The effectiveness of educational practice in diabetic foot: a view from Brazil

Background: The aim of the present study was to evaluate the prevention and self-inspection behavior of diabetic subjects with foot at ulcer risk, no previous episode, who participated in the routine visits and standardized education provided by the service and who received prescribed footwear. This evaluation was carried out using a questionnaire scoring from 0-10 (high scores reflect worse practice compliance).Results: 60 patients were studied (30 of each sex); mean age was 62 years, mean duration of the disease was 17 years. As for compliance, 90% showed a total score <= 5, only 8.7% regularly wore the footwear supplied; self foot inspection 65%, 28,3% with additional familiar inspection; creaming 77%; proper washing and drying 88%; proper cutting of toe nails 83%; no cuticle cutting 83%; routine shoe inspection 77%; no use of pumice stones or similar abrasive 70%; no barefoot walking 95%.Conclusion: the planned and multidisciplinary educational approach enabled high compliance of the ulcer prevention care needed in diabetic patients at risk for complications. In contrast, compliance observed for the use of footwear provided was extremely low, demonstrating that the issue of its acceptability should be further and carefully addressed. In countries of such vast dimensions as Brazil multidisciplinary educational approaches can and should be performed by the services providing care for patients with foot at risk for complications according to the reality of local scenarios. Furthermore, every educational program should assess the learning, results obtained and efficacy in the target population by use of an adequate evaluation system.

Biologia populacional de Imparfinis minutus (Siluriformes, Heptapteridae) na microbacia do Ribeirão Grande, serra da Mantiqueira oriental, Estado de São Paulo

Populational biology of Imparfinis minutus (Siluriformes, Heptapteridae) in the Ribeirao Grande microbasin, eastern Mantiqueira mountain range, São Paulo State. The aim of the work was to analyze biological aspects and distribution of Imparfinis minutus in the Ribeirao Grande microbasin (22[degree]4708[minute]''S, 45[degree]28[minute]17''W), in eastern Mantiqueira mountain range, from July 2001 to April 2002. Among the 37 species sampled, I. minutus (Siluriformes, Heptapteridae), was distributed from the piedmont to the plains of the Vale do Paraiba. The occurrence of this species was associated with the environments of small water volume, bottom with stones and gravel. The amplitude length of I. minutus was 4.75 to 12.75 cm. The length-weight relationship of the population was estimated at W = 0.0052 L3,13. Analyzing the alometric (Ka) and relative (Kr) condition factors, both indexes presented similar values. The lowest value was obtained in July, increasing gradually in October and January, and peaking in April. The analysis of the gonadossomatic relationship (GSR) of females showed higher values in July and January. The reproductive period of I. minutus occurred on spring/summer (October to January), as suggested by the gonadossomatic relationship and condition factor results. Feeding activity was constant, with fat visceral deposition concentrated in April and July. Imparfinis minutus is an aquatic insectivore opportunist species, consuming Diptera and Trichoptera larvae as secondary items. Most ingested food items were autochthonous resources.

Morfologia do figado da paca (Cuniculus Paca, Linnaeus 1766)

The elements related to the morphology of the liver of paca (Cuniculus paca), the second largest rodent of the Brazilian fauna, were observed; this species present zootechnical potential. Eight animals from the animals sector of Faculdade de Ciencias Agrarias e Veterinarias - Campus of Jaboticabal - UNESP, which is duly certified by IBAMA as an experimental breeding institute, were used. Through a dissection procedure, it was found that the liver of the paca is located in the cranial portion of the abdomen, immediately after the diaphragm, to which it is connected by the triangular, coronary, and falciform ligaments, having its bigger part located right to the medium plan. The liver of this rodent presents the following lobation: right lateral lobe, right medial lobe, quadrate lobe, left medial lobe, and left lateral lobe, besides the caudate lobe formed by the papillary process of caudate lobe and the caudate process of caudate lobe. Gallbladder is located between the quadrate and right medial lobes. Fragments of this organ were collected, fixed, and histologically prepared, being the samples analyzed through light microscopy. It was microscopically observed that intralobular connective tissue is scarce, basically it consists polyhedral hepatocytes organized into cords interposed between sinusoids and the portal triads are found in the lobe, consisting of the portal vein, hepatic artery, and biliary duct.

