60 resultados para Tip

em Scielo Saúde Pública - SP


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Highly efficient mechanisms regulate intracellular calcium (Ca2+) levels. The recent discovery of new components linking intracellular Ca2+ stores to plasma membrane Ca2+ entry channels has brought new insight into the understanding of Ca2+ homeostasis. Stromal interaction molecule 1 (STIM1) was identified as a Ca2+ sensor essential for Ca2+ store depletion-triggered Ca2+ influx. Orai1 was recognized as being an essential component for the Ca2+ release-activated Ca2+ (CRAC) channel. Together, these proteins participate in store-operated Ca2+ channel function. Defective regulation of intracellular Ca2+ is a hallmark of several diseases. In this review, we focus on Ca2+ regulation by the STIM1/Orai1 pathway and review evidence that implicates STIM1/Orai1 in several pathological conditions including cardiovascular and pulmonary diseases, among others.

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O presente trabalho refere-se ao estudo dos resultados clínicos e histológicos obtidos após a turbinectomia inferior parcial (TIP), cirurgia indicada no tratamento da obstrução nasal crônica causada pela hipertrofia das conchas nasais inferiores. MATERIAL E MÉTODOS: Foram estudados vinte pacientes, divididos em dois grupos de dez cada (grupos A e B), submetidos à TIP, associada à septoplastia ou não. Os pacientes foram reavaliados clinicamente e histologicamente (com biópsia das áreas regeneradas das conchas inferiores), em dois períodos pós-operatórios diferentes: um grupo após oito a doze meses (grupo A) e outro após dois anos de TIP (grupo B). RESULTADOS: Os resultados clínicos mostraram-se satisfatórios para o alívio da obstrução nasal no grupo A, e insatisfatórios no grupo B. Entretanto, melhores resultados histológicos, com maior recuperação e diferenciação epitelial da mucosa regenerada das conchas inferiores após a TIP foram observados no grupo B, com sua ultraestrutura ciliar normal. CONCLUSÕES: A cirurgia revelou ser eficaz a curto, mas não em médio prazo, apesar da recuperação histológica ter sido importante.

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INTRODUCTION: The purpose of this study was to establish the late onset sepsis (LOS) rate of our service, characterize the intestinal microbiota and evaluate a possible association between gut flora and sepsis in surgical infants who were receiving parenteral nutrition (PN). METHODS: Surveillance cultures of the gut were taken at the start of PN and thereafter once a week. Specimens for blood culture were collected based on clinical criteria established by the medical staff. The central venous catheter (CVC) tip was removed under aseptic conditions. Standard laboratory methods were used to identify the microorganisms that grew on cultures of gut, blood and CVC tip. RESULTS: 74 very low birth weight infants were analyzed. All the infants were receiving PN and antibiotics when the gut culture was started. In total, 21 (28.4%) infants experienced 28 episodes of LOS with no identified source. Coagulase negative staphylococci were the most common bacteria identified, both in the intestine (74.2%) and blood (67.8%). All infections occurred in patients who received PN through a central venous catheter. Six infants experienced episodes of microbial translocation. CONCLUSIONS: In this study, LOS was the most frequent episode in neonates receiving parenteral nutrition who had been submitted to surgery; 28.6% of this infection was probably a gut-derived phenomenon and requires novel strategies for prevention.

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Introduction Vascular access in patients undergoing hemodialysis is considered a critical determinant of bloodstream infection (BSI) and is associated with high morbidity and mortality. The purpose of this study was to investigate the occurrence of BSI in patients with end-stage renal disease using central venous catheters for hemodialysis. Methods A cohort study was conducted in a public teaching hospital in central-western Brazil from April 2010 to December 2011. For every patient, we noted the presence of hyperemia/exudation upon catheter insertion, as well as fever, shivering, and chills during hemodialysis. Results Fifty-nine patients were evaluated. Thirty-five (59.3%) patients started dialysis due to urgency, 37 (62.7%) had BSI, and 12 (20%) died. Hyperemia at the catheter insertion site (64.9%) was a significant clinical manifestation in patients with BSI. Statistical analysis revealed 1.7 times more cases of BSI in patients with hypoalbuminemia compared with patients with normal albumin levels. The principal infective agents identified in blood cultures and catheter-tip cultures were Staphylococcus species (24 cases), non-fermentative Gram-negative bacilli (7 cases of Stenotrophomonas maltophilia and 5 cases of Chryseobacterium indologenes), and Candida species (6). Among the Staphylococci identified, 77.7% were methicillin-resistant, coagulase-negative Staphylococci. Of the bacteria isolated, the most resistant were Chryseobacterium indologenes and Acinetobacter baumannii. Conclusions Blood culture was demonstrated to be an important diagnostic test and identified over 50% of positive BSI cases. The high frequency of BSI and the isolation of multiresistant bacteria were disturbing findings. Staphylococcus aureus was the most frequently isolated microorganism, although Gram-negative bacteria predominated overall. These results highlight the importance of infection prevention and control measures in dialysis units.

