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We show that the inter-band optical conductivity of graphene follows a dependence on intensity that is characteristic of inhomogeneously broadened saturable absorbers, and we obtain a simple formula for the saturation intensity. We compare our results with those from more exact numerical calculations and selected sets of experimental data, and obtain good agreement for photon energies much larger than twice the chemical potential.
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The original version of this article unfortunately contained a mistake. The description of subheadings of Figs. 4c and d have to be interchanged.
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Nocturnal flowering plants often release strong scents to attract their pollinators. Among night active flower visitors are cyclocephaline scarab beetles, which have been demonstrated to respond to uncommon volatile organic compounds released in high amounts by their host plants. In Araceae, the molecular structure of several such compounds is yet to be unveiled. We investigated headspace floral scent samples of Philodendron squamiferum, Thaumatophyllum mello-baretoanum, and Xanthosoma hylaeae by a variety of approaches, leading to the identification of novel compounds. Dehydrojasmone, (Z)-4-methylene-5-(pent-2-en-1-yl)cyclopent-2-en-1-one (1), (Z)-3-methylene-2-(pent-2-en-1-yl)cyclopentyl acetate (isojasmyl acetate, 3), and (E)-4,8-dimethylnona-1,3,7-trien-5-yl acetate (4) had not been previously reported, while full analytical data of the recently described (Z)-3-methylene-2-(pent-2-en-1-yl)cyclopentan-1-ol (isojasmol, 2) are presented here. All these compounds are derived from more common precursors, (Z)-jasmone and (E)-4,8-dimethyl-1,3,7-nonatriene, likely through biosynthetic "post-processing".
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Araceae/química , Escarabajos/fisiología , Compuestos Orgánicos Volátiles/química , Animales , Araceae/metabolismo , Ciclopentanos/química , Flores/química , Flores/metabolismo , Cromatografía de Gases y Espectrometría de Masas , Espectroscopía de Resonancia Magnética , Oxilipinas/química , Polinización/efectos de los fármacos , Compuestos Orgánicos Volátiles/farmacologíaRESUMEN
This study investigated the immunization by intraperitoneal injection (i.p.) (assay I) and immersion bath (assay II) with live theronts of Ichthyophthirius multifillis in Rhamdia quelen and its influence on the hemato-immunological and biochemical parameters. Fish were divided in control (non immunized no challenged); non immunized and challenged with 12,000 theronts/fish; non immunized and challenged with 22,000 theronts/fish; immunized and challenged with 12,000 theronts/fish; immunized and challenged with 22,000 theronts/fish. Six days after challenge, either in the assay I or in the assay II the prevalence of I. multifillis in the gills was higher in non immunized fish (33.33% and 27.77%, respectively). In the assay I showed higher numbers of thrombocytes, leukocytes, lymphocytes, neutrophils and monocytes 20 days after injection and lower numbers after challenge. The immunoglobulin values were higher in fish non immunized. Fish immunized by immersion bath (assay II) showed greater values of catalase (CAT) in the liver (1245.49 U/mgprt) when compared to i.p. (198.79 U/mgprt). The levels of CAT in the liver of fish from the assay II were greater (1738.47 U/mgprt) 14 days after immunization than that observed 21 days after (1114.26 U/mgprt). The vaccination by i.p method showed influence on the hematological parameters. On the other hand, the immersion bath vaccination showed greater influence on the catalase activity in the liver. The results showed that new parameters like total protein, immunoglobulin and antioxidant enzymes could be considered in evaluating the host response to infection.
