Coesão de grupo em categorias de base do futebol / Group cohesion in Football based categories

O presente estudo tem como objetivo investigar a coesão de grupo em atletas de Futebol, de categorias de base, e comparar os níveis de coesão de grupo entre as equipes investigadas. Para isso, participaram do estudo, de forma voluntária, 84 jogadores de Futebol com idade entre 13 e 19 anos (16,04 ± 1,73), todos do sexo masculino e jogadores de 3 clubes do Estado de São Paulo. Cabe ressaltar que todos participantes preencheram o Termo de consentimento livre e esclarecido (TCLE) e o termo de assentimento, no caso dos menores de idade. Todos participantes responderam ao Questionário de Ambiente de Grupo ­ QEG, adaptado e validado para a língua portuguesa, além de um questionário sociodemográfico. Para as análises, recorreu-se a análises descritivas e inferenciais. Os resultados apontam, para análise intragrupo, independentemente do clube, que os grupos apresentam maiores escores para dimensão atração individual no grupo-tarefa, seguida da atração individual no grupo-social e menor escore para dimensão integração no grupo-tarefa. Em relação às análises entre clubes, pode-se observar que o clube 3 apresentou maiores escores que o clube 2, apenas, para as dimensões atração individual no grupo-tarefa e integração no grupo-tarefa. Diante do exposto, conclui-se que atletas de categorias de base parecem priorizar as dimensões de atração individual, que pode estar envolvido com a vontade de se profissionalizar e a incerteza de se esse objetivo será alcançado. Além disso, os atletas do clube 3 apresentaram maior coesão que os atletas do clube 2, indicando que nesse clube, possivelmente, tenha uma preocupação maior com a preparação psicológica, aliado a um estilo de liderança preferencial por parte dos atletas....(AU)

The present study aims to investigate group cohesion in soccer athletes, from youth categories, and compare the levels of team-cohesion among the teams investigated. For this, 84 soccer players aged 13 to 19 (16.04 ± 1.73), all males and players from 3 clubs of the State of São Paulo, participated voluntarily. It's important to highlight that all participants completed the Term of Free and Informed Consent (TCLE) and the consent term, in the case of minors. All participants answered the Group Environment Questionnaire - QEG, adapted and validated to Portuguese language, in addition they fulfill a sociodemographic questionnaire. Descriptive and inferential analyzes were used. The results show that, for intragroup analysis, independently of the club, there are higher scores for individual attraction dimension in the task group, followed by individual attraction in the social group and lower scores for integration dimension in the task group. Regarding the analysis between clubs, it can be observed that club 3 presented higher scores than club 2, only, for the individual attraction dimensions in the task group and integration in the task group. We concluded that grassroots athletes seem to prioritize the dimensions of individual attraction, which may be involved with the desire to become professional and the uncertainty of whether this goal will be achieved. In addition, club 3 athletes were more cohesive than club 2 athletes, indicating that they may have a greater concern with psychological preparation, coupled with a preferred leadership style by athletes....(AU)

Treatment of patients with aortic atherosclerotic disease with paclitaxel-associated lipid nanoparticles.

OBJECTIVE: The toxicity of anti-cancer chemotherapeutic agents can be reduced by associating these compounds, such as the anti-proliferative agent paclitaxel, with a cholesterol-rich nanoemulsion (LDE) that mimics the lipid composition of low-density lipoprotein (LDL). When injected into circulation, the LDE concentrates the carried drugs in neoplastic tissues and atherosclerotic lesions. In rabbits, atherosclerotic lesion size was reduced by 65% following LDE-paclitaxel treatment. The current study aimed to test the effectiveness of LDE-paclitaxel on inpatients with aortic atherosclerosis. METHODS: This study tested a 175 mg/m2 body surface area dose of LDE-paclitaxel (intravenous administration, 3/3 weeks for 6 cycles) in patients with aortic atherosclerosis who were aged between 69 and 86 yrs. A control group of 9 untreated patients with aortic atherosclerosis (72-83 yrs) was also observed. RESULTS: The LDE-paclitaxel treatment elicited no important clinical or laboratory toxicities. Images were acquired via multiple detector computer tomography angiography (64-slice scanner) before treatment and at 1-2 months after treatment. The images showed that the mean plaque volume in the aortic artery wall was reduced in 4 of the 8 patients, while in 3 patients it remained unchanged and in one patient it increased. In the control group, images were acquired twice with an interval of 6-8 months. None of the patients in this group exhibited a reduction in plaque volume; in contrast, the plaque volume increased in three patients and remained stable in four patients. During the study period, one death unrelated to the treatment occurred in the LDE-paclitaxel group and one death occurred in the control group. CONCLUSION: Treatment with LDE-paclitaxel was tolerated by patients with cardiovascular disease and showed the potential to reduce atherosclerotic lesion size.

