859 resultados para Ferreira Filho, João Lopes, 1854-1928, biografia


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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

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Hepatic encephalopathy (HE) is a functional disorder of the central nervous system (CNS) associated with liver failure, either end-stage chronic liver disease or fulminant hepatic failure. Its pathogenesis remains complex and poorly understood. In view of recent advances in the management of HE, the Brazilian Society of Hepatology endorsed a monothematic meeting regarding HE in order to gather experts in the field to discuss related data and to draw evidence-based recommendations concerning: management of HE and intracranial hypertension in FHF, treatment of episodic HE in cirrhosis, controversies in the management of EH including difficult to treat cases and diagnostic and treatment challenges for minimal HE. The purpose of this review is to summarize the lectures and recommendations made by the panel of experts of the Brazilian Society of Hepatology.

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The present study describes a technique to obtain consecutive luteal samples by colpotomy. The animals received an epidural anesthesia and local anesthesia (vaginal vault) and after ten minutes the vaginal vault was incised with a scalpel blade and tissue was dissected to provide access to the pelvic cavity and to retract the ovary into the vagina. Then, a luteal biopsy was performed with a Yomann biopsy nipper. Signs indicative of pain and stress during the vaginal vault incision, traction of ovary or luteal biopsy were observed only in two collections. However, these signs were observed in ten collections during dissection of the vaginal wall and peritoneum. The occurrence of ataxia was observed in 26 collections and it was usually related to a longer duration of the procedure. Ataxia could be divided in light (15/26), moderate (6/26) and severe (5/26). The occurrence of ovarian adhesions ipsilateral to the incision was evaluated only in the initial four collections. Adhesions were present in 16 collections. The protocol described above provided a safe and efficient method to acquire luteal samples. The low incidence of adhesions allows the consecutive use of females without any interference in subsequent ovulations and collections.

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Evaluation and adequacy of land occupation in Permanent Preservation Areas (PPAs) are important to ensure quantity and quality of water and local biodiversity. The objective of the study was mapping PPAs according to the Brazilian Forest Code and quantifying land cover and use, establishing the conflict of PPAs occupation in the Ribeirão Lavapés sub watershed. The area is 11,154.58 ha, and is located in Botucatu city, Midwestern region of São Paulo state. For this reason, geoprocessing tools, such as Remote Sensing and the Geographic Information System (SIG) were used. The dominant classes of land use and cover were the Urban Zone in Reverse Cuesta, 4,394.27 ha (39.39%) and Annual Crops in the Peripheral Depression, 3,670.89 ha (39.39%). The mapped area of native forest vegetal cover in the sub watershed was of 1,109.70 ha. Regarding the mapping of PPAs, considering the total area of 1,721.80 ha, a total of 532.15 ha (30.91%) are covered by Riparian Forest and 1,189.65 ha (69.09%) had no native riparian vegetation, therefore, requiring its reforestation.

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Twenty-four postpartum anestrous Nelore purebred cows were used in the study. Anestrous was determined based on the reproductive history which was confirmed in each cow based on plasma progesterone concentration and by transrectal ultrasonography. Endometrial biopsies were collected. The animals were separated into two groups according to maximum follicular diameter- Group 1: follicles <6mm (n=12) and Group 2: follicles >-6mm follicles (n=12). The immunohistochemistry technique was employed to evaluate the presence of estrogen and progesterone receptors in the uterine glandular epithelium and stroma. High counts of positive nuclei and high intensity of immunostain for estrogen and progesterone receptors in the glandular epithelium and stroma were observed in the two groups. However, the immunostain intensity of progesterone receptors in the glandular epithelium was higher in Group 2 compared to Group 1. When glandular epithelium and stroma were compared within each group, the relative number of estrogen receptors in the Group 1 was higher in the glandular epithelium compared to stroma and the immunostain intensity for the progesterone receptor in Group 2 was higher in the glandular epithelium compared to stroma. The results suggest that the mechanisms that control the expression of endomerial receptors in the anestrus are similar to the ones observed during the estrus cycle.

