RESUMEN
The leptin gene product is released into the blood stream, passes through the blood-brain barrier, and finds the leptin receptor (LEPR) in the central nervous system. This hormone regulates food intake, hematopoiesis, inflammation, immunity, differentiation, and cell proliferation. The LEPR Gln223Arg polymorphism has been reported to alter receptor function and expression, both of which have been related with prognostics in several tumor types. Furthermore, several studies have shown a relationship between the Gln223Arg polymorphism and tumor development, and its role in oral and oropharyngeal squamous cell carcinoma is now well understood. In this study, 315 DNA samples were used for LEPR Gln223Arg genotyping and 87 primary oral and oropharyngeal squamous cell carcinomas were used for immunohistochemical expression analysis, such that a relationship between these and tumor development and prognosis could be established. Homozygous LEPR Arg223 was found to be associated with a 2-fold reduction in oral and oropharyngeal cancer risk. In contrast, the presence of the Arg223 allele in tumors was associated with worse disease-free and disease-specific survival. Low LEPR expression was found to be an independent risk factor, increasing the risk for lymph node metastasis 4-fold. In conclusion, the Gln223Arg polymorphism and LEPR expression might be valuable markers for oral and oropharyngeal cancer, suggesting that LEPR might serve as a potential target for future therapies.
Asunto(s)
Biomarcadores de Tumor/genética , Leptina/genética , Neoplasias de la Boca/genética , Neoplasias Orofaríngeas/genética , Polimorfismo Genético/genética , Receptores de Leptina/genética , Adulto , Anciano , Alelos , Sustitución de Aminoácidos , Barrera Hematoencefálica , Índice de Masa Corporal , Femenino , Genotipo , Humanos , Masculino , Persona de Mediana Edad , Pronóstico , Factores de RiesgoRESUMEN
Antipsychotic-induced weight gain (AIWG) may result in the metabolic syndrome in schizophrenia (SCZ) patients. Downstream variants of the melanocortin-4 receptor (MC4R) gene have been associated with obesity in various populations. Thus, we examined single-nucleotide polymorphisms (SNPs) in the MC4R region for association with AIWG in SCZ patients. Four SNPs (rs2229616, rs17782313, rs11872992 and rs8087522) were genotyped in 224 patients who underwent treatment for SCZ and were evaluated for AIWG for up to 14 weeks. We compared weight change (%) across genotypic groups using analysis of covariance for three SNPs (r²≤0.8). European-ancestry patients who were rs8087522 A-allele carriers (AG+AA) on clozapine gained significantly more weight than non-carriers (P=0.027, n=69). These observations were marginal after correction for multiple testing. We performed in vitro electrophoretic mobility-shift assay that suggested that the presence of the A-allele may create a transcription factor-binding site. Further investigation is warranted for both these exploratory findings.
Asunto(s)
Estudios de Asociación Genética , Receptor de Melanocortina Tipo 4/genética , Esquizofrenia/tratamiento farmacológico , Aumento de Peso/genética , Adulto , Alelos , Antipsicóticos/administración & dosificación , Antipsicóticos/efectos adversos , Clozapina/administración & dosificación , Clozapina/efectos adversos , Ensayo de Cambio de Movilidad Electroforética , Femenino , Humanos , Masculino , Persona de Mediana Edad , Polimorfismo de Nucleótido Simple/genética , Esquizofrenia/complicaciones , Esquizofrenia/genética , Aumento de Peso/efectos de los fármacosRESUMEN
Antipsychotic-induced weight gain has emerged as a serious complication in the treatment of patients with most antipsychotics. We have conducted the first in-depth examination of dopamine receptor genes in antipsychotic-induced weight gain. A total of 206 patients (139 of European descent and 56 African Americans) who underwent treatment for chronic schizophrenia or schizoaffective disorder were evaluated after on average over 6 weeks of treatment. Thirty-six tag single nucleotide polymorphisms (SNPs) and one variable-number tandem repeat, spanning the five dopamine receptor genes (DRD1-DRD5) were analyzed. In the total sample, we found a nominally significant association between the DRD2 rs1079598 marker and weight change using a cutoff of 7% gain (P=0.03). When stratifying the sample according to ethnicity and antipsychotics with highest risk for weight gain, we found significant associations in three DRD2 SNPs: rs6277 (C957T), rs1079598 and rs1800497 (TaqIA). The other genes were primarily negative. We provide evidence that dopamine receptor DRD2 gene variants might be associated with antipsychotic-induced weight gain in chronic schizophrenia patients.
