Granulomatosis With Polyangiitis and Concomitant Superinfection: A Defying Diagnosis and Management Approach.

Granulomatosis with polyangiitis (GPA) is a systemic necrotizing vasculitis mainly involving the ear, nose, and upper and lower airways. Diagnosis is based on clinical manifestations, positive antineutrophil cytoplasmic antibodies (ANCA) serology, and histopathological findings. We report a case of inflammatory polyarthralgia with a high titer of rheumatoid factor (RF), which was revealed to be GPA after extensive diagnosis workup. However, the disease was complicated by superinfections, which delayed and limited immunosuppressive treatment. Methotrexate was at last initiated with antibiotic prophylaxis, and there was significant clinical improvement. This case underlines the importance of an adequate diagnosis workup and the difficulties that often arise when other entities are present.

From Prevention to Care: Unveiling a Parasitic Leiomyoma Within a Gigantic Abdominal Mass.

Leiomyomas are non-cancerous tumors emerging from the smooth muscle cells and fibroblasts of the myometrium. They are the most common pelvic tumors in females and are usually asymptomatic. Parasitic leiomyomas have been defined as unusual variants of pedunculated leiomyomas. When symptomatic, leiomyomas can cause abnormal uterine bleeding, pelvic pain/pressure, and reproductive effects, such as infertility or adverse pregnancy outcomes. Treatment varies depending on age, symptoms, and the preference to preserve fertility. In this article, we describe the case of a 58-year-old woman who presented for a scheduled cervical cancer screening in primary healthcare. Upon objective examination, the patient exhibited a distended and tense abdomen, along with edema in the lower limbs. These symptoms were associated with fatigue and weight gain over the last few months. Subsequent investigation led to an exploratory laparotomy which revealed a massive abdominal mass, measuring approximately 45 cm in diameter and weighing 35 kg. The findings were suggestive of a parasitic leiomyoma.

The Impact of a Late Diagnosis: A Case of Charcot-Marie-Tooth Type 1.

Charcot-Marie-Tooth (CMT) is a hereditary motor and sensory neuropathy. The disease consists of a spectrum of inherited disorders caused by pathogenic variants in genes, which lead to multiple different clinical phenotypes. It is one of the most common inherited neuromuscular disorders. This disease most commonly presents with symptoms of distal weakness and muscular atrophy, which then lead to foot drop and pés cavus. In this article, we describe the case of a patient who developed muscle atrophy and distal weakness over the course of his 52 years of life, leading to gait impairment and foot deformities. Subsequent investigation led to the acknowledgment of chronic axonal sensorimotor polyneuropathy and genetic identification of the disease's genotype, CMT type 1. .

Genetic effects on meat quality of crossbred lambs finished in confinement.

The objective of this study was to evaluate the subjective, chemical and sensorial meat characteristics of ½ Santa Inês (SI) x ½ No Defined Racial Standard (NDRS) and ½ Brazilian Somalis (BS) x ½ No Defined Racial Standard (NDRS) crossbred lambs, finished in confinement. Sixteen uncastrated male lambs with initial weight of 19.7 ± 2.03 kg and approximately 90 days of age. A randomized block design was used, with blocks represented by the initial weight of each genetic group, with eight animals per group. There was a higher degree and distribution of marbling, percentage of lipids and meat color for ½ BS x ½ NDRS lambs. The conjugated linoleic acid profile was higher for ½ SI x ½ NDRS lambs. Considering the meat quality of the evaluated genetic groups, Santa Inês crossbred lambs have a better nutritional value for meat, especially taking into account the production of foods that are beneficial to human health.

Management Strategies for Lamb Production on Pasture-Based Systems in Subtropical Regions: A Review.

Sheep production on pasture plays an important role in subtropical climates around the world, with great economic and environmental relevance to those regions. However, this production is much lower than its true potential in subtropical regions, largely due to lack of knowledge of how to feed grazing lambs, and mitigate gastrointestinal parasite infections. Due to weather instability and the high growth rate of tropical grasses, it is difficult to adjust the quality and quantity of feed consumed by lambs. In addition, due to warm, wet weather during spring, summer, and autumn, gastrointestinal parasite infection can be intense on subtropical pastures. Thus, the objective of this paper is to summarize 17 years of research in southern regions of Brazil testing alternative management for sheep farmers under these challenging conditions. Our review indicates that ewes play important roles raising their lambs. Besides protecting and providing milk, they leave a better pasture structure for lamb nutrition. The use of creep feeding and creep grazing are additional alternatives to improve lamb growth. However, feeding supplementation with concentrate can deteriorate pasture quality at the end of the summer-autumn season. Gastrointestinal parasitic infections can be reduced with improved lamb nutrition, although L3 larvae of Haemonchus contortus can be present at various pasture heights. This indicates that it is difficult to control L3 ingestion solely by manipulating grazing heights. We summarize important technologies for raising lambs on pasture-based systems to make the best of high herbage growth and minimize intense parasitic infections common in subtropical regions. We discuss research results in light of the latest studies from other ecoregions and climates, although there is a lack of similar research in subtropical regions of the world.

