Intra and inter-rater reliability study of pelvic floor muscle dynamometric measurements

The aim of this study was to evaluate the intra and inter-rater reliability of pelvic floor muscle (PFM) dynamometric measurements for maximum and average strengths, as well as endurance. A convenience sample of 18 nulliparous women, without any urogynecological complaints, aged between 19 and 31 (mean age of 25.4±3.9) participated in this study. They were evaluated using a pelvic floor dynamometer based on load cell technology. The dynamometric evaluations were repeated in three successive sessions: two on the same day with a rest period of 30 minutes between them, and the third on the following day. All participants were evaluated twice in each session; first by examiner 1 followed by examiner 2. The vaginal dynamometry data were analyzed using three parameters: maximum strength, average strength, and endurance. The Intraclass Correlation Coefficient (ICC) was applied to estimate the PFM dynamometric measurement reliability, considering a good level as being above 0.75. The intra and inter-raters' analyses showed good reliability for maximum strength (ICCintra-rater1=0.96, ICCintra-rater2=0.95, and ICCinter-rater=0.96), average strength (ICCintra-rater1=0.96, ICCintra-rater2=0.94, and ICCinter-rater=0.97), and endurance (ICCintra-rater1=0.88, ICCintra-rater2=0.86, and ICCinter-rater=0.92) dynamometric measurements. The PFM dynamometric measurements showed good intra- and inter-rater reliability for maximum strength, average strength and endurance, which demonstrates that this is a reliable device that can be used in clinical practice.1929710

Molecular characterization of the complement C1q, C2 and C4 genes in Brazilian patients with juvenile systemic lupus erythematosus

OBJECTIVE: To perform a molecular characterization of the C1q, C2 and C4 genes in patients with juvenile systemic lupus erythematosus. METHODS: Patient 1 (P1) had undetectable C1q, patient 2 (P2) and patient 3 (P3) had decreased C2 and patient 4 (P4) had decreased C4 levels. All exons and non-coding regions of the C1q and C2 genes were sequenced. Mononuclear cells were cultured and stimulated with interferon gamma to evaluate C1q, C2 and C4 mRNA expression by quantitative real-time polymerase chain reaction. RESULTS: C1q sequencing revealed heterozygous silent mutations in the A (c.276 A>;G Gly) and C (c.126 C>;T Pro) chains, as well as a homozygous single-base change in the 3′ non-coding region of the B chain (c*78 A>;G). C1qA mRNA expression without interferon was decreased compared with that of healthy controls (

Synthesis and “in Vitro” Trypanocidal Activity Evaluation of Some Organo-iron Compounds.

Eight organo-iron ferrocene derivatives and arenocenium salts were prepared and evaluated by “in vitro” assay against one strain of Trypanosoma cruzi (Y). Six of the eight organo-iron compounds assayed, piperazinium diferrocenoate 1, η6-(o-xylene)-η5-(cyclopentadienyl) Iron(II) hexafluorophosphate 3, η6-(mesitylene)-η5-(cyclopentadienyl) iron(II) hexafluorphosphate 5, η6-(durene)-η5-(cyclopentadienyl) iron(II) hexafluorphosphate 6, η6-(ρ-chlorotoluene)-η5-(cyclopentadienyl) Iron(II) hexafluorphosphate 7 and η6-(chlorobenzene)-η5-(cyclopentadienyl) iron(II) picrate 8 , were poorly active in the “in vitro” assays. Only two compounds 1,1'–(N-pyperidinocarbonyl) ferrocene 2(IC50=2.4 μg/mL) and η6-(o-xylene)-η5(cyclopentadienyl) iron(II) picrate 4 (IC50=12.08 μg/mL), were more active. Thus, some of the compounds are promising to be used against Chagas' disease as a prophylactic agents

Nursing practice and public health policy in Campinas, São Paulo, Brazil

Redemocratization in the 1970s brought about changes in the public health system in Brazil. The Unified National Health System (SUS) was implemented in 1988, based on local and regional administrative systems. This was an important step that resulted in greater local control and the introduction of new technologies. This study focuses on the local health system in Campinas, a relatively affluent and technologically advanced region some 100km from the city of São Paulo in Southeast Brazil. Qualitative and quantitative methods were used to evaluate the work of 233 nurses in the local health system. The first nurse was hired in 1977, and now there are 53 nurses working in specific areas: 10 in the central health administration, 36 in district administrations, and the rest in local services. Nursing services are organized in six main areas: administration, coordination of human resources, education, information technology, health surveillance, and health administration. Nursing intervention may be found in various areas, but it generally focuses on medical consultations, and there is little emphasis on collective activities and health promotion. Local health objectives can only be achieved by creating new practices that promote collective health.Desde a década de 70 o sistema de saúde vem se transformando com a redemocratização do Estado Brasileiro. O SUS representou um importante passo para o fortalecimento dos sistemas de administração locais e regionais. Tal situação tem contribuído para o aumento do controle local e para as mudanças no processo de trabalho. Este estudo considera essas mudanças no sistema local de saúde em Campinas, São Paulo, e analisa, quantitativa e qualitativamente, as práticas de 233 enfermeiras da rede municipal em relação às políticas de saúde locais. Cerca de 58% trabalham em serviços locais e 42% em serviços especializados, em níveis distritais e central de administração. Os serviços de enfermagem organizam-se em seis áreas principais: administração, coordenação de recursos humanos, educação de pessoal, informática, administração em saúde e vigilância em saúde. A intervenção das enfermeiras tem se dirigido às diversas áreas, mas continua centrada nas consultas médicas, com pequena ênfase em atividades coletivas e de promoção à saúde. Concluímos que novas práticas de promoção à saúde coletiva precisam ser fomentadas de acordo com os objetivos de desenvolvimento da saúde em âmbito local.98999