Asunto(s)
Antipsicóticos/efectos adversos , Trastornos Psicóticos/tratamiento farmacológico , Receptores Dopaminérgicos/genética , Esquizofrenia/tratamiento farmacológico , Aumento de Peso , Adulto , Antipsicóticos/uso terapéutico , Cartilla de ADN , Femenino , Humanos , Masculino , Persona de Mediana Edad , Reacción en Cadena de la Polimerasa , Polimorfismo de Nucleótido SimpleRESUMEN
BACKGROUND: Understanding individual differences in susceptibility to antidepressant therapy side-effects is essential to optimize the treatment of depression. METHOD: We performed genome-wide association studies (GWAS) to search for genetic variation affecting the susceptibility to side-effects. The analysis sample consisted of 1439 depression patients, successfully genotyped for 421K single nucleotide polymorphisms (SNPs), from the Sequenced Treatment Alternatives to Relieve Depression (STAR*D) study. Outcomes included four indicators of side-effects: general side-effect burden, sexual side-effects, dizziness and vision/hearing-related side-effects. Our criterion for genome-wide significance was a prespecified threshold ensuring that, on average, only 10% of the significant findings are false discoveries. RESULTS: Thirty-four SNPs satisfied this criterion. The top finding indicated that 10 SNPs in SACM1L mediated the effects of bupropion on sexual side-effects (p = 4.98 × 10(-7), q = 0.023). Suggestive findings were also found for SNPs in MAGI2, DTWD1, WDFY4 and CHL1. CONCLUSIONS: Although our findings require replication and functional validation, this study demonstrates the potential of GWAS to discover genes and pathways that could mediate adverse effects of antidepressant medication.
Asunto(s)
Antidepresivos/efectos adversos , Trastorno Depresivo Mayor/tratamiento farmacológico , Trastorno Depresivo Mayor/genética , Efectos Colaterales y Reacciones Adversas Relacionados con Medicamentos/genética , Polimorfismo de Nucleótido Simple/genética , Bupropión/efectos adversos , Citalopram/efectos adversos , Efectos Colaterales y Reacciones Adversas Relacionados con Medicamentos/clasificación , Análisis Factorial , Predisposición Genética a la Enfermedad , Estudio de Asociación del Genoma Completo , Humanos , Modelos Lineales , Desequilibrio de Ligamiento/genética , Proteínas de la Membrana/genética , Proteínas de la Membrana/fisiología , Farmacogenética , Fenotipo , Disfunciones Sexuales Fisiológicas/inducido químicamente , Disfunciones Sexuales Fisiológicas/genética , Resultado del TratamientoRESUMEN
Calcium titanate zirconate, Ca(Ti(1-x)Zrx)O3 (CZT), powders have been synthesised by the polymeric precursor method. The structural analysis of the CZT powders was monitored by X-ray diffraction (XRD), photoacoustic spectroscopy (PAS) and textural analysis. The photocatalytic properties were evaluated by methylene blue (MB) decomposition and real textile wastewater (RTW) combined treatment (coagulation/flocculation/photocatalysis). Chemical oxygen demand (COD) of RTW was successfully reduced from 6195 mg L-1 (untreated) to 662 mg L-1 after coagulation/flocculation with a tannin-based coagulant (Tanfloc®) and finally to 471 mg L-1 after combined treatment (coagulation/flocculation/photocatalysis) applying ultraviolet radiation and CaTiO3 as photocatalyst.