Masculinity and soccer: gender issues in a psychosocial rehabilitation experience with men in Brazil's Federal District. / Masculinidad y fútbol: cuestiones de género en una experiencia de rehabilitación psicosocial de hombres en el Distrito Federal, Brasil.

This article presents a study of men's participation in soccer workshops at a mental health services facility (CAPS). The sport is considered a relevant practice in terms of men's sociability processes. Qualitative research was conducted at two CAPS facilities in Brasilia, Federal District from August 2017 to September 2018. Data were collected through observations of daily activities and with 10 semi-structured interviews with male participants who were selected during observations. The findings of this study demonstrate the potential of therapeutic soccer workshops for the psychosocial rehabilitation of men with mental disorders - the users of these mental health services - based on social and cultural re-insertion through an activity that materially and symbolically constructs masculinity and what it means to be a man in Brazil. As patients with mental disorders who are customarily marginalized from hegemonic masculinity, the users of CAPS services were able to access possible masculinities and reconstruct their new identities as men.

Se aborda la participación de hombres en talleres de fútbol realizados en servicios de salud mental, deporte que es considerado una práctica importante en los procesos de sociabilidad de los hombres. Se realizó una investigación cualitativa en dos servicios de salud mental del Distrito Federal de Brasilia, entre agosto de 2017 y septiembre de 2018, con observación participante de las actividades habituales de los servicios y diez entrevistas semiestructuradas a usuarios varones, seleccionados durante las actividades observadas. Los hallazgos muestran la potencialidad del taller terapéutico de fútbol en la rehabilitación psicosocial de hombres con trastornos mentales, usuarios de los servicios de salud mental, a partir de la reinserción social y cultural en una actividad material y simbólicamente constructora de la masculinidad y de lo que representa ser hombre en Brasil. Estos pacientes, por ser portadores de sufrimientos mentales, suelen ser marginados y discriminados del modelo de masculinidad hegemónica, por lo cual, al viabilizar el ejercicio de una masculinidad posible, estos usuarios pueden expresar la forma de reconstruir su nueva identidad de ser hombre.

Masculinidad y fútbol: cuestiones de género en una experiencia de rehabilitación psicosocial de hombres en el Distrito Federal, Brasil / Masculinity and soccer: gender issues in a psychosocial rehabilitation experience with men in Brazil's Federal District

RESUMEN Se aborda la participación de hombres en talleres de fútbol realizados en servicios de salud mental, deporte que es considerado una práctica importante en los procesos de sociabilidad de los hombres. Se realizó una investigación cualitativa en dos servicios de salud mental del Distrito Federal de Brasilia, entre agosto de 2017 y septiembre de 2018, con observación participante de las actividades habituales de los servicios y diez entrevistas semiestructuradas a usuarios varones, seleccionados durante las actividades observadas. Los hallazgos muestran la potencialidad del taller terapéutico de fútbol en la rehabilitación psicosocial de hombres con trastornos mentales, usuarios de los servicios de salud mental, a partir de la reinserción social y cultural en una actividad material y simbólicamente constructora de la masculinidad y de lo que representa ser hombre en Brasil. Estos pacientes, por ser portadores de sufrimientos mentales, suelen ser marginados y discriminados del modelo de masculinidad hegemónica, por lo cual, al viabilizar el ejercicio de una masculinidad posible, estos usuarios pueden expresar la forma de reconstruir su nueva identidad de ser hombre.

ABSTRACT This article presents a study of men's participation in soccer workshops at a mental health services facility (CAPS). The sport is considered a relevant practice in terms of men's sociability processes. Qualitative research was conducted at two CAPS facilities in Brasilia, Federal District from August 2017 to September 2018. Data were collected through observations of daily activities and with 10 semi-structured interviews with male participants who were selected during observations. The findings of this study demonstrate the potential of therapeutic soccer workshops for the psychosocial rehabilitation of men with mental disorders - the users of these mental health services - based on social and cultural re-insertion through an activity that materially and symbolically constructs masculinity and what it means to be a man in Brazil. As patients with mental disorders who are customarily marginalized from hegemonic masculinity, the users of CAPS services were able to access possible masculinities and reconstruct their new identities as men.

Strategic vaccination of hair sheep against Haemonchus contortus.

In this study, we evaluated in two trials a protocol designed to protect hair sheep using Barbervax®, a vaccine containing Haemonchus contortus gut membrane glycoprotein antigens. Results indicated that naturally infected vaccinated sheep had significant egg count reductions (90.2 ± 4.03%) compared with controls, although blood parameters remained relatively unchanged probably because the level of challenge was low. Vaccination prevented the periparturient rise in egg shedding of ewes, as well as egg shedding in lambs (37.1%). In the second trial, sheep which were experimentally exposed to higher artificial challenge also showed an efficient response to the vaccine as confirmed by high antibody levels and reduced egg counts and worm burdens (87 ± 5.4% and 79%) respectively. Thus, we believe that the vaccine should be integrated with other management practices for meat hair sheep as it has the advantages of adequate efficacy, reducing anthelmintic utilization and avoiding milk and environmental contamination with chemical residues.

