Polimorfismo do gene IL6 candidato à predisposição à rotura prematura de membranas pré-termo e ao trabalho de parto pré-termo

Introduction: Preterm Labor (PTL) and Preterm Premature Rupture of Membranes (PPROM) cause severe complications for both mother and fetus. Among the risk factors associated with preterm labor and PPROM, genetic predisposition has been gaining importance. However, the association between polymorphic genes and the pathogenesis of PTL and PPROM remains elusive. A better understanding of the genetic mechanisms underlying these adverse pregnancy outcomes may enable the identification of high risk patients and allow new approaches to minimize the deleterious effects of prematurity. Aim: To determine the association between maternal IL-6 polymorphism gene and the occurrence of PTL and PPROM. Patients and Methods: The study included 109 patients with prior history of PL and/or PPROM that delivered prematurely at the Obstetrical Unit Care of Botucatu Medical School, UNESP between 2003 and 2012. The control group consisted of 68 patients that delivered at term, matched to the case group by age, ethnicity, and sex of the newborn. Oral swabs (Cath-AllTM – Epicentre Biotechnologies) were collected for analysis of genetic polymorphisms by PCR. Statistical tests were performed to compare genotype, clinical and socio-demographic data from the groups. A p-value of <0.05 was considered significant. Results: The sociodemographic characteristics in both groups were homogeneously distributed. The frequency of the polymorphic allele C, associated with less production of IL-6, and therefore thought to be protective against PTL and PPROM, was 32,5% in the study group and 30,9% in the control group, without statistically significant differences. Conclusion: Considering the sample size included in this study, the frequency of the mutated allele is similar in pregnant women who delivered at term and gestational complications as PTL and PPROM

Políticas públicas na educação inclusiva: da legislação a concepção docente

This project was grounded in public policy for inclusive education in the city of Bauru / Brazil. Its objective was to examine the struture of these public policies aimed at inclusive education, which are in place and their effectiveness from the viewpoint of specialist teachers in municipal schools in Bauru/ Brazil. Subjects were 20 teachers of special education specialists who work with students from kindergarten and elementary school in the city of Bauru. To collect data were questionnaires and interviews. The theoretical studies carried out showed that the legislation today was the result of many years of changes in structure and design on the figure of people with disabilities and their integration into society. As a result it was possible to draw a profile of specialist teachers, their training, and that has knowledge about the specific legislation. As the profile of the specialist teacher noticed that they have good training, but this should be a continuous process, during his performance.Public policy for Special Education but there are geared towards a macro-structure, which makes them often decontextualized from everyday classroom, and often not enforced because of lack of policies in other areas of basic needs that are constitutional law as well as education

A antropogeomorfologia na bacia do Córrego do Cavalheiro - Analândia/SP: uma avaliação da dinâmica do uso da terra e sua adequabilidade a legislação ambiental e a capacidade de uso

The assessment of land use dynamic can be an instrument for analysis in anthropogeomorphology, which would allow one to verify the human geomorphological actions and its various implications in changing the original morphology for the creation of a human morphology. This study aimed to consider the land use dynamics and its interference in the morphology of Cavalheiro Stream Basin. From this assessment, to understand the implications of land use in the creation of a human morphology, as well as to analyze if the current use is in accordance with the legal restrictions placed by ongoing environmental legislation and with the ability to land use. The chosen of this studied area was due to assumptions raised by Pinton (2007) for changes in the dynamic of rainwater erosion of this area caused by human actions, specially the cultivation of sugar cane in morphologies that are unfit for it. The search took as methodological support the principles that concern the General Systems Theory, trying to see the watershed as an open system. The geomorphological data, of land use and of legal restrictions to the use and occupation of land, were collected from different cartographic techniques. Besides, it was developed a sketch map of land use capacity by adapting the technique proposed by Lepsch (1983). This way, the data obtained in this survey are considered capable to provide subsidies for the identification of changes in original morphology of the Cavalheiro Stream Basin and the genesis of a human morphology, as well as conflicts and adjustments of current land use in environmental system and on the legal restrictions outlined in the ongoing environmental legislation, contributing to a proper environmental planning with the characteristics of the physical environmental system of this basin

Correlação entre presença de Mycoplasma hominis e Ureaplasma urealyticum e níveis IL-6 e IL-10 no líquido amniótico de gestantes com trabalho de parto prematuro

