Cantando espalharei por toda a parte: programação, produção musical e o "aportuguesamento" da "música ligeira" na Emissora nacional da Radiodifusão (1934-1949)

Tese apresentada para cumprimento dos requisitos necessários à obtenção do grau de Doutor em Ciências Musicais – ramo Etnomusicologia

Sobrecarga e qualidade de vida em cuidadores informais de pessoas com demência

RESUMO: Introdução: A sobrecarga do cuidador informal de pessoas com demência está associada à sua qualidade de vida. Objetivo: Analisar as associações entre qualidade de vida e sobrecarga familiar nestes cuidadores informais, assim como as relações entre estas variáveis e outros fatores. Materiais e métodos: Trata-se de um estudo transversal (descritivo e analítico). A amostra de conveniência foi composta de 33 cuidadores. O estudo foi realizado nos serviços de consultas externas de dois centros do Instituto das Irmãs Hospitaleiras do Sagrado Coração de Jesus. Os dados foram obtidos através da aplicação das escalas: Entrevista de Sobrecarga de Zarit, WHOQOL-Bref, Escala de Atividades Instrumentais de Vida Diária de Lawton e Brody e Índice de Barthel. Na análise dos dados foram empregues estatísticas descritivas e testes não paramétricos. Os testes empregues consistiram no teste de Mann-Whitney e teste de Kruskal-Wallis. O nível de significância considerado em todas as análises foi de 5%. Todos os dados obtidos foram analisados com recurso ao programa estatístico SPSS 21.0. Resultados: Os cuidadores com menores índices de sobrecarga evidenciaram uma correlação negativa com todos os domínios da qualidade de vida (p≤0.002). Os cuidadores homens revelaram-se menos sobrecarregados enquanto cuidadores principais (p=0.023). A existência de um cuidador secundário foi indicador de uma melhor qualidade de vida dos cuidadores, nos domínios das relações sociais (p=0.034) e do meio ambiente (p=0.034). Quanto mais prolongado o tempo de cuidados para os cuidadores avaliados, menor a sua qualidade de vida, ao nível físico (p=0.003) e do meio ambiente (p=0.000). A situação de sobrecarga foi tanto maior quanto menor a idade do cuidador (p=0.003). A independência da pessoa com demência ao nível instrumental também se traduziu numa melhor qualidade de vida dos cuidadores, em todos os domínios desta variável e, numa menor situação de sobrecarga dos cuidadores (p=0.017). Conclusões: Uma maior sobrecarga dos cuidadores informais de pessoas com demência está associada a indicadores mais baixos de qualidade de vida, em todos domínios desta variável. No presente estudo, os principais fatores a ter em conta na avaliação dos cuidadores de pessoas com demência foram: o género, a existência de um cuidador secundário e a independência da pessoa cuidada nas atividades instrumentais da vida diária. Foi também possível analisar que as variáveis sobrecarga e qualidade de vida não se relacionam apenas entre si mas, concomitantemente, com diferentes situações da vida do cuidador. Uma intervenção mais atenta às características de cada cuidador poderia vir a repercutir-se numa menor sobrecarga e numa melhor qualidade de vida, quer do cuidador como, eventualmente, da pessoa cuidada.------------ ABSTRACT: Introduction and objectives: The overload of informal caregivers of people with dementia tends to be inversely associated with their life quality. This study aims to analyze the associations between the family overload and the life quality of these informal caregivers, as well as the relationships between these variables and other sociodemographic and functional factors. Population and methods: It’s a cross-sectional study (descriptive and analytical). The convenience sample was composed of 33 informal caregivers. The study was carried out in the external services consultations of two centers of the Institute of the Hospitable Sisters of the Sacred Heart of Jesus. The data were obtained by applying the following scales: Overload Interview of Zarit, WHOQOL-Bref, Scale of Instrumental Activities of Daily Living of Lawton and Brody, and Barthel Index. Results: We found a negative correlation between the family overload and every domains of life quality (p ≤ 0.002). The men caregivers proved to be less burdened than the main caregivers (p = 0.023). The existence of a secondary caregiver was an indicator of a better life quality in the fields of social relations (p = 0.034) and in the environment (p = 0.034). The evaluated caregivers, more prolonged time occupy to care, lower was their life quality on the physical level (p = 0.003) and on the environment (p = 0.000). The overload levels were bigger whereas the lower age of the caregiver (p = 0.003). The independence of the person with dementia on the instrumental level rendered a better life quality for caregivers in all domains of this variable and also provided a minor burden for the caregivers (p = 0.017). Conclusions: In this small sample, the higher burden to the informal caregivers of people with dementia is associated with lower indicators of life quality, in every domains of this variable. In this study, the main factors to keep in count in the evaluation to the caregivers of people with dementia were: the gender, the existence of a secondary caregiver and the independence of the person to be cared in his instrumental activities of daily living. We also observed that the overload and life quality variables do not relate only to each other but at the same time with different situations of the life of the caregiver. A closer intervention to the characteristics of each caregiver could reflect a lower overload and a better life quality of the caregiver and eventually as well as the person to be cared of.

