Floodplain construction in an anastomosed river

Fluvial environments and sedimentary facies involved in the floodplain (C2a type) construction of an anastomosed river system (Upper Parana River, Brazil) were studied. Sediment volume of floodplain deposits and sedimentation rate of each environment were obtained: channel (51.56%; 8.5 mm/yr), splay (33.85%; 1.27 mm/yr), pond (8.60%; 1.0 mm/yr), abandonment (3.64%; 3.87 mm/yr) and natural levee (3.41%; 2.34 mm/yr), reaching a total sedimentation rate average of 5.07 mm/yr. The causes of abandonment are also discussed. (C) 2003 Elsevier B.V. Ltd and INQUA. All rights reserved.

The use of glucan as immunostimulant in the treatment of paracoccidioidomycosis

A group of 10 patients, nine of them seriously infected with Paracoccidioides brasiliensis (G1), received glucan (beta-1,3 polyglucose) as an immunostimulant intravenously once a week for one month, followed by monthly doses (10 mg) over an ii-month period, together with a specific anti-fungal agent as an immunostimulant. A second group of eight moderately infected patients (G2) was treated with only the anti-fungal agent. Among the patients in G1, there was only one case of relapse compared with five in G2. Values for the erythrocyte sedimentation rate (ESR) showed a significant difference (P < 0.01) post-treatment in G1 patients, when compared with the pretreatment levels. There was also a significant reduction (P < 0.001) in the level of serum antibodies to P. brasiliensis in the G1 patients in post-treatment examinations. The phytohemagglutinin (PHA) skin test showed a positive reaction among the patients in G1 (P < 0.01) post-treatment and there was a tendency towards an increase in the number of CD4+ T lymphocytes in both groups after treatment. The serum level of tumor necrosis factor (TNF) proved to be significantly higher (P < 0.02) in the G1 patients during treatment. In the G1 patients, the correlation between ESR and TNF tended to be negative whereas that between ESR and serum antibodies was positive. The present results indicate that the patients who received glucan, in spite of being more seriously ill, had a stronger and more favorable response to therapy.

Proxy-reported health-related quality of life of patients with juvenile idiopathic arthritis: Pediatric rheumatology international trials organization multinational quality of life cohort study

Objective. To investigate the proxy-reported health-related quality of life (HRQOL) and its determinants in patients with juvenile idiopathic arthritis (JIA).Methods. In this multinational, multicenter, cross-sectional study, HRQOL of patients with JIA was assessed through the Child Health Questionnaire (CHQ) and was compared with that of healthy children of similar age from the same geographic area. of joint inflammation, Childhood Health Assessment Questionnaire (CHAQ), and erythrocyte sedimentation rate.Results. A total of 6,639 participants (3,324 with JIA and 3,315 healthy) were enrolled from 32 countries. The mean SD physical and psychosocial summary scores of the CHQ were significantly lower in patients with JIA than in healthy children (physical: 44.5 +/- 10.6 versus 54.6 +/- 4.0, P < 0.0001; psychosocial: 47.6 +/- 8.7 versus 51.9 +/- 7.59 P < 0.0001), with the physical well-being domain being most impaired. Patients with persistent oligoarthritis had better HRQOL compared with other subtypes, whereas HRQOL was similar across patients with systemic arthritis, polyarthritis, and extended oligoarthritis. A CHAQ score > 1 and a pain intensity rating > 3.4 cm on a 10-cm visual analog scale were the strongest determinants of poorer HRQOL in the physical and psychosocial domains, respectively.Conclusion. We found that patients with JIA have a significant impairment of their HRQOL compared with healthy peers, particularly in the physical domain. Physical well-being was mostly affected by the level of functional impairment, whereas the intensity of pain had the greatest influence on psychosocial health.

Tafonomia de Pelecípodes da Formação Teresina (Permiano), Tiaraju, RS, Brasil

Taphonomic analysis of pelecypod concentration in the part of the Teresina Formation (Passa Dois Group), Tiaraju region, State of Rio Grande do Sul, indicates its origins as due to high energy events (storms). The fauna include shallow-burrowing suspensivorous species, associated with this byssate semi-infauna species. Several taphonomic characteristics indicate that the fossiliferous assemblage was subject to little selective processes during transportation. These are: predominance of disarticulated valves (although articulated valves are frequent) and perpendicular, oblique, concordant and nested arrangement of bioclasts in the sedimentary matrix. Absence of fragmentation, bioerosion and incrustation of the bioclasts, suggest fast burial of shells due to high sedimentation rate events. Diagenetic features, indicate that the fossils were later submitted to refossilization and mixing with other non-coeval bioclasts, resulting in some degree of time-averaging.

