Local influence in estimating equations

Local influence diagnostics based on estimating equations as the role of a gradient vector derived from any fit function are developed for repeated measures regression analysis. Our proposal generalizes tools used in other studies (Cook, 1986: Cadigan and Farrell, 2002), considering herein local influence diagnostics for a statistical model where estimation involves an estimating equation in which all observations are not necessarily independent of each other. Moreover, the measures of local influence are illustrated with some simulated data sets to assess influential observations. Applications using real data are presented. (C) 2010 Elsevier B.V. All rights reserved.

Prevalence of biomicroscopic findings in the anterior segment and ocular adnexa among schoolchildren in Natal/Brazil

Objective: To determine the prevalence of ocular findings of the external structures and anterior segment of the eye, detected by biomicroscopic examination in schoolchildren in Natal (RN) - Brazil. Methods: After previous random selection, 1,024 pupils from elementary and secondary public and private schools in the city of Natal were evaluated from March to June 2001. All were submitted to preestablished standard research norms, consisting of identification, demographic information, ophthalmologic biomicroscopic examination, with slit lamp, performed by ophthalmologists from the “Onofre Lopes” University Hospital. Results: Alterations of the conjunctival and palpebral conditions were the most prevalent (10.4% and 6.2% respectively). Follicles (4.2%) and papillae (3.0%) were the frequent conjunctival lesions, while blepharitis (3.5%) and meibomitis (1.1%) were the most detected abnormalities in the eyelids. Upon examining the cornea, iris, lens and anterior vitreous, the most encountered findings were nubecula (0.5%), papillary membrane reliquiae (0.5%), posterior capsula opacity (0.8%) and hyaloid arteria reliquiae (2.0%). Conclusion: The most prevalent findings affecting the external structures of the eye such as eyelids and conjunctiva, consisted of blepharitis followed by follicular reaction of the conjunctiva. The most prevalent abnormalities in the cornea, iris, lens and anterior vitreous were nubecula, papillary membrane reliquiae, posterior capsular opacity and hyaloid arteria reliquiae, in that order

Diagnóstico sorológico da brucelose bovina em animais adultos vacinados com dose reduzida da cepa 19 de Brucella abortus

Com o presente trabalho avaliou-se o uso de dose reduzida da vacina produzida com a amostra 19 de Brucella abortus, em rebanho adulto negativo para a enfermidade, por meio de técnicas de diagnóstico sorológico preconizadas pelo Programa Nacional de Controle e Erradicação da Brucelose e Tuberculose Animal e por um ensaio indireto de imunoadsorção enzimática (ELISA ID). A prova de fixação de complemento detectou 46,77% de positivos, o antígeno acidificado tamponado 67,74%, o 2-mercaptoetanol com soroaglutinação lenta 87,09% e o ELISA ID 100%. A dose reduzida interferiu no diagnóstico sorológico. Nenhuma das técnicas apresentou especificidade adequada para uso em rebanho nestas condições, até 3 meses após a vacinação.

Comparação entre acuidade visual e photoscreening como métodos de triagem visual para crianças em idade escolar

OBJETIVO: Avaliar a sensibilidade do aparelho photoscreener na detecção de alterações oculares em crianças informantes, comparando os dados à acuidade visual obtida pela tabela E de Snellen. MÉTODOS: Foram avaliadas 500 crianças de idades entre 5 e 12 anos, de escola do município de Botucatu, estado de São Paulo. As crianças foram submetidas ao teste de acuidade visual pela tabela E de Snellen e foram fotografadas utilizando-se o aparelho photoscreenerTM system model MTI-PS100, seguindo-se a análise das fotos obtidas. RESULTADOS: Houve concordância negativa (criança com boa acuidade visual e teste negativo com o photoscreener) em 81,0%; concordância positiva (acuidade visual alterada e teste positivo) em 7,6% e não houve concordância de resultados em 11,0% dos casos. CONCLUSÃO: A avaliação comparativa entre o método da acuidade visual pela tabela E de Snellen e o photocreener para detecção de problemas visuais mostrou alta concordância. Os autores sugerem entretanto, a triagem usando tabelas de acuidade visual quando se trata de crianças informantes, devido aos custos com o aparelho.

