Explicações de crianças internadas sobre a causa das doenças: implicações para a comunicação profissional de saúde-paciente

Esta pesquisa pretendeu estudar o desenvolvimento cognitivo e as explicações sobre a causalidade das doenças em crianças hospitalizadas, particularmente a influência nas explicações da experiência com doenças e da escolaridade. Participaram da pesquisa cinqûenta crianças brasileiras internadas em um hospital público, com diferentes diagnósticos e idade variando entre cinco e nove anos. O desenvolvimento cognitivo e as concepções sobre as causas das doenças foram avaliados dentro de um referencial piagetiano. Como em estudos anteriores, as crianças processaram as informações numa seqüência cognitiva previsível. Entretanto, as crianças internadas mostraram atraso na aquisição da conservação, e explicações com poucos elementos subjetivos, sem referências à própria doença. As causas atribuídas às doenças foram similares às apontadas por crianças de outros países. Foi estatisticamente significativa a relação entre a complexidade das explicações e o número de internações. A maioria da amostra, independente da idade e nível cognitivo, atribuiu o adoecimento à desobediência, possível mecanismo adaptativo ao desamparo, resultado que parece trazer implicações a serem consideradas quando se abordam pacientes infantis.

Serological follow-up of patients with paracoccidioidomycosis treated with itraconazole using Dot-blot, ELISA and Western-blot

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

Meio ambiente e enfermagem: suas interfaces e inserção no ensino de graduação

A degradação ambiental vem modificando nosso cenário de forma acelerada e interferindo negativamente no processo saúde-doença de toda a comunidade. No entanto, o meio ambiente vem sendo concebido como um simples cenário, algo externo ao ser humano, não onde estamos inseridos e no qual acontecem suas interações e inter-relações. A complexidade dos problemas ambientais clama pela adoção de medidas que superem práticas assistencialistas, levando à adoção de práticas transdisciplinares que avancem na promoção da saúde. Neste artigo procura-se discutir, nesta perspectiva, a necessidade de inserção nos cursos de graduação em saúde a temática saúde e meio ambiente, adotando como exemplo um curso de enfermagem do interior paulista que inseriu uma disciplina relacionada ao tema. Analisa também o papel do enfermeiro na relação com o meio ambiente segundo a representação social dos alunos, trabalhada a partir do Discurso do Sujeito Coletivo. Nota-se que é fundamental discutir essa temática ambiental entre os profissionais da saúde, a fim de que eles se empoderem desse conhecimento e consigam identificar problemas relacionados à questão ambiental, propondo ações resolutivas e preventivas, juntamente com a comunidade, procurando amenizar os riscos ambientais a que todos estão expostos. Reforça-se a profundidade do papel dos profissionais de saúde diante dos problemas ambientais, buscando a saúde em uma perspectiva ampliada de promoção da saúde.

Interceptive Approach to Treatment of Impacted Maxillary Canines

Impaction of maxillary canines can be prevented by early intervention in the mixed dentition phase after the correct diagnosis of malocclusion, reducing the complexity of the treatment. This article reports the case of a 10-year-old patient who possessed impacted maxillary canines and, after early extraction of primary canines, had reestablished favorable permanent successors' eruption axis. This 5-year radiographic follow-up study with panoramic radiography shows that this can be used in practice and that an effective control strategy ensures the accuracy in the inclination of the impacted canines. Treatment success is related to early diagnosis and strategic interceptive treatment choice.

Clinical assessment of postoperative sensitivity in posterior composite restorations

This incidence of postoperative sensitivity was evaluated in resin-based posterior restorations. Two hundred and ninety-two direct restorations were evaluated in premolars and molars. A total of 143 Class I and 149 Class 11 restorations (MO/OD and MOD) were placed in patients ranging in age from 30 to 50 years. After the cavity preparations were completed, a rubber dam was placed, and the preparations were restored using a total-etch system (Prime & Bond NT) and a resin-based restorative material (TPH Spectrum). The patients were contacted after 24 hours and 7, 30 and 90 days postoperatively and questioned regarding the presence of sensitivity and the stimuli that triggered that sensitivity. The Chi-square and Fisher's Exact Test were used for statistical analysis. Evaluation at 24 hours after restorative treatment revealed statistically significant differences among the types of cavity preparations restored and the occurrence of postoperative sensitivity (p=0.0003), with a higher frequency of sensitivity in Class H MOD restorations (26%), followed by Class II MO/DO (15%) and Class I restorations (5%). At 7, 30 and 90 days after restorative treatment, there was a decrease in the occurrence of sensitivity for all groups. The percentage of sensitivity among the groups was not significantly different. This study shows that the occurrence of sensitivity is correlated with the complexity of the restoration.

Controlling factors of benthic macroinvertebrates distribution in a small tropical pond, lateral to the Paranapanema River (São Paulo, Brazil).