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Fundamento: Caracterizada por perda súbita e transitória da consciência e do tônus postural, com recuperação rápida e espontânea, a síncope é causada por uma redução aguda da pressão arterial sistêmica e, por conseguinte, do fluxo sanguíneo cerebral. Os resultados insatisfatórios com o uso de fármacos permitiu que o tratamento não farmacológico da síncope neurocardiogênica fosse contemplado como primeira opção terapêutica. Objetivos: Comparar, em pacientes com síncope neurocardiogênica, o impacto do Treinamento Físico Aeróbico (TFA) de moderada intensidade e de uma intervenção controle, na positividade do Teste de Inclinação Passiva (TIP) e no tempo de tolerância ortostática. Métodos: Foram estudados 21 pacientes com história de síncope neurocardiogênica recorrente e TIP positivo. Esses foram aleatorizados em: Grupo Treinado (GT), n = 11, e Grupo Controle (GC), n = 10. O GT foi submetido a 12 semanas de TFA supervisionado, em cicloergômetro, e o GC, a um procedimento controle que consistia na realização de 15 minutos de alongamentos e 15 minutos de caminhada leve. Resultados: O GT apresentou efeito positivo ao treinamento físico, com aumento significativo do consumo de oxigênio-pico. Já o GC não apresentou nenhuma mudança estatisticamente significante, antes e após a intervenção. Após o período de intervenção, 72,7% da amostra do GT apresentou resultado negativo ao TIP, não apresentando síncope na reavaliação. Conclusão: O programa de treinamento físico aeróbico supervisionado por 12 semanas foi capaz de reduzir o número de TIP positivos, assim como foi capaz de aumentar o tempo de tolerância na posição ortostática durante o teste após o período de intervenção.

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The genus Homodiaetus Eigenmann & Ward, 1907 is revised and four species are recognized. Its distribution is restricted to southeastern South America, from Uruguay to Paraguay river at west to the coastal drainages of Rio de Janeiro State, Brazil. Homodiaetus is currently distinguished from other genus of Stegophilinae by the combination of the following characters: origin of ventral-fin at midlength between the snout tip and the caudal-fin origin; opercle with three or more odontodes; and gill membranes confluent with the istmus. Homodiaetus anisitsi Eigenmann & Ward, 1907, is diagnosed by the caudal-fin with black middle rays, margin of upper and lower procurrent caudal-fin rays with dark stripes extending to the caudal-fin, and 3-6 opercular odontodes; H. passarellii (Ribeiro, 1944) with 6-7 opercular odontodes, 21-24 lower procurrent caudal-fin rays and 23-26 upper procurrent caudal-fin rays; H. banguela sp. nov. with 9 opercular odontodes, 17-19 lower procurrent caudal-fin rays, 17-22 upper procurrent caudal-fin rays, reduction of fourth pharyngobranchial with only three teeth and untoothed fifth ceratobranchial; and H. graciosa sp. nov. with 5-6 dentary rows, 7-9 opercular odontodes and 16-23 upper procurrent caudal-fin rays.

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We describe the mating behavior of Adelosgryllus rubricephalus Mesa & Zefa, 2004. In trials carried out in laboratory we verified the following mating sequence: (1) sexual recognition by antennation; (2) courtship with male turning his abdomen towards the female, performing mediolateral antennae vibration, jerking its body antero-posteriorly and stridulating intermittently, while receptive female drums on the male's abdomen tip, cerci and hind-tibia with her palpi or foretarsi; the male then stops and stays motionless for some seconds, extrudes the spermatophore and both restart the behavioral sequence described above; (3) copulation: male underneath female; with his tegmina inclined forward, and joins his genitalia to the female's to promote sperm transference ; the female steps off the male, occurring a brief end-to-end position; (4) postcopulation: without guarding behavior; male retains the spermatophore and eats it. We quantified elapsed time of each behavioral sequence and discussed its implications in the observed mating behavior.