Popcorn genotypes resistance to fall armyworm / Genótipos de milho pipoca resistentes à lagarta-do-cartucho

ABSTRACT: The aim of this study was to evaluate popcorn genotypes for resistance to the fall armyworm, Spodoptera frugiperda. The experiment used a completely randomized design with 30 replicates. The popcorn genotypes Aelton, Arzm 05 083, Beija-Flor, Colombiana, Composto Chico, Composto Gaúcha, Márcia, Mateus, Ufvm Barão Viçosa, Vanin, and Viviane were evaluated,along with the common maize variety Zapalote Chico. Newly hatched fall armyworm larvae were individually assessed with regard to biological development and consumption of food. The data were subjected to multivariate analyses of variance and genetic divergence among genotypes was evaluated through the clustering methods of Tocher based on generalized Mahalanobis distances and canonical variable analyses. Seven popcorn genotypes, namely, Aelton, Arzm 05 083, Composto Chico, Composto Gaúcha, Márcia, Mateus, and Viviane,were shown to form a cluster (cluster I) that had antibiosis as the mechanism of resistance to the pest. Cluster I genotypes and the Zapalote Chico genotype could be used for stacking genes for antibiosis and non-preference resistance.

RESUMO: O objetivo do estudo foi avaliar genótipos de milho pipoca para resistência à lagarta-do-cartucho, Spodoptera frugiperda. O experimento foi conduzido em delineamento inteiramente casualizado com 30 repetições. Foram avaliados os genótipos de milho pipoca Aelton, Arzm 05 083, Beija-Flor, Colombiana, Composto Chico, Composto Gaúcha, Márcia, Mateus, Ufvm Barão Viçosa, Vanin, Viviane e Zapalote Chico. Larvas recém-eclodidas foram individualizadas para avaliação do desenvolvimento biológico e consumo alimentar. Os dados foram submetidos à análise multivariada de variância e a divergência genética entre genótipos foi avaliada através dos métodos de agrupamento de Tocher, com base na distância generalizada de Mahalanobis e análise de variáveis canônicas. Sete genótipos,Aelton, Arzm 05 083, Composto Chico, CompostoGaúcha, Márcia, Mateus e Viviane formaram um cluster (cluster I) que apresentaram antibiose com o mecanismo de resistência à praga. Os genótipos do cluster I e Zapalote Chico podem ser usados para empilhar genes para resistência por antibiose e não-preferência.

[Violence and mental suffering among men in primary health care]. / Violencia e sofrimento mental em homens na atencao primaria a saude.

OBJECTIVE: To analyze the association between male mental health problems and violence experienced. METHODS: Cross sectional study with 477 males aged between 18 and 60, users of two primary healthcare centers in Sao Paulo, SP, Southeastern Brazil. The selection for the sample was based on a sequentiality criterion, according to the order of arrival of the users. Sociodemographic and health characteristics and reports of having experienced violence at any time and/or having witnessed violence in childhood were collected. Information was also collected on the use of mental health services and/or psychological complaints/diagnoses during consultation at medical clinics by reading medical records, to categorize the dependent variable "mental suffering". The variables were described as absolute and relative frequencies. The association was tested using a confirmatory Poisson model with robust variance adjusted for age, marital status, education, violence witnessed in childhood and psychoactive substance use. RESULTS: The prevalence of mental suffering was 29.4%. Mental suffering was associated with experiencing repeated physical and/or sexual violence (RP 1.75, 95%CI 1.13;2.72). The association with a single episode of violence lost significance after the inclusion of psychoactive substance use in the model. Analysis of the fraction attributable to repetitive physical and/or sexual violence for the mental suffering of the men, verified it as 30.4%. CONCLUSIONS: The relationship between violence and mental suffering, already highlighted in studies with women, is also relevant to men's health, drawing attention to the similar need of identification, in the health services, of situations of violence experienced by the male population. For men, this relationship was shown to be influenced by the presence of psychoactive substance use; a situation which must be dealt with, more and in a better way, by the health care service.