O trabalho de parto prematuro (TPP) é uma intercorrência obstétrica com etiologia multifatorial, que tem como principal complicação a prematuridade. A infecção da cavidade amniótica (CA) é um fator associado ao TPP e, nos últimos anos, inúmeros trabalhos têm demonstrado a presença de diferentes espécies bacterianas no líquido amniótico (LA) de pacientes em TPP. Dentre essas, destacam-se duas espécies de micoplasmas genitais, Mycoplasma hominis e Ureaplasma urealyticum, que embora sejam freqüentemente detectadas no LA ainda são pouco estudadas quanto à sua relação com essa complicação obstétrica. Avaliar a infecção na cavidade amniótica por M. hominis e U. urealyticum bem como determinar os níveis de IL-6 e IL-10 no líquido amniótico de gestantes com trabalho de parto prematuro. Foi realizado estudo prospectivo com 20 gestantes em TPP, atendidas no Serviço de Obstetrícia do Hospital das Clínicas da Faculdade de Medicina de Botucatu, UNESP. O grupo controle foi constituído de 20 gestantes com indicação para amniocentese transabdominal para avaliação da maturidade fetal. Foram obtidas amostras do líquido amniótico e das membranas corioamnióticas de todas as pacientes incluídas no estudo. A pesquisa de M.hominis e U.urealyticum no LA foi realizada empregando-se a técnica de reação em cadeia da polimerase (PCR) e os níveis de IL-6 e IL-10 quantificados por ensaio imunoenzimático (ELISA). Os dados obtidos referentes às características maternas, infecção da cavidade amniótica e concentração de citocinas no LA foram submetidos ao teste z de proporção e ao teste de Mann-Whitney e o nível de significância adotado foi de 5%. A incidência de TPP no período do estudo foi de 5,8%. No grupo TPP, a pesquisa de invasão microbiana da CA foi positiva para... (Resumo completo, clicar acesso eletrônico abaixo)

Infecção bacteriana da cavidade amniótica em gestantes com trabalho de parto prematuro

O trabalho de parto prematuro (TPP) é uma intercorrência obstétrica com etiologia multifatorial, que tem como principal complicação a prematuridade. A infecção da cavidade amniótica (CA) é um fator associado ao TPP e, nos últimos anos, trabalhos têm demonstrado a presença de diferentes espécies bacterianas no líquido amniótico (LA) de pacientes em TPP. O objetivo desse estudo foi identificar as espécies bacterianas presentes no líquido amniótico de gestantes em trabalho de parto prematuro. Foram incluídas, no grupo de estudo, 20 gestantes em TPP e como grupo controle, 20 gestantes, fora de trabalho de parto prematuro, com indicação para amniocentese transabdominal para avaliação da maturidade fetal. As pacientes foram atendidas no Serviço de Obstetrícia do Hospital das Clínicas da Faculdade de Medicina de Botucatu, no período de junho de 2005 a outubro de 2007. Para avaliação da presença de infecção na CA, foi realizada a reação em cadeia da polimerase (PCR) em amostras de líquido amniótico para detecção de Mycoplasma hominis, de Ureaplasma urealyticum e da seqüência conservada inter-espécie do gene RNAr 16S. Os produtos da reação de PCR para o gene RNAr 16S foram clonados para realização do seqüenciamento com a finalidade de identificar as espécies bacterianas da CA das gestantes incluídas no estudo. A incidência de TPP no período do estudo foi de 5,8%. No grupo TPP, a pesquisa de invasão microbiana da CA foi positiva para M. hominis (35,0%), U. urealyticum (15,0%) e gene RNAr 16S (30,0%), sendo todas as frequências superiores às encontradas no grupo controle (p<0,05). A pesquisa de microrganismos no LA através da pesquisa do gene bacteriano RNAr 16S revelou positividade de seis amostras de LA pertencente...(Resumo completo, clicar acesso eletrônico abaixo)

Percepção do enfermeiro quanto a sua satisfação no contexto de trabalho em um hospital estadual

With the increasing competitiveness of organizations in search of customers, it is essential that the pursuit of quality becomes a prerequisite for the survival of healthcare organization, is necessary to have working conditions that encourage both personal and professional satisfaction. This study aims to investigate the perception of nurses regarding their satisfaction in the context of work in a State Hospital and contribute to the reflection on the internal customer satisfaction as an important indicator of quality of health services that interfere with quality of care. We used the qualitative method, on phenomenology, with nurses from a state hospital that had at least one year of experience in the institution. Through interviews, it was revealed that satisfaction is related to the literature and is influenced by factors such as human resources, practice nurses, Teamwork, Perception of the patient, professional recognition, physical and material resources and rewarding work, and these themes unfold quality and satisfaction both personally and for organizations