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Bagres/inmunología , Infecciones por Cilióforos/inmunología , Enfermedades de los Peces/inmunología , Hymenostomatida , Vacunas Antiprotozoos , Animales , Anticuerpos Antiprotozoarios/sangre , Anticuerpos Antiprotozoarios/inmunología , Recuento de Células Sanguíneas , Catalasa/metabolismo , Bagres/sangre , Bagres/parasitología , Infecciones por Cilióforos/sangre , Infecciones por Cilióforos/parasitología , Infecciones por Cilióforos/veterinaria , Enfermedades de los Peces/sangre , Enfermedades de los Peces/parasitología , Branquias/parasitología , Interacciones Huésped-Parásitos , Hígado/inmunología , Hígado/metabolismo , Vacunación/veterinariaRESUMEN
Although there is evidence on the benefits in the use of immunostimulants in aquaculture, there are few commercial products being used. This study evaluated the use of natural substances as potential sources for the production of immunostimulants. Propolis and Aloe barbadensis have been widely studied and its extracts have different chemical constituents responsible for antimicrobial, anti-inflammatory and immunostimulant. Tilapia juveniles were fed for two weeks with diets supplemented mix of propolis extracts and aloe (1:1) in different concentrations: 0.5, 1 e 2%. After the experimental period, fish blood was collected for hematoimmunological as follows : hematocrit, total plasma protein, erythrocytes (RBC), leukocytes (WBC), differential leukocyte count, phagocytic activity, serum lysozyme activity, and serum antimicrobial activity, serum antimicrobial activity (evaluated against Aeromonas hydrophila, Enterococcus durans and Escherichia coli). Except for higher number of thrombocytes in 1%-supplemented fish, the rest did not show significant difference.
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Aloe/química , Cíclidos/inmunología , Suplementos Dietéticos , Leucocitos/efectos de los fármacos , Fagocitosis/efectos de los fármacos , Extractos Vegetales/farmacología , Própolis/farmacología , Adyuvantes Inmunológicos/química , Adyuvantes Inmunológicos/farmacología , Análisis de Varianza , Animales , Acuicultura/métodos , Leucocitos/inmunología , Fagocitosis/inmunología , Extractos Vegetales/administración & dosificación , Própolis/administración & dosificación , Prueba Bactericida de Suero/veterinariaRESUMEN
This study evaluated the influence of the clomazone herbicide (2-[(2-chlorophenyl)methyl]-4,4-dimethyl-3-isoxazolidinone) contamination on the hematological parameters and histological changes in gills and liver of silver catfish (Rhamdia quelen) from Madre River, Santa Catarina State, Southern Brazil. Fish were collected between March 2010 and January 2012 at two different sites of the Madre River, one site receiving residual water (contaminated site) from rice culture (n=49) and another that do not receive residual water (reference site) (n=48). The herbicide clomazone analysis detected 3.40±1.70 µg/L in the contaminated site and 1.1±0.33 µg/L in the reference site. Fish from contaminated site showed increased (P<0.05) number of monocytes suggesting the possible defense response as a result of chronic exposure to clomazone. On the other hand, no difference was found in the hematocrit percentage, red blood cell count, total thrombocyte number, white blood cell count, lymphocytes, and neutrophils number. Fish from both sites showed histopathological changes in gills and liver, possibly caused by chronic exposure to contamination. The influence of herbicide sub doses on fish health is also discussed.
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Bagres/sangre , Branquias/patología , Herbicidas/metabolismo , Isoxazoles/metabolismo , Hígado/patología , Oxazolidinonas/metabolismo , Contaminantes Químicos del Agua/metabolismo , Animales , Brasil , Bagres/metabolismo , Exposición a Riesgos Ambientales , Branquias/metabolismo , Hematología , Herbicidas/análisis , Herbicidas/toxicidad , Histología , Isoxazoles/análisis , Isoxazoles/toxicidad , Hígado/metabolismo , Oxazolidinonas/análisis , Oxazolidinonas/toxicidad , Ríos/química , Contaminantes Químicos del Agua/análisis , Contaminantes Químicos del Agua/toxicidadRESUMEN
A novel and easily constructed apparatus for collecting monogenean eggs released by the parasites into the water is described and illustrated. Use of this technique may lead to a better understanding of the parasite's biology, which, in turn, may lead to the improvement of parasite management strategies in fish farms where monogeneans are potentially harmful to their hosts. The technique is also useful for studies of eggs or free-living stages of other fish parasites.
