Comparison between Itraconazole and Cotrimoxazole in the Treatment of Paracoccidiodomycosis

BackgroundThere are no published reports on studies comparing itraconazole (ITC), sulfamethoxazole-trimethoprim (cotrimoxazole, CMX), and ITC followed by CMX (ITC/CMX) in the treatment of paracoccidiodomycosis. This study aimed to compare the efficacy, effectiveness, safety and time to clinical and serologic cure in paracoccidioidomycosis patients treated with ITC or CMX, the antifungal agents most widely used.MethodologyA quasi-experimental study was performed in 177 patients with a confirmed or probable diagnosis of paracoccidioidomycosis. Treatment was divided into two stages: 1) initial, which was continued until clinical cure was achieved and the erythrocyte sedimentation rate decreased to normal values; 2) complementary, which was continued until serologic cure was achieved. Medians were compared via the Mann-Whitney test, and frequencies were compared via the chi-squared test. The assessment of variables as a function of time was performed using Kaplan-Meier curves and Cox regression. The significance level was established as p <= 0.05.Principal FindingsNo difference was found in the efficacy and effectiveness of the initial treatment of 47 individuals given ITC and 130 individuals given CMX; however, the time to clinical cure was shorter in the former compared with the latter group (105 vs. 159 days; p = 0.001), specifically in patients with the chronic form. Efficacy and effectiveness of the three regimens were similar in the complementary treatment; however, the time to serologic cure was shorter when ITC (161 days) or CMX (495 days) was used compared with ITC/CMX (881 days) [p = 0.02]. The independent predictors of a shorter time to serologic cure were treatment with ITC [risk ratio = 6.61 (2.01-21.75)] or with CMX [risk ratio = 5.11 (1.91-13.67)]). The prevalence of side effects was lower with ITC (6.4%) than with CMX (20.0%; p = 0.03).ConclusionsSince ITC induced earlier clinical cure and was better tolerated than CMX, such triazole should be considered the first-choice for PCM treatment.

Nutrição do porta-enxerto 'Flying Dragon'

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

Determinação dos gradientes de velocidade médios em sistemas de câmaras em série visando atender ao critério do menor tempo de floculação total

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

A interferência do estado de humor na melhora dos componentes da capacidade funcional em idosos

Mood States are feelings auto regulation deliver to individual better quality of life and healthy aging. The declines of the aging process can be minimized with the regular practice of physical activity and systematized. The objective of this study was to evaluate the effects of a dance program in mood states, depressive symptoms and functional capacity in elderly participants of PROFIT. METHOD: The sample was composed of 20 elderly people. The Training Group was formed by 15 elders who participated in a protocol of dance with duration of 1 hour, three times per week, for 12 weeks and the Control Group, composed of 5 elderly, did not attend any program of physical activity. The participants were evaluated by the List of States of Mind Reduced and Illustrated, Geriatric Depression Scale and the battery of tests of AAHPERD. For the mood states was used non-parametric analysis, according to the technique of Binomial Analysis. To compare the components of functional capacity between the groups was used analysis of variance for repeated measures two-way ANOVA and the level of significance was set at 5 %. RESULTS: The functional components remained favorable, highlighting Agility (pre = 21.03 ± 1.64 sec./ post = 18.63 ± 2.26 sec.) And aerobic endurance (pre = 495.94 ± 46.48 sec. / post = 448.01 ± 12.27 sec.). In the comparison between positive and negative functional levels and mood states showed no relationship between these variables, dealing with different aspects and has influence one another. The state post-dancing sessions mood in GT were more positive even for elderly patients with depressive symptoms even unproven statistically, depressive symptoms were maintained or reduced mostly. CONCLUSION: The dance practice maintains the functionality of components; modifies mood states to positive levels and reduces or prevents the onset of depressive symptoms and complications in elderly

Avaliação da influência do enriquecimento ambiental nas variáveis comportamentais de saguis-de-cara-branca (Callithrix geoffroyi) em cativeiro

Six species of the genus Callithrix can be found across the Atlantic Forest extension, being the Callithrix geoffroyi, Geoffroy`s marmoset, the least studied species. The objective of this study is to investigate the behavioral aspects of the species in captivity, and how the environmental enrichment techniques influence those behaviors. To this end, we have studied three specimens of C. geoffroyi, in captivity at Municipal Zoo of Piracicaba, São Paulo. The enclosure includes a 37m2 with under masonry, concrete platforms with external deep, trunks, a floor of grass and soil, e grid in their other three sides. The sampling method was focal per time interval, with records every 30 seconds in sessions of 30 minutes, totaling 30 hours for each animal, which were distributed in a baseline phase, an environmental enrichment phase and post-enrichment phase (n = 3660 records in each phase). The twelve enrichment techniques were applied: the physical environment (branches for perches and hoses fabrics for bedding and vanishing points), cognitive (radio, mirror, puzzle food) and food (insects, flowers and eggs hidden, wrapped). Initially, to determine the period of greatest activity of marmosets, we investigated the pattern of activity for three days (9:00 am to 17:00 pm) consecutively at intervals of 15 minutes, recording the number of active and inactive individuals. The 495 records signaled greater activity in the morning, then selected period for the completion of this work. The ethogram comprised 16 behaviors. The inactivity was the predominant phase behavior baseline and post-enrichment with a significant decrease (h=8,62, p <0.01) in the enrichment phase, and a significant increase in the post enrichment (h=18,15, p <0.001). The same was seen for the use of substrate (grid and ground vs. Trunk and concrete, h=5,09, p <0.001 and h=3,98, p <0.05)... (Complete abstract click electronic access below)

