Aplicação do teste SSW em indivíduos com perda auditiva neurossensorial usuários e não usuários de aparelho de amplificação sonora individual

OBJETIVO: comparar o desempenho de pacientes usuários e não usuários de AASI, por meio do teste SSW. MÉTODO: o estudo foi realizado em 13 sujeitos com idade entre 55 e 85 anos, com perda auditiva bilateral, sendo seis usuários de prótese auditiva bilateral e sete não usuários de prótese auditiva. O teste de processamento auditivo aplicado foi o teste de reconhecimento de dissílabos em tarefa dicótica SSW. Foi realizado um tratamento estatístico feito por meio da técnica Bootstrap e do Teste de Hipótese Kolmogorov-Smirnov. RESULTADOS: o grupo de usuários apresentou melhor desempenho nas condições estudadas do que o grupo de não usuários, principalmente nas condições competitivas. CONCLUSÃO: os resultados obtidos nessa pesquisa apontam para a eficácia do uso do AASI na melhora da compreensão de fala da população estudada, não somente pela compensação da perda auditiva periférica, mas também pela interferência no processo de envelhecimento do sistema nervoso auditivo central.

Perda endógena e exigência de fósforo para mantença de cabritos Saanen

O trabalho foi conduzido com o objetivo de avaliar os efeitos da ingestão de rações com diferentes níveis de fósforo, por cabritos em crescimento, sobre a perda endógena fósforo. Dezoito animais da raça Saanen, machos, castrados, com 4 a 5 meses de idade, peso vivo médio de 25 ± 1,2 kg, foram alojados, por 45 dias, em gaiolas de metabolismo. Os animais receberam rações com três níveis de P (0,08; 0,15; e 0,38% na matéria seca) e semelhantes níveis de proteína bruta, energia metabolizável e relação Ca:P. Após 38 dias de fase pré-experimental, os animais receberam injeção (0,5 mL) com 7,4 Mbq de 32P (Na2HPO4 - livre de carregador), via jugular esquerda. Foram coletados sangue, fezes, urina e sobras das rações. Utilizou-se delineamento inteiramente casualizado, fazendo-se a análise de regressão para o P ingerido. A ingestão média de P variou de 20,9 a 132,3 mg P/kg PV/dia e influenciou a excreção de P fecal. A quantidade de P endógeno variou de 7,6 a 45,4 mg/kg PV/dia e foi também influenciado pela ingestão de matéria seca e P inorgânico no plasma. A exigência líquida de mantença para os caprinos estudados foi de 6,87 mg/kg PV/dia.

Qualidade e valor nutritivo de silagens de capim-marandu (B. brizantha cv. Marandu) produzidas com aditivos ou forragem emurchecida

Avaliaram-se a qualidade e o valor nutritivo de silagens de capim-marandu produzidas com polpa cítrica (PC) peletizada, com aditivo enzimático-bacteriano (ABE) ou com forragem emuchercida (E): T1 - forragem sem tratamento (controle); T2 - 10% de polpa cítrica peletizada (PC); T3 - aditivo enzimático bacteriano (AEB - SIL-ALL-C4 da Alltech), à base de 5 g/L de água/t de forragem; T4 - forragem picada grosseiramente emurchecida por 4 horas ao sol. O capim foi colhido aos 60 dias de rebrota (24% MS). Para avaliar o consumo e a digestibilidade das silagens, foram utilizados 16 novilhos mestiços com 200 kg de PV, que receberam, além das silagens, 1,0 kg de concentrado/animal/dia. O AEB não afetou a composição da silagem, mas a PC e o E aumentaram o teor de MS de 24% para 31 e 48%, respectivamente, e reduziram o pH e os teores de N-NH3 das silagens, que foram, respectivamente, de 4,17 e 4,58 e 6,78 e 7,99% NT. A PC diminuiu os teores de FDN e FDA em 12 e 4 unidades percentuais. O consumo de MS da silagem produzida com capim emurchecido foi superior (111,8 g MS/PV0,75) ao das silagens controle ou com AEB, mas não diferiu do obtido para a silagem com PC, que também não diferiu das demais. Os tratamentos não afetaram a digestibilidade, cujas médias para MS, PB, CT, FDN, FDA e NDT foram 67,0; 65,4; 68,8; 63,0; 62,5; e 65,6%, respectivamente. A PC e o E reduziram a proteólise e estimularam o consumo. A PC, o E e o AEB não melhoraram o valor nutritivo da silagem de capim-marandu colhido com 24% MS.

