Comparação entre o sistema Autoścan-4 e métodos convencionais na identificação de bacilos Gram-negativos não fermentadores, isolados de materiais clínicos de pacientes em Presidente Prudente - SP

Ninety eight strains of glucose-nonfermenting Gram-negative bacilli were analyzed and isolated from several clinical materials of 95 patients admitted at the Dr. Domingos Leonardo Cerávolo University Hospital and three from outpatients. All of them were assisted in the Laboratory of Clinical Analysis of Unoeste University, Presidente Prudente, SP, from the period of October of 1999 to April of 2001. In this work, the level of agreement between the semi-automated commercial system AutoScan-4 and the conventional system for the identification of those bacteria were studied comparatively. There was agreement in 81 (82.7%), showing that both methodologies are useful for identification; partial agreement in six strains (6.1%) and disagreement in 11 (11.2%). The comercial system did not identify nine (9.2%) of the strains and reported them as very rare biotypes.

rDNA-RFLP identification of Candida species in immunocompromised and seriously diseased patients

PCR was used to amplify a targeted region of the ribosomal DNA of 76 Candida spp. isolates from immunocompromised and seriously diseased patients. Thirty-seven strains isolated from different anatomical sites of 11 patients infected with HIV (Vitória, ES, Brazil), 26 isolates from patients under treatment at Odilon Behrens Hospital and 13 isolates from skin and urine samples from São Marcos Clinical Analysis Laboratory (Belo Horizonte, Brazil) were scored. Fragments of rDNA were amplified using primer pairs ITS1-ITS4, for the amplification of ITS1 and ITS2 regions, including the gene for the 5.8s subunit. Amplification resulted in fragments ranging in size from 350 to 950 bp. Amplicons were digested with eight restriction enzymes. A pattern of species-specificity among the different medically important Candida species could be identified following restriction digestion of the PCR products. Candida albicans was the species most frequently observed, except for the group of newborns under treatment at the Odilon Behrens Hospital and for the isolates from the clinical analysis laboratory. C. parapsilosis was the species most frequently observed in these two groups.

Padrão de sensibilidade aos antimicrobianos de bacilos gram-negativos não fermentadores isolados de materiais clínicos de pacientes em Presidente Prudente - SP

The aim of this study was the assessment of isolation frequency and antimicrobial susceptibility pattern of nonfermenting Gram-negative bacilli. Ninety eight strains of nonfermenting Gram-negative bacilli, isolated from several clinical materials of patients admited at the Dr. Domingos Leonardo Cerávolo University Hospital and at Dr. Odilo Antunes Siqueira State Hospital, as well as from every outpatient; assisted at Laboratory of Clinical Analysis of Unoeste University, Presidente Prudente, São Paulo, in the period of October 1999 to April 2001 were analyzed. The most frequent species were Pseudomonas aeruginosa (65.3%) and Acinetobacter baumannii (23.5%). The frequency of the other isolated species was smaller than 2.5%. In the antimicrobial susceptibility tests, the two species more prevalent showed high resistance. The antibiotic most active in vitro was the imipenem, with 79.6% in microdiluition method, and 76.6% in diffusion method, for Pseudomonas aeruginosa strains and 100.0% in both microdiluition and diffusion methods, for Acinetobacter baumannii. The cephalosporins of third generation, the ciprofloxacin and the aminoglycosides, presented percentage of susceptibility varying from 22.4 to 69.7%. These results bring implications to the emergency use of the antimicrobial agents in the treatment of patients with severe infection.

Reflexão sobre o ensino farmacêutico

This paper aims to discuss the directions of pharmaceutical education based on the new curriculum guidelines from MEC (Ministry of Education - Brazil). In the recent past, Brazilian pharmaceutical faculties prioritized the formation of professional resources in specific modalities in detriment of pharmacist's private field: the prescription filling and delivery at the drugstore. In order to avoid repeating the same mistake it is necessary to develop new competence, allowing the graduates to develop skills to connect the scientific and technological knowledge to Brazilian social context. The new curriculum guidelines are about to finish a time when the undergraduate studies seemed to split the pharmacist into two different professionals: one for the clinical analysis and other for the pharmaceutical industry. The previous educational model, which supposedly allows for pharmaceutical care without providing a broad integral knowledge of health sciences, cannot be repeated in the new curriculum. However, teaching subjects in a superficial and segmented manner, replete of predictable and repetitive technical practices and without a skilled teaching staff, will give no improvement in pharmacists education care. It is clear that the return of the formation of specific human resources in the field won't happen in short time.

