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1.
Dalton Trans ; 50(29): 10193-10205, 2021 Jul 27.
Artigo em Inglês | MEDLINE | ID: mdl-34231624

RESUMO

By combining NMR data (nuclear Overhauser effect and pseudocontact shifts) with luminescence measurements, we uncover how the structure of an anionic europium complex adapts to different solvent polarities as a result of the different relative proximities of the ion pairs. In nonpolar solvents, the detected contact ion pairs, CIPs, indicate that the ions remain in proximity, with the molecular cation, and then perturbing and distorting the coordination polyhedron of the anion complex to a low symmetry configuration, which promotes luminescence. Differently, solvent separated ion pairs occur in polar solvents, indicating that the molecular ions have been disconnected. Thus, in polar solvents, the europium complex anion becomes free from the close influence of the molecular cation, allowing the coordination polyhedron to increase its symmetry, which in turn reduces the luminescence of the anionic europium complex. This reduction of coordination polyhedron symmetry by the close proximity of the molecular cation in nonpolar solvents was confirmed by additional photophysical measurements combined with quantum chemical RM1 calculations, suggesting that, in nonpolar solvents, the symmetry point group of the coordination polyhedron is C1, whereas in polar solvents it is either D2d or S4. The nonpolar solvents used were benzene, chloroform and dichloromethane; and the polar ones were acetone and acetonitrile. The synthesized ionic liquids were tetrakis [C5mim][La(BTFA)4] and [C5mim][Eu(BTFA)4], where BTFA stands for 4,4,4-trifluoro-1-phenyl-1,3-butanedione, lanthanoids (La3+ and Eu3+) and C5mim stands for 1-methyl-3-isopentylimidazolium. They were synthesized by a microwave methodology that is both fast and green (the synthetic reaction takes about 15 min) and also leads to more easily purifiable crystals.

2.
Conserv Biol ; 34(2): 438-448, 2020 04.
Artigo em Inglês | MEDLINE | ID: mdl-31538670

RESUMO

The switch from hunting wild meat for home consumption to supplying more lucrative city markets in Amazonia can adversely affect some game species. Despite this, information on the amounts of wild meat eaten in Amazonian cities is still limited. We estimated wild meat consumption rates in 5 cities in the State of Amazonas in Brazil through 1046 door-to-door household interviews conducted from 2004 to 2012. With these data, we modeled the relationship between wild meat use and a selection of socioeconomic indices. We then scaled up our model to determine the amounts of wild meat likely to be consumed annually in the 62 urban centers in central Amazonia. A total of 80.3% of all interviewees reported consuming wild meat during an average of 29.3 (CI 11.6) days per year. Most wild meat was reported as bought in local markets (80.1%) or hunted by a family member (14.9%). Twenty-one taxa were cited as consumed, mostly mammals (71.6%), followed by reptiles (23.2%) and then birds (5.2%). The declared frequency of wild meat consumption was positively correlated with the proportion of rural population as well as with the per capita gross domestic product of the municipality (administrative divisions) where the cities were seated. We estimated that as much as 10,691 t of wild meat might be consumed annually in the 62 urban centers within central Amazonia, the equivalent of 6.49 kg per person per year. In monetary terms, this amounts to US$21.72 per person per year or US$35.1 million overall, the latter figure is comparable to fish and timber production in the region. Given this magnitude of wild meat trade in central Amazonia, it is fundamental to integrate this activity into the formal economy and actively develop policies that allow the trade of more resilient taxa and restrict trade in species sensitive to hunting.


Mercado y Consumo Urbano de Carne Silvestre en la Amazonia Central Resumen El cambio de la caza de animales silvestres para consumo del hogar a caza para surtir mercados urbanos más lucrativos en la Amazonia puede afectar negativamente a algunas especies de caza. A pesar de esto, la información sobre la cantidad de carne silvestre que se consume en las ciudades de la Amazonia todavía es limitada. Estimamos las tasas de consumo de carne silvestre en cinco ciudades del Estado de Amazonas, Brasil, por medio de 1046 entrevistas presenciales a hogares realizadas entre 2004 y 2012. Con estos datos modelamos la relación entre el uso de la carne silvestre y una selección de índices socioeconómicos. Después aumentamos nuestro modelo para determinar la cantidad de carne silvestre que tal vez se consume anualmente en los 62 centros urbanos de la Amazonia central. Un total de 80.3% de todos los entrevistados reportaron el consumo de carne silvestre durante un promedio de 29.3 (CI 11.6) días por año. La mayoría de la carne silvestre fue reportada como comprada en mercados locales (80.1%) o cazada por algún integrante de la familia (14.9%). Se citaron 21 taxones como parte del consumo, principalmente mamíferos (71.6%), seguidos por reptiles (23.2%) y aves (5.2%). La frecuencia declarada de consumo de carne silvestre estuvo correlacionada positivamente con la proporción de población rural, así como con el producto doméstico bruto per cápita de la municipalidad (divisiones administrativas) en donde se encuentran las ciudades. Estimamos que un máximo de 10,691 toneladas de carne silvestre podrían ser consumidas anualmente en los 62 centros urbanos de la Amazonia central, el equivalente a 6.49 kg/persona/año. En términos monetarios, esto equivale a US$21.72/persona/año o US$35.1 millones en general. Esta última cifra es comparable con la producción de madera y de peces en la región. Dada esta magnitud del mercado de carne silvestre en la Amazonia central, es fundamental la integración de esta actividad en la economía formal y el desarrollo activo de políticas que permitan el mercado de taxones más resilientes y que restrinjan el mercado para las especies sensibles a la caza.


