Variabilidade da frequencia cardíaca em fase crônica de lesão cerebrovascular

The stroke, cause of morbidity and mortality, has been associated with imbalance in the neural control of the heart, which contributes to the decrease in heart rate variability (HRV) and a prognostic factor for cardiacevents and arrhythmias. The aim of this study was to in investigate the autonomic modulation of heart rate of men suffering from lesions stroke in chronicphase. Eight menaged 58.62 ± 2.88 years, 27.41 ± 5.33 kg/m2of bodymass índex, with paresis for at least six months were studied. Heart rate (HR) and RR intervals (iR-R) were recorded at rest in supine position for 10 minutes. Geometric índices of the Poincaré plot were calculated: SD1, associatedwith vagal activity; SD2, associated with global activity but sympathetic predominance, and the relationship of both (SD1/SD2). Geometric index values in the sample: SD1 = 20,54 ± 9,90ms; SD2 = 36,80 ± 30,61ms; SD1/SD2 = 0,49 ± 0,04. The reference values from literature for healthy subjects are: SD1 = 19.6 ± 9.4ms e 22.8 ± 16.1 ms; SD2 = 43.2 ± 17.7 ms e 56.3 ± 12.3 ms; SD1/SD2 = 0.49 ± 0.21ms. Men in chronic phase of stroke haven't autonomic dysfunction analyzed by nonlinear method – Poincaré geometricíndices.

Correlação entre equilíbrio, assimetria de passos e descarga de peso em indivíduos hemiparéticos

Introduction: Hemiparesis is the most common sequels after Stroke. One of the side effects of the motor skills evident in hemiparesis is the tendency to remain in asymmetric posture, with lower distribution of weight on the side hemiparetic, which ends up leading to a deficit in balance. This set of changes can cause an asymmetrical type of gait, marked by difference between the lengths of the steps these individuals. Objective: The purpose of this study was to analyze the balance, the discharge of weight in the lower limbs and asymmetry of steps in hemiparetic individuals and sees if there is correlation between those variables. Method: A group of 12 hemiparetic individuals (55,33 ± 8,92 years), both sex, who suffered from strokes participated. All subjects performed the assessment of bilateral discharge of weight, the length of the steps and balance (Berg Balance Scale). The results for the difference in the discharge of weight of the lower limbs, asymmetry of the step and the performance on the test of balance were analyzed using the Sperman Correlation Coefficient with a significance level of 5% (p ≤ 0.05). Results: We found a significant correlation between balance and asymmetry of the steps (R = -0.72 and p = 0007), however, found no significant correlation between discharge of weight on each leg and the symmetry of the steps (R =- 0.07 and p = 0, 81) and between discharge of weight and balance (R =- 0.08 and p = 0.79) in these hemiparetic individuals. Conclusion: Can be conclude that hemiparetic individuals of these study show deficits in balance, difference in weight between the discharge of the lower limbs and asymmetry of step and correlation between the asymmetry of the step and balance.

Influência da manobra de descompressão abrupta em pacientes neurológicos

A fisioterapia respiratória em pacientes neurológicos deve ser realizada com critérios e monitorização dos parâmetros hemodinâmicos. O objetivo deste estudo foi avaliar se a fisioterapia respiratória tem efeitos na pressão arterial, pulso e saturação de oxigênio de pacientes neurológicos. Estudamos 12 pacientes com acidente vascular encefálico ou trauma crânio encefálico, independente da idade, divididos em grupos: respiração espontânea (G1) e ventilação mecânica (G2). E as variáveis foram avaliadas antes (M1) e após (M2) a Manobra de descompressão abrupta (MDA). Foram estudadas a Pressão Arterial (PA), Saturação de Oxigênio (SatO2) e Pulso (P). Na estatística foi utilizado o teste t-Student (p < 0,05). Dos pacientes estudados 9 eram do sexo masculino e 3 feminino. As variáveis em G1 e G2 não variaram de forma significativa nos momentos de estudo. Concluímos que a manobra de descompressão abrupta aplicada em pacientes neurológicos não alterou as variáveis hemodinâmicas e de troca.