Treatment of patients with aortic atherosclerotic disease with paclitaxel-associated lipid nanoparticles

OBJECTIVE: The toxicity of anti-cancer chemotherapeutic agents can be reduced by associating these compounds, such as the anti-proliferative agent paclitaxel, with a cholesterol-rich nanoemulsion (LDE) that mimics the lipid composition of low-density lipoprotein (LDL). When injected into circulation, the LDE concentrates the carried drugs in neoplastic tissues and atherosclerotic lesions. In rabbits, atherosclerotic lesion size was reduced by 65% following LDE-paclitaxel treatment. The current study aimed to test the effectiveness of LDE-paclitaxel on inpatients with aortic atherosclerosis. METHODS: This study tested a 175 mg/m2 body surface area dose of LDE-paclitaxel (intravenous administration, 3/3 weeks for 6 cycles) in patients with aortic atherosclerosis who were aged between 69 and 86 yrs. A control group of 9 untreated patients with aortic atherosclerosis (72-83 yrs) was also observed. RESULTS: The LDE-paclitaxel treatment elicited no important clinical or laboratory toxicities. Images were acquired via multiple detector computer tomography angiography (64-slice scanner) before treatment and at 1-2 months after treatment. The images showed that the mean plaque volume in the aortic artery wall was reduced in 4 of the 8 patients, while in 3 patients it remained unchanged and in one patient it increased. In the control group, images were acquired twice with an interval of 6-8 months. None of the patients in this group exhibited a reduction in plaque volume; in contrast, the plaque volume increased in three patients and remained stable in four patients. During the study period, one death unrelated to the treatment occurred in the LDE-paclitaxel group and one death occurred in the control group. CONCLUSION: Treatment with LDE-paclitaxel was tolerated by patients with cardiovascular disease and showed the potential to reduce atherosclerotic lesion size.

One-session root canal treatment with antimicrobial photodynamic therapy (aPDT): an in vivo study.

AIM: To evaluate the response of the apical and periapical tissues of dog teeth with apical periodontitis after one-session root canal treatment with and without antimicrobial photodynamic therapy (aPDT) compared with the use of an intracanal dressing. METHODOLOGY: Sixty root canals with an induced periapical lesion were instrumented and assigned to three groups: I, two-session root canal treatment using antibacterial dressing with calcium hydroxide-based paste; II, one-session root canal treatment using aPDT; and III, one-session root canal treatment in which the root canals were filled immediately after biomechanical preparation. The animals were euthanized after a 90-day experimental period. The maxillas and mandibles with teeth were submitted to histotechnical processing and haematoxylin-eosin staining. Descriptive microscopic analysis of the apical and periapical region characteristics was performed, as well as morphometric assessment of the periapical lesion areas in fluorescence microscopy. Quantitative data were analysed statistically by the nonparametric Kruskal-Wallis test and Dunn's post-test (α = 0.05). RESULTS: Group I was characterized by progressive repair, with the presence of fibres, cells and blood vessels. Group II had periodontal ligaments with the presence of collagen fibres and residual inflammatory cells. Group III had a dense inflammatory infiltrate with extensive oedematous areas and fibrillar dissociation, suggesting a persistent inflammatory and resorptive condition. Regarding periapical lesion size, group I had significantly smaller lesions (P < 0.05) than groups II and III, which did not differ significantly from each other. CONCLUSION: Two-session root canal treatment using a calcium hydroxide-based dressing was associated with significantly smaller periapical lesions at 90 days and characterized by progressive repair.

Comparison between MDCT and Grayscale IVUS in a Quantitative Analysis of Coronary Lumen in Segments with or without Atherosclerotic Plaques.

