Hiperidrose compensatória após simpatectomia toracoscópica: características, incidência e influência na satisfação do paciente

Hyperhidrosis is an idiopathic condition characterized by excessive sweating. Symptoms generally begin in childhood or early adolescence, and rarely improve with age. The excessive localized sweating generally occurs either spontaneously, or in association with stressful or emotionally charged situations. This prospective study aimed to investigate predictive factors for compensatory hyperhidrosis after thoracoscopic sympathicotomy. From 2000 to 2002, 80 patients (53 female and 27 male) underwent hyperhidrosis surgery. The patients, ranging from 12 to 56 years old, were studied and followed-up for 42.51 ±5.98 months. A satisfaction grading using a visual analogue scale -VAS (0 = not at all satisfied, and 10 = fully satisfied) was used. The surgical procedure was performed bilaterally on the second ganglion (T2) for facial hyperhidrosis, on the third and fourth ganglia (T3 and T4) for axillary hyperhidrosis, and on the third ganglion (T3) for palmar hyperhidrosis. The results showed that, 68 patients (85%) presented with compensatory sweating (CS), which was classified as mild (33.8%), moderate (33.8%) and severe (32.4%). Considering the final surgical results, 70 patients (87.5%) were satisfied with the outcome of the operation, while 10 patients (12.5%) were dissatisfied. Degrees of satisfaction varied according to sex, age, BMI and extent of denervation. Moreover, the compensatory hyperhidrosis was more severe in abdomen and back than in legs. In conclusion, although CS is a frequent adverse effect of sympathicotomy, the degree of patient satisfaction was high. Some factors were related to the occurrence and severity of CS and the most adequate patients to be submitted to this operation are young adult women whose BMI is less than 24.9

Miguilins no sertão da cabaça azul: incandescência, infância e devaneios poéticos em Mutum

Cette thèse concerne dans une lecture poétique du roman Campo Geral, de Guimarães Rosa, du film Mutum - basé sur le roman mentionné et réalisé par Sandra Kogut, et de l investigation das les villes de Minas Gerais/MG impliqués dans la production du film. Le but de cette lecture est de communiquer l'expérience onirique faite à partir d'une oeuvre cinématographique, à partir d un récit littéraire et la rencontre avec cinq acteurs non-professionnels et de trois membres de l'équipe de Mutum. Pour ça, le rêve poétique, proposé par Gaston Bachelard, il est utilisé comme une ressource cognitive à l'expérience de la réalité de semi-imaginaire l'homme, a partir de l actionnement du double dans le processus de participation affective (MORIN, 1997). Le film choisi abord des impressions d un enfant qui vit avec ses parents, avec ses frères, avec sa grand-mère et avec sa chienne Rebeca, dans un place appelé Mutum. Sous la perspective de l être rêveur, qui medite sur les images de l enfance onirique dans le contexte des régions sèches de la campagne, des régions qui sont transformées et étendues à travers le rêve poétique, nous arrivons à l enfance méditative (BACHELARD, 2006). Tout au long de la narration de cette recherche, Guimarães Rosa, la réalisatrice Sandra Kogut, moi-même comme un individu / chercheur et les interlocuteurs de la famille Mutum que j'ai trouvé dans Minas Gerais, nous sommes tous pris comme Miguilins qui rêvent de La région Cabaça Azul. Incandescents, multiples, primitives, ces Miguilins sont porteurs des papiers colores et avec elle ils comprennent la participation de l'homme dans le Grand Récit (SERRES, 2005)

Descrição das ninfas de Quesada gigas (Olivier) (Hemiptera: Cicadidae) associadas ao cafeeiro

Neste trabalho, as ninfas de Quesada gigas (Olivier) são descritas e ilustradas. Uma chave para o reconhecimento dos cinco ínstares ninfais é também apresentada. Foram analisados exemplares coletados em cafezais dos municípios de São Sebastião do Paraíso, Monte Santo de Minas e Patrimônio (Minas Gerais), Franca e Casa Branca (São Paulo). As amostras encontram-se preservadas em álcool a 80% e depositadas na Coleção Entomológica do Departamento de Fitossanidade da FCAV-UNESP, Câmpus de Jaboticabal. Os caracteres analisados foram: antenas, tecas alares, perna anterior, ápice da tíbia meso e metatorácicas e ápice abdominal do macho/fêmea. Foi adotada uma fórmula para indicar a configuração que é apresentada pelas estruturas presentes no fêmur anterior. Ninfas de Q. gigas de primeiro ínstar apresentam fórmula femoral 2-1-0, de segundo ínstar 2-1-3, de terceiro ínstar 2-1-5, de quarto ínstar 2-1-6 e as de quinto ínstar 2-2-8. O primeiro número refere-se à somatória dos dentes posteriores e dentes acessórios, o segundo ao número de dentes intermediários e o terceiro aos dentes do pente femoral. As estruturas apresentadas pelo fêmur protorácico constituem caracteres morfológicos adequados para a identificação dos ínstares ninfais de cigarras.