Detection of testosterone administration based on the carbon isotope ratio profiling of endogenous steroids: international reference populations of professional soccer players.

BACKGROUND AND OBJECTIVES: The determination of the carbon isotope ratio in androgen metabolites has been previously shown to be a reliable, direct method to detect testosterone misuse in the context of antidoping testing. Here, the variability in the 13C/12C ratios in urinary steroids in a widely heterogeneous cohort of professional soccer players residing in different countries (Argentina, Italy, Japan, South Africa, Switzerland and Uganda) is examined. METHODS: Carbon isotope ratios of selected androgens in urine specimens were determined using gas chromatography/combustion/isotope ratio mass spectrometry (GC-C-IRMS). RESULTS: Urinary steroids in Italian and Swiss populations were found to be enriched in 13C relative to other groups, reflecting higher consumption of C3 plants in these two countries. Importantly, detection criteria based on the difference in the carbon isotope ratio of androsterone and pregnanediol for each population were found to be well below the established threshold value for positive cases. CONCLUSIONS: The results obtained with the tested diet groups highlight the importance of adapting the criteria if one wishes to increase the sensitivity of exogenous testosterone detection. In addition, confirmatory tests might be rendered more efficient by combining isotope ratio mass spectrometry with refined interpretation criteria for positivity and subject-based profiling of steroids.

Optimierung der aminozucker-spezifischen δ13C-Analyse in Böden- und Pflanzenmaterialien zur Erfassung des Umsatzes von mikrobiellen Residuen

