Abdominoplastia vertical para tratamento do excesso de pele abdominal após perdas ponderais maciças

INTRODUÇÃO: As cirurgias bariátricas são cada vez mais frequentes no tratamento dos pacientes portadores de obesidade mórbida. A grande perda ponderal decorrente desses procedimentos causa excesso de pele e de tecido subcutâneo em todo o corpo, especialmente na região abdominal. O objetivo deste trabalho é apresentar a técnica de abdominoplastia vertical como alternativa para a ressecção do excesso de pele nesses pacientes. MÉTODO: Foram avaliados, retrospectivamente, os prontuários de 40 pacientes submetidos ao procedimento entre 2004 e 2009. O grau de satisfação dos pacientes foi avaliado através de escala subjetiva, com notas variando de 0 a 10. RESULTADOS: Vinte e cinco por cento dos pacientes apresentaram pequenas complicações, sendo 3 seromas, 3 pequenas deiscências e 5 cicatrizes hipertróficas, todas tratadas ambulatorialmente. Dois terços dos pacientes relataram alto grau de satisfação, considerando seus resultados bons (notas 7 ou 8) ou ótimos (notas 9 ou 10). CONCLUSÕES: A técnica de abdominoplastia vertical aparece como uma nova opção para o tratamento do excesso de pele abdominal em pacientes ex-obesos.

Immunogenicity and Reactogenicity of 2009 Influenza A (H1N1) Inactivated Monovalent Non-Adjuvanted Vaccine in Elderly and Immunocompromised Patients

Background Immunosuppressed individuals present serious morbidity and mortality from influenza, therefore it is important to understand the safety and immunogenicity of influenza vaccination among them. Methods This multicenter cohort study evaluated the immunogenicity and reactogenicity of an inactivated, monovalent, non-adjuvanted pandemic (H1N1) 2009 vaccine among the elderly, HIV-infected, rheumatoid arthritis (RA), cancer, kidney transplant, and juvenile idiopathic arthritis (JIA) patients. Participants were included during routine clinical visits, and vaccinated according to conventional influenza vaccination schedules. Antibody response was measured by the hemagglutination-inhibition assay, before and 21 days after vaccination. Results 319 patients with cancer, 260 with RA, 256 HIV-infected, 149 elderly individuals, 85 kidney transplant recipients, and 83 with JIA were included. The proportions of seroprotection, seroconversion, and the geometric mean titer ratios postvaccination were, respectively: 37.6%, 31.8%, and 3.2 among kidney transplant recipients, 61.5%, 53.1%, and 7.5 among RA patients, 63.1%, 55.7%, and 5.7 among the elderly, 59.0%, 54.7%, and 5.9 among HIV-infected patients, 52.4%, 49.2%, and 5.3 among cancer patients, 85.5%, 78.3%, and 16.5 among JIA patients. The vaccine was well tolerated, with no reported severe adverse events. Conclusions The vaccine was safe among all groups, with an acceptable immunogenicity among the elderly and JIA patients, however new vaccination strategies should be explored to improve the immune response of immunocompromised adult patients. (ClinicalTrials.gov, NCT01218685)

Pyrochlore der Pegmatit-Provinz Nazareno, Brasilien

Zusammenfassung:Mit Hilfe einer neuen Formel für die Minerale der Pyrochlor-Gruppe werden sämtliche Endglieder der Na-Ca-Mikrolithe und der Ba-haltigen Mikrolithe aus der Pegmatit-Provinz Nazareno beschrieben: Die Na-reichsten Proben haben nahezu die Idealzusammensetzung eines idealen Pyrochlors, d.h. . Die Ca-reichsten Varietäten weisen maximal auf, wobei der Besetzungsanteil des Ca am A2+ ca. 93% beträgt. Die Ba-haltigen Mikrolithe sind durch eine Defektstruktur gekennzeichnet, wobei für das mögliche Endglied kein Beispiel in den Daten vorliegt. Das Endglied mit dem geringsten Defektcharakter hat folgende Stöchiometrie:

