The frequency of pharmacological pain relief in university neonatal intensive care units

Objective: To evaluate the use of drugs to relieve the pain of invasive procedures newborn infants cared for at a university hospital NICU. Methods: A prospective cohort study of all newborn infants hospitalized in four NICU during October 2001. The following data were collected: demographic data of the hospitalized newborn infants; clinical morbidity; number of potentially painful procedures and frequency of analgesic administration. Factors associated with the use of analgesia in this cohort of patients were studied by multiple linear regression using SPSS 8.0. Results: Ninety-one newborn infants were admitted to the NICU during the study period (1,025 patient-days). Only 25% of the 1,025 patient-days received systemic analgesia. No specific drugs were administered to relieve acute pain during any of the following painful events: arterial punctures, venous, capillary and lumbar punctures or intubations. For chest tube insertion, 100% of newborn infants received specific analgesia. For the insertion of central catheters 8% of the newborn infants received painkillers. Only nine of the 17 newborn infants that underwent surgical procedures received any analgesic dosage during the postoperative period. For 93% of patients under analgesia the drug of choice was fentanyl. The presence of mechanical ventilation increased the chance of newborn infants receiving painkillers by 6.9 times and the presence of chest tube increased this chance by five times. Conclusion: It is necessary to train health professionals in order to bridge the gap between scientific knowledge regarding newborn infant pain and clinical practice. Copyright © 2005 by Sociedade Brasileira de Pediatria.

Levantamento florístico em remanescente de floresta ripária no alto rio Paraná: Mata do Araldo, Porto Rico, Paraná, Brasil

The purpose of this study was to realize a floristic survey in riparian forest remains of the Upper Paraná River, under domain of the submontane seasonal semideciduous forest, located in Porto Rico, Paraná, Brazil (53°19'3 W e 22°47'37 S). Within and in the neighborhood of 10.000 m2 area (100 m × 100 m), 165 species were surveyed, in 124 genera and 60 families, distributed in arboreous, shrubs, herbs, climbers and hemiparasites. Leguminosae, Myrtaceae, Poaceae, Rubiaceae, and Bignoniaceae were the families with the highest species' richness, showing together 33.33%, and the genera more representative were Eugenia, Casearia, Guarea, Inga, Panicum, and Solanum, with 12.73% of the species. Though the perturbations verified in the forest remains, eight species were rare for this type of vegetation and 12 were listed as fishes natural food.

Papel das Yops secretadas por Yersinia sobre a resposta imune do hospedeiro

The genus Yersinia contains three species pathogenic to humans: Y. pestis, Y. enterocolitica e Y. pseudotuberculosis. The pathogenicity of Yersinia is linked to the presence of a 70-kb virulence plasmid (pYV) that is common to the three species and codifies a type III secretion system and a set of virulence proteins, including those known as Yersinia outer proteins (Yops), that are exported by this system when the bacteria encounter host cells. Two Yops translocators (YopB and YopD) are inserted into the host plasma membrane and transport six effectors (YopO, YopH, YopM, YopJ and YopT) across the membrane into the cytosol of the host cell. The Yops effectors interfere with multiple signaling pathways of the infected cell, affecting both the innate and adaptive immune responses. This article focuses on the role of Yops in the modulation of the host immune response.

TGF-β and new bone formation

The aim of this work is to present, by a literature review, the principal characteristics of TGF-beta, in the regulation and new bone formation. © 2007 Sociedad Chilena de Anatomía.

A meniralização dental e a atividade salivar estão reduzidas em filhotes de ratas espontaneamente hipertensas (SHR)