In der vorliegenden Arbeit wurde eine LC-IRMS Methode zur aminozucker-spezifischen δ13C-Analyse in Pflanzenmaterialien optimiert und etabliert, um die Bildung und den Umsatz von mikrobiellen Residuen in Boden- und Pflanzenmaterialien mit hoher Genauigkeit erfassen zu können. Weiterhin wurde mit der etablierten Methode ein Pilzwachstumsexperiment durchgeführt. Der Fokus dieser Arbeit lag jedoch auf der Methodenentwicklung. Ziel des ersten Artikels war es eine HPLC-Umkehrphasen-Methode zur simultanen Bestimmung von Muraminsäure, Mannosamin, Galaktosamin und Glucosamin so hingehend zu verbessern, dass an verschieden HPLC-Systemen zuverlässige Ergebnisse für alle vier Aminozucker in Boden- und Pflanzenhydrolysaten erhalten werden. Dafür wurde zunächst die mobile Phase optimiert. So wurde der Tetrahydrofurananteil erhöht, was kürzere Retentionszeiten und eine bessere Trennung zwischen Muraminsäure und Mannosamin zur Folge hatte. Weiterhin wurde ein höheres Signal durch das Herabsetzen der Extinktionswellenlänge und der Anpassung der OPA-Derivatisierungsreaktionszeit erzielt. Nach Optimierung der genannten Parameter erfolgte die Validierung der Methode. Für Muraminsäure wurde eine Bestimmungsgrenze (LOQ) von 0,5 µmol l-1 was 0,13 µg ml -1 entspricht und für die drei anderen Aminozucker 5,0 µmol l-1 (entspricht 0,90 µg ml)erhalten. Weiterhin wurden Wasser und Phosphatpuffer als Probenlösungsmittel getestet, um den Einfluss des pH-Wertes auf die OPA-Reaktion zu testen. Zur aminozucker-spezifischen δ13C–Analyse am IRMS ist eine HPLC-Methode mit einer kohlenstofffreien mobilen Phase notwendig, andernfalls kann aufgrund des hohen Hintergrundrauschens kein vernünftiges Signal mehr detektiert werden. Da die im ersten Artikel beschriebene Umkehrphasenmethode einen kohlenstoffhaltigen Eluenten enthält, musste eine ebenso zuverlässige Methode, die jedoch keine organische Lösungsmittel benötigt, getestet und mit der schon etablierten Methode verglichen werden. Es gibt eine Reihe von HPLC-Methoden, die ohne organische Lösungsmittel auskommen, wie z. B. (1) Hochleistungsanionenaustauschchromatographie (HPAEC), (2) Hochleistungskationenaustauschchromatographie (HPCEC) und (3) die Hochleistungsanionenausschlusschromatographie (HPEXC). Ziele des zweiten Artikels waren (1) eine zuverlässige Purifikations- und Konzentrierungsmethode für Aminozucker in HCl-Hydrolysaten und (2) eine optimale HPLC-Methode zu finden. Es wurden fünf Aufarbeitungsmethoden zur Purifikation und Konzentrierung der Probenhydrolysate und vier HPLC-Methoden getestet. Schlussfolgernd kann zusammengefasst werden, dass für Detektoren mit geringer Empfindlichkeit (z.B. IRMS) eine Konzentrierung und Purifikation insbesondere von Muraminsäure über ein Kationenaustauscherharz sinnvoll ist. Eine Basislinientrennung für alle Aminozucker war nur mit der HPAEC möglich. Da mit dieser Methode gute Validierungsdaten erzielt wurden und die Aminozuckergehalte mit der Umkehrphasenmethode vergleichbar waren, stellt die HPAEC die Methode der Wahl zur aminozucker-spezifischen δ13C–Analyse am IRMS dar. Der dritte Artikel befasst sich mit der Optimierung der aminozucker-spezifischen δ13C–Analyse mittels HPAEC-IRMS in Pflanzenhydrolysaten sowie mit der Bestimmung des Umsatzes von saprotrophen Pilzen in verschieden Substraten. Die in der Literatur beschriebene HPAEC-IRMS- Methode ist für die aminozucker-spezifische δ13C–Analyse in Bodenhydrolysaten jedoch nicht in Pflanzenhydrolysaten geeignet. In Pflanzenhydrolysaten wird der Glucosaminpeak von Peaks aus der Matrix interferiert. Folglich war das erste Ziel dieses Artikels, die Methode so zu optimieren, dass eine aminozucker-spezifische δ13C–Analyse in Pflanzenhydrolysaten möglich ist. Weiterhin sollten mit der optimierten HPAEC-IRMS-Methode die Bildung und der Umsatz von saprotrophen Pilzen bestimmt werden. Durch Erhöhung der Säulentemperatur und durch Herabsetzung der NaOH-Konzentration konnte eine Basislinientrennung erzielt werden. Die Validierungsparameter waren gut und die bestimmten Aminozuckergehalte waren mit der Umkehrphasen-HPLC-Methode vergleichbar. Zur Bestimmung der Bildung und des Umsatzes von saprotrophen Pilzen auf verschiedenen Substraten wurden Lentinula edodes P., Pleurotus ostreatus K. und Pleurotus citrinopileatus S. auf Mais-Holz- und auf Weizen-Holz-Substrat für vier Wochen bei 24 °C kultiviert. Dieser Pilzwachstumsversuch zeigte, dass 80% des neu gebildeten pilzlichen Glucusamins maisbürtig und nicht holzbürtig waren. Weiterhin wurde der bevorzugte Abbau von Maissubstrat im Vergleich zu Weizensubstrat an diesem Versuch verdeutlicht. Außerdem lassen die Ergebnisse darauf schließen, dass die beobachtete zunehmende δ13C Anreicherung in dem neu gebildeten pilzlichen Glucosamin während der vier Wochen auf die Inkorporation des angereichten 13C aus dem Substrat und eher weniger auf kinetische Isotopeneffekte zurückzuführen ist.

Pérdida de heterocigocidad e identificación de portadoras de distrofia muscular de Duchenne: un caso familiar con evento de recombinación*

