bluuebunny/crossref_metadata_2025 huggingface dataset:
Chemical inducers for resistance induction against powdery mildew of cucumber under greenhouse conditions
Authors: Hamza A. , Mohamed A. , Derbalah A.
Published: April 2017

This study was completed to assess the efficacy of certain chemical inducers (potassium dihydrogen phosphate, potassium monohydrogen phosphate, oxalic acid, salicylic acid, sodium salicylate, ferrous sulfate and magnesium sulfate) compare to flusilazole fungicide against Sphaerotheca fuliginea, the causative fungus of powdery mildew of cucumber under greenhouse conditions. The impact of these elicitors on some biochemical and growth characters of cucumber was also examined. The data demonstrated that the flusilazole was the best treatment against powdery mildew followed by salicylic acid, potassium dihydrogen phosphate, magnesium sulfate, ferrous sulfate, oxalic acid and potassium monohydrogen phosphate, respectively. Marked raise in the measured biochemical parameters (chlorophyll content, peroxidase and polyphenoloxidase) of treated cucumber compare to untreated control. Growth and yield characters (plant height, number of fruits/plant and yield/plant) of cucumber were remarkably increased in cucumber treated with examined elicitors compare to untreated control. The examined chemical inducers could be counted as stand by for control powdery mildew of cucumber.
Effects of Meloidogyne incognita, Alternaria dauci and Fusarium solani on carrot in different types of soil
Authors: Ahmad L. , Siddiqui Z. A.
Published: April 2017

Effects of Meloidogyne incognita, Alternaria dauci and Fusarium solani were studied on carrot (Daucus carota L.) growth, chlorophyll, carotenoid and proline contents in different types of soil. Plants grown in 20:80 and 40:60% sand:clay soil mixtures showed a significant increase in root dry weight, chlorophyll and carotenoid contents compared to plants grown in 100% clay soil. However, use of 60:40 sand:clay resulted in a similar root dry weight, chlorophyll and carotenoid contents as was found in carrots grown in 100% clay soil. Inoculation of plants with M. incognita, A. dauci or F. solani caused a significant reduction in root dry weight, chlorophyll and carotenoid contents in all soil types as compared to their respective control. Inoculation of plants by A. dauci caused the greatest reduction in root dry weight followed by F. solani and M. incognita in different sand and clay mixtures. Use of 20:80, 40:60 or 60:40 sand:clay mixtures caused a significant increase in proline content of plants over those grown in 100% clay soil. Similarly, inoculation of M. incognita, A. dauci and F. solani caused a significant increase in proline content in all soil types compared to their respective control.
Study of the genus Scolytus Geoffroy, 1762 (Coleoptera: Curculionidae: Scolytinae) in East Azarbaijan Province
Authors: Alizadeh M. , Rahati R. , Nozari J.
Published: April 2017

During 2014 and 2015, four species of bark beetles (Coleoptera: Curculionidae: Scolytinae), belonging to a single genus Scolytus Geoffroy, 1762, were collected from elm trees in East Azarbaijan province, northwestern Iran. They were Scolytus pygmaeus (Fabricius, 1787), Scolytus ensifer Eichhoff, 1881, Scolytus ecksteini Butovitsch, 1929, and Scolytus kirschii fasciatus Reitter, 1890. All of them represent new records for East Azarbaijan province.
Can we use the predatory mites against the invasive bamboo pest spider mites?
Authors: Kiss E. , Szénási Á. , Neményi A. , Kontschán J.
Published: April 2017

Two invasive spider mite species (Stigmaeopsis nanjingensis Ma and Yuan, 1980 and Schizotetranychus bambusae Reck, 1941) were spotted on bamboo collections in Hungary. The possibilities of biological control were investigated on these mites with two different predatory mite species (Phytoseiulus persimilis Athias-Henriot, 1957 and Hypoaspis miles Berlese, 1892 [Stratiolaelaps scimitus Womersley, 1956]). The species Phytoseiulus persimilis consumed larger amount of S. bambusae mites than Stratiolaelaps scimitus mites and none of the predatory mite species could consume the S. nanjingensis species with its special nets.
Effect of preventive and curative fungicide treatment on Fusarium proliferatum infected maize — a field trial
Authors: Pusztahelyi Tünde , Radócz L. , Gellért Cs. , Kovács Szilvia , Szabó Zsuzsanna , Pócsi I. , Vad A.
Published: April 2017

There are extensive data on effects of antifungal agents on the plant pathogens, especially on Fusariums spp. species. However, investigations on the interaction of chemicals and the treated cultivars are rare. The aim of the study was to test two types of fungicide mixtures, azoxystrobin-propiconazole, and prothioconazole-tebuconazole, which are applied in wheat cultivars intensively, on six fodder maize hybrids that were infected with Fusarium proliferatum in the R1 growth stage in a field trial. The effect of the fungicide treatment was tested on the starch content and antifungal, antioxidant polyphenols of the kernels in the R3–R4 and R6 stage of the cultivars. The level of the fungal presence and the fumonisin concentration of the kernels were increased significantly under the artificial infection. The fumonisin concentration was variable at the R6 stage of the hybrid maize kernels. The treatment with prothioconazole and tebuconazole was found to be suitable when it was done before flowering, while the azoxystrobin-propiconazole treatments were equally successful before and after maize flowering considering the decreasing fumonisin concentration of the kernels. Both fungicide mixtures, when they were applied after maize flowering, affected the starch biosynthesis to the R3–R4 stage significantly. Meanwhile, azoxystrobin-propiconazole also significantly affected the antioxidant flavone/flavanol contents from the R3–R4 stage to the R6 stage.
Chemical control of the Lesser Date Moth, Batrachedra amydraula (Lepidoptera: Batrachedridae)
Authors: Javadzadeh M. , Hosseini-Gharalari A.
Published: April 2017