Redução dos riscos de operação na montagem de mancais em cilindros de laminação em uma usina siderúrgica

The increasing concerns about the health and safety is significantly changing the costeffective management of labor, also becoming an important tool in the pursuit of quality. In this context the present work makes a studyin a steel mill, to determine an action plan with the goal of reducing the risk of injury during handling and setting up bearings in a workshop of rolling mill rolls. The study is structured through the Method of Analysis and Troubleshooting, and quality tools. The definition of the action plan has brought lowcost measures that seek to solve the problem, eliminating the possibility of fatality or inability to employees

Reflexão sobre prevenção de acidentes à criança no âmbito doméstico

The aim was to reflect what action to prevent accidents used by caregivers / participants in the home. This is a prospecive cross-sectional descriptive study conducted at the Pediatric Inpatient Unit, Hospital of the Medical School of Botucatu – Unesp, during the months from May to August 2010.A questionnaire was used in the form of check list (Annex I) on measures to prevent accidents. The participant chose two alternatives taking into consideration the order of priority in the prevention of accidents. This study shows that for the age group from 29 days to 2 years, the companions chose these preventive measures for falls, burns, poisoning and drowning, “do not put near the windows mobile” (27.8%), “no access the match, lighter and appliances (22.2%), leave toxic substances out of reach and sight of children (41.7%) and empty buckets, tubs and pools after use (27.8% ). Regarding the age group 2-6 years, the measures for these types of accidents were not put near the windows mobile (26.5%), do not have access to matches, lighters and household appliances (20.9% ), leave toxic products out of reach and sight of children (27.9%) and maintain tanks, tanks and wells or struck with some protection (20.2%). For ages 6 to 10 years, the measures chosen to more such accidents were dry liquid spilled on the ground (23.5%), do not have access to matches, lighters and household appliances (22.5% ), leave toxic products out of reach and sight of children (31%) and keep tanks, tanks and wells or struck with some protection (23.5%). One fact that attracted our attention was that the preventive measures most frequently used by caregivers, regardless of age, show results that differ in few alternatives. It is essential to the understanding of the escorts / participants on the importance of injury prevention. Even today is predominantly defined as accident, injury must be addressed through measures

Estudos estruturais por difração de raios X de fosfolipases A2 em presença de íons com importância funcional

Snakes from Bothrops genus are responsible for more than 90% of the ophidian accidents in Brazil. One of the main complications from this kind of accident is muscular necrosis, which is related to the action of phospholipases A2 and metalloproteases, two groups of enzymes found in the venom of these animals. Although this complication cannot be solved by serum therapy administration, a great number of studies have been performed with the attempt to know the pharmacological sites of these toxins aiming, in the future, the development of complementary treatments to serum therapy. This work proposes structural studies of bothropic phospholipases A2 (PLA2s) in the presence of ions relevant to their activity, using the X-ray crystallography technique. Recently, it was demonstrated ions, as manganese, calcium and others, interfere in the biological activity of the PLA2s. Particularly, Lys49-PLA2s in the presence of manganese ions have miotoxicity reduced. Asp49-PLA2s show catalytic activity dependent of calcium, although structural studies with a miotoxic Asp49-PLA2, BthTX-II, suggest a possible catalytic mechanism independent of calcium. Therefore, co-crystallization of BthTX-II in the presence of calcium ions and of PrTX-I in the presence of manganese ions were performed. Comparative structural studies among obtained results and others already published in the literature were performed aiming a better understanding of the structure-function relationship of these toxins. The BthTX-II with the presence of calcium do not show this ion in the loop of coordination of calcium, presence necessary to develop the catalyses. After comparison of this model with the native one, only one distortion was found, but no apparent relationship with the residues responsible for its activity. In the PrTX-I structure, regions candidates of manganese ions were also found... (Complete abstract click electronic access below)

Radiocronologia dos sedimentos do Lago de Constança

The dating of sediments in lakes, estuaries and rivers through radionuclides, when applied in association with other analitic methods (heavy metals, organic contaminants, etc.) allows analyses of the anthropogenic interference in the environment along the years. A geochronology of a sediment core from Untersee in Lake Constance, one of the most important hydric resources of Europe, was established through the Pb-210 method and adopting the CRS parameter (Constant Rate of Supply). The Cs-137 was successfully used to give basis to the results, as its additional input occurred in Chernobyl’s accident can be used as a marker to the year 1986. Associating the dating with the cores depth, the average mass accumulation rate and the sedimentation rate for the site were assessed (0,14 g/cm²/year and 4 mm/year respectively).

