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1.
Environ Pollut ; 345: 123528, 2024 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-38336138

RESUMO

The escalation of litter accumulation in aquatic environments is recognized as an emerging global concern. Although rivers represent the main conduits for land-based waste into the oceans, the spatial dynamics of litter accumulation in these systems remain poorly investigated, especially after hydro-climatic extreme events. Floods have been identified as major drivers of litter mobilization, including macroplastics, within rivers. However, predicting flood-induced litter accumulation along riverbanks is complex due to the cumulative interplay of multiple environmental (geomorphological and riparian) and anthropogenic factors. Using empirical data collected from 14 stream reaches in two Northern Atlantic rivers in Portugal, our study evaluates which factors, among geomorphological, riparian, and anthropogenic descriptors, best drive riverside litter accumulation after floods. Taking into account the longitudinal gradient and the spatial heterogeneity of the studied reaches, our study enhances how the accumulation and characteristics (type, size) of riverside litter vary across a rural-urban continuum. Our model reveals that the combination of the human population density and the stream slope at river reach showed the highest explanatory power for the accumulation of riverside litter. Our findings indicate that litter tends to be retained close to the source, even under flood conditions. We also found that the structure of riparian vegetation showed low explanatory power for litter accumulation. However, riparian trapping could be influenced by litter input (density and type) which varies with anthropogenic activities. This work highlights the importance of gathering field data to identify critical areas of riverside litter accumulation within river basins. Our findings can further support environmental managers in designing and implementing effective cleanup campaigns and implementing plastic recovery strategies at specific areas. Nevertheless, it is crucial to enhance coordinated efforts across the entire value chain to reduce plastic pollution, promote innovative approaches for plastic litter valorization, and establish effective prevention pathways.


Assuntos
Inundações , Rios , Humanos , Rios/química , Poluição Ambiental , Portugal , Ecossistema , Monitoramento Ambiental
2.
Environ Res ; 229: 115965, 2023 07 15.
Artigo em Inglês | MEDLINE | ID: mdl-37105281

RESUMO

Freshwaters are considered among the most endangered ecosystems globally due to multiple stressors, which coincide in time and space. These local stressors typically result from land-use intensification or hydroclimatic alterations, among others. Despite recent advances on multiple stressor effects, current knowledge is still limited to manipulative approaches minimizing biological and abiotic variability. Thus, the assessment of multiple stressor effects in real-world ecosystems is required. Using an extensive survey of 50 stream reaches across North Portugal, we evaluated taxonomic and functional macroinvertebrate responses to multiple stressors, including marked gradients of nutrient enrichment, flow reduction, riparian vegetation structure, thermal stress and dissolved oxygen depletion. We analyzed multiple stressor effects on two taxonomic (taxon richness, Shannon-diversity) and two trait-based diversity indices (functional richness, functional dispersion), as well as changes in trait composition. We found that multiple stressors had additive effects on all diversity metrics, with nutrient enrichment identified as the most important stressor in three out of four metrics, followed by dissolved oxygen depletion and thermal stress. Taxon richness, Shannon-diversity and functional richness responded similarly, whereas functional dispersion was driven by changes in flow velocity and thermal stress. Functional trait composition changed along a major stress gradient determined by nutrient enrichment and oxygen depletion, which was positively correlated with organisms possessing fast-living strategies, aerial respiration, adult phases, and gathering-collector feeding habits. Overall, our results reinforce the need to consider complementary facets of biodiversity to better identify assembly processes in response to multiple stressors. Our data suggest that stressor interactions may be less frequent in real-word streams than predicted by manipulative experiments, which can facilitate mitigation strategies. By combining an extensive field survey with an integrative consideration of multiple biodiversity facets, our study provides new insights that can help to better assess and manage rivers in a global change context.