Asunto(s)
Eliminación de Residuos Líquidos , Aguas Residuales/química , Compuestos de Calcio , Óxidos , Industria Textil , Textiles , Titanio , Rayos UltravioletaRESUMEN
We investigate the solutions and first passage time distribution for an anomalous diffusion process governed by a generalized non-Markovian Fokker-Planck equation. In our analysis, we also consider the presence of external forces and absorbent (source) terms. In addition, we show that a rich class of diffusive processes, including normal and anomalous ones, can be obtained from the solutions found here.
RESUMEN
Between 1993 and 1998, 10 cases of clinical hantavirus infection were diagnosed in Brazil. Hantavirus-specific IgM, or positive immunohistochemical analysis for hantavirus antigen, or positive reverse transcription-polymerase chain reaction results for hantavirus RNA were used to confirm nine of these cases; eight were hantavirus pulmonary syndrome (HPS), and one was mild hantavirus disease. The remaining clinical case of hantavirus infection was fatal, and no tissue was available to confirm the diagnosis. During the first 7 months of 1998, five fatal HPS cases caused by a Sin Nombre-like virus were reported from three different regions in the State of São Paulo, Brazil: two in March (Presidente Prudente Region), two in May (Ribeirão Preto Region), and one in July (Itapecerica da Serra Region). Epidemiologic, ecologic, and serologic surveys were conducted among case contacts, area residents, and captured rodents in five locations within the State of São Paulo in June of 1998. Six (4.8%) of 125 case contacts and six (5.2%) of 116 area residents had IgG antibody to Sin Nombre virus (SNV) antigen. No case contacts had a history of HPS-compatible illness, and only one area resident reported a previous acute respiratory illness. A total of 403 rodents were captured during 9 nights of trapping (1969 trap nights). All 27 rodents that were found to be positive for IgG antibody to SNV antigen were captured in crop border and extensively deforested agricultural areas where four of the 1998 HPS case-patients had recently worked. The IgG antibody prevalence data for rodents suggest that Bolomys lasiurus and perhaps Akodon sp. are potential hantavirus reservoirs in this state of Brazil.
Asunto(s)
Anticuerpos Antivirales/sangre , Reservorios de Enfermedades , Síndrome Pulmonar por Hantavirus/epidemiología , Orthohantavirus/inmunología , Enfermedades de los Roedores/virología , Zoonosis , Adolescente , Adulto , Animales , Antígenos Virales/inmunología , Brasil/epidemiología , Reservorios de Enfermedades/veterinaria , Resultado Fatal , Femenino , Orthohantavirus/aislamiento & purificación , Infecciones por Hantavirus/epidemiología , Infecciones por Hantavirus/virología , Síndrome Pulmonar por Hantavirus/virología , Humanos , Inmunoglobulina G/sangre , Inmunoglobulina M/sangre , Masculino , Persona de Mediana Edad , Prevalencia , Enfermedades de los Roedores/inmunología , Roedores , Estudios SeroepidemiológicosRESUMEN
A study of sexual behavior among teenagers was carried out in a random sample of 884 second degree school (high school) students of Porto Alegre (South Brazil) by means of a self-report questionnaire. The students' ages ranged from 13 to 22 years old, and 59% of them were females. The students believed themselves well-informed about physiologic phenomena involved in human reproduction (95.2%; 95% confidence interval (CI):93.5-96.5) and sexually transmitted diseases (STD) (82.1%; 95% CI:79.1-84.7). In addition, 42.4% (95% CI:39.0-45.8) said that they has had a sexual relationship. However, 51.5% (95% CI:45.9-57.0) did not use contraceptive precautions systematically, and 12% (95% CI:7.2-19.0) of girls had already undergone an abortion. Considering these results, it is important to stimulate programs for sexual education strictly focused on teenagers.