Inquérito sobre a qualidade de vida relacionada à saúde em crianças e adolescentes portadores de artrites idiopáticas juvenis

Objective: to study the impact of chronic arthritis on health related quality of life by means of two self-reported tools: the parents' version of the Childhood Health Assessment Questionnaire (CHAQ) and the Childhood Health Questionnaire PF50® (CHQ). Methods: both tools were filled in after proper instructions by 36 parents, during 1-2 clinic visits. The Disability Index (CHAQ) and the Physical and Psychosocial scores (CHQ) were compared to the core set of outcome measures, namely 1) physician's global assessment, 2) parents' global assessment, both scored by 10 cm visual analogue scale, 3) number of joints with active arthritis, 4) number of joints with limited range of motion, 5) erythrocyte sedimentation rate. Results: there was significant difference for all measures of disease activity, being higher in the polyarticular as compared to oligoarticular except for erythrocyte sedimentation rate, parents' global assessment, and psychosocial score. This leads to different parents' perceptions of disease activity and outcome. The responsiveness of the outcome measures during two follow-up visits of patients receiving active treatment indicated better responsiveness of physicians' global assessment among the subjective measures, and intermediate responsiveness of the self-reported measures in comparison to the number of active and limited joints, and erythrocyte sedimentation rate. Conclusions: the responsiveness of two health related quality of life tools indicates their relative sensitivity for assessing clinical improvement during active treatment in Juvenile Idiopathic Arthritis patients. Copyright © 2003 by Sociedade Brasileira de Pediatria.

Methotrexate improves the health-related quality of life of children with juvenile idiopathic arthritis

Objectives: To examine the change in health-related quality of life (HRQOL) and its determinants in children with juvenile idiopathic arthritis (JIA) treated with methotrexate (MTX). Methods: Patients were extracted from the PRINTO clinical trial which aimed to evaluate the efficacy and safety profile of MTX administered in standard, intermediate or higher doses (10, 15 and 30 mg/m2/week respectively). Children with polyarticular-course JIA, who were less than 18 years and had a complete HRQOL assessment were included. Results: A total of 521 children were included. At baseline, patients with JIA showed poorer HRQOL (p<0.01) than healthy children. In 207/412 (50%) and 63 (15%) children, HRQOL values were 2 standard deviations below the mean of healthy controls in the physical and psychosocial summary scale, respectively. After 6 months of treatment with standard dose MTX, there was a statistically significant improvement in all HRQOL health concepts, particularly the physical ones. Similar improvements were observed in those who did not respond to a standard dose of MTX and were subsequently randomised to a higher dose. The presence of marked disability at baseline was associated with a fivefold increased risk of retaining poor physical health after 6 months of active treatment with standard dose MTX. Other less important determinants of retaining poor physical well-being were the baseline level of systemic inflammation, pain intensity and an antinuclear-antibody-negative status. Conclusions: MTX treatment produces a significant improvement across a wide range of HRQOL components, particularly in the physical domains, in patients with JIA.

Citocinas e proteínas de fase aguda do soro como marcadores de regressão da resposta inflamatória pelo tratamento, na tuberculose pulmonar

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Avaliação do estado nutricional, ingestão de antioxidante e extensão da lesão intestinal em pacientes portadores de colte ulcerativa

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

Avalição do desfecho clínico da febre reumática durante duas décadas no Hospital das Clínicas de Botucatu

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Descrição clínico - epidemiológica de uma série de casos de miosite aguda viral

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Uso do 210 Pb na cronologia da contaminação de cromo em sedimentos do Ribeirão dos Bagres, região de Franca (SP)

Pós-graduação em Geociências e Meio Ambiente - IGCE

Uso do 210Pb no estudo de deposição de mercúrio em lagos da bacia do rio Madeira (RO)

Pós-graduação em Geociências e Meio Ambiente - IGCE

O método geocronológico do Pb-210 aplicado no estudo da taxa de sedimentação em uma porção da Bacia do Rio Atibaia (SP)

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Determinação da taxa de sedimentação na foz do rio Amazonas usando o 210Pb como geocronômetro

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Dinâmica espaço-temporal da pesca industrial de camarão-rosa Farfantepenaeus subtilis na plataforma continental do Amazonas

O conhecimento da distribuição espacial dos recursos pesqueiros e um fator essencial no ordenamento pesqueiro. O camarão-rosa Farfantepenaeus subtilis (Perez-Farfante, 1967) e uma espécie de importância econômica, capturado pela pesca industrial na Plataforma Continental do Amazonas. Este estudo teve como objetivo avaliar padrões espaços-temporais da abundancia relativa desse recurso a partir de uma serie de capturas realizadas por barcos da frota industrial, especializadas com o uso de ferramentas de sistema de informações geográficas. A abundancia relativa de camarão-rosa (CPUE) foi relacionada a batimetria, as características do substrato, a vazão do rio Amazonas e as variáveis oceanográficas obtidas por sensoriamento: temperatura da superfície do mar e concentração de clorofila-a. Entre as categorias de tipo de substrato, observou-se maior intensidade de arrastos na região de lama mosqueada. Nessa região, características como tipo de substrato (lama), relevo submarino, taxa de sedimentação (<1 cm.ano-1), e salinidade (>30) constituem o habitat ideal para o camarão-rosa. Maiores valores de CPUE estiveram associados a menores temperaturas e a maiores valores de concentração de clorofila-a, características que ocorrem no período de maior vazão do rio Amazonas, no primeiro semestre. Foi observada a ocorrência de três períodos com diferentes níveis de produção: fevereiro a abril (maior vazão), com maior abundancia relativa de camarão-rosa; maio a julho; e agosto a setembro (menor vazão), com menor abundancia. Os resultados mostraram que a abundancia relativa de F. subtilis não se distribui de modo uniforme no espaço nem na variação sazonal.