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Bagres/parasitología , Enfermedades de los Peces/parasitología , Parasitología/métodos , Platelmintos/aislamiento & purificación , Infecciones por Trematodos/veterinaria , Animales , Explotaciones Pesqueras , Óvulo/ultraestructura , Parasitología/instrumentación , Platelmintos/fisiología , Platelmintos/ultraestructura , Manejo de Especímenes/instrumentación , Manejo de Especímenes/métodos , Infecciones por Trematodos/parasitologíaRESUMEN
UNLABELLED: Medical plastic surgery league is a group of medical students interested in plastic surgery and a professional volunteer in the area willing to share and produce knowledge. Students define their direction, and are coordinated by an board certified plastic surgeon. Students should be aware that the league is an opportunity to learn, to seek knowledge, to develop clinical and scientific reasoning, and stimulate its interaction with the community. It means strengthening and enhancement of expertise in different levels of learning. Even if they do not become plastic surgeons, students build skills that can be adapted to other conditions and situations in the future. LEVEL OF EVIDENCE V: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
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Selección de Profesión , Estudiantes de Medicina , Cirugía Plástica/educación , Educación de Pregrado en Medicina , HumanosRESUMEN
Araceae comprises a diverse group of plants that grow in various habitats, ranging from submerged aquatics to lithophytes. Thus, aroids are likely to show diverse glands acting in several plant-environment interactions, including colleters that protect young shoots. Based on this premise and the lack of studies regarding secretory structures in Araceae, we employed standard light and electron microscopy methods to test the hypothesis that colleters are present in Anthurium. Our main goals were to identify mucilage glands in A. andraeanum by conducting a detailed anatomical study of their structure, ultrastructure, and secretory activity. We found finger-like colleters in the apex of young leaves, spathes, and unexpanded cataphylls as well as secreting zones at the apex of expanded cataphylls, at the margins of non-fused cataphylls, and throughout the keels in two-keeled cataphylls. The colleters develop precociously and senesce shortly afterwards. Ultrastructural data and histochemistry confirmed the production of a polysaccharide-rich secretion that fills the spaces within the developing shoot. As far we know, this is the first time that colleters have been reported for Araceae. The functional roles of the secretion and the position of finger-like colleters concerning the 'precursor tip' of monocotyledons are discussed. Future research correlating secretory activity in colleters of species from different habitats might reveal a great diversity of mucilage glands with ecological and evolutionary significance to the family.
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A Bacille Calmette-Guérin (BCG) is still the only licensed vaccine for the prevention of tuberculosis, providing limited protection against Mycobacterium tuberculosis infection in adulthood. New advances in the delivery of DNA vaccines by electroporation have been made in the past decade. We evaluated the safety and immunogenicity of the DNA-hsp65 vaccine administered by intramuscular electroporation (EP) in cynomolgus macaques. Animals received three doses of DNA-hsp65 at 30-day intervals. We demonstrated that intramuscular electroporated DNA-hsp65 vaccine immunization of cynomolgus macaques was safe, and there were no vaccine-related effects on hematological, renal, or hepatic profiles, compared to the pre-vaccination parameters. No tuberculin skin test conversion nor lung X-ray alteration was identified. Further, low and transient peripheral cellular immune response and cytokine expression were observed, primarily after the third dose of the DNA-hsp65 vaccine. Electroporated DNA-hsp65 vaccination is safe but provides limited enhancement of peripheral cellular immune responses. Preclinical vaccine trials with DNA-hsp65 delivered via EP may include a combination of plasmid cytokine adjuvant and/or protein prime-boost regimen, to help the induction of a stronger cellular immune response.
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Bacterial infections directly affect the world's population, and this situation has been aggravated by indiscriminate use of antimicrobial agents, which can generate resistant microorganisms. In this report, an initial screening of proteins with antibacterial activity from corms of 15 species of the Xanthosoma genus was conducted. Since Xanthosoma blandum corms showed enhanced activity toward bacteria, a novel protein with bactericidal activity was isolated from this particular species. Edman degradation was used for protein N-termini determination; the primary structure showed similarities with Kunitz inhibitors, and this protein was named Xb-KTI. This protein was further challenged against serine proteinases from different sources, showing clear inhibitory activities. Otherwise, no hemolytic activity was observed for Xb-KTI. The results demonstrate the biotechnological potential of Xb-KTI, the first proteinase inhibitor with antimicrobial activity described in the Xanthosoma genus.
