Diagnóstico y características del queratocono mediante topografía corneal en el Hospital Santa Inés. Cuenca 2012-2014

Antecedentes: El Queratocono es un problema oftalmológico que se presenta en la edad adulta temprana, es generalmente bilateral y afecta indistintamente a ambos sexos. Representa la primera causa de trasplante corneal en países desarrollados. En el Ecuador existe escasa evidencia acerca de esta patología. Objetivo general: Establecer el diagnóstico y características del queratocono en pacientes con astigmatismo mayor a 1 dioptría (D) mediante topografía corneal en la consulta externa de oftalmología en el Hospital Santa Inés de Cuenca. Metodología: Se realizó un estudio retrospectivo, observacional y descriptivo. Se estudió las topografías corneales de pacientes con astigmatismo mayor a 1 Dioptría que asistieron a consulta externa de oftalmología en el Hospital Santa Inés de Cuenca entre enero del 2012 a diciembre del 2014. Los datos fueron recolectados del Topógrafo “Atlas 9000” y mediante el programa SPSS Statistics versión 20 se realizó el análisis de los datos. Para el diagnóstico se utilizaron los criterios de Rabinowitz y McDonnell modificados, y para su clasificación, se utilizaron los criterios queratométricos. Resultados: La frecuencia de queratocono fue 28,6%, el 53.1% fueron hombres y el 46.9% mujeres, fue bilateral en el 56.3% de los casos. El grupo de edad más afectado fue el de 20 a 39 años. El 75% de pacientes con queratocono presentó astigmatismo severo y el grado de queratocono incipiente fue el predominante con el 46,9%. Conclusiones: La alta frecuencia de queratocono, demuestra que nos encon-tramos frente a un grave problema de salud que muchas veces pasamos por alto y que compromete seriamente a la población joven

Deciphering proteome dynamics using cell-type selective metabolic protein labeling in the fruit fly Drosophila melanogaster

Otto-von-Guericke-Universität Magdeburg, Fakultät für Naturwissenschaften, Dissertation, 2016

Correlacion entre hemoglobina glicosilada con hallazgos sintax score ii en pacientes con sospecha clínica de enfermedad coronaria, hospitalizados en la unidad coronaria del hospital San José centro en enero a septiembre del año 2015

Se realiza un estudio de corte transversal en el periodo de enero a septiembre del año 2016 en la unidad coronaria del Hospital San José Centro de la Ciudad de Bogotá; en pacientes con sospecha de enfermedad coronaria (Síndrome coronario agudo y angina estable) y antecedente de Diabetes Mellitus Tipo 2, se recolectaron 42 pacientes con los criterios de inclusión a quienes se realizó angiografía coronaria como parte del protocolo de estudio y manejo de la unidad, el objetivo primario fue demostrar la posible correlación entre niveles de hemoglobina glicosilada y la escala de severidad SYNTAX Score I y II de enfermedad coronaria, como objetivos secundarios; caracterizar las variables sociodemográficas, comorbilidades y posible relación con el tipo de presentación de enfermedad coronaria. Como hallazgos relevantes no se encontró correlación importante ni significativa entre niveles de hemoglobina glicosilada y la escala Syntax score II ni Syntax score I, a pesar de que la mayoría de pacientes mostraban mal control crónico de su diabetes mellitus tipo 2, con niveles mayores > 7%, como hallazgo positivo se encontro asociación estadísticamente significativa con niveles de LDL y las diferentes formas de presentación de enfermedad coronaria, a mayor niveles de LDL mayor probabilidad de IAM e IAM con elevación del segmento ST. Se considera que con estudios multicentricos en diferentes ciudades y unidades de cuidado cardiovascular con diferentes niveles de riesgo, se podría demostrar la posible correlación entre niveles de hemoglobina glicosilada y los grados de severidad de enfermedad coronaria representados por las escalas Syntax score I y II.

