Punção aspirativa de linfonodo axilar guiada pela ultrassonografia é eficaz como método de predição de acometimento linfonodal em pacientes com câncer de mama?

OBJETIVO: Avaliar a viabilidade e acurácia diagnóstica da ultrassonografia pré-operatória combinada com biopsia por agulha fina (US-PAAF) e do exame clínico da axila em pacientes com câncer de mama.MÉTODOS: Neste estudo prospectivo 171 axilas de pacientes com câncer de mama foram avaliadas pelo exame clínico e ultrassonografia (US) com e sem biopsia por agulha fina (PAAF). Os linfonodos com espessura cortical maior que 2,3 mm na ultrassonografia foram considerados suspeitos e submetidos a US-PAAF.RESULTADOS: A análise de regressão logística não mostrou correlação estatisticamente significativa entre exame clínico e axilas positivas no exame patológico. Em relação à avaliação axilar com US, o risco de achados anatomopatológicos positivos aumentou 12,6 vezes, valor Kappa de Cohen foi de 0,12 para exame clínico, 0,48 para US e 0,80 para US-PAAF. A acurácia foi de 61,4% para o exame clínico, 73,1% para os US e 90,1% para US-PAAF. Análise Receiver Operating Chracteristics (ROC) mostrou que uma espessura de 2,75 mm cortical correspondeu à mais elevada sensibilidade e especificidade na predição metástase axilar (82,7 e 82,2%, respectivamente).CONCLUSÕES: A US combinada com aspiração por agulha fina é mais precisa que o exame clínico na avaliação do status axilar no pré-operatório em mulheres com câncer de mama. Aquelas que são US-PAAF positivo podem ser direcionadas para esvaziamento linfonodal axilar imediatamente, e somente aqueles que são US-PAAF negativos devem ser considerados para biópsia de linfonodo sentinela.

Poço de infiltração para controle de enchentes na fonte: avaliação das condições de operação e manutenção

This study investigated the following aspects regarding a soakaway, i.e. an infiltration well: i) entrance filter device; ii) permeability of the geotextile; and iii) emptying time. The 3.6 m³ infiltration well drains a roof area of 241.8 m². The entrance device is made up of layers of sand, gravel and geotextile set on a metal structure. The concrete rings that form the lateral walls were covered with geotextile, and bricks were laid between the soil and concrete rings. The infiltration well remained in operation during the entire testing period, and specific events were simulated to measure the emptying time. Permeability and fine particle tests were carried out after eight months of operation. Samples of geotextile taken from the bottom, the walls and the entrance device presented average permeability reductions of approximately 50.7%, 7.7% and 21.2%, respectively. The sand in the entrance device retained around 34.8% of fine particles and the gravel retained 0.13% in the same period. The infiltration rate was approximately 34.7 mm/h. The R2 coefficient for measured and calculated times was 0.97.

Desenvolvimento de software utilizando a técnica sph (smoothed particle hydrodynamics) na geração de ondas de submersão

Pós-graduação em Engenharia Elétrica - FEIS

A política antipobreza no governo Lula: uma análise do discurso

Pós-graduação em Estudos Linguísticos - IBILCE

Religiões neopentecostais brasileiras no contexto da sociedade pós-tradicional: uma análise a partir da perspectiva dos pastores

Pós-graduação em Ciências Sociais - FFC

Estudo de propagação de ondas em planície de inundação para elaboração de plano de ação emergencial de barragens: UHE Três irmãos estudo de caso

Pós-graduação em Engenharia Civil - FEIS

Suicídio revolucionário: a luta armada e a herança da quimérica revolução em etapas

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

Desafios da formação docente no curso de Pedagogia: aligeiramento e pragmatismo

This paper analyzes recent policies of teacher eduation in Brazil related to the employment and professional dimmensions of the teaching career. It analyzes teacher education policies, and the guidelines established by the World Bank in the 1990s, to reform higher education in the so-called developing countries, focusing on th implementation of neolibera educational policies. These policies have produced a "new" value for educational insititutions: they are emptying schools of education; “defertilization” of schools; “deintellectualization” of the teacher profession; pauperization, fragmentation and emptying the contents teacher education programs and recontextualization of the nexus theory-practice. The reforms after the Directives and Bases of Education - Law No. 9394/1996, with respect to the education of teachers, are analyzed in relation to the process of productive restructuring. We analyze the relation between theory and practice, given the National Curriculum Guidelines for the Education Course (DCNCP, 2006), focusing on the Course of Pedagogy for the Faculty of Philosophy and Science, at the Paulista State University, Campus of Marilia. This course offers an extensive practical training, but restricted as to the academic content offered, limiting the possibilities of an in-depth training for the future teachers. Discussing these relations, this article presents the assessment of the students in the course and concludes offering perspectives for a humanizing and critical training.

