Oral motor performance in spastic cerebral palsy individuals: are hydration and nutritional status associated?

BACKGROUND: Previous studies reported alterations in salivary parameters in cerebral palsy (CP) individuals; however, none of these considered oral motor performance as possibly responsible for these conditions. The aim of this study was to investigate the influence of oral motor performance on the nutritional status and salivary parameters in individuals with CP. METHODS: Forty-three individuals aged 11-19 years-old, with spastic CP were included in this study. Oral motor performance was evaluated using the Oral Motor Assessment Scale, which classified the individuals into two groups: subfunctional or functional. Unstimulated saliva was collected and the flow rate was calculated (ml/min). Salivary osmolality was measured using a freezing point depression osmometer. Blood samples were collected to evaluate complete blood count, total protein, albumin/globulin ratio and transferrin levels. RESULTS: The subfunctional (n = 21) and the functional group (n = 22) did not differ regarding sex (P = 0.193), however the functional group was older (P = 0.023) and had a higher mean BMI (P < 0.001). The subfunctional CP group presented a reduction in salivary flow rate (36.4%) (P < 0.01) and an increase in salivary osmolality (35.5%) (P < 0.001) compared to the functional group. Slightly lower values for red blood cells (millions/mm(3) ) (P < 0.001), hemoglobin (g/dl) (P < 0.009), hematocrit (%) (P = 0.001), number of platelets (N/mm(3) ), total protein (g/dl) and albumin/globulin ratio (P = 0.003 and P = 0.036, respectively) were determined for the subfunctional group, but within the normal range of normality. CONCLUSION: Cerebral palsy individuals appear to present impaired adequate hydration due to compromised oral motor performance.

Salivary osmolality and hydration status in children with cerebral palsy.

BACKGROUND: Unstimulated whole salivary parameters have been identified as potential markers of hydration status. Reduced salivary flow rate and increased salivary osmolality have been shown to be useful to identify dehydration, even when minimal loss of body water occurs. This study aimed to evaluate whether unstimulated salivary flow rate and salivary osmolality from individuals with cerebral palsy correlate with plasma and urine osmolality. METHODS: Thirty-five male and female children, aged 9-13 years old, diagnosed with cerebral palsy were compared to 27 nondisabled children (10-12 years old). Unstimulated whole saliva was collected under slight suction and salivary flow rate (ml/min) was calculated. Plasma without venostasis and urine were also collected. Salivary, plasma and urine osmolality were measured using a freezing point depression osmometer. RESULTS: Cerebral palsy children presented a reduction in salivary flow rate (50%) compared to the control group (P < 0.01). Moreover, an increase in salivary (50%), plasma (3%), and urine osmolality (20%) was also observed in the cerebral palsy children compared to the control group (P < 0.01). Salivary flow rate was negatively correlated with the salivary, plasma and urine osmolality (P < 0.01). Salivary osmolality correlated positively with plasma and urine osmolality (P < 0.01). CONCLUSION: Cerebral palsy children seem to present impaired adequate hydration status. Since the possible hypohydration condition may be reflected in saliva fluid, which could compromise the protective function exerted by saliva, the earlier this condition is identified the greater the chances of administering preventive measures. Moreover, salivary osmolality is a reliable parameter that reflects changes in plasma and urine.

Predicting geographic distributions of Phacellodomus species (Aves: Furnariidae) in South America based on ecological niche modeling / Predição das distribuições geográficas das espécies de Phacellodomus (Aves: Furnariidae) na América do Sul utilizando modelagem de nicho ecológico

Phacellodomus Reichenbach, 1853, comprises nine species of Furnariids that occur in South America in open and generally dry areas. This study estimated the geographic distributions of Phacellodomus species in South America by ecological niche modeling. Applying maximum entropy method, models were produced for eight species based on six climatic variables and 949 occurrence records. Since highest climatic suitability for Phacellodomus species has been estimated in open and dry areas, the Amazon rainforest areas are not very suitable for these species. Annual precipitation and minimum temperature of the coldest month are the variables that most influence the models. Phacellodomus species occurred in 35 ecoregions of South America. Chaco and Uruguayan savannas were the ecoregions with the highest number of species. Despite the overall connection of Phacellodomus species with dry areas, species such as P. ruber, P. rufifrons, P. ferrugineigula and P. erythrophthalmus occurred in wet forests and wetland ecoregions.

