bluuebunny/crossref_metadata_2025 huggingface dataset:
Avaliação do dimorfismo sexual e da relação entre as características craniofaciais, dos arcos dentários e do músculo masseter na fase de dentição mista
Authors: Marquezin Maria Carolina Salomé , Andrade Annicele da Silva , Rossi Moara de , Gameiro Gustavo Hauber , Gavião Maria Beatriz Duarte , Castelo Paula Midori
Published: October 2014

Objetivo avaliar o dimorfismo sexual e a relação entre as características morfológicas craniofaciais, dos arcos dentários e do músculo masseter na fase de dentição mista. Métodos 32 crianças, com idade entre 6-10 anos (14♀/18♂) com oclusão normal, compuseram a amostra. Características morfológicas craniofaciais, dos arcos dentários e espessura do masseter foram avaliadas por meio de radiografia cefalométrica posteroanterior, modelos em gesso e ultrassonografia, respectivamente. Os resultados foram analisados utilizando testes Shapiro-Wilk, Mann-Whitney/teste “t” e regressão linear múltipla para avaliar a relação entre a largura da face e idade, gênero, índice de massa corporal, espessura do masseter, distâncias intermolares e intercaninos (entre cúspides e pontos cervicais) e larguras nasal, maxilar, mandibular e intermolar. Resultados a espessura do masseter não diferiu significativamente entre os lados esquerdo e direito. A comparação entre os gêneros mostrou diferença significativa apenas na largura da face (maior em meninos). O modelo de regressão mostrou que a largura da face relacionou-se positivamente com o índice de massa corporal, espessura do masseter, distâncias intermolares (cúspides) e intercaninos (cervicais) inferiores e largura intermolar maxilar; e negativamente com a distância intermolares superiores (cúspides) e inferiores (cervicais) e intercaninos inferiores (cervicais). Ou seja, quando as demais variáveis foram adicionadas ao modelo, a variável explanatória gênero não alcançou valor significativo. Conclusão na amostra avaliada, a espessura do masseter e dimensões dos arcos dentários não diferiram entre gêneros; além disso, a largura da face mostrou relação significativa com o índice de massa corporal, espessura do masseter e dimensões dos arcos dentários, mas o gênero não contribuiu significativamente para sua variação.
Estudo longitudinal das características anatômicas do frênulo lingual comparado com afirmações da literatura
Authors: Martinelli Roberta Lopes de Castro , Marchesan Irene Queiroz , Berretin-Felix Giédre
Published: October 2014

Objetivo avaliar características anatômicas do frênulo lingual de bebês no 1º, no 6º e no 12º mês de vida, comparando os achados com a literatura. Métodos foram realizados registros audiovisuais de frênulos linguais, normais ou alterados, de 71 bebês, de ambos os gêneros, no 1º, no 6º e no 12º mês de vida. Esses registros foram analisados por duas especialistas em motricidade orofacial considerando os seguintes aspectos anatômicos do frênulo lingual: espessura, fixação na língua e fixação no assoalho da boca, comparando esses dados com o que é citado na literatura. Resultados dos 71 bebês avaliados, 51 deles apresentaram frênulo com espessura delgada e 20 espessa. 40 bebês apresentaram fixação do frênulo no terço médio da língua; 27 entre o ápice e o terço médio da língua e 4 no ápice. Quanto à fixação no assoalho da boca, 42 bebês apresentaram a fixação do frênulo na crista alveolar inferior e 29 entre as carúnculas sublinguais. As características de todos os frênulos linguais observadas no 1º, no 6º e 12º mês de vida permaneceram as mesmas. Conclusão quanto à espessura, fixação na língua e fixação no assoalho da boca, o frênulo lingual dos 71 bebês examinados não se modificou durante o primeiro ano de vida, contrapondo-se à literatura.
Measures of cognitive reserve in Alzheimer's disease
Authors: Sobral Margarida , Pestana Maria Helena , Paúl Constança
Published: October 2014

INTRODUCTION: Cognitive reserve (CR), a hypothetical construct used to obtain information about cognitive aging, describes the capacity of the adult brain to cope with the effects of neurodegenerative processes. This study evaluated CR using a CR questionnaire (CRQ) and a set of variables (education, leisure activities, lifelong occupation) that inform CR. It also developed a CR index, validated the CRQ, and examined the correlation between the different CR measures.METHODS: Functional and neuropsychological capacities of 75 outpatients (mean age: 80.2 years) with a probable AD diagnosis were evaluated. Socio-demographic data and clinical variables were collected. Patients completed two questionnaires: the Participation in Leisure Activities throughout Life questionnaire, and the CRQ.RESULTS: Participants with a greater CR had higher scores in cognitive tests than the elderly with a lower CR. A CR index was developed. CRQ reliability was 0.795 (Cronbach's alpha). There was a close association between the CR Index and the CRQ.CONCLUSIONS: This study found an association between CR measures and education, occupation and participation in leisure activities. The CRQ seems to be a suitable instrument to measure CR in Portuguese populations.
Physiological maturation of cowpea seeds
Authors: Nogueira Narjara Walessa , Freitas Rômulo Magno Oliveira de , Torres Salvador Barros , Leal Caio César Pereira
Published: October 2014