Protótipos de filtros para água poluida usada para irrigação de hortaliças e frutiferas

Prototypes A (bidin + broken stones + gravel stones + gross sand + activated coal) and B (bidin + broken stones + gravel stones + gross sand) under hydraulic charge of 35 cm presented outlets that, when extrapolated for larger filters, are sufficient to supply small and medium irrigation projects for vegetables and fruits. (bidin = Rhodia polyester for drainage). Under a charge of 35 cm, filtrate of both prototypes presented a reduction of fecal coliforms, being this reduction higher for A prototypes, but, even in this case, the coliform quantities were superior to the legal limit. Under a decrease of the biochemical oxygen demand an increase of the available oxygen rate; pH and hardness did not present significant changes.

Paraná Basin: Mineral resource potentials in Brazil, Uruguay, and Paraguay

The Paraná Basin is a Western Gondwanan cratonic basin that is better defined as the Paraná depositional site, since it has a diverse history as a basin. Sedimentation started in the Ordovician-Silurian, followed by extensive marine Devonian deposition. A Late Paleozoic/ Triassic facies cycle wedge was clearly built during Pangean time. The Early Cretaceous was characterized by extensive basaltic lava flows immediately before the break-up of Pangea. Following these rifting and drifting processes, the basin's structural framework was totally rebuilt, generating new depositional sites in the Late Cretaceous to Tertiary. Based on more recent data, at least two different basins may be defined during the evolution of what was once considered a unique basin. Nevertheless, even if considered as a single basin, the sedimentary pile of the Paraná Basin has considerable economic potential, until now exploited only rudimentarily, except for its groundwater resources. Aggregates, limestones, clays, industrial sands, gems, dimension stones, hydrocarbons, coal, peat, and uranium are some of the potential mineral resources of this basin. Copyright © 1997 by V. H. Winston & Son, Inc. All rights reserved.

Rinolitiase: Atualizacao e relato de caso

Rhinoliths are rares and, in general, develop in response to foreign body lodged in the nose. This study briefly comments the clinics features of one case of rhinolithiasis that occurred during two years period. The etiology of rinoliths, differencial diagnosis and a review of the literature are also included. The authors concluded that the presence of calcified stones must be considered in cases of sinusitis or rhinitis not responding to medical therapy.

Rochas ornamentais e de revestimento do sudoeste do estado do mato grosso

Geological, petrographical, chemicals and technological studies of rocks of the southwest region of Mato Grosso State, Brazil have the purpose of qualification and application of these rocks as dimension stones. The first objective is to enlarge the offering of new esthetic varieties that show a standardization of technologic patterns, adequate characterization and classification assuring the correct specification of the rocks in relation to the use as dimension stones. Ten rock types are recognized for dimension stones, including granites, diabases, gneisses and amphibolites grouped by its colors in red, grey and black types and showing economic potential of plowing. The results obtained in the technological essays show that the rock parameters are sited inside the standard limits established by technical rules and obey satisfactorily the limit values fixed for granites in internal and external covering uses.

Investigação tecnológica de arenitos silicificados da Formação Botucatu (ne do Paraná) para uso como rocha de revestimento

For many years the silicified sandstone associated of the Botucatu Formation has been the target of interest to researchers and miners, either for understanding the genesis of silicification or for your use as dimension stone and covering on the building industry. If in the first there are several articles available in the geological literature the second there are only technical data marketing available. In the northeast portion of the Paraná State and southwest of the São Paulo State these rocks are mined and traded as covering stones. Not much is known about their intrinsic characteristics and technological properties. To improve the knowledge of the technological behavior of these materials, samples from a quarry from Ribeirao Claro region were petrographically and physically characterized according to the standards established by the Brazilian Association of Technical Standards to dimension stones. Therefore, two bulk samples of silicified sandstone of the Ribeirão Claro/PR region were studied and characterized following the norms established by Brazilian Association of Technical Standards for dimension stones. The results obtained in the petrographical and technological studies are presented and indicated that, in general, the technological performance presented by sandstone studied induces limitations of use as covering materials, mainly horizontally as pavements, door stone and step ladder.

