric syndromes in dementia, offering good accuracy and high reliability, mainly based on the diagnostic impression of the clinician. This tool can provide both strategies: a comprehensive assessment of neuropsychiatric symptoms in dementia or the investigation of specific psychopathological syndromes such as agitation, depression, anxiety, apathy, sleep disorders, and aberrant motor disorders, among others.

Analysis of artisanal fisheries in two reservoirs of the upper Paraná River basin (Southeastern Brazil)

We compared the artisanal fisheries, in terms of catch strategies, productivity, and gross per capita income, at two reservoirs: The Barra Bonita (an eutrophic reservoir with some introduced species), and the Jurumirim (an oligotrophic reservoir, with no introduced species). Published data and structured interviews with fishers were used to evaluate fishing activity, fish biomass, and the financial performance of the fisheries. In the Barra Bonita Reservoir we analysed data from 745 fishing trips, from which 86,691.9 kg of fish were landed, with a mean CPUE of 62.4 kg/fisher-1 day-1. The main type of fish caught was tilapia (71,513.5 kg; CPUE of 51.5 kg/fisher-1 day-1), which constituted 82.5% of the biomass caught. In the Jurumirim Reservoir, we analysed data from 2,401 fishing trips, from which 25,093.6 kg of fish were landed, with a mean CPUE of 10.4 kg/fisher-1 day-1. The main type of fish caught was traíra (6,158.6 kg; CPUE of 2.6 kg/fisher-1 day-1), which constituted 24.5% of the biomass caught. Ordination analysis (PCA) indicated that there was a difference in composition between the fishing reservoirs and ANCOVA showed that there was a significant difference in fish production between the reservoirs. A Student's t-test showed that fishers in the Barra Bonita Reservoir had a significantly higher gross per capita income than those from the Jurumirim Reservoir. Although the Barra Bonita Reservoir has a higher fish production and the fishers earn a higher gross per capita income, we recommend the Jurumirim Reservoir as a model for artisanal fishery management because fishing activity in this reservoir is viable in the long term and such a model would promote conservation and sustainability. This contrasts with the Barra Bonita Reservoir, in which the fishery is not viable in the long term, due to environmental problems caused by artificial eutrophication and the introduction of alien species. It is also noted that in many countries, management of fisheries based on exotic species has not been viable in the long term. © 2013 Sociedade Brasileira de Ictiologia.

Utilização de macrófitas aquáticas flutuantes no tratamento de efluentes de carcinicultura

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Níveis séricos de vitamina D associados com indicadores da síndrome metabólica na população brasileira

Pós-graduação em Ciências Biológicas (Biologia Celular e Molecular) - IBRC

Detecção e caracterização molecular de Chlamydophila psittaci e Chlamydophila abortus em aves assintomáticas

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Influência da angulação do preparo coronário na resistência à fratura de restaurações cerâmicas à base de Y-TZP

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Otimização de procedimentos para a determinação de maganês em amplo intervalo de concentração por espectrometria de absorção atômica em chama

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Dinâmica populacional e análise da variação genética do camarão barba-ruça Artemesia longinaris Spence Bate, 1888 (Crustacea Penaeidae)

Pós-graduação em Ciências Biológicas (Zoologia) - IBB

Efeito de enzimas proteolíticas, de origem vegetal e microbiana, e da temperatura de maturação nas características de queijo Prato com teor reduzido de gordura

Pós-graduação em Engenharia e Ciência de Alimentos - IBILCE

Forças armadas, orçamento e autonomia militar

Avalia-se aqui como evoluíram as relações entre governo e Forças Armadas, e o comportamento destas no interior da burocracia de Estado com base na análise dos orçamentos federais desde o governo autoritário até o atual (1964-2001). Os dados indicam um declínio lento e constante dos gastos com a defesa, entremeados por repiques elevatórios no início de novos gover­nos. De maneira geral, sugerem que os governos civis definem o padrão orça­mentário sem interferência militar, embora os recursos sejam usados sem um acompanhamento adequado das atividades castrenses. Indica-se ainda que a autonomia castrense, isto é, a sua capacidade de definir seu campo de atua­ção, as normas que a norteiam e as missões a desempenhar, pode ser revigo­rada. Essa autonomia endêmica não é fruto de escolhas militares, mas da omissão do poder civil.

Aspectos éticos considerados na relação médico-paciente: vivências de anestesiologistas

BACKGROUND AND OBJECTIVE: Ethical principles guide professional conduct, particularly in establishing the doctor-patient relationship and, therefore, require constant reflection. The purpose of this study is to analyze ethical experiences of anesthesiologists in their interaction with the patient under their care. METHOD: This was an exploratory study involving 16 active anesthesiologists at a university hospital in João Pessoa, Paraíba. We collected data through semi-structured interviews and analyzed qualitatively using the content analysis technique. RESULTS: The study findings show that the classification of ethical experiences of the study participants regarding the doctor-patient relationship were classified into five categories: respect for the patient, humane treatment, equal treatment, professional secrecy, and respect for patient autonomy. CONCLUSION: We conclude that respondents recognize the ethical and humanistic values that should guide the relationship with their patients.