The seed maturation process is genetically controlled and involves an arranged sequence of morphological and physiological changes extending from fertilization to its total independence from the mother-plant. These changes also include a set of preparatory phases for the germination process, which are characterized for the synthesis and accumulation of nutrient reserves. Thereby, this study was developed aiming at assessing development and physiological quality of cowpea seeds during maturation process. To this, the cowpea pods of cultivar BRS-Guariba were harvested from the tenth day after anthesis (DAA) until the twenty sixth DAA, with four days intervals. Immediately after each harvest, seeds were manually extracted from the pods and then subjected to the following determinations: moisture content, first count of germination, final germination percentage, length of shoots and roots, hypocotyl diameter, and seedling dry mass. The experiment was conducted in a completely randomized design, with five treatments (DAA), and four replications to each treatment. Results have shown that cowpea seeds have fairly fast physiological maturation, and that seeds harvested between 14 and 18 DAA have better vigor as well as higher germination rates; thus the harvest performed during this period does not cause damages to seeds.
Methods for overcoming seed dormancy in Ormosia arborea seeds, characterization and harvest time
Authors: Silva Aparecida Leonir da , Dias Denise Cunha Fernandes dos Santos , Lima Liana Baptista de , Morais Glaucia Almeida de
Published: October 2014

Ormosia arborea, a Leguminosae, presents seeds with tegumentary dormancy. The purpose of this study was to evaluate the efficiency of dormancy breaking methods, characterize seeds obtained from different mother plants, and to determine the best period to collect Ormosia arborea seeds. The seeds were harvested from mother plants in two different periods (June and August/2011). The seeds were then subjected to biometrical analyses, determination of moisture content and germination tests. Determination of the soaking curve and evaluation of the dormancy breaking methods were performed using the seeds collected in the second period. The soaking curve confirmed the tegumentary dormancy, and the chemical scarification for 15 minutes was the more adequate procedure to overcome this dormancy. The biometry revealed average values higher than those on literature, and there was difference between both harvesting periods. The mass correlates with the other evaluated parameters, and can be indicated for selecting seeds for seedling production. The two harvesting periods of Ormosia arborea seeds were considered appropriated for seed supplying, due to the high germination potential. Nevertheless, the best period for harvesting is when fruits are already opened, mature, and with low moisture content (no additional drying time needed), what hinders the occurrence of fungi.
Morphological aspects of fruits, seeds, seedlings and in vivo and in vitro germination of species of the genus Cleome
Authors: Castro Tatiana Carvalho de , Simões-Gurgel Claudia , Ribeiro Ivan Gonçalves , Coelho Marsen Garcia Pinto , Albarello Norma
Published: October 2014

The genus Cleome is widely distributed in drier areas of the tropics and subtropics. Cleome dendroides and C. rosea are Brazilian native species that occur mainly in Atlantic Forest and sandy coastal plains, respectively ecosystems negatively affected by human impacts. Cleome spinosa is frequently found in urban areas. Many Cleome species have been used in traditional medicine, as C. spinosa. In the present work, was investigated C. dendroides, C. rosea and C. spinosa germinative behavior under in vivo conditions, as well as was established suitable conditions to in vitro germination and seedling development. The in vivo germination was performed evaluating the influence of temperature, substrate and light. It was observed that only C. spinosa seeds presents physiological dormancy, which was overcome by using alternate temperatures. The substrate influenced significantly the germination of C. rosea and the seeds of C. dendroides showed the highest germination percentages in the different conditions evaluated. The post-seminal development stages under in vivo and in vitro conditions were defined. It was observed that the development was faster under in vitro than in vivo conditions. An effective methodology for in vitro germination, enabling the providing of material to experiment on plant tissue culture was established to C. dendroides and C. spinosa.
Morphometry of Cornops aquaticum(Orthoptera: Acrididae: Leptysminae) in the Pantanal of Mato Grosso, Brazil
Authors: Silva FRJ , Battirola LD , Lhano MG , Sousa WO , Marques MI
Published: October 2014

Insects show morphometric variations associated with the environment that may be the result of phenotypic response or genetic inheritance, or both. Thereby, studies that emphasise the variability in body size are very useful for understanding the dynamics and the stability of ecological systems. Cornops aquaticum (Bruner, 1906) (Acrididae) is a semi-aquatic grasshopper, distributed from the southeast of Mexico to the south of Buenos Aires Province, Argentina, and is intimately associated with the aquatic macrophytes Eichhorniaspp. and Pontederia spp. In its wide habitat distribution, C. aquaticum shows variations in its life cycle and morphometric differences that were observed suggesting geographic and host plant influence. Considering these findings, this study aimed to find out the morphometric characteristics of this species at the Pantanal of Poconé – MT, using the protocol of the project “HICWA – Host-Insect Coevolution on Waterhyacinth”, as well as to assess possible differences in each stage of development between the sexes and among seasonal periods (flood, high water, low water and dry). During 12 months a total of 600 individuals were collected in monthly collections of 50 grasshoppers, and of this total, 261 were adults and 339 nymphs. The following measurements were taken: total length (A); body length (B); wing length (I) and measurement of the hind femur (H). The results showed that both male and female have different measurements but not correlated with seasonal periods. The average obtained for each character and the seasonality showed the highest values during the flood period. In nymphs, the measurement of the posterior femur presented the lower variation between individuals and characters.
Body size and clonality consequences for sexual reproduction in a perennial herb of Brazilian rupestrian grasslands
Authors: Demetrio GR , Coelho FF , Barbosa MEA
Published: October 2014

