758 resultados para EPIDEMIOLOGIA NUTRICIONAL


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The aim of the present study was to carry out the physical, chemical and nutritional analyses of the alternative substrates formulated from wood and agroindustrial residues of the Amazon for Pleurotus ostreatus (Jacq.:Fr.) Kummer cultivation. The determination of C, N, pH, humidity, soluble solids, protein, fat, total fiber ash, carbohydrates (total and available) and energy were carried out. The substrates were formulated from sawdust of Simarouba amara Aubl. (marupa), Ochroma piramidale Cav. ex. Lam. (pau de balsa) and from the stein of Bactris gasipaes Kunth (pupunheira palm tree), and from Saccharum officinarum L. (sugar cane bagasse). The results demonstrated that the nutritional composition of the substrate is variable and the improvement of the quality of the spent substrate (energy and protein increment) promoted by the metabolism of the fungus during the cultivation, contributed for a more nutritive substrate than the initial one, which could be used as a compost for Agaricus sp. cultivation, as organic fertilizer and for bioremediation for contaminated soils.

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In order to investigate epidemiological and clinical aspects of beef cattle mortalities caused by botulism, a syndrome popularly known as doença da vaca caída, studies were carried out in 32 naturally affected 4 to 9 year old cows, 27 belonging to the Nellore breed and 5 to crossbred Nellore, all from 27 farms located in municipalities near Botucatu, State of São Paulo. The epidemiological and clinical features were based, respectively, on the farm and herd managements, and on the general physical examination of the cows. Mouse bioassay and complement microfixation tests were performed to detect the presence of botulinum toxins in liver samples. The results showed that the disease occurs in beef cattle of range breeding systems, reared under inadequate mineral nutrition and deficient health management. Pregnant and milking cows represented the group at risk, and the incidence was higher during the rainy season (December to March), with morbidity and mortality rates of 3,2 ± 3,6%. Clinical examination revealed cows with no alterations of vital signs, behavior, visual and auditory acuities and skin sensation; but revealed ruminal hypomotility, anorexia, dehydration, flaccid para or tetraparesis with permanent recumbency, and a paretic or paralytic tongue. The diagnosis of botulism, involving type C and D toxins, was consistent with the epidemiological and clinical findings.

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An experiment was conducted to determine the apparent nitrogen-corrected metabolizable energy (AMEn) values and the coefficients' metabolization of the: dry matter, ether extract, calcium and phosphorus availabilities of experimental layer diets containing toasted (TSB) and extruded (ESB) soybeans. The soybean meal (SBM) was substituted at 0, 50, and 100% by TSB and ESB whole soybeans. The whole soybeans utilization in layer diets did not adversely affect calcium and phosphorus availability. The SBM and ESB, in diets with crude protein at 17%, showed the best ether extract coefficients of metabolization. When TSB replaced all SBM in the diets, it was observed the worst value for AMEn.

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Nosocomial infections with Candida species are recognized as a significant cause of morbidity and mortality in both seriously ill immunocompetent and immunocompromised patients. Infections with Candida albicans and non-albicans Candida species have become a significant cause of infection in humans. Several of the more commonly Candida spp isolates are less susceptible to the antifungal drugs currentlly applied in clinical treatment, a factor that means significant difficulties for effective treatment. The modern mycology laboratory has an important role to play in several aspects relating to these organisms, including therapy, detection, identification and epidemiological analysis. In this study, we have provided an initial comparison of differences in species distribution among Candida isolates from four general hospitals of São Paulo,SP. Overall, 40 isolates of C. albicans, C. parapsilosis and C. tropicalis were isolated respectively in 35%, 50% and 15%, revealed a tendency of higher frequency of non-albicans species. The species distribution in patients with candidemia showed that the most commonly species were C. parapsilosis (45,4%), followed by C. albicans (36,4%) and C. tropicalis (18,2%); thus, we have an increase of non-albicans species. The three different species were include in 6, 3, and 4 different biotypes, respectively C. albicans, C. parapsilosis e C. tropicalis. This study emphasizes the importance of periodic evaluation of Candida species distribution especially in centers caring for patients at risk.