Several pathologies have been diagnosed in children of hypertensive mothers; however, some studies that evaluated the alterations in their oral health are not conclusive. This study analyzed the salivary gland activity and dental mineralization of offsprings of spontaneously hypertensive rats (SHR). Thirty-day-old SHR males and Wistar rats were studied. The salivary flow was evaluated by injection of pilocarpine, the protein concentration and salivary amylase activity, by the Lowry method and kinetic method at 405 nm, respectively. Enamel and dentin mineralization of the mandibular incisors was quantified with aid of the microhardness meter. The results were analyzed by the ANOVA or Student's t test (p<0.05). It was noticed that the salivary flow rate (0.026 mL/min/100 g±0.002) and salivary protein concentration (2.26mg/mL±0.14) of SHR offspring were reduced compared to Wistar normotensive offspring (0.036 mL/min/100 g±0.003 and 2.91 mg/mL±0.27, respectively), yet there was no alteration in amylase activity (SHR: 242.4 U/mL±36.9; Wistar: 163.8 U/mL±14.1). Microhardness was lower both in enamel (255.8 KHN±2.6) and dentin (59.9 KHN±0.8) for the SHR teeth compared to the Wistar teeth (enamel: 328.7 KHN±3.3 and dentin: 67.1 KHN±1.0). These results suggest that the SHR offspring are more susceptible to development of pathologies impairing oral health, once they presented lesser flow and salivary protein concentration and lower dental mineralization.

Crédito e pequena cafeicultura no oeste paulista: Franca/SP 1890-1914

This article turns on the importance of the small coffee production in the coffee complex economy between 1890 and 1914. We argue here the relations of work, the forms of financing and the way as the small coffee production inserts itself in this universe. We use as priority sources the employment contracts that involved the formation and/or the treatment of coffee trees and the Writes of mortgage debts, both recorded in Notarial Books, documents not used by historiography in a systematical way. We turns our look for a region marked predominantly for small and the middle producing farms of coffee, observing the dynamics of the accumulation in a period of expansion and crisis of the coffee economy.

Effect of organic acids and probiotics on Salmonella enteritidis infection in broiler chickens

The effect of an organic acid mixture (OA) and a Lactobacillus-based probiotic culture on Salmonella enteritidis (SE) infection in broiler chicks was evaluated. In exp. 1, chicks were challenged by oral gavage with SE, held in chick boxes for 2 h and randomly assigned to either untreated control or continuous OA treatment in the drinking water. Crop and cecal tonsils were cultured at 48 h and 5 d post-challenge for recovery of SE. Recovery of SE in the crop and cecal tonsils at 48 h was significantly (p<0.05) lower in the OA treated group as compared to control chickens but not different at 5d. In exps.2 and 3, chicks were SE challenged, held in chick boxes for 2 h and randomly assigned to either untreated control, probiotic, OA, or probiotic+OA. After 24 or 48 h, crop and cecal tonsils were cultured for the presence or absence of SE. After 24 h, probiotic or probiotic+OA significantly reduced SE recovery from the crop as compared to controls. All treatments reduced SE recovery from the cecal tonsils at 24 h. While no significant differences were observed in SE recovery from crop at 48 h, SE recovery from probiotic and or probiotic+OA groups was significantly lower than the controls in the cecal tonsils. These data suggest that combination treatment with the selected OA and Lactobacillus-based probiotic culture is more effective than individual treatment for Salmonella reduction in chicks. © Asian Network for Scientific Information, 2007.

Avaliação da importância da unidade de conservação na preservação da diversidade de Chironomidae (Insecta: Diptera) no córrego Vargem Limpa, Bauru, Estado de Sáo Paulo

This study evaluated the water quality of the Vargem Limpa stream and tested the hypothesis that protected stretches of the aquatic system, located within a conservation unit, favor the preservation of the diversity of Chironomidae (Insecta: Diptera). Samplings were conducted in four stations, where some physical and chemical variables were measured. The results obtained by the study indicated the predominance of genera associated with arenaceous substrata, and that the stretches protected by the conservation unit presented better environmental conditions, with better-preserved Chironomidae diversity, demonstrating the importance of these areas in maintaining the diversity of Chironomidae.

