1000 resultados para Perfil biofísico fetal


Relevância:

20.00% 20.00%

Publicador:

Resumo:

Este estudo identificou aspectos da trajetória pessoal, profissional e institucional de educadores de abrigo, assim como sua percepção e satisfação com as atividades realizadas em uma instituição de acolhimento. Foram entrevistados 102 educadores que trabalhavam em um abrigo infantil da Região Metropolitana de Belém. O perfil traçado mostra que todos os entrevistados pertencem ao sexo feminino, sendo a maioria ainda jovem, com no máximo 35 anos, com filhos, já tendo concluído ou ainda frequentando um curso de graduação. O conjunto dos resultados demonstra que, apesar do grau de escolaridade elevado, esses educadores sentiam-se pouco preparados para lidar com crianças em acolhimento institucional e excluíam do educar o ato de cuidar. É preciso que novas estratégias de capacitação em serviço sejam pensadas, no sentido de atender às exigências colocadas pelas orientações técnicas para serviços de acolhimento de crianças e adolescentes, aprovadas em 2009.

Relevância:

20.00% 20.00%

Publicador:

Resumo:

Introduction: Small for gestational age (SGA) is an important problem affecting 10% of pregnancies and is associated with significant perinatal morbidity. In about 80% of cases, a probable etiology or a major risk factor can be identified. But almost 20% of SGA cases are considered unexplained. The 60-kDa heat shock protein (HSP60) is a highly immunogenic protein whose synthesis is greatly upregulated under nonphysiological conditions. Bacterial and human HSP60 share a high degree of sequence homology, and immunity to conserved epitopes may result in development of autoimmunity following a bacterial infection. We hypothesized that unexplained SGA could be the consequence of immune sensitization to human HSP60. Methods: Unexplained SGA fetuses were identified by ultrasound biometry with normal Doppler velocimetry and with no detectable maternal or fetal abnormalities. Fetal sera were obtained by cordocentesis performed for a karyotype analysis in cases of unexplained SGA (study group) or for screening of Rhesus incompatibility (control group). Fetal sera were tested for HSP60 antigen and for IgG and IgM anti-HSP60 by ELISA as well as for other immune and hematological parameters. Results: Maternal parameters were similar between the 12 study cases and the 23 control cases. The mean gestational age at cordocentesis was 29 weeks. IgM anti-HSP60 was detected in 12 cases (100%) and in no controls (p < 0.00017), while IgG anti-HSP60 was detected in 7 cases (58%) and only 1 control (p < 0.001). Three of the 4 cases with the highest IgM antibody levels died. There were no differences in fetal serum levels of HSP60 antigen or other immune and hematological markers between the two groups. Conclusion: Fetuses with unexplained SGA are positive for IgM and IgG antibody to human HSP60 and the specific IgM antibody level is predictive of fetal mortality. Detection of these antibodies indicates that a placental perturbation and a fetal autoimmune reaction to HSP60 are associated with this developmental delay.

Relevância:

20.00% 20.00%

Publicador:

Resumo:

O presente artigo investiga, junto à Rede de Núcleos de Informação Tecnológica do PADCT, junto ao Sistema de Informação do Sebrae e ao da CNI-CAMPI's, o sexo, a escolaridade e a preferência de formatos de oferta de cursos de especialização. Do universo total, 69,2% de respostas foram tabuladas. Existe uma pequena superioridade masculina quanto ao número de profissionais de informação tecnológica empresarial, sendo que mais da metade deles tem graduação completa. É bastante reduzido o número de profissionais com mestrado e doutoramento. Administração e economia formam as áreas de origem mais freqüentes desses profissionais. O formato preferido para cursos de especialização é de um mês, intervalo de três, outro mês, seqüencialmente até o final da carga horária. Para cursos de curta duração, a preferência é que sejam oferecidos em período integral. Conclui-se também que existe uma demanda potencial para programas de mestrado e doutorado. Sugere-se a criação de, pelo menos, um curso de especialização em informação tecnológica empresarial por região, além de maiores investimentos em capacitação de recursos humanos. Sugere-se ainda a realização de pesquisas sobre o impacto dos egressos dos cursos de especialização oferecidos pela UFSC e UFMG e que as investigações sejam realizadas por sistemas de informação.