Body size is one of the most important factors regarding herbaceous perennial plants life-histories, and several fitness components of these organisms are related to size. Clonal plants show distinct kinds of reproduction and can develop offspring by sexual or asexual ways. We aimed to understand how body size affects Comanthera nivea (Eriocaulaceae) sexual reproduction and to verify how clonal growth is related to flower head production in this species. We sampled 600 rosettes in rupestrian grasslands and performed linear regression analysis between body size and number of produced flower heads. We also compared the flower head production between isolated rosettes and rosettes within clones. Our results showed that body size was significantly related, but explained only a small part of flower head production. The flower head production was higher in rosettes within clones than in isolated ones. The clones presented a rosette or a small group of rosettes that concentrated the sexual reproduction. Clonality was positively associated with sexual reproduction. Clonality can represent an important way of allowing the persistence of plants by sexual reproduction in markedly seasonal stressful environments. The cases of clonality enhancing the sexual reproduction must be considered and put in focus on reproductive biology research.
Economic assessment of urban watersheds: developing mechanisms for environmental protection of the Feijão river, São Carlos - SP, Brazil
Authors: Machado FH , Silva LF , Dupas FA , Mattedi AP , Vergara FE
Published: October 2014

In order to determine the willingness of the population of São Carlos (a city in the state of São Paulo, Brazil) to pay for the environmental protection (WTP) of the Feijão River's watershed, the Contingent Valuation Method (CVM), as well as the bidding-games technique, were used. In October 2010, 280 questionnaires were applied to a probabilistic sample of the population. A multivariate logistic regression model was built, creating five scenarios adjusted to the age and probability to pay according to the significant variables found. Concerning the WTP, 56% of the interviewees showed willingness to pay a monthly amount using the water bill as a vehicle for this. The WTP average was 1.94 US Dollar (USD), with a standard deviation of 1.91 USD. The total annual amount for the scenario that considers the whole population over 18 years old was of USD 3,930,616.80. The main argument for the negative WTP was that the interviewees could not afford it (14%).
Efficiency of small mammal trapping in an Atlantic Forest fragmented landscape: the effects of trap type and position, seasonality and habitat
Authors: Vieira ALM , Pires AS , Nunes-Freitas AF , Oliveira NM , Resende AS , Campello EFC
Published: October 2014

Trapping methods can strongly influence the sampling of mammal communities. This study compared the efficiency of the capture of small mammals in Sherman traps in two positions (at ground level and in trees) and pitfall traps in a fragmented landscape. Trapping sessions were carried out between October 2008 and October 2009 at two fragments (8 and 17 ha), an agroforest corridor between them, and the adjacent pasture. A total effort of 4622 trap-nights resulted in 155 captures of 137 individuals from six species. Pitfalls had greater success (4.03%), followed by Shermans on the ground (2.98%) and on trees (2.37%; χ2= 6.50, p = 0.04). Five species were caught in Sherman ground traps, four in pitfalls and just two on trees. There was no difference among trap types for marsupials (χ2 = 4.75; p = 0.09), while for rodents, pitfalls were more efficient than Shermans on the ground (Fisher's exact test, p = 0.02). As a result, the efficiency of each trap type differed among habitats, due to differences in their species composition. Pitfalls were more efficient in the rainy season (Fisher's exact test, p <0.0001) while Shermans on trees were more efficient in the dry season (Fisher's exact test, p = 0.009). There was no difference between seasons for Shermans on the ground (Fisher's exact test, p = 0.76). Considering the results found, we recommend that future studies of forest mammal communities, particularly those designed to test the effects of forest fragmentation, include combinations of different trap types.
Evaluation of abundance indexes in open population studies: a comparison in populations of small mammals in southern Brazil
Authors: Graipel ME , Hernández MIM , Salvador C
Published: October 2014

Many manuscripts comparing populations and/or analysing the structure of animal communities use indexes of captures as synonymous of abundance. However, the basic methods more suitable to this assumption - probabilistic estimates based on equal capture probability - have not been considered. In this study, the deviations caused by different types of capture indexes are compared with a common probabilistic population estimator (Cormack-Jolly-Seber). The analyses showed that Minimum Number Known Alive (MNKA) and the number of individuals showed greater association with the population estimator than with non-probabilistic indexes based on recaptures. Therefore, none of the indexes presented the same performance to estimate population size estimation which can lead to ecological misinterpretation. Some recommendations were also described.
The importance of protozoan bacterivory in a subtropical environment (Lobo-Broa Reservoir, SP, Brazil)
Authors: Mansano AS , Hisatugo KF , Hayashi LH , Regali-Seleghim MH
Published: October 2014

This study evaluated the importance of heterotrophic nanoflagellates (HNF) and ciliates bacterivory in a mesotrophic subtropical environment (Lobo-Broa Reservoir, Brazil) by the quantification of their ingestion rates. The in situ experiments using fluorescently labelled bacteria (FLB) were carried out bimonthly over one year (three surveys in the dry season and three in the rainy one) at the sub-surface of two sampling points that have different trophic degrees. The ingestion rates for both ciliates and HNF were higher in the meso-eutrophic region (point 2) due to the higher water temperatures, which accelerate the metabolism of protozoans and the higher bacteria densities. Concerning total protozoan bacterivory, the HNF had the greatest grazing impact on bacterial community, especially the HNF <5µm. The data showed that HNF grazing, in addition to regulating the bacteria abundance, also induced changes to the bacterial community structure, such as increasing size and numbers of bacterial filaments. The ciliates were also important to the system bacterivory, especially in point 2, where there were high densities and ingestion rates. The protozoan bottom-up control was more important in the dry season and the top-down control was more important in the rainy season, so, these two forces are equally important to the bacterial abundance regulation in this reservoir in an annual basis.
Disease resistance of pacu Piaractus mesopotamicus (Holmberg, 1887) fed with β-glucan
Authors: Biller-Takahashi JD , Takahashi LS , Marzocchi-Machado CM , Zanuzzo FS , Urbinati EC
Published: October 2014