Multicentric genome-wide association study for primary spontaneous pneumothorax

Despite elevated incidence and recurrence rates for Primary Spontaneous Pneumothorax (PSP), little is known about its etiology, and the genetics of idiopathic PSP remains unexplored. To identify genetic variants contributing to sporadic PSP risk, we conducted the first PSP genome-wide association study. Two replicate pools of 92 Portuguese PSP cases and of 129 age- and sex-matched controls were allelotyped in triplicate on the Affymetrix Human SNP Array 6.0 arrays. Markers passing quality control were ranked by relative allele score difference between cases and controls (|RASdiff|), by a novel cluster method and by a combined Z-test. 101 single nucleotide polymorphisms (SNPs) were selected using these three approaches for technical validation by individual genotyping in the discovery dataset. 87 out of 94 successfully tested SNPs were nominally associated in the discovery dataset. Replication of the 87 technically validated SNPs was then carried out in an independent replication dataset of 100 Portuguese cases and 425 controls. The intergenic rs4733649 SNP in chromosome 8 (between LINC00824 and LINC00977) was associated with PSP in the discovery (P = 4.07E-03, ORC[95% CI] = 1.88[1.22–2.89]), replication (P = 1.50E-02, ORC[95% CI] = 1.50[1.08–2.09]) and combined datasets (P = 8.61E-05, ORC[95% CI] = 1.65[1.29–2.13]). This study identified for the first time one genetic risk factor for sporadic PSP, but future studies are warranted to further confirm this finding in other populations and uncover its functional role in PSP pathogenesis.

A gestão de recursos humanos numa organização de saúde

A Gestão de Recursos Humanos é uma área que nos últimos anos se tem vindo a destacar, possibilitando uma empresa a prosperar ou não. Assim, desde que as estratégias organizacionais sofreram uma redefinição, os recursos humanos das empresas são vistos como uma fonte de vantagem competitiva. Este Trabalho Final de Mestrado faz uma descrição das atividades desenvolvidas, segundo o plano elaborado, no estágio académico durante 6 meses, com vista ao desenvolvimento pessoal, mas acima de tudo profissional e de experiência na área dos Recursos Humanos, através do qual se visa a aquisição e o desenvolvimento de conhecimentos e aptidões de prática organizacional numa organização de saúde. A metodologia utilizada foi do tipo observação participante e a análise da teoria para melhor entender e agir diligentemente nas tarefas em que se participa. O trabalho final seguirá a forma de um Relatório de Estágio e consequentes críticas que possam ter surgido durante o mesmo; Abstract: The Human Resources Management in a Health Organization The Human Resource Management is an area that in recent years has emphasized, enabling a company to prosper or not. So, since the organizational strategies suffered a redefinition, human resources companies are seen as a source of competitive advantage. This Master Final Work is a description of activities, according to the plan drawn up in the academic internship for 6 months with a view to personal development, but above all professional and experience in the field of Human Resources, through which it aims the acquisition and development of knowledge and skills of organizational practice in a healthcare organization. The methodology used was the type participant observation and analysis of the theory to better understand and act diligently on the tasks in which they participate. The final work will follow the form of an internship report and subsequent criticism that may have arisen in the meantime.

