Eficácia e segurança do uso inalatório da adrenalina-L na laringite pós-intubação utilizada em associação com a dexametasona

Objective: to assess the efficacy and safety of the use of nebulized L-epinephrine associated with dexamethasone in post-intubation laryngitis. Method: we carried out a prospective, randomized, double-blind, placebo controlled study with two cohorts of patients with postintubation laryngitis graded 3 to 6 by Downes and Raphaely score and during two years. Our population was divided into two groups: A and B; both groups received intravenous dexamethasone and nebulized saline with (group B) and without (group A) L-epinephrine. The efficacy was assessed by Downes and Raphaely's score. The side effects of epinephrine were evaluated according to occurrence of arrhythmia, to increased blood pressure, and to average heart rate of group B in comparison to group A. Results: twenty-two patients were included in group A (average score = 4.8) and 19 in group B (average score = 5.2). During treatment, 3 patients in group A presented a score of 8 and were reintubated. This group also showed higher clinical scores than group B during the first two hours of the protocol; these results were not statistically significant. No side effects were observed due to epinephrine. The gasometric parameters were adequate in both groups, but better in the control group. Conclusions: we did not observe increased efficacy for the treatment of post-intubation laryngitis when nebulized L-epinephrine was used simultaneously with intravenous dexamethasone. Some indicators, however, did present a favorable trend when combined therapy was used and should be submitted to further evaluation.

Genotipagem do locus ABO (9q34.1) em doadores de sangue da região noroeste do estado de São Paulo

The advances of molecular genetics enabled us to understand the molecular basis of the ABO locus. Considering Us importance as a genetic marker and its applications, the aim of this study was to verify the distribution of the ABO genotypes in a Brazilian population from the Northwest region of the Sào Paulo Stale, Brazil. The genomic DNA was extracted from three hundred and twenty four healthy Brazilian blood donors (O ] 50; A 118; B 32 and AB 24) and analyzed by PCR amplification followed by restriction enzyme digestion. Fourteen genotypes were identified and the relative frequencies of the O , O , O , A and B genes ivere estimated at 44.6%, 16.9%, 4.1%, 25.3% and 9.1%, respectively. Tloese results demonstrate that the ABO locus presents a high polymorphism as revealed by molecular analysis.

Garre's osteomyelitis associated with a fistula: a case report.

A report of Garre's osteomyelitis of the mandible associated with a fistula is presented. Elimination of pulpal periapical infection through endodontic therapy was shown to be an effective treatment. The total bone healing was observed one year later.

Fecundity of the mangrove crab Ucides cordatus (Linnaeus, 1763) (Brachyura, Ocypodidae)

Females of the mangrove crab Ucides cordatus were collected in a monthly basis along a 2-year period at the mangrove areas of Iguape, SP, Brazil. Ovigerous individuals were measured (CW, carapace width) and weighed (WW, wet weight). Each brood was weighed (WWE, wet weight of eggs), dried (DWE, dry weight of eggs) and the number of eggs (EN) was recorded. Scatter plots for the relationships EN/CW, EN/WW and EN/WWE were produced, and the data were subjected to regression analysis. Relative average fecundity (F 1) was calculated in different seasons and compared to verify if there were any temporal variation of reproductive intensity. Fecundity in U. cordatus varied from 36.081 to 250.566 eggs according to the size-dependent relationship EN = 15.27CW 2.24 (N = 66; R 2 = 0.69; p<0.001). The other expressions obtained for the relationships were: EN = 3797.6WW 0.813 (N = 56; R 2 = 0.72; p<0.001); EN = 29226WWE 0.775 (N = 54; R 2 = 0.70; p<0.001); and EN = 1093586DWE 0.769 (N = 66; R 2 = 0.86; p<0.001). Ovigerous females were found only during spring and summer, and relative average fecundity differed between these seasons. Relative average fecundity was higher in spring and relative frequency of ovigerous females was higher during summer. Overall reproductive intensity was similar between these seasons. The observed trends are regarded to be related to temperature and photoperiod variations.

Desenvolvimento inicial e distribuição temporal de larvas e juvenis de Bryconamericus stramineus Eigenmann, 1908 (Osteichthyes, Characidae) na planície alagável do alto rio Paraná, Brasil

The aim of this paper was to analyze initial development and temporal distribution of larvae and juveniles of Bryconamericus stramineus and their relationship with some environmental variables of Ressaco do Leopoldo in the Upper Paraná River floodplain. The samples were taken from February 1991 to February 1992. The larvae and the juveniles were identified and described according to the with its morphologic and meristic characteristics. The larvae presented scarce pigmentation, subterminal mouth, medium anal opening and myomeres varying 35-40 (16-21 pre and IT-22 postanal). The greater densities of larvae and juveniles were verified in December 1991 and November 1991, respectively, mainly during the night. The larvae density was only correlated with precipitation.