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Dermatophytosis on skin, hair and nails are the most common infectious process in the world. A total of 94 individuals from Public Institutions from the city of Araraquara - Sao Paulo/Brazil, with suspected of dermatophytic lesions were examined in order to determine the incidence and etiology of dermatophytosis. 105 specimens were collected from August to December of 2001 in the Mycology Laboratory of the Faculdade de Ciências Farmacêuticas. It was observed that 47 samples were positive for dermatophytes. Trichophyton rubrum was the prevalent specie (59.6%), followed by Microsporum canis (17%), T. tonsurans (10.6%), T. mentagrophytes (8.5%) and Epidermophyton floccosum (4.3%). T. rubrum was the most frequent in interdigital lesions (81.5%) and M. canis was the main dermatophyte involved in scalp lesions (58.3%). Therefore, it was observed a predominance of antropophilic and zoophilic species, respectively. These results are in agreement with statistical data from South and Southeast regions of Brazil, as well as from other parts of the world in which these fungi were the most frequently isolates from tinea pedis and tinea capitis. In this study, it was also observed a high percentage of T. tonsurans (41.7%) in tinea capitis and this result was different from the statistical data collected until now in our region.

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Systems that can distinguish epidemiologically-related Mycobacterium tuberculosis strains from unrelated ones are extremely valuable. Molecular biology techniques have allowed a great deal of information to be acquired about the infectious disease tuberculosis (TB) that was very hard or impossible to obtain by conventional epidemiology. A typing method based on bacterial DNA genome differences, known as RFLP (restriction fragment length polymorphism), is widely used to discriminate strains in the epidemiologic study of TB. However, RFLP is laborious and there is a tendency to replace it by other methods. Thus, other DNA sequences have been employed as epidemiological markers, as in Spoligotyping, a fast technique based on PCR followed by differential hybridization of amplified products. The polymorphism observed among different isolates is probably the product of strain-dependent recombination. MIRU (mycobacterial interspersed repetitive unit) typing is a reproducible and fast assay, involving the generation of genotypes based on the study of 12 loci containing VNTRs (variable-number tandem repeats) in strains of the M. tuberculosis complex. It compares strains from different geographic areas and allows the movement of individual lineages to be tracked, as in RFLP. This approach enables a greater number of isolates to be analyzed, leading to the identification of a larger number of foci of transmission within the population and thus to improved ways of slowing the progress of the disease.

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The ideal size precision of the foliar sample determines manual work optimization, and also diminishes inherent errors in diagnosis reports of nutritional state. This work aimed to determine the size of the foliar samples and the sample error variation in guava plantations submitted to two hydric cultivations for the nutritional state diagnosis of this fruit. The work included two studies, both under an entirely randomized experimental design. Study 1 was carried out in an orchard under unirrigated cultivation with four treatments and six repetitions that consisted of leaf collection in 5, 10, 20 and 40 plants. Study 2 was carried out in an orchard under irrigated cultivation with five treatments and 10 repetitions that consisted of leaf collection in 10, 20, 30, 40 and 50 guava plants. It was concluded that in unirrigated orchards it is necessary to sample leaves in 40 plants in order to keep the macronutrients sample error between 5 to 10%. For the micronutrients, on the other hand, at least 40 plants were necessary and, if Fe and Zn were considered, the sample must be even larger. In irrigated orchards, leaves deriving from 10 plants were enough to keep the sample error between 5 to 10%. However, considering the micronutrients, it was necessary to sample 20 guava plants.

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The objective of this work was to evaluate the effect of omission of macronutrients in the growth and the nutritional state of elephant-grass plants (Pennisetum purpureum Shum cv. Mott). The experiment was developed in the FCAV/UNESP, in Jaboticabal-SP,Brazil, using nutrient solution. The experimental design was completely randomized blocks, with seven treatments (the complete solution proposed by Hoagland & Amon (1950) and the individual omission of N, P, K, Ca, Mg and S, in these solution), in three repetitions. Pre-germinated plants were placed in pot (5 dm3), containing the nutrient solution, which was aerated constantly during the experimental period and the respective treatments, with three replications each. Weekly, the height of the plants, the leaf number, apex diameter and number of tillers were evaluated as well as plant nutritional state. The omission of N, P, K, Ca, Mg and S limited the production of dry weight of shoot the elephant grass, compared to the full treatment. The deficiency of a macronutrient, in addition to promoting reduction of its content in the shoot, resulted in reducing the accumulation of most macronutrients, with resultant morphological changes, translated as characteristic symptoms of deficiency.

