999 resultados para Avaliacao Nutricional
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Authors report trial with bergapten using homeopathic preparations and the protection of cucumber seedlings (Cucumis sativus) against intoxications by the same substance and assess the positive results obtained.
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In this study the immunopotentiator levamisole as well as a mixture of BCG/Mycobacterium leprae were investigated in inactive lepromatous leprosy patients by using the Mitsuda reaction as a parameter. Twenty lepromatous patients ten years ago classified as histologically negative for Mitsuda's test were divided into three groups: five patients that were only retested with Mitsuda antigen; eight patients that received oral levamisol and seven patients that received a mixture of alive BCG plus autoclaved M. leprae. The results indicated that: 1) the levamisole did not alter the reactivity to lepromin in any of the patients studied; 2) neither the changes in the reactivity to lepromin by using the mixture (3 cases) nor those that occurred spontaneously (3 cases) were clear. They properly reflected the natural variation of patients with some degree of resistance to Mycobacterium leprae.
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Apis mellifera bee venom (Africanized honey bee) was tested for the ability to protect against the lethal effect of bleomycin, an antibiotic and antineoplastic agent. Since the radioprotective effect of the venom has been observed on the other biological systems, in the present study the venom was applied to cultures of enterobacteria treated with bleomycin, a radiomimetic agent. The venom did not act as a protective agent against bleomycin in E. coli, S. typhimurium or Y. enterocolitica.
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An experiment was conducted to determine the apparent nitrogen-corrected metabolizable energy (AMEn) values and the coefficients' metabolization of the: dry matter, ether extract, calcium and phosphorus availabilities of experimental layer diets containing toasted (TSB) and extruded (ESB) soybeans. The soybean meal (SBM) was substituted at 0, 50, and 100% by TSB and ESB whole soybeans. The whole soybeans utilization in layer diets did not adversely affect calcium and phosphorus availability. The SBM and ESB, in diets with crude protein at 17%, showed the best ether extract coefficients of metabolization. When TSB replaced all SBM in the diets, it was observed the worst value for AMEn.
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Objective: To evaluate the in vitro activity of the fourth-generation cephalosporin cefpirome in comparison to that of ceftazidime, ceftriaxone, cefotaxime and imipenem in a multicenter study involving nine hospitals from six cities (four states). Material and methods: A total of 804 isolates from patients hospitalized in either intensive care units or Oncology/Hematology units was evaluated. The isolates were collected between June and November of 1995, i.e. before cefpirome became commercially available in Brazil, and susceptibility tested by broth microdilution following the NCCLS procedures. All isolates resistant to cefpirome were retested by B-test. Results: Against Enterobacteriaceae (n = 344), cefpirome demonstrated an activity 2 to 32-fold higher than that of the third-generation cephalosporins (TGCs) and similar to that of imipenem. The percentages of Enterobacteriaceae susceptible were: 88%, 69% and 96% for cefpirome, TGCs and imipenem, respectively, The cefpirome spectrum were greater or equal to that of imipenem against Citrobacter freundii, Enterobacter aerogenes, Morganellao morganii and Serratia marcescens. Against Acinetobacter sp. (n = 77), cefpirome was slightly more active than ceftazidime; however, the percentages of isolates resistant to these compounds were high (84% and 88%, respectively). The activities of cefpirome, ceftazidime and imipenem were very similar against P. aeruginosa isolates (n = 128), with MIC50 (μg/ml) percent susceptible of 8/59%, 8/62% and 4/62% respectively, Against aerobic gram-positive bacteria, the cefpirome activity was 4 to 16-fold higher than that of TGCs but 2 to 8-fold lower than that of imipenem. Conclusion: The results of our study suggest that, in Brazil, cefpirome has a spectrum of activity which is higher than that of the TGCs against aerobic gram-negative (Enterobacteriaceae and non-Enterobacteriaceae) and gram-positive bacteria and similar to that of imipenem against some Enterobacteriaceae species and P. aeruginosa.