Adsorção de Cádmio em Solo da Cidade de Neves Paulista

A contaminação do solo é um dos principais problemas ambientais, podendo ocorrer de diversas maneiras, sendo a principal causa fertilização e a calagem do solo, os quais, geralmente possuem em sua composição metais pesados. O objetivo deste estudo é avaliar a capacidade de adsorção de Cádmio em solo da cidade de Neves Paulista, com base nos modelos matemáticos de Langmuir e Freundlich, correlacionar a adsorção com os fatores pH e força iônica do meio e verificar, por meio da energia livre, a espontaneidade do processo de adsorção. Trata-se de solo arenoso de baixa acidez, pobre em matéria orgânica e com baixo teor de capacidade de troca iônica. Para avaliar a capacidade de adsorção de Cádmio, foram realizados experimentos variando a concentração do metal de 0 a 100 mg L-1 . A adsorção foi avaliada em diferentes valores de pH e de força iônica do meio. Observou-se que o modelo de Langmuir se ajustou melhor à adsorção do metal. A adsorção ocorre de maneira favorável em meio de força iônica baixa, e tende a ser desfavorável em valores mais elevados, demonstrando assim uma correlação negativa. Em relação ao pH a correlação foi positiva à adsorção. Os valores da energia livre foram negativos, o que demonstra a espontaneidade dos processos de adsorção.

Square of the Error Octonionic Theorem and Hypercomplex Fourier Series

The focus of this paper is to address some classical results for a class of hypercomplex numbers. More specifically we present an extension of the Square of the Error Theorem and a Bessel inequality for octonions.

As situações de violência nos espaços das escolas: a voz dos alunos

The article aims to outline the situations of violence and vulnerability faced by young people in schools. To understand the scenario transposition of everyday violence for school spaces has become critical analysis of the phenomenon by a new perception in the voice of the students. Thus, from the application of semi-structured questionnaires for young people between 15 and 17 years was possible closer to the diagnosis. The notes, in the end, gave birth to a path of joint efforts between the school and the community providing refl ections on the subject.

Tendências de pesquisa em ensino-aprendizagem de inglês como língua estrangeira no Brasil: 2005-2009

The aim of this paper is to point the main research tendencies in teaching and learning English as a foreign language in the main postgraduate courses in this area, in Brazil, in the period 2005-2010. The adopted methodology for the data collection included the inventory of theses and dissertations, which are included in the sites of the universities with research lines in Applied Linguistics and were produced in the mentioned period. The most productive categories were the ones related to teacher formation, translation, language and technology and studies about teachers and students’ beliefs.

Economic aspects of production of Caiman crocodilus yacare

The breeding of crocodilians is still a recent activity in Brazil. Its peak was in the 1990's, but it has gaps in its production, as there are no norms for the commercial breeding of these animals in captivity. However, its economic potential is great, and the search for ecological balance and viability of commercial production has become a challenge among farmers of this activity. Therefor, the objective of the study was to economically analyze the production of Caiman crocodilus yacare on a farm located in Caceres, state of Mato Grosso, identifying relevant items of costs in the activity, as well as the parameters related to the profitability and viability of the activity. The economic results for the breeding of this animal were positive, with profitability ratios higher than 70%.

Hyperglycemia effects on epigenetic regulation of pax3 during the early embryonic development

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

Glycerol dehydration catalyzed by MWW zeolites and the changes in the catalyst deactivation caused by porosity modification

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Mitigation of the bullwhip effect considering trust and collaboration in supply chain management: a literature review

The aim of this paper is to provide results of trust and collaboration that lead to the mitigation of the bullwhip effect in supply chain management through a systematic literature review. The criterion for its inclusion in the sample of papers was that at least two reviews of the respective subfields were published in peer-reviewed journals between 1990 and 2014. A total of 24 articles were selected. The analysis found that few studies focused on addressing behavioral aspects to reduce the bullwhip effect. Most of them focused on operational and quantitative aspects. These results indicate the need for studies on behavioral aspects in mitigating the bullwhip effect, where trust and collaboration among those involved in the supply chain need to be developed and organized.

Differentiation of Haemonchus placei from Haemonchus contortus by PCR and by morphometrics of adult parasites and third stage larvae

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

Initial physic nut nutrition and potassium balance in the soil-plant system

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