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Antibacterianos/aislamiento & purificación , Antibacterianos/farmacología , Péptidos/aislamiento & purificación , Péptidos/farmacología , Proteínas de Plantas/aislamiento & purificación , Proteínas de Plantas/farmacología , Xanthosoma/química , Secuencia de Aminoácidos , Antibacterianos/química , Pruebas de Sensibilidad Microbiana , Péptidos/química , Proteínas de Plantas/química , Serina Endopeptidasas/metabolismo , Xanthosoma/genéticaRESUMEN
BACKGROUND: Acute hepatic porphyrias represent an expanding group of complex inherited metabolic disorders due to inborn errors of metabolism involving heme biosynthesis. OBJECTIVE: We aimed to review the main clinical and therapeutic aspects associated with acute hepatic porphyrias. METHODS: The authors provided a wide non-systematic review of current concepts and recently acquired knowledge about acute hepatic porphyrias. RESULTS: Acute neurovisceral attacks are the most common and life-threatening presentation of this group and are often considered the main clinical manifestation by clinicians during differential diagnosis and the start of proper diagnostic work-up for acute porphyrias. However, atypical presentations with central nervous system involvement, neuropsychiatric disturbances, and some subtypes with photosensitivity usually make the definite diagnosis difficult and late. Early therapeutic interventions are essential during emergency treatment and intercritical periods to avoid recurrent severe presentations. The availability of new disease-modifying therapeutic proposals based on small interfering RNA (siRNA)-based therapies, complementary to the classic intravenous glucose infusion and hemin-based treatments, emphasizes the importance of early diagnosis and genetic counseling of patients. CONCLUSIONS: This review article highlights the main biochemical, pathophysiological, clinical, and therapeutic aspects of acute hepatic porphyrias in clinical practice.
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Porfiria Intermitente Aguda , Porfirias Hepáticas , Humanos , Neurólogos , Porfobilinógeno Sintasa , Porfiria Intermitente Aguda/diagnóstico , Porfiria Intermitente Aguda/terapia , ARN Interferente PequeñoRESUMEN
BACKGROUND: Adult-onset spinal muscular atrophy (SMA) represents an expanding group of inherited neurodegenerative disorders in clinical practice. OBJECTIVE: This review aims to synthesize the main clinical, genetic, radiological, biochemical, and neurophysiological aspects related to the classical and recently described forms of proximal SMA. METHODS: The authors performed a non-systematic critical review summarizing adult-onset proximal SMA presentations. RESULTS: Previously limited to cases of SMN1-related SMA type 4 (adult form), this group has now more than 15 different clinical conditions that have in common the symmetrical and progressive compromise of lower motor neurons starting in adulthood or elderly stage. New clinical and genetic subtypes of adult-onset proximal SMA have been recognized and are currently target of wide neuroradiological, pathological, and genetic studies. CONCLUSIONS: This new complex group of rare disorders typically present with lower motor neuron disease in association with other neurological or systemic signs of impairment, which are relatively specific and typical for each genetic subtype.
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Enfermedad de la Neurona Motora , Atrofia Muscular Espinal , Radiología , Adulto , Humanos , Atrofia Muscular Espinal/genética , Neurofisiología , Enfermedades RarasRESUMEN
BACKGROUND: Studies assessing the efficacy of azathioprine (AZA) in steroid-dependent ulcerative colitis (UC) are scarce. The aim of this study was to assess the long-term efficacy and safety of AZA in patients with steroid-dependent UC, as well as factors associated with sustained response. MATERIAL/METHODS: In this prospective observational study 46 adult subjects with steroid-dependent UC were included for AZA therapy during a 12-month period. AZA dosage was adjusted according to clinical response and occurrence of adverse events. Steroid therapy was tapered according to protocol. The primary endpoint was the rate of steroid-free remission to AZA at the end of 12 months. Secondary endpoints included clinical relapse, cumulative steroid dose and safety of treatment. RESULTS: On an intention-to-treat basis, the proportion of patients remaining in steroid-free remission at the end of 12 months was 0.54. The median time until complete steroid withdrawal was 5 months. A significant decrease in the relapse rate and in requirement for steroids were observed during 12 months on AZA compared with the prior year (P=0.000). Demographic, dose of AZA, steroid use, and disease-related data did not correlate with remission. Only disease duration <24 months was associated to steroid-free remission (P=0.03, OR 3.60 95% CI 1.95-9.74). Serious adverse events related to AZA were uncommon. CONCLUSIONS: AZA demonstrated sustained efficacy for maintenance of clinical remission without steroids and steroid sparing through 12 months of therapy in steroid-dependent UC. Patients with early onset UC are those who most probably will achieve sustained steroid-free remission while on AZA.