Mitochondrial genome sequence of the Brazilian luminescent click beetle Pyrophorus divergens (Coleoptera: Elateridae): Mitochondrial genes utility to investigate the evolutionary history of Coleoptera and its bioluminescence

The Coleoptera order is the richest group among Metazoa, but its phylogenetics remains incompletely understood. Among Coleoptera, bioluminescence is found within the Elateroidea, but the evolution of this character remains a mystery. Mitochondrial DNA has been used extensively to reconstruct phylogenetic relationships, however, the evolution of a single gene does not always correspond to the species evolutionary history and the molecular marker choice is a key step in this type of analysis. To create a solid basis to better understand the evolutionary history of Coleoptera and its bioluminescence, we sequenced and comparatively analyzed the mitochondrial genome of the Brazilian luminescent click beetle Pyrophorus divergens (Coleoptera: Elateridae). © 2007 Elsevier B.V. All rights reserved.

The adjustment process in the 1980s: the need for a global approach

Includes bibliography

La conformación del Area de Libre Comercio de las Américas, ALCA: aspectos institucionales y comerciales

Resumen En la Cumbre de las Américas, celebrada en Miami en diciembre de 1994 se acordó establecer un Área de Libre Comercio de las Américas (ALCA), a fin de crear un espacio continental de libre comercio antes del 2005. Desde una perspectiva institucional, el ALCA reconoce sus antecedentes en la Iniciativa de las Américas (IA), que privilegiaba las negociaciones entre grupos de países, en detrimento de las bilaterales. En un principio se había planteado como una propuesta de profundizar las reformas económicas implantadas por los países latinoamericanos con objeto de abrir sus economías a la competencia externa y permitir que el mercado se transformara en el principal asignador de recursos. El ALCA representa el más importante acuerdo de integración regional firmado entre países desarrollados y no desarrollados con miras a establecer el libre flujo comercial entre sus economías. Coherente con las disposiciones multilaterales de la Organización Mundial del Comercio (OMC), el acuerdo pretende incorporar a la negociación la inversión en bienes y servicios siguiendo reglas comerciales definidas y transparentes; compras del sector público y políticas de competencia; y sentar las bases para la inclusión de temas tales como la agricultura y acceso a mercados, servicios e inversión, políticas de competencia y subsidios, procedimientos antidumping y derechos compensatorios. La actual estructura de negociación se compone de la presidencia, el comité de negociaciones comerciales, los grupos de negociación y el grupo consultivo sobre economías pequeñas. Los beneficios comerciales del ALCA se han concebido utilizando el análisis tradicional de las uniones aduaneras de creación y desviación de comercio, aunque se reconoce que este acuerdo, único en la historia, puede tener consecuencias impredecibles. Entre los obstáculos a su pleno cumplimiento sobresalen la ausencia de una política definida de 'vía rápida' y de un liderazgo significativo. Entre los posibles escenarios de conformación del ALCA, se distingue entre uno real, en el que los países pequeños y grandes cumplen con los compromisos adoptados, y otro llamado formal, en el que el ALCA se integra de manera incompleta por la ausencia de países o de algún país clave, por lo que carecería de significado político y económico. En el plano económico el ALCA se concibe como una unidad geográfica con 757 millones de personas, un producto interno bruto (PIB) de 8 billones de dólares y un comercio total de 2.4 billones de dólares. Uno de los fines de la creación de un área de libre comercio apunta al aprovechamiento del potencial del comercio intramericano. En principio, dicho potencial así como su materialización se reflejarían en la intensidad esperada de un intercambio comercial bilateral desde un país exportador hacia un país importador. A su vez la intensidad puede medirse mediante el grado de correspondencia o similitud entre la composición de las exportaciones e importaciones de los países del hemisferio americano. Este análisis de similitud puede llevarse a cabo entre países grandes y pequeños. En este documento se analiza en dos grandes apartados la institucionalidad del ALCA y el potencial del comercio vinculado con dicho tratado. Los aspectos institucionales incluyen los antecedentes del acuerdo 1, la estructura significativa actual, los beneficios derivados del comercio y los posibles escenarios de conformación del ALCA. Los aspectos económicos se centran en el cálculo de indicadores de similitud en los flujos comerciales de los países, utilizando una muestra de 15 miembros que integrarían el ALCA. Entre éstos no se incluyó a los Estados Unidos porque su estrecha relación comercial con los latinoamericanos podría sesgar los resultados obtenidos. Así, los indicadores de similitud en los flujos comerciales internacionales se limitarían a reflejar la intensidad comercial de países latinoamericanos seleccionados en ausencia de vínculos comerciales con los Estados Unidos. La metodololgía seguida es la propuesta por Van Beers y Linnemann (1993). Una vez obtenidos los indicadores de similitud por país y luego estos mismos a nivel de capítulo, se procedió a estimar su poder explicativo de los flujos comerciales actuales utilizando ecuaciones de gravedad.