Effects of β-glucan on innate immune responses and survival were studied in pacu experimentally infected with Aeromonas hydrophila. Fish fed diets containing 0, 0.1% and 1% β-glucan were injected with A. hydrophila. β-glucan enhanced fish survival in both treated groups (26.7% and 21.2% of the control, respectively). Leukocyte respiratory burst and alternative complement pathway activities were elevated after bacterial challenge regardless the β-glucan concentration. Lysozyme activity was higher after infection and showed a gradual increase as β-glucan concentration increased. A significant elevation in WBC count was observed either after bacterial challenge or by influence of β-glucan separately. The same response was observed in the number of thrombocytes, lymphocytes, eosinophils, LG-PAS positive cell and monocytes. It can be concluded that feeding pacu with β-glucan can increase protection against A. hydrophila, due to changes in non-specific immune responses.
Comparison between Oligoryzomys nigripes and O. flavescens by RAPD and genetic diversity in O. nigripes (Rodentia, Cricetidae)
Authors: Mossi AJ , Coppini VJ , Slaviero LB , Kubiak GB , Lerin LA , Oliveira JV , Cherem JJ , Marinho JR  , Cansian RL
Published: October 2014

The genus of Oligoryzomys includes species of small size, morphologically similar, which may impede taxonomic identification, mainly between O. flavescens (Waterhouse, 1837) and O. nigripes (Olfers, 1818). The main objective of this work was to investigate whether the RAPD markers are capable of genetically differentiating the specimens O. nigripes and O. flavescens, coming from Rio Grande do Sul (RS) and Santa Catarina (SC) states, and also to estimate the genetic variability among populations of O. nigripes, with the Uruguay River as a geographical barrier. For this purpose, samples were collected in fragments of forests situated in the North of RS, at FLONA (Floresta Nacional de Passo Fundo) and in fragments from SC, close to the Uruguay River. The karyotyping of two samples for each species was carried out and compared using the RAPD technique together with non- karyotyped individuals. Samples of O. nigripes presented 2n = 62; NA = 82, with submetacentric arms on the largest chromosomes, while samples of O. flavescens showed 2n = 64; NA = 66, with the largest chromosomes presenting acrocentric morphology, making such a result the main difference between the species. The analysis was able to detect two distinct groups, being the first one with karyotyped O. flavescens and the second with karyotyped O. nigripes. Identification afforded 211 loci, among them 181 (85.78%) polymorphic. The Jaccard similarity coefficient was in the range of 0.45 to 0.87. The UPGMA and Main Coordinate Analysis techniques demonstrated the existence of heterogeneous genetics among populations, but did not separate them completely in terms of geographical standards, and they are not influenced by the Uruguay River, which did not act as an efficient barrier.
Reproduction, development and habits of the large turkey louse Chelopistes meleagridis (Phthiraptera: Ischnocera) under laboratory conditions
Authors: Maturano R , Daemon E
Published: October 2014

The bionomy of Chelopistes meleagridis off the host was observed with the aim of better understanding the aspects of this species' life cycle. For this purpose, C. meleagridisadults were collected and maintained under controlled conditions to reproduce (35°C and RH > 80%), with turkey feathers as the food source. From the offspring of these lice, the development of 150 individuals was observed from the egg to the adult phase. These eggs were divided into two groups of 75 each. After hatching, one group was given a diet composed of feathers while the other received feathers plus skin of the host turkey (Meleagris gallopavo). The “feather + skin” diet resulted in the greatest number of adults, so this diet was given to the next generation of lice reared in vitro, starting from the first instar, to observe their fertility, fecundity and longevity. High reproduction rates were found in relation to other lice of the Ischnocera sub-order, particularly the number of eggs per day and number of eggs produced per female over the lifetime (means of 2.54 and 26.61 eggs, respectively, for wild females and 2.11 and 29.33 eggs for laboratory-reared females). The inclusion of skin in the diet was a determining factor for development to the adult stage, since 48% of the lice fed this diet reached that stage, versus 1.3% that reached maturity fed only with feathers. The development time of the males and females was similar (mean of 29.38 days), without any difference in the sexual proportion of the adults.
Insect herbivores associated with an evergreen tree Goniorrhachis marginata Taub. (Leguminosae: Caesalpinioideae) in a tropical dry forest
Authors: Silva JO , Neves FS
Published: October 2014

Goniorrhachis marginata Taub. (Leguminosae: Caesalpinioideae) is a tree species found in Brazilian tropical dry forests that retain their leaves during the dry season. That being, we addressed the following question: i) How do insect diversity (sap-sucking and chewing), leaf herbivory and defensive traits (tannin and leaf sclerophylly) vary on the evergreen tree species G. marginata between seasons? The abundance of sap-sucking insects was higher in the dry season than in the rainy season. However, we did not verify any difference in the species richness and abundance of chewing insects between seasons. Leaf herbivory was higher in the rainy season, whereas leaf sclerophylly was higher in the dry season. However, herbivory was not related to sclerophylly. Insect herbivores likely decrease their folivory activity during the dry season due to life history patterns or changes in behaviour, possibly entering diapause or inactivity during this period. Therefore, G. marginata acts as a likely keystone species, serving as a moist refuge for the insect fauna during the dry season in tropical dry forest, and the presence of this evergreen species is crucial to conservation strategies of this threatened ecosystem.
High consumption of primates by pumas and ocelots in a remnant of the Brazilian Atlantic Forest
Authors: Santos JL , Paschoal AMO , Massara RL , Chiarello AG
Published: October 2014