Detecção e classificação molecular de Chlamydophila psittaci em amostras fecais de aves assintomáticas

Chlamydophila psittaci is a bacterium that causes respiratory or systemic disease in birds and humans. Owing to the risk of transmission from asymptomatic birds to humans, the objective of this study was to detect the presence of Chlamydophila spp. in asymptomatic birds. Four hundred and three fecal samples or cloacal swabs were collected from domestic, wild or exotic birds. The 403 samples were examined by real time PCR specific for the 16S subunit of rRNA gene using SsoFastEvaGreen®SupermixTM (Bio-Rad) and melting curve analysis. Hemi-nested PCR specific for the OMP-A gene, accomplished in real-time PCR positive samples, was followed by sequencing of the amplified fragments to determine the genotype of C. psittaci. Real-time PCR was positive in 17 (4.21%) samples. Hemi-nested PCR revealed positivity in two samples previously positive by real-time PCR. Sequencing of the fragment amplified by hemi-nested PCR allowed for the identification of genotype A of C. psittaci in one sample. The results of this experiment show that the real-time PCR targeting the 16S rRNA gene followed by melting curve analysis can be used for diagnosis of Chlamydophila sp. in fecal samples of asymptomatic birds. The classification of the Chlamydophila species and the genotype of C. psittaci must be accomplished by PCR targeting the ompA gene and sequencing of the amplified fragments.

Feedlot performance, carcass characteristics and meat quality of Nellore and Canchim bulls fed diets supplemented with vitamins D and E

O experimento foi conduzido no setor de confinamento da Unesp, campus de Botucatu, com o objetivo de avaliar a influência da suplementação das vitaminas D e E sobre o desempenho animal, características de carcaça e qualidade de carne de bovinos jovens confinados. Foram utilizados 36 machos inteiros, 18 Nelore (NEL) e 18 Canchim (CAC), de sete meses de idade com peso vivo inicial médio de 234,53 ± 22,15 e 248,13 ± 34,67 kg, respectivamente, os quais foram confinados por 126 dias. Nove animais NEL e nove CAC foram suplementados diariamente com 1300 UI de vitamina E e 7,5x10(6) UI de vitamina D3 durante 67 e dez dias antes do abate, respectivamente. Um dia antes do abate foram coletadas amostras de sangue para avaliação do cálcio plasmático. Na desossa, foram colhidas amostras do músculo Longissimus (LM) para análises como força de cisalhamento, índice de fragmentação miofibrilar, lipídeos totais, concentração de vitaminas D e E e tempo de prateleira. Foi observado aumento (p < 0,01) do nível de cálcio plasmático pela suplementação, o que indica atuação da vitamina D no organismo animal. No entanto, não houve efeito (p > 0,05) da suplementação de vitaminas D e E sobre o desempenho, características de carcaça e qualidade da carne.

Effective Use of Alteplase for Occluded Tunneled Venous Catheter in Hemodialysis Patients

Despite their propensity for significant infectious and mechanical complications, tunneled central venous catheters (CVCs) have become a common means of vascular access in the world for patients requiring chronic hemodialysis for end-stage renal disease. The objective of this study was to explore if cryopreserved solutions of the thrombolytic agent alteplase could be used as an effective, safe, and economically reasonable alternative in hemodialysis patients with occluded tunneled CVC. Patients requiring chronic hemodialysis and presenting with occluded tunneled CVC received a sufficient volume of the alteplase solution to fill the occluded catheter. To make alteplase economically feasible, it was diluted to 1-mg/mL aliquots and they were stored at -20 degrees C until use. Eighty-one patients accounting for 179 attempted clearances were assessable for efficacy. One hundred forty-seven (82.1%) of the 179 catheter clearance attempts resulted in successful catheter clearance after one dose. Twenty-seven (15.1%) of all occluded CVCs were successful after two doses whereas five (2.8%) were not. No adverse events were reported. Cryopreserved 1-mg/mL aliquots of alteplase are safe and effective in the clearance of occluded CVC for hemodialysis patients.

Why have land use change models for the Amazon failed to capture the amount of deforestation over the last decade?

Land cover change in the Neotropics represents one of the major drivers of global environmental change. Several models have been proposed to explore future trajectories of land use and cover change, particularly in the Amazon. Despite the remarkable development of these tools, model results are still surrounded by uncertainties. None of the model projections available in the literature plausibly captured the overall trajectory of land use and cover change that has been observed in the Amazon over the last decade. In this context, this study aims to review and analyze the general structure of the land use models that have most recently been used to explore land use change in the Amazon, seeking to investigate methodological factors that could explain the divergence between the observed and projected rates, paying special attention to the land demand calculations. Based on this review, the primary limitations inherent to this type of model and the extent to which these limitations can affect the consistency of the projections will also be analyzed. Finally, we discuss potential drivers that could have influenced the recent dynamic of the land use system in the Amazon and produced the unforeseen land cover change trajectory observed in this period. In a complementary way, the primary challenges of the new generation of land use models for the Amazon are synthesized. (c) 2014 Elsevier Ltd. All rights reserved.