Assuntos
Ecossistema , Rios , Animais , Biodiversidade , Portugal , Invertebrados/fisiologia , Monitoramento Ambiental
3.
Nature ; 600(7887): 64-69, 2021 12.
Artigo em Inglês | MEDLINE | ID: mdl-34853459

RESUMO

In quantum fluids, the quantization of circulation forbids the diffusion of a vortex swirling flow seen in classical viscous fluids. Yet, accelerating quantum vortices may lose their energy into acoustic radiations1,2, similar to the way electric charges decelerate on emitting photons. The dissipation of vortex energy underlies central problems in quantum hydrodynamics3, such as the decay of quantum turbulence, highly relevant to systems as varied as neutron stars, superfluid helium and atomic condensates4,5. A deep understanding of the elementary mechanisms behind irreversible vortex dynamics has been a goal for decades3,6, but it is complicated by the shortage of conclusive experimental signatures7. Here we address this challenge by realizing a programmable vortex collider in a planar, homogeneous atomic Fermi superfluid with tunable inter-particle interactions. We create on-demand vortex configurations and monitor their evolution, taking advantage of the accessible time and length scales of ultracold Fermi gases8,9. Engineering collisions within and between vortex-antivortex pairs allows us to decouple relaxation of the vortex energy due to sound emission and that due to interactions with normal fluid (that is, mutual friction). We directly visualize how the annihilation of vortex dipoles radiates a sound pulse. Further, our few-vortex experiments extending across different superfluid regimes reveal non-universal dissipative dynamics, suggesting that fermionic quasiparticles localized inside the vortex core contribute significantly to dissipation, thereby opening the route to exploring new pathways for quantum turbulence decay, vortex by vortex.

5.
Phys Rev Lett ; 126(5): 055301, 2021 Feb 05.
Artigo em Inglês | MEDLINE | ID: mdl-33605753

RESUMO

We investigate the transport of a Fermi gas with unitarity-limited interactions across the superfluid phase transition, probing its response to a direct current (dc) drive through a tunnel junction. As the superfluid critical temperature is crossed from below, we observe the evolution from a highly nonlinear to an Ohmic conduction characteristic, associated with the critical breakdown of the Josephson dc current induced by pair condensate depletion. Moreover, we reveal a large and dominant anomalous contribution to resistive currents, which reaches its maximum at the lowest attained temperature, fostered by the tunnel coupling between the condensate and phononic Bogoliubov-Anderson excitations. Increasing the temperature, while the zeroing of supercurrents marks the transition to the normal phase, the conductance drops considerably but remains much larger than that of a normal, uncorrelated Fermi gas tunneling through the same junction. We attribute such enhanced transport to incoherent tunneling of sound modes, which remain weakly damped in the collisional hydrodynamic fluid of unpaired fermions at unitarity.

6.
Sci Total Environ ; 772: 145526, 2021 Jun 10.
Artigo em Inglês | MEDLINE | ID: mdl-33581545

RESUMO

Riparian areas in the Cantabrian Atlantic ecoregion (northwest Portugal) play a key role in soil formation and conservation, regulation of nutrient and water cycle, creation of landscape aesthetic value and the preservation of biodiversity. The maintenance of their ecological integrity is crucial given the ever increase in multiple anthropogenic (water demand and agriculture) and climatic pressures (droughts and extreme events). We developed a transferable remote sensing approach, taking advantage of the latest freely available technologies (Sentinel-2 and Copernicus Land products), to detect intra-annual and inter-annual changes in riparian vegetation productivity at the river basin scale related to water stress. This study has used the normalized difference vegetation index (NDVI) to investigate riparian vegetation productivity dynamics on three different vegetation types (coniferous, broadleaved and grassland) over the past 5 years (2015-2019). Our results indicated that inter-annual seasonality differed between drier (2017) and wetter (2016) years. We found that intra-annual dynamics of NDVI were influenced by the longitudinal river zonation. Our model ranked first (r2m = 0.73) showed that the productivity of riparian vegetation during the dry season was positively influenced by annual rainfall and by the type of riparian vegetation. The emergent long lags between climatic variation and riparian plant productivity provides opportunities to forecast early warnings of climatically-driven impacts. In addition, the different average productivity levels among vegetation types should be considered when assessing climatic impacts on riparian vegetation. Future applications of Sentinel 2 products could seek to distinguish riparian areas that are likely to be more vulnerable to changes in the annual water balance from those that are more resistant under longer-term changes in climate.


