A VEP study in sleeping and awake one-month-old infants and its relation with social behavior

With the present study we aimed to analyze the relationship between infants' behavior and their visual evoked-potential (VEPs) response. Specifically, we want to verify differences regarding the VEP response in sleeping and awake infants and if an association between VEP components, in both groups, with neurobehavioral outcome could be identified. To do so, thirty-two full-term and healthy infants, approximately 1-month of age, were assessed through a VEP unpatterned flashlight stimuli paradigm, offered in two different intensities, and were assessed using a neurobehavioral scale. However, only 18 infants have both assessments, and therefore, these is the total included in both analysis. Infants displayed a mature neurobehavioral outcome, expected for their age. We observed that P2 and N3 components were present in both sleeping and awake infants. Differences between intensities were found regarding the P2 amplitude, but only in awake infants. Regression analysis showed that N3 amplitude predicted an adequate social interactive and internal regulatory behavior in infants who were awake during the stimuli presentation. Taking into account that social orientation and regulatory behaviors are fundamental keys for social-like behavior in 1-month-old infants, this study provides an important approach for assessing physiological biomarkers (VEPs) and its relation with social behavior, very early in postnatal development. Moreover, we evidence the importance of the infant's state when studying differences regarding visual threshold processing and its association with behavioral outcome.

Relation between oral health and socioeconomic variables among schoolchildren aged 12 in the City of Manaus - AM

Studies have shown that the age of 12 was determined as the age of global monitoring of caries for international comparisons and monitoring of disease trends. The aimed was to evaluate the prevalence of dental caries, fluorosis and periodontal condition and their relation with socioeconomic factors among schoolchildren aged twelve in the city of Manaus, AM. This study with a probabilistic sample of 661 children was conducted, 609 from public and 52 from private schools, in 2008. Dental caries, periodontal condition and dental fluorosis were evaluated. In order to obtain the socioeconomic classification of each child (high, upper middle, middle, lower middle, low and lower low socioeconomic classes), the guardians were given a questionnaire. The mean decayed teeth, missing teeth, and filled teeth (DMFT) found at age twelve was 1.89. It was observed that the presence of dental calculus was the most severe periodontal condition detected in 39.48%. In relation to dental fluorosis, there was a low prevalence in the children examined, i.e., the more pronounced lines of opacity only occasionally merge, forming small white areas. The study showed a significant association of 5% among social class with dental caries and periodontal condition. In schoolchildren of Manaus there are low mean of DMFT and fluorosis, but a high occurrence of gingival bleeding.

Eating habits and psychopathology: translation, adaptation, reliability of the Nutrition Behavior Inventory to Portuguese and relation to psychopathology

Objective: The Nutrition-Behavior Inventory (NBI) is a self-administered instrument that allows eating habits to be correlated with psychopathological symptoms. The objective was to translate and adapt the NBI to Portuguese, and test the Portuguese NBI’s reliability. The second aim was to verify its sensitivity for identification of risk factors in terms of behavior/eating habits in children and adolescents. Methods: The NBI was translated, adapted, and back-translated. The Portuguese version of the NBI was then applied (N = 96; 9-12 years). In order to verify the internal consistency, Cronbach’s alpha was used. The psychopathological indicators of the participants were accessed using the Child Behavior Checklist (CBCL). The mean CBCL scores were analyzed in relation to the NBI data (cutoff point: ≥ 30 with indicators, and < 30 without). Results: Internal consistency was high (Cronbach’s alpha = 0.89) for the NBI. The CBCL scores correlated significantly with NBI (> 30) on the following: anxiety and depression (p = 0.041), social difficulties (p = 0.028), attention problems (p = 0.001), aggressive behavior (p = 0.015); ADHD (p < 0.001), and conduct problems (p = 0.032). Conclusion: The present results indicate that the NBI is a reliable instrument. The NBI can be useful for evaluating psychopathological symptoms related to the eating habits and behaviors of children and adolescents.