Revisão sobre fármacos quirais e a sua importância na medicina atual

Aspects are discussed on the chirality of drugs and their action in the human body, the benefits of using a drug in enantiomerically pure form and why, even today, despite the risks, many drugs are marketed as racemic mixture. Among the methods of separation there is the High Performance Liquid Chromatography (HPLC) which can be given in different ways using chiral additives in the mobile phase as in the system of ligand exchange in the ion pair system and the system of cavity or inclusion. Note also the wide variety of chiral stationary phases available in the market that allow high specificity using them according to the need and purpose of the method. The review of the topic is extremely important since it is a matter of public interest world that brings into play issues and financial policies

Avaliação dos aspectos dosimétricos no tratamento de câncer de tireóide com Iodo-131

The 131I (radioactive iodine) is one of the most used radionuclides in nuclear medicine for diagnosis and treatment. The present study evaluates the dosimetric aspects related to radioiodine therapy after thyroidectomy in patients with thyroid cancer. The samples were studied with 50 patients undergoing treatment, by assessing the exposures of workers (nursing assistants, staff hygiene, medical and physical), the general public (accompanying and family members) and on the environment. To evaluate the workers, was made a survey of the environmental conditions of the room radioiodine and routines adopted by them during the treatment period. Estimating the dose equivalent per month for each employee, we observed that the maximum levels obtained for nursing assistants, the team of hygiene, medical and physicians were considered low in relation to the extent permitted by law. In order to assess the public, some situations have been suggested for the calculation of equivalent doses in which it was possible to verify the fundamental importance of isolating the patient in the 2 days first. Regarding the environment, the radioactive waste generated by patient had volume of 1.0 m3 and activity estimated at 0.91 mCi, taking a decay time for eliminating them about 75 days to reach the allowable value of 2 μCi / kg system of collecting garbage. Therefore, all radioactive waste removed from the patient's room should be sent to the warehouse for temporary storage of radioactive waste, located away from normal work areas

Acupuntura na abordagem da Síndrome da Cauda Equina em pequenos animais Trabalho

Nowadays, in any area that acts within the veterinary medicine, we talk a lot of specialists. Specialists in neurology, cardiology, dermatology, endocrinology, finally, more specialized in a subject, better is the veterinarian. However, on one hand to deepen the knowledge helped in the discovery of new diagnostics and treatments, secondly, a bit lost sight of the patient as a whole. Traditional Chinese medicine, one of whose branches is acupuncture, is aimed at exactly this approach to be fully alive, where all body is interconnected and the disease is not seen as the imbalance of one system, but, as the imbalance between our being and the environment external. Acupuncture is an alternative in the treatment of many diseases, among them Cauda Equina Syndrome, and consists of stimulating specific points on the body surface, which help the body return to its natural harmony. A Cauda Equina Syndrome is a frame subsequent to a neuromuscular spinal cord at the level of the spinal canal of the lower lumbar spine and sacral, whose treatment is almost always surgical. This study aims to show the relevance of acupuncture treatment in this condition and report the importance of the philosophy of traditional Chinese medicine nowadays, even when their arms are not in the treatment of choice

Aplicações práticas de proteção radiológica nas áreas de medicina nuclear e radiodiagnóstico em instalações hospitalares

After the discovery of ionizing radiation, its applications in various fields of science began to take significant proportions. In the case of medicine, there are the application areas in radiotherapy, diagnostic radiology and nuclear medicine. It was then necessary to create the field of radiological protection to establish the conditions necessary for the safe use of such ionizing radiation. Apply knowledge obtained during the graduation stage and in the practice of radiological protection in the areas of nuclear medicine and diagnostic radiology. In the area of nuclear medicine, tests were made in the Geiger-Muller counters (GM) and the dose calibrator (curiometer), the monitoring tests of radiation, waste management, clean of the Therapeutic room and testing the quality control of gamma-chambers. In the area of radiology, were performed tests of quality control equipment for conventional X-ray equipment and x-ray fluoroscopy, all following the rules of the National Health Surveillance Agency (ANVISA), and reporting of tests. The routine developed in the fields of nuclear medicine in hospitals has proved very useful, since the quality control of GM counters contribute to the values of possible contamination are more reliable. The control of dose calibrator enables the patient not to receive different doses of the recommended amounts, which prevents the repetition of tests and unnecessary exposure to radiation. The management of waste following the rules and laws established and required for its management. Tests for quality control of gamma chambers help to evaluate its medical performance through image. In part of diagnostic radiology, tests for quality control are performed in order to verify that the equipment is acceptable for usage or if repairs are needed. The knowledge acquired at the internship consolidated the learning of graduation course