Violencia e sofrimento mental em homens na atencao primaria a saude / Violencia y sufrimiento mental en hombres en la atencion primaria a la salud / Violence and mental suffering among men in primary health care

OBJETIVO: Analisar a associação entre agravos à saúde mental masculina e episódios de violência sofrida. MÉTODOS: Estudo transversal com 477 homens usuários de serviços de atenção primária de 18 a 60 anos, em São Paulo, SP, 2002-2003. A seleção amostral foi do tipo consecutivo, por ordem de chegada em dois serviços de atenção primária. Coletaram-se: características sociodemográficas, de saúde e relatos de experiência de violência sofrida na vida e/ou testemunhada na infância. Informações em prontuários sobre uso do serviço de saúde mental e/ou queixas/diagnósticos psicológicos em consulta da clínica médica foram usadas para construção da variável de desfecho "sofrimento mental". As variáveis foram descritas por frequências absolutas e relativas. As associações foram testadas usando modelo confirmatório de regressão multivariada de Poisson com variância robusta e ajustada por faixa etária, situação conjugal, escolaridade, testemunho de violência na infância e uso de substância psicoativa. RESULTADOS: A prevalência de sofrimento mental foi de 29,4%. Sofrimento mental foi associado a sofrer violência física e/ou sexual recorrente na vida (RP 1,75; IC95% 1,13;2,72). A associação com episódio único de violência perdeu significância após a inclusão de uso de substância psicoativa no modelo. Examinada a fração atribuível à violência física e/ou sexual recorrente para o sofrimento mental dos homens encontrou-se 30,4%. CONCLUSÕES: A relação entre sofrer violência e sofrimento mental, salientada nos estudos com mulheres, mostra-se relevante para a saúde dos homens e evidencia ...

OBJETIVO: Miolo abst Objetivo: Analizar la asociación entre agravios a la salud mental masculina y episodios de violencia sufrida. MÉTODOS: Estudio transversal con 477 hombres usuarios de servicios de atención primaria de 18 a 60 años, en Sao Paulo, SP-Brasil, 2002-2003. La selección de la muestra fue de tipo consecutiva, por orden de llegada en dos servicios de atención primaria. Se colectaron características sociodemográficas, de salud y relatos de experiencia de violencia sufrida en la vida y/o testimoniada en la infancia. Informaciones en prontuarios sobre uso del servicio de salud mental y/o quejas/diagnósticos psicológicos en consulta clínica médica fueron usadas para construcción de la variable resultado "sufrimiento mental". Las variables fueron descritas por frecuencias absolutas y relativas. Las asociaciones fueron evaluadas usando modelo confirmatorio de regresión multivariada de Poisson con varianza robusta y ajustada por grupo etario, situación conyugal, escolaridad, testimonio de violencia en la infancia y uso de sustancia psicoactiva. RESULTADOS: La prevalencia de sufrimiento mental fue de 29,4%. Sufrimiento mental fue asociado a sufrir violencia física y/o sexual recurrente en la vida (RP 1,75; IC95% 1,13;2,72). La asociación con episodio único de violencia perdió significancia luego de la inclusión del uso de sustancia psicoactiva en el modelo. Al examinar la fracción atribuible a la violencia física y/o sexual recurrente para el sufrimiento mental de los hombres, se encontró 30,4%. CONCLUSIONES: La relación entre sufrir violencia y sufrimiento mental, destacada en los estudios con mujeres, se muestra relevante para la salud de los hombres y muestra la necesidad de la identificación, en los servicios de salud, de las situaciones de violencia experimentadas por la población masculina. ...

OBJECTIVE: To analyze the association between male mental health problems and violence experienced. METHODS: Cross sectional study with 477 males aged between 18 and 60, users of two primary healthcare centers in Sao Paulo, SP, Southeastern Brazil. The selection for the sample was based on a sequentiality criterion, according to the order of arrival of the users. Sociodemographic and health characteristics and reports of having experienced violence at any time and/or having witnessed violence in childhood were collected. Information was also collected on the use of mental health services and/or psychological complaints/diagnoses during consultation at medical clinics by reading medical records, to categorize the dependent variable "mental suffering". The variables were described as absolute and relative frequencies. The association was tested using a confirmatory Poisson model with robust variance adjusted for age, marital status, education, violence witnessed in childhood and psychoactive substance use. RESULTS: The prevalence of mental suffering was 29.4%. Mental suffering was associated with experiencing repeated physical and/or sexual violence (RP 1.75, 95%CI 1.13;2.72). The association with a single episode of violence lost significance after the inclusion of psychoactive substance use in the model. Analysis of the fraction attributable to repetitive physical and/or sexual violence for the mental suffering of the men, verified it as 30.4%. CONCLUSIONS: The relationship between violence and mental suffering, already highlighted in studies with women, is also relevant to men's health, drawing attention to the similar need of identification, in the health services, of situations of violence experienced by the male population. For men, this relationship was shown to be influenced by the presence of psychoactive substance use; a situation which must be dealt with, more and in a better way, by the health care service. .