Perfil do estilo de vida e conhecimento dos fatores de risco para doenças e agravos não transmissíveis em praticantes de atividade física em UBS de Rio Claro

Introdução: As Doenças Crônicas Não Transmissíveis (DANTS) são um grupo de enfermidades cujo processo de instalação no organismo geralmente se inicia com alterações, a prevenção dessas afecções tem sido um grande desafio para a saúde pública. As principais DANTS são: câncer, doenças do coração (angina e infarto do miocárdio), doenças do pulmão (como enfisema, bronquite e asma), doenças da circulação como acidente vascular cerebral e hipertensão arterial, doenças metabólicas como diabetes, hipercolesterolemia, a obesidade, relacionadas com condições de vida (como o estresse, depressão e ansiedade). Existem inúmeros Fatores de Risco (FR) relacionados a estes tipos de doenças, cuja remoção, ou atenuação, pode contribuir para o declínio da mortalidade.Objetivo: Associar comportamentos e conhecimentos de FR para doenças e agravos não transmissíveis de mulheres praticantes de AF através do projeto Saúde Ativa Rio Claro, este visa desenvolver e difundir práticas de intervenção cientificamente orientadas que incorporem a AF como parte integrante de um hábito de vida saudável para todas as pessoas. Metodologia: Participaram do estudo 100 mulheres, com idade média de 57,7((± 13,1), foram aplicados dois questionários, sendo o primeiro sobre conhecimento de FR para DANTS e o segundo avaliou comportamentos relacionados ao estilo de vida: nível de AF, consumo de álcool, dieta, taxa de colesterol, nível de estresse, tabagismo.Resultados e Discussão: Não houve associação entre conhecimento e comportamento, o conhecimento isoladamente não foi suficiente para promover modificações no comportamento das pessoas. A analise estatística utilizada foi o Qui Quadrado (x²) de 1 grau de liberdade e com nível de significância de p= 0,05. Conclusão: Um grupo de pessoas pode conhecer os benefícios de um comportamento e não ter tempo ou recursos suficientes...(Resumo completo, clicar acesso eletrônico abaixo)

Estudos estruturais e cristalização de complexos formados entre toxinas botrópicas e inibidores vegetais

This research presents a study of structural complexes formed between the bothropstoxin BthTX-I and PrTX-I and phospholipase A2 (PLA2s) inhibitor 12- methoxy-4-methyl-voachalotine (MMV) of Tabernamontana catharinensis and rosmarinic acid (Cv-RA) of Rosmarinus officinalis. For both were used cocrystallization experiments with the toxins and inhibitors. In the future, the experimental three-dimensional structures of these complexes will be obtained through the technique of crystallography. Simultaneously, construction occurred in silico of inhibitors Cv-RA and MMV and attempts of docking between these binders and protein structures. These theoretical data provide important information regarding the nature of interactions between inhibitors, toxins and structural changes induced by the protein molecule inhibitors. Therefore, the acquisition of this information has great value to identification, characterization and development (drug design) of compounds with great potential for biotechnology and drug use. Considering further and more relevant aplications, these compounds could be used to control symptoms in many cases of ophidic poisoning and also in combating of pathological processes (degenerative inflammatory diseases and auto-immune diseases, Alzheimer's disease, schizophrenia, among others) whose causes are related to molecules belonging to the same groups of proteins which are classified bothropstoxin that were studied in this project

Planejamento, síntese e avaliação da capacidade de doação de óxido nítrico de novos derivados antiinflamatóios

