Dissecting the biophysical mechanisms underlying regeneration of complex organs in vertebrates

Tese de doutoramento, Ciências Biomédicas (Ciências Morfológicas), Universidade de Lisboa, Faculdade de Medicina, 2014

Análise de uma amostragem de caça submarina na Ilha Terceira, no período de 1992 a 2012 : comparação com dados de pesca artesanal

Dissertação de Mestrado em Gestão e Conservação da Natureza.

A logística na cadeia de frio em Portugal: transporte de produtos perecíveis congelados

Trabalho Final de Mestrado para obtenção do grau de Mestre em Engenharia Mecânica

The role of arl13b in cilia length regulation and in zebrafish development

RESUMO: Arl13b é uma importante proteína ciliar, presente em cílios primários e cílios móveis. Ratinhos mutantes para Arl13b têm comprimento dos cílios reduzido e defeitos nos B-túbulos dos cílios. Como consequência destes fenótipos, deficiências na Arl13b originam, em modelos animais, várias doenças congénitas, incluindo problemas no estabelecimento do eixo esquerda-direita, malformações cerebrais e deformações corporais. Nos seres humanos, deficiências na Arl13b levam a uma doença crónica congénita chamada Síndrome de Joubert. Por outro lado, a sobreexpressão de Arl13b origina cílios mais longos, no entanto existe uma ausência da caracterização dos fenótipos celulares e durante o desenvolvimento embrionário. Neste trabalho, quisemos explorar o efeito da sobre-expressão de Arl13b em embriões de peixezebra. Descobrimos que, ao nível ciliar, a sobre-expressão de Arl13b nas células aumenta o comprimento ciliar em cílios primários e móveis, no entanto, a esses cílios falta adequada acetilação da alfa-tubulina no citoesqueleto feito por microtúbulos. Os nossos resultados mostraram que esse efeito é específico de Arl13b sobre-expressão e quando se manipularam as enzimas responsáveis pela acetilação (Mec17) e pela de-acetilação (HDAC6) encontrámos uma sinergia potencial com ambas. Testámos ainda, que o aumento no comprimento ciliar não estava causalmente relacionado com a falta de acetilação, ou seja, os cílios com menos acetilação não eram necessariamente os mais longos. Também mostrámos que a sobre-expressão de Arl13b é capaz de restaurar o comprimento dos cílios em mutantes com cílios curtos e como isso pode ser explorado para um futuro potencial papel terapêutico para Arl13b. Em seguida, foi avaliado o impacto do aumento da quantidade de Arl13b no desenvolvimento embrionário do peixe-zebra. Observou-se que a sobre-expressão de Arl13b apresentava fenótipos muito fracos, quando comparados com a perda de função dos mutantes de Arl13b. Focados no inesperado fenótipo leve no estabelecimento do eixo esquerda-direita abordámos a questão através do estabelecimento de uma colaboração com matemáticos, descobrimos que os cílios mais longos que potencialmente têm a capacidade de movimentar mais fluido são atenuados por amplitudes de batimento menores, e, como resultado, estes longos cílios não prejudicam o movimento do fluido e consequentemente não afetam o estabelecimento dos padrões de esquerda-direita. Sugerimos assim que a Arl13b é um regulador chave, do comprimento ciliar. Descobrimos uma nova interação com as enzimas de acetilação/de-acetilação e levantamos novas hipóteses quanto aos mecanismos moleculares da função da Arl13b. Propomos um novo modelo para o mecanismo molecular da Arl13b na regulação do comprimento dos cílios onde podemos integrar os nossos resultados com os relatados na literatura. Este trabalho adiciona mais conhecimento para o mecanismo de ação da Arl13b e, portanto, fornece uma importante contribuição para o campo da investigação em cílios.---------------------------------------------------------------------------------------------------------------------- ABSTRACT: Arl13b is an important ciliary protein, present in primary and motile cilia. arl13b-/- mouse mutants have reduced cilia length and cilia B-tubule defects. As a consequence of these phenotypes, Arl13b loss of function animal models suffer from several congenital disorders including left-right problems, brain malformations and body deformations. In humans Arl13b depletion leads to a congenital chronic disease called Joubert Syndrome. On the other hand, overexpressing Arl13b leads to longer cilia but the characterization of the cellular and developmental phenotypes was missing. In this work we explore the effect of Arl13b overexpression in zebrafish embryos. We found that, at the ciliary level, Arl13b overexpression from 1 cell stage produces longer primary and motile cilia, but these cilia lack proper alpha tubulin acetylation of their microtubule cytoskeleton. Our results showed that this effect is specific from Arl13b overexpression and when we manipulated the enzymes responsible for acetylation, Mec17, and de-acetylation, HDAC6, we found a potential synergy of both mec17 knockdown and HDAC6 activity with Arl13b overexpression. We tested that the ciliary increase in length was not causally related to the lack of acetylation, meaning the more de-acetylated cilia were not necessarily the longer ones. We also showed that Arl13b overexpression is able to restore cilia length in short cilia mutants and how that may be explored to a potential future therapeutic role for Arl13b. Next, we evaluated the impact of increasing the amount of Arl13b in zebrafish embryonic development. We observed that Arl13b overexpression presented very mild phenotypes when compared to the loss of function mutants. We focused on the unexpected left-right mild phenotype and by establishing a mathematical modeling collaboration, we found out that the longer cilia generated force was attenuated by smaller beating amplitudes, and as a result, these long cilia were not impairing the cilia generated flow and the establishment of left-right patterning. We suggest that Arl13b is one key cilia length regulator. We disclosed a novel interaction with the acetylation / de-acetylation enzymes and raised new hypothesis as to the mechanisms of Arl13b function. We propose a new model for the Arl13b molecular mechanism of cilia length regulation where we integrate our findings with those reported in the literature. This work adds more knowledge to the Arl13b mechanism of action and therefore provides an important contribution to the cilia research field.