Le Havre. Forme e caratteri dello spazio urbano nel progetto di Auguste Perret

Oggetto del presente studio è il progetto di ricostruzione del centro urbano di Le Havre ad opera di Auguste Perret. Suo obiettivo è il riconoscimento di quell’idea di città posta a fondamento del progetto, per il quale ci si propone di indagare il senso e le grammatiche costitutive della sua forma. Quella di Le Havre costituisce una dimostrazione di come una forma urbana ancora compatta ed evocativa della città storica possa definirsi a partire dalle relazioni stabilite con gli elementi della geografia fisica. Nei suoi luoghi collettivi e monumentali, che rimandano chiaramente a una cultura dell’abitare che affonda le proprie radici nella più generale esperienza della costruzione della città francese, la città riconosce un valore formale e sceglie di rappresentare il proprio mondo civico dinanzi a quei grandi elementi della geografia fisica che costituiscono l’identità del luogo nel quale questa si colloca. Sembra infatti possibile affermare che gli spazi pubblici della città atlantica riconoscano e traducano nella forma della Place de l’Hôtel de Ville le ripide pendici della falesia del Bec-de-Caux, in quella della Porte Océane l’orizzonte lontano dell’Oceano, e nel Front-de-mer Sud l’altra riva dell’estuario della Senna. Questa relazione fondativa sembra essere conseguita anche attraverso la definizione di un’appropriata grammatica dello spazio urbano, la cui significatività è nel fondarsi sull’assunzione, allo stesso tempo, del valore dello spazio circoscritto e del valore dello spazio aperto. La riflessione sullo spazio urbano investe anche la costruzione dell’isolato, sottoposto a una necessaria rifondazione di forma e significato, allo scopo di rendere intellegibile le relazioni tra gli spazi finiti della città e quelli infiniti della natura. La definizione dell’identità dello spazio urbano, sembra fondarsi, in ultima analisi, sulle possibilità espressive delle forme della costruzione che, connotate come forme dell’architettura, definiscono il carattere dei tipi edilizi e dello spazio da questi costruito.

Herbal medicine in the treatment of liver diseases

Herbal drugs have become increasingly popular and their use is widespread. Licensing regulations and pharmacovigilance regarding herbal products are still incomplete and clearcut proof of their efficacy in liver diseases is sparse. Nevertheless, a number of herbals show promising activity including silymarin for antifibrotic treatment, phyllantus amarus in chronic hepatitis B, glycyrrhizin to treat chronic viral hepatitis, and a number of herbal combinations from China and Japan that deserve testing in appropriate studies. Apart from therapeutic properties, reports are accumulating about liver injury after the intake of herbals, including those advertised for liver diseases. Acute and/or chronic liver damage occurred after ingestion of some Chinese herbs, herbals that contain pyrrolizidine alkaloids, germander, greater celandine, kava, atractylis gummifera, callilepsis laureola, senna alkaloids, chaparral and many others. Since the evidence supporting the use of botanicals to treat chronic liver diseases is insufficient and only few of them are well standardised and free of potential serious side effects, most of these medications are not recommended outside clinical trials. Particularly with regard to the latter, adequately powered randomised-controlled clinical trials with well-selected end points are needed to assess the role of herbal therapy for liver diseases.

Seismic multichannel reflection profiles from the Gulf of Cadiz, IODP Expedition 339

Sediments cored along the southwestern Iberian margin during Integrated Ocean Drilling Program Expedition 339 provide constraints on Mediterranean Outflow Water (MOW) circulation patterns from the Pliocene epoch to the present day. After the Strait of Gibraltar opened (5.33 million years ago), a limited volume of MOW entered the Atlantic. Depositional hiatuses indicate erosion by bottom currents related to higher volumes of MOW circulating into the North Atlantic, beginning in the late Pliocene. The hiatuses coincide with regional tectonic events and changes in global thermohaline circulation (THC). This suggests that MOW influenced Atlantic Meridional Overturning Circulation (AMOC), THC, and climatic shifts by contributing a component of warm, saline water to northern latitudes while in turn being influenced by plate tectonics.

