Beta talassemia menor: aspectos clínicos e laboratoriais

As alterações que afetam as hemoglobinas estão relacionadas à síntese estrutural ou quantitativa dos aminoácidos que compõem as diferentes cadeias globínicas (α/β). Existem inúmeras causas que podem resultar nessas alterações, dentre elas as mutações. A talassemia é um dos distúrbios genéticos mais frequentes do homem e mais difundidos no mundo. Fatos históricos, como imigração e colonização populacionais de diferentes partes do mundo, contribuíram para a difusão da patologia em outras localidades, incluindo o Brasil. A forma de manifestação clínica e laboratorial da talassemia do tipo beta menor (BTT), foi objeto de estudo nesta revisão bibliográfica, pois embora seja uma patologia que não mostra claramente manifestações sintomáticas, seus aspectos clínicos e laboratoriais são muito relevantes. A importância do diagnóstico laboratorial das anemias microcíticas e hipocrômicas presentes, tanto em indivíduos portadores de deficiência de ferro como em beta talassêmicos menor, é um ponto chave quando nos referimos a esses parâmetros, pois os índices HCM e VCM apresentam-se com valores extremamente reduzidos (<24 pg e <70 fL) e a quantidade de glóbulos vermelhos muito aumentados (> 5,0 milhões/μL), na beta talassemia menor em comparação à deficiência de ferro. Portanto os valores contidos no hemograma bem como a presença da inclusão citoplasmática ponteado basófilo e morfologia das hemácias observadas em análise de extensões sanguíneas coradas, é de grande valia na suspeita da beta talassemia menor, tornando-se ponto importante na sugestão da realização de eletroforese de hemoglobina para confirmação do diagnóstico da beta talassemia menor, devido ao aumento quantitativo da Hb A2.

Eficácia da haptoglobina como marcador de hemólise no diagnóstico da síndrome HELLP

Introduction: The HELLP syndrome is a severe complication of pregnant women with preeclampsia (PE), characterized by association of hemolysis, changes in liver enzymes and thrombocytopenia. Hemolysis, defined by the presence of microangiopathic hemolytic anemia, is one of the characteristics in this syndrome. However, as hemolysis occurs in a short time there is some difficulty in its laboratory diagnosis. Therefore, the search for a more sensitive and specific method for hemolysis determination may help in the early diagnosis of the HELLP syndrome. Objectives: a) To determine the plasma concentration of haptoglobin in normotensive pregnant women and in pregnant women with PE, classified into mild PE, severe PE and HELLP/partial HELLP syndrome; b) To compare the efficacy of haptoglobin plasma concentration and serum total bilirubin as criteria for hemolysis diagnosis in HELLP/partial HELLP syndrome. Methods: We conducted a cross-sectional analytical and comparative study involving 66 pregnant women diagnosed with PE, being 25 cases with mild PE, 28 with severe PE, and 13 with HELLP/partial HELLP syndrome. Twenty-one normotensive pregnant women were included for comparison of haptoglobin plasma concentration between the groups and to determine the normal values for pregnant women. The variables studied were: maternal age, gestational age, systolic and diastolic blood pressure, proteinuria, hematocrit and hemoglobin values, platelet count, serum total bilirubin, lactate dehydrogenase (LDH), glutamic oxaloacetic transaminase (AST) and glutamic-pyruvic transaminase (ALT), urea, creatinine and uric acid, and also plasma concentrations of haptoglobin. The results were analyzed by nonparametric tests, with a significance level of 5%. Results: The values of urea, uric acid, AST, ALT and LDH were significantly higher, while the number of platelets was lower in pregnant women with HELLP/partial HELLP syndrome compared to pregnant women with mild PE and ...