La distrofia muscular de Duchenne y Becker (DMD/DMB) es una entidad de herencia recesiva ligada al cromosoma X que se presenta con debilidad muscular y es causada por mutaciones en el gen de la distrofina. La pérdida de heterocigocidad permite identificar a las mujeres portadoras de deleción en el gen de la distrofina mediante haplotipos. Objetivo: identificar mujeres portadoras en una familia con un paciente afectado de DMD mediante análisis de pérdida de heterocigocidad. Materiales y métodos: se analizaron nueve miembros de una familia con un afectado de DMD. Se hizo extracción de ADN y amplificación de diez STR del gen de la distrofina; se construyeron haplotipos, y se determinó el estado de portadora de deleción en dos de las seis mujeres analizadas, quienes mostraron pérdida de heterocigocidad de tres STR. Se establecieron algunos eventos de recombinación. Resultados: Dos de las seis mujeres analizadas, mostraron perdida de heterocigocidad en tres de los diez STR genotipificados, indicando su estado de portadora de deleción en este fragmento del gen de la Distrofina Con la segregación familiar de los haplotipos se establecieron eventos de recombinación. Conclusiones: mediante pérdida de heterocigocidad es posible establecer el estado de portadora de deleción en el gen de la distrofina con un 100% de certeza. La construcción de haplotipos identifica el cromosoma X portador de la deleción en familiares del caso índice. Se evidenció un evento de recombinación en una de las hermanas del afectado, lo que hace indeterminado su estado de portadora.

Considerações sobre a educação para a arte e para a cultura, ou “como levar Clio à escola”

Arte e cultura são expressões da busca incessante do conhecimento. No entanto, nem todos fruem dessa busca e não encaram o conhecimento artístico e cultural como um prazer. Talvez porque a Escola de hoje veicule inúmeros conhecimentos sem atender à sua interiorização plena. Talvez porque arte e cultura não passem de meros nomes a que a Escola se refere sem produzir nos seus estudantes uma transformação pessoal e uma vivência autêntica. Em parte porque perdemos a metáfora das musas, filhas de Zeus e da sua amante Mnemosine que unidas inspiravam poetas, filósofos, professores e alunos. Trazer as musas à Escola é sinónimo de integrar, imaginar, interpretar, interrogar, inferir, investigar, intuir, isto é, abrir caminhos para a autonomia e para uma Escola inspiradora da arte e da cultura. O presente artigo procura mostrar como se pode levar de novo Clio e as suas irmãs musas à escola. A partir da fundamentação do estado da arte sobre a educação artística e da análise das opiniões de 40 professores de História da Arte sobre a necessidade de educação do olhar artístico, são delineados quatro princípios orientadores da promoção da busca incessante do conhecimento de que a arte e a cultura são expressões nobres.

As Flamengas (da Ordem das Clarissas)

As freiras Flamengas, em breve conhecidas também como as irmãs do Convento de Nossa Senhora da Quietação, vieram da Flandres (Países Baixos), na época sob domínio Espanhol, pouco depois de Filipe II ocupar o trono de Portugal como Filipe I. Aliás, a escolha do local onde as freiras viveram — perto do Vale de Alcântara, junto à praia de Alcântara e do Palácio Real de Filipe— parece ter sido decisão do próprio monarca. A designação popular do nome Flamengas— em forma primitiva Framengas — refere-se ao idioma comum a todas elas, a língua que usavam na Flandres de onde eram originárias.

A cross-calibration of chlorine isotopic measurements and suitability of seawater as the international reference material

A collection of 24 seawaters from various worldwide locations and differing depth was culled to measure their chlorine isotopic composition (delta(37)Cl). These samples cover all the oceans and large seas: Atlantic, Pacific, Indian and Antarctic oceans, Mediterranean and Red seas. This collection includes nine seawaters from three depth profiles down to 4560 mbsl. The standard deviation (2sigma) of the delta(37)Cl of this collection is +/-0.08 parts per thousand, which is in fact as large as our precision of measurement ( +/- 0.10 parts per thousand). Thus, within error, oceanic waters seem to be an homogeneous reservoir. According to our results, any seawater could be representative of Standard Mean Ocean Chloride (SMOC) and could be used as a reference standard. An extended international cross-calibration over a large range of delta(37)Cl has been completed. For this purpose, geological fluid samples of various chemical compositions and a manufactured CH3Cl gas sample, with delta(37)Cl from about -6 parts per thousand to +6 parts per thousand have been compared. Data were collected by gas source isotope ratio mass spectrometry (IRMS) at the Paris, Reading and Utrecht laboratories and by thermal ionization mass spectrometry (TIMS) at the Leeds laboratory. Comparison of IRMS values over the range -5.3 parts per thousand to +1.4 parts per thousand plots on the Y=X line, showing a very good agreement between the three laboratories. On 11 samples, the trend line between Paris and Reading Universities is: delta(37)Cl(Reading)= (1.007 +/- 0.009)delta(37)Cl(Paris) - (0.040 +/- 0.025), with a correlation coefficient: R-2 = 0.999. TIMS values from Leeds University have been compared to IRMS values from Paris University over the range -3.0 parts per thousand to +6.0 parts per thousand. On six samples, the agreement between these two laboratories, using different techniques is good: delta(37)Cl(Leeds)=(1.052 +/- 0.038)delta(37)Cl(Paris) + (0.058 +/- 0.099), with a correlation coefficient: R-2 = 0.995. The present study completes a previous cross-calibration between the Leeds and Reading laboratories to compare TIMS and IRMS results (Anal. Chem. 72 (2000) 2261). Both studies allow a comparison of IRMS and TIMS techniques between delta(37)Cl values from -4.4 parts per thousand to +6.0 parts per thousand and show a good agreement: delta(37)Cl(TIMS)=(1.039 +/- 0.023)delta(37)Cl(IRMS)+(0.059 +/- 0.056), with a correlation coefficient: R-2 = 0.996. Our study shows that, for fluid samples, if chlorine isotopic compositions are near 0 parts per thousand, their measurements either by IRMS or TIMS will give comparable results within less than +/- 0.10 parts per thousand, while for delta(37)Cl values as far as 10 parts per thousand (either positive or negative) from SMOC, both techniques will agree within less than +/- 0.30 parts per thousand. (C) 2004 Elsevier B.V. All rights reserved.