The Lesser Date Moth, Batrachedra amydraula (Lepidoptera: Batrachedridae), is a key pest of date palms in silos and storages. The efficacy of aluminium phosphide (Phostoxin® tablet 55%) @ 5 t/m3 and magnesium phosphide (Degesch® plates 56%) @ 2 p/30 m3 were assessed against this pest in Iran date silos based on a completely randomized block design. Based on Henderson-Tilton formula, on the third day after treatment, both treatments resulted in 100% mortality. Application of magnesium phosphide and aluminium phosphide can be a suitable substitution for methyl bromide, which has just been banned in many countries.
LEAD AND CADMIUN CONCENTRATION IN CATFISH (pangasius polyuronodon) OF THE LOWER PART OF SIAK RIVER
Authors: Husnah Husnah , Kaban Siswanta , Makri Makri
Published: April 2017

Siak River is one of four big rivers in Riau Province suffered from anthropogenic substances deriving from various human aciivities. The substances not only degrade the water quality but also influence aquatic organisms such as fish.
Лекция Cемена Франка о Петре Чаадаеве
Authors: Гапоненков Алексей
Published: April 2017

Pierwsza publikacja konspektu wykładu Siemiona Franka, pierwotnie zatytułowanego Czaadajew i wygłoszonego przez niego w 1930 roku na Uniwersytecie Berlińskim. Oryginał jest przechowywany w Archiwum Bachmietiewa na Uniwersytecie Columbia (USA, Nowy Jork) w dokumentach Siemiona Franka.
Два философа: Семен Франк о Петре Чаадаеве
Authors: Оболевич Тереза
Published: April 2017

Artykuł stanowi posłowie do pierwszej publikacji archiwalnego tekstu rosyjskiego filozofa Siemiona Franka pt. Czaadajew. Frank wygłosił ten wykład w 1930 roku na Uniwersytecie Berlińskim, ale jego zainteresowanie Czaadajewem sięga początku XX wieku. W szczególności, Frank podczas swego pobytu w Saratowie zamierzał opublikować dzieła zebrane Czaadajewa zredagowane przez Michaiła Gerszenzona. Również na emigracji Frank popularyzował jego twórczość, podzielając miłość Czaadajewa do prawdy i ojczyzny.
The Roots of Chaadaev’s Philosophical Thought
Authors: Pudełko Brygida
Published: April 2017

Pierwsza eurocentryczna koncepcja filozofii historii została stworzona przez Piotra Czaadajewa. Według tego chrześcijańskiego myśliciela jej ideał najlepiej odzwierciedlała średniowieczna Europa. Czaadajew czytał Kanta, Hegla i Schellinga, ale to francuscy filozofowie katoliccy: de Maistre, de Bonald, Ballanche, Chateaubriand i Lamennais, wywarli na niego największy wpływ. Specyficzny rodzaj konserwatywnego okcydentalizmu Czaadajewa charakteryzowało oskarżenie społeczeństwa rosyjskiego o brak tradycji, które mogłyby identyfikować Rosję z historią Europy. Według Czaadajewa kulturę rosyjską charakteryzuje brak ciągłości; nowe pomysły pojawiają się niespodziewanie, są pozbawione podstaw i brak im tradycji wcześniejszych pokoleń. Fakt ten był krytykowany w latach czterdziestych XIX wieku przez okcydentalistów, którzy kontynuowali liberalną i racjonalistyczną tradycję XVIII wieku. W 1839 roku konserwatywni słowianofile opowiedzieli się za hierarchią wartości Czaadajewa, odrzucając jego pesymistyczny pogląd na przyszłość Rosji. Spotkało się z otwartą krytyką okcydentalistów związanych z Bielińskim. Jednak wkrótce reakcje nacjonalistyczne zdominowały słowianofilów, którzy gloryfikowali wyjątkowość rosyjskiego ducha narodowego i opowiadali się za samodzielnością Rosji. Jednym z głównych źródeł nieporozumień między okcydentalistami i słowianofilami była rola XVIII‑­wiecznego cara Piotra I. Mimo że Czaadajew nie zauważał żadnych spektakularnych wzlotów w historii Rosji ani siły narodu rosyjskiego w przeszłości, stał się on wyrazicielem znamienitej przyszłości swojego kraju. W Apologii obłąkanego, która została napisana, aby rozładować napiętą atmosferę spowodowaną publikacją pierwszego listu filozoficznego, Czaadajew wyraża afirmację wielkiej misji Rosji. Według myśliciela Rosja ujawni swój ukryty potencjał i siłę i stanie się przewodniczką życia duchowego w Europie. Czaadajew, który wierzył w mistyczną misję Rosji, pod koniec swego życia uznał również wielkość prawosławia.
The Reign and the Freedom. A Controversial Question in Peter Chaadaev’s Thought
Authors: Voskressenskaia Janna
Published: April 2017

Celem artykułu jest analiza myśli Czaadajewa, ze szczególnym uwzględnieniem jego poglądu na spełnienie się chrześcijaństwa na przestrzeni czasu. Podjęto próbę pokazania niespójności jego tendencji do ukazania kształtu autentycznego chrześcijańskiego poczucia historii bez uwzględnienia osoby i roli związanej z nią radykalnej wolności. Czaadajew napotyka trudności dotyczące etyki i wartości ludzkich działań: jeśli dobre postępowanie jest po prostu wynikiem ludzkiego podporządkowania się Stwórcy, wówczas nawet Biblia jest zwykłym owocem Kościoła, książką napisaną dawno temu przez samych ludzi. W tej perspektywie chrześcijańskie rozumienie tradycji jest nie do utrzymania.
Петр Чаадаев и Павел Милюков: на грани философии и политики
Authors: Михайлова Елена
Published: April 2017

Krytyczne rozumienie przeszłości własnego kraju prowadzi do równowagi między historyczną i filozoficzną refleksją i polityką. W poszukiwaniu odpowiedzi na poetyckie pytanie Puszkina: „dokąd mamy płynąć…” rosyjski myśliciel dokonał różnych wyborów. Mówiąc o meandrach syntezy historii i polityki, Czaadajew przyciąga uwagę, ponieważ porzucił politykę i sferę publiczną i prowadząc życie w samotności, stał się myślicielem, który w skuteczny sposób wpłynął na opinię publiczną. Wybór Milukowa przebiegał w przeciwnym kierunku, ponieważ on porzucił historię na rzecz polityki. Krytyczne rozumienie historii, w różny sposób zaproponowane przez Czaadajewa i Milukowa, w sposób symboliczny wyraża patriotyczne uczucia autorów. Życiowe wybory Czaadajewa pokazują, w jaki sposób polityk może wyciągnąć wnioski z historii.
Религиозный кризис (Лев Толстой и Петр Чаадаев)
Authors: Ореханов Георгий
Published: April 2017