Estudo do comportamento da PIO de 24 horas e frequência de glaucoma em pacientes com síndrome da apnéia obstrutiva do sono

Purpose: To determine the frequency of glaucoma and evaluate the behavior of 24-hour intraocular pressure in patients with the obstructive sleep apnea syndrome (OSAS). Methods: Eleven consecutive patients with OSAS, diagnosed by polysonography, were avaliated in a cross-sectional study. Demographic data were analyzed: age, sex, race/color, weight, height and associated diseases. The patients were submitted to complete ophthalmologic examination, including the visual field, as well as to 24-hour intra-ocular pressure (IOP) evaluation by an applanation tonometer at 9h, 12h, 15h, 18h, 24h and 6h in the lying and sitting positions. The diagnostic criterion for glaucoma was alteration of the visual field (VF) compatible with glaucoma and one or more of the following alterations: cup-disc ratio >= 0.7, hemorrhage, wedge-shaped defect, bayonet-shaped vessels, Hoyt's sign, asymmetry > than 0.2 between cup/disc ratio of the eyes. The angle should be opened without alterations. Results: 9 (82%) of 11 patients showed glaucoma or were suspected to have glaucoma, 9% of which exhibited normal tension glaucoma and 73% were suspected to have glaucoma for presenting alterations in the optic nerve or ocular hypertension. The mean for the IOP values of the 11 patients was observed to be the highest at 6 o'clock, when they were lying down. Variations of IOP >= 5 mmHg occurred in 7 (64%) of the patients, and variations of up to 14 mmHg and IOP peaks of up to 32 mmHg were observed. Conclusion: OSAS may be an important risk factor for the development of glaucoma, particularly that of normal tension glaucoma. Patients with OSAS must be referred to an ophthalmologist and those professionals must be attentive to the association of sleep disorders in patients with open-angle glaucoma.

Dacriocistografia na propedêutica da via lacrimal excretora de adultos

OBJETIVO: Avaliar os achados dacriocistográficos em indivíduos suspeitos de obstrução de vias lacrimais excretoras. MÉTODOS: O estudo foi retrospectivo, tendo sido avaliadas as dacriocistografias de 100 indivíduos adultos, suspeitos de obstrução nasolacrimal, atendidos na Faculdade de Medicina de Botucatu - UNESP. Os dados obtidos foram submetidos à análise estatística descritiva e teste do qui-quadrado. RESULTADOS: A maioria dos pacientes era do sexo feminino e maiores de 60 anos, apresentando obstrução baixa, localizada no seio de Arlt, com saco lacrimal graus 2 ou 3. Vias lacrimais pérvias, com e sem dilatação, também foram encontradas, assim como alterações nasais, como hipertrofia de cornetos. CONCLUSÃO: A dacriocistografia foi importante para diagnosticar o local da obstrução, o grau de dilatação das vias lacrimais, assim como as alterações de estruturas vizinhas. Estas informações sem dúvida são úteis para o planejamento cirúrgico e como indício prognóstico.

Comparison of conventional PCR, quantitative PCR, bacteriological culture and the Warthin Starry technique to detect Leptospira spp. in kidney and liver samples from naturally infected sheep from Brazil

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

Electrical and mechanical effects of hyoscine butylbromide on the human stomach: a non-invasive approach

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Polymerase chain reaction and real-time PCR for diagnosing of Leishmania infantum chagasi in dogs

A importância do cão como reservatório de L. infantum chagasi no meio urbano tem estimulado a realização de inúmeros trabalhos de avaliação de técnicas de diagnóstico, uma vez que este procedimento, quando realizado corretamente, torna-se um importante passo na prevenção da doença em humanos. Dentre os métodos de diagnóstico, as técnicas moleculares têm adquirido destaque. Objetivou-se neste trabalho verificar o desempenho da Reação em Cadeia da Polimerase (PCR) e da PCR em tempo real (qPCR) para diagnóstico da Leishmaniose Visceral Canina (LVC) utilizando diferentes amostras biológicas. Para tanto foram utilizados 35 cães provenientes de uma área endêmica para LVC, onde foram utilizados para o diagnóstico molecular, aspirado de medula óssea, fragmentos de linfonodo e baço. Neste estudo a qPCR foi capaz de detectar um maior número de animais positivos quando comparada com a PCR. Já entre as diferentes amostras biológicas utilizadas não foi observada diferença significativa na detecção de DNA de L. infantumchagasi por meio da PCR e qPCR. Mesmo assim, considerando a facilidade de obtenção, o linfonodo pode ser considerada como a melhor amostra para diagnóstico molecular da infecção por L. infantum chagasi.

Temporal IgG subclasses response in dogs following vaccination against Leishmania with Leishmune (R)

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Analysis of bone microarchitecture related to anthropometry in climateric women

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

Characteristics of gram-stained cervical smear from patients with Chlamydia trachomatis infection.