Revision of the genus Fosterella (Bromeliaceae)

Die vorliegende Arbeit stellt eine umfassende taxonomische Revision der Gattung Fosterella L.B. Sm. (Bromeliaceae) dar, die alle 31 derzeit akzeptierten Arten umfasst und einen Bestimmungsschlüssel für diese beinhaltet. Die Revision beruht auf der morphologisch-anatomischen Auswertung von Herbarmaterial (über 800 Exsikkate), Lebendpflanzen (ca. 150 Akzessionen) und eigenen vergleichenden Untersuchungen im Freiland. Die Gattung Fosterella ist seit nunmehr etlichen Jahren Forschungsgegenstand einer interdisziplinären Studie, die sowohl molekulrae, als auch anatomische, morphologische und biogeographische Untersuchungen einbezieht. Unser Interesse an der Gattung Fosterella gründet sich auf ihrer enormen ökologischen und biogeographischen Vielfalt, sie gilt als hervorragendes Modellsystem für Artbildungsmechanismen in den Anden. In den letzten Jahren wurde von verschiedenen molekularen Methoden Gebrauch gemacht, um die verwandtschaftlichen Beziehungen innerhalb der Gattung zu untersuchen, so dass mittlerweile gut aufgelöste Stammbäume vorliegen. Diese molekularen Studien, überwiegend durchgeführt von Dr. Martina Rex, wurden ergänzt durch intensive Sammelaktivitäten und eingehende taxonomische Untersuchungen im Rahmen der vorliegenden Revision. Auf diese Weise konnten die morphologische Plastizität der einzelnen Arten erfasst und schließlich ein wohlfundiertes Artkonzept vorgelegt werden. Zunächst wird ein kurzer Überblick über die Familie der Bromeliaceen als auch die Gattung Fosterella gegeben, in dem jeweils Informationen zur Verbreitung, Morphologie, Physiologie, Ökologie und Phylogenie geliefert werden. Im Anschluss an einen historischen Überblick des taxonomischen Werdegangs wird die Abgrenzung der Gattung Fosterella zu den nächstverwandten Gattungen Deuterocohnia, Dyckia und Encholirium erläutert. Die morphologischen Merkmale zur Differenzierung der Arten innerhalb der Gattung werden im Hinblick auf ihre Zuverlässigkeit und ihr Gewicht diskutiert. Der Artschlüssel basiert auf Merkmalen, die leicht auszumachen und gut zu unterscheiden sind. Bei der ausführlichen Beschreibung der Arten wird auch auf ihre jeweilige Verbreitung, Ökologie, taxonomische Abgrenzung, systematische Verwandtschaft sowie die Etymologie des Namens eingegangen. Beigefügt sind jeweils Zeichnungen, ein Foto vom Holo-/Lectotypus, Fotos von Lebendpflanzen sowie eine Verbreitungskarte. Im Rahmen der taxonomischen Arbeit wurden fünf Arten zu Synonymen reduziert: Fosterella chiquitana Ibisch, R. Vásquez & E. Gross und F. latifolia Ibisch, R. Vásquez & E. Gross wurden in die Synonymie von F. penduliflora (C.H. Wright) L.B. Sm. eingezogen; F. fuentesii Ibisch, R. Vásquez & E. Gross als Synonym zu F. albicans (Griseb.) L.B. Sm. gestellt; F. elata H. Luther in die Synonymie von F. rusbyi (Mez) L.B. Sm. verwiesen und F. nowickii Ibisch, R. Vásquez & E. Gross als Synonym zu F. weddelliana (Brongn. ex Baker) L.B. Sm. gestellt. Fosterella schidosperma (Baker) L.B. Sm. var. vestita L.B. Sm. & Read wird zum Synonym von Fosterella weberbaueri (Mez) L.B. Sm. reduziert. Sechs Arten wurden neu beschrieben: Fosterella batistana Ibisch, Leme & J. Peters; F. christophii Ibisch, R. Vásquez & J. Peters; F. elviragrossiae Ibisch, R. Vásquez & J. Peters; F. kroemeri Ibisch, R. Vásquez & J. Peters; F. nicoliana J. Peters & Ibisch und F. robertreadii Ibisch & J. Peters. Das Taxon F. gracilis (Rusby) L.B. Sm. wurde neu etabliert. Um die Evolution von einzelnen morphologischen Merkmalen zu rekonstruieren, wurden die Zustände von zehn ausgewählten Merkmalen kodiert und auf einen molekularen Stammbaum kartiert. Die folgenden Merkmalszustände wurden als ursprünglich innerhalb der Gattung ermittelt: Stammlosigkeit, ganzrandige Blattspreiten, flache Rosetten mit dem Boden aufliegenden Blättern, locker beschuppte Blattunterseiten, schildförmige Haare mit gezähntem Rand, ganzrandige Pedunkel-Brakteen, rispenförmiger Blütenstand, kahle/verkahlende Blütenstandsachsen, weiße Petalen und einfach-aufrechte Narben. Rückschlüsse bezüglich der Evolution und Ausbreitung der Gattung Fosterella werden diskutiert: Die überwiegend kleinen Verbreitungsgebiete der Arten hängen offensichtlich mit ihren fragmentierten, inselartigen Habitaten (z.B. innerandine Trockentäler) zusammen. Die Tatsache, dass die Yungas-Bergregenwälder des Departamento La Paz, Bolivia, die Region mit der größten Artenvielfalt darstellen, lässt sich mit der extrem variablen Topographie und der außerordentlich hohen Vielfalt an Habitaten dieser Region erklären. Aus folgenden Gründen erscheint es sehr wahrscheinlich, dass die Gattung Fosterella ihren Ursprung im Tiefland hat: Die Mehrheit der Arten weist einen eher mesophytischen Habitus auf und ist in mehr oder weniger humiden Habitaten zu finden. Die Gattung ist durch mehrere Arten in sehr alten Habitaten des präkambrischen Schilds im Tiefland von Zentral-Südamerika vertreten. Weiterhin betreiben, soweit bekannt, alle Fosterella Arten C3 Photosynthese, während in den Gattungen der Schwestergruppe, Deuterocohnia, Dyckia and Encholirium, CAM der verbreitete Photosyntheseweg ist. In jedem Fall ist die Besiedelung der Anden und/oder Tieflandhabitate mehrfach unabhängig voneinander geschehen, vielleicht sogar in beiden Richtungen.

Systematics and evolution of the genus Deuterocohnia Mez (Bromeliaceae)