Contribution of woody habitat islands to the conservation of birds and their potential ecosystem services in an extensive Colombian rangeland

The conservation of birds and their habitats is essential to maintain well-functioning ecosystems including human-dominated habitats. In simplified or homogenized landscapes, patches of natural and semi-natural habitat are essential for the survival of plant and animal populations. We compared species composition and diversity of trees and birds between gallery forests, tree islands and hedges in a Colombian savanna landscape to assess how fragmented woody plant communities affect forest bird communities and how differences in habitat characteristics influenced bird species traits and their potential ecosystem function. Bird and tree diversity was higher in forests than in tree islands and hedges. Soil depth influenced woody species distribution, and canopy cover and tree height determined bird species distribution, resulting in plant and bird communities that mainly differed between forest and non-forest habitat. Bird and tree species and traits widely co-varied. Bird species in tree islands and hedges were on average smaller, less specialized to habitat and more tolerant to disturbance than in forest, but dietary differences did not emerge. Despite being less complex and diverse than forests, hedges and tree islands significantly contribute to the conservation of forest biodiversity in the savanna matrix. Forest fragments remain essential for the conservation of forest specialists, but hedges and tree islands facilitate spillover of more tolerant forest birds and their ecological functions such as seed dispersal from forest to the savanna matrix.

Pollen record from sediment core M77/2_056-3 (Bay of Guayaquil, Peru)

We analyzed the pollen content of a marine core located near the bay of Guayaquil in Ecuador to document the link between sea surface temperatures (SST) and changes in rainfall regimes on the adjacent continent during the Holocene. Based on the expansion/regression of five vegetation types, we observe three successive climatic patterns. In the first phase, between 11,700 and 7700 cal yr BP, the presence of a cloud (Andean) forest in the mid altitudes and mangroves in the estuary of the Guayas Basin, were associated with a maximum in boreal summer insolation, a northernmost position of the Intertropical Convergence Zone (ITCZ), a land- sea thermal contrast, and dryness. Between 7700 and 2850 cal yr BP, the expansion of the coastal herbs and the regression of the mangrove indicate a drier climate with weak ITCZ and low ENSO variability while austral winter insolation gradually increased. The interval between 4200 and 2850 cal yr BP was marked by the coolest and driest climatic conditions of the Holocene due to the weak influence of the ITCZ and a strengthening of the Humboldt Current. After 2850 cal yr BP, high variability and amplitude of the Andean forest changes occurred when ENSO frequency and amplitude increased, indicating high variability in land-sea connections. The ITCZ reached the latitude of Guayaquil only after 2500 cal yr BP inducing the bimodal precipitation regime we observe today. Our study shows that besides insolation, the ITCZ position and ENSO frequency, changes in eastern equatorial Pacific SSTs play a major role in determining the composition of the ecosystems and the hydrological cycle of the Ecuadorian Pacific coast and the Western Cordillera in Ecuador.

Caracterización morfofisiológica de semillas de especies leñosas distribuidas en dos zonas secas presentes en el Sur del Ecuador