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Corticoesteroides/uso terapéutico , Azatioprina/uso terapéutico , Colitis Ulcerosa/tratamiento farmacológico , Colitis Ulcerosa/epidemiología , Adolescente , Adulto , Edad de Inicio , Azatioprina/efectos adversos , Demografía , Relación Dosis-Respuesta a Droga , Femenino , Estudios de Seguimiento , Humanos , Estudios Longitudinales , Masculino , Persona de Mediana Edad , Factores de Tiempo , Resultado del Tratamiento , Adulto JovenRESUMEN
OBJECTIVE: The aim of the study was to report the proportion of homozygous and compound heterozygous variants in the survival motor neuron 1 (SMN1) gene in a large population of patients with spinal muscular atrophy (SMA) and to correlate the severity of the disease with the presence of specific intragenic variants in SMN1 and with the SMN2 copy number. METHODS: Four hundred fifty Brazilian patients with SMA were included in a retrospective study, and clinical data were analyzed compared with genetic data; the SMN2 copy number was obtained by multiplex ligation-dependent probe amplification and pathogenic variants in SMN1 by next-generation sequencing. RESULTS: Four hundred two patients (89.3%) presented homozygous exon 7-SMN1 deletion, and 48 (10.7%) were compound heterozygous for the common deletion in one allele and a point mutation in the other allele. Recurrent variants in exons 3 and 6 (c.460C>T, c.770_780dup and c.734_735insC) accounted for almost 80% of compound heterozygous patients. Another recurrent pathogenic variant was c.5C>G at exon 1. Patients with c.770_780dup and c.734_735insC had a clinical phenotype correlated with SMN2 copy number, whereas the variants c.460C>T and c.5C>G determined a milder phenotype independently of the SMN2 copies. CONCLUSIONS: Patients with specific pathogenic variants (c.460C>T and c.5C>G) presented a milder phenotype, and the SMN2 copy number did not correlate with disease severity in this group.
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A new species of the genus Beebeomyia Curran found in the northern coastal region of the state of Pernambuco, northeastern Brazil is described and illustrated, including characteristics of the male and female terminalia, third instar larva and puparium. This new species is only the second record for the genus in Brazil and broadens its occurrence to the Atlantic Forest ecoregion. Beebeomyia taccarivora sp. nov. is straightforwardly distinguishable from all other known species of Beebeomyia for exhibiting an entirely yellowish orange thorax with a central brown-colored stripe on the scutum, and a brownish orange abdomen with a central brown stripe on tergites 1-4. Similarly to what had been previously described for congenerics, female B. taccarivora flies exclusively use the inflorescences of their host plant, Taccarum ulei, as oviposition and brooding sites. Developing larvae feed on living floral tissue and pollen, and pupariation occurs within the inner surface of the spathe.
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Dípteros , Animales , Araceae , Brasil , Femenino , Larva , Masculino , OviposiciónRESUMEN
In the 1990s, the development of microelectronics and communication technologies spawned the information technology paradigm, characterized by an intensity of information which, transformed into knowledge and innovation, plays a crucial role for development. In order for this to occur, countries need to build appropriate institutional arrangements. This led to the Triple Helix model for systems innovation, which views innovation and technical progress in a Knowledge Economy as the result of a complex set of relations between universities, companies, and government. In this context, the current study aims to identify the impact of knowledge production and public policies for the production of patent applications by life sciences and health sciences researchers affiliated with federal universities in the State of Minas Gerais, Brazil. The analysis covered the years 1995 to 2016 and used econometric techniques in panel data. According to the findings, educational factors (thesis supervision), economic factors (technological products and the provision of technological services), and political factors (legal framework, financial resources, and incentive policies) impact the production of patent applications by the selected researchers. The results reveal efforts by government, although incipient, in the attempt to promote a technological leap.