Assuntos
Desidratação , Tecnologia de Sensoriamento Remoto , Ecossistema , Monitoramento Ambiental , Humanos , Portugal , Rios
7.
Science ; 369(6499): 84-88, 2020 07 03.
Artigo em Inglês | MEDLINE | ID: mdl-32631890

RESUMO

The direct-current (dc) Josephson effect provides a phase-sensitive tool for investigating superfluid order parameters. We report on the observation of dc Josephson supercurrents in strongly interacting fermionic superfluids across a tunneling barrier in the absence of any applied potential difference. For sufficiently strong barriers, we observed a sinusoidal current-phase relation, in agreement with Josephson's seminal prediction. We mapped out the zero-resistance state and its breakdown as a function of junction parameters, extracting the Josephson critical current behavior. By comparing our results with an analytic model, we determined the pair condensate fraction throughout the Bardeen-Cooper-Schrieffer-Bose-Einstein condensation crossover. Our work suggests that coherent Josephson transport may be used to pin down superfluid order parameters in diverse atomic systems, even in the presence of strong correlations.

8.
Phys Chem Chem Phys ; 21(20): 10357-10369, 2019 May 22.
Artigo em Inglês | MEDLINE | ID: mdl-31074475

RESUMO

A new type of polymer blend, prepared by electrospinning nanofibers containing the immiscible polymers polyvinylidene fluoride (PVDF, 10 wt%) and Nafion® perfluorosulfonic acid (90 wt%), has been characterized experimentally. The internal nanofiber morphology is unique and unlike a normal blend, with individual phase-separated and randomly distributed fibrils of Nafion and PVDF (∼2-7 nm in diameter) that are bundled together and aligned in the fiber axis direction (where the fiber diameter is ∼500 nm). This morphology is retained when fiber mats are hot-pressed into dense films. The physicochemical properties of the electrospun blended fibers are also highly unusual and unanticipated. As shown in this study, each polymer component influences the thermal and structural behavior of the other, especially in the dry state. Thus, dry composite polymer mats and membranes exhibit properties and attributes that are not observed for either pure PVDF or pure Nafion. Experimental results indicate that: (i) PVDF imparts conformational constraints on the polytetrafluoroethylene (PTFE) backbone chains of Nafion, resulting in an increased 21 helical conformation that effects Nafion's water uptake and thermal properties; and (ii) dipole-dipole interactions between PVDF polymer chains and Nafion make the ß-phase polymorph of PVDF much more stable at elevated temperatures. Such "reciprocal templating" in electrospun fibers may not be unique to Nafion and PVDF, thus the procedure represents a new method of creating nanostructured multi-component polymer materials with innovative features.

9.
Acta Psychiatr Scand ; 139(2): 117-144, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-30446991

RESUMO

OBJECTIVE: The role of serotonin (5-HT) in human aggression has been the subject of a large number of studies, mostly with adults. Meta-analyses indicate a small but significant inverse relationship between central nervous 5-HT availability and aggression, but genetically informed studies suggest two pathways: one to reactive aggression and the other to proactive aggression. METHOD: We conducted a systemic review on central nervous 5-HT function in children and adolescents, with attention to the function of aggression. RESULTS: In total, 675 articles were screened for relevance, with 45 reviewed. These included blood assays (e.g. plasma, 5-HIAA; platelet 5-HTR2A ), epigenetic studies, retrospective PET studies and 5-HT challenge paradigms (e.g. tryptophan depletion). Overall, findings were mixed, with support both for negative and for positive associations of central nervous 5-HT function with aggression in children and adolescents. CONCLUSION: We propose factors that may be blurring the picture, including problems in the conceptualization and measurement of aggression in young people, the lack of prospective designs and the bias towards clinical samples of boys. Research needs to account for variance in the both motivation for and implementation of aggression, and look to the behavioural economics literature to consider the roles of reward, vengeance and self-control more clearly.

11.
Cell Death Dis ; 7(11): e2461, 2016 11 10.
Artigo em Inglês | MEDLINE | ID: mdl-27831556

RESUMO

CD44, a large family of transmembrane glycoproteins, plays decisive roles in physiological and pathological conditions. CD44 isoforms are involved in several signaling pathways essential for life such as growth factor-induced signaling by EGF, HGF or VEGF. CD44 is also the main hyaluronan (HA) receptor and as such is involved in HA-dependent processes. To allow a genetic dissection of CD44 functions in homeostasis and disease, we generated a Cd44 floxed allele allowing tissue- and time-specific inactivation of all CD44 isoforms in vivo. As a proof of principle, we inactivated Cd44 in the skin epidermis using the K14Cre allele. Although the skin of such Cd44Δker mutants appeared morphologically normal, epidermal stiffness was reduced, wound healing delayed and TPA induced epidermal thickening decreased. These phenotypes might be caused by cell autonomous defects in differentiation and HA production as well as impaired adhesion and migration on HA by Cd44Δker keratinocytes. These findings support the usefulness of the conditional Cd44 allele in unraveling essential physiological and pathological functions of CD44 isoforms.


