Mycobacterium tuberculosis population structure shift in a 5-year molecular epidemiology surveillance follow-up study in a low endemic agro-industrial setting in São Paulo, Brazil

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

Avaliação sazonal de alguns parâmetros indicadores da qualidade de água no reservatório da usina hidrelétrica de Ilha Solteira-SP, Brasil

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

As diretrizes curriculares para os cursos de Educação Física no Brasil: uma breve revisão cronológica e análise desse processo sobre as implicações para a formação profissional

The law of Guidelines and Bases for National Education-LDB established the need to ensure at Universities a greater flexibility in the Organization of courses and careers, taking into account the heterogeneity of prior education and training, as well as the expectations and interests of students. Since the deployment of the first courses of Physical Education in Brazil, in the 30 's decade, the formation was only in Degree Course. On a pioneer way, resolution CFE 031987 allowed the Universities could organise their own pedagogical projects and curriculum, allowing even the Bachelor Course contemplating the dynamics of the evolution of the area and encouraging a change in attitudes of professionals. The Bachelor Course, with an offer of disciplines to other areas higher than education, openness also allowed to research, promoting an increasing interaction of the Physical Education with other professions od health. Physical education stands out as interareas instrument in the promotion of health and quality of life of the population. With the regulation of the Profession through the law No. 9696/98, grows the discussion around the definition of professional delimitations in this close relationship with other areas. With the need for a reformulation in teaching projects, Degree and Bachelor Courses, express the new curricular guidelines and resolutions of the MEC, as well as the professional delimitations by CONFEF for each formation. Given these aspects, the objective of the present study was to describe the chronology of such facts and a expose a critical opinion of the authors about the course and consequences of this process.

Teaching elliptical excision skills to novice medical students: a randomized controlled study comparing low- and high-fidelity bench models

Background: The search for alternative and effective forms of training simulation is needed due to ethical and medico-legal aspects involved in training surgical skills on living patients, human cadavers and living animals. Aims : To evaluate if the bench model fidelity interferes in the acquisition of elliptical excision skills by novice medical students. Materials and Methods: Forty novice medical students were randomly assigned to 5 practice conditions with instructor-directed elliptical excision skills' training (n = 8): didactic materials (control); organic bench model (low-fidelity); ethylene-vinyl acetate bench model (low-fidelity); chicken legs' skin bench model (high-fidelity); or pig foot skin bench model (high-fidelity). Pre- and post-tests were applied. Global rating scale, effect size, and self-perceived confidence based on Likert scale were used to evaluate all elliptical excision performances. Results : The analysis showed that after training, the students practicing on bench models had better performance based on Global rating scale (all P < 0.0000) and felt more confident to perform elliptical excision skills (all P < 0.0000) when compared to the control. There was no significant difference (all P > 0.05) between the groups that trained on bench models. The magnitude of the effect (basic cutaneous surgery skills' training) was considered large (>0.80) in all measurements. Conclusion : The acquisition of elliptical excision skills after instructor-directed training on low-fidelity bench models was similar to the training on high-fidelity bench models; and there was a more substantial increase in elliptical excision performances of students that trained on all simulators compared to the learning on didactic materials.

Experimental model of intestinal endometriosis: pilot study

Aims: The objective of this study is to create an experimental model of intestinal endometriosis in pigs, which might allow better understanding of deep infiltrating endometriosis and development of new treatment techniques. As secondary objective, we intend to create endometrial implants accessible by transrectal ultrasonography (TRUS). Study Design: Surgical experimental study in swine. Place and Duration of Study: This study was performed at the Instituto de Ensino e Pesquisa do Hospital Sírio-Libanês, São Paulo, Brazil, between January 2012 and December 2012. Methodology: Two sexually mature female minipigBR pigs underwent two laparotomies (each animal). The first laparotomy was performed to implant two fragments of autologous endometrium in the rectal wall. The second one was performed thirty days later to visualize, measure and obtain tissue of the site of the implants for histopathology study. A TRUS study was performed prior to the second surgery. The Institution’s Animal Utilization Study Committee approved the study. Results: In the first laparotomy a 5-cm segment of right uterine horn was resected. The endometrium was separated from the myometrium through sub-endometrial saline injection. Two endometrial fragments (1.0 x 2.0 cm) were dissected and sutured in the intra peritoneal anterior rectal wall of the animals. Thirty days later, all implants were identified during preoperative TRUS. “En-bloc” resection of the intestinal segment with the implants was performed during the second surgery. The autologous implants of endometrium invaded the muscular layer in one of the two animals. Conclusion: We demonstrated that the creation of an animal model of deep infiltrating endometriosis with intestinal involvement is feasible through a simple surgical technique. We believe that this model can be applied in experimental and clinical studies but further studies are necessary to refine the technique.