Avanços metodológicos na avaliação da qualidade da forragem conservada

A avaliação correta do valor nutricional da forragem passa obrigatoriamente por emprego de metodologias adequadas. A qualidade da forragem depende dos produtos da fermentação, no caso da silagem, ou da magnitude das perdas de compostos solúveis e atuação de microrganismos no caso do feno. A abordagem do tema: Avanços metodológicos na avaliação da qualidade da forragem conservada, na 44ª Reunião Anual da Sociedade Brasileira de Zootecnia, tem como objetivo destacar as principais metodologias empregadas na avaliação específica de forragens conservadas, adicionais às avaliações tradicionais de composição químico-bromatológica desses volumosos, e colocar em discussão a necessidade de padronização de procedimentos analíticos. Assim, a revisão prioriza a descrição e sistematização de métodos físicos e químicos importantes para serem implementados na avaliação de forragens conservadas, na tentativa de homogeneizar tais procedimentos. Os recursos metodológicos disponíveis atualmente permitem não somente quantificar, mas também qualificar perdas ocorridas no processo de conservação, exposição aeróbia e oferta dos volumosos aos animais. Esse fato sugere que a adoção de estratégias de manejo dessas forragens deverá, preferencialmente, ser acompanhada de avaliação de perdas integradas no processo.

Características morfogênicas e estruturais do capim-marandu manejado sob pastejo intermitente com diferentes ofertas de forragem

Avaliaram-se as características morfogênicas e estruturais do dossel de Brachiaria brizantha, cv. Marandu, sob pastejo intermitente no período chuvoso, em diferentes ofertas de forragem e ciclos de pastejo. O delineamento experimental foi em blocos ao acaso, em esquema de parcelas subdivididas, com três repetições. Nas parcelas, avaliou-se o efeito das ofertas de forragem (4, 7, 10 e 13% do PV/dia) e, nas subparcelas, o efeito dos ciclos de pastejo. Todas as variáveis diferiram entre os ciclos de pastejo, comprovando grande influência das condições ambientais sobre as características avaliadas. A taxa de alongamento do colmo e a altura do dossel responderam linear e positivamente ao aumento da oferta de forragem. O número de perfilhos vegetativos nos piquetes com a menor oferta permaneceu constante ao longo de todo o período experimental, no entanto, nos piquetes com as demais ofertas, atingiu valores mais elevados nos ciclos intermediários. A densidade de perfilhos reprodutivos e totais ajustou-se ao modelo quadrático de acordo com a oferta de forragem. Pastos manejados com ofertas de forragem próximas a 4% PV/dia têm menor alongamento de colmos e tendem a reduzir as perdas por senescência. As variáveis ambientais exercem maior influência sobre as características morfogênicas e estruturais em comparação a ações de manejo como a oferta de forragem.

Produção e qualidade da forragem aproveitável de cultivares de guandu durante o período seco

This work was carried out at Boa Esperanca Farm, sited in Jeriquara, Northeast of São Paulo State aiming to study seven cultivars of Pigeonpea (Cajanus cajan (L.) Millsp). Ramdomized blocks design were used in a split-plot scheme studying the following cultivars: Empasc 307, Fava Larga, Branco de Minas, ICPL 304, ICPL 85063, ICPL 270 and LGR 30, being the last four of them of Indian origin. Cultivars were cut three times during the period May-October, 1992. These cuts were done every twelve weeks, when leaves, flowers, pods and branches were harvested with diameter equal or smaller than 6 mm; the set of these fractions was considered available forage. Results showed that the cultivars, except Empasc 307, always revealed higher percentage of leaves and, consequently, higher dry matter production of this fraction in relation to total available forage. The available forage production, as well as the crude protein and acid detergent fiber percentage and in vitro dry matter digestibility allow to recommend the LGR 30, ICPL 304, Branco de Minas and ICPL 270 cultivars as the most promising ones for utilization as protein banks to be used during dry season.

Coeficientes de perda de carga em valvulas e acessorios no escoamento laminar de fluidos nao-Newtonianos

Friction loss coefficients for laminar flow of xantan gum solutions (concentrations in the range of 0.1-0.5% by weight) through valves and fittings were experimentally determined. The rheological behavior, studied by means of a concentric cylinder rheometer, was pseudoplastic, being well described by the Ostwald-De Waele model with non-linear correlation coefficients (r) between 0.998 and 0.999. In the pressure drop measurements the following fittings were employed: completely open and half way open ball valve, completely open and half way open angle valve, tee used like coupling, tee used like a 90° elbow, short radius 90° elbow and coupling. The results showed that the friction loss coefficients increased with decreasing generalized Reynolds number. The friction loss coefficients could be well adjusted by a potential model, suggested by Kittredge & Rowley (1957) for Newtonian fluids, K f = A(Re g) -B, with correlation coefficients between 0.837 and 0.999.