Relevância:

20.00% 20.00%

Publicador:

Resumo:

Dominant mutations in the receptor calcium channel gene TRPV4 have been associated with a family of skeletal dysplasias (metatropic dysplasia, pseudo-Morquio type 2, spondylometaphyseal dysplasia, Kozlowski type, brachyolmia, and familial digital arthropathy) as well as with dominantly inherited neuropathies (hereditary motor and sensory neuropathy 2C, scapuloperoneal spinal muscular atrophy, and congenital distal spinal muscular atrophy). While there is phenotypic overlap between the various members of each group, the two groups were considered to be totally separate with the former being strictly a structural skeletal condition and the latter group being confined to the peripheral nervous system. We report here on fetal akinesia as the presenting feature of severe metatropic dysplasia, suggesting that certain TRPV4 mutations can cause both a skeletal and a neuropathic phenotype. Three cases were detected on prenatal ultrasound because of absent movements in the second trimester. Case 4 presented with multiple joint contractures and absent limb movements at birth and was diagnosed with "fetal akinesia syndrome". Post-interruption and post-natal X-rays showed typical features of metatropic dysplasia in all four. Sequencing of the TRPV4 gene confirmed the presence of de novo heterozygous mutations predicting G78W (Case 1), T740I (Cases 2 and 3), and K276E (Case 4). Although some degree of restriction of movements is not uncommon in fetuses with skeletal dysplasia, akinesia as leading sign is unusual and suggests that certain TRPV4 mutations produce both chondrodysplasia and a peripheral neuropathy resulting in a severe "overlap" phenotype.

Relevância:

20.00% 20.00%

Publicador:

Resumo:

The existence of at least three isoforms of Na(+)-K(+)-ATPase in adult brain tissues [alpha 1, kidney type; alpha 2 [or alpha(+)]; alpha 3] suggests that these genes might be regulated in a cell-specific and time-dependent manner during development. We have studied this question in serum-free aggregating cell cultures of mechanically dissociated rat fetal telencephalon. At the protein level, the relative rate of synthesis of the pool of alpha 1-, alpha 2-, and alpha 3-subunits increased approximately twofold over 15 days of culture, leading to a marked increase in the immunochemical pool of alpha-subunits as measured by a panspecific polyclonal antibody. Concomitantly, Na(+)-K(+)-ATPase enzyme-specific activity increased three- (lower forebrain) to sixfold (upper forebrain). The transcripts of all three alpha-isoforms and beta-subunit were detected in vitro in similar proportion to the level observed in vivo. alpha 3-mRNA (3.7 kb) was more abundant than alpha 1 (3.7 kb) or alpha 2 (5.3 and 3.4 kb). Cytosine arabinoside (0.4 microM) and cholera toxin (0.1 microM) were used to selectively eliminate glial cells or neurons, respectively. It was found that alpha 2-mRNA is predominantly transcribed in glial cell cultures, whereas alpha 3- and beta 1-mRNA (2.7, 2.3, and 1.8 kb) are predominant in neuronal cultures.

Relevância:

20.00% 20.00%

Publicador:

Resumo:

Doze empresas de consultoria em recrutamento e seleção de recursos humanos foram estudadas para obter informações acerca da demanda atual do mercado de trabalho. Foram levantadas e analisadas as literaturas sobre o mercado de trabalho, as qualificações profissionais requeridas pelo mercado e as informações obtidas em depoimentos de empregadores. O estudo trouxe quatro conclusões principais: (1) os profissionais devem desenvolver continuamente suas habilidades técnicas típicas de ciência da informação, bem como suas atitudes comportamentais; (2) as potencialidades desses profissionais nem sempre são reconhecidas pelo mercado de trabalho; (3) como conseqüência, não é comum encontrar profissionais da informação ocupando posições superiores como analistas ou gerentes; (4) as causas principais das deficiências são tanto a falta de desenvolvimento dessas habilidades durante o período de formação, quanto a falta de reconhecimento do perfil dos profissionais da informação pelo mercado e da auto-imagem por eles mesmos.