Na década de 1990, com o desenvolvimento da microeletrônica e das tecnologias de comunicações, emergiu o paradigma da tecnologia da informação, caracterizado pela intensidade de informação que, transformada em conhecimento e inovação, desempenha um papel crucial para o desenvolvimento. Entretanto, para que isso ocorra, é necessário que os países construam arranjos institucionais apropriados. Com isso, surge o modelo de sistemas de inovação da Tríplice Hélice, que compreende a inovação e o progresso técnico, em uma Economia do Conhecimento, como o resultado de um conjunto complexo de relações entre universidade, empresa e governo. Nesse contexto, o presente estudo tem o objetivo de identificar o impacto da produção de conhecimento e das políticas públicas para a produção de depósitos de patentes dos pesquisadores pertencentes ao domínio científico Ciências da Vida e da Saúde, no âmbito das universidades federais de Minas Gerais, Brasil. A análise considerou o período de 1995 a 2016, e utilizou técnicas de econometria em painel de dados. Os resultados mostram que fatores educacionais (orientações em pós-graduação), econômicos (produtos tecnológicos e prestação de serviços tecnológicos) e políticos (arcabouço legal, recursos financeiros e políticas de estímulo) impactam a produção de depósitos de patentes dos pesquisadores selecionados. Por meio da análise dos resultados, podem-se perceber os esforços do governo, mesmo que ainda incipientes, na tentativa de promover o salto tecnológico.
Durante la década de 1990, con el desarrollo de la microelectrónica y las tecnologías de la comunicación, surgió el paradigma de la tecnología de la información, caracterizado por la intensidad de información que, transformada en conocimiento e innovación, desempeña un papel crucial para el desarrollo. No obstante, para que esto ocurra, es necesario que los países construyan marcos institucionales apropiados. Por ello, surge el modelo de sistemas de innovación de Triple Hélice, que abarca innovación y progreso técnico en una Economía del Conocimiento, como resultado de un conjunto complejo de relaciones entre universidad, empresa y gobierno. En este contexto, el presente estudio tiene como objetivo de identificar el impacto de la producción de conocimiento y de las políticas públicas, con el fin de producir depósitos para patentes de investigadores, pertenecientes al campo científico de las Ciencias de la Vida y la Salud, en el ámbito de las universidades federales de Minas Gerais, Brasil. El análisis consideró el período de 1995 a 2016, y utilizó técnicas de econometría de panel de datos. Los resultados muestran que los factores educacionales (orientación durante el posgrado), económicos (productos tecnológicos y prestación de servicios tecnológicos) y políticos (marco legal, recursos financieros y políticas de estímulo) impactan en la producción de depósitos para patentes de los investigadores seleccionados. Mediante el análisis de los resultados, se pueden percibir los esfuerzos del gobierno, aunque sean incipientes, en la tentativa de promover el salto tecnológico.
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Disciplinas de las Ciencias Biológicas/estadística & datos numéricos , Salud/estadística & datos numéricos , Invenciones/estadística & datos numéricos , Patentes como Asunto/estadística & datos numéricos , Universidades/estadística & datos numéricos , Brasil , Desarrollo Económico/estadística & datos numéricos , Desarrollo Económico/tendencias , Gobierno , Humanos , Industrias , Invenciones/tendencias , Política Pública , Investigación/estadística & datos numéricos , Investigadores/estadística & datos numéricos , Universidades/tendenciasRESUMEN
The Regional Councils of Medicine are responsible for the first instance evaluation of ethical-professional complaints against physicians in each federation state. The relevance of the study is based on the importance of evaluating the professional profile of the reported physician, the characteristics of the complaints, and the judging body performance. This study assessed 966 complaints against physicians made to the Regional Council of Medicine of Minas Gerais (CRM/MG) from 2012 to 2017. There was no difference in the average age of the professionals or the period of professional practice. Gynecology, Internal Medicine, General Surgery, and Plastic Surgery comprised most of the complaints regarding medical specialties. The non-specialty reports reached 323 (34%) cases and predominated over the years studied. The number of acquittals was relatively high, in a total of 535 cases, in which the Regional Council of Medicine of Minas Gerais (CRM/MG) considered the complaints unfounded. The hypothesis of a certain corporativism of the CRM did not seem viable since thirty cases received harsher punishments, and among them, eight were removed from professional practice. Some professionals were reported more than once. It is worth noting that the number of recidivists and cases progressively decreased from 2012 to 2017.