We studied the diet of the ocelot and puma during the years 2007 and 2008 at the Feliciano Miguel Abdala Reserve, in Minas Gerais, south-eastern Brazil. We collected 49 faecal samples (scats) from cats, and identified the species of cat from 23 of them by the analysis of the microstructure patterns of hairs found in their faeces: 17 scats of the puma (Puma concolor) and six of the ocelot (Leopardus pardalis). In the puma scats, we identified three species of primates (Brachyteles hypoxanthus, Alouatta guariba and Sapajus nigritus), the remains of which were found in eight of 17 collected (47.1%), representing 26.7% of items consumed. For the ocelot, we detected capuchin monkey (S. nigritus) remains in three of the six scats (50%), accounting for 18.7% of items consumed by ocelot. We were unable to identify the cat species in the remaining 26 faecal samples, but we were able to analyse the food items present. Primates were found in five of these 26 faeces (19.2%) and represented 10.2% of the items found. Although the sample size is limited, our results indicate a relatively high consumption of primates by felines. We believe that this high predation may be the result of the high local density of primates as well as the greater exposure to the risks of predation in fragmented landscapes, which tends to increase the incidence of the primates using the ground.
Flowers visited by hummingbirds in the open habitats of the southeastern brazilian mountaintops: species composition and seasonality
Authors: Rodrigues LC , Rodrigues M
Published: October 2014

The hummingbird-visited plant community located on the open-habitat mountaintop of the Espinhaço Range was studied for two years (from August 2007 to July 2009) in Serra do Cipó National Park, Southeastern Brazil (19° 15′ S and 43° 31′ W). The floral characteristics and flowering period of the hummingbird-visited plants was monthly recorded along trails located in three vegetation types: (1) typical campos rupestres (TCR), (2) open fields (OPF), and (3) capões de mata(CAM). Hummingbird visitation was observed in 51 plant species, 22 ornithophilous and 29 non-ornithophilous species. The TCR showed the greatest number of species visited (N = 38), followed by the OPF (N = 18) and CAM (N = 17). Six species of hummingbirds were recorded visiting flowers: Augastes scutatus, Campylopterus largipennis, Colibri serrirostris, Chlorostilbon lucidus, Eupetomena macroura and Phaethornis pretrei. This study demonstrates that the species richness and the number of ornithophilous species visited by the hummingbirds at the study site are more similar to hummingbird-plant communities of the Atlantic Forest than to those of the Cerrado communities and other Brazilian highland open-habitat communities. The plant families most visited by hummingbirds were Bromeliaceae and Asteraceae. Although the Asteraceae family is rarely used as a food resource for hummingbirds in other high and lowland communities, in the study site this family is used mainly by the endemic hummingbird Augastes scutatus. We found a large overlap of flowering throughout the year among the species visited by the hummingbirds. Thus, the nectar availability supports these resident hummingbirds. The present study also showed that the studied hummingbird-plant community is composed of many species endemic to the campos rupestres of the Espinhaço Range, some of which are considered to be in danger of extinction, thus constituting a unique and threatened community. Thus, understanding hummingbird-plant pollination dynamics becomes fundamental to the conservation of the campos rupestres.
OUTCOMES ON QUALITY OF LIFE, WEIGHT LOSS, AND COMORBIDITIES AFTER ROUX-EN-Y GASTRIC BYPASS
Authors: COSTA Roberto Coelho Netto da Cunha , YAMAGUCHI Nagamassa , SANTO Marco Aurelio , RICCIOPPO Daniel , PINTO-JUNIOR Paulo Engler
Published: October 2014

Context Bariatric surgery has become the most effective method for producing weight loss in obese patients. The evaluation of improvement of comorbidities and changes in the quality of life are important outcome factors; however, it is necessary to investigate whether they persist over the long term. Methods A cross-sectional study was conducted on 143 obese patients from our institution from February 2007 to February 2008. These patients were divided into five independent groups, one being a control group, plus four other groups with 1, 2, 3, 4 or more years following surgical Roux-en-Y gastric bypass with a silicon ring banded. quality of life forms and anthropometric measurements were performed and its scores correlated with social factors, weight loss success, and status of obesity-related conditions. Results For the group that was 1 year postoperative, a significant percentage of excess body weight loss (EBWL%) of 81.7% was observed. The groups with 2, 3, 4 or more years of post-surgical follow-up showed a EBWL decline, but without significant difference. The main comorbidity percentages in all patients who had the surgery was as follows: 69.7% for hypertension; 88.2% for diabetes mellitus; and 27.5% for arthropathy. There was a significant decrease in the rate for diabetes resolution (P = 0.035) observed by evolutionary assessment of the comorbidity resolution. The results obtained by BAROS were good, very good, or excellent in more than 96% of patients in all evaluations that were performed. The use of the Moorehead-Ardelt Questionnaire (M/A) demonstrated improvement in the quality of life. Moreover, the quality of life, when evaluated through SF-36, also showed improvement in all related areas after 1 year; however, after 4 years, improvement remained elevated only in the areas of general state of health and functional capacity. Conclusions The Roux-en-Y gastric bypass procedure was able to achieve EBWL of 81.7% after 1 year following surgery, remaining steady with little decline after this period. Important resolution of comorbidities, such as hypertension and diabetes, was also seen. Immediate surgical outcomes assessed by SF-36 and M/A in the area of quality of life were satisfactory, but the general state of health and functional capacity areas were sustained satisfactory at a later time only.
PREVALENCE OF INFECTION WITH CAGA-POSITIVE HELICOBACTER PYLORI STRAINS AMONG CHILDREN AND ADOLESCENTS IN SOUTHERN BRAZIL
Authors: OLIVEIRA Juliana Ghisleni de , FERREIRA Cristina Helena Targa , CAMERIN Anna Carolina Saraiva , ROTA Cláudia Augustin , MEURER Luíse , SILVEIRA Themis Reverbel da
Published: October 2014