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Background and Objectives - There are many questions and opinions about the value of routine preoperative tests as an integral part of the preanesthetic evaluation. Current trends suggest that such tests should be based on detailed clinical and physical evaluation. Since such tests are still routinely performed and questions about their real value still persist, the aim of this study was to assess the value of routine hematocrit (Ht), hemoglobin concentration (Hb), blood urea nitrogen (BUN) and serum creatinine results in patients undergoing elective surgery, to establish when they are needed and aiming at answering such questions. Methods - 1065 patients aged 12 years and above, physical status ASA I, II and III, scheduled for elective surgery were studied. Patients were divided into 7 different age groups with randomized distribution of gender. Ht, Hb, BUN and serum creatinine results, routinely asked by our surgical departments, were observed and analyzed. Variance Analysis was used for each variable, and the Bonferroni Multiple Comparison Test was used to compare group to group. Differences were considered significant when p < 0.05 (5%). Results - For all patients, 4025 laboratory tests were obtained. The number of tests was the same for each group. There were no differences in Ht and Hb values which remained within normal ranges. Considering BUN and serum creatinine, there was a difference between younger and older patients, but the results were normal in all groups. Conclusions - We concluded that mean Ht, Hb, BUN and serum creatinine values in all age groups were all acceptable for surgical patients in general. However, they are barely useful if performed regardless of clinical evaluation. Thus, such preoperative routine tests should be abandoned and the good clinical practice with common sense should prevail in indicating them.
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The applicability of a residue of manioc (Manihot esculenta Granz) from industrial processing as a direct compression excipient was investigated in comparison with microcrystalline cellulose (Avicel® PH 101). Physical characteristics of the powders like bulk and tap densities, particle size, flow properties (flow rate, index of compressibility and angle of repose) and agglutination were evaluated. The residue had poor performance as excipient for direct compression. However, it showed better disintegration properties than Avicel. The possibility of its use as disintegrant agent will be confirmed on future studies.
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The aim of this study was evaluate the effectiveness of the sodium diclophenac on the mydriasis induced by drugs and on the tearing, blepharospasm and photophobia in normal individuals that received mydriatic or cycloplegic eyedrops. We observed that there was not increase of the pupil diameter with the use of the diclophenac (f = 0,52). The photophobia symptom was mainly present in the patients with dark iris and that received the cycloplegic drops (p < 0,01). The authors concluded that there is not benefit in the use of the sodium dyclophenac eyedrops for the mydriasis increase or the decrease of the ocular symptoms in routine ophthalmologic examination.
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This study assessed the oral health of individuals 60 years or older in the city of Araraquara, Sao Paulo, Brazil, in 1998. Of the 194 people who participated in the study, 91 of them were institutionalized and had an average age of 73.6 years, and 103 were not institutionalized and had an average age of 69.3 years. The study participants were examined by a previously trained oral surgeon who determined the prevalence of the most common oral health problems. The results revealed a large number of edentulous individuals (72% of those institutionalized and 60% of the noninstitutionalized participants) and many persons with extracted teeth (93% and 90%, respectively), as well as a high frequency of periodontal pockets (57% and 75%, respectively) and of inadequate dentures (80% and 61%, respectively). Our results show reduced quality of life for a large proportion of these older individuals, and also indicate that public health services should pay greater attention to this population group.