Tołstoj i Czaadajew reprezentują dwa zupełnie różne sposoby przezwyciężenia kryzysu religijnego, które wszakże mają wiele wspólnego. Istnieje podobieństwo w ich podejściu, którym jest panenteizm i tendencja do religijnej utopii polegającej na idei stworzenia idealnego królestwa ludzkiego i wezwania do budowania królestwa Bożego na ziemi. Różnica między ich podejściami zależy od akceptacji lub odrzucenia ludzkiej kultury i historii. Z perspektywy Tołstoja wiara i chrześcijaństwo są przeciwne kulturze. Zdaniem Czaadajewa wiara, chrześcijaństwo i Kościół dostarczają „jedności religii”, która stanowi prawdziwą moc kształtowania i zachowania procesu historycznego. Ten typ eklezjalności Czaadajewa ma warunkowy i bardzo niepewny charakter i ukazuje przejście od soteriologicznego do społecznego elementu.
What is a “Healthy National Feeling”? Serge Bulgakov’s Response to Chaadaev’s Despair
Authors: Zwahlen Regula
Published: April 2017

Według Sergiusza Bułgakowa „rozpacz Czaadajewa” jest związana z poszukiwaniem przez Rosję właściwej misji. „Zwrot narodowy” Buł­ga­kowa po pierwszej rewolucji rosyjskiej był oparty na „patriotyzmie kulturowym” i miał na celu dostarczenie alternatywy dla „wojującego nacjonalizmu” epoki. Zdaniem Bułgakowa powrót do prawosławia jest zarówno odpowiednim lekiem dla jego chorego kraju, jak i misji narodu rosyjskiego w historii świata. W artykule dokonano krytycznej analizy zmiany w myśleniu Bułgakowa na temat „narodu” w historycznym kontekście jego czasów.
Чаадаев и Печерин: одно время – две креативные эпохи
Authors: Твердислова Елена
Published: April 2017

Piotr Czaadajew (1794–1856) i Włodzimierz Peczerin (1807–1885) utorowali grunt dla dwóch ścieżek dysydenckiej myśli w Rosji: na oddziale psychiatrycznym i emigracji odpowiednio. Podczas gdy Czaadajew, prototyp Oniegina, później stał się symbolem ery Puszkina, Peczerin reprezentował erę Lermontowa z rozpaczą i sceptycyzmem. Peczerin nie tylko dał Lermontowowi imię „Bohatera naszych czasów”, ale także niektóre cechy jego charakteru. Co ciekawe, Peczerin został za granicą w 1836 roku, w tym samym roku, kiedy zostały opublikowane Listy filozoficzne. Jednak podczas gdy dla Czaadajewa Zachód był „intelektualną mekką”, dla Peczerina – miejscem posługi. To tu zdobył swoją reputację jako mówca i kaznodzieja. Czaadajew nigdy nie badał poznania świata od wewnątrz, natomiast Peczerin poświęcił nań swoje życie. Nawet jego pseudonim, „Fussgänger” (dosłownie „pieszy” lub „wędrowca”), odzwierciedla chęć nadania jego ideom praktycznego znaczenia.
О понятиях вечности и времени у Николая Надеждина как издателя „Философического письма” Петра Чаадаева
Authors: Симосато Тосиюки
Published: April 2017

W niniejszym studium przeanalizowano koncepcje wieczności i czasu Mikołaja Nadeżdina (1804–1856) w celu wyjaśnienia jego zamiaru, jaki powziął, wydając rosyjskie tłumaczenie Listu filozoficznego Czaadajewa w swoim czasopiśmie „Teleskop” w 1836 roku. Nadeżdin uważał, że „czas” jest obrazem i podobieństwem Boskiej „wieczności” w świecie zjawisk i że jego przeznaczeniem jest powrót do swojego prototypu. W konsekwencji, stworzone istoty świata powinny stopniowo przemieszczać się w kierunku istot idealnych w ciągu długiego okresu czasu. Tak więc, z jego punktu widzenia, prawdziwy „czas” nie jest niczym innym, jak ruchem świata w kierunku odwiecznych idei. Z tej perspektywy historycznej Nadeżdin pozytywnie oceniał list Czaadajewa, który pozbawia wartości przeszłość Rosji. Innymi słowy, Nadeżdin uznał, że Rosjanie nadal nie mają prawdziwej tożsamości narodowej, gdyż ta powinna dążyć do wieczności Bożej poprzez stworzenie królestwa Bożego. Krytykował obywateli własnego kraju za ich intelektualny nawyk, dzięki któremu zawsze patrzyli na swoich sąsiadów wyłącznie na płaszczyźnie horyzontalnej, bez rozważania własnej idealnej przyszłości. W związku z tym chciał wstrząsnąć rosyjskim społeczeństwem poprzez publikację rosyjskiego tłumaczenia Listu filozoficznego Czaadajewa i wezwać ją do duchowego przebudzenia. Ponadto, w przeciwieństwie do kulturowej postawy wyższości krajów zachodnich, która została wyrażona w listach, zamierzał zwrócić uwagę na to, że każdy naród musi na swój sposób osiągnąć poziom powszechnej realizacji doskonałej idei ludzkości.
Болгарский „Чаадаев” Янко Янева и его критики Димитр Михалчев и Петр Бицилли
Authors: Галчева Таня , Голубович Инна
Published: April 2017