A formação do trombo arterial, composto predominantemente por plaquetas, se dá sob condições de estresse de cisalhamento elevado, nos locais de lesão aterosclerótica vascular e fluxo sanguíneo perturbado e tem como consequência diminuição ou obstrução do calibre dos vasos dos diferentes órgãos podendo levar a eventos isquêmicos. As doenças cardiovasculares são consideradas as principais causas de morte no mundo. Nesse contexto, estima-se que a aterosclerose/aterotrombose seja a causa primária de doença arterial coronariana e acidente vascular cerebral representado mais de 50% das causas de mortes em países ocidentais . É sabido que a aterosclerose, primeiro evento que predispõe à aterotrombose, é considerada um processo inflamatório crônico, e que a utilização de antiinflamatórios não esteroidais (AINEs) COX-1, melhor estabilizam a estrutura da placa ateromatosa impedindo o rompimento e a consequente formação do trombo. Neste contexto, no presente trabalho foram obtidos de novos candidatos a fármacos com propriedades doadoras de NO e antiagregantes plaquetárias, através da estratégia de hibridação molecular dos AINEs contendo uma subunidade doadora de óxido nítrico, representada pelos furoxanos, e espaçada por uma subunidade N-acil hidrazônica. Dessa forma, a inibição da síntese de tromboxanos associada à doação de óxido nítrico permitiu atuação nas plaquetas através de um mecanismo múltiplo de ação com fins de diminuição da agregação plaquetária. Os produtos intermediários e finais apresentaram bons rendimentos e foram caracterizados por técnicas analíticas as quais predisseram que as estruturas propostas foram obtidas. Todos os compostos se como doadores de óxido nítrico. Os compostos 1a e 3a apresentaram atividade analgésica superior a dipirona, utilizada como controle. No ensaio de agregação plaquetária ―in vitro‖... (Resumo completo, clicar acesso eletrônico abaixo)

Implementação de um sistema de informação voltado à sensibilidade ambiental ao óleo do litoral sul paulista e avaliação das ações de resposta a derramamentos de óleo

Oil spills cause serious damage to the cost life and environments. Those impacts affect ecologic and socio-economic resources (like fishing and tourism). Within this background, response actions have two main objectives: the contaminant removal, with the less additional impacts, and enhance environment restoration in order to make this process complete in the shortest time possible. The present work proposes to contribute for the emergency environmental management in cases of oil spills by systematization of relevant information for oil spill environmental sensitivity maps. The next stage was to insert all these data on a geographic database, which allows data access by web. Beside that, this work aimed to recommend suitable clean-up techniques for the ecosystems located on the study area, composed by the municipalities: Praia Grande, Mongaguá, Itanhaém and Peruíbe, belonging to Baixada Santista and Iguape, Cananéia and Ilha Comprida, south cost of São Paulo state. This area is situated between two important Brazilian ports: Santos and Paranaguá, and that make it under considerable accident risks. The results were all data inserted on the geodatabase and available to user recover the information by web consulting. With that, this work wishes to contribute to individual emergencial planning of the region.

Organização e implementação de um banco de dados para a sensibilidade ambiental ao óleo e avaliaçao de ações adequadas de resposta a derramamentos - São Sebastião (SP)

The need to know and to preserve the coastal ecosystems is justified by the whole importance that those ecosystems have for our society. Then, it is big the concern in guaranteeing that those places stay free from contaminations. Among the several types of potentials pollutants that can affect the coastal systems, the petroleum-derived are the ones that cause the worst impacts, given the frequency of these accidents. Rapid actions are necessary in order to minimize the oil negative effects . This answer is faster when the most sensitive areas are known and when it presents characteristics of larger importance, as for instance, the presence of sea harvesting or the habitat of an endemic specie. Besides, it is necessary to know which cleanup methods are recommended and which are not recommended for the reached areas, so, the corrected emergency plans for each coastal environment can be applied. It is in this context that this project was developed, implementing a geographical database for the different coastal environment of São Sebastião municipality, SP, and also the data about the best cleanup techniques for each segment of the coast. This database was made available by the internet, enabling the access for several types of users.