Assuntos
Animais Selvagens , Conservação dos Recursos Naturais , Animais , Brasil , Cidades , Humanos , Carne
3.
Inorg Chem ; 58(5): 3265-3270, 2019 Mar 04.
Artigo em Inglês | MEDLINE | ID: mdl-30775912

RESUMO

A luminescence quantum yield of 7.8% was obtained for a quaternary mixed-ligand samarium complex; this value is higher than those previously reported in the literature for such complexes in solution. The complex was prepared by microwave-assisted synthesis in 15 min with a yield of 69%; that is, ∼400 times faster than the usual synthesis that required 4 days and led to a yield of only 30%. Therefore, we propose microwave-assisted synthesis as the method of choice for preparing mixed-ligand lanthanoid complexes.

4.
Exp Appl Acarol ; 74(2): 177-183, 2018 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-29383533

RESUMO

The tick fauna of Brazil is currently composed by 72 species. The state of Amazonas is the largest of Brazil, with an area of ≈ 19% of the Brazilian land. Besides its vast geographic area, only 19 tick species have been reported for Amazonas. Herein, lots containing ticks from the state of Amazonas were examined in three major tick collections from Brazil. A total of 5933 tick specimens were examined and recorded, comprising 2693 males, 1247 females, 1509 nymphs, and 484 larvae. These ticks were identified into the following 22 species: Amblyomma cajennense sensu lato, Amblyomma calcaratum, Amblyomma coelebs, Amblyomma dissimile, Amblyomma dubitatum, Amblyomma geayi, Amblyomma goeldii, Amblyomma humerale, Amblyomma latepunctatun, Amblyomma longirostre, Amblyomma naponense, Amblyomma oblongoguttatum, Amblyomma ovale, Amblyomma rotundatum, Amblyomma scalpturatum, Amblyomma varium, Dermacentor nitens, Haemaphysalis juxtakochi, Ixodes cf. Ixodes fuscipes, Ixodes luciae, Rhipicephalus microplus, Rhipicephalus sanguineus sensu lato. Ticks were collected from 17 (27.4%) out of the 62 municipalities that currently compose the state of Amazonas. The following four species are reported for the first time in the state of Amazonas: A. coelebs, A. dubitatum, H. juxtakochi, and Ixodes cf. I. fuscipes. The only tick species previously reported for Amazonas and not found in the present study is Amblyomma parvum. This study provides a great expansion of geographical and host records of ticks for the state of Amazonas, which is now considered to have a tick fauna composed by 23 species. It is noteworthy that we report 1391 Amblyomma nymphs that were identified to 13 different species.


Assuntos
Distribuição Animal , Biota , Ixodidae/classificação , Ixodidae/fisiologia , Animais , Brasil , Feminino , Ixodidae/crescimento & desenvolvimento , Larva/classificação , Larva/crescimento & desenvolvimento , Larva/fisiologia , Masculino , Ninfa/classificação , Ninfa/crescimento & desenvolvimento , Ninfa/fisiologia
5.
Exp Appl Acarol, v. 74, n. 2, p. 177-183, fev. 2018
Artigo em Inglês | Sec. Est. Saúde SP, SESSP-IBPROD, Sec. Est. Saúde SP | ID: bud-2513