Sudamérica es una de las zonas con mayor cantidad de bosque seco tropical a nivel mundial. No obstante, estos bosques han sido poco conocidos y la mayoría de estudios han estado orientados hacia los bosques húmedos tropicales. Los bosques secos se han reducido drásticamente y siguen muy amenazados, corriendo el riesgo de desaparecer en los próximos años. Por ello, es fundamental, generar investigación aplicada para la conservación inmediata de los ecosistemas secos tropicales. En Ecuador, la situación no es diferente y las zonas secas catalogadas como biodiversas están en constante amenaza. Los pocos estudios realizados en Ecuador sobre zonas secas, han permitido mejorar nuestro conocimiento referente a la diversidad y abundancia de las especies, relaciones planta-planta y síndromes de dispersión. No existen estudios sobre caracteres morfológicos en frutos y semillas de las especies leñosas de bosque seco. Sin embargo, nuestra comprensión de la dinámica y estructura de las comunidades ecológicas de zonas secas poco estudiadas, puede mejorar rápidamente mediante el estudio y enfoque de rasgos morfofisiológicos funcionales. El objetivo general del presente estudio fue aportar al conocimiento de la ecología y biología de semillas de zonas secas tropicales mediante el análisis y evaluación de rasgos morfofisiológicos de frutos y semillas de una comunidad de especies leñosas. El estudio se realizó en una zona de bosque y matorral seco, ubicados al sur occidente del Ecuador, a una altitud comprendida entre los 250 a 1 200 m s.n.m. caracterizada por una marcada estacionalidad ambiental, con lluvias desde diciembre a abril y una estación seca de mayo a noviembre. Precipitación media anual de 500 mm con una temperatura media anual de 20° a 26 °C. La zona de estudio forma parte de la región Tumbesina compartida entre el sur del Ecuador y el norte del Perú con gran diversidad de especies vegetales endémicas. Para el estudio se colectaron frutos con semillas maduras previamente a su dispersión de entre ocho y diez individuos de 80 especies entre árboles y arbustos más representativos de los bosques secos ecuatorianos. De los frutos colectados se utilizó una muestra al azar de 50 frutos y semillas por especie para los diferentes análisis. Se midió y evaluó 18 rasgos morfológicos y fisiológicos cuantitativos y cualitativos de frutos, semillas y de la especie. Se realizaron diferentes análisis de asociación y correlación entre los rasgos evaluados, con cinco variables ambientales registradas de las 109 parcelas establecidas en el área de estudio, además analizamos el tipo de dormición y comparamos la respuesta germinativa a la deshidratación relacionada con dos comunidades secas, matorral y bosque seco. Los resultados mostraron que las especies presentan gran heterogeneidad en rasgos continuos de las semillas. La variabilidad fue más evidente en rasgos como tamaño, volumen, masa y número de semillas por fruto. Sin embargo, una alta proporción de las especies tiende a producir una semilla por fruto. Además, la mayoría de las especies de bosque seco se caracterizan por no poseer algún tipo de apéndices o areola en sus semillas, forma ovalada y sin endospermo. La reserva nutritiva de las semillas se encuentra especialmente en los cotiledones de los embriones. Se encontraron seis tipos diferentes de embriones y la mayoría de las especies presentó embriones gruesos e invertidos. La dispersión de semillas está dominada por zoocoria en un 38 %, con relación a anemocoria (22 %) y autocoria (19 %). Sin embargo, encontramos que el 70 % de las especies posee frutos secos. Los análisis de dormición en las semillas de bosque seco, mostraron que el 60 % de las especies de bosque seco presentaron semillas con algún tipo de latencia, menor a la encontrada en especies de bosque deciduo tropical y sabanas, sin embargo, la dormición de las especies de bosque seco fue mayor al porcentaje de especies con dormición de bosque semiperenne y selva lluviosa tropical. La dormición física constituyó el 35 % de las especies de bosque seco, seguido del 12 % con dormición fisiológica, mientras que solamente una especie tuvo dormición morfológica. Encontramos que la dormición de las semillas de las especies en estudio se relaciona significativamente con el tipo y función del embrión y con el endospermo. Existieron relaciones significativas entre los rasgos morfológicos de los frutos, semillas, embriones y atributos de los individuos de 46 especies, aunque en algunos casos con coeficientes de correlación bajos. Hubo pocas relaciones entre los rasgo morfológicos de las semillas con las variables ambientales registradas. Solamente el tipo de testa y la presencia de apéndices en las semillas mostraron relación con el pH y la temperatura media del suelo. No obstante usando el modelo fouth corner-RLQ, no se encontraron asociaciones claras ni significativas entre rasgos morfológicos de semillas y frutos con variables ambientales. Al medir el efecto de la deshidratación en las semillas de los dos hábitats secos tropicales: bosque y matorral seco, los resultados determinaron que tanto las semillas de las especies leñosas de ambientes más áridos (matorral seco) están en gran medida pre-adaptadas a la desecación que las especies de ambientes menos áridos (bosque seco). Los tratamientos de deshidratación ejercieron un efecto negativo en los porcentajes de germinación en todas las especies, excepto para C. platanifolia. Los resultados más sorprendentes se registraron para Senna alata que mostró germinación extremadamente baja o incluso sin germinación a contenidos de humedad de la semillas de 0,10 g H2O g de peso seco. Las curvas de germinación difirieron significativamente entre los tratamientos de deshidratación en cada especie. Aportar al conocimiento la fisiología de la deshidratación y los límites de tolerancia de las semillas de bosque y matorral seco ayudará a entender mejor el papel de este rasgo en la ecología de las semillas y dinámica de las comunidades áridas tropicales. El estudio demostró, que la adaptación ecológica de las semillas de las especies leñosas de bosque seco a factores ambientales extremos, puede verse reflejada en una red de interacciones y correlaciones complejas entre los