Thermoregulatory response in hair sheep and shorn wool sheep

This study’s main goal was to evaluate the thermoregulatory responses velocity through the variation of rectal temperature (RT), related to the thermolytic pathways, respiratory rate (RR) and sweating rate (SR) among different sheep breeds. Ninety female sheep, eighteen of each breed: Santa Ines and Morada Nova (Brazilian hair breeds), Texel, Suffolk and Ile de France (wool breeds) were challenged during three non-consecutive summer days (22◦42′S, 47◦18′W, and 570m of altitude, maximum air temperature of 33.5◦C, average relative humidity of 52±6.9%). The physiological variables were registered at 0800h (T1), 1300 h (T2: after 2 h of shade rest), 1400 h (T3) (after one hour of sun exposure) and in the shade at 1415 h (T4), 1430 h (T5), 1445 h (T6) and 1500 h (T7) and a thermotolerance index (TCI) was calculated as (10-(T7 to T4)-T1). The statistical analysis was performed by a mathematical model including the fixed effects of breeds and time frames, and the interaction between these effects, besides random effects such as animal and day. The Santa Ines breed presented the lowest RT after sun exposure (39.3 ± 0.12 ◦ C; P < 0.05) and it was the only one to recover morning RT 60 min after heat stress (38.7 and 38.9 for 1300 h and 1500 h; P > 0.05). Hair breeds presented RR lower (P < 0.05) than wool breeds. Although thick wool or hair thickness differs among and within hair and wool breeds (P < 0.05), SR did not differ among breeds and time (227.7 ± 16.44 g m−2 h−1 ; P > 0.05). The thermotolerance index did not differ among breeds, but it showed similar response (P > 0.05) 45 min or 1 h of shade after sun exposure. One week post shearing is not enough to wool breeds present to show thermotolerance similar to hair breeds.

NIR spectrocospy can evaluate the crystallinity and the tensile and burst strenghts of nanocellulosic films.

The near infrared (NIR) spectroscopy presents itself as an interesting non-destructive test tool as it enables a fast, simple and reliable way for characterizing large samplings of biological materials in a short period of time. This work aimed to establish multivariate models to estimate the crystallinity indices and tensile and burst strength of cellulosic and nanocellulosic films through NIR spectroscopy. NIR spectra were recorded from the films before tensile and bursting strength, and crystallinity tests. Spectral information were correlated with reference values obtained by laboratory procedures through partial least square regression (PLS-R). The PLS-R model for estimating the crystallinity index presented a coefficient of determination in cross-validation (R2cv) of 0,94 and the ratio of performance to deviation (RPD) was 3,77. The mechanical properties of the films presented a high correlation with the NIR spectra: R2p = 0,85 (RPD = 2,23) for tensile and R2p = 0,93 (RPD = 3,40) for burst strength. The statistics associated to the models presented have shown that the NIR spectroscopy has the potential to estimate the crystallinity index and resistance properties of cellulose and nanocellulose films on in-line monitoring systems.

Avaliação do desempenho produtivo de ovinos Santa Inês FecGE.

2016

Qualidade da carne de ovinos puros e cruzados criados no Semiárido Nordestino brasileiro.

