Implantable cardioverter-defibrillator in pregnant women with hypertrophic cardiomyopathy

Descrevemos os casos de duas gestantes portadoras de cardiomiopatia hipertrófica com alto risco de morte súbita arrítmica, que foram submetidas a implante de cardioversor-desfibrilador automático (CDI) no intercurso da gestação. O momento para a realização do procedimento e os cuidados necessários para o implante do CDI durante a gestação são discutidos e foram os principais objetivos deste relato.We describe the successful implantation of a cardioverter-defibrillator (ICD) in two pregnant women with hypertrophic cardiomyopathy at high risk. The indication of ICD and the necessary care for ICD implantation during pregnancy are discussed and were the main objectives of this case report

Spurious infection by Calodium hepaticum (Bancroft, 1983) Moravec, 1982 and intestinal parasites in forest reserve dwellers in Western Brazilian Amazon

Subsistence hunting is the main source of protein for forest reserve dwellers, contributing to the development of spurious infections by Calodium hepaticum, frequently associated with the consumption of the liver from wild mammals. The prevalence of infections by soil-transmitted helminths (STHs) and intestinal protozoa is considered an indicator of the social vulnerability of a country, besides providing information on habits, customs and quality of life of a given population. Intestinal parasites mostly affect poor rural communities with limited access to clean water and adequate sanitation. This study reports the results of a parasitological survey carried out in 2017 and 2019, in two municipalities (Xapuri and Sena Madureira) in Acre State. Stool samples were collected from 276 inhabitants. Upon receipt, each sample was divided into two aliquots. Fresh samples without preservative were processed and examined by the Kato-Katz technique. Samples fixed in 10% formalin were processed by the spontaneous sedimentation and the centrifugal sedimentation techniques. Calodium hepaticum eggs were found in three stool samples. The overall STH prevalence was 44.9%. The hookworm prevalence (19.2%) was higher than that of Ascaris lumbricoides (2.5%) and Trichuris trichiura (0.7%), an unexpected finding for municipalities belonging to the Western Brazilian Amazon. When considering parasites transmitted via the fecal-oral route, Endolimax nana and Entamoeba coli showed the highest positivity rates, of 13% and 10.9%, respectively. This study is the first report of spurious infection by C. hepaticum among forest reserve dwellers that consume undercooked liver of lowland pacas. Additionally, this is the first report of Blastocystis sp. in Acre State

Concepções teóricas e metodológicas do cuidado transdisciplinar: uma revisão integrativa

Introdução: Objetivou-se realizar um levantamento da produção científica na enfermagem e suas interfaces sobre as concepções teóricas e metodológicas do cuidado e discutir o cuidado na enfermagem e suas interfaces na perspectiva da complexidade em atitude transdisciplinar.Métodos: Trata-se de uma revisão integrativa que utilizou o Portal de Periódicos da CAPES, no período entre 2005 e 2015

Effectiveness of low-level laser therapy for patients with carpal tunnel syndrome: design of a randomized single-blinded controlled trial

Abstract\ud \ud Background\ud Carpal tunnel syndrome is the most common neuropathy in the upper extremity, resulting from the compression of the median nerve at wrist level. Clinical studies are essentials to present evidence on therapeutic resources use at early restoration on peripheral nerve functionality. Low-level laser therapy has been widely investigated in researches related to nerve regeneration. Therefore, it is suggested that the effect of low-level laser therapy associated with other conservative rehabilitation techniques may positively affect symptoms and overall hand function in compressive neuropathies such as carpal tunnel syndrome. The aim of this study is to evaluate the effectiveness of low-level laser therapy in addition to orthoses therapy and home orientations in patients with carpal tunnel syndrome.\ud \ud \ud Methods/Design\ud Patients older than 18 years old will be included, with clinical diagnosis of carpal tunnel syndrome, excluding comorbidies. A physiotherapist will conduct intervention, with a blinding evaluator. Randomization will be applied to allocate the patients in each group: with association or not to low-level laser therapy. All of them will be submitted to orthoses therapy and home orientations. Outcome will be assessed through: pain visual analogic scale, Semmes Weinstein monofilaments™ threshold sensibility test, Pinch Gauge™, Boston Carpal Tunnel Questionnaire and two point discrimination test.\ud \ud \ud Discussion\ud This paper describes the design of a randomized controlled trial, which aim to assess the effectiveness of conservative treatment added to low-level laser therapy for patients with carpal tunnel syndrome.\ud \ud \ud Trial registration\ud Brazilian Clinical Trials Registry (ReBec) - 75ddtf / Universal Trial Number: U1111-1121-5184FAPESPFAEP

ATLANTIC EPIPHYTES: a data set of vascular and non-vascular epiphyte plants and lichens from the Atlantic Forest