Context Helicobacter pylori (H. pylori) has a worldwide distribution, but the prevalence of infection, virulence factors, and clinical presentation vary widely according to the studied population. In Brazil, a continental country composed of several ethnicities and cultural habits, the behavior of infection also appears to vary, as many other studies have shown. Objectives Describe the prevalence of infection with cagA-positive H. pylori strains in a group of children and adolescents who underwent esophagogastroduodenoscopy in Porto Alegre, Rio Grande do Sul. Methods Fifty-four gastric biopsy specimens of children and adolescents with H. pylori infection demonstrated by histology, urease test and molecular analysis were tested for the presence of cagA positive H. pylori strains by the polymerase chain reaction method. Results he prevalence of cagA-positive H. pylori was 29.6% (95% confidence interval, 18 to 43.6%). There were no statistically significant differences in clinical or demographic characteristics or in the endoscopic and histological features of patients infected with cagA-positive strains as compared with those infected by cagA-negative strains. Conclusions he study showed a low prevalence of infection with cagA-positive H. pylori strains among children and adolescents who underwent EGD in southern Brazil, in comparison to studies conducted with children from other regions of Brazil. There was no association between the presence of cagA-positive strains and more severe clinical presentations in the studied sample.
STUDY ON ADHERENCE TO CAPECITABINE AMONG PATIENTS WITH COLORECTAL CANCER AND METASTATIC BREAST CANCER
Authors: FIGUEIREDO JUNIOR Adiel Goes de , FORONES Nora Manoukian
Published: October 2014

Context Capecitabine, an oral drug, is as effective as traditional chemotherapy drugs. Objectives To investigate the adhesion to treatment with oral capecitabine in breast and colorectal cancer, and to determine any correlation with changes in patient’s quality of life. Methods Patients with colorectal cancer or breast cancer using capecitabine were included. The patients were asked to bring any medication left at the time of scheduled visits. The QLQ-C30 questionnaire was applied at the first visit and 8-12 weeks after treatment. Results Thirty patients were evaluated. Adherence was 88.3% for metastatic colon cancer, 90.4% for non-metastatic colon cancer, 94.3% for rectal cancer and 96.2% for metastatic breast cancer. No strong correlation between adherence and European Organisation for Research and Treatment of Cancer QLQ-C30 functional or symptom scale rates had been found. There was no statistically significant correlation between compliance and the functional and symptom scales of the questionnaire before and after chemotherapy, with the exception of dyspnea. Conclusions Although no absolute adherence to oral capecitabine treatment had been observed, the level of adherence was good. Health professionals therefore need a greater focus in the monitoring the involvement of patients with oral treatment regimens. Patients with lesser degrees of dyspnea had greater compliance.
DO CHANGES IN ANAL SPHINCTER ANATOMY CORRELATE WITH ANAL FUNCTION IN WOMEN WITH A HISTORY OF VAGINAL DELIVERY?
Authors: MURAD-REGADAS Sthela Maria , DEALCANFREITAS Iris Daiana , REGADAS Francisco Sergio Pinheiro , RODRIGUES Lusmar Veras , FERNANDES Graziela Olivia da Silva , PEREIRA Jacyara de Jesus Rosa
Published: October 2014

Objectives To evaluate anal sphincter anatomy using three-dimensional ultrasonography (3-DAUS) in incontinent women with vaginal delivery, correlate anatomical findings with symptoms of fecal incontinence and determine the effect of vaginal delivery on anal canal anatomy and function. Methods Female with fecal incontinence and vaginal delivery were assessed with Wexner’s score, manometry, and 3DAUS. A control group comprising asymptomatic nulliparous was included. Anal pressure, the angle of the defect and length of the external anal sphincter (EAS), the anterior and posterior internal anal sphincter (IAS), the EAS + puborectal and the gap were measured and correlated with score. Results Of the 62, 49 had fecal incontinence and 13 were asymptomatic. Twenty five had EAS defects, 8 had combined EAS+IAS defects, 16 had intact sphincters and continence scores were similar. Subjects with sphincter defects had a shorter anterior EAS, IAS and longer gap than women without defects. Those with a vaginal delivery and intact sphincters had a shorter anterior EAS and longer gap than nulliparous. We found correlations between resting pressure and anterior EAS and IAS length in patients with defects. Conclusions Avaliar a anatomia do esfíncter anal usando ultra-sonografia tridimensional (3D-US) em mulheres incontinentes com parto vaginal, correlacionar os achados anatômicos com sintomas de incontinência fecal e, determinar o efeito do parto vaginal sobre a anatomia e função do canal anal.
VIDEOFLUOROSCOPIC SWALLOWING STUDY: esophageal alterations in patients with dysphagia
Authors: SCHEEREN Betina , MACIEL Antônio Carlos , BARROS Sérgio Gabriel Silva de
Published: October 2014