Biological therapy for the prevention and treatment of postoperative endoscopic recurrence in Crohn's disease: time for acceptance?

In most patients, postoperative endoscopic recurrence (PER) occurs 1 year after abdominal resection for Crohn’s disease (CD). Preventing PER is essential for disease control, as most patients develop further clinical and surgical recurrences. Conventional therapy with nitroimidazoles, aminosalicylates, and immunomodulators have limited efficacy for preventing PER. Initial trials with biological therapy (infliximab and adalimumab) showed promising results in preventing PER, and the efficacy of these drugs seems higher than that with conventional therapy. The aim of this review is to outline the results of studies that used infliximab or adalimumab for preventing and treating PER in CD patients. Data with both agents are available, and a few, small prospective trials have shown the efficacy of these drugs in patients with a high risk for recurrence. We believe that, in 2013, biological agents will be better accepted for the prevention PER in CD patients, in addition to the already existing data. Larger trials are still underway, and their results will certainly determine the role of these agents in PER, which develops after bowel resection for CD.

Risk factors for postoperative endoscopic recurrence in Crohn's disease: a Brazilian observational study

Introduction: Postoperative endoscopic recurrence (PER) is the initial event after intestinal resection in Crohn’s disease (CD), and after a few years most patients present with progressive symptoms and complications related to the disease. The identification of risk factors for PER can help in the optimization of postoperative therapy and contribute to its prevention. Methods: Retrospective, longitudinal, multicenter, observational study involving patients with CD who underwent ileocolic resections. The patients were allocated into two groups according to the presence of PER and the variables of interest were analyzed to identify the associated factors for recurrence. Results: Eighty-five patients were included in the study. The mean period of the first postoperative colonoscopy was 12.8 (3–120) months and PER was observed in 28 patients (32.9%). There was no statistical difference in relation to gender, mean age, duration of CD, family history, previous intestinal resections, smoking, Montreal classification, blood transfusion, residual CD, surgical technique, postoperative complications, presence of granulomas at histology, specimen extension and use of postoperative biological therapy. The preoperative use of corticosteroids was the only variable that showed a significant difference between the groups in univariate analysis, being more common in patients with PER (42.8% vs. 21%; p = 0.044). Conclusions: PER was observed in 32.9% of the patients. The preoperative use of corticosteroids was the only risk factor associated with PER in this observational analysis.

Avaliação audiológica em pacientes com doenças reumáticas pediátricas

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

Teor e acúmulo de nutrientes em grãos de feijão comum em semeadura direta, sob déficit hídrico

O feijão comum possui notória importância socioeconômica, constitui uma das mais importantes fontes proteicas da dieta brasileira e juntamente com o arroz, proporciona uma dieta mais vantajosa e equilibrada em termos de aminoácidos. O objetivo desse trabalho foi avaliar o efeito das combinações de diferentes reposições hídricas nas fases vegetativa - I e reprodutiva - II, durante o ciclo do feijoeiro IAC Alvorada, e comparar o teor nutricional dos grãos. Foi utilizado o delineamento em blocos casualizados, com quatro repetições em fatorial 4 x 4, sendo quatro níveis de déficit hídrico 100, 80, 60 e 40% da evapotranspiração da cultura (ETc) e os mesmos níveis foram repetidos em duas fases de desenvolvimento da cultura do feijão (fases I e II). Cada parcela possuía as dimensões de 4 m x 1,8 m, totalizando 7,2 m2 de 0,45 m. Inicialmente irrigou-se pelo sistema aspersão convencional em um período de 60 minutos diariamente, posteriormente o sistema adotado foi por gotejamento, conforme cada tratamento de restrição hídrica. Avaliaram-se os teores nutricionais de macro (N, P, K, Ca, Mg e S) e micronutrientes (B, Cu, Fe, Mn e Fe). A interação entre as lâminas nas fases I e II influenciou nos teores de micronutrientes Fe e S em grãos de feijão. Houve aumento dos teores de Fe e diminuição dos teores de Cu, Mn e B com a deficiência hídrica em uma das fases. Os macro e micronutrientes mais extraídos foram N, P, K, Fe, B e Mn. O N e o P são os nutrientes exportados em maior quantidade pelos grãos.