In vivo evaluation of antiseptics and disinfectants on control of Caseous Lymphadenitis: clinical, haematological, serological and microbiological monitoring / Avaliação in vivo de antissépticos e desinfetantes no controle da Linfadenite Caseosa: acompanhamento clínico, hematológico, sorológico e microbiológico

The objective of this experiment was to evaluate the efficacy of iodine tincture at 10% and sodium hypochlorite at 2.5% applied into the abscess of animals affected by Caseous Lymphadenitis (CL). Eighteen ewes were used, assorted into three groups: one treated with iodine tincture at 10% (IT), another one with sodium hypochlorite at 2.5% (SH) and the last group underwent the conventional treatment (CT). Conventional treatment was based on surgical drainage and chemical cauterization of the lesion with iodine tincture at 10%. Natural rupture of six abscesses from IT group was observed and in five of them the viability of Corynebacterium pseudotuberculosis was confirmed on the lesion place, after rupture of lymph node. As for the SH group, spontaneous rupture was observed in five out of six abscesses treated, and the microorganism was identified on the lesion of five animals, after rupture. In the sixth animal of this group, abscess involution was noticed. A severe swelling was identified in the region of lymph node treated, resulting in wide lesion in animals from groups IT and SH. No difference (p > 0,05) was found in blood parameters due to treatments. As for the serological monitoring of animals, comparative analysis between months within each group showed that months 1, 2, 3 and 4 were different (p 0,05) from month 0, for groups IT and SH. For CT group, there was no difference (p > 0,05) between months 1 to 5 and 0. Then, the application of iodine tincture at 10% or sodium hypochlorite at 2.5% into the abscess of animals affected by CL, at stage in which lesions are detected through inspection, is not effective for its control.

Objetivou-se com este experimento avaliar a eficácia da tintura de iodo a 10% e do hipoclorito de sódio a 2,5% aplicados no interior do abscesso de animais acometidos pela Linfadenite Caseosa (LC). Foram utilizadas 18 fêmeas ovinas, divididas em 3 grupos: o primeiro foi tratado com tintura de iodo a 10% (TI), o segundo com hipoclorito de sódio a 2,5% (HS) e o último grupo foi submetido ao tratamento convencional (CT). O tratamento convencional da doença consistia na drenagem e cauterização química dos abscessos, utilizando-se solução de iodo a 10%. Foi observada a ruptura natural dos seis abscessos do grupo TI, sendo que em cinco deles a viabilidade do Corynebacterium pseudotuberculosis foi confirmada no local da lesão, após a ruptura do linfonodo. Quanto ao grupo HS, a ruptura espontânea foi observada em cinco dos seis abscessos tratados, sendo o microrganismo identificado na lesão dos cinco animais após o rompimento. No sexto animal desse grupo, foi constatada a involução do abscesso. Foi verificado um edema intenso na região do linfonodo tratado com formação de uma lesão de grande extensão nos animais dos grupos TI e HS. Não foi detectada diferença (p > 0,05) nos parâmetros hematológicos em decorrência dos tratamentos avaliados. Quanto ao acompanhamento sorológico dos animais, a análise estatística comparativa entre os meses, dentro de cada grupo, mostrou que os meses 1, 2, 3 e 4 foram diferentes (p 0,05) do mês 0 para os grupos TI e HS. No grupo CT, não houve diferença (p > 0,05) entre os meses de 1 a 5 e o mês 0. Conclui-se que a aplicação de tintura de iodo a 10% ou hipoclorito de sódio a 2,5% no interior do abscesso de animais acometidos pela LC, em estágio no qual as lesões são detectadas por meio da inspeção, não é eficaz para o seu controle.

Homens, masculinidade e violência: estudo em serviços de atenção primária à saúde / Men, masculinity and violence: a study in primary health care services

Há poucos estudos sobre homens abordando violência como evento não fatal. Contribuindo nessa direção, descrevem-se as prevalências da violência psicológica, física e/ou sexual sofridas por homens, detalhando-se nestes tipos a perpetrada contra parceiras. Trata-se de estudo transversal realizado com 789 homens de 18 a 60 anos, dos quais 775 com alguma parceria íntima na vida, selecionados por ordem de chegada em dois serviços de atenção primária na cidade de São Paulo. Foram investigadas as características sociodemográficas e as violências mencionadas, examinadas ainda quanto a sobreposições e à percepção de havê-las sofrido ou perpetrado. As prevalências de violências sofridas na vida foram de 79% para qualquer tipo e por qualquer agressor; 63,9%, 52,8% e 6,1% respectivamente para psicológica, física e sexual. Para violências perpetradas contra a parceira na vida, temos 52,1% qualquer tipo e 40%, 31,9% e 3,9%, respectivamente, para violência psicológica, física e sexual. Nas sofridas e nas perpetradas, a psicológica é a de maior taxa exclusiva, seguida da física. Quanto aos agressores, conhecidos é o principal agressor, seguido de familiar, estranhos e parceira íntima. Na relação entre sofrer por suas parceiras e perpetrar, 14,2% dos casos são sobrepostos e 81,2% somente perpetraram. Conclui-se que, embora nas violências relativas às parceiras íntimas os homens sofram muito menos do que perpetrem, os dados mostram que eles se envolvem em muitas situações de violência, de grandes magnitudes e sobreposições, quer como vitimas ou agressores, reiterando estudos sobre masculinidade. Este conjunto complexo de situações também deve ser considerado nos serviços básicos de saúde.

