Potencial evocado auditivo de média latência em crianças com dificuldades de aprendizagem

INTRODUÇÃO: Trata-se de uma semiologia laboratorial objetiva para avaliação do sistema auditivo de crianças com distúrbio de aprendizagem. OBJETIVO: Examinar os componentes do potencial evocado auditivo de média latência em uma amostra de crianças com distúrbio de aprendizagem e determinar suas propriedades. MÉTODO: O estudo realizado é do tipo prospectivo contemporâneo de corte transversal, quantitativo, descritivo e exploratório. 50 crianças de ambos os sexos com 8 a 14 anos de idade dividido em dois grupos iguais, com e sem distúrbio de aprendizagem. Causas orgânicas, ambientais ou genéticas foram excluídas do estudo. RESULTADOS E CONCLUSÃO: As ondas Na, Pa, Nb foram identificadas em todos os integrantes do estudo. Os valores de latência dos componentes foram Na= 19,2 ms, Pa= 32,5 ms, Nb= 46,4 ms (grupo controle) e Na= 19,7 ms, Pa= 35,1 ms, Nb= 49,6 ms (grupo pesquisa). O valor médio de amplitude Na-Pa foi 1,4 mV para ambos os grupos. As análises mostraram diferenças funcionais entre os grupos, foi observado o hemisfério esquerdo Nb latência mais longa de Nb no hemisfério esquerdo do grupo de estudo em relação ao controle. Tal estudo promoveu informações adicionais sobre PEAML e pode ser referência para outros estudos clínicos e experimentais nesta população.

Orientações nacionais para a reforma do ensino médio: dogma e liturgia

O estudo analisa criticamente os fundamentos das atuais diretrizes nacionais para o ensino médio brasileiro, dando especial enfoque à sua coerência com tendências mundiais e seus nexos com recomendações de agências internacionais para reformas educativas nos países emergentes. Discute, outrossim, as vicissitudes e peculiaridades do processo de formulação das referidas diretrizes e sugere o aprofundamento da discussão, indicando aspectos polêmicos que merecem maior reflexão.

Anatomia comparada do pulvino primário de leguminosas com diferentes velocidades de movimento foliar

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

Germination of Styrax camporum Pohl. seeds in response to substrate types, moisture contents and the seed morphology

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Passagem transplacentária e efeitos embriofetais de drogas usadas em anestesia

JUSTIFICATIVA E OBJETIVOS: A anestesia da paciente grávida engloba situações diversas e que devem ser analisadas com muita propriedade. Além da exposição do feto e de uma possível ação tóxica dos agentes a serem utilizados na anestesia, devem ser considerados o período gestacional, as características de cada droga e as doses a serem utilizadas. A falta de informações adequadas sobre o risco do uso de drogas na gestação torna difícil ao anestesiologista uma opção segura quando se vê diante da necessidade de anestesiar uma paciente grávida, tanto para cirurgia não obstétrica, como em cirurgia obstétrica. No primeiro caso, é importante evitar o parto prematuro (ou o aborto) e o aparecimento de alterações permanentes no feto. No segundo caso, não deve haver interferência na contratilidade uterina nem depressão significativa no feto. A finalidade desta revisão é atualizar os conhecimentos sobre a passagem transplacentária e os efeitos maternofetais das drogas usadas em anestesia. CONTEÚDO: São revisados os mecanismos de passagem transplacentária de drogas, os princípios fundamentais de embriofetotoxicidade e analisados alguns aspectos importantes sobre efeitos embriofetais das drogas utilizadas na anestesia. Também é apresentada a classificação de risco teratogênico, de acordo com o FDA, das drogas que o anestesiologista mais utiliza durante o ato anestésico. CONCLUSÕES: Embora ainda persistam muitas dúvidas em relação à escolha de drogas para a anestesia de pacientes grávidas, o anestesiologista dispõe hoje de novas drogas e de informações que lhe permitem oferecer maior segurança para o binômio mãe-feto.

Anatomia comparada do pulvino, pecíolo e raque de Pterodon pubescens Benth. (Fabaceae - Faboideae)

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

Patrimônio histórico-cultural: critérios para tombamento de bibliotecas pelo IPHAN

Em razão do conteúdo informacional que preservam, as bibliotecas são consideradas grandes centros de memória. Tal fato motivou uma análise das bibliotecas tombadas pelo Iphan, com os seguintes objetivos: iniciar uma reflexão sobre suas peculiaridades enquanto patrimônio histórico-cultural, conhecer as justificativas oficiais que levaram ao tombamento, e discriminar o tombamento do prédio e/ou da coleção. Detectou-se que apenas o monumento arquitetônico das bibliotecas foi o critério priorizado, e que o tombamento delas foi apenas conseqüência do tombamento do edifício que as abrigava.

Myelodysplastic syndrome in childhood: report of two cases with deletion of chromosome 4 and the Philadelphia chromosome

We report two pediatric patients with unclassified myelodysplastic syndrome (MDS) by the French-American-British (FAB) group. Both cases had clinical and hematological peculiarities, which had not been described yet. The cytogenetic alterations were 4q deletion and the Philadelphia (Ph) chromosome which appeared at different moments of the disease. One patient showed the Ph chromosome at disease transformation and the other at diagnosis. The different breakpoints at 4q and the presence of Ph could be a marker of this form of MDS. The association of clinical and hematological findings suggests the possibility of a new group of pediatric MDS. (C) 2002 Elsevier B.V. Ltd. All rights reserved.