Segurança na aplicação de agrotóxicos ­em cultura de batata em regiões montahosas

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

Desempenho, rendimento de carcaça e excreção de cálcio de frangos de corte alimentados com diferentes níveis de aminoácidos e cálcio no período de 22 a 42 dias de idade

Um experimento foi conduzido com o objetivo de avaliar diferentes níveis de aminoácidos e de cálcio para frangos de corte no período de 22 a 42 dias de idade. Avaliou-se o desempenho, o rendimento de carcaça e a excreção de cálcio. Foram utilizadas 540 aves, machos, da marca comercial Cobb, distribuídas em delineamento inteiramente casualizado, em esquema fatorial 3x2, ou seja, 3 níveis de aminoácidos (metionina, metionina+cistina, lisina e treonina - 100%, 125% e 150% NRC,1994) e 2 níveis de cálcio (75% e 100% NRC,1994), com 3 repetições de 30 aves cada. Os aminoácidos estudados foram metionina, metionina+cistina, lisina e treonina. O desempenho das aves foi avaliado pelo peso vivo, ganho de peso, consumo de ração e conversão alimentar. O rendimento de carcaça e a percentagem de cada parte foram avaliados de 2 aves de cada repetição, escolhidas ao acaso, perfazendo um total de 6 animais por tratamento. O rendimento de carcaça foi realizado após o abate levando-se em consideração a percentagem de peito, pernas (coxa+sobrecoxa), asas, dorso, cabeça+pescoço e pés em relação à carcaça eviscerada. Além disso, analisou-se o cálcio excretado pelas aves. Para tanto, utilizou-se 72 aves, alojadas em gaiolas, seguindo o mesmo delineamento descrito anteriormente. Não houve interação entre os fatores estudados para as características avaliadas. As que consumiram dietas com 125% e 150% de aminoácidos apresentaram melhor conversão alimentar. O rendimento de peito foi afetado pelos níveis de cálcio.

Do mestre aos discípulos: o legado educacional de Nestor dos Santos Lima (1910-1930)

Cette étude analyse La pratique pédagogique de l éducateur norte-rio-grandense Nestor dos Santos Lima, de 1910 a 1930, période ou se concentre son plus grand nombre de publications sur lês questions scolaires. Nous désirons comprendre de quelle forme cet intelectuel a contribué au développement du systeème d enseignement primaire à travers sés écrits sur lês principes et méthodes de l enseignement de la lecture et à l écriture, appliqués dans lês Groupes Scolaires de l État. Nestor Lima a joué um grand role dans la sociaété, à la tetê de fonctoins comme celle de La présidence de l Institut Historique e Geographique du Rio Grande do Norte (IHGRN), directeur de lÉcole Normale de Natal et du Dápartament d Education de État. Il a pulié de diverses oeuvres de caractere scolaire, comme lês Régiments Internes pour lês Groupes Scolaires, Écoles Isolées, Écoles Rudimentaires et Conseil d Education. Dans cette étude, nous mettons em évidence lês leçons de métodologique pour l enseignement de la lecture ET de évidence lês leçons de metodologie pour l enseignement de la lecture et de l ecriture, adresses aus eleves de lÉcole Normale de Natal, publiées dans la colonne Pádagogie du journal A República. Dans ces matièrs, nous observons que lês aspects qui composaient la pratique développe par Nestor Lima impliquaient lês questions Morales et civiques, la preocupation de la formation enseignante à l École Normale de Natal et le Célibat Pédagogique Féminin. Nous observons que la preocupations dês pratiques de lecture et lécriture sont presentes dans l oeuvre de cet éducateur comme legs important aux générations qui se succédent. Il est évident qu Il a cherché das sés productions une meilleure qualification dês enseignants pour que le niveau de l enseignement primaire puísse ainsi évoluer