Niniejsze studium zawiera przegląd historii publikacji książki Janka Janewa Piotr Czaadajew. Jego osobowość i filozofia, która w 1932 roku wywołała otwartą debatę. Na kilka miesięcy przed wersją bułgarską Janew planował opublikować swoją pracę w Niemczech. Idea ta została udaremniona, ponieważ nie została zatwierdzona przez profesora Wiaczesława Iwanowa, który w prywatnym liście wyraził swe rozczarowanie. Jego opinia była bardzo zbliżona do opinii pierwszego recenzenta bułgarskiej książki – profesora Dmitrego Michalczewa. Druga recenzja pojawiła się kilka miesięcy później i została napisana przez profesora Piotra Bicillego. Wyraził on podziw tylko w jednym zdaniu, w którym poinformował, że praca Janewa ma wielką wartość. Patos pracy Bicillego, który zdecydowanie odbiega od krytyki Michalczewa, zachęca autorów artykułu do tego, aby zwrócić uwagę na rzeczywistą wartość inicjatywy wyrażającej się w zbadaniu życia i myśli Czaadajewa.
Atypisches Cushing-Syndrom bei einem Hund
Authors: Hoffrogge Stefanie , Fels Lena , Schmicke Marion , Mischke Reinhard
Published: April 2017

Bei einem aus anderen Gründen vorgestellten 12 Jahre alten Labrador-Retriever-Rüden bestand als Nebenbefund eine Hyperadrenokortizismus-Symptomatik (Polyurie/Polydipsie, tonniges Abdomen, Muskelatrophie). Abweichende Laborbefunde und sonographische Veränderungen der Nebennieren, aber negative Befunde in Low-Dose-Dexamethason-Suppressionstests bei niedriger Basalkortisolkonzentration, ein negativer ACTH-Stimulationstest und Ausschluss eines iatrogenen Hyperadrenokortizismus ließen den Verdacht auf einen atypischen Hype radrenokortizismus (AHAC) aufkommen. Die Ergebnisse weiterführender Untersuchungen, insbesondere die Stimulation der Progesteronbildung durch ACTH (0-h-Wert: 0,21 ng/ml; 1-h-Wert: 4,9 ng/ml), und das Ansprechen auf die Trilostan-Therapie sprachen ebenfalls für diese Diagnose. Es muss jedoch kritisch hinterfragt werden, ob und inwiefern zusätzlich vorliegende Erkrankungen (Arthrosen, Umfangsvermehrung in einem Hoden) hinsichtlich Symptomatik und Laborbefunden eine Rolle gespielt haben. Dieser Fall verdeutlicht die Schwierigkeiten bei der Diagnostik eines AHAC.
Home-based exercise program in TSP/HAM individuals: a feasibility and effectiveness study
Authors: Facchinetti Lívia D , Araújo Abelardo Q , Silva Marcus TT , Leite Ana Claudia C , Azevedo Mariana F , Chequer Gisele L , Oliveira Raquel VC , Ferreira Arthur S , Lima Marco Antonio
Published: April 2017

ABSTRACT Objective To investigate the feasibility and effectiveness of a home-based exercise program in TSP/HAM individuals. Methods Twenty-three TSP/HAM individuals divided in two groups according to Timed Up and Go (TUG) score (<20s vs ≥20s) performed a 20-week home-based exercise program. The primary outcomes were exercise adherence, maximum voluntary isometric contraction of lower limbs (MVIC), Barthel Index and SF-36. Secondary outcomes were adverse effects and barriers to exercise practice. Results MVIC and the social functioning domain in SF-36 improved significantly in TUG <20s group. The individuals in the TUG ≥20s group improved significantly their physical functioning domain in SF-36. The total adherence to the 20-week home-based exercise program was 90%. There were mild to moderate adverse events related to exercise program. There were no adverse events related to MVIC test. Conclusions The home-based exercise program was feasible and effective in improving disability and quality of life in individuals with TSP/HAM.
Acute muscular weakness in children
Authors: Torricelli Ricardo Pablo Javier Erazo
Published: April 2017

ABSTRACT Acute muscle weakness in children is a pediatric emergency. During the diagnostic approach, it is crucial to obtain a detailed case history, including: onset of weakness, history of associated febrile states, ingestion of toxic substances/toxins, immunizations, and family history. Neurological examination must be meticulous as well. In this review, we describe the most common diseases related to acute muscle weakness, grouped into the site of origin (from the upper motor neuron to the motor unit). Early detection of hyperCKemia may lead to a myositis diagnosis, and hypokalemia points to the diagnosis of periodic paralysis. Ophthalmoparesis, ptosis and bulbar signs are suggestive of myasthenia gravis or botulism. Distal weakness and hyporeflexia are clinical features of Guillain-Barré syndrome, the most frequent cause of acute muscle weakness. If all studies are normal, a psychogenic cause should be considered. Finding the etiology of acute muscle weakness is essential to execute treatment in a timely manner, improving the prognosis of affected children.
Negative pressure therapy for the treatment of complex wounds
Authors: LIMA RENAN VICTOR KÜMPEL SCHMIDT , COLTRO PEDRO SOLER , FARINA JÚNIOR JAYME ADRIANO
Published: April 2017

ABSTRACT The objective of this study is to evaluate the effectiveness of negative pressure therapy (NPT) in the treatment of complex wounds, with emphasis on its mechanisms of action and main therapeutic indications. We searched the Pubmed / Medline database for articles published from 1997 to 2016, and selected the most relevant ones. The mechanisms of action of NPT involveboth physical effects, such as increased perfusion, control of edema and exudate, reduction of wound dimensions and bacterial clearance, and biological ones, such as the stimulation of granulation tissue formation, microdeformations and reduction of Inflammatory response. The main indications of NPT are complex wounds, such as pressure ulcers, traumatic wounds, operative wound dehiscences, burns, necrotizing wounds, venous ulcers, diabetic wounds, skin grafts, open abdomen, prevention of complications in closed incisions and in the association with instillation of solutions in infected wounds.
Intra-aortic balloon pump in cardiogenic shock: state of the art
Authors: THOMAZ PETRONIO GENEROSO , MOURA JÚNIOR LEONEL ADELINO , MURAMOTO GIOVANA , ASSAD RENATO SAMY
Published: April 2017