RESUMO

The tick fauna of Brazil is currently composed by 72 species. The state of Amazonas is the largest of Brazil, with an area of ae 19% of the Brazilian land. Besides its vast geographic area, only 19 tick species have been reported for Amazonas. Herein, lots containing ticks from the state of Amazonas were examined in three major tick collections from Brazil. A total of 5933 tick specimens were examined and recorded, comprising 2693 males, 1247 females, 1509 nymphs, and 484 larvae. These ticks were identified into the following 22 species: Amblyomma cajennense sensu lato, Amblyomma calcaratum, Amblyomma coelebs, Amblyomma dissimile, Amblyomma dubitatum, Amblyomma geayi, Amblyomma goeldii, Amblyomma humerale, Amblyomma latepunctatun, Amblyomma longirostre, Amblyomma naponense, Amblyomma oblongoguttatum, Amblyomma ovale, Amblyomma rotundatum, Amblyomma scalpturatum, Amblyomma varium, Dermacentor nitens, Haemaphysalis juxtakochi, Ixodes cf. Ixodes fuscipes, Ixodes luciae, Rhipicephalus microplus, Rhipicephalus sanguineus sensu lato. Ticks were collected from 17 (27.4%) out of the 62 municipalities that currently compose the state of Amazonas. The following four species are reported for the first time in the state of Amazonas: A. coelebs, A. dubitatum, H. juxtakochi, and Ixodes cf. I. fuscipes. The only tick species previously reported for Amazonas and not found in the present study is Amblyomma parvum. This study provides a great expansion of geographical and host records of ticks for the state of Amazonas, which is now considered to have a tick fauna composed by 23 species. It is noteworthy that we report 1391 Amblyomma nymphs that were identified to 13 different species.

6.
Exp. Appl. Acarol. ; 74(2): p. 177-183, 2018.
Artigo em Inglês | Sec. Est. Saúde SP, SESSP-IBPROD, Sec. Est. Saúde SP | ID: but-ib15276

RESUMO

The tick fauna of Brazil is currently composed by 72 species. The state of Amazonas is the largest of Brazil, with an area of ae 19% of the Brazilian land. Besides its vast geographic area, only 19 tick species have been reported for Amazonas. Herein, lots containing ticks from the state of Amazonas were examined in three major tick collections from Brazil. A total of 5933 tick specimens were examined and recorded, comprising 2693 males, 1247 females, 1509 nymphs, and 484 larvae. These ticks were identified into the following 22 species: Amblyomma cajennense sensu lato, Amblyomma calcaratum, Amblyomma coelebs, Amblyomma dissimile, Amblyomma dubitatum, Amblyomma geayi, Amblyomma goeldii, Amblyomma humerale, Amblyomma latepunctatun, Amblyomma longirostre, Amblyomma naponense, Amblyomma oblongoguttatum, Amblyomma ovale, Amblyomma rotundatum, Amblyomma scalpturatum, Amblyomma varium, Dermacentor nitens, Haemaphysalis juxtakochi, Ixodes cf. Ixodes fuscipes, Ixodes luciae, Rhipicephalus microplus, Rhipicephalus sanguineus sensu lato. Ticks were collected from 17 (27.4%) out of the 62 municipalities that currently compose the state of Amazonas. The following four species are reported for the first time in the state of Amazonas: A. coelebs, A. dubitatum, H. juxtakochi, and Ixodes cf. I. fuscipes. The only tick species previously reported for Amazonas and not found in the present study is Amblyomma parvum. This study provides a great expansion of geographical and host records of ticks for the state of Amazonas, which is now considered to have a tick fauna composed by 23 species. It is noteworthy that we report 1391 Amblyomma nymphs that were identified to 13 different species.

7.
Zygote ; 25(3): 279-287, 2017 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-28534450

RESUMO

We describe morphological and morphometrical characteristics of preantral ovarian follicles from three recently recognized Saimiri species: S. macrodon, S. cassiquiarensis and S. vanzolinii; the last one a threatened species. Ovaries from four adult monkeys were evaluated: one pair from a pregnant S. macrodon, two ovarian pairs from S. cassiquiarensis females (one of them pregnant), and one left ovary from a senile S. vanzolinii, applying classical histology. Follicular preantral population was quantified and morphology and morphometry of primordial, primary and secondary follicles were evaluated. Follicular preantral population varied among species, being 347,153 in the ovaries of the S. macrodon, 270,342 and 278,376 in the ovaries of both adult non-pregnant and pregnant S. cassiquiarensis females, and 28,149 in the ovary from a senile S. vanzolinii. Most follicles were at primordial or transition stages, except for the senile S. vanzolinii female, which presented the lowest percentages of primordial and transition follicles when compared with primary and secondary ones. Most preantral follicles (>70%) were morphologically normal in the ovaries from all studied S. macrodon and S. cassiquiarensis females, but the ovary of the senile S. vanzolinii female presented a significant decrease in the percentage of normal follicles (primordial: 61%, transition: 52%, primary: 54%, and secondary: 48%). In general, follicular diameter increased significantly from primordial to transition, and subsequently from primary to secondary follicles.


