Diatomáceas holocênicas no litoral médio do Rio Grande do Sul, Brasil: análise de assembléias e reconstruções paleoambientais

O presente estudo teve como objetivo avaliar a composição das assembléias de diatomáceas ocorrentes nas amostras de testemunho executado na porção norte da Lagoa do Peixe (31º26'S-51º10'O e 31º14'S-50º54'O). A fim de caracterizar os paleoambientes formados em conseqüência das oscilações do nível do mar durante a transgressão marinha holocênica, três amostras foram datadas pelo C14, confirmando a idade holocênica (10 ka AP - atual) da seqüência do testemunho. Foram coletadas 43 amostras de lama, contidas no intervalo 223-586cm do testemunho, dos quais, apenas 12 amostras indicaram a presença de diatomáceas. Os resultados preliminares da análise revelaram a presença de 76 táxons exclusivamente marinhos e mixohalinos, durante as oscilações do nível do mar durante a transgressão. A análise da abundância e preservação valvar de taxa da assembléia, sugere que Paralia sulcata (Ehrenberg) Cleve comporta-se como uma espécie autóctone. Sugere-se que espécie sofreu processos de transporte em decorrência de transgressões e regressões marinhas holocênicas, que afetaram a Planície Costeira do Rio Grande do Sul, mantendo-a na zona costeira. Os resultados obtidos contribuem para o melhor conhecimento da historia evolutiva da Lagoa de Peixe, cuja evolução está diretamente conectada com as mudanças climáticas e as oscilações do nível do marSesiones libresFacultad de Ciencias Naturales y Muse

Gadget for Epilithic Microalgal Sampling (GEMS)

Abstract Benthic microalgae sampling in lotic systems is carried out using either artificial or natural substrate. Natural substrate is more suitable for biomass and productivity estimates as well as biodiversity assessment because it contains the communities that are typical of the environment. We present a new gadget for epilithic microalgae sampling (GEMS) that allows sampling in situ when it is impossible to remove the substrate from the river bed. The sampler consists of an acrylic box with a 25 cm diameter opening on its base that allows access to the substrate. This gadget can be used in shallow plan bedrock streams and it keeps the sample area isolated as much as possible minimising losses and contamination. It is also easy to construct and handle. Keywords: sampling, stream, epilithon. Dispositivo para amostragem de microalgas epilíticas Resumo As amostragens de microalgas bênticas em sistemas lóticos são realizadas através do uso de substrato natural ou artificial. Substratos naturais são mais adequados para a estimativa de biomassa e produtividade, assim como, para a avaliação de biodiversidade, porque eles contêm as comunidades que são típicas de um determinado ambiente. Nós apresentamos um novo dispositivo para amostragem de microalgas epilíticas (GEMS) que permite a amostragem in situ, quando é impossível remover o substrato do leito do rio. O amostrador consiste em uma caixa de acrílico com uma abertura de 25 cm de diâmetro em sua base que permite acesso ao substrato. O amostrador pode ser usado em riachos rasos e de leito rochoso e plano, e mantém a área amostral o mais isolada possível, minimizando perdas e contaminação, além de ser fácil de construir e manusear. Palavras-chave: amostragem, riacho, epilíton

Clinical Characteristics and Longitudinal Changes of Informal Cost of Alzheimer's Disease in the Community

Most estimates of the cost of informal caregiving in patients with Alzheimer's disease (AD) remain cross-sectional. Longitudinal estimates of informal caregiving hours and costs are less frequent and are from assessments covering only short periods of time. The objectives of this study were to estimate long-term trajectories of the use and cost of informal caregiving for patients with AD and the effects of patient characteristics on the use and cost of informal caregiving. The sample is drawn from the Predictors Study, a large, multicenter cohort of patients with probable AD, prospectively followed annually for up to 7 years in three university-based AD centers in the United States (n=170). Generalized linear mixed models were used to estimate the effects of patient characteristics on use and cost of informal caregiving. Patients' clinical characteristics included cognitive status (Mini-Mental State Examination), functional capacity (Blessed Dementia Rating Scale (BDRS)), comorbidities, psychotic symptoms, behavioral problems, depressive symptoms, and extrapyramidal signs. Results show that rates of informal care use and caregiving hours (and costs) increased substantially over time but were related differently to patients' characteristics. Use of informal care was significantly associated with worse cognition, worse function, and higher comorbidities. Conditional on receiving informal care, informal caregiving hours (and costs) were mainly associated with worse function. Each additional point on the BDRS increased informal caregiving costs 5.4%. Average annual informal cost was estimated at $25,381 per patient, increasing from$20,589 at baseline to $43,030 in Year 4