The aim of the present study was to examine the benthic fauna in a marginal pond lateral to the Paranapanema River and to identify the main controlling factors of its distribution. Considering the small size of the lacustrine ecosystem, we expected that seasonal variations of the benthic community attributes are more important than spatial variations; Methods: Two samplings, one in March and another in August, were carried out at nine sites in the pond. Sediment samples were obtained through a Van Veen grab for invertebrate sorting, granulometric analysis, and for quantification of organic matter in sediment. Other abiotic factors were measured, such as water transparency, dissolved oxygen, pH, electric conductivity, temperature, and depth of sediment sampling sites. Regarding the comparative analysis at spatial scale, no significant variations in density of the benthic invertebrate community were found. Results: In relation to the studied abiotic factors, only depth presented significant differences among sampling sites; All the measured environmental parameters presented significant differences among sampling months, except depth and the physical and chemical characteristics of the sediment. The abundance of Chaoboridae and Chironomidae was the unique attribute with a significant difference in comparing the two months. A higher abundance of taxa occurred in August, especially for Oligochaeta, Nematoda, Chaoboridae, and Chironomidae; Conclusions: Because of the low structural complexity of the studied pond, we concluded that the changes in benthic macroinvertebrate community attributes were mainly due to seasonal effects.

Composition of the aquatic invertebrate fauna associated to the mangrove vegetation of a coastal river, analyzed through a manipulative experiment.

The present study analyzed the composition of the aquatic fauna associated to the mangrove forest in a southeastern Brazilian river. The composition of the macrofauna in the roots of the marginal vegetation located at three different salinity stretches was analyzed by sampling pieces of the submerged branches of the vegetation (natural substrate) and pieces of sisal rope (artificial substrate), installed close to the natural vegetation and sampled after a period of 14 colonization days. In both types of substrate, twelve taxonomic groups were sampled, representing three phyla (Cnidaria, Annelida and Arthropoda). The crustaceans, corresponding to the most diversified group, were represented by Copepoda, Tanaidacea, Isopoda, Amphipoda and Decapoda. The highest salinity stretch showed the highest abundance, with a progressive decrease from high to low salinity for both substrates. Copepoda and Tanaidacea predominated on both substrates, although the artificial substrate exhibited the highest total abundance and species richness. Considering the relative abundance of the taxonomic groups on both substrates, the majority of groups predominated in the highest salinity range. Significant differences on the longitudinal distribution of abundance were associated to the variation on salinity and with the complexity of the substrate.

Salivary glands of Amblyomma cajennense (Acari: Ixodidae): a histological and an ultrastructural overview

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

The role of nitric oxide in regulation of the cardiovascular system in reptiles

The roles that nitric oxide (NO) plays in the cardiovascular system of reptiles are reviewed, with particular emphasis on its effects on central vascular blood flows in the systemic and pulmonary circulations. New data is presented that describes the effects on hemodynamic variables in varanid lizards of exogenously administered NO via the nitric oxide donor sodium nitroprusside (SNP) and, preliminary data on the effects of SNP inhibition of nitric oxide synthase (NOS) by L-nitroarginine methyl ester (L-NAME). Furthermore. on hemodynamic variables in the tegu lizard are presented. The findings are compared with previously published data from Our laboratory on three other species of reptiles: pythons (Skovgaard, N., Galli, G., Taylor, E.W., Conlon, J.M., Wang.. T., 2005. Hemodynamic effects of python neuropeptide gamma in the anesthetized python, Python regius. Regul. Pept. 18, 15-26), rattlesnakes (Galli, G., Skovgaard, N., Abe, A.S., Taylor, E.W., Wang, T., 2005. The role of nitric oxide in the regulation of the systemic and the pulmonary vasculature of the rattlesnake, Crotalus durissus terrificus. J. Comp. Physiol. 175B, 201-208) and turtles (Crossley, D.A., Wang, T., Altimiras, J., 2000. Role of nitric oxide in the systemic and pulmonary circulation of anesthetized turtles (Trachemys scripta). J. Exp. Zool. 286, 683-689). These five species of reptiles possess different combinations of division of the heart and structural complexity of the lungs. Comparison of their responses to NO donors and NOS inhibitors may reveal whether the potential contribution of NO to vascular tone correlates with pulmonary complexity and/or with blood pressure. All existing studies oil reptiles have clearly established a potential role for NO in regulating vascular tone in the systemic circulation and NO may be important for maintaining basal systemic vascular tone in varanid lizards, pythons and turtles, through a continuous release of NO. In contrast., the pulmonary circulation is less responsive to NO donors or NOS inhibitors, and it was only in pythons and varanid lizards that the lungs responded to SNP. Both species have a functionally separated heart, so it is possible that NO may exert a larger role in species with low pulmonary blood pressures, irrespective of lung complexity. (C) 2005 Elsevier B.V. All rights reserved.

