Propriedades Métricas da Escala Aachen Aphasia Test

No contexto atual do exercício da profissão de enfermagem, com exigência crescente a nível de eficácia, eficiência e prática baseada na evidência, torna-se imperativa a utilização de instrumentos de avaliação e medida, devidamente validados para as populações que assistem e avaliam. O objetivo deste estudo foi conhecer as propriedades métricas da escala Aachen Aphasia Test (AAT), aplicada a pessoas que sofreram um Acidente Vascular Cerebral (AVC). Foi realizada uma revisão sistemática da literatura, através de bases de dados eletrónicas, nos últimos 5 anos. Selecionaram-se 4 artigos que cumpriam os critérios, relacionados com a temática. Pouca informação foi obtida relacionada com as propriedades métricas da AAT. Apenas um dos artigos aborda informações exatas e referentes às propriedades métricas da sua adaptação para a versão Portuguesa, que de acordo com os autores consultados são robustas, comparáveis às da versão Alemã. Os restantes estudos recorrem a este instrumento como padrão na comparação com outros instrumentos

Neonatal pyruvate dehydrogenase deficiency due to a R302H mutation in the PDHA1 gene: MRI findings

Pyruvate dehydrogenase (PDH) deficiency is one of the most common causes of congenital lactic acidosis. Correlations between the genetic defect and neuroimaging findings are lacking. We present conventional and diffusion-weighted MRI findings in a 7-day-old male neonate with PDH deficiency due to a mosaicism for the R302H mutation in the PDHA1 gene. Corpus callosum dysgenesis, widespread increased diffusion in the white matter, and bilateral subependymal cysts were the main features. Although confirmation of PDH deficiency depends on specialized biochemical analyses, neonatal MRI plays a role in evaluating the pattern and extent of brain damage, and potentially in early diagnosis and clinical decision making

Successful treatment of feline leishmaniosis using an association of allopurinol and N-methyl-glucamine antimoniate

This work describes the diagnosis and successful treatment of a 2-year-old domestic cat infected with Leishmania species and presenting fever, and ulcerative and nodular skin lesions after being treated for pyodermatitis for 1 year without clinical improvement. After anamnesis the cat was submitted to a complete clinical examination. Blood was collected for determination of haematological and biochemical parameters, detection of feline leukaemia virus (FeLV), feline immunodeficiency virus (FIV), feline coronavirus (FCoV) and Leishmania amastigotes. Fine-needle aspiration puncture from the skin nodules was also performed. After definitive diagnosis the animal was treated and followed up over a 2 year period. The animal tested negative for FIV-specific antibodies, FeLV antigen and feline coronavirus RNA. Leishmania amastigotes in the skin nodules were confirmed by cytology and molecular diagnosis. Treatment was initiated with allopurinol, resulting in a slight clinical improvement. Thus, N-methyl-glucamine antimoniate was added and administered for 30 days, with complete closure of the ulcerative lesions in the hindlimbs requiring a surgical approach. Close monitoring of the patient in the following 24 months indicated that combined therapy was safe and clinical cure was achieved without further relapses or side effects.publishersversionpublishe

Infective Endocarditis Complicated by Large Aortic Pseudoaneurysm after Cardiac Surgery

A 66-year-old female with Streptococcus viridans aortic and tricuspid infective endocarditis develops, during the course of antibiotic therapy, rupture of a right coronary sinus of Valsalva aneurysm to the right ventricle. An urgent cardiac surgery is preformed with implantation of a mechanical aortic prosthesis and a right coronary sinus plasty. Six months later a huge aortic pseudoaneurysm is diagnosed and she is submitted to a second uneventful surgery. A review is done for the significant features with discussion of diagnosis and therapy

Milk microbiome and bacterial load following dry cow therapy without antibiotics in dairy cows with healthy mammary gland