Resumo: A procura por carne de qualidade tem proporcionado ao setor de ovinocultura a adoção por técnicas de produção que possam contribuir para disponibilizar ao mercado produtos que atendam as necessidades dos consumidores, que se tornam cada vez mais exigentes quanto à aquisição de produtos que possam trazer benefícios a saúde. Assim, objetivou-se determinar a qualidade da carne de ovinos puros e cruzados criados no semiárido Nordestino. Utilizaram-se 30 cordeiros machos e fêmeas, oriundos dos cruzamentos Morada Nova x Morada Nova, Rabo Largo x Morada Nova e Santa Inês x Morada Nova, alojados em baias e alimentados com dieta a base de capim Canarana, milho farelo de soja e calcário. Os animais foram abatidos com peso médio de 24 kg de peso vivo e as carcaças mantidas em câmara frigorífica a 4?C, por 24 horas. Após esse período, foi seccionado o músculo Longissimus dorsi que foi embalado, identificado e armazenado a 20?C. Foram determinados os atributos físicos de capacidade de retenção de água, perda de peso por cocção e força de cisalhamento; os atributos químicos como umidade, proteína, cinza, lipídios e colesterol; avaliações subjetivas da carcaça como cor, marmoreio, textura da carne, distribuição da gordura, espessura da gordura e área de olho de lombo; os sensoriais de dureza, suculência, sabor, aroma e aceitação global e o perfil de ácidos graxos. O delineamento utilizado foi em esquema fatorial 3x2 (três grupos genéticos e dois sexos) e as médias comparadas pelo teste de Duncan a 5%. Não houve diferença (p>0,05) entre os genótipos para a composição química da carne, exceto para a variável lipídio (p<0,05). Para as características subjetivas da carcaça o genótipo influenciou (p<0,05) nas variáveis cor, marmoreio e textura da carne. O genótipo promoveu efeito (p<0,05) para as características físicas de capacidade de retenção de água e perda de peso por cocção. Os atributos sensoriais não sofreram efeitos (p>0,05) dos genótipos avaliados. Os genótipos influenciaram (p<0,05) as concentrações dos ácidos graxos saturados, monoinsaturados e poli-insaturados assim como, nas relações ?3:?6 e AGM:AGS. O fator sexo influenciou (p<0,05) nas variáveis umidade, força de cisalhamento, dureza, ácidos graxos desejáveis e relação ?3:?6. O cruzamento entre raças nativas mostrou-se com potencial para a produção de carne de qualidade, a raça Morada Nova melhorou os atributos físico-químicos da carne e em seu perfil lipídico e, o fator sexo melhorou o atributo maciez dando destaque a carne das fêmeas. Abstract: The demand for quality meat products has given the sheep industry sector productions techniques that can contribute providing the market with products that supply the needs of consumers require, who are becoming more demanding as the acquisition of differentiated and bring health benefits. The objective was to evaluate the quality of the pure sheep meat and cross bred in the semiarid Northeast of Brazil. It was used 30 male lambs and female, that came from crosses Morada Nova x Morada Nova, Rabo Largo x Morada Nova and Santa Ines x Morada Nova, housed in pens and fed a diet of grass Canarana, corn soybean meal and limestone. The animals were slaughtered at average weight of 24 kg, live weight, and carcasses kept in refrigeration chamber at 4 ° C for 24 hours. After this period the Longissimus dorsi muscle was selected, packaged, labeled and stored at 20˚C. The physical attributes were determined such as water holding capacity, cooking weight loss and shear force; the chemical attributes such as moisture, protein, ash, lipids and cholesterol; Subjective evaluations such as color, marbling, meat texture, fat distribution, fat thickness and loin eye area; the hardness sensory, juiciness, flavor, aroma and global acceptance and fatty acid profile. The design was a 3x2 factorial arrangement (three genetic groups and two genders) and the measures compared by Duncan test at 5%. There was no difference (p> 0.05) between genotypes for the chemical composition of meat, except for the lipid variable (p <0.05). To the subjective characteristics of the carcass, the genotype influenced (p <0.05) in the variables color, marbling and meat texture. The genotype promoted significant effect (p <0.05) for the physical characteristics, water retention capacity and weight loss on cooking. The sensory attributes did not suffer significant effects (p> 0.05) of the evaluated genotypes. The genotypes influenced (p <0.05) in the concentrations of saturated fatty acids, monounsaturated and polyunsaturated as well as in the relations ω3: ω6 and AGM:AGS. The gender factor influenced (P <0.05) in the variables moisture, shear strength, hardness, desirable fatty acids and relation ω3: ω6. The cross between native breeds showed up with potential for quality meat production, the Morada Nova improved the physical and chemical attributes of the flesh and in their lipid profiles and sex factor improved softness attribute highlighting the meat of females.

Surface wettability of Brazilian tropical wood flooring treated with He plasma.

This study investigated the effect of plasma treatment on changes of surface wettability of wood flooring from two Brazilian tropical species, Hymenaea spp. (rode locus) and Tabebuia spp. (lapacho). Wood flooring samples were plasma treated at low pressure in a helium atmosphere. Energy level was set at 100 W and four glow discharge times (5, 15, 30 and 45 s) were tested. Changes in wettability were investigated by measuring apparent contact angle, droplet volume and spreading contact area. The results showed less susceptibility of lapacho wood to the plasma treatments, while reduction of apparent contact angle in rode locus wood reached up to 76% for longer discharge times. In general, discharge time of 15 s produced the same effect as discharge of 45 s on wettability, which is important for industrial applications. Visual analyses revealed increase of water droplet spreading on lapacho wood surface, even though the variation of spreading contact area was not significant. Plasma treatment is feasible to improve wettability of tropical woods. Nevertheless, these findings should be investigated further due to the intrinsic characteristics of woods from tropical species.