Dirigiu-se para a sede social da Elite Flor da Liberdade e ofereceu um banquete aos visitantes: sobre a variação de proposições em complementos verbais

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

A norma-padrão Europeia e a mudança linguística na Escola Moçambicana

In Mozambique, the portuguese language is considered the official language, second language, national language and competes with more than twenty Bantu languages spoken by the majority of population. The standard norm lose away their floor to the Mozambican Portuguese which carries own characteristics pertaining to the sociolinguistic context of the country. Schools attempt their best, but they cannot teach the European standard due the multilingual and Portuguese contact with African languages, a fact that is reflected in the media and in the literature through their oral and written forms. These difficulties result in high rates of failures due to problems encountered in using the European standard by teachers and writers who prepare the school books. This research suggests the standardization of the Mozambican variant as well as the preparation of dictionaries and grammars illustrating the sociolinguistic reality of Mozambique in order to improve the quality of education. It also emphasizes the need for a self-esteem spirit on Mozambicans in general as a conduit to eliminate the soaring bias that Mozambicans can not speak portuguese language

Reformismo social em John R. Commons

This research aims to discuss aspects of the thought of John R. Commons regarding their engagement with the reform of capitalism. He focuses on his interpretation of the socioeconomic context of American capitalism, which led him to distance himself from the Marxist revolutionary praxis and the authoritarian reformism offered by the variant of European fascism. Based on extensive literature review, the research rebuild through a historical and theoretical context, his thinking and show the evolution of his ideas throughout his life. Recreating the terms in which Commons defended his reformist project, called him reasonable capitalism.

O jogo como mediador na entrevista: um novo lugar no processo psicoterápico com adolescentes

It is a fact that between the child and the adult there is an adolescent being that experiments his experiences in a different way than those others. Therefore, in clinical care, the use of toys and play do not have the same value as for the children, and, on the other hand, the majority of adolescents are not ready, as the adult is, for the exclusive use of speech in the psychotherapy context. There is the need to introduce some specific strategy in order to give the adolescent conditions to express himself openly in the psychotherapy process. The mediator's resource introduces this variable to enable the expression of emotions for those who cannot find the available channels for that. This paper seeks to answer this question by presenting the Time Tunnel Game in the psychotherapy with young people, based, during several years, on its clinical use with patients during this period of their lives. Explaining, when it is a question of a demand for a game, that the youngster tries to respect the rules, therefore, expressing his experiences more at ease. By using the mentioned game, it is not the psychotherapist that questions or addresses the youngster, but it is through this playing that the questions arise, providing the youngster a facilitating context for his experiences, even for the more difficult ones. At the direct request of the psychotherapist, it is possible that the adolescent may have the imposing idea that he is being evaluated, which is inadequate when attending any youngster. It is understood that this facilitation also occurs because in a game the atmosphere of lucidity is less threatening to the patient to reveal himself as playing. It is the game that "interviews" and, therefore, the youngster has less to be afraid of when expressing his experiences.

Evaluation of zebu nellore cattle blood samples using the Cell-Dyn 3500 hematology analyzer

The Cell-dyn 3500 is a multiparameter flow cytometer, which may analyze samples from several species performing several simultaneous analyses. It is able to perform white blood cells, red blood cells and platelet counts, besides differential leukocyte counts, packed cell volume and hemoglobin determination. Cell-Dyn 3500 performs total leukocyte count both optically and by impedance. The equipment may choose one or other method, based on the reliability of the results. Erythrocyte and platelet counts are determined by impedance. Leukocyte differentiation is based on an optical principle, using separation in multiangular polarized light. The objective of this study was to compare the results of complete blood count of Zebu Nellore heifers from Cell-dyn 3500, with those obtained from a semi-automated cell counter (Celm CC 510) and the manual technique. Blood samples were collected from the jugular vein in 5 mL EDTA vacuum tubes from 58 Nellore heifers, at 24 months of age. Samples were processed in parallel in the three different techniques. Results were analyzed using paired t test, Pearson's correlation and the Bland-Altmann method. There was a strong correlation for all parameters analyzed by Cell-Dyn 3500, manual method and semi-automated cell counter, except for basophils and monocytes counts. These results confirm that this analyzer is reliable for blood samples analysis of zebu cattle.