Material de risco específico no abate de bovinos

La Encefalopatía Espongiforme Bovina (EEB) es una enfermedad degenerativa mortal y transmisible del sistema nervioso central del ganado, con largo período de incubación y clínicamente se caracteriza por sintomas nerviosos, la reacción exagerada a los estímulos externos y dificultad locomoción. La EEB es una enfermedad del grupo de las Encefalopatías Espongiformes Transmisibles (EET), y consiste en una enfermedad zoonótica transmitida por comer alimentos contaminados con una proteína llamada príon. Se discute el control de enfermedades, celebrada en la carne de vacuno refrigerada masacre a través de las Material Especificado de Riesgo (MER) que son el cerebro, cráneo, ojos, amígdalas, médula espinal, gânglio del trigémino, gânglios de la raiz dorsal y el íleon distal. Estos organismos pueden contener el agente de la EEB y transmitir la enfermedad. Los controles se basan en la ley brasileña y las normas internacionales que dictan la recogida y destrucción de estos materiales, sino también las normas para la comercialización de productos procedentes de rumiantes, así como la prohibición de alimentar rumiantes com productos de origen animal

Gama Câmara CZT: alteração de paradigmas em aquisição de imagens de medicina nuclear

Nuclear medicine is a medical specialty related to imagery that deals with imaging techniques, diagnosis and therapy, allowing observing the physiological state of tissues noninvasively by marking the molecules participating of these physiological processes with radioactive isotopes, thus creating the called radionuclides. The image of a radionuclide is one of the most important applications of radioactivity in nuclear medicine. The equipment’s of nuclear medicine imaging use the principle of radiation detection, turning it into an electrical signal which, through specific algorithms, allows forming tomographic images that provide information about the functional status of organs. New detection systems have been developed for tomographic acquisitions using solid state detectors. These devices use crystals of cadmium zinc telluride (CdZnTe). Some of the advantages of this detector are a significant improvement of signal to noise ratio, the increased spectral and spatial resolution, which in sum, result in greater clarity of the images obtained, opening new perspectives for imaging protocols previously unattainable. In contrast, all other gamma-cameras equipped with vacuum tubes have remained relatively unchanged for nearly fifty years. In these gamma-cameras, the images are obtained using two steps significantly less efficient: the gamma rays are converted to light through a first device, and then the light is converted into an electrical signal through a second device. One of functions the Medical Physicist is related to the quality control of equipment. This control ensures that the information and images provided are true and thus credible to be used in medical reports. To perform this type of analysis the physicist must understand the performance characteristics and operation of all equipment of the department concerned; besides, in the absence of specific legislation, proposing...(Complete abstract click electronic access below)

Queijos tipo parmesão ralados industrialmente e no ato da venda, adquiridos no comércio varejista, como fontes de agentes deteriorantes e patogênicos

Pós-graduação em Medicina Veterinária - FCAV

Condições higiênico-sanitárias e de manejo de rebanhos leiteiros correlacionados à qualidade do leite cru refrigerado

Pós-graduação em Medicina Veterinária - FCAV

A legislação escolar brasileira e a organização da álgebra no Ensino Fundamental

This work aims to investigate the presence of algebra in Brazilian school legislation, from 1980 to the present day. The research was developed through qualitative research, with phenomenological approach, using hermeneutic procedures for the analyzes of legal texts. Survey data were obtained through a survey about the educational legislation, specifically referring to the elementary school, guided by the question how is the presence of algebra in brazilian school legislation that organizes the elementary school?. In possession of the data, the analyzes were carried out considering the historical, social and political environment in which the laws were introduced, focusing the educational landscape of the time, as well as the movements that influenced the teaching of mathematics in the country. The analysis of each text -law were arranged in a row explanatory tables of a meta understanding about the observed. The meta understanding of the documents was drawn up on the basis of the convergence of analyzes that resulted in nuclear ideas of the law texts. At the end a comprehensive synthesis is presented, outlining the movement in which algebra is inserted in schools, through the educational legislation