Avaliação de método digital para análise do índice funcional do ciático em ratos

This work aimed to study the reproduction and description of technique for digital sampling images during rats gait and determination of the sciatic functional index (SFI), through a glass walkway to obtain shoots with a digital camera. After controlled injury by strangulation of sciatic nerve, with 3mm of length, during 30 seconds, using hemostatic forceps, a group of 32 rats was performed 24 hours before the lesion which served as control and 24 hours, 7, 14 and 21 days after injury. The tests consisted in the filming and shooting each animal in order to observe the view from below (by a mirror to 45 degrees) and subsequently analyzed using the IMAGE-J program. Measures were taken from the lengths of the legs (right and left), and the distance between the ankle. In the analysis of IFC, values close to zero (0) suggest that the function of the sciatic nerve is still preserved and values coming from "less one hundred" (-100) indicate total loss of function. It was verified in this study that 24 hours before surgery the average SFI was -7.07 +/- 7.88 and 24 hours after injury these values rose to an average of -77.95 +/- 13.81, being about 10 times larger, where 78% of the animals showed 60 to 100% of functional loss in motor activity, demonstrated by the gradual recovery over the days analyzed, confirming the accuracy and effectiveness of the proposed methodology. These results suggest that studies can be conducted to simplify and reduce costs using the technique for digital images of footprints during rats gait in the laboratory.

Qualidade de vida de pessoas com úlcera venosa: associação dos aspectos sociodemográficos, de saúde, assistência e clínicos da lesão

Venous ulcer (VU) is a lower limbs injury resulting from inadequate return of venous blood in feet or legs. Although it is not a deadly disease, it causes chronic wounds, which seriously undermine patients´ quality of life (QOL) and sometimes leads to drastic family, social, economic and psychological changes. In this sense, there are several aspects that may influence the venous ulcers patients´ QOL. The study´s objective aimed on the association of socio-demographic and health, health care and clinical injury on UV patients‟ QOL. Analytical studies, which consider the complexity of factors involved in changes in UV patients‟ QOL has a cross-sectional and quantitative approach. The HUOL Ethics Committee approved this project (n.279/09). The collection of data lasted a period of 3 months in 2010 and it took place at the clinic of Angiology at Hospital Universitário Onofre Lopes (HUOL). The data sample consisted of 60 patients treated by UV angiologists in the HUOL Surgical Clinic. The results were analyzed with SPSS 15.0 by descriptive and inferential statistics. The study was based on UV patients that were predominantly female, average age of 61.4 years, that had low education level and low family income, with occupations requiring long periods of standing or sitting, but mostly retired, unemployed or laid off due to the disease and/or due to chronic diseases associated with the UV. The study took also into consideration patients that used inappropriate products, that were improperly treated by a professional caregiver, that lacked of adequate guidance and compression therapy, that performed no lifting of the lower limbs and regular exercise, that the time of injury were greater than or equal to six months, that were missing specific laboratory tests. The study‟s reference were on recurrent lesions, medium to large lesions area, bed of the lesion (injuries) with fibrin and/or necrosis, with amount of exudate with medium to large, odorless and no signs of infection, with tissue loss between 1st and 2nd degree, without collecting swab or biopsy and with pain. In general, QOL of researched individuals were considered low, the maximum score was 69 points, which the areas that were mostly influenced were the total scores of QOL functional capacity (0.021), emotional (0.000) and social functioning (0.080). Of the 60 individuals, 53.3% had scores between 40 and 69 points in SF-36, and they had the best scores in sociodemographic and health variables (ρ = 0.049). In respect to the assistance and injury characteristics, patients who scored between 40 and 69 points in SF-36 had better scores on these characteristics. By combining the socio-demographic variables, health, and handling characteristics of the injury, we observed a significant difference (ρ = 0.032) when linking them with the QOL total scores. When analyzing separately the domains of the SF-36 scores on the quality of life, we find that the areas that showed statistical significance were functional ability (ρ = 0.035), appearance (ρ = 0.019), emotional (ρ = 0.000), and mental health (ρ = 0.050). Among the socio-demographic characteristics studied, gender and marital status contributed more to the reduction of QOL and among the variables of assistance and the injury, orientation, reference and area of UV contributed the most. By analyzing these five variables all together in accordance with the overall score obtained in the quality of life, we found a significant correlation (ρ = 0.002); with 6.23 times more chances of patients have better QOL in the presence of these five positive factors. By conducting the Mann Whitney U test between all the five demographic variables, health, and clinical care, we found that this combination also proved to be significant (ρ = 0.006). Therefore, patients with these five variables positive tend to have a better QOL. Based on these results, we reject the null hypothesis (H0) and accept the alternative hypothesis (H1) proposed in this study because we noted that the QOL of patients with UV is associated with sociodemographic and health, health care and clinical aspects of the injury