Análise morfológica e filogeográfica em jabutis brasileiros (Testudines)

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

Organização genômima e análise da expressão do gene hnRNP Q-like (Heterogeneous nuclear ribonucleoprotein A-like) retroinserido no cromossomo B de Astatotilapia latifasciata

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Avaliação comparativa do uso da furosemida em bolus ou infusão contínua no tratamento de cães com doença degenerativa valvar

Pós-graduação em Medicina Veterinária - FCAV

Perfil imunoistoquímico dos linfomas difusos de grandes células B caninos utilizando-se o método de microarranjo de tecido (TMA)

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

Ferritin in hypertensive and diabetic women before and after bariatric surgery

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

Relative bioavailability of iron from organic sources for weanling piglets

Some authors consider minerals from organic sources more bioavailable for pig nutrition in comparison with inorganic sources. To evaluate the relative iron bioavailability from the organic source iron carbo-amino-phospho-chelate (ICAPC) to weanling piglets, it was conducted an experiment with 126 commercial piglets, using iron sulfate monohydrate (S) as standard. The experiment had a randomized block design with seven treatments (diet without adding specific source of iron, diet with 50, 100 and 150 ppm iron from S and diet with 50, 100 and 150 ppm iron from ICAPC), six replications and three animals per experimental unit. Performance parameters (average daily gain - ADG, feed: gain ratio - F:G) and blood variables (hemoglobin - Hb, hematocrit - Ht, transferrin - TR, latent iron-binding capacity - LIBC, total iron-binding capacity - TIBC, serum iron - Fe and transferrin saturation index - TSI) were evaluated. At the end of the experiment a piglet from each experimental unit was slaughtered and its liver and spleen removed for assessment of iron concentration by flame atomic absorption spectrometry (FAAS). The evaluated sources of iron yielded similar results for the variables of interest, but the increase in iron intake was followed by a linear increase in ADG, Hb, Ht, Fe and TSI as well as a linear decrease in the values of F:G, TR, LIBC and TIBC. Iron bioavailabilities from both ICAPC and S sources are similar for weanling piglets.

Desidratação e balanço hídrico de um anfíbio anuro (Rhinella schneideri)

A manutenção do balanço hídrico ou de água é particularmente desafiadora para os anfíbios em virtude de seu tegumento altamente permeável e o risco associado de perda evaporativa de água. Neste sentido, anuros terrestres exibem uma grande diversidade de mecanismos que atuam na diminuição da perda evaporativa de água e contribuem para a manutenção de um balanço hídrico adequado. Ademais, algumas espécies de anuros são conhecidas por tolerar altos níveis de desidratação e por engajar-se em atividades de rotina na natureza, ainda que sob níveis variáveis de desidratação. Finalmente, o próprio nível de desidratação pode acarretar alterações nos fatores envolvidos na manutenção do balanço de água dos anuros, aspecto muito pouco explorado em espécies terrestres neotropicais. Dessa forma, no presente estudo, mensuramos as taxas de perda evaporativa de água (PEA), reidratação a partir de água livre (Re) e calculamos a resistência da pele a desidratação (RP) em indivíduos adultos de Rhinella schneideri submetidos experimentalmente a diferentes níveis de desidratação (99%, 90%, 80% e 70% da massa corpórea inicial). Ademais, medimos as alterações causadas pela desidratação na osmolalidade plasmática (Osm), hematócrito (Htc), concentração de hemoglobina no sangue ([Hb]) e massa percentual dos órgãos viscerais. O objetivo central deste estudo foi avaliar os efeitos potenciais de diferentes níveis de desidratação sobre indicadores e repostas fisiológicas relevantes para a manutenção do balanço hídrico em uma espécie de anfíbio anuro terrestre. Nossos resultados mostram que quanto mais desidratados os animais, maiores a RP, a Re, a Osm, o Htc e a [Hb], e menores a PEA, e a massa percentual do fígado e do rim. O aumento da Osm, Htc e [Hb] indicam uma diminuição do compartimento aquoso do sangue, o que pode estar relacionado ao aumento da Re. A relação entre diminuição da PEA e aumento da...

Associação entre concentração sérica de vitamina D e alterações da massa muscular esquelética em pacientes com doenças inflamatórias intestinais

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)