Interação entre grau de perda auditiva e o incômodo com zumbidos em trabalhadores com história de exposição ao ruído

Hearing loss and tinnitus impact the lives of workers in every instance of their lives. Aim: this paper aims to investigate the existence of a dose-response relationship between hearing loss and tinnitus by determining whether higher levels of hearing loss can be associated with increased tinnitus-related discomfort. Materials and method: this cross-sectional case study assessed 284 workers exposed to occupational noise through pure tone audiometry. Test results were categorized as defined by Merluzzi. Individuals complaining of tinnitus answered the adapted and validated Brazilian Portuguese version of the Tinnitus Handicap Inventory. A generalized linear model was adjusted for binomial data to test the interaction between these factors. Results: over 60% of the ears analyzed had hearing loss, while more than 46% of them had tinnitus. Tinnitus prevalence and risk rates increased as pure tone audiometry results got worse. The association between both, considering all hearing loss degrees, was statistically significant. Conclusion: the results point to a statistical association between hearing loss and tinnitus; the greater the hearing loss, the greater the discomfort introduced by tinnitus. 2009 © Revista Brasileira de Otorrinolaringologia.

Estudo da perda da tensao do enxerto de tendão calcâneo bovino

Lesion of the anterior cruciate ligament (ACL) in the knee is a problem that affects animals as well as humans and may evolve with joint instability that is often symptomatic and incapacitating. The main option for ligament substitution is the autologous tendon graft. The graft undergoes tensioning during ACL reconstructive surgery to reestablish the normal laxity of the ACL- deficient knee. Although graft tensioning plays a fundamental role in postoperative clinical evolution, ideal tensioning levels have not been established in the literature. Therefore, graft elongation that may occur over time is still one of the main reasons for ligament reconstruction failure. In this study, ten bovine calcaneus tendons underwent two successive assays of physiological tensioning for a maximum deformation of 2.5% of the initial tendon length, maintained for 600s with force (N) values recorded at zero time (initial), 300s and 600s. At the end of the first assay, the tendon returned to its initial length and was maintained at rest for 300s and then the next tensioning assay was initiated, repeating the previous procedure. Statistical analysis revealed that tendon elongation is more pronounced during the initial 300s, reflecting a more accentuated decline in the tension values of the graft. Therefore, 300s after tensioning and fixing the graft, the surgeon can assess with more precision if the tensioning level was adequate.

Lipoperoxidação, perda de viabilidade celular e diminuição da liberação de IL-8 de neutrófilos humanos na presença de corpos cetônicos

Type-1 diabetes patients suffer from frequent episodes of acidosis caused by an increased fatty acid metabolism and consequently increased plasma level of acetoacetate (AcAc) and β-hydroxybutyrate (β-HOB). This article describes a study of the effects of pathological concentrations of AcAc and β-HOB on lipoperoxidation, cell viability and the release of the CXCL8 (IL-8) cytokine by activated neutrophils. Neutrophils from healthy donors were isolated by density gradient (Histopaque® 1077/1119) and incubated with the ketone bodies. Lipoperoxidation was determined as thiobarbituric acid reactive substances (TBARS). The cell viability was evaluated by the release of intracellular lactate dehydrogenase. The release of CXCL8 was measured by ELISA in a 24-h culture of opsonized zymosan-stimulated neutrophils. AcAc, but not β-HOB, provoked a dose-dependent increase in the neutrophil membrane lipoperoxidation (p<0.05; r =0.9915). In the cytotoxicity assay, a dose-dependent release of LDH was observed when the neutrophils were incubated with AcAc in concentrations up to 40 mM (p<0.05). β-HOB was devoid of effect. The release of CXCL8 was inhibited by AcAc and β-HOB in a dose-dependent manner. In conclusion, these results suggest that the accumulation of ketone bodies in diabetic patients could be involved in their usually increased susceptibility to infection.