Inserción internacional y políticas de desarrollo productivo

Incluye Bibliografía

Sperm motility of Prochilodus lineatus in relation to dilution rate and temperature of the activating medium

The objective of this study was to assess the effects of an activating solution on the sperm motility duration (SMD) of 'curimbatá', Prochilodus lineatus through of the definition of qualitative and quantitative parameters of the semen pool used in the experiment; evaluation of the effects of different ratios of semen dilution corresponding to 1-:-1, 1-:-2, 1-:-20, 1-:-200, 1-:-2000, 1-:-20-000 and 1-:-100-000 semen:dilute solution on the SMD and, assessment of the effects of different temperatures of the activating solution (5, 10, 15, 20, 25, 30, 35, 40, 45 and 50°C) on the SMD. The results of SMD were directly proportional to the dilution (P<0.05), starting from the dilution of 1-:-2 (semen:water), with 23.04-s. Were used three replicates of the semen pool for each test. Two-year-old brookstock were maintained in ponds culture conditions. In November-December 2006, twelve mature males broodfish were selected (mean weight and length of 405.8±134.2-g and 25.6±3.1-cm, respectively). The males released that semen under slight pressure of the urogenital papilla were selected for the experiment. The SMD increased proportionally to the increase in dilution, until it reached a maximum of 28.83-s for the ratio 1-:-100-000 semen: dilute solution. The results of SMD in relation to the temperature of the activating solution exhibited a quadratic behavior (P<0.05) with a maximum theoretical performance in terms of sperm motility duration of 21.36-s at a temperature of 17.3°C. Thus, for the species considered, the increase in the dilution ratio proved favorable for the rise in motility duration until the maximum value studied of 1-:-100-000 semen:dilute solution. As for the temperature of the activating solution, the best results of SMD were obtained at the temperature of 17.3°C. At higher temperatures used in the experiment (25, 30, 35, 40, 45 and 50°C), a decrease in motility duration. © 2010 Blackwell Verlag, Berlin.

Evaluation of bone ingrowth into porous titanium implant: Histomorphometric analysis in rabbits

A porous material for bone ingrowth with adequate pore structure and appropriate mechanical properties has long been sought as the ideal bone-implant interface. This study aimed to assess in vivo the influence of three types of porous titanium implant on the new bone ingrowth. The implants were produced by means of a powder metallurgy technique with different porosities and pore sizes: Group 1 = 30% and 180 μm; Group 2 = 30% and 300 μm; and Group 3 = 40% and 180 μm. Six rabbits received one implant of each type in the right and left tibiae and were sacrificed 8 weeks after surgery for histological and histomor-phometric analyses. Histological analysis confirmed new bone in contact with the implant, formed in direction of pores. Histomorphometric evaluation demonstrated that the new bone formation was statistically significantly lower in the group G1 than in group G3, (P = 0.023). Based on these results, increased porosity and pore size were concluded to have a positive effect on the amount of bone ingrowth.

Topologically massive yang-mills field on the null-plane: A hamilton-jacobi approach

Non-abelian gauge theories are super-renormalizable in 2+1 dimensions and suffer from infrared divergences. These divergences can be avoided by adding a Chern-Simons term, i.e., building a Topologically Massive Theory. In this sense, we are interested in the study of the Topologically Massive Yang-Mills theory on the Null-Plane. Since this is a gauge theory, we need to analyze its constraint structure which is done with the Hamilton-Jacobi formalism. We are able to find the complete set of Hamiltonian densities, and build the Generalized Brackets of the theory. With the GB we obtain a set of involutive Hamiltonian densities, generators of the evolution of the system. © 2010 American Institute of Physics.