Levantamento e análise de técnicas utilizadas nas operações de emergência de derramamento de óleo em ambientes costeiros e fluviais

This present paper aims to identify the main response techniques for coastal and fluvial environments and analyze impacts on the application of these techniques. The literature review allowed us to understand since the establishment of first environmental sensitivity index map, in coastal and fluvial environment, until the possible impacts generated by the application of cleanup techniques in both environments. Studies related to freshwater environment are less common compared to coastal environment. For both environments the same techniques may be employed, as well as containment and recovery, or removal of oil in the affected areas. The most serious environmental impacts generated are due to the poor choice of technique to be applied or the lack of training of the cleaning crews. In Deepwater Horizon accident, Gulf of Mexico, 2010, application of dispersants, resulted in a mixture of oil and dispersing 52 times more toxic than the oil itself. In Brazil, the technique of vegetation removal by the cleaning staff in the accident on the river Guaecá, 2004, resulted in unnecessary elimination of vegetation, increasing the volume of waste. It was concluded that the freshwater environment often suffer more impacts by applying the techniques, once is necessary to access the banks, which normally have more vegetation and organisms than shoreline of coastal environment

Contaminação radioativa: aspectos fundamentais associados à poluição nuclear

Since its discovery, radioactivity has brought numerous benefits to human societies. It has many applications in medicine, serving as a tool for non-invasive methods for diagnosis and therapies against diseases such as cancer. It also applies to technologies for energy in nuclear power plants with relatively low impacts on terms of perfect security. All applications, however, have risks, requiring maximum caution to drive processes and operations involving radioactive elements because, once released into the environment, they have extremely harmful effects on organisms affected. This paper presents fundamental concepts and principles of nuclear physics in order to understand the effects of radioactive elements released into the environment, culminating on the issue of radioactive contamination. Literature review allowed us to understand the radioactive contamination problem on living beings. Three major nuclear accidents have happened in the last thirty years, two of them in consecutive years. The nuclear accident at Chernobyl, Ukraine, in 1986, polluted large areas, condemning hundreds of thousands of people to live with consequences of the accident and effects of radiation, killing thousands of people throughout the years. In 1987, a major radiological accident occurred in Goiania (GO) when a source of radioactive cesium was violated, leading to the death of those who had direct or indirect contact with cesium. The most recent accident, in March, 2011, was located at the nuclear power plant in Fukushima Prefecture, Japan, after an earthquake and tsunami hit the region. There is no extensive and accurate knowledge about the consequences of the contamination entailed in that accident, although it is possible to verify signals on a global scale. An analysis of reports of contamination of large areas generated by nuclear plants with release of hazardous wastes suggests it is necessary to rethink the energy matrix of the various countries...

Mapeamento geoestatístico da permeabilidade superficial no entorno do Ribeirão Claro: e simulação da possibilidade de sua contaminação

The evaluation of soil permeability throughout the weathering profile is one of the most important features to be considered in environmental studies. This study, developed from field testing and analysis of data obtained by geostatistical methods, aims at mapping the permeability around the Ribeirão Claro river. The intent is to simulate an accident with toxic liquids where soil permeability is of fundamental importance. Another purpose of the research was to determine the minimum time that, in the event of an accident, a possible contaminant to reach the water table level and be routed to the nearest drain, in this case, the Ribeirao V Claro river constitutes fundamental information. The studied area of approximately 4 km² is located within the UNESP-Rio Claro campus, consisting of colluvial soil from Fm. Rio Claro superimposed on residual soil of Fm. Corumbataí. The method used to determine the permeability is the concentric cylinders performed on a sampling grid with 64 points containing spacing of 5 meters EW and 10 meters NS. In the places of permeability tests were collected samples for laboratory determination of the percentage of fines. From particle size analysis was performed and analysis statistical and geostatistical on this data. The histogram was based on the statistical studies, and the semivariograms were based on geostatistical estimation methods. Based on the comparison between the maps and the data obtained, it was determined that the percentage of fines in colluvial surface soil has little influence on permeability, which the proximity to the Ribeirao Claro river, the eastern portion, a factor that influences the distribution of permeability values