Padrões neuropatológicos nas substâncias branca e cinzenta revelados por tomografia computadorizada ou ressonância magnética e déficits neurológicos correspondentes em crianças e com encefalopatia crônica não progressiva da infância

A Encefalopatia Crônica Não Progressiva da Infância (ECNP) é a sequela neurológica com maior comprometimento motor para a criança, e continua sendo na atualidade a hipóxicoisquemia perinatal a maior causa de lesão cerebral. É conhecida como Paralisia Cerebral, sendo definida por uma sequela de agressão encefálica, caracterizada, principalmente, por um transtorno persistente, mas não invariável do tônus, da postura e do movimento, que aparece na primeira infância. A caracterização da ECNP se faz considerando as condições anatômicas, etiológicas, semiológicas e não evolutiva. Neste estudo adotou-se a classificação baseada em aspectos anatômicos e clínicos, que enfatizam o sintoma motor, enquanto elemento principal do quadro clínico. A neuroimagem tem fundamental importância para o diagnóstico e prognóstico de lesões cerebrais, exercendo a importante função de descartar ou confirmar a presença de lesões em recém-nascidos e nas crianças com alterações no desenvolvimento. A Tomografia Cerebral (TAC) e a Ressonância Magnética do Crânio (RM) vêm desempenhando enorme papel para o estudo dos vários tecidos que constituem o sistema nervoso. Assim este estudo teve o objetivo geral de avaliar os padrões neuropatológicos nas substâncias branca e cinzenta, obtidos por TAC ou RM de Crânio, de pacientes com história clínica de ECNP hipóxico-isquêmica perinatal, correlacionando os dados obtidos por neuroimagem com os padrões motores obtidos por exame clínico-neurológico. Foram obedecidas as normas vigentes para estudo em seres humanos impostas pela Resolução CNS 196/96, submetida ao Comitê de Ética e Pesquisa da Plataforma Brasil sob o Nº 112168. A população foi constituída por pacientes com idade de zero a sete anos, de ambos os sexos, atendidos no Ambulatório de Paralisia Cerebral do Projeto Caminhar do Hospital Universitário Bettina Ferro de Souza (HUBFS), com diagnóstico de ECNP. A amostra do estudo foi composta por 15 crianças com diagnóstico de ECNP por Hipóxia neonatal. Para o diagnóstico radiológico em neuroimagem foram utilizados os dados dos laudos da TAC e da RM de Crânio. A avaliação clínico-neurológica utilizou para a avaliação do movimento o modelo da escala Gross Motor Function Classification System (GMFCS E&R), elaborada por Palisano, que gradua a criança em cinco níveis no qual o Nível I corresponde à normalidade e o Nível V a maior gravidade de limitação. Das 15 crianças avaliadas quanto ao movimento e a relação do Nível de Motricidade pela GMFCS E&R 05 crianças apresentavam nível V, 04 crianças nível IV, 05 crianças nível III e 01 criança nível II. Quanto ao imageamento cerebral 46% realizaram TAC e 54% RM do Crânio. A RM de Crânio apresentou-se neste estudo como a imagem de eleição, pois das 8 crianças que realizaram o exame, 6 apresentavam alterações. Ficou evidente que o exame por imagem de eleição para a criança que apresenta Encefalopatia Crônica não Progressiva é a RM de Crânio, podendo se adotar como protocolo para a conclusão diagnóstica, evitando expor a criança a uma carga elevada de RX como ocorre na TAC, e ainda, evitando gastos desnecessários para a saúde pública.

A ictiologia na Amazônia brasileira de Diogo Nunes (1538) a Landi (1772): a visão dos viajantes e naturalistas que trataram de sua ictiofauna durante este período

