Adjuvant therapy with GnRH agonists/tamoxifen in breast cancer should be a good council for patients with hormone receptor-positive tumours and wish to preserve fertility

Infertility represents one of the main long-term consequences of combination chemotherapy used for the treatment of breast cancer. Approximately 60%-65% of breast cancers express the nuclear hormone receptor in premenopausal women. Adjuvant endocrine therapy is an integral component of care for patients with hormone receptor-positive (HR+) tumours. The GnRH agonist (GnRHa) alone or in combination with tamoxifen produces results at least similar to those obtained with the different chemotherapy protocols in patients with HR+ tumors with respect to recurrence-free survival and overall survival, Presentation of the hypothesis: It is time to indicate adjuvant therapy with GnRHa associated with tamoxifen for patients with breast cancer (HR+ tumours) if they want to preserve their reproductive function. Testing the hypothesis: Assessment of ovarian reserve tests: follicle stimulating hormone (FSH), anti-Mullerian hormone (AMH), inhibin B, antral follicle count (AFC) and ovarian volume 6 months, and 1 year after the end of therapy with GnRHa/tamoxifen. The recurrence-free survival and overall survival should be analysed. Implications of the hypothesis: The major implication will be to avoid adjuvant chemotherapy for patients with breast cancer (HR+ tumours) that request fertility preservation. It is expected that ovarian function should not be altered in almost all cases. © Todos os direitos reservados a SBRA - Sociedade Brasileira de Reprodução Assistida.

Bridging infrastructural gaps in Central America: prospects and potential for maritime transport

Includes bibliography

An analysis of maritime transport and its costs for the Caribbean

Includes bibliography

Trade, environment and development: implications for Caribbean countries

Includes bibliography

Mineralizações auríferas hospedadas na faixa metavulcano-sedimentar Jacuí-Bom Jesus da Penha - Sudoeste de Minas Gerais

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

Ocean freight, shipbuilding costs and charter rates: recent trends

This issue of the Bulletin provides a brief overview of the maritime transport industry in Latin America and the Caribbean, with a focus on the behaviour of freight rates and the costs associated with chartering and shipbuilding, all of which increased sharply in 2003. Three separate markets will be analysed: 1) the containerized general cargo market; 2) the dry bulk cargo market and 3) the liquid bulk (crude oil and oil products) market. This study has incorporated contributions made by professional experts in the field and institutions associated with ports and maritime transport in the region, received subsequent to the study prepared and disseminated in January 2004.

The impact of structural changes in liner shipping on Caribbean ports

This edition of the FAL Bulletin deals with maritime transport in the Caribbean and focuses on structural changes in liner shipping and its impact on ports and transhipment in the Caribbean. The article has been written by Dr. Gustaaf de Monie of Policy Research Corporation N.V., Antwerp, Belgium, and is based on the study "Caribbean Ports Scan", which is about to be published by Policy Research Corporation (Fax 32-3-2869496). The opinions expressed in this article are of the author and may not necessarily coincide with the views of ECLAC. The main purpose of this edition is to encourage a constructive and fruitful discussion.

Tourist cruises in South America: new opportunities and challenges

More free time and disposable income not only in developed but also in emerging countries have generated a demand that shipping lines have capitalized on by offering ocean cruise services to an exponentially growing segment of the tourist industry. With the search for alternative destinations for ocean cruises, in recent years the Southern Cone countries of Latin America have been playing host to an encouraging number of passenger ships during the summer November-March season, suggesting that this sub-region could become a permanent feature of the circuit of international ocean cruises. To convert this into a reality, however, will require investment in port facilities and passenger terminals, thus presenting an opportunity for private participation in providing and running these facilities.

Infrastructure, transport and production development in an agricultural region: a case in Argentina.

The development of the agricultural area in central and northern Argentina was analysed in a recent ECLAC study. More than 80% by volume of the country's agricultural exports pass through the ports in this area. Exports by the agroindustrial complex account for 58% of the total value of Argentine sales.It is known that investments in infrastructure generally help to reduce the costs of enterprises and to enhance productivity. The main idea presented in this study is that investments in transport infrastructure are a necessary condition for the productive development of a region, especially in relation to external trade through ports and navigable waterways.In the case of Argentina, a positive relationship has been observed between the development of port and waterway services (with reduced costs and operating times, improved reliability and new services), and expansion of the agricultural border, growth of productivity and agricultural production, and its industrialization.

Energy Consumption and Efficiency: Emerging Challenges from Reefer Trade in South American Container Terminals

This issue of the FAL Bulletin discusses the relevance of energy consumption as a basis for identifying energy efficiency potential and calculating the carbon footprints of ports and terminals in Latin America and the Caribbean (LAC), focusing on the Southern Cone countries of Argentina, Chile, Paraguay and Uruguay.

New maritime transport scenarios. Part II: fluctuations in shipping and new scenarios

This FAL Bulletin details the situation of the shipping industry and forms the second and final part of a larger document that begins with Issue No. 338, which puts the current status of maritime trade in context. Both documents fit into a series of bulletins about ports and maritime trade in the region and are, therefore, closely linked to Issue No. 337, which sets out the need for a new port governance in the region to address the new circumstances that have arisen in the maritime market.