BACKGROUND: The diagnostic accuracy of 64-slice MDCT in comparison with IVUS has been poorly described and is mainly restricted to reports analyzing segments with documented atherosclerotic plaques. OBJECTIVES: We compared 64-slice multidetector computed tomography (MDCT) with gray scale intravascular ultrasound (IVUS) for the evaluation of coronary lumen dimensions in the context of a comprehensive analysis, including segments with absent or mild disease. METHODS: The 64-slice MDCT was performed within 72 h before the IVUS imaging, which was obtained for at least one coronary, regardless of the presence of luminal stenosis at angiography. A total of 21 patients were included, with 70 imaged vessels (total length 114.6 ± 38.3 mm per patient). A coronary plaque was diagnosed in segments with plaque burden > 40%. RESULTS: At patient, vessel, and segment levels, average lumen area, minimal lumen area, and minimal lumen diameter were highly correlated between IVUS and 64-slice MDCT (p < 0.01). However, 64-slice MDCT tended to underestimate the lumen size with a relatively wide dispersion of the differences. The comparison between 64-slice MDCT and IVUS lumen measurements was not substantially affected by the presence or absence of an underlying plaque. In addition, 64-slice MDCT showed good global accuracy for the detection of IVUS parameters associated with flow-limiting lesions. CONCLUSIONS: In a comprehensive, multi-territory, and whole-artery analysis, the assessment of coronary lumen by 64-slice MDCT compared with coronary IVUS showed a good overall diagnostic ability, regardless of the presence or absence of underlying atherosclerotic plaques.

Comparison between MDCT and Grayscale IVUS in a Quantitative Analysis of Coronary Lumen in Segments with or without Atherosclerotic Plaques / Comparação da TCMD e da USIV em escala de cinza na Análise Quantitativa da Luz Coronária em Segmentos com ou sem Placas Ateroscleróticas

Background: The diagnostic accuracy of 64-slice MDCT in comparison with IVUS has been poorly described and is mainly restricted to reports analyzing segments with documented atherosclerotic plaques. Objectives: We compared 64-slice multidetector computed tomography (MDCT) with gray scale intravascular ultrasound (IVUS) for the evaluation of coronary lumen dimensions in the context of a comprehensive analysis, including segments with absent or mild disease. Methods: The 64-slice MDCT was performed within 72 h before the IVUS imaging, which was obtained for at least one coronary, regardless of the presence of luminal stenosis at angiography. A total of 21 patients were included, with 70 imaged vessels (total length 114.6 ± 38.3 mm per patient). A coronary plaque was diagnosed in segments with plaque burden > 40%. Results: At patient, vessel, and segment levels, average lumen area, minimal lumen area, and minimal lumen diameter were highly correlated between IVUS and 64-slice MDCT (p < 0.01). However, 64-slice MDCT tended to underestimate the lumen size with a relatively wide dispersion of the differences. The comparison between 64-slice MDCT and IVUS lumen measurements was not substantially affected by the presence or absence of an underlying plaque. In addition, 64-slice MDCT showed good global accuracy for the detection of IVUS parameters associated with flow-limiting lesions. Conclusions: In a comprehensive, multi-territory, and whole-artery analysis, the assessment of coronary lumen by 64-slice MDCT compared with coronary IVUS showed a good overall diagnostic ability, regardless of the presence or absence of underlying atherosclerotic plaques. .

Fundamento: A comparação do rigor diagnóstico da TCMD e da USIV foi pouco descrita, estando restrita principalmente a estudos que avaliaram segmentos com placas ateroscleróticas já documentadas. Objetivos: Este estudo objetiva avaliar o desempenho diagnóstico da tomografia computadorizada com 64 colunas de detectores (tomografia computadorizada multidetector- TCMD) e da ultrassonografia intravascular (USIV) em escala de cinza na verificação das dimensões da luz coronária, em um contexto mais amplo, incluindo também segmentos coronários sadios e com patologia leve. Métodos: A TCMD foi realizada em todos os pacientes antes da realização da USIV, com um intervalo < 72 horas entre os dois exames. Imagens de USIV foram obtidas de pelo menos uma coronária, independente da presença de estenose luminal durante a angiografia. Um total de 21 pacientes foram incluídos, com imagens de 70 vasos (comprimento total 114,6 ± 38.3 mm por paciente). Placas coronárias foram diagnosticada em segmentos com carga de placas > 40%. Resultados: Uma alta correlação entre as medidas de TCMD e USIV para área luminar média, área luminar mínima e diâmetro luminar mínimo foi encontrada no nível de paciente, vaso e segmento (p-valor < 0,01 para todas as correlações). A TCMD, no entanto, tendeu a subestimar o tamanho luminar com uma dispersão de diferenças relativamente ampla. A comparação entre as medidas da luz por TCMD e USIV não foi substancialmente afetada pela presença ou ausência de placa subjacente. Além disso, a TCMD mostrou boa precisão geral na detecção de parâmetros associados a lesões limitantes de fluxo. Conclusão: Em uma análise compreensiva e multi-focal da luz coronária, demonstramos bom desempenho diagnóstico da TCMD, quando comparada a USIV, independente da presença de placas ateroscleróticas adjacentes. .