Qualidade da carne ovina submetida ao processo de salga

Foi estudada a qualidade da carne ovina submetida a diferentes teores de sal no processo de salga, utilizando-se 18 pernas desossadas provenientes de cordeiros ½ Ile de France ½ Ideal, machos inteiros, com peso vivo médio de 30kg. Os tratamentos constituíram-se em: T1 - controle; T2 - salga a 15% e T3 - salga a 20%. As mantas de carne foram lavadas rapidamente em água corrente para remoção do excesso de sal e secadas à sombra. As análises foram realizadas antes da salga e 67 horas após o início da mesma. As perdas de peso ao cozimento, maciez, cor, umidade (2, 4, 16, 28, 40 e 67 horas após o início da salga) e número de TBARS, substâncias reativas ao ácido 2-tiobarbitúrico, foram realizadas no músculo Semimembranosus. Os diferentes teores de sal não influenciaram (P>0,05) na luminosidade da carne, entretanto os teores de vermelho e amarelo, que foram influenciados (P<0,05). As perdas de peso ao cozimento e a umidade foram menores (P<0,05) nas carnes salgadas. A carne dos tratamentos controle e com 15% de salga, apresentou maior (P<0,05) maciez, em relação à carne do tratamento com 20% de salga. A carne que foi submetida a 20% de salga, apresentou maior oxidação lípidica, não diferindo da salga a 15%. A salga a 15% forneceu melhores resultados com valores de perdas de peso ao cozimento, cor, umidade e número de TBARS semelhante a salga a 20%, porém com maior maciez.

Autoestima e qualidade de vida de pessoas com úlcera venosa atendidas na atenção primária

Venous ulcers (VU) is a chronic injury of the lower extremities and because of its high incidence and recurrence implies long and complex treatments, damaging the quality of life (QOL) and self-esteem (SE) of the people. This study aimed to analyze the association between self-esteem with the quality of life of people with venous ulcers treated in primary care. Cross sectional analytical study with a quantitative approach conducted with 44 people met with VU at 13 primary care units 2 and Mixed units in Natal/RN. The study was approved by the Ethics Committee in Research of the Federal University of Rio Grande do Norte (UFRN), CAAE: 07556312.0.0000.5537. Held data collection from February to April 2014 and used three instruments: a structured form covering sociodemographic, health care and clinical variables, the Rosenberg Self-Esteem Scale and the SF-36. The collected data were entered into a database and processed on computerized software for descriptive and inferential analyzes. The results showed a predominance of people with UV females (65,9%), with more than 60 years (59,1%), married or in a stable relationship (52,3%), low education (86,4%) without occupation (68,2%) and less than one minimum wage income (81,8%). Regarding assistance characteristics was observed that most patients performed the dressing with appropriate material (72,7%), professional or trained caregiver (61,4%) did not use compression therapy (81,8%), treating the injury for more than 6 months (77,3%), lack of guidelines for the use of compression therapy, elevation of legs, and regular exercise (77,3%) and consulting the angiologist last year (52,3% ). Regarding clinical features of the lesion was found that most of the recurrent lesions are (77,3%), over one year of current lesion (52,3%) medium to large lesions (54,8%), without signs of infection (61,3%) and pain (79,5%). The mean SE of respondents was 9,3 (± 5,1). The relations between the SE and the sociodemographic variables, health care and clinics showed that individuals without a partner (a) (p = 0,01), who did not wear compression therapy (p = 0,04), with more 6 months of treatment (p = 0,01) and larger lesions (p = 0,01) had a lower SE. The mean domain and the dimensions of the SF-36 were lower emphasizing the functional capacity 36.5 (± 27,6) and the physical aspects of 15.3 (± 30,6). There were significant correlations between AE people with VU and the domains and dimensions of the SF-36: physical functioning (r = -0,432), general health (r = -0,415), vitality (r = -0,573), aspects social (r = -0,517), mental health (r = -0,612) and mental health dimensions (r = -0,612) and physical health (r = -0,473). Based on these results it is concluded by rejecting the null hypothesis and accept the alternative proposed in the study in which it was found that there is a negative correlation between the SE and the QOL of people with venous ulcers