New-on-line method for water isotope analysis of speleothem fluid inclusions using laser absorption spectroscopy (WS-CRDS)

A new online method to analyse water isotopes of speleothem fluid inclusions using a wavelength scanned cavity ring down spectroscopy (WS-CRDS) instrument is presented. This novel technique allows us simultaneously to measure hydrogen and oxygen isotopes for a released aliquot of water. To do so, we designed a new simple line that allows the online water extraction and isotope analysis of speleothem samples. The specificity of the method lies in the fact that fluid inclusions release is made on a standard water background, which mainly improves the δ D robustness. To saturate the line, a peristaltic pump continuously injects standard water into the line that is permanently heated to 140 °C and flushed with dry nitrogen gas. This permits instantaneous and complete vaporisation of the standard water, resulting in an artificial water background with well-known δ D and δ18O values. The speleothem sample is placed in a copper tube, attached to the line, and after system stabilisation it is crushed using a simple hydraulic device to liberate speleothem fluid inclusions water. The released water is carried by the nitrogen/standard water gas stream directly to a Picarro L1102-i for isotope determination. To test the accuracy and reproducibility of the line and to measure standard water during speleothem measurements, a syringe injection unit was added to the line. Peak evaluation is done similarly as in gas chromatography to obtain &delta D; and δ18O isotopic compositions of measured water aliquots. Precision is better than 1.5 ‰ for δ D and 0.4 ‰ for δ18O for water measurements for an extended range (−210 to 0 ‰ for δ D and −27 to 0 ‰ for δ18O) primarily dependent on the amount of water released from speleothem fluid inclusions and secondarily on the isotopic composition of the sample. The results show that WS-CRDS technology is suitable for speleothem fluid inclusion measurements and gives results that are comparable to the isotope ratio mass spectrometry (IRMS) technique.

Fatores de risco individuais e familiares no desenvolvimento da pré-eclâmpia

Preeclampsia is a spectral disease, with different clinical forms which can evolve with severe multisystemic complications. This present study aimed to determine the risk factors associated with preeclampsia (PE); to validate the existence of aggregation of hypertensive disease in families of women with preeclampsia and verify the existence of association between polymorphisms in the VEGF gene and level of VEGF and its soluble receptor (sFlt1). A case-control study was performed (n = 851). Genotyping of VEGF was performed and serum levels of VEGF and sFlt1 were measured by ELISA. It was observed that 38% of mothers (173, 455) of a case of preeclampsia and 30.8% (78 of 361) of controls had history of hypertension (p <0.0001). Similarly, when examining the history of maternal preeclampsia, we observed that 14.6% (48 of 328) of mothers of women with preeclampsia and 9.6% (12 of 294) of mothers of controls had a history of preeclampsia (p = 0.0001). As for maternal history of preeclampsia, we found that 5.1% (15 of 295) of cases and 3.6% (7 of 314) of controls had a history of preeclampsia (p = 0.0568). Sisters of women with preeclampsia also had a history of hypertensive disease in 9% (41 of 455) versus 6.6% (13 of 361), p = 0.002. Similarly when examining the history of preeclampsia in sisters, it was observed that 22.7% (57 of 251) of a sister of case versus 11.4% (26 of 228) of controls had a history of preeclampsia (P = 0.0011). We observed a decrease in free VEGF in the serum of patients (P <0.05) and increased soluble VEGF receptor. There was no association between polymorphisms in the VEGF gene and preeclampsia. The data obtained in this work validate that hypertensive disease in mothers and sisters with preeclampsia are risk factors for preeclampsia. The risk of illness in the family is higher according to disease severity. High incidence of preeclampsia can be assumed by the high incidence of this disease among the controls. Significant differences between the frequency of preeclampsia in mothers of cases and controls indicate familial factors. Work is being conducted with the to eventually perform genome wide association studies to identify susceptibility loci

