O uso da gastrostomia percutânea endoscópica

A gastrostomia percutânea endoscópica foi introduzida na prática clínica como via alternativa de alimentação enteral. É procedimento que não necessita de anestesia ou laparotomia, como a gastrostomia cirúrgica. A gastrostomia percutânea endoscópica tem como objetivos a manutenção do aporte nutricional e a melhoria da qualidade de vida e sobrevida dos pacientes. É indicada quando o paciente necessita de dieta enteral por período superior a um mês. A freqüência de complicações varia de 1,0% a 10,0% e a mortalidade de 0,3% a 1,0%. É propósito deste trabalho abordar aspectos relevantes desse método de alimentação enteral, aprimorar seu manejo, bem como facilitar o manejo pelos pacientes que dele se utilizam. Para isso, vamos comentar as indicações e contra-indicações da gastrostomia percutânea endoscópica, técnica de colocação, material das sondas, antibiótico profilático, início de utilização, custo do procedimento, além de suas complicações, aspectos legais e éticos.

Well productivity controlling factors in crystalline terrains of southeastern Brazil

Over the last decades, increasing water demands have fostered research to obtain high well yields in crystalline terrains where, besides the intrinsic properties of rocks, the groundwater flow depends on several factors. The depth of the wells, the lithotypes, the presence and thickness of sedimentary coverings and weathered layers, the landforms, the geological structures, and the effects of tectonic stresses are among the most investigated factors considered as determinant of well productivity. The influence of these factors on productivity of wells that exploit the Crystalline Aquifer System in the Jundiai-River Catchment, southeastern Brazil, is investigated in this work. The largest region of the studied area is located on the Precambrian Basement, partially covered by sedimentary deposits. The results show that the sedimentary deposits and the weathered layer are important for high well yield, but it also depends on the existence of a net of open fractures, in order to maintain high productivity. The sites that have more possibility of occurrence of such structures are the regional shear and fault zones and other minor structures with NW-SE and E-W directions, which characterize areas subjected to transtensional stress related to the neotectonics.

New destruxins from the marine-derived fungus Beauveria felina

Chemical investigation of the cytotoxic and anti-tuberculosis active butanone extract obtained from the growth media of the marine-derived fungus Beauveria felina led to the isolation of two new destruxins, [β-MePro] destruxin E chlorohydrin (1) and pseudodestruxin C (3), along with five known cyclic depsipeptides. The structures of the new destruxin derivatives were established by analysis of spectroscopic data, while the absolute configuration of the common amino acid residues was established by Marfey's analysis. The absolute configuration of the 2(A),4(5)-5-chloro-2,4-dihydroxypentanoic acid residue in 1 could be established by application of a J-based configuration method followed by derivatization with R-MPA-Cl and NMR analysis. © Japan Antibiotics Research Association.

Implicaciones de la política macroeconómica, los choques externos y los sistemas de protección social en la pobreza, la desigualdad y la vulnerabilidad en América Latina y el Caribe: Bolivia

Incluye Bibliografía

An Integrative Genomic and Transcriptomic Analysis Reveals Potential Targets Associated with Cell Proliferation in Uterine Leiomyomas

Background: Uterine Leiomyomas (ULs) are the most common benign tumours affecting women of reproductive age. ULs represent a major problem in public health, as they are the main indication for hysterectomy. Approximately 40-50% of ULs have non-random cytogenetic abnormalities, and half of ULs may have copy number alterations (CNAs). Gene expression microarrays studies have demonstrated that cell proliferation genes act in response to growth factors and steroids. However, only a few genes mapping to CNAs regions were found to be associated with ULs. Methodology: We applied an integrative analysis using genomic and transcriptomic data to identify the pathways and molecular markers associated with ULs. Fifty-one fresh frozen specimens were evaluated by array CGH (JISTIC) and gene expression microarrays (SAM). The CONEXIC algorithm was applied to integrate the data. Principal Findings: The integrated analysis identified the top 30 significant genes (P<0.01), which comprised genes associated with cancer, whereas the protein-protein interaction analysis indicated a strong association between FANCA and BRCA1. Functional in silico analysis revealed target molecules for drugs involved in cell proliferation, including FGFR1 and IGFBP5. Transcriptional and protein analyses showed that FGFR1 (P = 0.006 and P<0.01, respectively) and IGFBP5 (P = 0.0002 and P = 0.006, respectively) were up-regulated in the tumours when compared with the adjacent normal myometrium. Conclusions: The integrative genomic and transcriptomic approach indicated that FGFR1 and IGFBP5 amplification, as well as the consequent up-regulation of the protein products, plays an important role in the aetiology of ULs and thus provides data for potential drug therapies development to target genes associated with cellular proliferation in ULs. © 2013 Cirilo et al.

México y Estado de Guanajuato: transferencias intergeneracionales hacia los adultos mayores

Incluye Bibliografía

Identificação das variáveis associadas à mortalidade de pacientes internados em unidade de terapia intensiva adulto

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Caracterização de mutações no gene MED12, dos miRNAS mapeados em 7q22 e dos candidatos a regulação do gene HMGA2 em leiomiomas uterinos

Pós-graduação em Ciências Biológicas (Genética) - IBB

Evolução cenozóica da região de Jundiaí (SP)

Pós-graduação em Geologia Regional - IGCE

Notas de Población Vol. 42 N° 101

La edición número 101 de Notas de Población contiene nueve artículos sobre temas de gran actualidad y relevancia futura en el campo de la investigación sociodemográfica en América Latina y el Caribe. La variada gama de asuntos que se abordan en la presente edición empieza con la aplicación del modelo de transición logística y las proyecciones de población, pasando por el análisis de la transición epidemiológica de la mortalidad infantil en América Latina y los determinantes de la fecundidad adolescente y su relación con la distribución territorial. Continúa con el envejecimiento, su relación con las condiciones de la vivienda, la migración calificada y el análisis del ciclo vital de las personas en relación con una esperanza de vida sana. Concluye con la percepción de la alteridad en la declaración del color y la raza en la encuesta de empleo del Brasil.

Los entornos y el envejecimiento en Iberoamérica: análisis a partir de las condiciones de la vivienda

Incluye bibliografía

A transição de contextos: inter relação entre instituição de educação infantil e família de criança de três anos

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Biomarcadores de progressão em carcinomas orais

Pós-graduação em Ciências Biológicas (Genética) - IBB

Análise integrada aplicada à exploração de água subterrânea na Bacia do Rio Jundiaí (SP)

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)