Desempenho de novilhas leiteiras em pastagem de capim-Xaraés (Brachiaria brizantha cv. Xaraés) suplementadas com dois tipos de misturas minerais / Performance of dairy heifers raised on Xaraés palissadgrass (Brachiaria brizantha cv. Xaraés) pasture supplemented with two types of mineral mixture

The effects of selective (e.g. mineral supplement formulated on the basis of nutritional and clinical examination of the herd) or commercial mineral supplementation of crossbred dairy heifers (Holstein-Mantiqueira), on daily weight gain (DWG), body condition score (BCS), age at first mating (AFM) and the intake of mineral mixture (IMM) managed on Xaraés palissadgrass pasture (Brachiaria brizantha cv. Xaraés) were evaluated from February 2006 to March 2008. Structural characteristics, forage allowance and nutritional value of Xaraés palissadgrass were also evaluated. The structural variables of pasture, allowances and nutritive value of forage, besides the DWG were only affected (p<0.05) by season, with highest results for spring and summer. Throughout the experimental period (730 days), no sign of mineral deficiency was detected in heifers that ingested the selective supplement. The DWG and AFM were not influenced by the mineral mixture offered (0.52 and 0.33 kg/day during the spring/summer and in fall/winter for DWG, respectively, and 813 days of AFM). The IMM was higher for commercial mineral mixture than for selective (61.6 and 51.0g/day respectively). The BCS was slightly higher for selective (3.17) than for the commercial (3.02) mineral mixture. Thus, the selective mineral supplement was a strategy to prevent mineral deficiency in this herd and resulted in similar performance at lower costs (e.g. due to less IMM) of crossbred heifers when compared with the commercial mineral supplementation.

Foram avaliados os efeitos da suplementação mineral seletiva (i.e. aquela feita com base no exame clínico-nutricional do rebanho) ou comercial sobre o desempenho de novilhas leiteiras Holandês-Mantiqueira, com base em seus ganhos de peso diários (GMD), escores da condição corporal (ECC), idades à primeira cobertura (IPC) e consumos de mistura mineral (CMM), criadas em pastagem de capim-Xaraés (Brachiaria brizantha cv. Xaraés), no período de fevereiro de 2006 a março de 2008. Foram também avaliadas as características estruturais do pasto, oferta e valor nutritivo da forragem. Durante todo período experimental (730 dias), nenhum sinal de deficiência mineral foi detectado nas novilhas que ingeriram o suplemento seletivo. As variáveis estruturais do pasto, as ofertas e o valor nutritivo da forragem, além do GMD, somente foram influenciadas (p<0,05) pela estação do ano, com maiores e melhores resultados obtidos para a primavera e verão. O GMD e a IPC não foram influenciados pela mistura mineral ofertada (0,52 e 0,33 kg/dia durante a primavera/verão e outono/inverno para GMD, respectivamente, e 813 dias de IPC). O CMM foi maior para mistura mineral comercial que para seletiva (61,6 e 51,0g/UA/dia, respectivamente). O ECC foi superior para mistura mineral seletiva (3,17) que para comercial (3,02). Esta suplementação mineral seletiva foi uma estratégia que permitiu evitar o aparecimento de estados carenciais no rebanho e obter desempenho similar e com menor custo quando comparada com a suplementação mineral comercial.

Performance of dairy heifers raised on Xaraés palissadgrass (Brachiaria brizantha cv. Xaraés) pasture supplemented with two types of mineral mixture / Desempenho de novilhas leiteiras em pastagem de capim-Xaraés (Brachiaria brizantha cv. Xaraés) suplementadas com dois tipos de misturas minerais