Los Consejos Regionales de Medicina son responsables de la evaluación en primera instancia de las denuncias ético-profesionales contra médicos en cada estado de la federación. La relevancia del estudio se basa en la importancia de evaluar el perfil profesional del médico denunciado, las características de las denuncias y la actuación del órgano juzgador. Este estudio evaluó 966 denuncias contra médicos presentadas al Consejo Regional de Medicina de Minas Gerais (CRM/MG) de 2012 a 2017. No hubo diferencias en la edad media de los profesionales ni en el período de ejercicio profesional. Ginecología, Medicina Interna, Cirugía General y Cirugía Plástica englobaron la mayoría de las denuncias relativas a especialidades médicas. Las denuncias de no especialidad alcanzaron 323 (34%) casos y predominaron a lo largo de los años estudiados. El número de absoluciones fue relativamente elevado, en un total de 535 casos, en los que el Consejo Regional de Medicina de Minas Gerais (CRM/MG) consideró infundadas las denuncias. La hipótesis de un cierto corporativismo del CRM no pareció viable, ya que treinta casos recibieron castigos más severos y, entre ellos, ocho fueron apartados del ejercicio profesional. Algunos profesionales fueron denunciados más de una vez. Cabe destacar que el número de reincidentes y de casos disminuyó progresivamente de 2012 a 2017.
Os Conselhos Regionais de Medicina são responsáveis pelas avaliações, em primeira instância, de denúncias ético-profissionais contra médicos, em cada estado da federação. A relevância do presente estudo se fundamenta na importância de se avaliar o perfil profissional do denunciado, as características das denúncias e o desempenho do órgão julgador. O presente estudo avaliou 966 denúncias contra médicos, feitas ao Conselho Regional de Medicina de Minas Gerais (CRM/MG), de 2012 a 2017. Não houve diferença com relação à média de idade do profissional, nem com relação ao tempo de exercício profissional. No que diz respeito às especialidades médicas (tabela 5), as áreas de Ginecologia, Clínica Médica, Cirurgia Geral e Cirurgia Plástica compreenderam grande parte das denúncias. Os denunciados sem especialidade alcançaram o no número de 323 (34%) e predominaram. O número de absolvições foi relativamente alto, num total de 535 denunciados, nos quais o Conselho Regional de Medicina de Minas Gerais (CRM/MG) considerou as acusações infundadas. A hipótese de certo corporativismo do CRM, não pareceu viável, visto que trinta casos receberam punição mais severa, dentre os quais, oito cassações do exercício profissional. Alguns profissionais foram denunciados mais de uma vez. Vale observar que o número de profissionais reincidentes, bem como o número de processos decaiu progressivamente, de 2012 a 2017.
Asunto(s)
Humanos , Masculino , Femenino , Consejos de Salud , Denuncia de Irregularidades , Ética Profesional , Perfil Laboral , BrasilRESUMEN
BACKGROUND: 2-Alkyl-3-methoxypyrazines (MPs) are naturally occurring aromatic compounds involved in insect chemical communication as both pheromones and allelochemicals. Although rarely characterized in floral scents, they have been identified as major constituents in headspace samples from palm inflorescences and evidence pointed towards their function as attractive cues for scent-oriented pollinators, as well as florivores. In this study, we investigated the occurrence of MPs in economically exploitable palms belonging to Acrocomia and Attalea through headspace floral scent analysis and assessed their role in the selective attraction of flower-feeding cyclocephaline scarabs (Melolonthidae, Cyclocephalini) in field bioassays conducted in Brazil and Colombia. RESULTS: Three different MPs were identified among floral headspace samples of Acrocomia aculeata, Acr. intumescens, Attalea butyracea and Att. insignis: 2-isopropyl-3-methoxypyrazine (IPMP), 2-isobutyl-3-methoxypyrazine (IBMP) and 2-(sec-butyl)-3-methoxypyrazine (SBMP). Their combined estimated total scent emissions per inflorescence ranged from 246 µg h-1 to 6.2 mg h-1 . Scented traps, individually baited with either IPMP or SBMP, resulted in species-selective and high yield captures of Cyclocephala amazona and C. distincta, known florivores associated with over 20 different species of Neotropical palms. CONCLUSIONS: The identification of MPs as potent kairomones could prove instrumental in integrated pest management plans for these insects in emerging oil-yielding crops in South America, including those of the wine palm (Att. butyracea) and macaw palms (Acrocomia spp.). © 2018 Society of Chemical Industry.