ABSTRACT The clinical definition of cardiogenic shock is that of a low cardiac output and evidence of tissue hypoxia in the presence of adequate blood volume. Cardiogenic shock is the main cause of death related to acute myocardial infarction (AMI), with a mortality rate of 45-70% in the absence of aggressive and highly specialized technical care. The intra-aortic balloon pump (IABP) is one of the most widely used mechanical assisting devices. During the last two decades, about 42% of patients with AMI who evolved with cardiogenic shock received mechanical circulatory assistance with IABP. Its clinical indication has been based on non-randomized studies and registry data. Recent studies have shown that the use of IABP did not reduce 30-day mortality in patients with AMI and cardiogenic shock treated with the strategy of early myocardial revascularization as the planned primary objective. The guidelines of the American Heart Association and of the European Society of Cardiology have reassessed their recommendations based on the results of meta-analyzes, including the IABP-SCHOCK II Trial study, which did not evidence an increase in survival of patients who received mechanical support with IABP. This review article addresses the clinical impact of IABP use in the cardiogenic shock caused by AMI.
Sugammadex ED90 dose to reverse the rocuronium neuromuscular blockade in obese patients
Authors: SILVA MAURO PRADO DA , MATSUI CHRISTIANO , KIM DANIEL DONGIOU , VIEIRA JOAQUIM EDSON , MALHEIROS CARLOS ALBERTO , MATHIAS LIGIA ANDRADE SILVA TELLES
Published: April 2017

ABSTRACT Objective: to determine the ED90 (minimum effective dose in 90% of patients) of sugammadex for the reversal of rocuronium-induced moderate neuromuscular blockade (NMB) in patients with grade III obesity undergoing bariatric surgery. Methods: we conducted a prospective study with the biased coin up-and-down sequential design. We chosen the following doses: 2.0mg/Kg, 2.2mg/Kg, 2.4mg/Kg, 2.6mg/Kg, 2.8mg/Kg. The complete reversal of rocuronium-induced NMB considered a T4/T1 ratio ≥0.9 as measured by TOF. After induction of general anesthesia and calibration of the peripheral nerve stimulator and accelerometer, we injected rocuronium 0.6mg/kg. We administered propofol and remifentanil by continuous infusion, and intermittent boluses of rocuronium throughout the procedure. Results: we evaluated 31 patients, of whom 26 had displayed successful reversal of the NMB with sugammadex, and failure in five. The mean time to complete moderate NMB reversal was 213 seconds (172-300, median 25-75%). The ED90 of sugammadex calculated by regression was 2.39mg/kg, with a 95% confidence interval of 2.27-2.46 mg/kg. Conclusion: the ED90 of sugammadex in patients with grade III obesity or higher was 2.39mg/kg.
Impact of using a local protocol in preoperative testing: blind randomized clinical trial.
Authors: SANTOS MÔNICA LOUREIRO , IGLESIAS ANTÔNIO CARLOS
Published: April 2017

ABSTRACT Objective: to evaluate the impact of the use of a local protocol of preoperative test requests in reducing the number of exams requested and in the occurrence of changes in surgical anesthetic management and perioperative complications. Methods: we conducted a randomized, blinded clinical trial at the Gaffrée and Guinle University Hospital with 405 patients candidates for elective surgery randomly divided into two groups, according to the practice of requesting preoperative exams: a group with non-selectively requested exams and a protocol group with exams requested according to the study protocol. Studied exams: complete blood count, coagulogram, glycemia, electrolytes, urea and creatinine, ECG and chest X-ray. Primary outcomes: changes in surgical anesthetic management caused by abnormal exams, reduction of the number of exams requested after the use of the protocol and perioperative complications. Results: there was a significant difference (p<0.001) in the number of exams with altered results between the two groups (14.9% vs. 29.1%) and a reduction of 57.3% in the number of exams requested between the two groups (p<0.001), which was more pronounced in patients of lower age groups, ASA I, without associated diseases and submitted to smaller procedures. There was no significant difference in the frequency of conduct changes motivated by the results of exams or complications between the two groups. In the multivariate analysis, complete blood count and coagulogram were the only exams capable of modifying the anesthetic-surgical management. Conclusion: the proposed protocol was effective in eliminating a significant number of complementary exams without clinical indication, without an increase in perioperative morbidity and mortality.
Rat infestation associated with environmental deficiencies in an urban slum community with high risk of leptospirosis transmission
Authors: Santos Norlan de Jesus , Sousa Erica , Reis Mitermayer G. , Ko Albert I. , Costa Federico
Published: April 2017

Abstract: We analyzed environmental factors that provide food, water and harborage to rodents and the risk of household rodent infestation in a slum community with a high risk of leptospirosis transmission. Detailed environmental surveys were performed in 221 households. Multivariate regression models evaluated the association between rodent infestation and socioeconomic status and environmental attributes obtained from Geographical Information System surveys. The general household infestation rate was 45.9%. Rattus norvegicus signs were the most prevalent, present in 74% of the infested households. The risk for rodent infestation was associated with environmental factors supporting harborage for rats, such as dilapidated fences/walls (OR: 8.95; 95%CI: 2.42-33.12) and households built on an earthen slope (OR: 4.68; 95%CI: 2.23-9.81). An increase of 1 meter from the nearest sewer was associated with a 3% (95%CI: 1%-5%) decrease in the risk of rodent infestation. A lack of sanitation where poor people live provides factors for rat infestation and could the target of educational interventions.
PREVALENCE AND PREDICTORS OF CHANGES IN BOWEL HABITS AFTER LAPAROSCOPIC CHOLECYSTECTOMY
Authors: DEL GRANDE Leonardo de Mello , LEME Luis Fernando Paes , MARQUES Francisco Pimenta , RAMOS Andressa Teruya , RAMOS Paula Teruya , SOUZA Felipe Araújo de
Published: April 2017

ABSTRACT Background: The incidence of cholecystolithiasis is approximately 15% of the population. It is believed that between 30-40% of cholecystectomy patients have symptoms after surgery, being changes in bowel habits the most common among them. Aim: 1) Defining the prevalence, and 2) identifying predictors of changes in bowel habits after laparoscopic cholecystectomy. Methods: This is a retrospective cross-sectional study with an initial sample of 150 patients diagnosed with cholecystolithiasis operated between July and September 2014. Patients were submitted to a questionnaire about the presence of gastrointestinal symptoms and changes in stools consistency before and after the surgical procedure. They were divided into two groups (with or without changes in bowel habits) being combined with the following variables: high blood pressure, body mass index, hypothyroidism, adherence to postoperative dietary orientations, previous abdominal and bariatric surgery. Results: The prevalence of changes in bowel habits in the study population was 35.1%. The association between it and gastrointestinal symptoms was demonstrated to be statistically significant (‰2=7.981; p=0.005), and people who did not have gastrointestinal symptoms had 2.34 times the odds of not presenting changes in bowel habits. None of the other investigated factors had shown to be a predictor of risk for post-cholecystectomy changes in bowel habits. Conclusion: 1) There was a high prevalence of changes in bowel habits, and 2) there was association between changes in bowel habits and the presence of gastrointestinal symptoms.
ENDOSCOPIC SLEEVE GASTROPLASTY FOR OBESITY TREATMENT: TWO YEARS OF EXPERIENCE
Authors: LOPEZ-NAVA Gontrand , GALVÃO M P , BAUTISTA-CASTAÑO I , FERNANDEZ-CORBELLE J P , TRELL M , LOPEZ N
Published: April 2017