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A new species of Tmesiphantes Simon, 1892, T. aridai sp. nov., is described and illustrated based on three males and three females collected at the Floresta Nacional do Tapajós, Santarém, state of Pará, Brazil. Males can be distinguished from T. perp Guadanucci & Silva, 2012 by the palpal bulb with an inconspicous tegular basal projection, but presenting a very slender embolus with shorter keels not extending to the tip, and from T. nubilus Simon, 1892 by the tibial apophysis with two similarly sized branches, the prolateral one with a strong spine on the retrolateral margin. Females resemble T. nubilus by the aspect of the seminal receptacle but the constriction near the apex is less evident and apex shape is irregular. The new species represents the first record of Tmesiphantes from the Amazonian region, bringing the total number of species to eight.

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ABSTRACT A new species of Phrixotrichus Simon, 1889, P. pucara sp. nov., is described and illustrated based on a male from Pucará river, Neuquén province, Argentina. Male can be distinguished from all other species of the genus by the presence of a long strong spine on inner face of prolateral branch of tibial apophysis; also, it differs from P. scrofa (Molina, 1788) and P. vulpinus (Karsch, 1880) by a serrated prolateral keel of the male palpal bulb. Male resembles P. jara Perafán & Pérez-Miles, 2014 but can be distinguished by the uniform color on dorsal cephalothorax and by the palpal organ morphology being wider on the bulb base and embolus shorter and thicker, with the tip of embolus not so directed retrolaterally and prolateral keel bearing a serrated edge with three teeth. Additionally, P. vulpinus is reported for the first time for Argentina along with new distributional data.

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ABSTRACT We described a new species of spider, Alpaida clarindoi sp. nov. (Araneidae), from the southwestern Amazon forest. The new species is distinguished from most Alpaida by the presence of a pair of shoulders spines. Females can be separated from similar species by the subquadrangular shape of the epigynum, and males by the shape of the terminal apophysis and the tegulum, which possess an apical pointed tip. Alpaida clarindoi sp. nov. is described based on both sexes.

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Hyla claresignata Lutz & Lutz, 1939, is a large species apparently not closely allied to the other known Brazilian hylas. It is characterized by the very small tympanum; the head is short and the snout rounded; the legs are long, the hands and feet unusually large, the latter extensively webbbed. The specific name is derived from the insular, irregular, or roughly triangular, dark spots, with a light halo, found mostly in the dorso-lateral region and on the legs. It belongs to the rain-forest fauna of the Marítime Range. The adult is a bromeliad-dweller and the tadpole rhyacophilous. DESCRIPTION. Vomerine teeth in two separate, oblique, groups, behind the large choanae, parallel to the posterior half of their inner border. Tongue entire, short, very broad and hardly free behind. Snout short, rounded, with distinct canthus rostralis and gradually sloping loreal region. Eye very large and prominent, its horizontal diameter almost equal to the distance between its anterior corner and the tip of the snout. Tympanum very small, less than one third of the diameter of the eye, but distinct, partly covered by a short, heavy ridge. Lateral fingers less than one third webbed; fourth finger slightly longer than the second, just reaching the base of the disk of the third; subarticular tubercles well developed; an angular pollex rudiment, more noticeable in the males. Toes almost completely webbed, the edge of the web inserted at the base of the disk on the third and the fifth; an inner metatarsal tubercle. Skin smooth above, granular beneath, on the throat minutely so. No dermal appendage on the hell. Habit robust, head broader than long, body rather heavy, slightly narrowed in the postaxillary region. Legs long, the tibiotarsal articulation reaching beyond the tip of the snout when adpressed. Type (female): 61 mm. (Fig. 1.) DIAGNOSIS of TADPOLE (by G. Orton). "A large specialized, mountain-stream tadpole, with wide head an elongated, flattened snout, greatly enlarged lips and high tooth formula. Eyes dorsal. Spiracle sinistral, projecting, situated far back on side. Anus dextral. Tooth formula 8/12 to 9/14 in fully grown larvae. Tail with a prominent, vertical dark band across musculature and fins; a second concentration of dark pigment near tip of tail, may or may not form a similar but narrower band. Maximum known total length: 60mm.; head and body length 25mm. (Figs. 6 e 7). For further details see Lutz & Lutz, 1939 and Lutz B. & Orton G. 1946.