The effects of selective (e.g. mineral supplement formulated on the basis of nutritional and clinical examination of the herd) or commercial mineral supplementation of crossbred dairy heifers (Holstein-Mantiqueira), on daily weight gain (DWG), body condition score (BCS), age at first mating (AFM) and the intake of mineral mixture (IMM) managed on Xaraés palissadgrass pasture (Brachiaria brizantha cv. Xaraés) were evaluated from February 2006 to March 2008. Structural characteristics, forage allowance and nutritional value of Xaraés palissadgrass were also evaluated. The structural variables of pasture, allowances and nutritive value of forage, besides the DWG were only affected (p<0.05) by season, with highest results for spring and summer. Throughout the experimental period (730 days), no sign of mineral deficiency was detected in heifers that ingested the selective supplement. The DWG and AFM were not influenced by the mineral mixture offered (0.52 and 0.33 kg/day during the spring/summer and in fall/winter for DWG, respectively, and 813 days of AFM). The IMM was higher for commercial mineral mixture than for selective (61.6 and 51.0g/day respectively). The BCS was slightly higher for selective (3.17) than for the commercial (3.02) mineral mixture. Thus, the selective mineral supplement was a strategy to prevent mineral deficiency in this herd and resulted in similar performance at lower costs (e.g. due to less IMM) of crossbred heifers when compared with the commercial mineral supplementation.(AU)

Foram avaliados os efeitos da suplementação mineral seletiva (i.e. aquela feita com base no exame clínico-nutricional do rebanho) ou comercial sobre o desempenho de novilhas leiteiras Holandês-Mantiqueira, com base em seus ganhos de peso diários (GMD), escores da condição corporal (ECC), idades à primeira cobertura (IPC) e consumos de mistura mineral (CMM), criadas em pastagem de capim-Xaraés (Brachiaria brizantha cv. Xaraés), no período de fevereiro de 2006 a março de 2008. Foram também avaliadas as características estruturais do pasto, oferta e valor nutritivo da forragem. Durante todo período experimental (730 dias), nenhum sinal de deficiência mineral foi detectado nas novilhas que ingeriram o suplemento seletivo. As variáveis estruturais do pasto, as ofertas e o valor nutritivo da forragem, além do GMD, somente foram influenciadas (p<0,05) pela estação do ano, com maiores e melhores resultados obtidos para a primavera e verão. O GMD e a IPC não foram influenciados pela mistura mineral ofertada (0,52 e 0,33 kg/dia durante a primavera/verão e outono/inverno para GMD, respectivamente, e 813 dias de IPC). O CMM foi maior para mistura mineral comercial que para seletiva (61,6 e 51,0g/UA/dia, respectivamente). O ECC foi superior para mistura mineral seletiva (3,17) que para comercial (3,02). Esta suplementação mineral seletiva foi uma estratégia que permitiu evitar o aparecimento de estados carenciais no rebanho e obter desempenho similar e com menor custo quando comparada com a suplementação mineral comercial.(AU)

Garantizar la calidad en la investigación cualitativa: utilizando conceptos clave como directrices / Garantindo qualidade na investigação qualitativa: usando conceitos-chave como diretrizes / Ensuring quality in qualitative inquiry: Using key concepts as guidelines

The field of qualitative scientific inquiry employs a fast-growing variety of approaches, whose traditions, procedures, and structures vary, depending on the type of study design and methodology (i.e., phenomenological, ethnographic, grounded theory, case study, action research, etc.). With the interpretive approach, researchers do not utilize the same measures of validity used in positivist approaches to scientific inquiry, since there is "...no one standard or accepted structure as one typically finds in quantitative research" (Creswell, 2007). With the absence of a single standard, how, then, is it possible for qualitative researchers to know whether or not their study was done with rigor, that it has validity, that it is ready to submit to their peers? The research literature is sprinkled with references to quality in qualitative inquiry, which helps to construe a study's validity. Markula (2008) suggests that we validate our study's findings by assuring readers that it was done "in the best possible way." While each research tradition has its own set of criteria for judging quality, we present here general concepts drawn from the literature. We hope this article will provide a framework from which qualitative researchers can judge their work before submitting it to their peers¸ one which will help ensure that their study was done "in the best possible way.".