There are few studies on men dealing with violence as a non-fatal event. As a contribution, the prevalences of psychological, physical and/or sexual violence suffered by men and the perpetrated intimate partner violence (IPV) are described. This was a cross-sectional study on 789 men aged 18 to 60 years, of whom 775 ever partnered. Men were selected in order of arrival at two primary healthcare clinics in the city of São Paulo. Sociodemographic characteristics and reported violence were investigated, along with the violence overlapping and perceptions of having suffered or perpetrated violence. The lifetime prevalence of suffered violence was 79% for any type and any aggressor; 63.9%, 52.8% and 6.1% respectively for psychological, physical and sexual violence. For lifetime IPV, the rates were 52.1% for any type and 40%, 31.9% and 3.9% respectively for psychological, physical and sexual violence. For both suffered and perpetrated violence, the psychological type had the highest exclusive rate, followed by physical. Acquaintances were the main aggressors, followed by family members, strangers and female intimate partners. Between suffering and perpetrating IPV, 14.2% of the cases overlapped and 81.2% consisted only of perpetrated violence. It was concluded that although in relation to intimate partner violence, men suffered much less than they perpetrated, the data showed that they were involved in many situations of violence of large magnitude and overlapping situations, both as victims and as aggressors, thus echoing studies on masculinity. This complex set of situations should also be taken into consideration in primary healthcare services.

Men, masculinity and violence: a study in primary health care services.

There are few studies on men dealing with violence as a non-fatal event. As a contribution, the prevalences of psychological, physical and/or sexual violence suffered by men and the perpetrated intimate partner violence (IPV) are described. This was a cross-sectional study on 789 men aged 18 to 60 years, of whom 775 ever partnered. Men were selected in order of arrival at two primary healthcare clinics in the city of São Paulo. Sociodemographic characteristics and reported violence were investigated, along with the violence overlapping and perceptions of having suffered or perpetrated violence. The lifetime prevalence of suffered violence was 79% for any type and any aggressor; 63.9%, 52.8% and 6.1% respectively for psychological, physical and sexual violence. For lifetime IPV, the rates were 52.1% for any type and 40%, 31.9% and 3.9% respectively for psychological, physical and sexual violence. For both suffered and perpetrated violence, the psychological type had the highest exclusive rate, followed by physical. Acquaintances were the main aggressors, followed by family members, strangers and female intimate partners. Between suffering and perpetrating IPV, 14.2% of the cases overlapped and 81.2% consisted only of perpetrated violence. It was concluded that although in relation to intimate partner violence, men suffered much less than they perpetrated, the data showed that they were involved in many situations of violence of large magnitude and overlapping situations, both as victims and as aggressors, thus echoing studies on masculinity. This complex set of situations should also be taken into consideration in primary healthcare services.

Predição do peso vivo a partir de medidas corporais em animais mestiços Holandês/Gir / Prediction of live weight based on body measurements in crossbred animals Holstein/Gir

O objetivo deste estudo foi investigar as relações entre o peso corporal e as medidas corporais altura de garupa (ag), comprimento de garupa (cg), comprimento corporal (cc) e perímetro torácico (pt), em bovinos oriundos principalmente do cruzamento das raças Holandês e Gir. Foram utilizados dados de 483 vacas, 469 novilhas e 62 machos, de três rebanhos distintos, analisados separadamente para cada categoria a fim de estabelecer equações polinomiais dos pesos em relação às medidas corporais. As correlações simples do peso corporal com pt, cc, cg e ag foram respectivamente 0,807; 0,440; 0,187 e 0,504 para vacas; 0,928; 0,735; 0,819 e 0,880 machos, e 0,942; 0,748; 0,902 e 0,573 para novilhas. Embora as regressões de peso corporal em relação ao cc e cg tenham sido significativas (P<0,05), o aumento da porcentagem de explicação das variações do peso corporal obtido com a inclusão destas medidas, em adição ao pt, não parece justificar o custo das medições. As equações de predição do peso corporal em função do pt foram as seguintes: para vacas, peso = 12.174 - 187,410 pt + 0,97196960 pt² - 0,00162382 pt³, para novilhas, peso= 1.717-35,167 pt + 0,238978 pt² - 0,00046260 pt³ e, para machos, peso = -3.862+76,014 pt-0,488837 pt²+ 0,00109755 pt³.

The objective of this study was to investigate the relationship between hip height (ag), rump length (cg), body length (cc) and heart girth (pt) with live body weight of crossbred animals, mainly from the cross between Holstein and Gir breeds. Data on 483 cows, 469 heifers and 62 males in three herds were analyzed for each category using polynomial regression equations of body weight on measurements. The correlations between body weight and pt, cc, cg and ag were, respectively 0.807, 0.440, 0.187 and 0.504 for cows, 0.928, 0.735, 0.819 and 0.880 for males and 0.942, 0.748, 0.902 and 0.573 for heifers. Although the regressions of body weights on cc and cg were significant (P<0.05), the additional goodness of fit of a model that includes these two traits in addition to heart girth does not justify the extra cost for recording these traits. The prediction equations were: for cows, body weight = 12174-187.410 pt+0.97196960 pt²-0.00162382 pt³, for heifers, body weight = 1717-35.167pt+0.238978pt²-0.00046260pt³ and for males, body weight = -3862+76.014pt-0.488837pt²+0.00109755pt³.