Este trabalho visou reunir e disponibilizar informações sobre a ictiofauna da Amazônia segundo vários escritos do século XVI ao XVII. Consultaram-se, fontes documentais de várias bibliotecas e arquivos, e dos documentos selecionados procedeu-se à identificação taxonômica das espécies neles referidas. Também se fizeram observações com base nas referências textuais e iconográficas disponíveis, de forma a acrescentar informações consideradas de relevância zoológica. Constatou-se que, devido à definição então vigente do conceito de "peixe", um estudo da ictiologia do período precisaria incluir também informações sobre espécies de outros táxons aquáticos que não agnatos, elasmobrânquios e teleósteos. No início do período colonial, a idéia de peixe era generalizada simplesmente como pescado, e não havia muita preocupação em inventariar a ictiofauna do Novo Mundo. Mais tarde, alguns dos visitantes da região puseram-se a descrever e ilustrar a ictiofauna de maneira mais específica: nessa fase em que se dava mais detalhamento às espécies de peixes destacavam-se o texto atribuído ao Fr. Cristóvão de Lisboa (1625- 1631), o códice do arquiteto Antonio Giuseppe Landi (1772) e principalmente o manuscrito do Pe. João Daniel (1758-1776) — o qual se revelou um pioneiro do movimento conservacionista da Amazônia. Os visitantes que vieram à região careciam, no geral, de formação acadêmica específica e, servindo a funções várias alheias à Ciência, não seguiam uma metodologia que se pudesse chamar de científica. Devido ao fato de seus manuscritos não terem sido divulgados ou sequer impressos, por vários motivos, o conhecimento neles produzido não foi cumulativo ou analítico, e não teve influência significativa no desenvolvimento da Ictiologia. Por outro lado, os naturalistas que efetivamente não estiveram na Amazônia puderam trazer uma contribuição de maior impacto, consolidando o conhecimento obtido através principalmente da obra de Georg Marcgrave (1648) e de exemplares coletados nas possessões holandesas da América do Sul, e incluindo-o num grande sistema classificatório que mais tarde despertaria o interesse de outros cientistas em conhecer a ictiofauna amazônica.

Sistema de classificação de pacientes cirúrgicos em hospitais especializado: construção e validação de um instrumento

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

Experiência discente com o cuidado a paciente portador de Epidermodisplasia Verruciforme

Report of an experience of nursing students in providing care to a patient with epidermodysplasia verruciformis, during the internship in the discipline Nursing in Transmittable Diseases, at the dermatology ward of a teaching hospital, located in the state of São Paulo, Brazil, in 2009. This is a rare genodermatosis, susceptible to infection with different types of human papilloma viruses, that cause exacerbated physical changes that impact the psyche of the affected individual. Care delivery was based on the assistance complexity indicated by the application of the Patient Classification System proposed by Perroca. The experience allowed students to learn how to cope with a patient affected by a rare and complex disease, of difficult resolution, and to provide integral care to this individual, perceiving him beyond the lesions. One conclude that the experience has greatly contributed to the growth of the students as future professionals.

Utilização de sistema de informação geográfica na avaliação do uso da terra em Botucatu (SP)

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

Devoção, lazer e turismo nas romarias de Juazeiro do Norte, CE: reconfigurações romeiras dos significados das romarias a partir de tensões entre as categorias turismo e devoção

Based on a fieldwork conducted among groups of Father Cicero‟s devotee pilgrims at the Brazilian state of Ceará, I try to discuss in this paper the use pilgrims make of the expressions "tourism" and "go touring”. The argument presented here is that the uses of these expressions are much more than a classification system through which they seek to define who goes on pilgrimage for devotion or for leisure. The main argument is that when the pilgrims use these expressions there is a tension related to the transformations that have been occurring on pilgrimages (and on the ways pilgrims experience them), as well as on the meanings of pilgrimages for their lives, either individually or as a group.

Avaliação do método de classificação baseada no objeto em imagens de alta resolução espacial aplicado para o monitoramento de faixa de dutos: estudo de caso no entorno da refinaria de Capuava em Mauá - SP

The metropolitan region of São Paulo is the most populous of the country, this happens because of its great importance in the national economy and the job opportunities that are offered to the population. These factors result in intense population growth and urban expansion, reaching some non-habitable places of the metropolis, as areas of pipelines, which are very important for the transportation of natural gas, oil and its derivatives. Before the population growth of the region, these sites were unoccupied, do not presenting problems for the population. However, with the disorderly occupation is generated great anthropogenic pressure on the pipeline stitches, causing risks to people who are around them. Therefore it is extremely important to monitor the strip of pipelines through products and techniques of remote sensing and geoprocessing, enabling, through high spatial resolution images, identification of objects or phenomena that occur on Earth's surface that can alter the functioning and safety of pipelines. Therefore, this study aims to monitor a stretch of the area of the pipeline mesh GASPAL/OSVAT and Capuava Refinery (RECAP), located on the outskirts of the metropolitan area of São Paulo in the city of Mauá, who suffer great human pressure, proving thus the techniques of remote sensing and geographic information system (GIS) as effective tools for monitoring phenomena occurred in urban areas of great complexity. The monitoring was done by object-based classification applied in orbital images Ikonos II and RapidEye, of high spatial resolution and, image processing, detection of objects, segmentation, classification and editing were developed through the eCognition and ArcGis softwares. To determine the statistical accuracy of the mapping of the land cover of the stretch of pipeline in Maua, the results were analyzed by error matrix... (Complete abstract click electronic access below)