Evolução da perda de peso entre indivíduos da fila de espera para a cirurgia bariátrica em um ambulatório multidisciplinar de atenção secundária à saúde

Objective: The objective of this study is to characterize the assistance and analyze patient's adherence to nutritional follow-up while in the waiting line for bariatric surgery in a multidisciplinary, secondary healthcare outpatient clinic. Methods: This retrospective study was based on the nutritional records of 59 patients subjected to bariatric surgery at the Hospital das Clinics de Botucatu, from 2001 to 2008. The population studied was distributed into 8 groups and analyzed according to follow-up duration. The analysis took into account the evolution of body weight and the number of follow-up visits in a given period. The Kruskal-Wallis test was used to compare data between groups while Spearman's coefficient was used to test correlations. Results: Among the 59 studied patients, 42 (71.2%) returned to the clinic at least once in six months. Of these, 67.8% lost weight while in the waiting line and 27.1% of them lost more than 10% of their body weight. The greatest weight losses in the preoperative period were found in the groups that had more than six months of nutrition follow-up. There was a mean delay of three months between return visits, which could have contributed to the low adherence to follow-up. Conclusion: The patients in the waiting line for surgery analyzed in this study presented low adherence to the long-spaced return visits. The greatest weight losses were observed in groups that had been followed for more than six months. This shows that, to achieve the desired weight loss and an adequate education process before surgery, at least six months of follow-up and regular visits are necessary.

Perda de carga em mangueiras gotejadoras novas e usadas

This paper aims to determine the importance of emitter ́s local head loss in the hydraulic design of hose drip lines, as well as comparing the result of equations that calculate the local head loss; besides verifying the influence of iron precipitated at the hose head loss made in Brazil. The result found that localized head loss represents 23% of the total head loss; the equations showed significant results and the total head loss increased in an average of 20% after the irrigation system was used with water rich in iron.

Produção de forragem de Tifton 85 adubado com nitrogênio e submetido à lotação contínua

The present assay was conducted at the Research and Development of Adamantina, SP, of the Agência Paulista de Tecnologia dos Agronegócios (APTA) - Pólo da Alta Paulista to evaluate the effect of nitrogen fertilization on morphological composition, density of tillers, leaf area index, light interception and herbage accumulation in grazed Tifton 85 subjected to continuous stocking system. The treatments consisted of four levels of nitrogen (0; 100; 200 and 400kg/ha/year of N), arranged in a randomized complete blocks experimental design with four replications. The grasslands of Cynodon cv. Tifton 85 studied influenced the time of evaluation and of nitrogen levels with a marked effect in morphological composition of the pasture, leaf area index, light interception and population density of tillers that were instrumental in the accumulation of forage. It was found a positive linear effect of nitrogen fertilization on the density of vegetative tillers, totals and herbage accumulation nitrogen fertilization had a marked effect on the amount of total and vegetative tillers, leaf area index in light interception and herbage accumulation. The cultivar Tifton 85 has not reached the necessary conditions for crop growth rate maximum when managed under continuous stocking keeping the grass to 10cm tall.

Densidade populacional de pratylenchus spp. em pastagens de brachiaria spp. e sua influência na disponibilidade e na qualidade da forragem

The aim of this work was to evaluate the population density of Pratylenchus brachyurus and Pratylenchus zeae associated with Brachiaria brizantha, B. decumbens and B. humidicola and their influence on forage availability and quality. The experiment was conducte in the Hisaeda Farm, Terenos, MS, Brazil. Soil, roots and plant aerial part were harvest with ten replications each, in one square meter randomized sets encompassing three treatments: Good, Intermediary and Bad, visually characterized, considering the percentage of green material. P. brachyurus and P. zeae density were evaluated in soil and plant roots. Dry matter of green, dead and re-growth materials, plant nutritional status and forage quality were assessed in the aerial plant part. Soil fertility was determined in all harvested samples. Both nematode species were identified from all samples, with a larger numbe in the roots (between 87-311 P. brachyurus and 1-61 P. zeae.10 g-1) than in the soil (0-8 P. brachyurus and 1-39 P. zeae.200 cm-3), however, no significant differences were found in the number of specimens between treatments. Considering that these forage species are perennial and host Pratylenchus spp, there is a tendency to increase the population of these pathogens over time, becoming a serious phytosanitary problem.

Perda e luto: Vivências de mulheres que interromperam a gestação por malformação fetal letal

The scope of this study was to investigate the grieving experiences of women who terminated pregnancies under judicial authorization, due to life-incompatible fetal malformation. Ten women attended in the Fetal Medicine Department of Botucatu Clinical Hospital participated in the study. Data collection was conducted by means of semi-structured interviews forty days after termination. The interviews were recorded and transcribed in full, with the data analyzed from the thematic content analysis perspective. The results revealed that the mothers sought explanations and meanings for the loss, with religious responses and self-blame being very frequent. The reports were marked by feelings of sadness, longing and sensations of emptiness due to the loss of the child, revealing the need of the mothers to dwell on the issue. The mothers were and continued to be linked to their children; the termination of the pregnancy, although being a choice to minimize the pain of an inevitable loss, did not spare the women from experiences of great suffering. The study includes input for the discussion and planning of health approaches and care for women who terminate their pregnancy due to lethal fetal malformation, by means of judicial authorization.