Context Videofluoroscopic swallowing study is a dynamic exam and allows the evaluation of the complete swallowing process. However, most published studies have only reported alterations in the oropharynx and pharyngoesophageal transition, leaving the analysis of the esophagus as a secondary goal. Objectives The goal of this study was to investigate the prevalence of alterations in the esophageal phase thorough videofluoroscopic swallowing study in patients with dysphagia. Methods Consecutive patients with dysphagia who underwent videofluoroscopic swallowing study including esophageal analysis between May 2010 and May 2012 had their exams retrospectively reviewed. Patients were classified into two groups: Group I - without a pre-established etiological diagnosis and Group II - with neurological disease. During the exam, the patients ingested three different consistencies of food (liquid, pasty and solid) contrasted with barium sulfate and 19 items were analyzed according to a protocol. The esophageal phase was considered abnormal when one of the evaluated items was compromised. Results Three hundred and thirty-three (n = 333) consecutive patients were studied - 213 (64%) in Group I and 120 (36%) in Group II. Esophageal alterations were found in 104 (31%) patients, with a higher prevalence in Group I (36.2%), especially on the items esophageal clearance (16.9%) and tertiary contractions (16.4%). It was observed that 12% of individuals in Group I only presented alterations on the esophageal phase. Conclusion Evaluation of the esophageal phase of swallowing during videofluoroscopic swallowing study detects abnormalities in patients with cervical dysphagia, especially in the group without pre-established etiological diagnosis.
COMPARISON OF SELECTIVE AND NON SELECTIVE CYCLO-OXYGENASE 2 INHIBITORS IN EXPERIMENTAL COLITIS EXACERBATION: role of leukotriene B4 and superoxide dismutase
Authors: BREGANÓ José Wander , BARBOSA Décio Sabbatini , KADRI Mirian Zebian El , RODRIGUES Maria Aparecida , CECCHINI Rubens , DICHI Isaias
Published: October 2014

Context Nonsteroidal anti-inflammatory drugs are considered one of the most important causes of reactivation of inflammatory bowel disease. With regard to selective cyclo-oxygenase 2 inhibitors, the results are controversial in experimental colitis as well as in human studies. Objectives The aim this study is to compare nonsteroidal anti-inflammatory drugs effects, selective and non selective cyclo-oxygenase 2 inhibitors, in experimental colitis and contribute to the understanding of the mechanisms which nonsteroidal anti-inflammatory drugs provoke colitis exacerbation. Methods Six groups of rats: without colitis, with colitis, and colitis treated with celecoxib, ketoprofen, indometacin or diclofenac. Survival rates, hemoglobin, plasmatic albumin, colonic tissue of interleukin-1ß, interleukin-6, tumor necrosis factor alpha, prostaglandin E2, catalase, superoxide dismutase, thiobarbituric acid-reactive substances, chemiluminescence induced by tert-butil hydroperoxides, and tissue and plasmatic leukotriene B4 were determined. Results The groups treated with diclofenac or indometacin presented lower survival rates, hemoglobin and albumin, higher tissue and plasmatic leukotriene B4 and tissue superoxide dismutase than the group treated with celecoxib. Ketoprofen presented an intermediary behavior between diclofenac/indometacin and celecoxib, concerning to survival rate and albumin. The groups without colitis, with colitis and with colitis treated with celecoxib showed leukotriene B4 and superoxide dismutase lower levels than the groups treated with nonselective cyclo-oxygenase 2 inhibitors. Conclusions Diclofenac and indometacin presented the highest degree of induced colitis exacerbation with nonsteroidal anti-inflammatory drugs, celecoxib did not show colitis exacerbation, and ketoprofen presented an intermediary behavior between diclofenac/indometacin and celecoxib. These results suggest that leukotriene B4 and superoxide dismutase can be involved in the exacerbation of experimental colitis by nonselective nonsteroidal anti-inflammatory drugs.
MALIGNANCY IN LARGE COLORECTAL LESIONS
Authors: SANTOS Carlos Eduardo Oliveira dos , MALAMAN Daniele , CARVALHO Tiago dos Santos , LOPES César Vivian , PEREIRA-LIMA Júlio Carlos
Published: October 2014