Energy and lysine for broilers from 44 to 55 days of age

An experiment was conducted to evaluate the performance and carcass yield of broilers at 55 days of age fed diets with different levels of metabolizable energy and lysine. Evaluated data of performance were weight gain, feed intake, energy intake, lysine intake, caloric conversion and feed conversion. Carcass assessment was performed based on data from carcass yield, breast weight, whole wings, whole legs, back, head + neck, feet and abdominal fat. A 3 x 3 factorial arrangement was used, with 3 levels of metabolizable energy (3,200; 3,400 and 3,600 kcal ME/kg) and 3 lysine levels (0.95%; 1.05% and 1.15%). There was no interaction between the two factors. Nevertheless, increasing levels of metabolizable energy improved weight gain (745 g; 841 g and 910 g, respectively) and feed intake was higher in broilers receiving the diets with 3,200 and 3,600 kcal ME/kg. Overall performance was not affected by lysine levels. Feed conversion values were 2.69, 2.42 and 2.14 for birds fed diets with 3,200; 3,400 and 3,600 kcal ME/kg, respectively. Carcass yield and breast weight increased with higher levels of energy and lysine in the diets.

Diferentes Perfis de Aminoácidos para Frangos de Corte no Período de 43 a 56 Dias de Idade

Um experimento foi conduzido para avaliar o desempenho e rendimento de carcaça de duas marcas comerciais de frangos de corte alimentados com diferentes perfis de aminoácidos. Dados de desempenho (ganho de peso, consumo de ração e conversão alimentar), carcaça (rendimento de carcaça, peito, pernas, dorso, asas, pés, cabeça e gordura abdominal) e vísceras comestíveis (moela, fígado e coração) foram coletados. O experimento foi realizado no período de 43 a 56 dias de idade e o delineamento experimental foi inteiramente casualizado em esquema fatorial 2x4 (duas marcas comerciais -- Hubbard e HI-Yield, e quatro perfis de aminoácidos - NRC (1994), Rostagno et al. (1992), Degussa (1997) e AEC (1993)), com quatro repetições de 50 aves cada. Quando as diferentes recomendações foram comparadas, o nível de lisina foi mantido constante, utilizando o nível do NRC (1994) como padrão. As aves alimentadas com dietas formuladas segundo recomendações do NRC (1994) apresentaram menor ganho de peso e pior conversão alimentar. As aves da marca comercial Hubbard apresentaram melhor ganho de peso, porém o consumo e a conversão alimentar não foram alterados. O rendimento de carcaça não diferiu entre os tratamentos. Contudo, as aves da marca comercial Hubbard apresentaram melhor rendimento de pernas e as aves HI-Yield, melhor rendimento de peito. A gordura abdominal foi afetada pelos tratamentos estudados em que aves da marca comercial Hubbard e alimentadas de acordo com os níveis recomendados pelo AEC (1993) apresentaram menor porcentagem de gordura abdominal. Não ocorreu efeito significativo para as vísceras comestíveis.

Composição centesimal da carne de cordeiros submetidos a dietas com diferentes teores de concentrado

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

Allometric growth of two species of Ephemeroptera from Neotropical mountains streams

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Da poesia ao poema: uma leitura do poema-Processo

Caractérisation du "Poema-Processo" au long de sa trajectoire entre les années 1967 et 1972, au regard d´une lecture visant son insertion dans le mouvement d´avant-guarde de la deuxième moitié du XX° siècle, au Brésil. On vérifie la façon dont le mouvement du "Poema-Processo" s´est formé, comme dédoublement de l´art concret, ainsi comme ses adéquations à la conjoncture de son apparition au Brésil, s´établissant une comparaison entre la pratique du poème et les propositions des manifestes lancés. L´analyse des poèmes sélectionnés démontre leur co-relation avec les travaux visuels initiés par les avant-guardes historiques, ainsi comme les réponses de la pratique poétique à la théorie developpée par les principaux représentants, Wlademir Dias-Pinto, Álvaro de Sá et Moacy Cirne. La production poétique et culturelle de Moacy Cirne est abordée en observant sa pratique sur trois points fondamentaux: la production poétique, la critique littéraire donnant de l´emphase à la culture locale et au texte du "Poema-Processo", et la recherche du language des bandes dessinées.