Influence of lactation stages and rain periods on subclinical mastitis in meat producing ewes.

Mastitis negatively influences the survival and weight gain of ovines for meat production. The purpose of this study was to investigate, in sheep for meat production, the occurrence of subclinical mastitis in ewes at the end of lactation and beginning of the consecutive lactation and to assess the composition and cellular characteristics of milk as a function of different rainfall indices. Mammary halves (821) of Santa Ines (479) and Morada Nova (342) ewes were examined. Milk samples were collected in two different moments of lactation: at weaning and postpartum of the consecutive lactation. Sample collection periods were called ?dry? or ?rainy? according to the rainfall index in the month immediately before the month of collection. The occurrence of subclinical mastitis at weaning in the Santa Ines and Morada Nova ewes were 16.4 and 12.6% in the dry period, and 17.7 and 23.5% in the rainy period, respectively. In the consecutive lactation period, the occurrences were 26.7 and 27.7% in the dry period and 41.8 and 39.1% in the rainy period, for the Santa Ines and Morada Nova ewes, respectively. Postpartum stage was critical for the occurrence of subclinical mastitis, as compared to that at the end of the previous lactation. Occurrence of the disease negatively influenced the SCC in the milk at the beginning of lactation and changed its composition, mainly in the rainiest periods, probably due to a difficulty in maintaining hygiene in the environment where the animals remained.

Introdução e produção de fruteiras de clima temperado em regiões tropicais.

A região nordeste, mediante a participação dos seus polos irrigados, é a principal região produtora e exportadora de frutas tropicais frescas do Brasil. A região possui mais de 300.000 ha irrigados localizados nos diversos estados e norte de Minas Gerais, cultivando, principalmente, mangueiras, videiras, bananeiras, cajueiros, citros, coqueiros, goiabeiras, aceroleiras, meloeiros, melancieiras, dentre outras.

Functional relationship of colorectal cancer-associated glycans with malignant phenotype and transcriptome changes

Glycosyltransferases ST6GAL1 and B4GALNT2 (and their cognate antigens Sia6LacNAc and Sda, respectively) are associated with colorectal cancer (CRC) but it is not fully clear their biological and clinical significance. We explored the clinical relevance of both glycosyltransferases by interrogating The Cancer Genome Atlas (TCGA) database while the phenotypic/transcriptomic effects of ST6GAL1/B4GALNT2 overexpression were studied in genetically modified CRC cell lines. Transcriptomic data from CRC patients in TCGA database suggested a moderate impact of ST6GAL1 on CRC progression, although it was not possible to define a clear role for this glycosyltransferase. Transcriptomic analysis of ST6GAL1-transduced cell lines revealed a much deeper effect of ST6GAL1 on gene expression in SW948 than in SW48. The overexpression of ST6GAL1 induced opposite effects on soft agar growth and wound healing in both cell lines. These results indicate that the impact of a cancer-associated glycosyltransferase change on phenotype/transcriptome can be extremely variable, depending on the molecular context of the tumor cell. On the contrary, transcriptomic analysis of B4GALNT2-modified cell lines together with TCGA database survey demonstrated a strong impact of B4GALNT2 on the transcriptional activity of CRC cells, in particular its association with a better prognosis. We suggest an anti-tumoral role of B4GALNT2 in CRC. We also investigated the glycan changes related to ST6GAL1/B4GALNT2 expression in a small cohort of tissues/plasma as well as the N-glycomic profile of CRC, normal and polyp tissues. We found an increase of ST6GAL1 activity in CRC and inflammatory bowel disease plasma samples comparing with plasma from healthy donors. A different Sda protein carrier pattern was observed between healthy donors and CRC plasma samples. β-arrestin 1 is a possible candidate as Sda carrier protein in plasma samples although future validation studies are needed. The alterations found in the N-glycan pattern highlight the importance of N-glycome as a molecular signature in cancer.