ABSTRACT Background: Bariatric endoscopic techniques are minimally invasive and induce gastric volume reduction to treat obesity. Aim: To evaluate endoscopic sleeve gastroplasty (Apollo method) using a suturing method directed at the greater curvature, as well as the perioperative care, two year safety and weight loss. Method: Prospective single-center study over 154 patients (108 females) using the endoscopic sleeve gastroplasty procedure under general anesthesia with overnight inpatient observation. Of the154 initial patients, 143 were available for 1-month of follow-up, 133 for 6-month, 64 for 12-month and 28 completed the 24 month assessment. Follow-up was carried out by a multidisciplinary team (nutritionist and psychologist). Outcomes evaluated were: change in BMI; change in body weight (TBWL); % of loss of initial body weight (%TBWL); % of excess body weight loss (%EWL) (segregated in > or <25% and adverse effects. Voluntary oral contrasted radiological examinations were scheduled to assess the gastroplasty at different times post-procedure. Results: Mean age was 44.9 (23-69) years. At 24 months after the procedure baseline mean BMI change from 38.3 to 30.8 kg/m2. TBWL, %TBWL and %EWL were of 21.3 kg, 19.5% and 60.4% respectively. 85.7% of patients achieve the goal of >25% %EWL. There were no mayor adverse events intraprocedure or during the 24 months of follow-up . Conclusion: Endoscopic sleeve gastroplasty with regular monitoring by a multidisciplinary team can be considered an effective, safe and well tolerated procedure for obesity treatment, at least for two years of follow-up.
HYPERVASCULAR LIVER LESIONS IN RADIOLOGICALLY NORMAL LIVER
Authors: AMICO Enio Campos , ALVES José Roberto , SOUZA Dyego Leandro Bezerra de , SALVIANO Fellipe Alexandre Macena , JOÃO Samir Assi , LIGUORI Adriano de Araújo Lima
Published: April 2017

ABSTRACT Background: The hypervascular liver lesions represent a diagnostic challenge. Aim: To identify risk factors for cancer in patients with non-hemangiomatous hypervascular hepatic lesions in radiologically normal liver. Method: This prospective study included patients with hypervascular liver lesions in radiologically normal liver. The diagnosis was made by biopsy or was presumed on the basis of radiologic stability in follow-up period of one year. Cirrhosis or patients with typical imaging characteristics of haemangioma were excluded. Results: Eighty-eight patients were included. The average age was 42.4. The lesions were unique and were between 2-5 cm in size in most cases. Liver biopsy was performed in approximately 1/3 of cases. The lesions were benign or most likely benign in 81.8%, while cancer was diagnosed in 12.5% of cases. Univariate analysis showed that age >45 years (p< 0.001), personal history of cancer (p=0.020), presence of >3 nodules (p=0.003) and elevated alkaline phosphatase (p=0.013) were significant risk factors for cancer. Conclusion: It is safe to observe hypervascular liver lesions in normal liver in patients up to 45 years, normal alanine aminotransaminase, up to three nodules and no personal history of cancer. Lesion biopsies are safe in patients with atypical lesions and define the treatment to be established for most of these patients.
LAPAROSCOPIC REPAIR OF LUMBAR HERNIA (GRYNFELT): TECHNICAL DESCRIPTION
Authors: CLAUS Christiano Marlo Paggi , NASSIF Lucas Thá , AGUILERA Yan Sacha , RAMOS EduardoJose Brommelstroet , COELHO Julio Cesar Uili
Published: April 2017

ABSTRACT Background: Lumbar hernias are rare. Usually manifest with reducible volume increase in the post-lateral region of the abdomen and may occur in two specific anatomic defects: the triangles of Grynfelt (upper) and Petit (lower). Despite controversies with better repair, laparoscopic approach, following the same principle of the treatment of inguinal hernias, seems to present significant advantages compared to conventional/open surgeries. However, some technical and anatomical details of the region, non usual to general surgeons, are fundamental for proper repair. Aim: To present systematization of laparoscopic transabdominal technique for repair of lumbar hernias with emphasis on anatomical details. Method : Patient is placed in the lateral decubitus. Laparoscopic access to abdominal cavity is performed by open technique on the left flank, 1.5 cm incision, followed by introduction of 11 mm trocar for a 30º scope. Two other 5 mm trocars, in the left anterior axillary line, are inserted into the abdominal cavity. The peritoneum of the left paracolic gutter is incised from the 10th rib to the iliac crest. Peritoneum and retroperitoneal is dissected. Reduction of all hernia contents is performed to demonstrate the hernia and its size. A 10x10 cm polypropylene mesh is introduced into the retroperitoneal space and fixed with absorbable staples covering the defect with at least 3-4 cm overlap. Subsequently, is carried out the closure of the peritoneum of paracolic gutter. Results: This technique was used in one patient with painful increased volume in the left lower back and bulging on the left lumbar region. CT scan was performed and revealed left superior lumbar hernia. Operative time was 45 min and there were no complications and hospitalization time of 24 h. Conclusion: As in inguinal hernia repair, laparoscopic approach is safe and effective for the repair of lumbar hernias, especially if the anatomical details are adequately respected.
A PICTORIAL PRESENTATION OF ESOPHAGEAL HIGH RESOLUTION MANOMETRY CURRENT PARAMETERS
Authors: LAFRAIA Fernanda M. , HERBELLA Fernando A. M. , KALLUF Julia R. , PATTI Marco G.
Published: April 2017