[Population fluctuation of sharpshooters vectors of Xylella fastidiosa Wells et al. in commercial citrus groves in northwestern Paraná State]. / Flutuação populacional de cigarrinhas vetoras de Xylella fastidiosa Wells et al. em pomares comerciais de citros no noroeste do Paraná

The citrus variegated chlorosis (CVC), an important disease of citrus in Brazil, is caused by the bacterium Xylella fastidiosa Wells et al. and transmitted by xylem-feeding sharpshooters (Hemiptera: Cicadellidae). This study evaluated the fluctuation of populations of species of sharpshooters belonging to the tribes Cicadellini and Proconiini, from subfamily Cicadelinae, in a commercial sweet orange [Citrus sinensis (L.) Osb.] grove, located in the Northwest Region of Paraná State, Brazil, in four varieties: Valência, Natal, Pêra, and Folha Murcha. Sharpshooters population was monitored using yellow stick traps sampled at 15 day-intervals, in 24 traps, from November of 1999 to March of 2004. The most abundant species were Dilobopterus costalimai Young (tribe Cicadellini) and Acrogonia citrina Marucci & Cavichioli (tribe Proconiini). Both species were detected during the complete period studied, which is important because they have great potential for transmitting CVC. Thus, since more than a sharpshooter species were detected, more efforts are recommended to monitor and control these insects in citrus groves, aiming to reduce the dissemination of CVC.

Flutuação populacional de cigarrinhas vetoras de Xylella fastidiosa Wells et al. em pomares comerciais de citros no noroeste do Paraná / Population fluctuation of sharpshooters vectors of Xylella fastidiosa Wells et al. in commercial citrus groves in northwestern Paraná State

A Clorose Variegada dos Citros (CVC) é uma importante doença causada pela bactéria Xylella fastidiosa Wells et al., que é transmitida por insetos sugadores do xilema como vetores, denominados cigarrinhas (Hemiptera: Cicadellidae). No presente estudo, avaliou-se a flutuação populacional de espécies de cigarrinhas pertencentes às tribos Cicadellini e Proconiini, da subfamília Cicadelinae, em um pomar comercial de laranja-doce [Citrus sinensis (L.) Osb.], contendo as variedades Valência, Natal, Pêra e Folha Murcha, localizados no Noroeste do Paraná. Amostragens quinzenais foram realizadas com o uso de armadilhas adesivas amarelas, no total de 24 armadilhas em cada avaliação, de novembro de 1999 a março de 2004. As espécies mais representativas foram Dilobopterus costalimai Young, da tribo Cicadellini e Acrogonia citrina Marucci & Cavichioli, da tribo Proconiini. Ambas foram constantes durante o período do levantamento, fato importante por estas espécies possuírem maior potencial para transmissão e apresentarem hábitos alimentares na planta de citros. Deste modo, como foi registrada a presença de diversas espécies vetoras de CVC na região, recomenda-se o monitoramento da ocorrência das cigarrinhas e maior controle das mesmas, visando reduzir a disseminação da doença na área.

The citrus variegated chlorosis (CVC), an important disease of citrus in Brazil, is caused by the bacterium Xylella fastidiosa Wells et al. and transmitted by xylem-feeding sharpshooters (Hemiptera: Cicadellidae). This study evaluated the fluctuation of populations of species of sharpshooters belonging to the tribes Cicadellini and Proconiini, from subfamily Cicadelinae, in a commercial sweet orange [Citrus sinensis (L.) Osb.] grove, located in the Northwest Region of Paraná State, Brazil, in four varieties: Valência, Natal, Pêra, and Folha Murcha. Sharpshooters population was monitored using yellow stick traps sampled at 15 day-intervals, in 24 traps, from November of 1999 to March of 2004. The most abundant species were Dilobopterus costalimai Young (tribe Cicadellini) and Acrogonia citrina Marucci & Cavichioli (tribe Proconiini). Both species were detected during the complete period studied, which is important because they have great potential for transmitting CVC. Thus, since more than a sharpshooter species were detected, more efforts are recommended to monitor and control these insects in citrus groves, aiming to reduce the dissemination of CVC.

