2 nd Brazilian Consensus on Chagas Disease, 2015

Abstract Chagas disease is a neglected chronic condition with a high burden of morbidity and mortality. It has considerable psychological, social, and economic impacts. The disease represents a significant public health issue in Brazil, with different regional patterns. This document presents the evidence that resulted in the Brazilian Consensus on Chagas Disease. The objective was to review and standardize strategies for diagnosis, treatment, prevention, and control of Chagas disease in the country, based on the available scientific evidence. The consensus is based on the articulation and strategic contribution of renowned Brazilian experts with knowledge and experience on various aspects of the disease. It is the result of a close collaboration between the Brazilian Society of Tropical Medicine and the Ministry of Health. It is hoped that this document will strengthen the development of integrated actions against Chagas disease in the country, focusing on epidemiology, management, comprehensive care (including families and communities), communication, information, education, and research

Ganho de peso e alterações anatomopatológicas de tilápia-do-nilo arraçoadas com farelo de cacau

The experiment was carried out on the Laboratory of Fish Nutrition - F.M.V.Z., Campus Botucatu - integrated to the UNESP Aquaculture Center, with the main purpose of evaluating the effects of the use of cocoa meal (Theobroma cacao) on diets for Nile tilapia (Oreochromis niloticus) fingerlings. Six diets with increasing levels of cocoa meal (CM): 0% CM; 4% CM; 8% CM; 12% CM; 16% CM and 20% CM were fed for 120 days to the fingerlings, in a completely randomized design. Results showed no significant adverse effect of cocoa meal on weight gain (p>0.05), but there were restrictions to its use on diet, as it was found pathological effects on liver and also behavior disturbs caused by alkaloids present on the product.O experimento foi desenvolvido no Laboratório de Nutrição de Peixes (F.M.V.Z.), Câmpus de Botucatu, unidade integrada ao Centro de Aqüicultura da UNESP, com o objetivo de avaliar o emprego de farelo de cacau (Theobroma cacao) em dietas para alevinos de tilápia-do-nilo (Oreochromis niloticus). Os alevinos foram alimentados com dietas que continham níveis crescentes de farelo de cacau (FC): 0% FC; 4% FC; 8% FC; 12% FC; 16% FC e 20% FC, por 120 dias, em experimento inteiramente casualizado (três repetições). O farelo de cacau, nos níveis testados, embora não afete o ganho de peso (p > 0,05), deve ser empregado com restrição ao compor dieta, pois tanto pode exercer efeito deletério sobre o figado dos peixes, como pode estimular alterações comportamentais da tilápia-do-nilo, provocadas pelos alcalóides presentes no subproduto

Instrumentos que avaliam a independência funcional em crianças com paralisia cerebral: uma revisão sistemática de estudos observacionais

This article aimed to do a systematic review of instruments that assess functional independence of children with cerebral palsy. We used MEDLINE/Pubmed, Scopus, and Web of Science for the search. Observational studies of the past five years, with full text available and without language restriction, were included in this review. We found 222 articles, of which 63 were analyzed and 24 were included in the study. The main instruments found were: PEDI, WeeFIM, ASK, PODCI, VABS-II, LIFE-H, and CAPE/PAC.Este artigo teve como objetivo fazer uma revisão sistemática de instrumentos que avaliam a independência funcional de crianças com paralisia cerebral. As bases eletrônicas da MEDLINE/PubMed, Scopus e Web of Science foram usadas para as buscas. Estudos observacionais dos últimos cinco anos, com texto completo disponível e sem restrição de idioma foram incluídos nesta revisão. Foram encontrados 222 artigos, dos quais, 63 foram analisados e 24 foram incluídos no estudo. Os principais instrumentos encontrados foram: PEDI, WeeFIM, ASK, PODCI, VABS-II, LIFE-H e CAPE/PAC.En este texto se pretende llevar a cabo una revisión sistemática de instrumentos que evalúan la independencia funcional de niños con parálisis cerebral. Se emplearon las bases de datos electrónicas MEDLINE/PubMed, Scopus y Web of Science en las búsquedas. En esta revisión se incluyeron estudios observacionales de los últimos cinco años, con texto completo y disponible, sin restricción de idioma. De los 222 textos encontrados, 63 fueron evaluados y 24 incluidos. Los principales instrumentos encontrados fueron: PEDI, WeeFIM, ASK, PODCI, VABS-II, LIFE-H y CAPE/PAC