Relevância:

20.00% 20.00%

Publicador:

Resumo:

Rapport de synthèseDes événements pathologiques survenant pendant la période foetale prédisposent la descendance aux maladies cardiovasculaires systémiques. Il existe peu de connaissances au sujet de la circulation pulmonaire et encore moins quant aux mécanismes sous-jacents. La sous-alimentation maternelle pendant la grossesse peut représenter un modèle d'investigation de ces mécanismes, parce que chez l'animal et l'homme elle est associée à une dysfonction vasculaire systémique chez la progéniture. Chez le rat, la diète restrictive pendant la grossesse induit une augmentation du stress oxydatif dans le placenta. Les dérivés de l'oxygène sont connus pour induire des altérations épigénétiques et peuvent traverser la barrière placentaire. Nous avons dès lors spéculé que chez la souris la diète restrictive pendant la grossesse induit une dysfonction vasculaire pulmonaire chez sa progéniture qui serait liée à un mécanisme épigénétique.Pour tester cette hypothèse, nous avons examiné la fonction vasculaire pulmonaire et la méthylation de l'ADN pulmonaire à la fin de 2 semaines d'exposition à l'hypoxie chez la progéniture de souris soumises à une diète restrictive pendant la grossesse et des souris contrôles. Nous avons trouvé que la vasodilatation endothélium-dépendante de l'artère pulmonaire in vitro était défectueuse, et que l'hypertension pulmonaire et l'hypertrophie ventriculaire droite induites par l'hypoxie in vivo étaient exagérées chez la progéniture de souris soumises à une diète restrictive pendant la grossesse. Cette dysfonction vasculaire pulmonaire était associée avec une altération de la méthylation de l'ADN pulmonaire. L'administration d'inhibiteurs de la déacétylase des histones, le Butyrate et la Trichostatine-A à la progéniture de souris soumises à une diète restrictive pendant la grossesse a normalisé la méthylation de l'ADN et la fonction vasculaire pulmonaire. Finalement, l'administration du nitroxyde Tempol aux mères durant la diète restrictive pendant la grossesse a prévenu la dysfonction vasculaire et la dysméthylation chez la progéniture.Ces découvertes démontrent que chez la souris la sous-alimentation pendant la gestation induit une dysfonction vasculaire chez la progéniture qui est causée par un mécanisme épigénétique. Il est possible qu'un mécanisme similaire soit impliqué dans la programmation foetale de la dysfonction vasculaire chez les humains.

Relevância:

20.00% 20.00%

Publicador:

Resumo:

We describe a term newborn who, after a normal gestational course, presented at birth with absent cardiac activity and no spontaneous breathing. Death occurred within 30 h. Autopsy revealed placental villous immaturity, multiple acute hypoxic lesions, but also chronic hypoxic lesions like endocardial fibroelastosis. This striking association of endocardial fibroelastosis and placental villous immaturity is reviewed and correlated with 2 other cases of placental villous immaturity that led to in utero death at 39 and 41 weeks of gestation. Placental villous immaturity must be suspected and looked for by both pediatricians and obstetricians in every case of stillbirth or perinatal asphyxia of unclear origin. In order to minimize the risk of recurrence in further pregnancies, elective cesarean section may be considered.

Relevância:

20.00% 20.00%

Publicador:

Resumo:

Tissue-specific stem cells found in adult tissues can participate in the repair process following injury. However, adult tissues, such as articular cartilage and intervertebral disc, have low regeneration capacity, whereas fetal tissues, such as articular cartilage, show high regeneration ability. The presence of fetal stem cells in fetal cartilaginous tissues and their involvement in the regeneration of fetal cartilage is unknown. The aim of the study was to assess the chondrogenic differentiation and the plasticity of fetal cartilaginous cells. We compared the TGF-β3-induced chondrogenic differentiation of human fetal cells isolated from spine and cartilage tissues to that of human bone marrow stromal cells (BMSC). Stem cell surface markers and adipogenic and osteogenic plasticity of the two fetal cell types were also assessed. TGF-β3 stimulation of fetal cells cultured in high cell density led to the production of aggrecan, type I and II collagens, and variable levels of type X collagen. Although fetal cells showed the same pattern of surface stem cell markers as BMSCs, both type of fetal cells had lower adipogenic and osteogenic differentiation capacity than BMSCs. Fetal cells from femoral head showed higher adipogenic differentiation than fetal cells from spine. These results show that fetal cells are already differentiated cells and may be a good compromise between stem cells and adult tissue cells for a cell-based therapy.