O campo da investigação científica qualitativa emprega uma variedade de abordagens em rápido crescimento, cujas tradições, procedimentos e estruturas variam, dependendo do tipo de projeto e metodologia de estudo (i.e., fenomenológica, etnográfica, teoria fundamentada, estudo de caso, pesquisa-ação, etc .). Com a abordagem interpretativa, os pesquisadores não utilizam as mesmas medidas de validade utilizadas nas abordagens positivistas para a investigação científica, uma vez que é "... não algo padrão ou estrutura aceita como tipicamente se encontra em pesquisa quantitativa" (Creswell, 2007). Com a ausência de um padrão único, como, então, é possível para os pesquisadores qualitativos saber se seu estudo foi ou não feito com rigor, que tem validade, que está pronto para ser apresentado aos seus pares? A literatura de pesquisa é cheia de referências sobre qualidade em investigação qualitativa, o que ajuda a interpretar a validade do estudo. Markula (2008) sugere que devemos validar os resultados do nosso estudo assegurando aos leitores que foi feito "da melhor maneira possível." Embora cada tradição de pesquisa tenha seu próprio conjunto de critérios para avaliar a qualidade, apresentaremos aqui os conceitos gerais resgatados da literatura. Esperamos que este artigo proporcione uma base na qual os pesquisadores qualitativos possam julgar o seu trabalho antes de divulgá-lo a seus pares¸ uma base que possa ajudar a garantir que seu estudo foi feito "da melhor maneira possível.".

El campo de la investigación científica emplea una variedad de métodos cualitativos en crecimiento rápido, cuyas tradiciones, las estructuras y los procedimientos pueden variar en función del tipo de diseño del estudio y metodología (es decir, fenomenológico etnográfica, teoría, tierra, estudios de casos, la investigación-acción, etc). Con el enfoque interpretativo, los investigadores no utilizan las mismas medidas de validez de los enfoques positivistas utilizados para la investigación científica, ya que es "... no es algo marco estándar o aceptada como normalmente se encuentran en la investigación cuantitativa" (Creswell, 2007). Con la ausencia de una norma única, ¿cómo es posible que los investigadores cualitativos saber si su estudio se hace con rigor, que es válido, que está listo para ser presentado a sus compañeros? La literatura científica está salpicada de referencias a la calidad en la investigación cualitativa, que ayuda a interpretar la validez del estudio. Markula (2008) sugiere que deberíamos validar los resultados de nuestro estudio asegurando lectores que se hizo "de la mejor manera posible." Aunque cada una tradición de investigación tiene su propio conjunto de criterios para evaluar la calidad, presentamos aquí los conceptos generales rescatados literatura. Esperamos que este artículo proporcione una base sobre la que los investigadores cualitativos pueden juzgar su trabajo antes de liberar a sus compañeros¸ una base que puede ayudar a asegurar que su estudio se llevó a cabo "de la mejor manera posible.".

Extraordinary growth in tiger sharks Galeocerdo cuvier from the South Atlantic Ocean.

Two tagged-and-recaptured tiger sharks Galeocerdo cuvier, measuring 172 and 304 cm total length (L(T) ) and at age 0.75 and 3.50 years, exhibited unmatched growth rates of 118.4 and 55.5 cm year(-1), respectively. The larger fish was nearly mature, indicating that G. cuvier off Brazil could mature considerably earlier than conspecifics from other regions.

Epidemiological and molecular characterization of rubella virus isolated in São Paulo, Brazil during 1997-2004.

Rubella virus (RV) infection during the early stages of pregnancy can lead to serious birth defects, known as the congenital rubella syndrome (CRS). In 2003, the Pan American Health Organization (PAHO) adopted a resolution calling for the elimination of rubella and the congenital rubella syndrome (CRS) in the Americas by the year 2010. Brazil will have implemented the recommended PAHO strategy for elimination and interruption of endemic rubella virus transmission. The characterization of genotypes during the final stages of rubella elimination is important for determining whether new rubella isolates represent endemic transmission or importations. Samples (blood, urine, cerebrospinal fluid, and throat swabs) collected from patients with symptoms suggestive of rubella infection in 1997-2004 were isolated in cell culture and genotyped. Twenty-eight sequences were analyzed and two genotypes were identified: 1a and 1G. The information reported in this paper will contribute to understanding the molecular epidemiology of RV in São Paulo, Brazil.

Phylogenetic analysis of rubella virus strains during an outbreak in São Paulo, 2007-2008.

Rubella virus (RV) is an important human pathogen that causes rubella, an acute contagious disease. It also causes severe birth defects collectively known as congenital rubella syndrome when infection occurs during the first trimester of pregnancy. Here, we present the phylogenetic analysis of RV that circulated in São Paulo during the 2007-2008 outbreak. Samples collected from patients diagnosed with rubella were isolated in cell culture and sequenced. RV RNA was obtained from samples or RV-infected cell cultures and amplified by reverse transcriptase-polymerase chain reaction. Sequences were assigned to genotypes by phylogenetic analysis using RV reference sequences. Seventeen sequences were analyzed, and three genotypes were identified: 1a, 1G, and 2B. Genotypes 1a and 1G, which were isolated in 2007, were responsible for sporadic rubella cases in São Paulo. Thereafter, in late 2007, the epidemiological conditions changed, resulting in a large RV outbreak with the clear dominance of genotype 2B. The results of this study provide new approaches for monitoring the progress of elimination of rubella from São Paulo, Brazil.