Turismo rural: uma viagem de inclusão produtiva

Pós-graduação em Serviço Social - FCHS

Classificação climática de Thornthwaite e sua aplicabilidade agroclimatológica nos diferentes regimes de precipitação em Pernambuco

Knowing the annual climatic conditions is of great importance for appropriate planning in agriculture. However, the systems of climatic classification are not widely used in agricultural studies because of the wide range of scales in which they are used. A series with data from 20 years of observations from 45 climatological stations in all over the state of Pernambuco was used. The probability density function of the incomplete gamma distribution was used to evaluate the occurrence of dry, regular and rainy years. The monthly climatic water balance was estimated using the Thornthwaite and Mather method (1955), and based on those findings, the climatic classifications were performed using the Thornthwaite (1948) and Thornthwaite and Mather (1955) for each site. The method of Kriging interpolation was used for the spatialization of the results. The study classifications were very sensitive to the local reliefs, to the amount of rainfall, and to the temperatures of the regions resulting in a wide number of climatic types. The climatic classification system of Thornthwaite and Mather (1955) allowed efficient classification of climates and a clearer summary of the information provided. In so doing, it demonstrated its capability to determine agro climatic zones.

A utilização de material didático impresso para o ensino de um modelo de classificação do esporte na educação física escolar

Pós-graduação em Desenvolvimento Humano e Tecnologias - IBRC

A New Approach for Managing Bovine Tuberculosis: Veterinary Services’ Proposed Action Plan

Bovine tuberculosis (TB) is a serious disease with animal health, public health, and international trade consequences. The cooperative Federal-State-industry effort to eradicate bovine TB from cattle in the United States has made significant progress since the program’s inception in 1917. However, the goal of eradication remains elusive. This proposed action plan presents Veterinary Services’ (VS’) current thinking about changes we are considering for the TB program to address our current challenges. This action plan will: 1. Reduce the introduction of TB into the U.S. national herd from imported animals and wildlife by: o Applying additional requirements to cattle imports from Mexico o Enhancing efforts to mitigate risks from wildlife 2. Enhance TB surveillance by: o Crafting a comprehensive national surveillance plan o Accelerating diagnostic test development to support surveillance 3. Increase options for managing TB-affected herds by: o Conducting epidemiological investigations and assessing individual herd risk o Applying whole-herd depopulation judiciously and developing alternative control strategies o Applying animal identification (ID) standards to meet animal ID needs 4. Modernize the regulatory framework to allow VS to focus resources where the disease exists 5. Transition the TB program from a State classification system to a science-based zoning approach to address disease risk To succeed, this new approach will require VS’ continued partnership with State animal health and wildlife officials, other Federal agencies, industry, international partners, academia, and other stakeholders. Successful partnerships will allow us to use available resources efficiently to achieve program objectives and protect our nation’s herd. Implementation of the VS proposed action plan will benefit Federal and State animal health officials, the regulated industries, and producers by allowing a more rapid response that employs up-to-date science and can adapt rapidly to changing situations.

THE DEVELOPMENT AND EVALUATION OF SOFTWARE TO VERIFY DIAGNOSTIC ACCURACY

This article describes the development and evaluation of software that verifies the accuracy of diagnoses made by nursing students. The software was based on a model that uses fuzzy logic concepts, including PERL, the MySQL database for Internet accessibility, and the NANDA-I 2007-2008 classification system. The software was evaluated in terms of its technical quality and usability through specific instruments. The activity proposed in the software involves four stages in which students establish the relationship values between nursing diagnoses, defining characteristics/risk factors and clinical cases. The relationship values determined by students are compared to those of specialists, generating performance scores for the students. In the evaluation, the software demonstrated satisfactory outcomes regarding the technical quality and, according to the students, helped in their learning and may become an educational tool to teach the process of nursing diagnosis.