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A description of Physa marmorata Guilding, 1828, based on material collected at its type-locality, the Caribbean island of Saint Vincent, is presented. The shell is thin, horn-colored, surface very glossy, diaphanous. Spire acute, elevated; protoconch distinct, rounded-conical, reddish-brown; five not shouldered, broadly convex whorls with subobsolete spiral lines and thin growth lines. Aperture elongated, 1.4-2.0 times as long as the remaining shell length, narrow obovate-lunate; upper half acute-angled,lower half oval,narrowly rounded at the base, outer lip sharp, inner lip completely closing the umbilical region; a very distinct callus on the parietal wall; columellar lip with a low ridge gradually merging into the callus. ratios: shell width/shell length = 0.44 - 0.52 (mean 0.47); spire length /shell lenght = 0.33-0.41 (mean 0.39); aperture length/shell lenght = 0.59-0.67 (mean 0.62). Oral lappets laterally mucronate, foot spatulate with deeply pigmented acuminate tail. Mantle reflection with 6-10 short triangular dentations covering nearly half the right surface of the body whorl, and 4-6 covering a part of the ventral wall. Body surface with tiny dots of greenish-yellow pigment besides melanin. Renal tube tightly folded in toa zigzag course. Ovotestis diverticula acinous, laterally pressed against each other around a collecting canal. Ovispermiduct with well-developed seminal vesicle. oviduct highly convoluted, merging into a less convoluted nidamental gland which narrows to a funnel-shaped uterus and a short vagina. Spermathecal body oblong, more or less constricted in the middle and somewhat curved; spermathecal duct uniformly narrow, a little longer than be body. About 20 prostatic diverticula, simple, bifurcate or divided into a few short branches, distalmost ones assembled into a cluster. Penis long, nearly uniformly narrow; penial canal with lateral opening about the junction of its middle and lower thirds. Penial sheath with a bulbous terminal expasion the tip of which isinserted into the caudal end of the prepuce. Prepuce shouldered, much wider than the narrow portion of the penial sheath. Penial sheath/prepuce ratio about 2.08 (1.45-2.75). The main extrinsic muscles of the penial complex are a retractor, with a branch attached to the bulb, and another to the caudal end of the penial sheath; and a protractor, with a branch attached to the shoulder of the prepuce and adjoining area of the penial sheath, and another to the caudal end of the penial sheath. Egg capsule C-shaped, with 10-30 elliptical eggs (snails 10mm long) measuring about 1.10 mm (0.90-1.32) through the long axis and surrounded by an inner and an outer lamellate membranes. Jaw a simple obtusely V-shaped plate. radula will be described separately.

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A description of Pomacea sordida (Swainson, 1823) collected in Caxias and Nova Iguaçu, state of Rio de Janeiro, is presented. The shell is globose, heavy, whith greenish or horn-colored periostracum and dark spinal bands; apex subelevated, 4-5 moderately shoudered whorls, increasing rather rapidly and separated by deep suture. Aperture large, moderately round, yellowish or violaceous; lip thick and sometimes dark brown; umbilicus large and deep; operculum corneous and heavy, entirely closing the aperture. Ratios: shell width/shell length = 0.81-0.91 (mean 0.86); aperture length/shell length = 0.66-0.75 (mean 0.70). Testis, spermiduct and penis pouch as in Pomacea lineata (Spix, 1827). Seminal vesicle whitish and bean-shaped. Prostate cylindric and narrow, cream in coloar as the testis. Penis whiplike whith a closed circular spermiduct. Penial sheath elongated and tapered, with its distal tip turned to the right; outer basal gland situated on the left; inner median gland rounded; apical gland elongated and wrinkled. Ovary composed of branched whitish tubules lying superficially on the digestive gland; oviduct and seminal receptacle as in P. lineata; albumen gland yellowish - orange. Vestigial male copulatory apparatus (penis and its sheath) present in all females examined.

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Gastromermis cordobensis n. sp (Nematoda: Mermithidae) a parasite of larvae of the blackfly Simulium lahillei Paterson & Shannon (Diptera: Simuliidae) in Argentina, is described. Diagnostic characters of this species include a mouth ventrlly shifted; six cephalic papillae; eigh hypodermal chords; small and pear shaped amphids; a long and S-shaped vagina; a singl spicule, which is long, has non-uniform walls, and a tip with sculpture; three rows of genital papillae, the middle one with 18 pre-anal and 10 post-anal papillae, the lateral rows have 36 papillae each; oval eggs; and post-parasitic juveniles with long thin tails. Pre-parasitic and parasitic juveniles are included in the description.