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Novas pesquisas apontam que as interações positivas e o processo de facilitação sobre a comunidade tem fornecido importantes conhecimentos sobre a ecologia de diversas espécies no mundo. Existe uma carência de informações sobre quais as espécies interferem nos mecanismos facilitadores que conduzem a regeneração natural da vegetação e a atual necessidade de identificar estratégias de conservação, manejo sustentável e recuperação ambiental em ambientes tropicais. Este trabalho tem o objetivo de avaliar quais são as espécies arbóreas que facilitam o aumento da riqueza e abundância de outras espécies arbóreas/arbustivas regenerantes sob suas copas numa antiga área de pastagem no Parque Estadual de Porto Ferreira - SP. Foram selecionadas 42 árvores isoladas que foram chamadas de matrizes. Destas matrizes foram feitas 42 parcelas cirulares na qual cada matriz teve duas subparcelas: a Área da Influência (Ai) e a Área do Entorno (Ae), totalizando 84 unidades amostrais. Para cada matriz, nestas unidades amostrais foram incluídos todos os indivíduos arbustivos e arbóreos com altura superior a 1,3 metros de altura. Foram analisadas a florística, fitossociologia e distribuição da abundância das espécies regenerantes. Já para as espécies das matrizes foram analisadas seis diferentes atributos, divididos em dendrométicos e funcionais para entender como elas influênciam a riqueza e abundância das espécies regenerantes. Em Ai e Ae foram indentificados 883 indivíduos distríbuidos em 28 famílias, 49 gêneros, totalizando 64 espécies em uma área total de 3.028 m³. Em Ai foram intentificados 775 inividuos em uma área total de 1.346 m³, com a mesma composição florística citada acima. As espécies Dimorphandra mollis, Qualea grandiflora, Byrsonima intermedia e Aegiphila lhotzkiana são indicadas aqui neste trabalho como as melhores facilitadoras, por serem decíduas e, por possuírem copas amplas...

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Novas pesquisas apontam que as interações positivas e o processo de facilitação sobre a comunidade tem fornecido importantes conhecimentos sobre a ecologia de diversas espécies no mundo. Existe uma carência de informações sobre quais as espécies interferem nos mecanismos facilitadores que conduzem a regeneração natural da vegetação e a atual necessidade de identificar estratégias de conservação, manejo sustentável e recuperação ambiental em ambientes tropicais. Este trabalho tem o objetivo de avaliar quais são as espécies arbóreas que facilitam o aumento da riqueza e abundância de outras espécies arbóreas/arbustivas regenerantes sob suas copas numa antiga área de pastagem no Parque Estadual de Porto Ferreira - SP. Foram selecionadas 42 árvores isoladas que foram chamadas de matrizes. Destas matrizes foram feitas 42 parcelas cirulares na qual cada matriz teve duas subparcelas: a Área da Influência (Ai) e a Área do Entorno (Ae), totalizando 84 unidades amostrais. Para cada matriz, nestas unidades amostrais foram incluídos todos os indivíduos arbustivos e arbóreos com altura superior a 1,3 metros de altura. Foram analisadas a florística, fitossociologia e distribuição da abundância das espécies regenerantes. Já para as espécies das matrizes foram analisadas seis diferentes atributos, divididos em dendrométicos e funcionais para entender como elas influênciam a riqueza e abundância das espécies regenerantes. Em Ai e Ae foram indentificados 883 indivíduos distríbuidos em 28 famílias, 49 gêneros, totalizando 64 espécies em uma área total de 3.028 m³. Em Ai foram intentificados 775 inividuos em uma área total de 1.346 m³, com a mesma composição florística citada acima. As espécies Dimorphandra mollis, Qualea grandiflora, Byrsonima intermedia e Aegiphila lhotzkiana são indicadas aqui neste trabalho como as melhores facilitadoras, por serem decíduas e, por possuírem copas amplas...

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Background-It remains uncertain whether acetylcysteine prevents contrast-induced acute kidney injury. Methods and Results-We randomly assigned 2308 patients undergoing an intravascular angiographic procedure with at least 1 risk factor for contrast-induced acute kidney injury (age >70 years, renal failure, diabetes mellitus, heart failure, or hypotension) to acetylcysteine 1200 mg or placebo. The study drugs were administered orally twice daily for 2 doses before and 2 doses after the procedure. The allocation was concealed (central Web-based randomization). All analysis followed the intention-to-treat principle. The incidence of contrast-induced acute kidney injury (primary end point) was 12.7% in the acetylcysteine group and 12.7% in the control group (relative risk, 1.00; 95% confidence interval, 0.81 to 1.25; P = 0.97). A combined end point of mortality or need for dialysis at 30 days was also similar in both groups (2.2% and 2.3%, respectively; hazard ratio, 0.97; 95% confidence interval, 0.56 to 1.69; P = 0.92). Consistent effects were observed in all subgroups analyzed, including those with renal impairment. Conclusions-In this large randomized trial, we found that acetylcysteine does not reduce the risk of contrast-induced acute kidney injury or other clinically relevant outcomes in at-risk patients undergoing coronary and peripheral vascular angiography.