Estudo da toxicidade de diferentes doses do Diuron (3-(3,4 -dichlorophenyl)-1,1-dimethylurea) no epitélio da bexiga de ratos wistas machos por microscopia eletrônica de varredura

Diuron (3-(3,4-Dichlorophenyl)-1,1-dimethylurea) is a substituted urea herbicide widely used on agricultural crops such as soy, cotton and sugar cane. In a previous long-term study this herbicide exerted carcinogenic activity on the urinary bladder and renal pelvis mucosa of Wistar rats and breast of mice. Also, it was shown to be carcinogenic to the mice skin in a initiation-promotion assay. In 1997, the northamerican EPA evaluated Diuron as a “known/likely” carcinogen for humans (USEPA, 2004). In a previous study developed at this laboratory, male Wistar rats treated with Diuron 2500 ppm during 20 weeks presented increased indices of cell proliferation and incidences of simple urothelial hyperplasia (HS) in the urinary bladder. Under scanning electron microscopy (SEM) severe urothelial necrosis and hyperplasia were observed. However, in that study the urinary bladders of animals exposed to lower doses of Diuron were not examined under SEM. Therefore, the possible dose-response influence of Diuron on the urothelium under SEM is not known. The present study aimed to analyze under SEM the urinary bladder of male Wistar rats exposed to 125 ppm, 500 ppm and 2500 ppm doses of Diuron through diet during 20 weeks and to compare to the previous histological findings in the same material. Under SEM, 125 ppm and 2500 ppm groups presented significantly (p<0,05) increased incidences of simple hyperplasia, i.e., 7/10 and 8/10 respectively, compared to control group and the 500 ppm group The sensitivity of SEM was higher since it detected a 45% incidence of hyperplasiaswhile the histological analysis found only 27%. Considering SEM as the gold-standard, histology showed a 44% sensitivity, 86.4% specificity, a positive predictive value of 72,7% and negative predictive value of 65,5% and accuracy of 67,5%. Scanning Electron Microscopy...(Complete abstract click electronic access below)

Expressão do gene Glipican 3 (Gpc3) no urotélio da bexiga de ratos expostos ao diuron (3-(3,4-dichlorophenyl)-1,1-dimethylurea) por 7 dias e 20 semanas

Diuron (3-(3,4-dichlorophenyl)-1,1-dimethylurea) is a substituted urea herbicide widely used in crops of sugar cane, cotton and soybeans. In 1997, this agent has been classified by the United States Environmental Protection Agency as known/likely human carcinogen because it induced tumors in the urinary bladder and renal pelvis of rats, and breast and skin of mice exposed to 2500 ppm for feed for two years. A previous study from our group demonstrated dose-response relationship in the gene expression profile associated with severe necrosis on bladder urothelium and increased incidence of simple hyperplasia in male Wistar rats treated with different concentrations of diuron for 20 weeks. To check how early the molecular changes occurs, rats were fed for 7 days with diets containing diuron at 0, 125, 500 or 2500 ppm. The main observations recorded were urothelium ultrastructural alterations and disruptions of molecular pathways associated with cell-cell interaction and the tissue organization maintenance. Particularly, the gene Glypican 3 (Gpc3), a surface proteoglycan related to cellular adhesion and apoptosis induction, was down regulated on urothelium exposed to 2500ppm diuron for 7 days and 20 weeks. The aim of this study was validate by quantitative RT-PCR real time, the reduced Gpc3 gene expression in epithelial cells of the urinary bladder of male Wistar rats treated with different concentrations of diuron for 7 days and 20 weeks. The endogenous control of the quantitative PCR real time technique was the β-actin gene and the target was the gene Gpc3. The relative quantification (RQ) was obtained by the method of relative quantification 2-ΔΔCt . Animals exposed to diuron for 7 days or for 20 weeks presented reduction of Gpc3 gene expression compared to the control group. This reduction was statistically significant only for the 7 days study. Moreover, by comparing animals exposed for 7 days with the exposed for 20 weeks, it was ...

Remoção de matéria orgânica e nitrogênio de efluentes provenientes de abatedouros de bovinos por meio de reator aeróbio operando em bateladas sequenciais com adição de coagulante químico

The volume of liquid effluent generated in cattle slaughterhouses is quite high and cannot be released untreated in water bodies due to its high pollution load of predominantly organic origin. To minimize the environmental impacts of its industrial wastewater and meet the local environmental legislation, abattoirs shall make the treatment of these effluents. The present work aims to develop the study of a reactor by sequential batch pilot scale, in order to optimize their performance in treating wastewater from a cattle slaughterhouse. The treatment system used was developed and installed in the Laboratory of Wastewater Treatment, in Faculty of Science and Technology UNESP, Presidente Prudente campus. The procedure used followed the operation of sequential batch reactors, in which all processes and treatment operations occurring sequentially in a single unit, by establishing specific operating cycles, which comprise the following separated phases: aerobic reaction, anoxic reaction, sedimentation and emptying. Aiming to improve the quality of treatment was planned the addition of coagulant Poly Aluminum Chloride (PAC) in the reactor, by determining their optimal dosage by Jar-test trials. Were prepared four steps with specific operating cycles: step one or acclimatization (10 hour of aeration, one hour and 30 minutes of sedimentation and 30 minutes for exchanging the effluent); step 2 (6 hours of aeration or aerobic phase, 4 hours and 45 minutes of stirring or anoxic phase and 1 hour and 15 minutes for sedimentation and exchange effluent); step 3 (2 hours and 30 minutes of aeration, 8 hours and 15 minutes of stirring and 1 hour and 15 minutes for sedimentation and exchange) and step 4 (2 hours of aeration, 8 hours and 45 minutes of stirring and 1 hour and 15 minutes for sedimentation and exchange)... (Complete abstract click electronic access below)