Efeito de dois sistemas de manejo do solo nas propriedades físico-hídricas, desenvolvimento radicular e produtividade do milho

Corn cultivation is part of crop rotation used by irrigation farmers from the southwestern region of São Paulo state, Brazil, who use no-tillage soil management as a kind of sustainable use of soil. The effect of this conservative practice on physical and hydrical properties of the soil, root development and corn crop yield compared to the conventional management was the objective of this work. The experiment was held at the Buriti-Mirim Farm, Angatuba, SP, Brazil, using an irrigated area with a center pivot system and two types of soil management: conventional and no-tillage systems. Although the no-tillage management had higher soil density and less water availability, no significant difference was found for both management systems concerning soil resistance to penetration, root development and crop yield. In both systems of soil management, 90% of roots were concentrated in the first 0-20cm of soil layer.

Increasing the lateral line length of drip irrigation systems

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Simulação da produtividade de cana-de-açúcar (Saccharum officinarum L.) na região nordeste do Brasil, utilizando o modelo DSSAT

The objective of this study was to simulate the potential stem and sugar yield of sugar cane (Saccharum officinarum L.) in the Northeastern Brazil (Petrolina-PE and Teresina-PI) and analyze 4 varieties in different planting seasons in two environments: irrigated and rainfed cultivars. The model of simulation was DSSAT/CANEGRO (Decision Support System for Agrotechnology Transfer) and the four sugar cane varieties were as follows: RB86 7515, CTC 4, CTC 7 and CTC 20 (all in 1.5 year cycle). Analysis of variance was performed on the results and means were compared using the Tukey test with probability level at 5%. March is the recommended month for planting in Teresina, PI. In Petrolina, PE, rainfed planting is not advisable because of the extended water deficit all year long. In an irrigated environment, no difference was found concerning stem yield as a function of planting season, for all varieties in the study regions. The stem and sugar yields were always higher in irrigated environment as compared with those in rainfed environment in all municipalities and study varieties. The simulation model provided good estimate of stem and sugar yields as compared with experimental data in Teresina, PI.

Boas práticas no consumo de energia em restaurantes da cidade de Botucatu

The objective of this work was to verify the rational use of energy in restaurants of the city Botucatu, that apply the Good Manufacturing of Production (GMP). Ten restaurants were appraised regarding the number of meals and energy consumption. A check list of the sanitary surveillance was also applied, regarding just the related items to electric installation, ventilation, and equipment maintenance, that are related to the energy consumption. It was asked and observed if there were some program or orientation for conscious consumption or reduction of the energy consumption. The energy consumption of the restaurants was positively related to the number of served meals and operation time of the establishment. In none of the visited establishments it was observed the control measures of the energy consumption, neither cooling equipments of low energy consumption.

Cultivation and bromatological analysis of the medicinal mushroom Ganoderma lucidum (Curt.: Fr.) P. Karst cultivated in agricultural waste

The objective of the study was to evaluate the production of two strains of Ganoderma lucidum on agricultural waste and carry out bromatological analyses of the basidiomata obtained from the cultivation. The experiment was carried out at the Mushroom Module at the School of Agronomic Sciences of the São Paulo State University (FCA/UNESP - Botucatu, SP, Brazil) and two strains were used (GLM-09/01 and GLM-10/02) which were cultivated on waste, oat straw, bean straw, brachiaria grass straw, Tifton grass straw and eucalyptus sawdust under two situations: with (20%) and without (0%) supplementation with wheat bran. All the waste was taken from dumps of agricultural activities in Botucatu-SP. Both treatments were carried out in 10 repetitions, totaling 200 packages. The mushrooms cultivation took 90 days. Next, the biological efficiency of the treatments and the bromatological analysis of the basidiomata were evaluated. The biological efficiency (BE) values (%) varied from 0.0 to 6.7%. In the mushroom bromatological analyses, the results ranged from 8.7 to 13.7%, from 2.0 to 6.7%, from 0.83 to 1.79% and from 38.8 to 54.5%, for total protein, ethereal extract, ash and crude fiber, respectively. Thus, we conclude that the substrates which presented the greater yield were the brachiaria straw, 20% in both strains tested (GLM-09/01 and GLM-10/02) and the bean straw, 20% in the strain GLM-10/02. The mushrooms showed high levels of ethereal extract, fibers and ashes and a low level of proteins.