Brazilian consensus on gastroesophageal reflux disease: Proposals for assessment, classification, and management

The Brazilian Consensus on Gastroesophageal Reflux Disease considers gastroesophageal reflux disease to be a chronic disorder related to the retrograde flow of gastroduodenal contents into the esophagus and/or adjacent organs, resulting in a variable spectrum of symptoms, with or without tissue damage. Considering the limitations of classifications currently in use, a new classification is proposed that combines three criteria - clinical, endoscopic, and pH-metric - providing a comprehensive and more complete characterization of the disease. The diagnosis begins with the presence of heartburn, acid regurgitation, and alarm manifestations (dysphagia, odynophagia, weight loss, GI bleeding, nausea and/or vomiting, and family history of cancer). Also, atypical esophageal, pulmonary, otorhinolaryngological, and oral symptoms may occur. Endoscopy is the first approach, particularly in patients over 40 yr of age and in those with alarm symptoms. Other exams are considered in particular cases, such as contrast radiological examination, scyntigraphy, manometry, and prolonged pH measurement. The clinical treatment encompasses behavioral modifications in lifestyle and pharmacological measures. Proton pump inhibitors in manufacturers' recommended doses are indicated, with doubling of the dose in more severe cases of esophagitis. The minimum time of administration is 6 wk. Patients who do not respond to medical treatment, including those with atypical manifestations, should be considered for surgical treatment. Of the complications of gastroesophageal reflux disease, Barrett's esophagus presents a potential development of adenocarcinoma; biopsies should be performed, independent of Barrett's esophagus extent or location. In this regard the designation short Barrett's is not important in terms of management and prognosis. © 2002 by Am. Coll. of Gastroenterology.

Anatomical investigation of the slender catshark Schroederichthys tenuis Springer, 1966, with notes on intrageneric relationships (Chondrichthyes: Carcharhiniformes: Scyliorhinidae)

The slender catshark Schroedericthys tenuis Springer, 1966, originally described from two immature males, is redescribed on the basis of 12 specimens of both sexes, juveniles and adults (as well as the holotype and paratype). The supplementary specimens were collected off the northern coast of Brazil between Amapá and Pará states. Aspects of its external morphology, color pattern, dermal denticles, dentition, vertebral counts, and the cephalic, clasper and pectoral fin skeleton are described in detail and fully illustrated. These features are compared with those of congeneric species. Our observations support preliminary results of work in progress that S. maculatus Springer, 1966, S. tenuis and S. saurisqualus Soto, 2003 form a monophyletic group, mostly on the basis of neurocranial morphology, and that S. bivius (Smith, 1838) and S. chilensis (Guichenot, 1848) should be removed from Schroederichthys. Copyright © 2006 Magnolia Press.

Effect of disinfection treatments on the hardness of soft denture liner materials

Purpose: To evaluate the effects of disinfection treatments with chemical solutions (2% glutaraldehyde, 5% sodium hypochlorite, and 5% chlorhexidine) and microwave energy on the hardness of four long-term soft denture liners. Materials and Methods: Forty rectangular specimens of four soft lining materials (Molloplast-B, Ufi Gel P, Eversoft, and Mucopren soft) were made for each material. Ten samples of each material were immersed in different disinfectant solutions for 10 minutes or placed in a microwave oven for 3 minutes at 500 W. The hardness values were obtained with a Shore A durometer, before the first disinfection cycle (control), and also after two cycles of disinfection. Data were submitted to analysis of variance and Tukey's test (p < 0.01). Results: The highest value of hardness was obtained for Molloplast-B, independent of the disinfection technique. Mucopren soft demonstrated intermediate values and Ufi Gel P and Eversoft the lowest values of Shore A hardness. For Molloplast-B, the disinfection using glutaraldehyde demonstrated the highest value of hardness. The number of disinfections had no effect on the hardness values for all the materials studied and disinfection techniques. Conclusions: The application of two disinfection cycles did not change the Shore A hardness values for all the materials. The glutaraldehyde solution demonstrated the highest values of Shore A hardness for the Molloplast-B, Mucopren soft, and Ufi Gel P materials, while Eversoft did not present any differences in hardness when submitted to different disinfection treatments. Copyright © 2007 by The American College of Prosthodontists.