Context The size of colorectal lesions, besides a risk factor for malignancy, is a predictor for deeper invasion Objectives To evaluate the malignancy of colorectal lesions ≥20 mm. Methods Between 2007 and 2011, 76 neoplasms ≥20 mm in 70 patients were analyzed Results The mean age of the patients was 67.4 years, and 41 were women. Mean lesion size was 24.7 mm ± 6.2 mm (range: 20 to 50 mm). Half of the neoplasms were polypoid and the other half were non-polypoid. Forty-two (55.3%) lesions were located in the left colon, and 34 in the right colon. There was a high prevalence of III L (39.5%) and IV (53.9%) pit patterns. There were 72 adenomas and 4 adenocarcinomas. Malignancy was observed in 5.3% of the lesions. Thirty-three lesions presented advanced histology (adenomas with high-grade dysplasia or early adenocarcinoma), with no difference in morphology and site. Only one lesion (1.3%) invaded the submucosa. Lesions larger than 30 mm had advanced histology (P = 0.001). The primary treatment was endoscopic resection, and invasive carcinoma was referred to surgery. Recurrence rate was 10.6%. Conclusions Large colorectal neoplasms showed a low rate of malignancy. Endoscopic treatment is an effective therapy for these lesions.
CHOLANGIOSCOPY IN BILE DUCT DISEASE: a case series
Authors: MOURA Eduardo Guimarães Hourneaux de , FRANZINI Tomazo , MOURA Renata Nobre , CARNEIRO Fred Olavo Aragão Andrade , ARTIFON Everson Luiz de Almeida , SAKAI Paulo
Published: October 2014

Context Direct endoscopic visualization of biliopancreatic duct is certainly one of the greatest advances of therapeutic endoscopy. The use of a single-operator cholangioscopy platform (SpyGlass) is a promising technique in the evaluation of diseases such as indeterminate biliary stricture and giant choledocholitiasis. This is the first Brazilian case series using this technology. Methods We report a case series of 20 patients in whom SpyGlass was used with diagnostic and therapeutic intention. Results Most patients were female (60%) and the median age was 48 years (ranging from 14 to 94). Choledocholitiasis was the most common indication (12/20), and electrohydraulic lithotripsy was applied in eight (66%). Electrohydraulic lithotripsy was successful in seven (87.5%) patients. Partial stone fragmentation occurred in one patient with large stone causing stone-choledochal disproportion, which was conducted with biliary plastic stent placement and a second scheduled endoscopic approach in 3 months. In cases of undefined etiology of biliary strictures, it was possible to exclude malignancy due to direct visualization (7/8) or biopsy (1/8). One complication occurred (duodenal perforation) after papillary balloon dilation. Conclusion The use of SpyGlass demonstrated the benefits, especially in cases of large bile duct stones and indeterminate biliary strictures. Other potencial improvements such as reduction on radiation exposure should be confirmed in prospective studies.
GINSENG, GREEN TEA OR FIBRATE: valid options for nonalcoholic steatohepatitis prevention?
Authors: MIRANDA-HENRIQUES Mônica Souza de , DINIZ Margareth de Fátima Formiga de Melo , ARAÚJO Maria Salete Trigueiro de
Published: October 2014

Objectives Panax ginseng, Camellia sinensis and bezafibrate were compared for their lipid-lowering, antioxidant and anti-inflammatory properties as potential agents to prevent nonalcoholic fatty liver disease and its progression to nonalcoholic steatohepatitis. Methods Fifty Wistar rats were randomized into five groups: G1 (feed with standard diet); G2 (feed with high-fat diet with 58% of energy from fat); G3 (high-fat diet + standardized Panax ginseng extract at 100 mg/kg/day); G4 (high-fat diet + standardized Camellia sinensis extract at 100 mg/kg/day); and G5 (high-fat diet + bezafibrate at 100 mg/kg/day), given by gavage. The animals were sacrificed eight weeks later and blood was collected for glucose, insulin, cholesterol, triglycerides, AST, ALT, alkaline phosphatase and gamma-glutamyl transferase determinations. The score system for nonalcoholic fatty liver disease was used to analyse the liver samples. Results and conclusions High-fat diet resulted in a significant increase in animal body weight, biochemical changes and enzymatic elevations. Steatosis, inflammation and hepatocellular ballooning scores were significant high in this group. The biochemical and histological variables were statistically similar in the bezafibrate group and control group. Treatment with Panax ginseng extract prevented obesity and histological features of nonalcoholic steatohepatitis (steatosis and inflammation) compared to high-fat diet. Camellia sinensis showed a less effective biochemical response, with small reduction in steatosis and inflammation but lower ballooning scores.
AGE AND GENDER MAY INFLUENCE THE RESULTS OF ROUX-EN-Y GASTRIC BYPASS? Metabolic syndrome parameters
Authors: ANDRADE-SILVA Stephan Garcia , CARANTI Danielle Arisa , SALLET José Afonso , LEAL Lucas Pedroso Fernandes Ferreira , LEAL Antonio Joaquim Ferreira , DÂMASO Ana Raimunda
Published: October 2014

Context Severe obesity affects the body favoring the development of serious diseases, including hypertension, diabetes mellitus, atherosclerosis and non alcoholic fatty liver disease. Bariatric procedures increased in Brazil in the last decade. Objectives The purpose of this study was to verify if gender and age in date of procedure resulted significant differences in metabolic syndrome parameters after surgery. Methods The study involved 205 medical records of adult patients undergoing Roux-en-Y gastric bypass, stratified by gender and age groups and followed one year by a multidisciplinary team. Results It was observed significant decrease in body mass index, fasting glucose and insulin at all ages and both genders. Lipid profile showed significant improvements except high density lipoprotein cholesterol. Ectopic fat in the liver has decreased after 6 months in patients classified with steatosis at baseline. Patients classified as hypertensive blood pressure levels decreased 6 months after surgical intervention. Conclusions Roux-en-Y gastric bypass proved to be an important tool in remission of metabolic syndrome parameters. The reduction of body mass accompanied to decrease in insulin resistance resulted in lower prevalence of comorbidities associated with obesity. The benefits were similar and extended both genders and all age groups between 18 and 65 years old.