Força de compressão e umidade no perfil de dissolução da hidroclorotiazida

The aim of this work was to evaluate the influence of compression force and humidity in the dissolution profile of tablets formulation. As hidroclorotyiazide presents real problems of bioavailability, it was incorporate as standard drug in a formulation of tablets to study the mechanical resistance, time of disintegration and dissolution profile in function of humidity and compression force. The time of disintegration was not affected by the compression force, but it was influenced by humidity. The dissolution profile was altered by the compression force and for the humidity as well. Both factors can alter the bioavailability of drugs dispensed in the form of tablets.

Fluoridation of the public water supply and prevalence of dental fluorosis in a peripheral district of the municipality of Bauru, SP

Objectives: The objectives of this study were to assess the fluoride concentration in the public water supply and the prevalence of dental fluorosis in schoolchildren between 7 and 15 years old, living in a peripheral district of the municipality of Bauru. Material and Methods: For this, fifty two water samples were collected on three different days of one week. These samples were analyzed for fluoride by means of the ion-sensitive electrode method (Orion 9609) coupled to a potentiometer (Procyon, model 720). In this method, 1.0 mL of TISAB II (Orion) was added to 1.0 mL of the sample. For the epidemiological survey of fluorosis, 52 schoolchildren of both genders, aged between 7 and 15 were assessed, with prior authorization from their caretakers. Only one person examined the children, after supervised toothbrushing and drying with cotton wool rolls. The TF index was used. Results: The fluoride concentrations in the water samples ranged from 0.62 to 1.20 mg/L, with a mean of 0.9 mg/L. The prevalence of dental fluorosis was 33%, with severity ranging from TF1 to TF4 (Kappa of 0.73 and concordance of 83.33%). Conclusions: The results from the analysis of water samples indicated a fluoride concentration greater than recommended for Bauru. The fluorosis levels found were higher than expected for a peripheral district, in which water is one of the few sources of fluoride.

Avaliação das respostas fisiológicas de bezerros Zebuínos puros e cruzados nascidos em clima subtropical

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Evaluation of the antimicrobial susceptibility of methicillin-resistant Staphylococcus aureus isolated from human infections

Multiresistant Staphylococcus aureus constitutes an important public health problem, especially in view of its possible spread in nosocomial environments. In the present work, we analyzed the susceptibility profile of 80 S. aureus stains from human infections resistant to at least 10 drugs. For this study, the techniques used were the disk method and minimum inhibitory concentration (MIC) of the following drugs: cefuroxime, ciprofloxacin, clindamycin, erythromycin, gentamycin, imipenem, oxacillin, rifampicin, tetracycline and vancomycin, according the criteria of the National Committee for Clinical Laboratory Standards (NCCLS). Methicillin was included in the antibiogram as a marker, which is usually used in drugs selection for the treatment of staphylococcal infections. Results indicated that the most effective drug was vancomycin. For the other 10 drugs, the percentage of resistant strains ranged from 85% to 93.75%. In relation to the MICs, it was observed that vancomycin (MIC 90% = 0.615ug/ml) was the most effective drug; followed by rifampicin (MIC 90% = 2.6ug/ml) and ciprofloxacin (MIC 90% = 26.6ug/ml). The drugs that showed the least effective activity were cefuroxime, clindamycin, erythromycin, gentamycin, and oxacillin. On the other hand, observation of β-lactamase production revealed that most of the methicillin-resistant strains produced β-lactamase (83.7%), potentiating the risks of nosocomial infections. In general, vancomycin still continues to be one of the most effective drugs for staphylococcal infections therapy.

Library in virtual reality: An innovative way for accessing, disseminating, and sharing information

This paper focuses on Virtual Reality (VR) as a very powerful technology that can be applied to the libraries, aiming at contributing to the activities of accessing, disseminating, and sharing information. The paper presents the VR concept and describes some libraries in virtual reality under utilization in different countries. In the final considerations, it is pointed out the use of virtual reality to develop libraries as collaborative virtual environments.