The present study investigates the systematics and evolution of the Neotropical genus Deuterocohnia Mez (Bromeliaceae). It provides a comprehensive taxonomic revision as well as phylogenetic analyses based on chloroplast and nuclear DNA sequences and presents a hypothesis on the evolution of the genus. A broad morphological, anatomical, biogeographical and ecological overview of the genus is given in the first part of the study. For morphological character assessment more than 700 herbarium specimens from 39 herbaria as well as living plant material in the field and in the living collections of botanical gardens were carefully examined. The arid habitats, in which the species of Deuterocohnia grow, are reflected by the morphological and anatomical characters of the species. Important characters for species delimitation were identified, like the length of the inflorescence, the branching order, the density of flowers on partial inflorescences, the relation of the length of the primary bracts to that of the partial inflorescence, the sizes of floral bracts, sepals and petals, flower colour, the presence or absence of a pedicel, the curvature of the stamina and the petals during anthesis. After scrutinizing the nomenclatural history of the taxa belonging to Deuterocohnia – including the 1992 syonymized genus Abromeitiella – 17 species, 4 subspecies and 4 varieties are accepted in the present revision. Taxonomic changes were made in the following cases: (I) New combinations: A. abstrusa (A. Cast.) N. Schütz is re-established – as defined by Castellanos (1931) – and transfered to D. abstrusa; D. brevifolia (Griseb.) M.A. Spencer & L.B. Sm. includes accessions of the former D. lorentziana (Mez) M.A. Spencer & L.B. Sm., which are not assigned to D. abstrusa; D. bracteosa W. Till is synonymized to D. strobilifera Mez; D. meziana Kuntze ex Mez var. carmineo-viridiflora Rauh is classified as a subspecies of D. meziana (ssp. carmineo-viridiflora (Rauh) N. Schütz); D. pedicellata W. Till is classified as a subspecies of D. meziana (ssp. pedicellata (W. Till) N. Schütz); D. scapigera (Rauh & L. Hrom.) M.A. Spencer & L.B. Sm ssp. sanctae-crucis R. Vásquez & Ibisch is classified as a species (D. sanctae-crucis (R. Vásquez & Ibisch) N. Schütz); (II) New taxa: a new subspecies of D. meziana Kuntze ex Mez is established; a new variety of D. scapigera is established; (the new taxa will be validly published elsewhere); (III) New type: an epitype for D. longipetala was chosen. All other species were kept according to Spencer and Smith (1992) or – in the case of more recently described species – according to the protologue. Beside the nomenclatural notes and the detailed descriptions, information on distribution, habitat and ecology, etymology and taxonomic delimitation is provided for the genus and for each of its species. An key was constructed for the identification of currently accepted species, subspecies and varieties. The key is based on easily detectable morphological characters. The former synonymization of the genus Abromeitiella into Deuterocohnia (Spencer and Smith 1992) is re-evalutated in the present study. Morphological as well as molecular investigations revealed Deuterocohnia incl. Abromeitiella as being monophyletic, with some indications that a monophyletic Abromeitiella lineage arose from within Deuterocohnia. Thus the union of both genera is confirmed. The second part of the present thesis describes and discusses the molecular phylogenies and networks. Molecular analyses of three chloroplast intergenic spacers (rpl32-trnL, rps16-trnK, trnS-ycf3) were conducted with a sample set of 119 taxa. This set included 103 Deuterocohnia accessions from all 17 described species of the genus and 16 outgroup taxa from the remainder of Pitcairnioideae s.str. (Dyckia (8 sp.), Encholirium (2 sp.), Fosterella (4 sp.) and Pitcairnia (2 sp.)). With its high sampling density, the present investigation by far represents the most comprehensive molecular study of Deuterocohnia up till now. All data sets were analyzed separately as well as in combination, and various optimality criteria for phylogenetic tree construction were applied (Maximum Parsimony, Maximum Likelihood, Bayesian inferences and the