Medial prefrontal cortex endocannabinoid system modulates baroreflex activity through CB1 receptors

Ferreira-Junior NC, Fedoce AG, Alves FHF, Correa FMA, Resstel LBM. Medial prefrontal cortex endocannabinoid system modulates baroreflex activity through CB1 receptors. Am J Physiol Regul Integr Comp Physiol 302: R876-R885, 2012. First published December 28, 2011; doi: 10.1152/ajpregu.00330.2011.-Neural reflex mechanisms, such as the baroreflex, are involved in the regulation of cardiovascular system activity. Previous results from our group (Resstel LB, Correa FM. Medial prefrontal cortex NMDA receptors and nitric oxide modulate the parasympathetic component of the baroreflex. Eur J Neurosci 23: 481-488, 2006) have shown that glutamatergic synapses in the ventral portion of the medial prefrontal cortex (vMPFC) modulate baroreflex activity. Moreover, glutamatergic neurotransmission in the vMPFC can be modulated by the endocannabinoids system (eCBs), particularly the endocannabinoid anandamide, through presynaptic CB1 receptor activation. Therefore, in the present study, we investigated eCBs receptors that are present in the vMPFC, and more specifically whether CB1 receptors modulate baroreflex activity. We found that bilateral microinjection of the CB1 receptor antagonist AM251 (100 or 300 pmol/200 nl) into the vMPFC increased baroreflex activity in unanesthetized rats. Moreover, bilateral microinjection of either the anandamide transporter inhibitor AM404 (100 pmol/200 nl) or the inhibitor of the enzyme fatty acid amide hydrolase that degrades anandamide, URB597 (100 pmol/200 nl), into the MPFC decreased baroreflex activity. Finally, pretreatment of the vMPFC with an ineffective dose of AM251 (10 pmol/200 nl) was able to block baroreflex effects of both AM404 and URB597. Taken together, our results support the view that the eCBs in the vMPFC is involved in the modulation of baroreflex activity through the activation of CB1 receptors, which modulate local glutamate release.

Paper-Based Analytical Device for Electrochemical Flow-Injection Analysis of Glucose in Urine

This article describes a new design for a paper-based electrochemical system for flow injection analysis. Capillary wicking facilitates a gravity-driven flow of buffer solution continuously through paper and nitrocellulose, from a buffer reservoir at one end of the device to a sink at the other. A difference in height between the reservoir and the sink leads to a continuous and constant flow. The nitrocellulose lies horizontally on a working electrode, which consists of a thin platinum layer deposited on a solid support. The counter and reference electrodes are strategically positioned upstream in the buffer reservoir. A simple pipetting device was developed for reliable application of (sub)microliter volumes of sample without the need of commercial micropipets; this device did not damage the nitrocellulose membrane. Demonstration of the system for the determination of the concentration of glucose in urine resulted in a noninvasive, quantitative assay that could be used for diagnosis and monitoring of diabetes. This method does not require disposable test strips, with enzyme and electrodes, that are thrown away after each measurement Because of its low cost, this system could be used in medical environments that are resource-limited.

Relationship between global structural parameters and Enzyme Commission hierarchy: Implications for function prediction

In protein databases there is a substantial number of proteins structurally determined but without function annotation. Understanding the relationship between function and structure can be useful to predict function on a large scale. We have analyzed the similarities in global physicochemical parameters for a set of enzymes which were classified according to the four Enzyme Commission (EC) hierarchical levels. Using relevance theory we introduced a distance between proteins in the space of physicochemical characteristics. This was done by minimizing a cost function of the metric tensor built to reflect the EC classification system. Using an unsupervised clustering method on a set of 1025 enzymes, we obtained no relevant clustering formation compatible with EC classification. The distance distributions between enzymes from the same EC group and from different EC groups were compared by histograms. Such analysis was also performed using sequence alignment similarity as a distance. Our results suggest that global structure parameters are not sufficient to segregate enzymes according to EC hierarchy. This indicates that features essential for function are rather local than global. Consequently, methods for predicting function based on global attributes should not obtain high accuracy in main EC classes prediction without relying on similarities between enzymes from training and validation datasets. Furthermore, these results are consistent with a substantial number of studies suggesting that function evolves fundamentally by recruitment, i.e., a same protein motif or fold can be used to perform different enzymatic functions and a few specific amino acids (AAs) are actually responsible for enzyme activity. These essential amino acids should belong to active sites and an effective method for predicting function should be able to recognize them. (C) 2012 Elsevier Ltd. All rights reserved.