Made available in DSpace on 2018-11-26T17:40:14Z (GMT). No. of bitstreams: 0 Previous issue date: 2017-08-14Department of Veterinary Clinical Medicine, College of Veterinary MedicineUniversity of Illinois at Urbana-ChampaignFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Preventive infusion of antibiotics in the mammary gland of cows consumes 11 tons/year of medically relevant antimicrobials, yet, this practice might not be critical to prevent new infections in the healthy mammary gland of cows. Here, we used next-generation sequencing and quantitative real-time PCR to determine the impact of dry cow therapy without antibiotics on milk microbiome and bacterial load, respectively. Cows diagnosed as negative for mastitis at dry off were randomly allocated to receive antibiotic (intramammary ceftiofur hydrochloride) and teat sealant or just teat sealant. Firmicutes was the most abundant phylum, and Corynebacterium, Acinetobacter, and Staphylococcus, often involved in mastitis cases, were the most abundant genera across treatments and time. However, there were no effects of antimicrobial on milk microbiome and bacterial load. Bacterial load was greater at seven days postpartum than at dry off. Dry cow therapy based on teat sealant without antibiotics can be used with no detrimental impacts on milk microbiome and bacterial load in cows with a healthy mammary gland.Univ Illinois, Dept Vet Clin Med, Champaign, IL 61820 USASao Paulo State Univ, Dept Microbiol & Immunol, Inst Biosci, Botucatu, SP, BrazilCornell Univ, Dept Populat Med & Diagnost Sci, Ithaca, NY USAUniv Liverpool, Dept Epidemiol & Populat Hlth, Inst Infect & Global Hlth, Leahurst, Neston, EnglandSao Paulo State Univ, Dept Microbiol & Immunol, Inst Biosci, Botucatu, SP, BrazilFAPESP: 2015/15208

Electron Spin Resonance and Thermoluminescence dating of shells and sediments from Sambaqui (shell mound) Santa Marta II, Brazil

In Tupi, the word Sambaqui means “mound of shells”. These archaeological sites are cultural vestiges left by the prehistoric occupation of the Brazilian coast from five to six thousand years ago. Mollusks, fishes, and other marine edible foods were important for the survival of this population. The remains of foods, mainly shells, were heaped up, giving a mound of different proportions, which became part of the landscape of the Brazilian coastal plain. Due to the large number of Sambaquis in Brazil and considering that Sambaqui Santa Marta II, Laguna, SC, has not yet been dated, Electron Spin Resonance (ESR) measurements were performed in aragonite shells collected from different layers of Sambaqui Santa Marta II, starting from the base to the center of the Sambaqui. Radiocarbon analysis by Accelerator Mass Spectrometry (AMS) at Beta Analytic laboratory were also performed for comparison with ESR results. Before measurements, shells were chemically etched, after drying, were pulverized and sieved. The sediments were separated into small portions which were irradiated with gamma radiation from a 60Co source with doses from 5 up to 120 Gy. Ages around 2,000 to 4,000 years have been obtained. The results obtained are consistent with the dates of others Sambaquis of the region, possibly were built at the same time

EPR dating of shells from Malhada Marsh, Rio de Janeiro, Brazil

The formation of the coastal plain of the Brazilian sea is mainly due to the fluctuation of relative sea level in the past. Armação dos Buzios or simply Buzios is a municipality in the microregion of lakes, in the state of Rio de Janeiro. In this region there is a lowland area about two meters above current sea level. This lowland areais also known as coastal plain of Una River. It is expected that during the Holocene period the sea level reached a maximum about 2.5 meters above the current level. During that time billions of mollusks lived and proliferated in the shallow waters around the coastal plain of the Una River. As they died their shells formed a layer in the soil including Malhada Marsh that belongs to the Una River plain. In this study, shells were collected from this region and dated using the techniques of Electronic Paramagnetic Resonance (EPR). Ages from 2480±130 to 4490±270 years were obtained. Radiocarbon dating were performed at the Beta Analytic Lab, USA for comparison with the EPR results. Shells ages obtained are compatible with geological data from the Holocene period relative to past sea level fluctuations

SEASONAL DISTRIBUTION OF MALARIA VECTORS (DIPTERA: CULICIDAE) IN RURAL LOCALITIES OF PORTO VELHO, RONDÔNIA, BRAZILIAN AMAZON

We conducted a survey of the malaria vectors in an area where a power line had been constructed, between the municipalities of Porto Velho and Rio Branco, in the states of Rondônia and Acre, respectively. The present paper relates to the results of the survey of Anopheles fauna conducted in the state of Rondônia. Mosquito field collections were performed in six villages along the federal highway BR 364 in the municipality of Porto Velho, namely Porto Velho, Jaci Paraná, Mutum Paraná, Vila Abunã, Vista Alegre do Abunã, and Extrema. Mosquito captures were performed at three distinct sites in each locality during the months of February, July, and October 2011 using a protected human-landing catch method; outdoor and indoor captures were conducted simultaneously at each site for six hours. In the six sampled areas, we captured 2,185 mosquitoes belonging to seven Anopheles species. Of these specimens, 95.1% consisted of Anopheles darlingi, 1.8% An. triannulatus l.s., 1.7% An. deaneorum, 0.8% An. konderi l.s., 0.4 An. braziliensis, 0.1% An. albitarsis l.s., and 0.1% An. benarrochi. An. darlingi was the only species found in all localities; the remaining species occurred in sites with specific characteristics