Short chain U(600) di-urea cross-linked poly(oxyethylene)/siloxane ormolytes doped with lanthanum triflate salt

Promising La3+-doped electrolytes based on a hybrid poly(oxyethylene)/siliceous host matrix, U(600), have been produced. The organic and inorganic components of the hybrid structure are covalently bonded through urea linkages. The low molecular weight of the polyether segments of U(600) is thought to be responsible for the total amorphous character and high conductivity at room temperature (1.1×10−4 S cm−1) of these ormolytes.Fundação para a Ciência e a Tecnologia (FCT

Morphological and conductivity studies of di-ureasil xerogels containing lithium triflate

Sol–gel derived poly(oxyethylene)/siloxane hybrids doped with lithium triflate, LiCF3SO3, have been investigated. The host hybrid matrix of these materials, named di-ureasil and represented by U(600), is composed by a siliceous framework to which polyether chains containing 8.5 oxyethylene repeat units are covalently bonded through urea linkages. Xerogel samples U(600)nLiCF3SO3 with n (where n is the molar ratio of oxyethylene moieties per Li+ ion) between ∞ and 0.1 have been examined. X-ray diffraction and differential scanning calorimetry have provided conclusive evidence that the xerogels analyzed are entirely amorphous. The salt-rich material with n=1 exhibits the highest conductivity over the whole range of temperature analyzed (e.g. 4.3×10−6 and 2.0×10−4 Ω−1 cm−1, respectively, at 25 and 94 °C).Fundação para a Ciência e a Tecnologia (FCT

Using of essential oils in the treatment of mice infected with Trypanosoma evansi

Objective. This study aimed to test the effectiveness of copaiba, andiroba and aroeira essential oils for controlling trypanosomosis by Trypanosoma evansi with mice as experimental model. Materials and methods. Sixty-six mice were divided into eleven groups (A to L) with six animals each. Group A was the unique composed by healthy and uninfected animals (negative control). Animals in groups B to L were inoculated with 0.1 mL of blood containing 2.7 x 106 trypanosomes. Group B was used as a positive control without treatment. In experiment were tested copaiba (C, D and E), andiroba (F, G and H) and aroeira (I, J and L) oils at doses of 0.6, 0.8 and 1.0 mL kg-1 to infected mice (T. evansi). Results. These protocols did not provide curative efficacy; however, the mice treated with highest dose of copaiba showed a significant increase in the longevity when compared others groups. Conclusions. Previously in our studies, these essential oils have shown trypanocidal activity in vitro, but when they were tested in vivo in mice infected with T. evansi, this trypanocidal activity, or the curative effect was not found, being only able to prolong the lifespan of the animals treated with copaiba oil

Prospective monitoring and self-report of previous falls among older women at high risk of falls and fractures : a study of comparison and agreement

Background: the identification of the occurrence of falls is an important step for screening and for rehabilitation processes for the elderly. The methods of monitoring these events are susceptible to recording biases, and the choice of the most accurate method remains challenging. Objectives: (i) to investigate the agreement between retrospective self-reporting and prospective monitoring of methods of recording falls, and (ii) to compare the retrospective self-reporting of falls and the prospective monitoring of falls and recurrent falls over a 12-month period among older women at high risk of falls and fractures. Method: a total of 118 community-dwelling older women with low bone density were recruited. The incidence of falls was monitored prospectively in 116 older women (2 losses) via monthly phone calls over the course of a year. At the end of this monitoring period, the older women were asked about their recall of falls in the same 12-month period. The agreement between the two methods was analyzed, and the sensitivity and specificity of self-reported previous falls in relation to the prospective monitoring were calculated. Results: there was moderate agreement between the prospective monitoring and the retrospective self-reporting of falls in classifying fallers (Kappa=0.595) and recurrent fallers (Kappa=0.589). The limits of agreement were 0.35±1.66 falls. The self-reporting of prior falls had a 67.2% sensitivity and a 94.2% specificity in classifying fallers among older women and a 50% sensitivity and a 98.9% specificity in classifying recurrent fallers. Conclusion: self-reporting of falls over a 12-month period underestimated 32.8% of falls and 50% of recurrent falls. The findings recommend caution if one is considering replacing monthly monitoring with annual retrospective questioning