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Studies on the environmental consequences of stress are relevant for economic and animal welfare reasons. We recently reported that long-term heat stressors (31 +/- 1 degrees C and 36 +/- 1 degrees C for 10 h/d) applied to broiler chickens (Gallus gallus domesticus) from d 35 to 42 of life increased serum corticosterone concentrations, decreased performance variables and the macrophage oxidative burst, and produced mild, multifocal acute enteritis. Being cognizant of the relevance of acute heat stress on tropical and subtropical poultry production, we designed the current experiment to analyze, from a neuroimmune perspective, the effects of an acute heat stress (31 +/- 1 degrees C for 10 h on d 35 of life) on serum corticosterone, performance variables, intestinal histology, and peritoneal macrophage activity in chickens. We demonstrated that the acute heat stress increased serum corticosterone concentrations and mortality and decreased food intake, BW gain, and feed conversion (P < 0.05). We did not find changes in the relative weights of the spleen, thymus, and bursa of Fabricius (P > 0.05). Increases in the basal and the Staphylococcus aureus-induced macrophage oxidative bursts and a decrease in the percentage of macrophages performing phagocytosis were also observed. Finally, mild, multifocal acute enteritis, characterized by the increased presence of lymphocytes and plasmocytes within the lamina propria of the jejunum, was also observed. We found that the stress-induced hypothalamic-pituitary-adrenal axis activation was responsible for the negative effects observed on chicken performance and immune function as well as for the changes in the intestinal mucosa. The data presented here corroborate with those presented in other studies in the field of neuroimmunomodulation and open new avenues for the improvement of broiler chicken welfare and production performance.

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Background: Acute respiratory distress syndrome (ARDS) is associated with high in-hospital mortality. Alveolar recruitment followed by ventilation at optimal titrated PEEP may reduce ventilator-induced lung injury and improve oxygenation in patients with ARDS, but the effects on mortality and other clinical outcomes remain unknown. This article reports the rationale, study design, and analysis plan of the Alveolar Recruitment for ARDS Trial (ART). Methods/Design: ART is a pragmatic, multicenter, randomized (concealed), controlled trial, which aims to determine if maximum stepwise alveolar recruitment associated with PEEP titration is able to increase 28-day survival in patients with ARDS compared to conventional treatment (ARDSNet strategy). We will enroll adult patients with ARDS of less than 72 h duration. The intervention group will receive an alveolar recruitment maneuver, with stepwise increases of PEEP achieving 45 cmH(2)O and peak pressure of 60 cmH2O, followed by ventilation with optimal PEEP titrated according to the static compliance of the respiratory system. In the control group, mechanical ventilation will follow a conventional protocol (ARDSNet). In both groups, we will use controlled volume mode with low tidal volumes (4 to 6 mL/kg of predicted body weight) and targeting plateau pressure <= 30 cmH2O. The primary outcome is 28-day survival, and the secondary outcomes are: length of ICU stay; length of hospital stay; pneumothorax requiring chest tube during first 7 days; barotrauma during first 7 days; mechanical ventilation-free days from days 1 to 28; ICU, in-hospital, and 6-month survival. ART is an event-guided trial planned to last until 520 events (deaths within 28 days) are observed. These events allow detection of a hazard ratio of 0.75, with 90% power and two-tailed type I error of 5%. All analysis will follow the intention-to-treat principle. Discussion: If the ART strategy with maximum recruitment and PEEP titration improves 28-day survival, this will represent a notable advance to the care of ARDS patients. Conversely, if the ART strategy is similar or inferior to the current evidence-based strategy (ARDSNet), this should also change current practice as many institutions routinely employ recruitment maneuvers and set PEEP levels according to some titration method.

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Active tufas in the form of waterfalls and dams occur along drainage channels in the Serra do Andre Lopes region (State of Sao Paulo, southeastern Brazil) and are associated with the karst system that developed on a dolomitic plateau with a superhumid subtropical climate. The predominance of autogenic waters enables the groundwater to become enriched in calcium carbonate, with low terrigenous sediment content. The tufas that were studied are composed of calcite and have high calcium contents and low magnesium contents. Eroded tufa beds that originate from changes in the position of fluvial channels or river flow rates also occur in this region. In the Sapatu deposit, phytohermal tufas with complex morphologies are arranged in levels constituting various temporally repeated sequences that were deposited between 10,570 and 4,972 cal years BP. In the Frias deposit, distal fluvial deposits of tufa are massive with a relatively greater quantity of terrigenous material and show evidence of dissolution and reprecipitation. The base of this deposit is composed of a cemented breccia dated at 25,390 years BP, which is younger than the overlying tufas ([42,000 years BP). In the two deposits, the levels of terrigenous sediments (quartz sand and lithic pebbles) and terrestrial gastropod shells are interpreted as phases of increased flow rate of rivers during intervals of higher rainfall.