Long-term prognosis of geriatric major depression in relation to cognition and white matter integrity: follow up of two cases

INTRODUCTION: The geriatric depression (GD) represents one of the most frequent psychiatric disorders in outpatient services specialized in old-age treatment. OBJECTIVE: The course of two illustrative cases of GD is discussed, highlighting its clinical picture after antidepressant treatment and underlining variables related to disease prognosis, treatment effectiveness and conversion to major cognitive disorders such as vascular dementia (VD). METHODS: The cognitive performance, depressive symptoms, autonomy and brain structural measurements as white matter hyperintensities (WMH) and hippocampal size, and microstructural integrity of WM with diffusion tensor imaging were followed during four years. RESULTS: Case 1, with a severe degree of WMH, was associated with worsening cognition and increasing functional disability. Case 2, with mild WMH, an improvement of cognitive functioning could be seen. CONCLUSIONS: The existence of different subtypes of GD, as presented in this report, points a pathophysiological heterogeneity of GD, and suggests a possible continuum vascular depression (VaDp) and vascular cognitive impairment (VCI).

Exercise and heart failure. Relation of the severity of the disease to the anaerobic threshold and the respiratory compensation point

OBJECTIVE - To identify, the anaerobic threshold and respiratory compensation point in patients with heart failure. METHODS - The study comprised 42 Men,divided according to the functional class (FC) as follows: group I (GI) - 15 patients in FC I; group II (GII) - 15 patients in FC II; and group III (GIII) - 12 patients in FC III. Patients underwent a treadmill cardiopulmonary exercise test, where the expired gases were analyzed. RESULTS - The values for the heart rate (in bpm) at the anaerobic threshold were the following: GI, 122±27; GII, 117±17; GIII, 114±22. At the respiratory compensation point, the heart rates (in bpm) were as follows: GI, 145±33; GII, 133±14; GIII 123±22. The values for the heart rates at the respiratory compensation point in GI and GIII showed statistical difference. The values of oxygen consumption (VO2) at the anaerobic threshold were the following (in ml/kg/min): GI, 13.6±3.25; GII, 10.77±1.89; GIII, 8.7±1.44 and, at the respiratory compensation point, they were as follows: GI, 19.1±2.2; GII, 14.22±2.63; GIII, 10.27±1.85. CONCLUSION - Patients with stable functional class I, II, and III heart failure reached the anaerobic threshold and the respiratory compensation point at different levels of oxygen consumption and heart rate. The role played by these thresholds in physical activity for this group of patients needs to be better clarified.

End-systolic pressure-diameter relation of the left ventricle during transient and sustained elevations of blood pressure

OBJECTIVE: To assess the effect of transient and sustained variations in cardiac load on the values of the end-systolic pressure-diameter relation (ESPDR) of the left ventricle. METHODS: We studied 13 dogs under general anesthesia and autonomic blockade. Variations of cardiac loads were done by elevation of blood pressure by mechanical constriction of the aorta. Two protocols were used in each animal: gradual peaking and decreasing pressure variation, the "transient arterial hypertension protocol" (TAH), and a quick and 10 min sustained elevation, the "sustained arterial hypertension protocol"(SAH). Then, we compared the ESDR in these two situations. RESULTS: Acute elevation of arterial pressure, being it "transitory" or "sustained", did not alter the heart frequency and increased similarly the preload and after load. However, they acted differently in end systolic pressure-diameter relation. It was greater in the SAH than TAH protocol, 21.0±7.3mmHg/mm vs. 9.2±1.2mmHg/mm (p<0.05). CONCLUSION: The left ventricular ESPDR values determined during sustained pressure elevations were higher than those found during transient pressure elevations. The time-dependent activation of myocardial contractility associated with the Frank-Starling mechanism is the major factor in inotropic stimulation during sustained elevations of blood pressure, determining an increase in the ESPDR values.

Acute Myocardial Infarction: The First Manifestation of Ischemic Heart Disease and Relation to Risk Factors

OBJECTIVE: To assess the association between cardiovascular risk factors and acute myocardial infarction as the first manifestation of ischemic heart disease, correlating them with coronary angiographic findings. METHODS: We carried out a cross-sectional study of 104 patients with previous acute myocardial infarction, who were divided into 2 groups according to the presence or absence of angina prior to acute myocardial infarction. We assessed the presence of angina preceding acute myocardial infarction and risk factors, such as age >55 years, male sex, smoking, systemic arterial hypertension, lipid profile, diabetes mellitus, obesity, sedentary lifestyle, and familial history of ischemic heart disease. On coronary angiography, the severity of coronary heart disease and presence of left ventricular hypertrophy were assessed. RESULTS: Of the 104 patients studied, 72.1% were males, 90.4% were white, 73.1% were older than 55 years, and 53.8% were hypertensive. Acute myocardial infarction was the first manifestation of ischemic heart disease in 49% of the patients. The associated risk factors were systemic arterial hypertension (RR=0.19; 95% CI=0.06-0.59; P=0.04) and left ventricular hypertrophy (RR=0.27; 95% CI=0,.8-0.88; P=0.03). The remaining risk factors were not statistically significant. CONCLUSION: Prevalence of acute myocardial infarction as the first manifestation of ischemic heart disease is high, approximately 50%. Hypertensive individuals more frequently have symptoms preceding acute myocardial infarction, probably due to ventricular hypertrophy associated with high blood pressure levels.