Estudo de adulteração em méis brasileiros através de razão isotópica do carbono

Neste trabalho, objetivou-se analisar isotopicamente méis comercializados nas regiões Sul e Sudeste do Brasil, para a detecção de fraude. Foram colhidas amostras comerciais com registro no Serviço de Inspeção Federal, Estadual ou Municipal. As amostras foram submetidas à combustão no Analisador Elementar EA 1108 CHN e analisadas no espectrômetro de massas de razão isotópica DELTA-S (Finningan Mat). Os valores isotópicos (δ13C) dos méis in natura foram comparados aos de suas respectivas proteínas (padrão interno). Foram consideradas adulteradas as amostras cuja diferença entre o valor isotópico da proteína e do mel foi igual ou inferior a -1 . As amostras consideradas adulteradas pela análise isotópica foram submetidas a testes químicos qualitativos que não foram capazes de indicar adulteração para algumas delas. Das 61 amostras analisadas, 18,0% encontram-se adulteradas, sendo 11,5% na Região Sudeste e 6,5% na Região Sul. Ao contrário dos testes químicos, a análise isotópica mostrou-se eficaz em identificar e quantificar a adulteração de méis comerciais.

The use of stable isotopes for authentication of gadoid fish species

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Entre fronteiras: a escrita imigrante de Julia Alvarez em How the García girls lost their Accents

This master s thesis aims at investigating the way in which diasporic subjects in the novel How the García Girls Lost their Accents (1992) cope with the clash of two cultures the Caribbean one, from the Dominican Republic, and the North-American one, from the U.S., as well as the implications of such negotiations in the lives of immigrants, once it apparently depicts the plight of those who are torn between mother-lands and mother-tongues (IYER, 1993, 46). At the same time, the implications of such negotiations in the lives of immigrants are relevant issues in the writing of Julia Alvarez. For this, there is the analysis of the uses of family memories as one of the main strategies immigrant writers possess to recall their identities. Moreover, this thesis will also consider the language issue for the construction of the immigrant identity insofar as bilingualism is a key factor in the negotiation the García girls must effect between their Caribbean and their American halves in order to understand where they stand in the contemporary world. In order to build a theoretical framework that supports this master s thesis, we list the works of Homi K. Bhabha (1990, 1996, 2003, 2005), Stuart Hall (2001, 2003), Julia Kristeva (1994), Salman Rushdie (1990, 1994), Sonia Torres (2001, 2003) among other contributions that were crucial to the completion of this academic research

Síndrome nefrótica primária grave em crianças: descrição clínica e dos padrões histológicos renais de seis casos

Os autores relatam os casos de seis crianças com síndrome nefrótica primária grave de padrão histológico renal incomum na rotina cotidiana dos nefrologistas e patologistas. O diagnóstico da doença foi realizado nas faixas etárias de 3 a 9 meses de idade (n = 4), aos 2 anos e 4 meses (n = 1) e aos 11 anos (n = 1). Um paciente foi prematuro, duas pacientes eram irmãs e seus pais eram primos de primeiro grau. Todos apresentavam edema generalizado; dois pacientes apresentavam desnutrição e hipotireoidismo e dois apresentavam hipertensão arterial e insuficiência renal. A histologia renal mostrou esclerose mesangial difusa (n = 3), proliferação mesangial (n = 2) e síndrome nefrótica do tipo finlandês (n = 1). Quatro pacientes faleceram, as causas de óbito foram infecção (n = 2), insuficiência renal (n = 1) e acidose metabólica (n = 1). Entre os sobreviventes, um paciente foi tratado com vitaminas, tiroxina, captopril e indometacina, apresentando aumento da albumina sérica e melhora do crescimento. O outro paciente apresentava insuficiência renal terminal, sendo tratado com diálise e transplante renal.