Asunto(s)
Conducta del Adolescente , Conocimientos, Actitudes y Práctica en Salud , Educación Sexual , Conducta Sexual/estadística & datos numéricos , Adolescente , Adulto , Factores de Edad , Brasil , Conducta Anticonceptiva , Femenino , Humanos , Masculino , Factores SexualesRESUMEN
A case of Leopard syndrome with full clinical expression is reported. In addition to the cardinal signs of the syndrome this patient presented some abnormalities which have not been previously described such as macroglossia, multiple dental anomalies, basilar impression and platybasia, megacolon, hypertrophy of clitoris and anal ectopy. The presence of dental anomalies and megacolon may represent involvement of the dental papillae and myenteric plexus favoring the view that the syndrome results from a derangement of the neural crest elements.
Asunto(s)
Anomalías Múltiples , Lentigo/complicaciones , Megacolon/complicaciones , Cresta Neural , Anomalías Dentarias , Canal Anal/anomalías , Niño , Femenino , Genitales Femeninos/anomalías , Trastornos del Crecimiento/complicaciones , Humanos , SíndromeRESUMEN
OBJECTIVE: To report the first Ilheus arboviruses isolated from wild birds and analyze its public health impact. METHODS: Wild birds and mammals were captured using mist nets and Tomahawk traps, respectively. Blood samples were drawn from these animals and inoculated intracerebrally in Swiss suckling mice found in the Parque Ecológico do Tietê, Brazil. The isolates were identified by serological tests, such as hemagglutination, hemagglutination inhibition, complement fixation and neutralization. Besides virus isolation, serum samples were also tested for the presence of hemagglutination inhibition antibodies. RESULTS: Two strains of Ilheus virus were isolated from the bird species Sporophila caerulescens and Molothrus bonariensis. Specific antibodies to Ilheus virus were detected in serum samples of some birds (Columbina talpacoti, Geopelia cuneata, Sicalis flaveola and Molothrus bonariensis), marmosets (Callithrix jacchus and Callithrix penicillata) and coati (Nasua nasua). CONCLUSIONS: Virus isolation and detection of specific antibodies in serum samples of local, migratory and captive birds, captive marmosets and wild coati corroborate the circulation of Ilheus virus in the Parque Ecológico do Tietê. The migrating behavior of some species of wild birds, like Sporophila caerulescens, enables the virus spread to other regions. Taking into consideration its human pathogenicity and the presence of the virus in this area, local authorities should be aware of the risk of infecting the local community.
Asunto(s)
Animales Salvajes/virología , Arbovirus/aislamiento & purificación , Aves/virología , Vectores de Enfermedades , Animales , Anticuerpos Antivirales/aislamiento & purificación , Infecciones por Arbovirus/transmisión , Arbovirus/inmunología , Humanos , Mamíferos/sangre , Mamíferos/virología , RatonesRESUMEN
Larvae of Aedes albopictus from a plant of the Bromeliaceae family on the outskirts of S. Paulo, SP, Brazil, were collected. This occurrence sheds new light on the attempt to determine the potential of this plants as a breeding site for this mosquito in Brazil.
Asunto(s)
Aedes , Plantas , Animales , Brasil , Ecosistema , Salud UrbanaRESUMEN
CONTEXT: Cervical thymoma is a primitive thymic neoplasia. It is very rare. This disease presents higher incidence in female patients in their 4th to 6th decade of life. We present a case report of a cervical thymoma. CASE REPORT: 54-year-old female patient, caucasian, with no history of morbidity, presenting a left cervical nodule close to the thyroid gland. During the 30 months of investigation a left cervical nodule grew progressively next to the thyroid while the patient showed no symptoms, making accurate diagnosis difficult. Tests on her thyroid function did not show changes, nor were there changes in any subsidiary tests. The diagnosis of the disease was made intra-operatively through total thyroid individualization. The results were confirmed by the histological findings from the ressected material. Cervical thymoma is a very rare disease, with difficult preoperatory diagnosis. Some additional study methods which are employed today are thallium 201, technetium 99 and iodine 131 scintigraphy, magnetic nuclear resonance and especially histopathological findings and classification.