Principais aplicações terapêuticas da ozonioterapia

The ozone therapy is the therapeutic administration of ozone, which can be: subcutaneous (SC), intramuscular (IM) Intradiscal; intracavitary (pleural and peritoneal spaces); intravaginal, intrauretral, in the bladder; ozonated autohemotherapy. This therapy is being increasingly studied in order to help in some treatments and is being proven to be very effective in most cases, especially in acting on disinfection and healing of extensive wounds. There are over 6000 articles on the medical use of ozone in the literature, but the concentration used varies with each author. Most diseases have a positive response because ozone increases tissue oxygenation and metabolism. Discovered in Germany in the nineteenth century, ozone therapy still needs further study to clarify its mode of action and demonstrate its benefits. The objective of this review is to discuss some of the studies in the literature and try to clarify the main directions and forms of action of ozone therapy in medicine, showing the possibilities of getting good results including in veterinary medicine

Biosusceptometria de corrente alternada para avaliação do trânsito gastrintestinal de alimentos líquidos em ratos

The gastrointestinal tract is the main route of nutrients absorption and drugs delivery. Is important to know the parameters related to the tract, like gastric emptying and gastrointestinal transit, in order to better understand the behavior of different kind of meals or drugs passing through the GIT. Many techniques are used to study these parameters, such as manometry, scintigraphy, phenol red, activated charcoal and carbon-13 reading. However, these methods use radiation, are invasive and require animal sacrifice. As an alternative proposal, the Alternate Current Biosusceptometry (ACB), a magnetic technique, has proved to be effective for these studies with small animals, in a noninvasive way, low cost, radiation free and avoiding the animal death. Associating the ACB to magnetic micro or nanoparticles used as tracers, it is possible to observe the meal behavior inside of the GIT. Focusing meanly on liquid meals digestion, this paper had the objective to evaluate the efficiency of the ACB technique in gastric emptying and gastrointestinal transit evaluation of liquid meals in rats. To perform the experiments, magnetic nanoparticles (ferrite, MgFe2O4) were used on a 1,5 ml solution introduced by gavage on similar weight and age rats. The sensor made by 2 pairs of coils, capable of generating and detecting magnetic fields, creates a field on the interest place and when this field is in contact with the marked meal, it changes, resulting on a variation of the measured voltage. The voltage variation is analyzed and is obtained a particle concentration on the interest region. The results showed that is possible to apply the ACB technique on the GIT evaluation of liquid particles digestion, gastric emptying and meal cecum arrival time curves were obtained and from that, is possible to observe a pattern of gastrointestinal transit. Both mean process time values were acquired, proving the technique capability of ...

Tratamento de efluentes provenientes de abatedouro de bovinos por meio de reator enzimático seguido de reator aeróbio operado em bateladas sequenciais

Brazil has one of the largest cattle herds in the world, so the cattle slaughter is one of the most important economic activities in the Brazilian market. But this activity requires a high demand of water, resulting in serious problems about the correct disposal of wastewater generated in the process. This effluent has a high pollution load, becoming its receiving bodies (streams and rivers) unfit for various activities such as public water supply, recreation, fisheries. To minimize the environmental impacts of its industrial wastewater and fallow the local environmental legislation, refrigerators must make the treatment of these effluents. This study aimed to verify the efficiency of a enzymatic reactor, when occur hydrolysis of lipids present in the effluent industrial of an cattle slaughter industry. The treatment system used was composed of two separate reactors: one being the anaerobic fluidized bed reactor (AFBR), inoculated with immobilized enzymes on the matrix support, and the other by sequential batch reactor (SBR) inoculated with activated sludge. Whereas, the reactors have been developed and installed at the Wastewater Treatment Laboratory, Faculdade de Ciências e Tecnologia, UNESP, campus Presidente Prudente. The procedure operating occurred differently for each reactor: preparation and inoculation of enzyme granules, filling the reactor, hydrolysis, and AFBR emptying, filling, aerobic reaction, sedimentation, and emptying the SBR. We performed three experimental stages, with the first and second stage of the work were done reactor analyzes separately, and the third step of the analysis were made with the interconnected reactors... (Complete abstract electronic access below)

A linguagem da violência nos contos de Famílias terrivelmente felizes de Marçal Aquino

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)