Phacellodomus Reichenbach, 1853 é composto por nove espécies de furnarídeos que ocorrem na América do Sul em áreas abertas e geralmente secas. Este estudo objetivou estimar as distribuições geográficas das espécies de Phacellodomus utilizando modelagem de nicho ecológico. Os modelos foram desenvolvidos com base em seis variáveis climáticas e 949 registros de ocorrência de oito espécies, utilizando o algoritmo Maxent. Maior adequabilidade climática para as espécies de Phacellodomus foi estimada em áreas abertas e secas. Áreas úmidas na Amazônia não foram muito favoráveis para a ocorrência dessas espécies. A precipitação anual e a temperatura mínima do mês mais frio foram as variáveis que mais influenciaram os modelos. As espécies de Phacellodomus ocorreram em 35 ecorregiões da América do Sul. O Chaco e as savanas do Uruguai foram as ecorregiões com o maior número de espécies. Apesar da ampla ocorrência das espécies Phacellodomus em áreas secas, espécies como P. ruber, P. rufifrons, P. ferrugineigula e P. erythrophthalmus ocorreram em florestas úmidas e ecorregiões alagadas.

Evolução da mortalidade infantil por causas evitáveis: série histórica 1997-2006, Distrito Federal / Evolution of mortality by causes avoidable: historical series 1997-2006, Distrito Federal

Avaliar uma série histórica (1997-2006) do Coefi ciente de Mortalidade Infantil (CMI) segundo causas evitáveis (CMIev), mal definidas (CMImd) e não claramente evitáveis (CMIne) no Distrito Federal (DF).

To assess a historical series (1997-2006) infant mortalitycoefficient (IMC) second preventable causes (CMIev), poorly defi ned(CMImd) and clearly not avoidable (CMIne) in the Federal District (DF).

Nicho ecológico e aspectos da história natural de Phyllomedusa azurea (Anura: Hylidae, Phyllomedusinae) no Cerrado do Brasil Central / Ecological niche and aspects of the natural history of Phyllomedusa azurea (Anura: Hylidae, Phyllomedusinae) in the Cerrado of Central Brazil

Aspectos da ecologia e da história natural de Phyllomedusa azurea foram estudados em uma área de cerrado do Brasil Central, entre abril de 2006 e fevereiro de 2007. As observações foram realizadas entre as 18:00 e 5:00 h. Os aspectos investigados são referentes aos nichos espacial, temporal e trófico, morfometria e reprodução. A maioria dos animais vocalizou em locais com predominância do estrato herbáceo e de dossel aberto. Os principais substratos utilizados foram arbustos e árvores. Com relação às alturas de empoleiramento, os animais foram encontrados principalmente em locais entre 0,50 e 1,00 m de altura. As amplitudes de nicho espacial (substrato e altura de empoleiramento) foram respectivamente 2,91 e 3,83. A maioria dos animais foi encontrada próxima a corpos d'água lênticos, normalmente até 0,50 m. É possível que essas características estejam primariamente relacionadas com a filogenia do gênero e secundariamente às necessidades particulares da espécie e à disponibilidade local de recursos. Os arbustos e árvores utilizados pela espécie servem como sítios de vocalização e ovoposição. Os espécimes de Phyllomedusa azurea foram localizados principalmente entre às 20:00 e 21:00 h. A largura de nicho temporal estimada (horário de atividade) foi de 4,68. Padrão reprodutivo prolongado foi também observado, predominando nos meses de maior temperatura e umidade (setembro a fevereiro). A dieta constituiu-se de 11 itens, sendo que o item mais importante para as fêmeas foi Orthoptera (IVI = 63) e para os machos Araneae (IVI = 43). As amplitudes numérica e volumétrica do nicho trófico foram respectivamente 1,80 e 1,16, para fêmeas, e 4,03 e 3,92, para machos. Machos e fêmeas diferiram em tamanho (CRC) e massa, com as fêmeas sendo maiores e mais pesadas. Os tamanhos dos menores indivíduos reprodutivos de machos e fêmeas foram 34,64 e 40,33 mm, respectivamente. Diferenças no tamanho podem estar relacionadas a distintos investimentos na reprodução...