Asunto(s)
Timoma/patología , Neoplasias del Timo/patología , Femenino , Humanos , Persona de Mediana EdadRESUMEN
Behavioral sensitization has been widely studied in animal models and is theorized to reflect neural modifications associated with human psychostimulant addiction. While the mesolimbic dopaminergic pathway is known to play a role, the neurochemical mechanisms underlying behavioral sensitization remain incompletely understood. In this study, we conducted the first metabolomics analysis to globally characterize neurochemical differences associated with behavioral sensitization. Methamphetamine (MA)-induced sensitization measures were generated by statistically modeling longitudinal activity data for eight inbred strains of mice. Subsequent to behavioral testing, nontargeted liquid and gas chromatography-mass spectrometry profiling was performed on 48 brain samples, yielding 301 metabolite levels per sample after quality control. Association testing between metabolite levels and three primary dimensions of behavioral sensitization (total distance, stereotypy and margin time) showed four robust, significant associations at a stringent metabolome-wide significance threshold (false discovery rate, FDR <0.05). Results implicated homocarnosine, a dipeptide of GABA and histidine, in total distance sensitization, GABA metabolite 4-guanidinobutanoate and pantothenate in stereotypy sensitization, and myo-inositol in margin time sensitization. Secondary analyses indicated that these associations were independent of concurrent MA levels and, with the exception of the myo-inositol association, suggest a mechanism whereby strain-based genetic variation produces specific baseline neurochemical differences that substantially influence the magnitude of MA-induced sensitization. These findings demonstrate the utility of mouse metabolomics for identifying novel biomarkers, and developing more comprehensive neurochemical models, of psychostimulant sensitization.
Asunto(s)
Encéfalo/metabolismo , Sensibilización del Sistema Nervioso Central , Metaboloma , Metanfetamina/farmacocinética , Animales , Encéfalo/efectos de los fármacos , Encéfalo/fisiología , Butiratos/metabolismo , Carnosina/análogos & derivados , Carnosina/metabolismo , Guanidinas/metabolismo , Inositol/metabolismo , Masculino , Metanfetamina/farmacología , Ratones , Ratones Endogámicos C57BL , Ácido Pantoténico/metabolismoRESUMEN
Affecting about 1 in 12 Americans annually, depression is a leading cause of the global disease burden. While a range of effective antidepressants are now available, failure and relapse rates remain substantial, with intolerable side effect burden the most commonly cited reason for discontinuation. Thus, understanding individual differences in susceptibility to antidepressant therapy side effects will be essential to optimize depression treatment. Here we perform genome-wide association studies (GWAS) to identify genetic variation influencing susceptibility to citalopram-induced side effects. The analysis sample consisted of 1762 depression patients, successfully genotyped for 421K single-nucleotide polymorphisms (SNPs), from the Sequenced Treatment Alternatives to Relieve Depression (STAR(*)D) study. Outcomes included five indicators of citalopram side effects: general side effect burden, overall tolerability, sexual side effects, dizziness and vision/hearing side effects. Two SNPs met our genome-wide significance criterion (q<0.1), ensuring that, on average, only 10% of significant findings are false discoveries. In total, 12 additional SNPs demonstrated suggestive associations (q<0.5). The top finding was rs17135437, an intronic SNP within EMID2, mediating the effects of citalopram on vision/hearing side effects (P=3.27 × 10(-8), q=0.026). The second genome-wide significant finding, representing a haplotype spanning â¼30 kb and eight genotyped SNPs in a gene desert on chromosome 13, was associated with general side effect burden (P=3.22 × 10(-7), q=0.096). Suggestive findings were also found for SNPs at LAMA1, AOX2P, EGFLAM, FHIT and RTP2. Although our findings require replication and functional validation, this study demonstrates the potential of GWAS to discover genes and pathways that potentially mediate adverse effects of antidepressant medications.