distance method Neighbour Joining). Congruent topologies were generally obtained with different algorithms and optimality criteria, but individual clades received different degrees of statistical support in some analyses. The rps16-trnK locus was the most informative among the three spacer regions examined. The results of the chloroplast DNA analyses revealed a highly supported paraphyly of Deuterocohnia. Thus, the cpDNA trees divide the genus into two subclades (A and B), of which Deuterocohnia subclade B is sister to the included Dyckia and Encholirium accessions, and both together are sister to Deuterocohnia subclade A. To further examine the relationship between Deuterocohnia and Dyckia/Encholirium at the generic level, two nuclear low copy markers (PRK exon2-5 and PHYC exon1) were analysed with a reduced taxon set. This set included 22 Deuterocohnia accessions (including members of both cpDNA subclades), 2 Dyckia, 2 Encholirium and 2 Fosterella species. Phylogenetic trees were constructed as described above, and for comparison the same reduced taxon set was also analysed at the three cpDNA data loci. In contrast to the cpDNA results, the nuclear DNA data strongly supported the monophyly of Deuterocohnia, which takes a sister position to a clade of Dyckia and Encholirium samples. As morphology as well as nuclear DNA data generated in the present study and in a former AFLP analysis (Horres 2003) all corroborate the monophyly of Deuterocohnia, the apparent paraphyly displayed in cpDNA analyses is interpreted to be the consequence of a chloroplast capture event. This involves the introgression of the chloroplast genome from the common ancestor of the Dyckia/ Encholirium lineage into the ancestor of Deuterocohnia subclade B species. The chloroplast haplotypes are not species-specific in Deuterocohnia. Thus, one haplotype was sometimes shared by several species, where the same species may harbour different haplotypes. The arrangement of haplotypes followed geographical patterns rather than taxonomic boundaries, which may indicate some residual gene flow among populations from different Deuteroccohnia species. Phenotypic species coherence on the background of ongoing gene flow may then be maintained by sets of co-adapted alleles, as was suggested by the porous genome concept (Wu 2001, Palma-Silva et al. 2011). The results of the present study suggest the following scenario for the evolution of Deuterocohnia and its species. Deuterocohnia longipetala may be envisaged as a representative of the ancestral state within the genus. This is supported by (1) the wide distribution of this species; (2) the overlap in distribution area with species of Dyckia; (3) the laxly flowered inflorescences, which are also typical for Dyckia; (4) the yellow petals with a greenish tip, present in most other Deuterocohnia species. The following six extant lineages within Deuterocohnia might have independently been derived from this ancestral state with a few changes each: (I) D. meziana, D. brevispicata and D. seramisiana (Bolivia, lowland to montane areas, mostly reddish-greenish coloured, very laxly to very densely flowered); (II) D. strobilifera (Bolivia, high Andean mountains, yellow flowers, densely flowered); (III) D. glandulosa (Bolivia, montane areas, yellow-greenish flowers, densely flowered); (IV) D. haumanii, D. schreiteri, D. digitata, and D. chrysantha (Argentina, Chile, E Andean mountains and Atacama desert, yellow-greenish flowers, densely flowered); (V) D. recurvipetala (Argentina, foothills of the Andes, recurved yellow flowers, laxly flowered); (VI) D. gableana, D. scapigera, D. sanctae-crucis, D. abstrusa, D. brevifolia, D. lotteae (former Abromeitiella species, Bolivia, Argentina, higher Andean mountains, greenish-yellow flowers, inflorescence usually simple). Originating from the lower montane Andean regions, at least four lineages of the genus (I, II, IV, VI) adapted in part to higher altitudes by developing densely flowered partial inflorescences, shorter flowers and – in at least three lineages (II, IV, VI) – smaller rosettes, whereas species spreading into the lowlands (I, V) developed larger plants, laxly flowered, amply branched inflorescences and in part larger flowers (I).