Assuntos
Epiderme/metabolismo , Deleção de Genes , Receptores de Hialuronatos/metabolismo , Queratinócitos/metabolismo , Estresse Mecânico , Animais , Adesão Celular/efeitos dos fármacos , Diferenciação Celular/efeitos dos fármacos , Movimento Celular/efeitos dos fármacos , Proliferação de Células/efeitos dos fármacos , Homeostase/efeitos dos fármacos , Ácido Hialurônico/farmacologia , Queratinócitos/efeitos dos fármacos , Queratinas/metabolismo , Camundongos Knockout , Especificidade de Órgãos/efeitos dos fármacos , Pele/metabolismo , Cicatrização/efeitos dos fármacos
12.
Artigo em Inglês | MEDLINE | ID: mdl-25740171

RESUMO

The objective of this study was to develop an improved analytical method for the determination of 3-chloro-1,2-propanediol (3-MCPD) and 1,3-dichloropropanol (1,3-DCP) in paper-type food packaging. The established method includes aqueous extraction, matrix spiking of a deuterated surrogate internal standard (3-MCPD-d5), clean-up using Extrelut solid-phase extraction, derivatisation using a silylation reagent, and GC-MS analysis of the chloropropanols as their corresponding trimethyl silyl ethers. The new method is applicable to food-grade packaging samples using European Commission standard aqueous extraction and aqueous food stimulant migration tests. In this improved method, the derivatisation procedure was optimised; the cost and time of the analysis were reduced by using 10 times less sample, solvents and reagents than in previously described methods. Overall the validation data demonstrate that the method is precise and reliable. The limit of detection (LOD) of the aqueous extract was 0.010 mg kg(-1) (w/w) for both 3-MCPD and 1,3-DCP. Analytical precision had a relative standard deviation (RSD) of 3.36% for 3-MCPD and an RSD of 7.65% for 1,3-DCP. The new method was satisfactorily applied to the analysis of over 100 commercial paperboard packaging samples. The data are being used to guide the product development of a next generation of wet-strength resins with reduced chloropropanol content, and also for risk assessments to calculate the virtual safe dose (VSD).


Assuntos
Contaminação de Alimentos/análise , Embalagem de Alimentos/normas , Propanóis/análise , Cromatografia Gasosa-Espectrometria de Massas , Limite de Detecção , Papel , Reprodutibilidade dos Testes , Sensibilidade e Especificidade , alfa-Cloridrina/análise
13.
Eur Radiol ; 24(1): 95-101, 2014 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-23982288

RESUMO

OBJECTIVE: To prospectively evaluate microstructural abnormalities in sacral nerve roots in women affected by chronic pelvic pain associated with endometriosis. METHODS: We enrolled 30 women with an ultrasound diagnosis of endometriosis and moderate-severe chronic pelvic pain; 10 age-matched healthy women comprised the control group. All subjects underwent 3 T magnetic resonance imaging (MRI), including diffusion tensor imaging (DTI); the sacral roots were reconstructed by post-processing the DTI data with dedicated software. Mean fractional anisotropy (FA) values in the S1, S2 and S3 roots were quantified. Analysis of FA values was performed by two radiologists in order to evaluate the interobserver agreement. RESULTS: The sacral nerve roots in healthy subjects were clearly visualised. Most of the patients with endometriosis displayed abnormalities of S1, S2 and S3 bilaterally at tractography, including an irregular and disorganised appearance. FA values in the S1, S2 and S3 roots were significantly lower in patients than in controls (P < 0.0001, <0.05 and <0.02, respectively) for both observers. No significant difference was found between observers. CONCLUSION: DTI with tractography is a non-invasive means of detecting changes in the microarchitecture of the sacral nerve roots. It can qualitatively and quantitatively reveal sacral root abnormalities in patients with endometriosis-associated pain. KEY POINTS: • MRI is increasingly used for endometriosis and chronic pelvic pain (CPP). • Magnetic resonance tractography can demonstrate microarchitectural abnormalities in sacral nerve roots. • Tractography shows altered microstructure of sacral roots affected by endometriosis and CPP. • S1-S3 fractional anisotropy values are lower in endometriosis than in healthy women. • Sacral nerve root alteration may explain the nature of endometriosis-related CPP.