Asunto(s)
Antidepresivos de Segunda Generación/efectos adversos , Citalopram/efectos adversos , Trastorno Depresivo Mayor/tratamiento farmacológico , Farmacogenética/métodos , Polimorfismo de Nucleótido Simple/genética , Trastorno Depresivo Mayor/genética , Análisis Factorial , Femenino , Variación Genética , Estudio de Asociación del Genoma Completo , Genotipo , Humanos , Masculino , Persona de Mediana EdadRESUMEN
Objetivou-se avaliar o efeito da utilização de minerais orgânicos e do licopeno em rações para poedeiras sobre o desempenho zootécnico e a qualidade dos ovos. Utilizaram-se 288 poedeiras, distribuídas em DIC em esquema fatorial 2 x 3 (fontes de minerais x níveis de licopeno), com seis tratamentos, seis repetições e oito aves por unidade experimental. As rações experimentais foram: minerais inorgânicos (MI) sem a adição de licopeno; MI com a adição de licopeno (400mg/kg); MI com a adição de licopeno (800mg/kg); minerais orgânicos (MOR) sem a adição de licopeno; MOR com a adição de licopeno (400mg/kg); MOR com a adição de licopeno (800mg/kg). Foram avaliados: consumo de ração, porcentagem de postura, massa dos ovos, conversão alimentar (kg/kg e kg/dz), peso do ovo, porcentagens de casca, albúmen e gema, espessura da casca, gravidade específica, unidade Haugh, índice e coloração de gema, pH do albúmen e da gema. Os minerais orgânicos aumentam o consumo de ração quando associados a níveis de 0 e 800mg de licopeno. A associação de 400mg de licopeno com minerais inorgânicos aumenta o consumo de ração. A adição de minerais orgânicos ou de 400mg de licopeno às rações melhora a porcentagem de postura e massa dos ovos de poedeiras com 58 semanas de idade. A coloração de gema é mais acentuada para as fontes inorgânicas em relação às orgânicas e mais acentuada em rações com 800mg de licopeno. A unidade Haugh é maior em rações sem licopeno e com minerais inorgânicos e em rações com 400mg de licopeno e com minerais orgânicos. Rações com fonte orgânica associada a 800mg de licopeno proporcionam maior unidade Haugh em relação a fonte orgânica sem licopeno.
This study aimed to evaluate the effect of the use of organic minerals and lycopene in the diet of laying hens on performance and egg quality. 288 hens were used, distributed in DIC in a factorial 2 x 3 (mineral sources x lycopene levels) with six treatments and six replicates of eight birds per experimental unit. The experimental diets were: inorganic minerals (MI) without the addition of lycopene; MI with the addition of lycopene (400mg/kg); MI with the addition of lycopene (800mg/kg); minerals organic (MOR) without addition lycopene; MOR with the addition of lycopene (400mg/kg); MOR with the addition of lycopene (800mg/kg). The following parameters were evaluated: feed intake, egg production, egg mass, feed conversion (kg/kg and kg/dz), egg weight, percentage shell, albumen and yolk, shell thickness specific gravity, unit Haugh, index and yolk color, pH of albumen and yolk. The organic minerals increase the feed intake when combined at levels of 0 and 800mg of lycopene. The combination of 400mg of lycopene with inorganic minerals increases feed intake. The addition of organic or mineral 400mg lycopene in diets improves egg production and egg weight of hens at 58 weeks of age. The yolk color is more pronounced for inorganic sources in relation to organic and more pronounced in diets with 800mg of lycopene. The Haugh unit is higher in lycopene free diets and diets with inorganic mineral and 400mg of lycopene and organic minerals. Diets with organic source associated with 800mg of lycopene provide higher Haugh units for organic source without lycopene.