propios rasgos morfológicos y fisiológicos continuos y cuantitativos, sobre todo en rasgos internos de las semillas, quienes ejercerían una mayor influencia en toda la red de interacciones. Si bien, los rasgos de las semillas no mostraron fuertes relaciones con las variables ambientales, posiblemente las asociaciones presentes entre rasgos morfológicos pudiesen predecir en cambio interacciones entre especies y comportamientos y procesos relacionados con la tolerancia a la deshidratación y dormición de las semillas. ABSTRACT South America is one of the areas with the largest number of tropical dry forest in the world. However, these forests have been poorly understood and most studies have been directed to tropical rainforests. Dry forests have been drastically reduced and are very threatened, risking desaparecerer in the next years. It is therefore essential, generate applied research for conservation of tropical dry ecosystems. In Ecuador the situation is no different and dry areas classified as biodiverse are under constant threat. The few studies made in Ecuador on drylands have improved our knowledge concerning the diversity and abundance of species, plant-plant relationships and dispersion syndromes. Morphological studies on fruits and seeds of woody dry forest species do not exist. However, our understanding of the dynamics and structure of ecological communities dryland little studied, may improve quickly through the study and functional approach morphophysiological traits. The overall objective of this study was to contribute to the knowledge of the ecology and biology of tropical dry seeds through analysis and evaluation of morphophysiological traits of fruits and seeds of a community of woody species. The study was conducted in an area of dry scrub forest, located at the southwest of Ecuador, at an altitude between 250 to 1200 m asl. Environmental characterized by a marked seasonality, with rainfall from December to April and a dry season from May to November. Annual rainfall of 500 mm with an average annual temperature of 20° to 26 °C. The study area is part of the shared Tumbesina region between southern Ecuador and northern Peru with a great diversity of endemic plant species. For the study, we collected fruit and seed madure of eight and ten individuos of 80 species of trees and shrub most representated of the Ecuador dry forest. We selected a sample of 50 fruits and seeds for different analysis. We measure and evaluate 18 morphological and physiological traits of fruits, seeds and species. We perform analysis and correlation between traits associated with five environmental variables taken from the 109 plots established in the study area also analyze and compare the germination response to dehydration related to two dry communities, scrub and dry forest. The results showed that the species have great heterogeneity in continuous seed traits. Variability was more evident in features such as size, volume, mass, and number of seeds per fruit. However, a high proportion of species tends to produce a seed per fruit. In addition, most of the species of dry forest is characterized by not having some sort of ppendices or areola in its seeds, oval form and without endosperm. The nutrient reserves of seeds are especially in the cotyledons of the embryos. Six different embryos were found and most of the species presented thick and inverted embryos. Seed dispersal zoochory is dominated by 38 %, relative to anemochory (22 %) and autochory (19 %). However, we found that 70 % of the species has dried fruits. The analysis of dormancy from tropical dry forest, showed that 60 % of species showed seed dormancy, down from species found in tropical deciduous forest and savanna, however dormancy dry forest species was higher than the percentage of forest species dormancy semi-evergreen and tropical rain forest. Physical dormancy corresponds to 35 % of species, followed by 12 % with physiological dormancy, while only one species had morphological dormancy. We found that dormancy of the seeds was significantly related to the type and function of the embryo and the endospemo. There were significant relationships between morphological traits of fruits, seeds, embryos and attributes of individuals of 46 species, although in some cases with low correlation coefficients. There was little relationship between the morphologic traits of the seeds with the registered environmental variables. Only the type of tesla and the presence of appendages on the seeds showed relation to pH and the mean soil temperature. However, using the fourth corner-RLQ model, neither clear nor significant between morphological traits of seeds and fruits associations with environmental variables were found. The effect of dehydration on seeds of two tropical dry forest habitats was evident in dry scrub. The results determined that both the seeds of woody species forest and dry scrub are pre-adapted to drier conditions. Dehydration treatments exerted a negative effect on germination percentage in all species, except for C. platanifolia. However, all species germinated in treatments of extreme dryness, but in low percentages. The most striking results were recorded for Senna alata showed no germination when its moisture content was 0.10 g H2O g dry weight. Germination curves differ significantly between the treatments of dehydration in each species. Contribute to the knowledge of physiology and dehydration tolerance limits seeds dry scrub forest and help you better understand the role of this trait in seed ecology and dynamics of tropical arid communities. The study showed that the ecological adaptation of seeds of woody species of dry forest to extreme environmental factors may be reflected in a complex web of interactions and correlations between morphological and physiological traits continuous and quantitative themselves, especially in internal seed traits, who exerted a major influence on the entire network of interactions. While the seed traits showed strong relationships with environmental variables possibly present associations between morphological traits could predict interactions between species and change behaviors related to desiccation tolerance and seed dormancy processes.