Assuntos
Dor Crônica/diagnóstico , Imagem de Tensor de Difusão/métodos , Endometriose/diagnóstico , Dor Pélvica/diagnóstico , Raízes Nervosas Espinhais/patologia , Adolescente , Adulto , Dor Crônica/etiologia , Endometriose/complicações , Feminino , Seguimentos , Humanos , Processamento de Imagem Assistida por Computador , Medição da Dor , Dor Pélvica/etiologia , Projetos Piloto , Estudos Prospectivos , Curva ROC , Reprodutibilidade dos Testes , Sacro , Adulto Jovem
14.
Minerva Urol Nefrol ; 64(2): 143-8, 2012 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-22617308

RESUMO

AIM: In the current study we verified whether the expression of hepsin in prostate cancer (PCa) of samples obtained from radical retropubic prostatectomies (RRP) was significantly different from the adjacent normal prostatic tissue. METHODS. We evaluate the expression of hepsin by using immunohistochemistry in PCa tissue in respect to the adjacent normal tissue, of 18 patients who underwent RRP. RESULTS: Hepsin positive immunoreactivity was estimated on the staining intensity as negative (0), weakly positive (1+), moderately positive (2+), and strongly positive (3+). Hepsin immunoreactivity was detected in 100.0% PCa: 94.4% of cases showed a moderate/strong intensity, 5.6% a weak intensity. The adjacent benign prostatic tissue demonstrated a 83.3% of weak intensity, 11.1% had no reactivity and 5.6% were moderately intense. PCa demonstrated a significant higher (P<0.05) hepsin intensity (2.67) than the adjacent benign tissue (0.94). CONCLUSION: Hepsin should be regarded as a novel potential immunohistochemical marker for the histopathological diagnosis of PCa.


Assuntos
Biomarcadores Tumorais/análise , Prostatectomia , Neoplasias da Próstata/química , Neoplasias da Próstata/patologia , Neoplasias da Próstata/cirurgia , Serina Endopeptidases/análise , Idoso , Biópsia , Humanos , Imuno-Histoquímica , Masculino , Proteínas de Membrana/análise , Pessoa de Meia-Idade , Valor Preditivo dos Testes , Prognóstico , Prostatectomia/métodos , Neoplasias da Próstata/enzimologia , Sensibilidade e Especificidade
15.
Curr Med Chem ; 18(19): 2827-35, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-21651496

RESUMO

Tyrosine kinase inhibitors are currently one of the most important classes of cancer drugs, essentially because many kinases and regulators are molecules related to frequently mutated oncogenes and tumor suppressors. Many experiments and clinical data in different tumors show that better cancer therapy can be obtained by blocking several tumor cell biochemical pathways at once, accurately selecting critical targets and adjusting drug dosages for the best results. Through our direct experience in experimental models of prostate cancer (PCa), we discuss in this review the issues of tyrosine kinase inhibition in neoplastic cells and illustrate the opportunities to extend cancer proliferation control to other key biological targets of clinical interest, aiming at the realization of better polypharmacology applications in cancer chemotherapy. Briefly, in this review the main experimental evidences on the efficacy of tyrosine kinase inhibitors (TKIs) on PCa are described, together with a reasoned analysis of biological data which may be useful for a general extension to other clinical areas of cancer multitargeted and possibly individualized polychemotherapy.