Home Health and Informal Care Utilization and Costs over Time in Alzheimer's Disease

OBJECTIVES: To (1) compare home health and informal (unpaid) services utilization among patients with Alzheimer's disease (AD), (2) examine longitudinal changes in services use, and (3) estimate possible interdependence of home health and informal care utilization. METHODS: The sample is drawn from the Predictors Study, a large, multicenter cohort of patients with probable AD, prospectively followed annually for up to 7 years in three university-based AD centers. Bivariate probit models estimated the effects of patient characteristics on home health and informal care utilization. RESULTS: A large majority of the patients (80.6%) received informal care with a smaller proportion (18.6%) receiving home health services. Home health services utilization increased from 9.9% at baseline to 34.5% in year 4. Among users, number of days that services were provided in three-month recall increased from 21.9 to 56 days over time. Home health services utilization was significantly associated with function, depressive symptoms, being female, and not living with a spouse. Informal care utilization was significantly associated with cognition, function, comorbidities, and living with a spouse or child. CONCLUSIONS: Home health and informal care utilization relate differently to patient characteristics. Utilization of home health care or informal care was not influenced by utilization of the other

Clinical Features Associated with Costs in Early AD: Baseline Data from the Predictors Study

BACKGROUND: Few studies on cost of caring for patients with Alzheimer disease (AD) have simultaneously considered multiple dimensions of disease costs and detailed clinical characteristics. OBJECTIVE: To estimate empirically the incremental effects of patients' clinical characteristics on disease costs. METHODS: Data are derived from the baseline visit of 180 patients in the Predictors Study, a large, multicenter cohort of patients with probable AD followed from early stages of the disease. All patients initially lived at home, in retirement homes, or in assisted living facilities. Costs of direct medical care included hospitalizations, outpatient treatment and procedures, assistive devices, and medications. Costs of direct nonmedical care included home health aides, respite care, and adult day care. Indirect costs were measured by caregiving time. Patients' clinical characteristics included cognitive status, functional capacity, psychotic symptoms, behavioral problems, depressive symptoms, extrapyramidal signs, comorbidities, and duration of illness. RESULTS: A 1-point increase in the Blessed Dementia Rating Scale score was associated with a $1,411 increase in direct medical costs and a$2,718 increase in unpaid caregiving costs. Direct medical costs also were $3,777 higher among subjects with depressive symptoms than among those who were not depressed. CONCLUSIONS: Medical care costs and unpaid caregiving costs relate differently to patients' clinical characteristics. Poorer functional status is associated with higher medical care costs and unpaid caregiving costs. Interventions may be particularly useful if targeted in the areas of basic and instrumental activities of daily living

Longitudinal Study of Effects of Patient Characteristics on Direct Costs in Alzheimer Disease

OBJECTIVES: To estimate long-term trajectories of direct cost of caring for patients with Alzheimer disease (AD) and examine the effects of patients' characteristics on cost longitudinally. METHODS: The sample is drawn from the Predictors Study, a large, multicenter cohort of patients with probable AD, prospectively followed up annually for up to 7 years in three university-based AD centers in the United States. Random effects models estimated the effects of patients' clinical and sociodemographic characteristics on direct cost of care. Direct cost included cost associated with medical and nonmedical care. Clinical characteristics included cognitive status (measured by Mini-Mental State Examination), functional capacity (measured by Blessed Dementia Rating Scale [BDRS]), psychotic symptoms, behavioral problems, depressive symptoms, extrapyramidal signs, and comorbidities. The model also controlled for patients' sex, age, and living arrangements. RESULTS: Total direct cost increased from approximately 9,239 dollars per patient per year at baseline, when all patients were at the early stages of the disease, to 19,925 dollars by year 4. After controlling for other variables, a one-point increase in the BDRS score increased total direct cost by 7.7%. One more comorbid condition increased total direct cost by 14.3%. Total direct cost was 20.8% lower for patients living at home compared with those living in an institutional setting. CONCLUSIONS: Total direct cost of caring for patients with Alzheimer disease increased substantially over time. Much of the cost increases were explained by patients' clinical and demographic variables. Comorbidities and functional capacity were associated with higher direct cost over time