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Cottonseed meals (CSM) with different protein levels (35, 39 and 40%) were evaluated to determine their chemical composition and measure apparent digestibility coefficients (ADC) of dry matter, protein, amino acids, energy, lipid and minerals for Nile tilapia. Apparent digestibility coefficients were determined using a reference purified diet containing 0.1% of chromic oxide indicator, and test diets contained 60% of reference diet and 40% of test ingredients. Results showed that apparent digestibility coefficients of cottonseed meals were different (p < 0.05). The apparent digestibility coefficients were: dry matter, 53.45-54.32%; crude protein, 71.56-74.81%; energy, 53.80-58.60%; lipid, 85.37-89.11%; phosphorus, 33.75-34.50%; calcium, 41.21-43.75%; iron, 62.02-79.85%; zinc, 0-67.41%; copper, 13.37-14.27%; essential amino acids, 71.39-79.17%; and non-essential amino acids, 77.08-82.58%. The ADC of protein did not reflect the majority of amino acids ADC showing variation in individual digestibility of amino acids and among cottonseed meals. Cottonseed meal can be used as protein succedaneum in Nile tilapia diets.

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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.

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OBJECTIVE: This study aimed to classify and determine the prevalence of individuals with vertical alteration of facial relationships, according to the severity of discrepancy, especially individuals with long face pattern. METHODS: The sample was composed of 5,020 individuals of Brazilian nationality, of both genders, aged 10 years to 16 years and 11 months, attending fundamental schools at the city of Bauru-SP. Examination of facial morphology comprised direct observation of the face in frontal and lateral views, always with the lips at rest, aiming to identify the individuals presenting vertical alteration of facial relationships. After identification, these individuals were scored, according to severity, into three subtypes, namely mild, moderate and severe. The prevalence of individuals with long face pattern considered only the individuals scored as subtypes moderate and severe. RESULTS: There was prevalence of 34.94% of vertical alteration of facial relationships and 14.06% of long face pattern. CONCLUSIONS: The results obtained in this study revealed that the prevalence of vertical alteration of facial relationships and long face pattern was higher than reported in the literature.

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Objective: evaluating the adequacy, prescription and energy supply of enteral nutrition therapy in hospitalized patients. Methods: was performed a retrospective survey of the evolution of TNE protocol of 59 patients hospitalized in a general hospital in Marília / SP / BR. Data collected included gender, age, clinical diagnosis, anthropometric and dietary data related to the prescribed dietary formula, route and method of administration of the enteral nutrition, the daily volume prescribed and administered, the daily amount of energy required and offered in the diet, as well as possible complications. Body mass index (BMI), triceps skinfold (TSF) and arm muscle circumference (AMC) were used to establish the nutritional status of the patients. The adequacy of ENT was done according to the daily energy requirement compared to the average energy received during the daily use of ENT. Results: The average found to the BMI was 21.4 kg/m 2, and no differences were found comparing male and female. The data for TSF and AMC were different between genders (p<0.05) and suggest a more severe muscle mass in relation to adipose tissue. The averaged to the energy requirements was 1642 kcal/day but the average of energy prescribed was 1045 kcal/day and the amount offered was 1035 kcal/day. There was a significant difference between the necessity and the supplied energy offered through enteral nutrition (p=0.00) as well between the energy required and prescribed (p =0.00), both were shorter than the necessity. There was no significant difference (p>0.05) in energy supply, volume of enteral nutrition prescribed and administered among eutrophic, underweight or overweight patients. Conclusion: The results of this study indicate that the prescription and energy supply were not based on the needs of these patients, causing a significant energy deficit, which can lead to worsening of the nutritional status of the same. In hospitalized patients in use of ENT, the energy requirement must be made by a qualified professional within the multidisciplinary team, based on the needs of each patient.