O ENSINO DA FILOSOFIA NAS DIRETRIZES DE JEAN MAUGÜÉ E NO HISTORICISMO DO PENSAMENTO DE JOÃO DA CRUZ COSTA: PIONEIRISMO NA UNIVERDSIDADE DE SÃO PAULO

O presente estudo foi desenvolvido com o objetivo de refletir a relevância do Ensino de Filosofia no contexto histórico brasileiro em consonância conjectural paulistana. Apontamos através do Decreto nro. 6.283 de 25 de janeiro de 1934, o qual instituiu-se sendo a primeira Universidade brasileira (Universidade de São Paulo) nas palavras de Vita “iniciativa pioneira no Brasil” (1969, p.16). Inspirada no modelo universitário tradicional da cultura filosófica francesa, a Faculdade de Filosofia, Ciências e Letras adotou desde os seus contíguos metodológicos aos procedimentos intelectivos, favorecendo o desenvolvimento da interdisciplinaridade da formação cultural. Uma confluência marcada por intensos envolvimentos ideológicos estruturados do progresso moderno, infundindo competências científicas na faculdade profissional incorporada à universidade, bem como formar professores para o ensino secundário (SCHWARTZMAN, 2006, p.163). Sendo assim, a Faculdade de Filosofia seria o núcleo propulsor. Porém, o modelo centralizador de pensar o Ensino da Filosofia, a atribui uma superioridade técnica intelectual e saber acumulado, pouco distingue da competência escolar conquistada em outros países, pelo potencial formativo dos professores filósofos Jean Maugüé (1955,1982) e João da Cruz Costa (1945, 1960, 1961,1967). Mauguë aponta-nos quão a formação em Filosofia está diretamente atribuída ao docente e ao aluno, que a ela se dedica. Pela obra Ensino de Filosofia e Diretrizes, ele apresenta-nos também a concepção de docência: o docente-intelectual, comprometido com a (re) construção dos significados epistemológicos, legitimados por uma prática pedagógica entre o já conhecido e ao conhecer, ou seja, entre o ensinado e ao ensinar. Nesse sentido, é notável que os argumentos do docente e do filósofo se imbricam, ao ponto de serem confundidos e potencializados durante a formação. Assim, Cruz Costa, também trabalha, quando assume a cátedra, porém ressalta que o processo formativo adquire sentido pela História das Ideias como construção do pensamento filosófico e, portanto, o ensino se faz quando se toma consciência da concentricidade histórica, ideias que lhe concede significado conjugado às técnicas de erudição, o que fez advertir aos seus alunos para as vicissitudes pelas quais passaram em nossa terra, as correntes filosóficas estrangeiras, e, sobretudo, para a curiosa significação que elas têm apresentado no envolver de nossa história (VITA, 1950, p.22). O conhecimento histórico é o caminho norteador a ser percorrido, necessário ao devir humano, isto é, a conciliação entre o conhecimento teórico e as condições históricas.