Esenbeckia cowanii (Rutaceae), epitypification and emendation

A complete description of Esenbeckia cowanii Kaastra (Rutaceae) is presented, including new details for floral morphology. The original type of this taxon included only fruiting material, thus we designate an epitype with flowers. In addition, we provide taxonomic emendation to E. cowanii, including its leaf morphology variation, details of the fruit and seed, and an update of its geographic distribution.

Evidence-based medicine: an update on treatments for peritoneal dialysis-related peritonitis

Peritonitis continues to be a major complication of peritoneal dialysis (PD), and adequate treatment is crucial for a favorable outcome. There is no consensus regarding the optimal therapeutic regimen, and few prospective controlled studies have been published. The objective of this manuscript is to review the results of PD peritonitis treatment reported in narrative reviews, systematic reviews, and proportional meta-analyses. Two narrative reviews, the only existing systematic review and its update published between 1991 and 2014 were included. In addition, we reported the results of a proportional meta-analysis published by our group. Results from systematic reviews of randomized control trials (RCT) and quasi-RCT were not able to identify any optimal antimicrobial treatment, but glycopeptide regimens were more likely to achieve a complete cure than a first generation cephalosporin. Compared to urokinase, simultaneous catheter removal and replacement resulted in better outcomes. Continuous and intermittent IP antibiotic use had similar outcomes. Intraperitoneal antibiotics were superior to intravenous antibiotics in reducing treatment failure. In the proportional meta-analysis of RCTs and the case series, the resolution rate (86%) of ceftazidime plus glycopeptide as initial treatment was significantly higher than first generation cephalosporin plus aminoglycosides (66%) and glycopeptides plus aminoglycosides (75%). Other comparisons of regimens used for either initial treatment or treatment of gram-positive rods or gram-negative rods did not show statistically significant differences. The superiority of a combination of a glycopeptide and a third generation cephalosporin was also reported by a narrative review study published in 1991, which reported an 88% resolution rate.

Perfil pessoal e profissional de professores do ensino fundamental e médio: uma investigação com profissionais pertencentes à diretoria de ensino de Jaú-SP

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Estudo dos problemas ergonômicos da posição sentada em bancários

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Classificação de recursos trabalhistas: uma análise crítica da classificação decimal de direito com vistas a uma proposta metodológica de extensão

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Mycosis fungoides and Sézary syndrome: clinical, histopathological and immunohistochemical review and update

O artigo revisa os conceitos diagnósticos e de classificação da micose fungóide e da síndrome de Sézary a luz das publicações normativas mais recentes. Descreve a grande variabilidade de expressão clinica da micose fungóide em seus estágios iniciais assim como os aspectos histopatológicos e imuno-histoquímicos auxiliares ao diagnóstico. São descritos os critérios de diagnósticos exigidos para que se caracterize a síndrome de Sézary e o sistema de estadiamento, utilizado para ambas, micose fungóide e síndrome de Sézary.

Hadronic form factors and the J/psi secondary production cross section: An update

Improving previous calculations, we compute the D + (D) over bar J/psi + pi cross section using the most complete effective Lagrangians available. The new crucial ingredients are the form factors on the charm meson vertices, which are determined from QCD sum rules calculations. Some of them became available only very recently, and the last one, needed for our present purpose, is calculated in this work.

Review and update on the biology of coptotermes havilandi (Isoptera, Rhinotermitidae)

The introduction of Coptotermes havilandi in Brazil and some aspects of its biology are reviewed. We also describe an aerial principal nest collected from the 15th floor of a high-rise building and its subsidiary nest collected from the 14th floor of the same building. The population of the principal nest consisted of one imaginal physogastric queen, one imaginal king, 20 nymphoid neotenics (14 females and 6 males), 188 nymphs, many workers, presoldiers, soldiers and larvae. The population of the subsidiary nest consisted of 32 nymphoid neotenics (all females), alates, 2 preneotenics, some larvae and nymphs, many workers, presoldiers and soldiers. These neotenics were larger than those found in the principal nest. No eggs were found in either nest. A morphometric analysis of the nymphs and nymphoids was carried out and the morphology of the neotenics and of the imaginai reproductives is described.

Diabetes and pregnancy: An update of the problem

Pregnancies complicated by diabetes account for about 7% of all pregnancies attended by the Brazilian Unified Healthcare System (SUS) and are one of the main causes of maternal/perinatal morbidity and mortality in Brazil. Considering the importance of this topic, this article presents an update of diabetes classification, diagnostic criteria, maternal/perinatal outcomes, and both clinical and obstetric prenatal care. Even though there is no consensus about screening and diagnostic standards, the investigation of hyperglycemia in all risk pregnancies is recommended. The importance of adequate metabolic control is emphasized in order to improve maternal and neonatal outcomes. Finally, the development of educational programs is encouraged, viewing not only good gestational outcome but also long-term changes in the lifestyle of these women. © by São Paulo State University.

Chronic obstructive pulmonary disease and heart rate variability: a literature update

Background: The literature indicates that chronic obstructive pulmonary disease (COPD) affects cardiac autonomic control. In this study, we conducted a literature review in order to investigate the heart rate variability (HRV) in COPD subjects. Methods: A search was performed in Medline database, using the link between the keywords: “autonomic nervous system”, “cardiovascular system”, “COPD” and “heart rate variability”. Results: The search resulted in a total of 40 references. Amongst these references, the first exclusion resulted in the barring of 29 titles and abstracts, which were not clearly related to the purpose of review. This resulted in a total of 11 articles that were then read and utilized in the review. The selected studies indicated that there is significant reduction of HRV in patients with COPD, characterized by reduction of indices that assess parasympathetic activity in addition to dealing with the global autonomic modulation. We also established that supervised exercise can reduce these harmful effects in COPD patients. Also, it was reported that the use of non-invasive ventilation in these patients may contribute to the improvement of respiratory symptoms, with no impairing, and may even induce positive responses in cardiac autonomic regulation. Conclusion: The studies indicate a need for further investigations to guide future therapies to improve the treatment of cardiovascular system in the respiratory diseases.

Hepatitis C virus and dental health workers: an update

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Taxonomic update in Adenocalymma (Bignoniaceae): emendations, new synonyms, typifications, and status change

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

Advances and challenges in paracoccidioidomycosis serology caused by Paracoccidioides species complex: an update

Understanding the possible methodologies for the rapid and inexpensive identification of fungal infections is essential for disease diagnosis, but there are some limitations. To help with this problem, serological methods that detect antigens or antibodies are widely used and are useful for the diagnosis of paracoccidioidomycosis (PCM) through the detection of gp43, which is the main antigen employed for the immunodiagnosis of this disease caused by Paracoccidioides brasiliensis. However, the use of gp43 has become restricted because it was recently found that this marker is not identified in the infections caused by Paracoccidioides lutzii. Therefore, it is necessary to identify new antigens in both species or antigens specific for P. lutzii to decrease the morbidity and/or mortality associated with PCM. This review provides a discussion of new diagnostic challenges after the recent discoveries regarding the taxonomy of the Paracoccidioides genus.