Dipyridamole stress and rest transmural myocardial perfusion ratio evaluation by 64 detector-row computed tomography.

BACKGROUND: Myocardial stress CT perfusion (CTP) can detect myocardial ischemia. OBJECTIVE: We evaluated the transmural perfusion ratio (TPR) of dipyridamole stress CTP to detect significant coronary stenosis (>70%) defined by quantitative invasive coronary angiography (ICA). METHODS: Twenty-six patients (61.6 ± 8.0 years old; 14 males), without prior myocardial infarction, with positive single-photon emission computed tomography (SPECT; <2 months) and clinical indication for ICA, underwent a customized multidetector-row CT (MDCT) protocol with rest/stress myocardial perfusion evaluation and coronary CT angiography. TPR was defined as mean subendocardial divided by mean subepicardial attenuation and quantified on rest and stress MDCT images. Abnormal TPR was defined as 2 SDs below the mean rest TPR. RESULTS: All 26 patients completed the CT protocol with no adverse events. Rest TPR was measured in all patients with a mean of 1.06 ± 0.11, and abnormal TPR was considered <0.85. For 6 patients with normal coronary arteries by ICA, the mean TPR of territories with a previous positive perfusion defect in SPECT was 1.02 ± 0.18 (95% CI, 0.86-1.18; n = 6), and mean TPR of territories without perfusion defect in SPECT was 1.03 ± 0.09 (95% CI, -0.95 to 1.11; n = 12; P = 0.83). Mean stress TPR in territories with positive SPECT and significant coronary artery disease by quantitative ICA was 0.71 ± 0.13 (95% CI, -0.64 to 0.77) and in the remote myocardial was 1.01 ± 0.09 (95% CI, -0.96 to 1.06; P < 0001). In these territories, a significant Pearson's correlation was observed (r = -0.74, P < 0.001). CONCLUSION: TPR has a good correlation with SPECT and ICA to detect significant coronary stenosis.

Late gadolinium enhancement magnetic resonance imaging in the diagnosis and prognosis of endomyocardial fibrosis patients.

BACKGROUND: Endocardial fibrous tissue (FT) deposition is a hallmark of endomyocardial fibrosis (EMF). Echocardiography is a first-line and the standard technique for the diagnosis of this disease. Although late gadolinium enhancement (LGE) cardiovascular magnetic resonance (CMR) allows FT characterization, its role in the diagnosis and prognosis of EMF has not been investigated. METHODS AND RESULTS: Thirty-six patients (29 women; age, 54±12 years) with EMF diagnosis after clinical evaluation and comprehensive 2-dimensional Doppler echocardiography underwent cine-CMR for assessing ventricular volumes, ejection fraction and mass, and LGE-CMR for FT characterization and quantification. Indexed FT volume (FT/body surface area) was calculated after planimetry of the 8 to 12 slices obtained in the short-axis view at end-diastole (mL/m(2)). Surgical resection of FT was performed in 16 patients. In all patients, areas of LGE were confined to the endocardium, frequently as a continuous streak from the inflow tract extending to the apex, where it was usually most prominent. There was a relation between increased FT/body surface area and worse New York Heart Association functional class and with increased probability of surgery (P<0.05). The histopathologic examination of resected FT showed typical features of EMF with extensive endocardial fibrous thickening, proliferation of small vessels, and scarce inflammatory infiltrate. In multivariate analysis, the patients with FT/body surface area >19 mL/m(2) had an increased mortality rate, with a relative risk of 10.8. CONCLUSIONS: Our study provides evidence that LGE-CMR is useful in the diagnosis and prognosis of EMF through quantification of the typical pattern of FT deposition.

Dipyridamole stress and rest myocardial perfusion by 64-detector row computed tomography in patients with suspected coronary artery disease.