ABSTRACT Introduction: High resolution manometry is the current technology used to the study of esophageal motility and is replacing conventional manometry in important centers for esophageal motility with parameters used on esophageal motility, following the Chicago Classification. This classification unifies high resolution manometry interpretation and classifies esophageal disorders. Objective: This review shows, in a pictorial presentation, the new parameters established by the Chicago Classification, version 3.0, aimed to allow an easy comprehension and interpretation of high resolution manometry. Methods: Esophageal manometries performed by the authors were reviewed to select illustrative tracings representing Chicago Classification parameters. Results: The parameters are: Esophagogastric Morphology, that classifies this junction according to its physiology and anatomy; Integrated Relaxation Pressure, that measures the lower esophageal sphincter relaxation; Distal Contractile Integral, that evaluates the contraction vigor of each wave; and, Distal Latency, that measures the peristalsis velocity from the beginning of the swallow to the epiphrenic ampulla. Conclusion: Clinical applications of these new concepts is still under evaluation.
VASTUS LATERALIS OBLIQUE ACTIVITY DURING GAIT OF SUBJECTS WITH PATELLOFEMORAL PAIN
Authors: Santos Gilmar Moraes , Say Karina Gramani , Pulzatto Flávio , Libardoni Thiele de Cássia , Sinhorim Larissa Milani Brognoli , Martins Tamiris Beppler , Pedro Vanessa Monteiro
Published: April 2017

ABSTRACT Introduction: So far, little is known about the behavior of electromyographic activity of vastus lateralis oblique muscle during treadmill gait in subjects with and without patellofemoral pain syndrome. Objective: The purpose of this study was to investigate the electromyographic activity of the patellar stabilizers muscles and the angle of the knee joint flexion in subjects with and without patellofemoral pain syndrome. Method: Fifteen subjects without (21 ± 3 years) and 12 with patellofemoral pain syndrome (20 ± 2 years) were evaluated. The electromyographic activity and flexion angle of the knee joint were obtained during gait on the treadmill with a 5 degree inclination. Results: The knee flexion angle was significantly lower in the subjects with patellofemoral pain syndrome when compared with the healthy controls. The electromyographic activity of vastus lateralis longus was significantly greater during gait on the treadmill with inclination in subjects with patellofemoral pain syndrome. The results also showed that the electromyographic activity of vastus lateralis oblique and vastus medialis oblique were similar in both groups, regardless of the condition (with/without inclination). Conclusion: We have shown that knee kinematics during gait differs among patients with and without patellofemoral pain syndrome and healthy controls and that a different motor strategy persists even when the pain is no longer present. In addition, the findings suggested that the vastus lateralis oblique has a minor role in patellar stability during gait.
TESTE DE CAMINHADA DE SEIS MINUTOS: DESEMPENHO DE CRIANÇAS COM EXCESSO DE PESO
Authors: Cibinello Fabíola Unbehaun , Pozzo Carolina Cotrim Dal , Moura Laís de , Santos Gissely Martins , Fujisawa Dirce Shizuko
Published: April 2017

RESUMO Introdução: O teste de caminhada de seis minutos (TC6') tem sido utilizado para avaliar a capacidade funcional do exercício em crianças. Objetivo: Comparar o desempenho no teste de caminhada de seis minutos em escolares na faixa etária entre 8 a 10 anos, conforme a classificação nutricional, com base em dois diferentes critérios. Métodos: A amostra de 226 crianças entre 8 a 10 anos foi dividida em três grupos (eutrófico, sobrepeso e obeso), de acordo com os critérios de classificação nutricional propostos pela Organização Mundial da Saúde (OMS) e pela International Obesity Task Force (IOTF) e avaliada por meio do teste de caminhada de seis minutos. Resultados: A prevalência de sobrepeso e obesidade na amostra foi de 42,48% de acordo com o critério da OMS e 38,94% pelo critério da IOTF. Não ocorreram diferenças estatisticamente significantes entre os grupos eutrófico, sobrepeso e obeso, quando os resultados do TC6' foram comparados, tanto na distância percorrida quanto no percentual do predito para a criança, de acordo com os valores de referência, e também de acordo com os dois critérios de classificação nutricional. A frequência cardíaca final do teste foi estatisticamente maior nos grupos sobrepeso e obeso, tanto pelo critério OMS (p = 0,0015), quanto pelo critério IOTF (p = 0,0160) . Conclusões: Na amostra estudada não houve diferença no desempenho do TC6' entre crianças eutróficas, com sobrepeso e obesas. Porém, a frequência cardíaca final do teste foi significantemente maior entre as crianças com excesso de peso. Os resultados ressaltam que medidas de prevenção, acompanhamento e tratamento são necessárias, promovendo hábitos saudáveis.
EFEITO DO ESFORÇO FÍSICO NO DESEMPENHO DE TIRO DE POLICIAIS MILITARES DO BATALHÃO DE CHOQUE
Authors: Nascimento Neto Luiz Inácio do , Machado Daniel Gomes da Silva , Agrícola Pedro Moraes Dutra , Farias Junior Luiz Fernando de , Fonteles André Igor , Silva Samara Karla Anselmo da , Elsangedy Hassan Mohamed , Okano Alexandre Hideki
Published: April 2017