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Background and Objectives - Postoperative pain is one of the major discomforts but often under treated, especially in the pediatric patient. The aim of this study was to evaluate nasal morphine postoperative analgesia as an alternative drug administration route and show its applicability, effectiveness, tolerability and side effects. Methods - Participated in this study 20 patients aged 3 to 13 years, physical status ASA I and II sequentially submitted the different small and medium-size surgeries. Analgesia was obtained with nasal morphine hydrochloride in aqueous solution in variable concentrations of 2%, 1%, 0.5%, 0.25% and 0.125%. The dose for each instillation has been 0.1 mg.kg -1 at three-hour intervals for 36 postoperative hours. Quality of analgesia in pre-verbal age patients was evaluated by a pain intensity scale based on facial expression and crying, sleep, motor activity, sociability and food ingestion was used. Standardized evaluations were performed at 3-hour intervals. A four-grade scale was used to evaluate tolerability, where: 1) Good; 2) Regular; 3) Bad; 4) Very bad. Result - Postoperative analgesia results have proven to be good and safe, especially from the third evaluation on (6 hours). Drug tolerability has been good, although side effects were observed, especially nausea and vomiting. Conclusions - Patients and relatives accepted the method very well. The nasal route was considered an adequate way for opioid administration although more studies are needed to accept it as a routine for postoperative morphine analgesia.
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The ideal size precision of the foliar sample determines manual work optimization, and also diminishes inherent errors in diagnosis reports of nutritional state. This work aimed to determine the size of the foliar samples and the sample error variation in guava plantations submitted to two hydric cultivations for the nutritional state diagnosis of this fruit. The work included two studies, both under an entirely randomized experimental design. Study 1 was carried out in an orchard under unirrigated cultivation with four treatments and six repetitions that consisted of leaf collection in 5, 10, 20 and 40 plants. Study 2 was carried out in an orchard under irrigated cultivation with five treatments and 10 repetitions that consisted of leaf collection in 10, 20, 30, 40 and 50 guava plants. It was concluded that in unirrigated orchards it is necessary to sample leaves in 40 plants in order to keep the macronutrients sample error between 5 to 10%. For the micronutrients, on the other hand, at least 40 plants were necessary and, if Fe and Zn were considered, the sample must be even larger. In irrigated orchards, leaves deriving from 10 plants were enough to keep the sample error between 5 to 10%. However, considering the micronutrients, it was necessary to sample 20 guava plants.
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The objective of this work was to evaluate the effect of omission of macronutrients in the growth and the nutritional state of elephant-grass plants (Pennisetum purpureum Shum cv. Mott). The experiment was developed in the FCAV/UNESP, in Jaboticabal-SP,Brazil, using nutrient solution. The experimental design was completely randomized blocks, with seven treatments (the complete solution proposed by Hoagland & Amon (1950) and the individual omission of N, P, K, Ca, Mg and S, in these solution), in three repetitions. Pre-germinated plants were placed in pot (5 dm3), containing the nutrient solution, which was aerated constantly during the experimental period and the respective treatments, with three replications each. Weekly, the height of the plants, the leaf number, apex diameter and number of tillers were evaluated as well as plant nutritional state. The omission of N, P, K, Ca, Mg and S limited the production of dry weight of shoot the elephant grass, compared to the full treatment. The deficiency of a macronutrient, in addition to promoting reduction of its content in the shoot, resulted in reducing the accumulation of most macronutrients, with resultant morphological changes, translated as characteristic symptoms of deficiency.
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Cottonseed meals (CSM) with different protein levels (35, 39 and 40%) were evaluated to determine their chemical composition and measure apparent digestibility coefficients (ADC) of dry matter, protein, amino acids, energy, lipid and minerals for Nile tilapia. Apparent digestibility coefficients were determined using a reference purified diet containing 0.1% of chromic oxide indicator, and test diets contained 60% of reference diet and 40% of test ingredients. Results showed that apparent digestibility coefficients of cottonseed meals were different (p < 0.05). The apparent digestibility coefficients were: dry matter, 53.45-54.32%; crude protein, 71.56-74.81%; energy, 53.80-58.60%; lipid, 85.37-89.11%; phosphorus, 33.75-34.50%; calcium, 41.21-43.75%; iron, 62.02-79.85%; zinc, 0-67.41%; copper, 13.37-14.27%; essential amino acids, 71.39-79.17%; and non-essential amino acids, 77.08-82.58%. The ADC of protein did not reflect the majority of amino acids ADC showing variation in individual digestibility of amino acids and among cottonseed meals. Cottonseed meal can be used as protein succedaneum in Nile tilapia diets.