Epiphytes are hyper-diverse and one of the frequently undervalued life forms in plant surveys and biodiversity inventories. Epiphytes of the Atlantic Forest, one of the most endangered ecosystems in the world, have high endemism and radiated recently in the Pliocene. We aimed to (1) compile an extensive Atlantic Forest data set on vascular, non-vascular plants (including hemiepiphytes), and lichen epiphyte species occurrence and abundance; (2) describe the epiphyte distribution in the Atlantic Forest, in order to indicate future sampling efforts. Our work presents the first epiphyte data set with information on abundance and occurrence of epiphyte phorophyte species. All data compiled here come from three main sources provided by the authors: published sources (comprising peer-reviewed articles, books, and theses), unpublished data, and herbarium data. We compiled a data set composed of 2,095 species, from 89,270 holo/hemiepiphyte records, in the Atlantic Forest of Brazil, Argentina, Paraguay, and Uruguay, recorded from 1824 to early 2018. Most of the records were from qualitative data (occurrence only, 88%), well distributed throughout the Atlantic Forest. For quantitative records, the most common sampling method was individual trees (71%), followed by plot sampling (19%), and transect sampling (10%). Angiosperms (81%) were the most frequently registered group, and Bromeliaceae and Orchidaceae were the families with the greatest number of records (27,272 and 21,945, respectively). Ferns and Lycophytes presented fewer records than Angiosperms, and Polypodiaceae were the most recorded family, and more concentrated in the Southern and Southeastern regions. Data on non-vascular plants and lichens were scarce, with a few disjunct records concentrated in the Northeastern region of the Atlantic Forest. For all non-vascular plant records, Lejeuneaceae, a family of liverworts, was the most recorded family. We hope that our effort to organize scattered epiphyte data help advance the knowledge of epiphyte ecology, as well as our understanding of macroecological and biogeographical patterns in the Atlantic Forest. No copyright restrictions are associated with the data set. Please cite this Ecology Data Paper if the data are used in publication and teaching events. © 2019 The Authors. Ecology © 2019 The Ecological Society of Americ

ANÁLISE EXPERIMENTAL DE PAREDES DE ALVENARIA REFORÇADAS COM ARMADURA DE JUNTA

O presente trabalho apresenta o estudo experimental realizado em mini paredes de alvenaria sem e com armadura imersa na argamassa de assentamento dos blocos. O objetivo geral deste estudo foi investigar o comportamento e o desempenho de paredes de alvenaria, sem função estrutural, reforçadas com armadura de junta e submetidas à flexão no seu plano. Desta forma, foram testadas pequenas paredes de alvenaria (aqui denominadas mini paredes) executadas com blocos cerâmicos furados sem função estrutural e com armadura de junta. Para avaliar experimentalmente o comportamento das mini paredes, foram executadas três séries de mini paredes, sendo duas séries reforçadas com armadura de junta e uma série sem reforço (para referência). Em cada modelo mediuse o deslocamento no meio do vão e a respectiva carga aplicada, o processo de evolução das fissuras e a largura das fissuras. Através dos resultados, observou-se que os modelos reforçados com armadura de junta apresentaram aumento da carga de início de fissuração, melhor comportamento em serviço, maior capacidade resistente e maior flecha na ruptura

Recomposição de mata ciliar e recuperação de área degradada da estação de tratamento de esgoto de ituverava-SP

The study presented here has the central idea to report and analyse the measures taken in Recovery Program of the Forest System Removal and treatment of sewage Water and Sewerage Autonomous Service of Ituverava, which is located in the northern region of the state of Sao Paulo, 20 ° 20�22 �S latitude and 47 ° 46�50� W longitude, in an area of 699.88 square km and population estimated at 38,539 inhabitants (IBGE - 2007). Through the program seeks compensatory measures to recover vegetation removed by the deployment of 6720 m of sewage emissaries, totaling an area of 2.7 ha, through heterogeneous reforestation with native essences, and the enrichment of vegetation near of Carmo river and deployment of a landscape to improve the visual aspect and mitigation of odors produced by the sewage treatment station located. With the advent of specific legislation and enhancing the environmental awareness by some rural entrepreneurs, such as reforestation projects have been, and by law must be made in plants sugar cane, or any other large rural property through which pass rivers and / or water fountains, and should follow the same systematic proposal to thatendO estudo aqui apresentado tem por idéia central relatar e analisar as medidas mitigadoras tomadas no Programa de Recuperação Florestal do Sistema de Afastamento e Tratamento de Esgotos do Serviço Autônomo de Água e Esgoto do município de Ituverava, que está localizado na região norte do estado de São Paulo, a 20°20�22� de latitude S e 47°46�50� de longitude W, em uma área de 699,88 km² e população estimada em 38.539 habitantes (IBGE � 2007). Por meio de medidas compensatórias o programa visa recompor a vegetação suprimida pela implantação de 6720 m de emissários de esgoto, totalizando uma área de 2,7 ha, através de reflorestamento heterogêneo com essências nativas, bem como o enriquecimento da vegetação riparia do Rio do Carmo e implantação de um projeto paisagístico para melhoria do aspecto visual e minimização de odores produzidos pela estação de tratamento de esgoto implantada.Com o advento de legislação especifica e o incremento da consciência ambiental por parte de alguns empresários rurais, projetos de reflorestamento como esse têm sido, e por lei devem ser realizados em usinas de cana de açúcar, ou qualquer outra grande propriedade rural por onde passe rios e/ou mananciais d�água, e devem seguir a mesma sistemática proposta para esse fim