Arranjos configurados pelas vias bilíferas no fígado do avestruz (Struthio camelus)

The aim of this study was evaluate the influence of physical exercise (marcha gait) on serum values of CK and AST The Ostrich (Struthio camelus) is originally from Africa and belongs to the ratite's family. Since its zootechnic value has been increasing, especially in the northwest region of the state of São Paulo, we studied the biliary system in the liver of this animal. To carry through it were used 20 ostrich livers, males and females, young and adults from place to production ostrich in the northwest region of the State of São Paulo. After the opening of the gastrointestinal tract and disposal of the bile through gentle massage, we cannulated the hepatic excretory duct with a flexible probe, compatible in size with the duct, and injected colored Neoprene latex 450 in the biliary system. Following this procedure, the livers were fixed in aqueous solution of formaldehyde to 10% dissected, schematized and photographed. The right main branch is derived from the right lateral, square lobe and the caudate process branches in 7 livers. In 13 livers, the right side branch is forned by the right side and caudate process branches. The left branch receives the components from the left lateral lobe and branch of the medial left lobe in 7 livers. It also receives component from the square lobe and from the caudate process in 13 and 7 livers, respectively.In conclusion, the ostrich liver has no gallbladder, causing the duct is the only route of excretion of bile, always resulting from the convergence of the right hepatic duct with the left hepatic duct.

Tropical influence in oriental gardens in Brazil

In the contemporary landscaping, among the gardening styles, the Japanese Garden plays very important rule and influence. The Japanese Garden has originated in China-the cradle of gardening culture; and Korea. Their vegetable elements, architectural features and fauna are characteristic, due to use of stones, water, bridges, stoned lamp, bonsai, carps and bamboo (Prunus serrulata, Camellia japonica, Ophiopogon japonicas) and many others. In Brazil, the Japanese Garden has massive influence, the presence of native elements typically tropical is very noticeable. This influence can be observed both in architecture, vegetation and fauna. Thus, this study aimed to identify and analyze the tropical elements in Japanese Gardens in cities such as São Paulo. Japanese Gardens in Brazil were chosen from the following cities: Sao Paulo State, Garça, Jaboticabal and Ribeirão Preto. It was observed, mostly in the presence of different palms species, plants of the Zingiberales order, Alpinia purpurata and styled architectural elements such as lakes. Some elements were able to apply the philosophy of the Japanese Garden, other not.

Ocorrência de cristais em plantas medicinais utilizadas no tratamento da nefrolitíase: Paradoxo?

Nephrolithiasis (kidney stones) can be seen as a common clinical condition responsible for substantial economic, social and psychological costs, due to its high morbidity, especially since it affects adults in their productive phase. Its development in the urinary tract is a complex and multifactorial process. The majority of kidney stones are made of calcium oxalate. A lot of plants are used to treat nephrolithiasis and they often exhibit calcium oxalate crystals in the parts that are employed for this medicinal purpose, representing a possible risk. In this light, we performed a literature review via the databases Scielo, PubMed and Medline and found 28 articles reporting the traditional use of plants in the treatment of nephrolithiasis. The occurrence of calcium oxalate crystals was indicated in 19 species. We argue that the use of these plants could give rise to adverse effects in people who are prone to form calcium oxalate stones in the kidney.

Composition and quantification of the anthropogenic and natural fractions of wastes collected from the stormwater drainage system for discussions about the waste management and people behavior

A study was made of the composition of wastes collected from the pipes of the stormwater drainage system of Sorocaba, SP, Brazil (600 thousand inhabitants). A total of 10 samples weighing at least 100 kg each were sorted into 19 items to determine the fraction that can be considered natural (earth/sand, stones, organic matter, and water, the latter determined after oven-drying the samples) and the anthropogenic fraction (the remaining 15 items, especially construction and demolition wastes and packaging). Soil/sand was found to be the main item collected (52.5 % dry weight), followed by the water soaked into the waste (24.3 %), which meant that all the other wastes were saturated in mud, whose contents varied from 6.4 % (glass) to 87.2 % (metalized plastics packaging). In general, 83 % of the collected wastes can be classified as natural, but the remaining 17 % represent 2,000 kg of the most varied types of wastes discarded improperly every day on the streets of the city. This is an alarming amount of wastes that may clog parts of the drainage systems, causing troubles for all the population (like flooding) and must be strongly considered in municipal solid wastes management and in environmental education programs. © 2013 Springer Science+Business Media Dordrecht.

Estudo das alterações funcionais respiratórias em pacientes submetidos à colecistectomia videolaparoscópica

Pós-graduação em Bases Gerais da Cirurgia - FMB

Ultrassonografia abdominal de cães e gatos hígidos, adultos e filhotes

Pós-graduação em Medicina Veterinária - FMVZ

Narrativas de professores de matemática sobre seus enfrentamentos cotidianos

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