Design and characterization of polymorphs and co-crystals of organic molecular semiconductors

In the last decades, organic semiconductors have attracted attention due to their possible employment in solution-processed optoelectronic and electronic devices. One of the advantages of solution processing is the possibility to process into flexible substrates at low cost. Organic molecular materials tend to form polymorphs, which can exhibit very different properties. In most cases, the control of the crystal structure is decisive to maximize the performance of the final device. Although organic electronics have progressed a lot, n-type organic semiconductors still lag behind p-type, presenting challenges such as air instability and poor solubility. NDI derivatives are promising candidates for applications in organic electronics due to their characteristics. Recently, the structure-properties relationship and the polymorphism of these molecules have gained attention. In the first part of this thesis, NDI-C6 thermal behavior was extensively explored which revealed two different behaviors depending on the annealing process. This study allowed to define the stability ranking of the NDI-C6 bulk forms and to determine the crystal structure of Form γ at 54°C. Additionally, the polymorphic and thermal behavior of thin films of NDI-C6 was also explored. It was possible to isolate pure Form α, Form β, Form γ and a new metastable Form ε. It was also possible to determine the stability ranking of the phases in thin films. OFETs were fabricated having different polymorphs as active layer, unfortunately the performance was not ideal. During the second part of this thesis, core-chlorinated NDIs with fluoroalkyl chains were studied. Initially, the focus was on the polymorphism of CF3-NDI that revealed a solvate form with a very interesting molecular arrangement suggesting the possibility to form charge transfer co-crystals. In the last part of the thesis, the synthesis and characterization of CT co-crystal with different NDI derivatives, and acceptor and as donor BTBT and ditBu-BTBT were explored.

Controle da hipercolesterolemia em pacientes hipertensos na área da ESF Jardim Europa, Sete Lagoas, Minas Gerais

Um dos principais problemas de saúde diagnosticados na área da estratégia de saúde da família Jardim Europa foi na hipercolesterolemia em pacientes com hipertensão arterial sistêmica. Observou-se a dificuldade no controle do colesterol em níveis considerados adequados em uma grande quantidade de usuários devido ao uso incorreto dos medicamentos e uma alimentação inadequada. Foi importante avaliar e elaborar um plano de intervenção com o objetivo de controlar a hipercolesterolemia em pacientes com hipertensão arterial sistêmica, o qual visa contribuir para melhora da qualidade de saúde. O presente trabalho foi realizado através de três etapas: revisão de literatura diagnóstico situacional, e elaboração do plano de intervenção, seguindo o método do planejamento estratégico situacional. A revisão da literatura foi feita a partir de uma pesquisa online através do acesso ao centro de informação da Biblioteca Virtual em Saúde (BVS), da base de dados: Literatura Latino Americana e do Caribe em Ciências da Saúde (LILACS), Scientific Electronic Library Online (SCiELO). Dentro das principais propostas apresentadas foram aumentar o conhecimento acerca da hipercolesterolemia, adoção ao modo e estilos de vida saudáveis pelos pacientes em estudo, aumentar o atendimento dos pacientes com fatores de riscos e aumentar a realização de atividades de promoção e prevenção em saúde. Como resultado, este trabalho pretende ser uma ferramenta útil no auxilio da equipe de saúde, a instrumentalizando para lidar com os problemas do dia a dia da unidade como o empoderamento da população, através de ações de promoção e prevenção da saúde, e assim ter uma população mais consciente e informada, pretendendo diminuir o número de pessoas que fazem uso excessivo de gorduras e sal.