Relation between the behaviors of P-wave and QT dispersions in elderly patients with heart failure

OBJECTIVE: To assess the relation between P-wave and QT dispersions in elderly patients with heart failure. METHODS: Forty-seven elderly patients (75.6±6 years) with stable heart failure in NYHA functional classes II or III and with ejection fractions of 37±6% underwent body surface mapping to analyze P-wave and QT dispersions. The degree of correlation between P-wave and QT dispersions was assessed, and P-wave dispersion values in patients with QT dispersion greater than and smaller than 100 ms were compared. RESULTS: The mean values of P-wave and QT dispersions were 54±14 ms and 68±27 ms, respectively. The correlation between the 2 variables was R=0.41 (p=0.04). In patients with QT dispersion values > 100 ms, P-wave dispersion was significantly greater than in those with QT dispersion values < 100 ms (58±16 vs 53±12 ms, p=0.04 ). CONCLUSION: Our results suggest that, in elderly patients with heart failure, a correlation between the values of P-wave and QT dispersions exists. These findings may have etiopathogenic, pathophysiologic, prognostic, and therapeutic implications, which should be investigated in other studies.

Sustentabilidad del monocultivo de soja y otras alternativas agrícolas, en relación a los recursos suelo y agua, en la Región Centro-Norte de Córdoba. Sustainability of soybean monoculture and another agricultural alternatives, in relation to soil and water natural resources, in the north-central area of Cordoba (Argentina).

En este proyecto se pretende demostrar que existen alternativas sustentables al monocultivo de soja y económicamente factibles si se consideran los costos ambientales.Se cumplirán los siguientes objetivos específicos:- Caracterizar la sensibilidad de indicadores de calidad del suelo: infiltración, densidad aparente, penetrometría, C orgánico, fracciones de la MO y un índice químico de disponibilidad de N. - Medir escurrimiento y erosión en dos microcuencas con manejos contrastantes donde existe instrumental instalado y registros desde hace mas de 10 años.- Establecer rangos para las situaciones encontradas en los suelos representativos de la región.- Integrar los parámetros considerados en un sistema de diagnóstico de calidad/salud del suelo, para las condiciones de la región. - Aplicar el sistema de Calidad/salud del suelo para situaciones con monocultivo de soja y otras alternativas.- Calibrar y aplicar el modelo de simulación de la materia orgánica AMG, al monocultivo de soja y otras alternativas, a distintas escalas temporales y espaciales.- Estimar los costos ambientales de monocultivo a partir de los datos obtenidos.- Extrapolar los resultados del monocultivo y las otras alternativas a los suelos característicos, para estimar la sustentabilidad de los suelos en el centro-norte de la provincia de Córdoba.Se trabajará en dos áreas piloto en campos de productores, con y sin erosión hídrica. Se evaluarán parámetros indicadores del estado de los suelos, se los integrará en un sistema, se evaluarán los suelos con situaciones de monocultivo de soja y manejos contrastantes y se los correlacionará con su historial de intervención antrópica. Se brindará una herramienta apta para el ordenamiento territorial.

Manejo ganadero y restauración de ambientes montanos en relación a la biodiversidad, el suelo y la producción de agua. Livestock management and ecological restoration of mountain environments in relation to biodiversity, soil and water production.