Cursos de geologia: expansão, interiorização e consolidação do ensino de geologia no brasil

A short time after the creation of the first Geology courses in Brazil (in 1957 with the pioneers in the University of São Paulo and in the Federal Universities of Ouro Preto, Pernambuco and Rio Grande do Sul, and then in the following year in the Federal Universities of Bahia and Rio de Janeiro), there arose other initiatives that spread almost twenty Geology courses throughout Brazil. In addition to expanding the Geology teaching in the South, Southeast and Northeast regions, these initiatives succeeded in allowing access to geological education for the population in the North and Central-west of Brazil. In the 1960s, the courses in the Federal University of Para in Belém (1964), University of Brasilia (1965) and São Paulo State University in Rio Claro (1969) were implanted. In the following decade, the courses in the Federal Rural University of Rio de Janeiro in Seropédica (1970), the Federal University of Ceará in Fortaleza (1970), the University of Rio dos Sinos in São Leopoldo (1973), the Federal University of Paraná in Curitiba (1973), the Federal University of Minas Gerais in Belo Horizonte (1973), the Federal University of Amazonas in Manaus (1976), the Federal University of Mato Grosso in Cuiabá (1976), the Federal University of Rio Grande do Norte in Natal (1976), and the State University of Rio de Janeiro in Rio de Janeiro (1977) were all created. At the close of the twentieth century, the course was implanted in the State University of Campinas (1998). Now, at the beginning of the twenty-first century, new Geology courses are being implanted, accentuating the movement inland of Geology teaching in Brazil. The Federal University of Pará began a new course in its campus in Marabá in the south-east of Pará and the Federal University of Bahia implanted a new course in its campus in Barreiras in the west of Bahia. Finally, the Federal Universities of Sergipe, Espírito Santo and Roraima commenced Geology courses in Aracaju, Alegre and Boa Vista, respectively. This chapter will present the synthesis of the Geology courses which, over the last decades of the twentieth century, contributed to the expansion of Geology teaching in the country, taking it to every region and giving opportunities to a large number of Brazilian citizens to realize their dreams and tread the paths of their professional vocation.

Avaliação das condutas de biossegurança em laboratórios de prótese dentária de João Pessoa, PB, Brasil

Objective: To evaluate the biosecurity measures adopted in dental prosthesis laboratories of the city of João Pessoa, PB, Brazil with respect to prosthetic works sent by dentists. Method: Twenty-five dental prosthesis technicians (DPT) of the city of João Pessoa, PB, filled out a questionnaire referring to their knowledge of the biosecurity principles, disinfection of impressions and other prosthetic items, and the use of individual protection equipment (IPE). Results: Although 92% of the interviewees believed in the possible occurrence of cross-infection between dental prosthesis laboratories and dental offices, 64% declared that the prosthetic works received in their laboratories do not undergo any disinfection procedure. It was also observed that, for disinfection of impressions and stone casts, the chemical substances are not used as recommended by the manufacturers or are innocuous to microorganisms. Regarding the use of IPE, 60% of the DPT used mask, but only 4% used gowns. With respect to the measures taken regarding the impressions received from dental offices, 56% of the interviewees only wash them in running tap water, and 56% of the stone casts that arrive at the laboratory are not disinfected in any way. Conclusion: There is a need for more motivation and instructions to DPT regarding the prevention of cross-contamination during sending and receiving of prosthetic works between dental prosthesis laboratories and dental offices because the DPT evaluated in this study were found negligent with respect to disinfection procedures.

Variabilidade espacial do estado nutricional do cafeeiro canephora visando o manejo localizado

Mapping the plant nutritional condition allows viewing different regions in a cropping area, providing the producers with different criteria to use foliar and soil fertilization. The aim of this study was to evaluate the spatial variability of the nutritional condition of canephora coffee (Coffea canephora Pierre ex Froehner) regarding the site specific management of foliar and soil fertilization. In a one hectare area 60 georeferenced points were sampled at irregular intervals. There were five plants in each sampled point; two pairs of leaves were removed from the lateral branches (3 rd and 4 th pairs from extremity to the basis) in the cardinal points of each plant, counting up 40 leaves per point. The foliar samples were chemically analyzed for the following nutrients: N, P, K, Ca, Mg, S, B, Cu and Zn. The same pattern of spatial dependence was presented with adjustment for K and B. Except for N and P, which presented random distribution, the other nutrients presented mild to severe spatial dependence justifying the geostatistical data analysis for making maps for differential and located, foliar and soil fertilizer application in coffee crop.