Localized matrix metalloproteinase (MMP)-2 and MMP-9 activity in the rat ventral prostate during the first week of postnatal development

The initial events in prostatic morphogenesis involve cell proliferation, epithelial canalization and outgrowth toward the stroma. We have hypothesized that stromal rearrangement takes place at the sites of epithelial growth and branching and that this rearrangement involves the action of gelatinases matrix metalloproteinase (MMP)-2 and MMP-9. Thus, the purpose of the present study was to characterize structural aspects of epithelial growth during the first week of postnatal development of the rat ventral prostate and to investigate the expression, localization and activity of MMP-2 and MMP-9 during this period by histological, ultrastructural and immunocytochemical analysis, in addition to gel zymography, in situ zymography and Western blotting. An increasing complexity of prostatic architeture was observed within the first postnatal week. Concurrently, the stroma became more organized and some cells differentiated into smooth muscle cells. Reticulin fibers appeared in a basket-like arrangement around both growing tips and epithelial sprouts, associated with a fainter staining for laminin. MMP-2 and MMP-9 activities were detected. MMP-2/MMP-9 expression decreased during the first week. Developing epithelial cords showed strong and difuse gelatinolytic activity. This activity coincided with the distribution of MMP-2 as determined by immunocytochemistry. on the other hand, MMP-9 was rather concentrated at the epithelial tips. These results suggest that gelatinolytic activity (with contribution of both MMP-2 and MMP-9) in the epithelium and at the epithelium-stroma interface are at least in part responsible for the tissue remodeling that allows epithelial growth and its projection into the surrounding stroma.

Reproductive relationships and degree of synapsis in the polytene chromosomes of the Drosophila buzzatii species cluster

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

Dependence of anuran diversity on environmental descriptors in farmland ponds

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

Automatic Classification of Three-Phase Flow Patterns of Heavy Oil in a Horizontal Pipe Using Support Vector Machines

The pipe flow of a viscous-oil-gas-water mixture such as that involved in heavy oil production is a rather complex thereto-fluid dynamical problem. Considering the complexity of three-phase flow, it is of fundamental importance the introduction of a flow pattern classification tool to obtain useful information about the flow structure. Flow patterns are important because they indicate the degree of mixing during flow and the spatial distribution of phases. In particular, the pressure drop and temperature evolution along the pipe is highly dependent on the spatial configuration of the phases. In this work we investigate the three-phase water-assisted flow patterns, i.e. those configurations where water is injected in order to reduce friction caused by the viscous oil. Phase flow rates and pressure drop data from previous laboratory experiments in a horizontal pipe are used for flow pattern identification by means of the 'support vector machine' technique (SVM).

Evaluation of Brazilian ethanol production yeasts for maltose fermentation in media containing structurally complex nitrogen sources

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

Quantitative fidelity of recent freshwater mollusk assemblages from the Touro Passo River, Rio Grande do Sul, Brazil

O presente estudo teve como objetivo apresentar uma das primeiras contribuições ao conhecimento sobre a fidelidade quantitativa de associações de moluscos recentes em rios subtropicais. Tanatocenoses e biocenoses foram estudadas em seções retilínea e meandrante tendendo a anastomosada, no curso médio do rio Touro Passo, um tributário de 4ª ordem do rio Uruguai, localizado no extremo oeste do Rio Grande do Sul. As amostragens foram realizadas por meio de quadrats de 5 m², cinco em cada seção, amostrando-se um total de 50 m². Também foram feitas amostragens em um ambiente lêntico, com comunicação intermitente com o Touro Passo, objetivando detectar a existência de transporte de comunidades lênticas para o interior do rio. Os resultados obtidos mostram que, apesar da freqüente oscilação do nível da água, a biocenose do Touro Passo apresenta uma alta fidelidade ecológica e sofre pouca influência de espécies de ambientes lênticos. A composição taxonômica e características de estrutura de comunidades, especialmente as espécies dominantes, refletem, ainda, diferenças ecológicas relacionadas às duas seções amostradas, como a maior complexidade de habitats da estação meandrante. Quanto à fidelidade quantitativa, 60% das espécies encontradas vivas também foram encontradas mortas e 47,3% das espécies encontradas mortas também foram encontras vivas em escala de rio. Porém, 72% dos exemplares coletados mortos são representantes de espécies encontradas vivas. Essa percentagem alta pode estar relacionada à boa correlação entre o ranking de dominância das associações vivas e mortas e, conseqüentemente, as espécies dominantes das tanatocenoses podem ser utilizadas para inferir características ecológicas das biocenoses. Todos os índices analisados variaram muito em escala local (quadrat) e seus valores são mais aproximados aos de outros, registrados em estudos prévios, apenas quando analisados em escala mais ampla (seção, área total).