Nova et Vetera: edición 19, agosto 20 - 25 de 2013

Nova et Vetera, ISSN 1692 - 5866, Año 8 No. 19 (Agosto 20 - 26 de 2012)

Caracterización citogenética de lucilia sericata (Meigen, 1826) (Diptera: calliphoridae), Cepa Bogotá, Colombia

Introducción: Lucilia sericata es una especie de importancia médica y forense, utilizada en terapialarval para curar heridas crónicas y en estudios médico-legales empleada en la estimacióndel intervalo post mórtem y el traslado de cadáveres. No existen registros de las característicascitogenéticas de esta mosca en el neotrópico. El objetivo principal de este trabajo fue identificarlas características morfométricas cromosómicas y las estructuras primarias del cariotipo, a partirde especímenes de L. sericata de la cepa Bogotá, Colombia. Materiales y métodos: Se tomaronhuevos embrionados, que fueron previamente esterilizados en su superficie, se maceraron y luegofueron sembrados en el medio de cultivo L-15, suplementado con 20% de sfb, e incubados auna temperatura de 28 ºC, sin atmosfera de C02. La preparación de los cromosomas se obtuvo demonocapas celulares semiconfluentes, empleando diversas soluciones: antimitótica (Colchicina),hipotónica (KCl 0,075 M) y fijadora (Carnoy: metanol y ácido acético; 3:1). Se llevó a cabo la técnicade bandeo C para la identificación de regiones cromosómicas de heterocromatina constitutiva.Resultados: Se obtuvieron parámetros morfométricos de cada par cromosómico. El número diploidedel cariotipo obtenido de los cultivos celulares fue 2n = 12; éstos se clasificaron morfológicamente,de acuerdo con patrones previamente establecidos, así: los pares I, II, IV y V fueronmetacéntricos, y el par III fue submetacéntrico. A su vez, el par sexual fue heteromórfico, siendoel cromosoma X metacéntrico y el cromosoma Y submetacéntrico. El bandeo C fue positivo paratodos los pares cromosómicos. Conclusiones: Se establecieron las características citogenéticas deL. sericata, cepa Bogotá, Colombia, relacionadas con número, forma, tamaño, posición del centrómeroy regiones heterocromáticas de los cromosomas.