Assuntos
Antineoplásicos/uso terapêutico , Próstata/efeitos dos fármacos , Neoplasias da Próstata/tratamento farmacológico , Neoplasias da Próstata/enzimologia , Inibidores de Proteínas Quinases/uso terapêutico , Proteínas Tirosina Quinases/antagonistas & inibidores , Animais , Antineoplásicos/farmacologia , Humanos , Masculino , Próstata/enzimologia , Inibidores de Proteínas Quinases/farmacologia , Proteínas Tirosina Quinases/metabolismo
17.
Eur J Obstet Gynecol Reprod Biol ; 131(1): 81-84, 2007 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-16574304

RESUMO

OBJECTIVE: Our study aimed to evaluate the effect of metroplasty performed in arcuate uteri on uterine artery Doppler velocimetry. STUDY DESIGN: We performed uterine artery Doppler velocimetry transvaginally before and after metroplasty in 36 women with arcuate uteri. Pulsatility indexes (PI) of uterine arteries were calculated and the presence or absence of a protodiastolic notch was evaluated. RESULTS: Comparing Doppler indexes before and after metroplasty, we found that uterine artery impedance improves as assessed by lower mean PI. We observed that PI after intervention was significantly lower compared with indexes before for mean Doppler index evaluations (mean uterine PI pre: 2.07+/-0.61 and post: 1.49+/-0.24 [p<0.03]). No differences were observed as regards bilateral protodiastolic notch absence or presence. A protodiastolic notch was present in 22 out of 36 women before metroplasty (61%), and a notch was observed in 19 out of 36 (52%) after metroplasty. CONCLUSIONS: Our results suggest that, metroplasty, as well as making the uterine cavity wider, leads to better uterine perfusion.


Assuntos
Artérias/fisiologia , Fluxometria por Laser-Doppler , Cirurgia Plástica , Útero/irrigação sanguínea , Útero/cirurgia , Adulto , Feminino , Humanos , Histeroscopia/métodos , Infertilidade Feminina/etiologia , Infertilidade Feminina/fisiopatologia , Fluxo Pulsátil/fisiologia , Fluxo Sanguíneo Regional/fisiologia , Útero/anormalidades
18.
Clin Exp Obstet Gynecol ; 33(2): 110-2, 2006.
Artigo em Inglês | MEDLINE | ID: mdl-16903250

RESUMO

OBJECTIVE: To evaluate hysteroscopic metroplasty and its effect on reproductive outcome. STUDY DESIGN: Seventy-five patients consulted for uterine septum between January 1996 to December 2000 at "La Sapienza" University in Rome were included in the study. RESULTS: Forty patients attempted pregnancy and a total of 30 spontaneous pregnancies resulted (75% pregnancy rate). The uterine cavity was normal at hysteroscopic follow-up in 68% of cases. CONCLUSION: Correction of uterine septum improves pregnancy outcome of patients. Broadening the indications for hysteroscopic metroplasty should be encouraged for patients who desire to conceive.


Assuntos
Resultado da Gravidez , Útero/anormalidades , Útero/cirurgia , Aborto Habitual/etiologia , Aborto Habitual/cirurgia , Adolescente , Adulto , Feminino , Humanos , Histeroscopia , Infertilidade Feminina/etiologia , Infertilidade Feminina/cirurgia , Gravidez , Nascimento Prematuro
19.
Brain Inj ; 19(5): 365-9, 2005 May.
Artigo em Inglês | MEDLINE | ID: mdl-16094784

RESUMO

Typically behaviour management plans attempt to change behaviour by manipulating the environmental consequences of selected behaviour. However, identifying the antecedent events that precede behaviour has also been demonstrated to be an important component of effective behaviour change programmes. The present case presentation attempts to demonstrate how antecedent procedures could be used to effectively manage behaviour problems in individuals with brain injury. Visual inspection of changes in the frequency of physical aggression and self-injurious behaviour of a child with brain injury provides preliminary data supporting the use of an intervention package of antecedent and consequence-based procedures. Clinical implications, limitations and possibilities for future research of antecedent control procedures are discussed.


Assuntos
Terapia Comportamental/métodos , Lesões Encefálicas/complicações , Transtornos do Comportamento Infantil/terapia , Agressão/psicologia , Lesões Encefálicas/psicologia , Lesões Encefálicas/reabilitação , Criança , Transtornos do Comportamento Infantil/etiologia , Transtornos do Comportamento Infantil/psicologia , Humanos , Articulações/fisiopatologia , Masculino , Modalidades de Fisioterapia , Propriocepção/fisiologia , Comportamento Autodestrutivo/etiologia , Comportamento Autodestrutivo/psicologia , Comportamento Autodestrutivo/terapia , Meio Social , Resultado do Tratamento
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