Recently, stress myocardial computed tomographic perfusion (CTP) was shown to detect myocardial ischemia. Our main objective was to evaluate the feasibility of dipyridamole stress CTP and compare it to single-photon emission computed tomography (SPECT) to detect significant coronary stenosis using invasive conventional coronary angiography (CCA; stenosis >70%) as the reference method. Thirty-six patients (62 +/- 8 years old, 20 men) with previous positive results with SPECT (<2 months) as the primary inclusion criterion and suspected coronary artery disease underwent a customized multidetector-row CT protocol with myocardial perfusion evaluation at rest and during stress and coronary CT angiography (CTA). Multidetector-row computed tomography was performed in a 64-slice scanner with dipyridamole stress perfusion acquisition before a second perfusion/CT angiographic acquisition at rest. Independent blinded observers performed analysis of images from CTP, CTA, and CCA. All 36 patients completed the CT protocol with no adverse events (mean radiation dose 14.7 +/- 3.0 mSv) and with interpretable scans. CTP results were positive in 27 of 36 patients (75%). From the 9 (25%) disagreements, 6 patients had normal coronary arteries and 2 had no significant stenosis (8 false-positive results with SPECT, 22%). The remaining patient had an occluded artery with collateral flow confirmed by conventional coronary angiogram. Good agreement was demonstrated between CTP and SPECT on a per-patient analysis (kappa 0.53). In 26 patients using CCA as reference, sensitivity, specificity, and positive and negative predictive values were 88.0%, 79.3%, 66.7%, and 93.3% for CTP and 68.8, 76.1%, 66.7%, and 77.8%, for SPECT, respectively (p = NS). In conclusion, dipyridamole CT myocardial perfusion at rest and during stress is feasible and results are similar to single-photon emission CT scintigraphy. The anatomical-perfusion information provided by this combined CT protocol may allow identification of false-positive results by SPECT.

Simulação do zoneamento ecológico da lagarta-do-cartucho no rio grande do sul com o aumento de temperatura

ABSTRACT The fall armyworm is a polyphagous pest that causes major damage to rice and maize crops in the state of Rio Grande do Sul, Brazil. Various studies have been conducted to minimize the damage caused by the larvae. The observation of biotypes of S. frugiperda in the state of Rio Grande do Sul, associated to higher temperature, has created new scenarios and implications in the management of this pest. The objective of the present study was to define the ecological zoning of S. frugiperda biotypes for rice and corn in the state, based on thermal requirements of the insect in order to estimate the number of generations, according to the increase in the minimum temperatures predicted by the IPCC. In the current ecological conditions, the biotype rice may reach 5 to 9 generations per year, however, with increases of 1, 3 and 5.8° C, it could reach up to 5 to 10, 6 to 12 and 9 to 14 generations, respectively. The biotype maize, which today may reach 2 to 8 generations per year, with these increases in temperature would reach 3 to 8, 6 to 10 and 8 to 13 generations, respectively.

RESUMO A lagarta-militar é uma praga polífaga que causa grandes prejuízos às culturas do arroz e milho no Rio Grande do Sul. Vários estudos têm sido direcionados à minimização dos danos causados por ela. A constatação de biótipos de Spodoptera frugiperda no Rio Grande do Sul, associada a elevação da temperatura, criou novos cenários e implicações no manejo dessa praga. O objetivo desse trabalho foi definir o zoneamento ecológico de S. frugiperda para os biótipos arroz e milho no Estado, com base nas exigências térmicas do inseto para estimar o número de gerações, conforme o aumento das temperaturas mínimas, previsto pelo IPCC. Nas condições ecológicas atuais, o biótipo arroz pode atingir 5 a 9 gerações ao ano, porém, com aumentos de 1º, 3º e 5,8º C, atingir de 5 a 10, 6 a 12 e 9 a 14 gerações, respectivamente. O biótipo milho atualmente pode atingir de 2 a 8 gerações ao ano, com os referidos aumentos de temperatura atingiria três a 8, 6 a 10 e 8 a 13 gerações, respectivamente.

Isolation and genotype analysis of rubella virus from a case of Guillain-Barré syndrome.

Rubella virus (RV) infection has sporadically been linked to Guillain-Barré syndrome (GBS), but the association with RV has been based only on clinical and/or serological backgrounds. In the present case it was possible to isolate RV (genotype 1a) from cerebrospinal fluid and peripheral blood mononuclear cells of an 18-year-old woman diagnosed with GBS after clinical manifestations of rubella. This report contributes to confirm RV as one of the triggering pathogens of this peripheral nervous system disease.