Some particularities of dam rehabilitation projects

The number of dams, which need rehabilitation, is growing, not only in countries that have a long tradition in dam building and operation but,also in those regions where the infrastructure is still in full development. Though rehabilitation projects generally deal with problems that are common in dam engineering practice there are some peculiarities which are a characteristic of such projects and which must be duly taken into account to avoid unsuccess and/or unnecessary costs. Regular safety inspection is essential to forestall the development of structural, hydrological and operational unsafety. if need of major repair or overall rehabilitation of a dam becomes apparent design oft he rehabilitation project must be preceded by a comprehensive checkup of the structure and appurtenant works, as well as by an evaluation of its hydrological safety inclusive of all relevant environmental aspects. The availability of complete records on the clam's structural behaviour and on meteorological and hydrological data, as well as the knowledge of the materials properties of the existing structure are important for the successful design of a rehabilitation project. To this end the installation of monitoring devices in the existing structure may be necessary to generate representative data. While the criteria to be used in structural design should correspond to current standards, the definition of hydrological design criteria depends on considerations that vary widely from region to region or even from one country to another. Some basic hydrological safety requirements, however, are recommended for general acceptance. Dam rehabilitation projects demand very careful and detailed construction planning because of their dependence on river flow conditions, operational restrictions and, often, on procedures or limitations imposed to avoid harm to the environment. of utmost importance is the timely availability of the financial funds required to complete the project, in order to avoid delays which could result in structural or operational unsafety. Since every dam sooner or later will have to undergo major repair or updating of safety, rehabilitation may evolve to a speciality of dam engineering.

The Brazilian pediatric myelodysplastic cooperative group strategies: are they relevant to improve educational approach and correct diagnosis?

Brazil is a wide country with huge contrasts. Its peculiarities can highlight environmental factors that could influence the frequencies of different cancers. The standard treatment and results achieved from several different areas of the country may not be found in others. The establishment of a national cooperative group has the potential to improve outcomes. The The Brazilian Cooperative Group on Pediatric Patients with Myelodysplastic Syndrome (BCG-MDS-PED) was first organized in January 1997 as a working group of hematologists, pediatric oncologists, pediatric-hematologists, molecular biologists and other professionals in order to study pediatric (age < 18 years) MDS. Six distinct subcommittees constituted with members from several universities: cytology, histopathology, clinical, cytogenetics, molecular biology and epidemiology. The goals of the BCG-MDS-PED were: (i) to offer support for diagnosis and orientation for treatment; (ii) educational Support for the colleagues all over the country and (iii) research on pathogenesis and new approaches for pediatric MDS patients. There are socio-economical differences among the five regions of the country. The BCG-MDS-PED believes that it is absolutely necessary to Study the clinical, cellular, molecular and epidemiological aspects of MDS, taking in account these peculiar differences among populations and regions. Since 1997, 114 pediatric cases were referred to the BCG-MDS-PED from 21 centres. Seven Brazilian states have sent cases to the group, 31 patients were referred from universities, 73 patients from pediatric oncology units (foundations) and 10 patients came from private clinics. Some of these patients have been followed up and/or treated by the physician who referred them to the BCG-MDS-PED for confirmation of the initial diagnosis. The majority of these physicians have required orientation on diagnostic and treatment issues, as well as to complete cytogenetic and molecular studies. From these 114 patients, 64 patients were confirmed as MDS. We believe that, the more numerous the MDS-studied cases, the more experienced will be the referee group on clinical and laboratory features on childhood MDS in Brazil. (C) 2002 Published by Elsevier B.V. Ltd.

Self-fertility and polyembryony in South American yellow trumpet trees (Handroanthus chrysotrichus and H. ochraceus, Bignoniaceae): a histological study of postpollination events

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

HIPERTENSAO ARTERIAL NA CRIANCA

The objective of this report was to summarily review the concept and the prevalence of arterial hypertension in children, its peculiarities and the difficulties in measuring of blood pressure at this age. Considerations of clinical picture, diagnosis, laboratory and drug-induced test (Captopril) were discussed. The authors presented various therapies utilized in hypertension and hypertensive crisis.

Características ultra-estruturais das células de Sertoli do morecego hematófago (Desmodus rotundus rotundus, Geoffrey, 1810).

This paper deals with the ultrastructural study of mature vampire bat Sertoli cells and their relationships with the different stages of testicular germ cells. In vampire bat seminiferous epithelium there are different types of junctional specializations among Sertoli cells and among Sertoli cells and different germ cells, with special emphasis to tight junctions and to junctions like as desmosomes. Ectoplasmic junctions through the Sertoli cells, including the smooth ER, are observed. These cellular interactions and their cytophysiological roles are discussed. Also are related some ultrastructural peculiarities of the Sertoli cell nucleus, nucleolus, cytoplasmic organelles and lipidic inclusions.

Body temperature and thermoregulatory behaviour of the lizard Ameiva ameiva in Central Amazonian forests

Body temperatures and thermoregulatory behaviour of the teiid lizard Ameiva ameiva inhabiting the edge and the understory were studied in Central Amazonian forests Despite of differences in the thermal profile of the habitates. the mean body temperature was the some for active lizards observed at the edge or inside the forest. where only slight peculiarities in thermoregulatory behaviour were observed. A. ameiva is capable of maintaining body temperature significantly above microhabitat temperature.

Inferences about the coefficient of correlation in the standard bivariate normal distribution

The study of the association between two random variables that have a joint normal distribution is of interest in applied statistics; for example, in statistical genetics. This article, targeted to applied statisticians, addresses inferences about the coefficient of correlation (ρ) in the bivariate normal and standard bivariate normal distributions using likelihood, frequentist, and Baycsian perspectives. Some results are surprising. For instance, the maximum likelihood estimator and the posterior distribution of ρ in the standard bivariate normal distribution do not follow directly from results for a general bivariate normal distribution. An example employing bootstrap and rejection sampling procedures is used to illustrate some of the peculiarities.