Resistência de piperáceas nativas da Amazônia á infecção causada por Nectria haematococca f. sp. piperis

The resistance of Piper aduncum, P. arboreum, P. carniconnectivum, P. colubrinum, P. hispidinervium, P. hispidum, P. hostmannianum, P. nigrum, P. tuberculatum and Piper sp. to the infection caused by two Nectria haematococca f. sp. piperis isolates was detected under laboratory and shade house conditions. Due to their high susceptibility, black pepper (Piper nigrum) plants were used as control. When grown in soil infested with the isolate from P. aduncum (Adu), no root rot symptoms were observed on the majority of Piper spp., except on Piper sp. and black pepper. However, in soil infested with the isolate from P. nigrum (Nig) root rot was noticed on black pepper, although not on the other Piper spp. Significant differences (p 0.01) were observed when stems of Piper spp. plants were inoculated with Adu and Nig isolates. On P. nigrum stems typical lesions were followed by yellowish, stem blight and death of plants were observed, while on Piper spp. canker-like tissues around stem lesions were detected, evidencing the high resistance of these related species. These results showed that the isolate from P. aduncum has no ability to colonise Piper spp. root tissues and that at least seven related species are highly resistant to N. haematococca f. sp. piperis. This suggests that these species may be used either as rootstocks or for somatic hybridisation and protoplast fusion in amelioration studies aiming to control Fusarium diseases on black pepper.

A reação de resistência das espécies Piper aduncum, P. arboreum, P. carniconnectivum, P. colubrinum, P. hispidinervium, P. hispidum, P. hostmannianum, P. tuberculatum, P. nigrum e Piper sp. à infecção causada por dois isolados de Nectria haematococca f. sp. piperis foi determinada em condições de telado, através do cultivo em solo infestado e de inoculações no internódio de mudas com três meses de desenvolvimento. Mudas de P. nigrum (pimenta-do-reino) foram usadas como controle, devido a alta suscetibilidade ao patógeno. Aos 110 dias observou-se que o isolado Adu obtido de . aduncum não causou podridão das raízes em todas as espécies, com exceção de Piper sp. e de P. nigrum, enquanto que o isolado Nig obtido de P. nigrum causou infecção apenas nas raízes desse hospedeiro. Diferenças significativas (p 0,01) foram observadas no nível de resistência entre as espécies, sendo as espécies nativas mais resistentes à infecção causada pelo fungo. Os isolados apresentaram variação para virulência (p 0,01), sendo o isolado Nig mais virulento do que o Adu. Não ocorreu, porém, interação entre Piper spp. e os dois isolados de N. haematococca f. sp. piperis. Concluiu-se, portanto, que o isolado Adu não tem habilidade de infectar os tecidos radiculares das espécies estudadas e que pelo menos sete espécies nativas apresentam uma alta resistência ao patógeno, podendo ser utilizadas como porta-enxertos resistentes para controlar doenças radiculares da pimenta-do-reino.

A abordagem sistêmica da urgência psiquiátrica no domicílio / Systemic approach in the psychiatric emergency at home

Säo estudados 29 atendimentos em urgência psiquiátrica realizados pelos autores no período de um ano. O objetivo é avaliar o impacto do uso da técnica de abordagem familiar sistêmica no atendimento das crises, no domicílio. Avaliados os dados levantados, verificou-se que os principais motivos de chamado foram violência e agitaçäo psicomotora e as principais hipóteses diagnósticas firmadas durante o atendimento foram dependência ou abuso de drogas, inclusive álcool, e esquizofrenias. Houve associaçäo significativa entre a decisäo de ir só até o domicílio da família e a possibilidade de realizar o atendimento sem recurso a auxiliares. O manejo empregado näo dependeu da constituiçäo da equipe, mas do motivo do chamado. A partir dos resultados, os autores sugerem: 1) que o uso de ambulância e auxiliares näo seja imposto a todos os pacientes; 2) que a constituiçäo da equipe seja definida na anamnese telefônica; 3) que os técnicos encarregados da urgência psiquiátrica se dediquem ao estudo das abordagens familiares; 4) que as várias técnicas sejam empregadas de forma integrada

A abordagem sistemica da urgencia psiquiatrica no domicilio

Sao estudados 29 atendimentos em urgencia psiquiatrica realizados pelos autores no periodo de um ano. O objetivo e avaliar o impacto do uso da tecnica de abordagem familiar sistemica no atendimento das crises, no domicilio. Avaliados os dados levantados, verificou-se que os principais motivos de chamado foram violencia e agitacao psicomotora e as principais hipoteses diagnosticas firmadas durante o atendimento foram dependencia ou abuso de drogas, inclusive alcool, e esquizofrenias. Houve associacao significativa entre a decisao de ir so ate o domicilio da familia e a possibilidade de realizar o atendimento sem recurso a auxiliares. O manejo empregado nao dependeu da constituicao da equipe, mas do motivo do chamado. A partir dos resultados, os autores sugerem: 1) que o uso de ambulancia e auxiliares nao seja imposto a todos os pacientes; 2) que a constituicao da equipe seja definida na anamnese telefonica; 3) que os tecnicos encarregados da urgencia psiquiatrica se dediquem ao estudo das abordagens familiares; 4) que as varias tecnicas sejam empregadas de forma integrada.