Avaliações clínica e clínica/fotográfica de restaurações adesivas, realizadas em lesões cervicais não cariosas: efeitos dos materiais restauradores, tipos e tempos de avaliação

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

Descrição bacteriológica de brinquedo utilizado em unidade de internação pediátrica

Pós-graduação em Enfermagem (mestrado profissional) - FMB

Fabricação de dispositivos para aplicação de conceitos de microfluídica a uma Língua eletrônica

Pós-graduação em Ciência e Tecnologia de Materiais - FC

Análise clínica e clínica/digital de restaurações de lesões cervicais não cariosas: efeitos dos sistemas adesivos e tempos de análise

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

Avaliação do efeito da Artin M no processo de repação em mucosa mastigatória

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Utilização de enxerto de tecido conjuntivo no tratamento de lesões periodontais infra-ósseas proximais: avaliação clínica, radiográfica e histomorfométrica

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

Avaliação das alterações dos tecidos ao redor de implantes inseridos em diferentes níveis em relação à crista óssea: estudo clínico, radiográfico, e histométrico em cães

Pós-graduação em Odontologia - FOAR

Prevalência de alterações clínicas e histopatológicas do sistema genital de búfalas (Bubalus bubalis) no Estado do Amapá

Com o objetivo de se verificar a prevalência das enfermidades causadoras da infertilidade, examinaram-se clinicamente 895 búfalas, procedentes do município de Cutias do Araguari, Estado do Amapá. Realizaram-se exames ginecológicos e testes para detecção de tuberculose e brucelose, e analisaram-se 1000 peças de genitais de búfalas abatidas em matadouro. A prevalência de tuberculose e brucelose a nível de campo foi de 9,33% e 9,11%, respectivamente. Das 895 búfalas examinadas, 299 (33,41%) encontravam-se gestantes, sendo que 188 (62,88%) no corno direito e 111 (37,12%) no corno esquerdo. No grupo de búfalas com alterações, foram constatadas os seguintes distúrbios: a) alterações ovarianas: ovários afuncionais, 75 (8,37%); cisto folicular, 6 (0,67%); b) alterações no oviduto: aderências focais, 24 (2,9%); aderências difusas, 22 (2,46%); hidrossalpinge, 8 (0,9%); c) alterações no útero e cérvice: endometrite crônica suave, 5 (0,56%); endometrite crônica moderada, 7 (0,78%); cérvice irregular, 14 (2,9%); d) alterações da vulva e da vagina: vulva dilacerada, 9 (1,1%) num total de 172 (19,21%) vacas com alguma alteração. Nas análises realizadas em matadouro foram evidenciadas 661 (66,10%) animais gestantes, sendo que destes 86 (8,6%) apresentavam alguma alteração e 339 (33,9%) animais não gestantes, sendo 74 (7,4%) com alguma alteração. Das 661 gestantes, 412 (62,3%) foram do corno direito e 249 (37,7%) do corno esquerdo. As alterações encontradas foram: a) alterações ovarianas: ovários afuncionais, 16 (1,6%); cisto para-ovárico, 5 (0,5%); cisto de inclusão epitelial, 8 (0,8%); cisto folicular, 1 (0,1%); b) alterações da tuba uterina: hidrossalpinge, 18 (1,8%); cisto tubo-ovárico, 5 (0,5%); aderências focais, 70 (7,0%); aderências difusas, 21 (2,1%); c) alterações do útero e cérvice: endometrites, 9 (0,9%); perimetrite, 3 (0,3%); adenomiose, 1 (0,1%); aplasia segmentar do útero, 1 (0,1%); gestação gemelar, 1 (0,1%); cérvice irregular, 1 (0,1%). A maior porcentagem de fetos estavam no terço final da gestação com 236 (35,65%) casos. Pode-se concluir que inúmeros são os problemas que podem afetar a fertilidade das búfalas e que cabe uma identificação destes para resolver problemas de produtividade do rebanho.

Caracterização da rigidez póstero-anterior da coluna lombar in vivo: uma análise biomecânica

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Estomatite protética em pacientes com Diabetes mellitus: prevalência de Candida spp. e eficiência dos tratamentos com nistatina e desinfecção de próteses por micro-ondas

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

Manifestações oculares na leishmaniose

The Canine Visceral Leishmaniasis is a chronic disease of endemic character, caused by Leishmania Chagasi in Americas. The inoculation of the promastigote form in the individual triggers a local and widespread immune reaction with formation of inflammatory infiltrates and deposition of immune complexes in tissues. Initial clinical symptoms of the disease are: weight reduction, hepatomegaly, splenomegaly and, according to the disease chronicity, signs such as alopecia, erythema, onychogryphosis, arthropathies, renal diseases, pyoderma, seborrheic dermatitis, muscle atrophy and Ocular diseases. Ocular diseases are often reported and are result of the direct parasitism or immune-mediated mechanisms caused by the disease. The Leishmania spp have greater affinity for the anterior segment, so that anterior uveitis is one of the most frequently diagnosed injuries. Blepharitis diffuse and Keratoconjunctivitis also appear as important ocular changes. In histological section, inflammatory infiltrates and macrophages with amastigote form are observed in all ocular tissues, with the exception of the retina and optical nerve. In the clinical analysis and disease diagnosis, should be considered the differential diagnosis, such as Ehrlichiosis and systemic hypertension, because these may cause some ocular manifestations similar to those observed in leishmaniasis