Exposición a plaguicidas en los habitantes de la ribera del río Bogotá (Suesca) y en el pez Capitán

Objetivo: considerando el elevado uso de plaguicidas en Colombia y los efectos nocivos que produce la exposición a estas sustancias para la salud humana y el ambiente, se realizó un estudio para la determinación de biomarcadores de exposición y efecto de plaguicidas en la población de Suesca que habita en la ribera del río Bogotá, de los niveles de plaguicidas en muestras de agua del río tomadas en el mismo municipio y en muestras de pez “Capitán de la sabana” (Eremophylus mutisii) capturado en dicha zona. Materiales y métodos: se realizaron determinaciones para organofosforados, carbamatos, ditiocarbamatos y organoclorados También se exploró, mediante una encuesta, la exposición ocupacional a plaguicidas y el conocimiento y utilización de medidas de protección personal en su actividad laboral. Adicionalmente, se examinó el hábito de la pesca de pez Capitán y su consumo en la dieta de los habitantes de esta zona del río. Resultados: los resultados muestran la presencia de plaguicidas organoclorados y organofosforados en el río y en el tejido de los peces y organoclorados y etilentiourea en las muestras biológicas humanas. En el estudio participaron trabajadores directamente expuestos a plaguicidas, quienes manipulan productos de alta toxicidad; en su mayoría conocen y emplean las medidas de protección personal e higiene industrial. Conclusiones: existe contaminación por plaguicidas en la cuenca alta del río Bogotá que afecta a la fauna y a las poblaciones ribereñas. Es necesario promover mejores medidas para el cuidado del ambiente, para la protección y para el autocuidado de las personas que manipulan plaguicidas en la zona.

Perfil microbiológico, prevalencia de resistencia antibiótica y patrones de susceptibilidad en infección urinaria en una población pediátrica

Introducción: El incremento de la resistencia antibiótica se considera un problema de salud pública con consecuencias clínicas y económicas, por lo tanto se determinará la prevalencia de resistencia antibiótica en Infección del Tracto Urinario (ITU, el perfil microbiológico y los patrones de susceptibilidad en una población pediátrica atendida en la Fundación Cardioinfantil. Materiales y métodos: Estudio observacional de corte transversal, retrospectivo, entre 1 mes a 18 años de edad, con diagnóstico de ITU comunitaria atendidos entre Enero de 2011 y Diciembre de 2013. Se excluyeron pacientes con dispositivos en la vía urinaria, instrumentación quirúrgica previa, trayectos fistulosos entre la vía urinaria y sistema digestivo, ITU luego de 48 horas de hospitalización y recaída clínica en tratamiento. Se estableció la prevalencia de ITU resistente y se realizó un análisis descriptivo de la información. Resultados: Se evaluaron 385 registros clínicos, con una mediana de 1.08 años (RIQ 0.8 – 4.08), el 73.5% eran niñas. La fiebre predominó (76.5%), seguido de emesis (32.0%), disuria (23.7%) y dolor abdominal (23.1%). El uropatógeno más frecuente fue E.coli (75%), seguido de Proteus mirabilis (8.5%) y Klebsiella spp. (8.3%). La Ampicilina, el Trimetropim sulfametoxazol, la Ampicilina sulbactam y el ácido nalidixico tuvieron mayor tasa de resistencia. La prevalencia de BLEE fue 5.2% y AmpC 3.9%. La prevalencia de resistencia antimicrobiana fue de 11.9%. Conclusiones: La E.coli es el uropatogeno más frecuentemente aislado en ITU, con resistencia a la ampicilina en 60.2%, cefalosporinas de primera generación en 15.5%, trimetropin sulfametoxazol en 43.9%, cefepime 4.8%. La prevalencia de resistencia antimicrobiana fue de 11.9%.