RESUMO Introdução: O uso de arma de fogo por policiais militares normalmente é precedido por perseguição a pé, e as alterações fisiológicas produzidas pelo esforço físico podem afetar o desempenho do tiro. Objetivo: Verificar o efeito do esforço físico sobre o desempenho de tiro em policiais militares. Métodos: A amostra foi constituída por 15 homens (34,1 ± 5,4 anos; 81,4 ± 8,8 kg; 171,3 ± 5,6 cm; 27,7 ± 2,3 kg/m²; 44,9 ± 4,0 ml.kg-1.min-1) do batalhão de choque da polícia militar. Na primeira sessão, os participantes realizaram um teste de esforço máximo em esteira no qual se mediu o consumo pico de oxigênio (VO2pico). Na segunda sessão, foi avaliado o desempenho (pontuação) e tempo de tiro pré e pós-esforço físico e o tempo gasto no circuito de corrida com obstáculos (297 m). O índice de eficiência de tiro foi calculado pela razão entre a pontuação total e tempo de execução de tiro. O teste de Shapiro-Wilk confirmou a normalidade da distribuição dos dados. Utilizou-se o teste t pareado para comparação das variáveis desfecho pré e pós-esforço e o coeficiente de correlação de Pearson. Resultados: O tempo para completar o percurso de corrida foi 75,3 ± 4,4 s. O desempenho (20,4 ± 11,4 vs. 17,6 ± 9,3 pontos), tempo (4,48 ± 1,1 vs. 4,23 ± 0,9 s) e eficiência de tiro (4,69 ± 2,7 vs. 4,35 ± 2,7 pts./s) não apresentaram diferenças significativas (P > 0,2). Além disso, detectou-se uma correlação entre o VO2pico e o tempo de execução da corrida (r = -0,64; P = 0,01), mas não com o desempenho de tiro (P > 0,05). Conclusão: O esforço físico não afeta o desempenho de tiro de policiais militares. Apesar de o nível de aptidão aeróbica não ser associado ao desempenho de tiro, foi associado ao desempenho físico realizado previamente aos disparos.
INATIVIDADE FÍSICA E COMPORTAMENTOS ADVERSOS PARA A SAÚDE ENTRE PROFESSORES UNIVERSITÁRIOS
Authors: Santana Jaqueline de Oliveira , Peixoto Sérgio Viana
Published: April 2017

RESUMO Introdução: A inatividade física onera a sociedade pelo crescente custo dos cuidados médicos e perda de produtividade, além de figurar entre os quatro principais fatores de risco de doenças crônicas. Objetivo: Verificar os fatores associados à inatividade física, avaliada pela taxa de equivalentes metabólicos (MET), entre professores de uma universidade pública. Métodos: Estudo transversal, com amostra probabilística, incluindo 163 trabalhadores. Além da inatividade física (<450 MET.min/semana), avaliaram-se idade, sexo, estado civil, tabagismo, consumo excessivo de álcool, percepção da saúde e do estresse, presença de diabetes, hipertensão, lombalgia, depressão, doenças do coração e consumo de frutas/verduras/legumes, gordura não saudável, refrigerante e sal. As razões de prevalências e os intervalos de confiança (95%) foram estimados pela regressão de Poisson. Resultados: Os participantes fisicamente inativos tinham menor consumo de frutas/verduras/legumes, consumo excessivo de álcool e pior percepção da saúde. Conclusão: Sugere-se que a inatividade física está associada a um maior perfil de risco de saúde, e a ocorrência simultânea desses fatores deve ser considerada no planejamento das ações de saúde para grupos de trabalhadores e população geral.
COMPARAÇÃO DOS NÍVEIS DE APTIDÃO FÍSICA ENTRE HIPERTENSOS E NORMOTENSOS
Authors: Bottcher Lara Belmudes , Kokubun Eduardo
Published: April 2017

RESUMO Introdução: A hipertensão arterial é um fator de risco de maior importância para morbidade e mortalidade causadas por doenças cardiovasculares. Estudos apontam relação inversa entre taxa de mortalidade e nível de aptidão física. Objetivo: Verificar se existe diferença na aptidão física entre hipertensos e normotensos e se existe efeito da prática regular de atividade física sobre a aptidão física em hipertensos similar às encontradas em normotensos. Métodos: Participaram do estudo 214 mulheres (≥ 40 anos), que fizeram parte, por seis meses, de um programa de atividade física. Todas foram submetidas a uma avaliação antropométrica e avaliação da aptidão física (AAHPERD) . Resultados: Hipertensos têm condição inicial pior com relação a agilidade (GH média inicial= 24,2 ± 0,4 seg. e GN= 20,9 ± 0,8 seg., p < 0,01), coordenação (GH média inicial = 17,5 ± 0,7 seg. e GN média inicial = 11,5 ± 1,2 seg., p < 0,01) e resistência aeróbica (GH média inicial = 568,5 ± 12,2 seg. e GN média inicial = 506,8 ± 21,7 seg., p < 0,02). Após seis meses de prática de atividade física regular, os indivíduos hipertensos continuam apresentando resultados piores quanto a agilidade, coordenação e resistência aeróbica (GH média 6 meses = 22,9 ± 0,4 seg. e GN média 6 meses = 19,97 ± 0,7 seg., p < 0,01; GH 6 meses = 16,1 ± 0,7 seg. e GN 6 meses= 10,6 ± 1,3 seg., p < 0,01; GH 6 meses = 498,9 ± 20,2 seg. e GN 6 meses = 555,7 ± 11,4 segundos, p < 0,02, respectivamente) . Conclusão: Hipertensos apresentam piores níveis de aptidão física comparados aos normotensos, e a prática de atividade física durante o período de seis meses não foi suficiente para diminuir a diferença entre esses grupos.
ODONTOLOGIA DO ESPORTE - UMA PROPOSTA INOVADORA
Authors: Pastore Giuseppe Umberto , Moreira Márcia , Bastos Robson , Galotti Marcelo , Leonardi Mario Francisco de Pasquali
Published: April 2017

RESUMO O objetivo deste trabalho é inserir definitivamente a odontologia no contexto do esporte de alto rendimento, com o firme propósito de estabelecer uma linguagem comum com a medicina do esporte. Consideramos que as práticas clínicas aplicadas a atletas de alto desempenho devem obedecer a regras e momentos adequados, levando-se em conta o contexto das demandas relativas aos atletas de ponta, ou seja, o desgaste fisiológico e o processo adaptativo ao sobre-esforço, e todas as suas consequências. A odontologia dentro dos clubes esportivos promoveria a saúde bucal e sistêmica dos atletas, controlando lesões bucais em integração com outros departamentos da área médica, equilíbrio hídrico, controle dietético, sobretreinamento e uso de energéticos e isotônicos. Quando as ações educativas forem inseridas desde a infância nas práticas esportivas, teremos, certamente, menor número de problemas bucais com mais necessidades preventivas que curativas. Sugerimos para as categorias de base, para atletas em formação, a inclusão de um odontopediatra nos clubes esportivos, como um profissional de importante atuação em saúde.