Las áreas montanas brindan numerosos bienes y servicios a la humanidad cómo la provisión de agua. Asimismo, albergan una biota muy diversa y existe en ellas una actividad económica de considerable importancia centrada en la ganadería. En algunos casos las actividades asociadas a la ganadería pueden modificar los ecosistemas montanos y los bienes y servicios que brindan de forma drástica. Esto se debe a los cambios en la vegetación, y la pérdida y compactación de los suelos, que tiene repercusiones en la cantidad de agua captada, evapotranspirada y almacenada. También tiene repercusiones sobre la biodiversidad, tanto positivas como negativas. Aquí nos propusimos investigar cómo los cambios en la cobertura vegetal producidos por cuatro siglos de uso ganadero en el piso superior de las Sierras de Córdoba (Centro Argentino) han afectado a atributos del ecosistema como la diversidad vegetal, la integridad de los suelos y la capacidad de proveer agua a la población humana. A su vez, nos propusimos estudiar en detalle cómo las distintas opciones actuales de manejo pueden afectar a la cobertura vegetal y por ende a los atributos del ecosistema. De este modo, esperamos: (1) poder desarrollar un modelo espacialmente explícito que permita predecir la evolución del ecosistema ante distintos escenarios de manejo. (2) Más a largo plazo determinar los costos y los beneficios de los distintos manejos, en términos de la conservación de la biodiversidad, los suelos y la provisión de agua. El área de estudio cuenta un Sistema de Información Geográfica muy completo que incluye numerosas capas de información (vegetación, topografía, casas y caminos y otras). Además, existe en el área un Parque Nacional, con potreros bajo distintos manejos ganaderos (exclusión, cargas ganaderas moderadas continuas y estacionales), y una zona con herbivoría nativa de guanacos, que fueron reintroducidos recientemente en el Parque. Fuera del Parque, hay establecimientos con ganadería tradicional, con cargas ganaderas altas; así como un área donde se ha realizado una restauración modelo mediante reforestación y revegetación de zonas erosionadas. Estos escenarios representan una oportunidad muy especial para realizar estudios comparativos de la evolución de la fisonomía, composición florística, diversidad vegetal, integridad del suelo (erosión, tasa de infiltración, contenido de agua a lo largo del año) y el caudal de los arroyos en la estación seca. En este proyecto proponemos seguir con mediciones de la evolución de la vegetación bajo los distintos escenarios y seguir averiguando métodos de restauración de la vegetación. Además, proponemos empezar a realizar mediciones relacionadas al valor de los distintos tipos de cobertura vegetal, resultado de cuatro siglos de historia de disturbio, sobre la diversidad y los recursos hídricos. Por otro lado, realizaremos mediciones ecofisiológicas en las especies dominantes, para comprender sus efectos sobre el ciclo del agua.

Caracterización de biotipos ovinos en relación a su producción de carne y lana en dos áreas de la provincia de Córdoba . Characterization of sheep biotypes in relation to the mutton and wool production in two areas into province of Córdoba.

Si bien las existencias ovinas en Córdoba son solo un 15% menores que las caprinas, esta producción no ha tenido igual énfasis en el desarrollo de proyectos de investigación, desarrollo y/o extensión. No obstante, las nuevas circunstancias productivas y las leyes de promoción han generado el desarrollo de emprendimientos comerciales que incluyen esta producción. Siendo una población ovina residual, en su gran mayoría está compuesta de majadas con base criolla y cruzas diversas con razas estandarizadas, frente a lo cual parecería que la problemática productiva de carne y lana tiene una seria limitante. Sin embargo, las experiencias en otros lugares del país y en otros paises confirma una buena alternativa de producción de carne de corderos pesados y lana para tapicería con cruzas y poblaciones primarias. Esto plantea la hipótesis que el desarrollo de sistemas de producción ovina basada en corderos livianos y/o pesados se complementa con la producción de lana para tapicería. El objetivo general de este proyecto es: evaluar biológica y económicamente biotipos ovinos ya criados en dos áreas de la provincia, en relación a la producción de carne y lana a través de estudios de estructuras de poblaciones y ensayos específicos, con la finalidad de conocer la posible rentabilidad en cada caso. El proyecto se va a desarrollar en dos localidades con carcacterísticas agroecológicas distintas: llanura con producción agrícola (Grupo Cambio Rural Los Pecorinos, Villa María) y pastizales de altura (Asociación de Arrendatarios de Pampa de Olaen, La Falda). Inicialmente se van a desarrollar estudios de estructura productiva en carne y lana e identificación de biotipos específicos y luego se va a desarrollar un ensayo de engorde de corderos destetados, evaluación de la producción de lana, del crecimiento y faena para evaluar calidad de canal y calidad de carne para dos categorias: livianos(2 meses edad de faena) y pesados (5 meses). Este proyecto pretende demostrar la factibilidad de producir corderos pesados en las condiciones actuales y con los biotipos existentes, cumpliementando el ingreso con la producción de lana de excelente calidada para la confección de alfombras, lo cual no deberías de ser incompatible entre sí (carne-lana).