Asunto(s)
Animales , Carotenoides/análisis , Pollos/metabolismo , Minerales en la Dieta/análisis , Huevos/análisis , Alimentación Animal , Calidad de los AlimentosRESUMEN
Arenavirus Sabiá was originally isolated from a fatal human infection in Brazil, and after the occurrence of the second fatal human case in São Paulo state, epidemiologic and virologic studies were performed in the area where the patient lived, aiming at the identification of the Sabiá natural rodent reservoir. A broadly cross-reactive enzyme-linked immunosorbent assay (ELISA) was used to screen for antibody-positive samples. Antibodies to arenavirus were detected in two of the 55 samples of Calomys tener, and from these results, samples of rodents were analyzed by a broad RT-PCR assay. RT-PCR amplification detected arenavirus sequences in five of the 55 C. tener samples, and sequencing showed that this virus is a distinct form of Sabiá virus. Thus, we describe here the evidence for the circulation of a new arenavirus in Brazil (proposed name Pinhal virus) and its genetic characterization compared to other arenaviruses. This study also suggests C. tener as a probable rodent reservoir for this virus and associates this new virus with the lineage C of New World arenaviruses. Although we have defined some characteristics of this virus, so far, there is no evidence of its involvement in human disease.
Asunto(s)
Filogenia , Brasil/epidemiología , Reservorios de Enfermedades/veterinaria , Ensayo de Inmunoadsorción Enzimática , Sigmodontinae/virología , Arenavirus del Nuevo Mundo/aislamiento & purificación , Arenavirus del Nuevo Mundo/clasificación , Arenavirus del Nuevo Mundo/genética , Infecciones por Arenaviridae/veterinaria , Infecciones por Arenaviridae/virología , Animales , Anticuerpos Antivirales/sangreAsunto(s)
Conducta Sexual , Adolescente , Adulto , Brasil , Femenino , Conocimientos, Actitudes y Práctica en Salud , Humanos , MasculinoRESUMEN
OBJECTIVE: To present a literature review of some aspects concerning the development of sexuality in the period between childhood and adolescence, and to work on some proposals for prevention and intervention. METHODS: Review of literature on relevant issues related to the process of psychosocial and sexual development during childhood and adolescence, and to the importance of prevention education. RESULTS: Differently from genitality, which is only concerned with biological aspects, sexuality encompasses emotional aspects, life history and cultural values. These factors contribute to the formation of general identity and to the components of sexual identity: gender identity, gender role, and sexual orientation. Psychosocial and sexual development, emotional balance, and social relations are based on sexual experience during childhood and adolescence. During adolescence, the relationship with family and social group go through marked changes: conflicts arise, and experimentation and risk behavior are enhanced. The family, school, and health systems represent important links of identification, support, and protection for children and adolescents before they reach maturity. CONCLUSIONS: Sexuality education, either individually or in group, allows adolescents to experience sexuality and their emotional relations in a satisfactory, creative, and risk-free manner, combined with mutual respect and absence of gender discrimination.
RESUMEN
Os autores apresentam analise de 115 casos de transplantes renais realizados pelo Grupo de Transplantes Renais do Hospital Felicio Rocho e Hospital das Clinicas da Faculdade de Medicina da Universidade Federal de Minas Gerais, com enfase as complicacoes vasculares. Dos 115 casos operados, tivemos 7 complicacoes vasculares.Dos valentes a uma percentagem de 6,0%. De maneira geral, os problemas vasculares quando aparecem no pos-operatorio imediato ou tardio, simulam um quadro de rejeicao. Encontramos frequentemente queda do volume urinario associado ou nao a elevacao ou estabelecimento de niveis tensionais altos A complicacao mais frequente em nosso estudo foi exatamente a oclusao da arteria renal (tres casos), seguida por ruptura renal (um caso), estenose de arteria renal (um caso), ruptura espontanea da arteria iliaca (um caso) e hemorragia hilar (um caso). As complicacoes vasculares estao en intima relacao a problemas tecnicos peroperatorios tais como a manipulacao renal durante a sua retirada, a perfusao renal e a confeccao das anastomoses. A atencao a estes detalhes nos proporcionara um numero reduzido de problemas pos-operatorios