Ajuda-me: quero escrever sem erros : projecto de intervenção junto de aluno com dificuldades de leitura e escrita

RESUMO: Esta Intervenção - acção, pretende mostrar como se pode trabalhar com um aluno com dificuldades de aprendizagens especificas, nomeadamente e segundo relatórios psicológicos, “uma suposta dislexia”, usado um método de reeducação não muito utilizado em contexto escolar. Esse método é normalmente usado em contexto de consulta psicológica. O Método Fonomimico é um método com vários materiais que podem ser usados com qualquer criança ou jovens com dificuldades de aprendizagem. Numa primeira face da intervenção, foi feita uma pesquisa sobre educação inclusiva e a educação especial, nomeadamente em Portugal Na face seguinte, tentou-se mostrar o que é a dislexia, características e como se deve trabalhar com alunos que apresentem estas características. Em seguida foi apresentada a escola, o meio, a turma e a aluna-alvo. Foi realizada uma entrevista à professora da turma, com o objectivo de saber as suas expectativas em relação à aluna, expectativas essas que foram muito baixas. A sociometria mostrou que a aluna - alvo é bem aceite na turma, tendo em conta as suas dificuldades. Foram apresentadas também as planificações, quais os objectivos específicos para que a aluna pudesse apresentar evoluções ao nível da leitura, escrita e também na área espácio-temporal porque estas são as áreas onde a aluna apresenta maiores dificuldades. E por último foram apresentados os resultados desta intervenção, e concluiu-se que o método teve sucesso nesta aluna, a sua evolução na leitura e na escrita foi significativa e assim o Método Fonomimico, pode e deve ser usado em contexto escolar. ABSTRACT: This Intrevenção-action, to show how it can work with a student with specific learning difficulties, including psychological reports and the second, "an alleged dyslexia", used a method of rehabilitation not widely used in schools. This method is commonly used in the context of psychological consultation. Fonomimico the Method is a method with several materials that can be used with any child or youth with learning difficulties. A first side of the intervention was made a research on inclusive education and special education, particularly in Portugal in the next face, tried to show what is dyslexia, features and how to work with students who display these characteristics. Then was presented the school, the middle class and the target student. Interviews were held with the class teacher in order to know their expectations for student, expectations that were too low. Sociometry showed that the target student is well accepted in the class, taking into account their difficulties. We also presented the schedules, the specific objectives for which the student could produce changes in the reading, writing and also in the area espaçiotemporal because these are the areas where the student presents greater difficulties. Finally we presented the results of this intervention, and it was concluded that this method was successful student, their progress in reading and writing was so significant and the method Fonomimico can and should be used in schools.

A importância das interacções medicamento-alimento no controlo da terapêutica com Varfarina

Os anticoagulantes orais, nomeadamente a varfarina, inibem a acção da vitamina K, essencial para a síntese hepática de vários factores de coagulação (II, VII, IX e X), assim como das proteínas anticoagulantes C e S. O tratamento oral com varfarina necessita de procedimentos estandardizados para o controlo e seguimento. Esta necessidade de monitorização é justificada por várias razões, entre as quais: grande variabilidade individual no que diz respeito à resposta terapêutica; medicamento com margem terapêutica estreita; elevada frequência de interacções com medicamentos e com alimentos. Os alimentos são indispensáveis à sobrevivência humana, permitindo a integridade estrutural e funcional do organismo. Quando essa integridade é alterada torna-se necessário o recurso a terapia medicamentosa, com o intuito de repor essa mesma integridade. As interacções alimento-medicamento, nutriente-medicamento e medicamento-álcool são muitas vezes desprezadas, contudo deveriam ser consideradas aquando da avaliação da eficácia dos fármacos. Embora as consequências destas interacções sejam raramente graves e fatais, não são raras as vezes em que surgem reacções adversas e respostas farmacológicas diferentes das teoricamente esperadas. Com este trabalho pretendeu-se rever as possíveis interacções existentes entre os alimentos e a varfarina, avaliando o possível impacto clínico dos alimentos na eficácia terapêutica da varfarina. Para cumprir os objectivos supra citados, este trabalho foi dividido em duas partes. A primeira parte resulta de uma revisão bibliográfica, na qual são abordadas as interacções entre a varfarina e diferentes tipos de alimentos, classificados de acordo com a sua composição (alimentos com alto, moderado e baixo teor de vitamina K; com alto teor de vitamina E; hiperproteicos; hipoproteicos; alcalinizantes; acidificantes). Foram ainda abordadas as interacções entre a varfarina e alimentos específicos como o leite de soja, óleo de peixe, manga, alho, sumo de mirtilo, sumo de uva, papaia, hipericão e sumo de toranja e as bebidas alcoólicas. A segunda parte do presente trabalho compreende um estudo que pretendeu analisar a influência da alimentação no controlo do INR, em doentes a fazer terapêutica oral com varfarina, através de um questionário efectuado a 22 indivíduos. O tratamento estatístico dos dados recolhidos efectuou-se com recurso a estatística descritiva, e as hipóteses foram testadas com recurso a estatística correlacional, nomeadamente a Correlação de Spearman. Com o presente trabalho concluiu-se que consumos mais altos de alimentos ricos em vitamina K davam origem a mais valores de INR subterapêuticos. Um consumo baixo a moderado de alimentos alcalinizantes e acidificantes foi aquele que permitiu manter um maior número de valores de INR dentro do intervalo terapêutico. Concluiu-se também que ao aumentarmos o consumo de álcool contribuímos para mais valores de INR subterapêuticos.