RESUMEN
Objetivo:Classificar o risco de desenvolvimento de lesão por posicionamento cirúrgico. Método: Estudo observacional, longitudinal, prospectivo, de abordagem quantitativa realizado em hospital público, com 135 pacientes submetidos à cirurgia eletiva. Utilizaram-se instrumentos contendo caracterização sociodemográfica, clínica e cirúrgica e escala de avaliação de risco para desenvolvimento de lesões decorrentes do posicionamento cirúrgico. Empregaram-se análise descritiva, teste exato de Fisher ou teste χ2 e a medida de associação odds ratio, conforme apropriado. Resultados: A maioria dos participantes era do sexo masculino (51,11%), adulta (52,59%) e foi classificada como maior risco para o desenvolvimento de lesões por posicionamento cirúrgico (51,85%). Ser idoso, hipertensão, diabetes mellitus e cirurgias urológicas foram estatisticamente significativos (p < 0,05) para maior risco de desenvolvimento de lesões. A incidência de lesão por pressão foi de 0,74%, com observação apenas na região sacra. Conclusão: Verificou-se maior risco para desenvolvimento de lesão em decorrência do posicionamento cirúrgico e baixa incidência de lesão por pressão. A enfermagem perioperatória deve incorporar à prática assistencial ferramentas validadas de mensuração de risco para um cuidado seguro, individualizado e de qualidade aos pacientes cirúrgicos.
Objective:To classify the risk of developing injury due to surgical positioning. Method: Observational, longitudinal, prospective study with a quantitative approach carried out in a public hospital, with 135 patients undergoing elective surgery. Instruments containing sociodemographic, clinical, and surgical characteristics and a risk assessment scale for the development of injuries due to surgical positioning were used. Descriptive analysis, Fisher's exact test or χ2 test and odds ratio association measure were used as appropriate. Results: Most participants were male (51.11%), adults (52.59%) and were classified as having a higher risk for developing injuries due to surgical positioning (51.85%). Elderly, hypertension, diabetes mellitus and urological surgeries were statistically significant (p < 0.05) for a higher risk of developing lesions. The incidence of pressure injuries was 0.74%, with observation only in the sacral region. Conclusion: There was a greater risk of developing lesions due to surgical positioning and low incidence of pressure injury. Perioperative nursing should incorporate validated risk measurement tools into care practice for safe, individualized and quality care for surgical patients,
Objetivo:Clasificar el riesgo de desarrollar lesión por posicionamiento quirúrgico. Método: Estudio observacional, longitudinal, prospectivo, con abordaje cuantitativo, realizado en un hospital público, con 135 pacientes sometidos a cirugía electiva. Se utilizaron instrumentos que contenían características sociodemográficas, clínicas y quirúrgicas y una Escala de Evaluación de Riesgo para el Desarrollo de Lesiones por Posicionamiento Quirúrgico. Se utilizó el análisis descriptivo, la prueba exacta de Fisher, o chi-cuadrado y la medida de asociación odds ratio, según corresponda. Resultados: La mayoría de los participantes eran hombres (51,11 %), adultos (52,59 %) y se clasificaron con mayor riesgo de desarrollar lesiones debido al posicionamiento quirúrgico (51,85 %). Ancianos, hipertensión, diabetes mellitus y cirugías urológicas fueron estadísticamente significativos (p Ë 0,05) para mayor riesgo de desarrollar lesiones. La incidencia de lesiones por presión fue del 0,74%, observándose solo en la región sacra. Conclusión: Hubo un mayor riesgo de desarrollar lesiones debido al posicionamiento quirúrgico y una baja incidencia de lesión presión. La enfermería perioperatoria debe incorporar herramientas validadas de medición del riesgo en la práctica asistencial para una atención segura, individualizada y de calidad a los pacientes quirúrgicos.