Impact of the timing and duration of weed control on the establishment of a rubber tree plantation

A produção da seringueira é reduzida pelas plantas daninhas que competem por recursos ambientais; portanto, a época e duração do controle de plantas daninhas influencia a interferência das plantas daninhas. Os objetivos deste estudo foram: avaliar o crescimento de plantas de seringueira (Hevea brasiliensis), determinar o período crítico para controle das plantas daninhas e avaliar a recuperação do crescimento das seringueiras que conviveram com plantas daninhas por diferentes períodos de tempo após o plantio. Dois grupos de tratamentos foram estabelecidos em condições de campo, no primeiro ano de investigação: um grupo conteve períodos crescentes de infestação de plantas daninhas, enquanto o outro conteve períodos crescentes de controle das plantas daninhas, também incluindo uma testemunha livre de plantas daninhas e uma testemunha com infestação total de plantas daninhas. No segundo ano da investigação, as plantas daninhas foram totalmente controladas. Urochloa decumbens foi a planta daninha dominante (mais de 90% de cobertura). O crescimento da cultura foi grandemente reduzido devido à interferência de plantas daninhas. A altura de plantas decresceu mais rapidamente que qualquer outra característica. Altura de planta, massa seca de folhas e área foliar decresceram em 99%, 97% e 96%, respectivamente, e foram as características mais reduzidas. A altura de plantas também se recuperou mais rapidamente que qualquer outra característica quando o período de controle das plantas daninhas foi entendido. Contudo, a massa seca do caule aumentou em 750%, fazendo desta a característica mais recuperada. O período crítico para o controle de plantas daninhas foi entre 4 e 9½ meses após o plantio, no primeiro ano; contudo, as seringueiras mostraram expressiva recuperação do crescimento quando as plantas daninhas foram controladas ao longo do segundo ano.

Influence of the dopaminergic system, CREB, and transcription factor-B on cocaine neurotoxicity

Cocaine is a widely used drug and its abuse is associated with physical, psychiatric and social problems. Abnormalities in newborns have been demonstrated to be due to the toxic effects of cocaine during fetal development. The mechanism by which cocaine causes neurological damage is complex and involves interactions of the drug with several neurotransmitter systems, such as the increase of extracellular levels of dopamine and free radicals, and modulation of transcription factors. The aim of this review was to evaluate the importance of the dopaminergic system and the participation of inflammatory signaling in cocaine neurotoxicity. Our study showed that cocaine activates the transcription factors NF-κB and CREB, which regulate genes involved in cellular death. GBR 12909 (an inhibitor of dopamine reuptake), lidocaine (a local anesthetic), and dopamine did not activate NF-κB in the same way as cocaine. However, the attenuation of NF-κB activity after the pretreatment of the cells with SCH 23390, a D1 receptor antagonist, suggests that the activation of NF-κB by cocaine is, at least partially, due to activation of D1 receptors. NF-κB seems to have a protective role in these cells because its inhibition increased cellular death caused by cocaine. The increase in BDNF (brain-derived neurotrophic factor) mRNA can also be related to the protective role of both CREB and NF-κB transcription factors. An understanding of the mechanisms by which cocaine induces cell death in the brain will contribute to the development of new therapies for drug abusers, which can help to slow down the progress of degenerative processes.

Factors associated with the prevalence of hypertension and control practices among elderly residents of São Paulo city, Brazil

The aim of this study was to analyze the prevalence of hypertension and control practices among the elderly. The survey analyzed data from 872 elderly people in São Paulo, Brazil, through a cluster sampling, stratified according to education and income. A Poisson multiple regression model checked for the existence of factors associated with hypertension. The prevalence of self-reported hypertension among the elderly was 46.9%. Variables associated with hypertension were self-rated health, alcohol consumption, gender, and hospitalization in the last year, regardless of age. The three most common measures taken to control hypertension, but only rarely, are oral medication, routine salt-free diet and physical activity. Lifestyle and socioeconomic status did not affect the practice of control, but knowledge about the importance of physical activity was higher among those older people with higher education and greater income. The research suggests that health policies that focus on primary care to encourage lifestyle changes among the elderly are necessary.

Effect of sex and seasons of the year on hematologic and serum biochemical variables of captive brown brocket deer (Mazama gouazoubira)

The Brown brocket deer (Mazama gouazoubira) is the most common free-living and captive deer in South America, especially in Brazil, and has great ecological and scientific significance. However, data on hematological and biochemical parameters in brown brocket deer are scarce. The goal of this study was to establish reference ranges for hematological and biochemical parameters of Mazama gouazoubira, comparing differences during the seasons of the year and between sex. Blood samples from ten adult healthy brown brocket deer (6 female and 4 male) were collected during daytime, monthly, during 12 months. The animals were maintained in individual stable, protected from noise and fed ad libitum with commercial ration and green fodder. For blood collection, animals were submitted to physical restrain for no longer than 2 minutes. The following parameters were determined: red blood cell count (RBC), haemoglobin concentration, packed cell volume (PCV), mean corpuscular volume (MCV), mean corpuscular haemoglobin (MCH), mean corpuscular haemoglobin concentration (MCHC), white blood cell count (WBC), platelet count, enzyme activity of alanine aminotransferase (ALT), aspartate aminotransferase (AST) and gamma-glutamyl transferase (GGT) and serum levels of alkaline phosphatase (ALP), creatine kinase (CK), total protein (TP), albumin, cholesterol, total calcium, ionic calcium, sodium, potassium, magnesium, triglycerides, creatinine and urea. Values were compared according to season and sex. RBC count, WBC count and MCV suggested seasonal influence. Haemoglobin concentration, PCV and MCV were influenced by sex. Serum concentration of total calcium, ionic calcium, sodium, potassium and magnesium were influenced by season. Serum magnesium was also influenced by sex. The blood parameters herein reported may be useful as reference values for diagnostic and prognostic purposes in captive brown-brocket deer.