Contrasting Seasonal Survivorship of Two Migratory Songbirds Wintering in Threatened Mangrove Forests

Long-distance migrants wintering in tropical regions face a number of critical conservation threats throughout their lives, but seasonal estimates of key demographic parameters such as winter survival are rare. Using mist-netting-based mark-recapture data collected in coastal Costa Rica over a six-year period, we examined variation in within- and between-winter survivorship of the Prothonotary Warbler (Protonotaria citrea; 753 young and 376 adults banded), a declining neotropical habitat specialist that depends on threatened mangrove forests during the nonbreeding season. We derived parallel seasonal survivorship estimates for the Northern Waterthrush (Seiurus noveboracensis; 564 young and 93 adults banded), a cohabitant mangrove specialist that has not shown the same population decline in North America, to assess whether contrasting survivorship might contribute to the observed differences in the species’ population trajectories. Although average annual survival probability was relatively similar between the two species for both young and adult birds, monthly estimates indicated that relative to Northern Waterthrush, Prothonotary Warblers exhibited: greater interannual variation in survivorship, especially within winters; greater variation in survivorship among the three study sites; lower average between-winter survivorship, particularly among females, and; a sharp decline in between-winter survivorship from 2003 to 2009 for both age groups and both sexes. Rather than identifying one seasonal vital rate as a causal factor of Prothonotary Warbler population declines, our species comparison suggests that the combination of variable within-winter survival with decreasing between-winter survival demands a multi-seasonal approach to the conservation of this and other tropical-wintering migrants.

Risk of Agricultural Practices and Habitat Change to Farmland Birds

Many common bird species have declined as a result of agricultural intensification and this could be mitigated by organic farming. We paired sites for habitat and geographical location on organic and nonorganic farms in Ontario, Canada to test a priori predictions of effects on birds overall, 9 guilds and 22 species in relation to candidate models for farming practices (13 variables), local habitat features (12 variables), or habitat features that influence susceptibility to predation. We found that: (1) Overall bird abundance, but not richness, was significantly (p < 0.05) higher on organic sites (mean 43.1 individuals per site) than nonorganic sites (35.8 individuals per site). Significantly more species of birds were observed for five guilds, including primary grassland birds, on organic vs. nonorganic sites. No guild had higher richness or abundance on nonorganic farms; (2) Farming practice models were the best (ΔAIC < 4) for abundance of birds overall, primary grassland bird richness, sallier aerial insectivore richness and abundance, and abundance of ground nesters; (3) Habitat models were the best for overall richness, Neotropical migrant abundance, richness and abundance of Ontario-USA-Mexico (short-distance) migrants and resident richness; (4) Predation models were the best for richness of secondary grassland birds and ground feeders; (5) A combination of variables from the model types were best for richness or abundance overall, 13 of 18 guilds (richness and abundance) and 16 of 22 species analyzed. Five of 10 farming practice variables (including herbicide use, organic farm type) and 9 of 13 habitat variables (including hedgerow length, proportion of hay) were significant in best models. Risk modeling indicated that herbicide use could decrease primary grassland birds by one species (35% decline from 3.4 to 2.3 species) per site. Organic farming could benefit species of conservation concern by 49% (an increase from 7.6 to 11.4 grassland birds). An addition of 63 m of hedgerow could increase abundance and richness of short distance migrants by 50% (3.0 to 4.8 and 1.3 to 2.0, respectively). Increasing the proportion of hay on nonorganic farms to 50% could increase abundance of primary grassland bird by 40% (6.7 to 9.4). Our results provide support for alternative farmland designs and agricultural management systems that could enhance select bird species in farmland.