Aspects of the ecology and natural history of Phyllomedusa azurea were investigated in an area of Central Brazilian Cerrado between April, 2006, and February, 2007. Observations were conducted between 6:00 PM and 5:00 AM. The study focused on spatial, temporal, and trophic niches, morphometry and reproduction. Most animals were recorded vocalizing in places dominated by herbaceous vegetation and an open canopy. The main substrates used were bushes and trees, and animals were seen perched most often between 0.5 and 1.0 m of height. Spatial niche breadth was 2.91 and 3.83 for substrate and perch height, respectively. Most animal were sighted close to lentic water bodies, usually up to 0.50 m. It is possible that these characteristics are related primarily to the phylogeny of the genus and secondarily to the specific needs of the species and the local availability of resources. The bushes and trees were used by the species mainly as sites of vocalization and oviposition. Specimens of Phyllomedusa azurea was sighted most frequently between 8:00 PM and 9:00 PM. Estimated temporal niche breadth (activity period) was 4.68. Prolonged reproductive pattern was also observed predominantly in the months with higher temperature and higher humidity (September to February). The diet consisted of eleven items. The most important prey taxon for the females was Orthoptera (IVI = 63), whereas for the males, it was Araneae (IVI = 33). The breadths numeric and volumetric of the trophic niche, was respectively 1.80 and 1.16, for females, and 4.03 and 3.92, for males. Males and females differed in size (SVL) and mass, with the females being larger and heavier. The sizes of smaller reproductive individuals males and females were 34.64 and 40.33 mm, respectively. Differences in size may be related to different investments in reproduction by the two sexes.

História natural de Leptodactylus mystacinus e Leptodactylus fuscus (Anura: Leptodactylidae) no Cerrado do Brasil Central / Natural history of Leptodactylus mystacinus and Leptodactylus fuscus (Anura: Leptodactylidae) in the Cerrado of Central Brazil

Aspectos da ecologia de Leptodactylus mystacinus e Leptodactylus fuscus foram investigados em uma área de Cerrado do Brasil Central. O estudo incluiu o uso do microhábitat, padrões de atividade, dieta e morfometria. As observações foram conduzidas entre abril de 2006 a fevereiro de 2007. As espécies são sexualmente dimórficas - fêmeas maiores que os machos - e o tamanho do corpo em L. mystacinus é maior do que o de L. fuscus. Ambas as espécies preferiram a superfície do solo (microhábitat) de hábitats brejosos com vegetação herbácea próximos a corpos lênticos de água. Leptodactylus mystacinus foi mais observado em Outubro e Novembro (20:00-20:59 e 23:00-23:59 horas) e L. fuscus em Novembro e Outubro das 19:00 às 20:59 horas. A dieta destas populações foi baseada em Arthropoda, primariamente Coleoptera, a qual foi a mais importante ordem (IVI). Diferenças nas proporções volumétricas das categorias de presas utilizadas, e nos períodos em que são mais observadas, provavelmente sejam os fatores que mais contribuem para a coexistência das duas espécies na área. Diferenças intersexuais na dieta foram observadas para estas espécies. Estas diferenças estão provavelmente associadas à alocação diferencial de recursos para a produção de gametas ou diferenças ocasionais no uso do espaço pelos dois sexos.

Aspects of the ecology of Leptodactylus mystacinus and Leptodactylus fuscus were investigated in an area of the Cerrado of Central Brazil. The study included use of microhabitat, activity patterns, diet and, morphometry. Observations were conducted between April, 2006, and February, 2007. The species are sexually dimorphic - females larger than males - and body size in L. mystacinus is larger than that of L. fuscus. Both species preferred the ground surface (microhabitat) of wetland habitats with herbaceous vegetation close to lentic water bodies. Leptodactylus mystacinus was observed most often in October and November (8:00-8:59PM and 11:00-11:59 PM), and L. fuscus in November and October between 7:00 PM and 8:59 PM. The diet of both populations was based on Arthropoda, primarily Coleoptera, which was the most important order (IVI). Differences in the volumetric proportions of the categories of then preys used, and in the periods when they were most observed, are probably the factors that contribute the most to the coexistence of both species in the area. Intersexual differences in the diet were observed in both species. These differences were probably associated with the differential allocation of resources to the production of gametes or occasional differences in the use of space by the two sexes.