Efeitos de diferentes sistemas de cultivo in vitro sobre o crescimento de folículos pré-antrais isolados de ovários de fetos bovinos

The objective of this study is to use different in vitro culture systems of preantral follicles from Nelore breed bovine fetuses in the last gestation quarter. The evaluation of treatments considered the time of growth of isolated follicles. Preantral follicles were mechanically isolated and submitted to the individual culture, for 9 days, in media no supplemented or supplemented with fetal calf serum (FCS), bovine serum albumin (BSA) or synthetic defined supplement substitute of serum KnockoutSR (KNO). We have also evaluated the effects of collagen gel or fetal calf fibroblast monolayer as substratum for in vitro cultures. The increase on the follicular diameter was followed in the first day (0 h), at the 72 h, 144 h and 216 h. Considering cultures of isolated follicles, the results have shown that the association between media supplemented with FCS and collagen gel was significantly more efficient on the increase of the follicular diameter than other treatments. It is not still established a system of appropriate cultivation that sustains the differentiation and multiplication of the granular cells and that maintains the contact of the same ones with the oocyte to provide molecules and factors that supply the metabolic demand. We also understand that our results also represent another promising step on the search for the ultimate system of in vitro culture of preantral follicles from bovines.

Smear layer removal and collagen fiber exposure using tetracycline hydrochloride conditioning

Aim: Smear layer removal and collagen fiber exposure may improve periodontal treatment and regeneration. This in vitro study assessed smear layer removal and collagen fiber exposure after tetracycline hydrochloride (TTC) application on root surfaces using scanning electron microscopy (SEM). Methods and Materials: Root cementum was removed with diamond burs followed by scaling and root planning. Four hundred fifty samples were divided into ten groups: a control (saline application) and nine different TTC concentrations were applied at doses of 10, 25, 50, 75, 100, 125, 150, 200, and 250 mg/ml. The TTC application was performed in all groups in three different ways (passive, brushing, and burnishing) and at three different periods of conditioning (1, 2, and 3 minutes). A previously trained, calibrated, and blind examiner evaluated photomicrographs of the samples using Sampaio's index (2005). Statistical analysis was performed using the Kruskal-Wallis' and Dunn's tests. Results: The concentrations of 50 mg/mL and 75 mg/mL applied by burnishing were the most effective in smear layer removal and collagen fiber exposure. Both the passive mode of application (p=0.0001) and 1 minute period of application (p=0.002) were the least effective. Conclusions: The concentrations of 50 mg/mL and 75 mg/mL applied by burnishing during 2 or 3 minutes were the most effective. Clinical Significance: These parameters may be applied in periodontal procedures involving TTC root conditioning to optimize results.

Efeitos da luminosidade no crescimento de mudas de Caesalpinia ferrea Mart. ex Tul. (Leguminosae, Caesalpinoideae)

Caesalpinia ferrea is a species used a lot as a medicinal plant, for urban arborization and landscape design in the state of Amapa. Yet there is not much ecophysiological information available on it. Light is an important environment factor that controls processes associates with the accumulation of dry matter, contributing thus for plant growth. The object of this research was to study the effect of different luminosity levels on the growth of seedlings of this species. The seedlings were transplanted to plastics bags containing a mixture of soil and sand (2:1), which were maintained in the full sun, under artificial shade with reduction of 50% and 70% of the luminosity and under natural shade of a closed canopy of forest. The experimental design was completely randomized with five replicates. Seedlings submitted to natural shade showed strong growth inhibition. In the full sun, the seedlings presented higher net assimilatory rate (NAR), lower shoot/root ratio (SRR) and lower leaf area ratio (LAR). The results showed little difference in the growth and biomass allocation between seedlings kept in 50 and 70% shade; the seedlings submitted to this treatment presented higher values of SRR and LAR. This indicates plasticity which influences a possible increase in light capture and is important, therefore, to keep the seedling growth and survival under low light levels. The results as a whole showed morphological and physiological adjustment to different light levels in Caesalpinia ferrea.

Acute toxicity of waters from the urban drainage channels of Santos (São Paulo, Brazil)

The objective of this study was to evaluate the toxicity of water which flows toward the beaches of Santos, SP, Brazil. Water samples were collected from eight urban drainage channels and a small creek, in March, April and August 2005. For each sample, some physical-chemical parameters were analyzed: pH, dissolved oxygen, temperature, salinity, presence of free chlorine and total ammonia contents. Acute toxicity tests (48h) with Daphnia similis were also performed with the samples. The level of ammonia was relatively high in the majority of the samples (≥ 1.5 mg/L), and free chlorine was measurable in most of them. Acute toxicity was observed in four water samples (stations 3, 4, 5 and 7), at least in one occasion. The toxicity was positively correlated with the ammonia concentrations and salinity. Because acute toxicity was detected, actions aiming to control the pollution sources and improve the water quality are recommended.