Relevância:

20.00% 20.00%

Publicador:

Resumo:

O estudo teve como objetivo mapear o perfil acadêmico e técnico-empresarial dos profissionais que atuam como gestores da informação para a indústria capixaba, buscando contextualizar o exercício profissional do bibliotecário. Realizou-se pesquisa exploratório-descritiva, com aplicação de formulário com questões abertas e fechadas. Os resultados permitem inferir que a maioria dos profissionais desconhece as etapas do processo de gestão da informação. Constatou-se reduzida presença de bibliotecários atuando no setor de informação dessas indústrias, mas que o setor está aberto a profissionais que busquem a composição de um perfil inovador diante das demandas de um mercado dinâmico, e que o bibliotecário pode vir a ser importante ator na construção desse novo cenário.

Relevância:

20.00% 20.00%

Publicador:

Resumo:

Resultado de uma pesquisa que teve como objetivo identificar os critérios que propiciaram a política de seleção do acervo do Real Gabinete Português de Leitura e, a partir deles, estabelecer a Política de Seleção que foi praticada pelo Gabinete. Por uma abordagem exploratório-descritiva, utilizando características do acervo, este artigo busca delinear a figura do leitor no período de 1837-1847. Identifica ainda algumas classes de leitores e suas leituras.

Relevância:

20.00% 20.00%

Publicador:

Resumo:

Introduction: A standardized three-dimensional ultrasonographic (3DUS) protocol is described that allows fetal face reconstruction. Ability to identify cleft lip with 3DUS using this protocol was assessed by operators with minimal 3DUS experience. Material and Methods: 260 stored volumes of fetal face were analyzed using a standardized protocol by operators with different levels of competence in 3DUS. The outcomes studied were: (1) the performance of post-processing 3D face volumes for the detection of facial clefts; (2) the ability of a resident with minimal 3DUS experience to reconstruct the acquired facial volumes, and (3) the time needed to reconstruct each plane to allow proper diagnosis of a cleft. Results: The three orthogonal planes of the fetal face (axial, sagittal and coronal) were adequately reconstructed with similar performance when acquired by a maternal-fetal medicine specialist or by residents with minimal experience (72 vs. 76%, p = 0.629). The learning curve for manipulation of 3DUS volumes of the fetal face corresponds to 30 cases and is independent of the operator's level of experience. Discussion: The learning curve for the standardized protocol we describe is short, even for inexperienced sonographers. This technique might decrease the length of anatomy ultrasounds and improve the ability to visualize fetal face anomalies.

Relevância:

20.00% 20.00%

Publicador:

Resumo:

Fetal MRI reconstruction aims at finding a high-resolution image given a small set of low-resolution images. It is usually modeled as an inverse problem where the regularization term plays a central role in the reconstruction quality. Literature has considered several regularization terms s.a. Dirichlet/Laplacian energy, Total Variation (TV)- based energies and more recently non-local means. Although TV energies are quite attractive because of their ability in edge preservation, standard explicit steepest gradient techniques have been applied to optimize fetal-based TV energies. The main contribution of this work lies in the introduction of a well-posed TV algorithm from the point of view of convex optimization. Specifically, our proposed TV optimization algorithm or fetal reconstruction is optimal w.r.t. the asymptotic and iterative convergence speeds O(1/n2) and O(1/√ε), while existing techniques are in O(1/n2) and O(1/√ε). We apply our algorithm to (1) clinical newborn data, considered as ground truth, and (2) clinical fetal acquisitions. Our algorithm compares favorably with the literature in terms of speed and accuracy.