Geologia e Caracterização Tecnológica do Minério de Manganês da Mina Córrego do Cocho, Itapira (SP)

The objects of this study are three manganese ore deposits and one mine derived from lateritic weathering of gondites (spessartine quartzites). These deposits are associated with Mn-rich garnet metasediments of the Itapira Group (Paleoproterozoic) and the reserves were estimated at approximately 2.0 × 10 6 tons with an average grade of 23% MnO 2. The ore minerals are cryptomelane, pyrolusite, lithiophorite, spessartine and psilomelane. Several crystal shapes and textural characteristics were identifi ed in this study, which are related to the degree of liberation, as confi rmed by heavy media separation method. In this study, we determined the main characteristics of the liberation of manganese, which is concentrated in the fi ne grain-size fraction and is lost during ore dressing. Therefore, the low average content of MnO 2 (28%) is due to this loss, whereas at grain size of minus 0.074 mm, contents near 40% MnO 2 were observed. This suggests that the ore can be used for manufacturing manganese sulphate fertilizers. A comparative study with the ore deposits located at Ouro Fino (MG), mainly with the Caneleiras mine, showed that higher degree of liberation occurs in the coarse grain-size fractions (0.84 to 0.074 mm with MnO 2 content of 38%). As a consequence, the ore can be used for manufacturing Fe-Si-Mn alloys.

Estimativa da evapotranspiração de referência com uso do Irrigâmetro em Vitória da conquista/BA

The Irrigameter is aevapotranspiration measuring device used in irrigation management to optimize water. However, its use requires a prior adjustment to weather conditions where it will be used. The objective of this study was identify the corresponding height of water level inside the evaporimeterIrrigameter that estimate reference evapotranspiration in climate of the plateau of Vitoria da Conquista - BA, in different seasons. The experiment was a completely randomized design with five treatments and three replications. For each treatment was determined an average coefficient for the Irrigameter called K I, calculated as the ratio of estimated evapotranspiration in Irrigameter (ET I) and reference evapotranspiration (ET 0). The ET 0 was obtained by the Penman-Monteith - FAO 56. The results showed that the coefficients of Irrigameter increased exponentially with increasing water level inside the evaporimeter, and the equipment must be operated with the water level equal to 5.2 cm for better estimation of ET 0. The remaining heights observed in different seasons showed no significant difference when compared to annual average used as a reference in this study.

Influência de pontas de pulverização e adjuvantes no potencial de redução de deriva em túnel de vento

The drift is intimately linked to inappropriate use of pesticides and an important factor for reducing it, is the correct selection of spray nozzles and adjuvants. The objective of this work was to evaluate the drift potential in wind tunnel with different spray nozzles and different concentrations of adjuvants. The experiment was composed by six spray solutions (vegetable oil (in three concentrations), mineral oil, surfactant and reducing drift), which were applied with two nozzles, one pre-orifice flat fan (DG 8003 VS) and other with air induction (AI 8003 VS), totaling 12 treatments, with three repetitions. The equipment used was a wind tunnel, where the drift collections were made at different points. The treatments averages were compared using Confidence Interval at 5% probability. The analysis of the percentage of drift showed that the treatments had different behaviors. The nonylphenol ethoxylate adjuvant presented the highest drift when applied with the nozzle of pre-orifice and the lowest drift when applied with the air induction. The behavior of these nozzles when the oil-based adjuvant was used showed apposite results to those obtained for the surfactant. For the DG nozzles the lowest percentage of drift, at all analyzed distances, was observed to the treatment with vegetable oil (1.0%) and with the AI nozzles the lower drift was found for the treatment with nonylphenol ethoxylate (0.0625%), for the four distances in the collection. The result showed that both the spray nozzles and adjuvants alter directly the drift potential. There was no proportionately between the concentration of the oil-based adjuvant and the drift percentage.

Componentes do rendimento, qualidade de sementes e características tecnológicas em cultivares de feijoeiro

Pós-graduação em Agronomia (Agricultura) - FCA

O conselho municipal de educação de São José do Rio Preto: participação e cidadania

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Em busca do Império: a trajetória intelectual e política de Eduardo Prado

Pós-graduação em História - FCHS

Efeitos dos tratamentos térmicos de normalização, resfriamento rápido e alívio de tensões no aço ASTM A-516 grau 70, utilizado na fabricação de vasos de pressão

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)