Cervical discharges from 142 women attending the Public Gynecologic Service of Araraqura (SESA), Brazil were cultured for Chlamydia trachomatis. Gram-smears and plating on semiquantitative sheep blood agar and chocolate agar were also carried out. An isolation rate of 18% was reported. The presence of purulent cervical secretion was observed in 8 (32%) out of 25 women. It was also observed that a substantial proportion of culture-positive women had no symptoms. Our data demonstrate that screening tests should be based on specific diagnostic techniques for Chlamydia trachomatis since the majority of infected women we examined were asymptomatic.

Nutrients foliar content for high productivity cultivars of guava in Brazil

Commonly grown in tropical and sub-tropical regions, guava (Psidium guajava L.) is an important fruit crop of Brazil. It is cultivated on a large scale in São Paulo state, and covers about 6,500 hectares. As a result of the guava selection program developed at FCAV/UNESP, two new cultivars were created: 'Rica' and 'Paluma' with a high productivity, and also with higher nutritional requirement. Leaves analysis has become a powerful tool in mineral-nutrition research with fruit crops, not only to determine response to different nutrients, but also for diagnostic techniques in making fertilizer recommendations and assessing deficiency symptoms. Nutrient composition of the leaves varies depending on the leaf maturity, tree age, variety and nutrient supply. For the interpretation of analytical values, selection of the index tissue is important. The results of experiments conducted in the field during 1989-2000 were studied. The nutritional status was evaluated by annual leaf sampling, carried out at full bloom. Recent fully developed leaves, corresponding to the third pair (with the petiole) were collected, starting at the end of the branch, all around the tree, at a height of 1.5 m from the soil, with a total of 30 leaf pairs per sample. The yield was evaluated by weighing all the fruits in the useful area of each lot. Foliar chemical analysis showed excellent correlation with the fruit production. Through the results it was verified that the maximum yield was associated to the following levels: N = 22-26; P = 1.5-1.9; K = 17-20; Ca = 11-15; Mg = 2.5-3.5; S = 3.0-3.5 g kg -1; B = 20-25; Cu = 10-40; Fe = 50-150; Mn = 180-250; Zn = 25-35 mg kg-1 DW in the leaves of the 'Rica' guava and to N = 20-23; P = 1.4-1.8; K = 14-17; Ca = 7-11; Mg = 3.4-4.0; S = 2.5-3.5 g kg-1; B = 20-25; Cu = 20-40; Fe = 60-90; Mn = 40-80; Zn = 25-35 mg kg-1 DW in the leaves of the 'Paluma' guava.

Estudo quantitativo da lágrima pelo teste de fenol vermelho na população brasileira

Purpose: To detect normal values of red phenol thread test in the Brazilian population and compare it between different races, age and sex. Methods: 280 white individuals (560 eyes) and 280 non-white individuals (560 eyes) were analyzed regarding sex and age, and analyzed using the Phenol Red test. Individuals with ocular diseases, contact lens or ocular drug users were excluded from this study. Results: Of the 1,120 evaluated eyes, the mean ± standard deviation result was 19,77±7,90 mm. Conclusion: The mean result found in this study was an intermediate value compared to the previously studied populations (Japanese and American).

A unique intraorbital osseous structure in the large fruit-eating bat (Artibeus lituratus)

Objective: To describe the normal bony orbital structure of the large fruit-eating bat (Artibeus lituratus) with emphasis on a unique intraorbital bony structure previously not described in the literature. Procedures: The bony anatomy of the orbital cavity was studied on dissected skulls of large fruit-eating bats. The anatomic description of a unique intraorbital spine was made while studying the bony orbit of macerated skulls. Additional observations were made on dissected formalin-fixed whole heads. Both procedures were performed under a stereo dissecting microscope, using ×2-4-magnification. A histologic analysis of soft tissues surrounding this cylindrical bony structure was performed using cross and longitudinal oblique sections from decalcified whole heads, which had been fixed in formalin. Additionally, biometric measurements and a histomorphometric analysis were performed. Results and conclusions: An intraorbital cylindrical osseous structure measuring 3.96 ± 0.68 mm in length and 155.62 ± 14.03 μm in diameter was observed in the large fruit-eating bat (A. lituratus), creating a unique orbital structural design among mammals. We suggest the name optic spine of the alisphenoid bone. The anatomic, biometric and histologic characterization of this element might contribute to a further understanding of the dynamics of bat vision and the sort of factors that influenced evolution of the visual system of microbats. The authors hope that the documentation of this distinctive anatomic feature will also expand the debate about the phylogenetic analysis of the relationship among bat species in the near future. © 2007 American College of Veterinary Ophthalmologists.