Assuntos
Folículo Ovariano/anatomia & histologia , Saimiri/anatomia & histologia , Animais , Brasil , Feminino , Microscopia Eletrônica de Varredura , Oócitos/citologia , Oócitos/fisiologia , Folículo Ovariano/fisiologia , Ovário/anatomia & histologia , Ovário/fisiologia , Gravidez , Saimiri/fisiologia , Especificidade da Espécie
8.
J Med Primatol ; 46(3): 87-89, 2017 06.
Artigo em Inglês | MEDLINE | ID: mdl-28349553

RESUMO

Ovarian agenesis is an unusual anomaly with traumatic or congenital origin. In the present case report, we describe our findings in a senile S. vanzolinii female. As this neotropical primate species is listed as vulnerable, with limited geographic distribution in the Brazilian Amazonia, ovarian agenesis may be an important finding to be reported.


Assuntos
Disgenesia Gonadal/veterinária , Ovário/anormalidades , Saimiri/anormalidades , Animais , Brasil , Espécies em Perigo de Extinção , Feminino , Disgenesia Gonadal/diagnóstico por imagem
9.
PLoS One ; 10(12): e0143998, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26710103

RESUMO

ß-diketonates are customary bidentate ligands in highly luminescent ternary europium complexes, such as Eu(ß-diketonate)3(L)2, where L stands for a nonionic ligand. Usually, the syntheses of these complexes start by adding, to an europium salt such as EuCl3(H2O)6, three equivalents of ß-diketonate ligands to form the complexes Eu(ß-diketonate)3(H2O)2. The nonionic ligands are subsequently added to form the target complexes Eu(ß-diketonate)3(L)2. However, the Eu(ß-diketonate)3(H2O)2 intermediates are frequently both difficult and slow to purify by recrystallization, a step which usually takes a long time, varying from days to several weeks, depending on the chosen ß-diketonate. In this article, we advance a novel synthetic technique which does not use Eu(ß-diketonate)3(H2O)2 as an intermediate. Instead, we start by adding 4 equivalents of a monodentate nonionic ligand L straight to EuCl3(H2O)6 to form a new intermediate: EuCl3(L)4(H2O)n, with n being either 3 or 4. The advantage is that these intermediates can now be easily, quickly, and efficiently purified. The ß-diketonates are then carefully added to this intermediate to form the target complexes Eu(ß-diketonate)3(L)2. For the cases studied, the 20-day average elapsed time reduced to 10 days for the faster synthesis, together with an improvement in the overall yield from 42% to 69%.


Assuntos
Európio/química , Cetonas/química , Substâncias Luminescentes/síntese química , Ligantes , Luminescência , Substâncias Luminescentes/química
10.
PLoS One ; 8(11): e80153, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-24278253

RESUMO

BACKGROUND: Cysteine protease B is considered crucial for the survival and infectivity of the Leishmania in its human host. Several microorganism pathogens bind to the heparin-like glycosaminoglycans chains of proteoglycans at host-cell surface to promote their attachment and internalization. Here, we have investigated the influence of heparin upon Leishmania mexicana cysteine protease rCPB2.8 activity. METHODOLOGY/PRINCIPAL FINDINGS: THE DATA ANALYSIS REVEALED THAT THE PRESENCE OF HEPARIN AFFECTS ALL STEPS OF THE ENZYME REACTION: (i) it decreases 3.5-fold the k 1 and 4.0-fold the k -1, (ii) it affects the acyl-enzyme accumulation with pronounced decrease in k 2 (2.7-fold), and also decrease in k 3 (3.5-fold). The large values of ΔG  =  12 kJ/mol for the association and dissociation steps indicate substantial structural strains linked to the formation/dissociation of the ES complex in the presence of heparin, which underscore a conformational change that prevents the diffusion of substrate in the rCPB2.8 active site. Binding to heparin also significantly decreases the α-helix content of the rCPB2.8 and perturbs the intrinsic fluorescence emission of the enzyme. The data strongly suggest that heparin is altering the ionization of catalytic (Cys(25))-S(-)/(His(163))-Im(+) H ion pair of the rCPB2.8. Moreover, the interaction of heparin with the N-terminal pro-region of rCPB2.8 significantly decreased its inhibitory activity against the mature enzyme. CONCLUSIONS/SIGNIFICANCE: Taken together, depending on their concentration, heparin-like glycosaminoglycans can either stimulate or antagonize the activity of cysteine protease B enzymes during parasite infection, suggesting that this glycoconjugate can anchor parasite cysteine protease at host cell surface.


Assuntos
Catepsina L/metabolismo , Heparina/farmacologia , Leishmania mexicana/enzimologia , Animais , Sequência de Bases , Catepsina L/genética , Dicroísmo Circular , Clonagem Molecular , Primers do DNA , Cinética , Reação em Cadeia da Polimerase , Espectrometria de Fluorescência
11.
J Med Chem ; 54(17): 5988-99, 2011 Sep 08.
Artigo em Inglês | MEDLINE | ID: mdl-21776985

RESUMO

The purpose of this study was to prepare various 4-substituted N-phenyl-1,2,3-triazole derivatives using click chemistry. The derivatives were screened in vitro for antimicrobial activity against Mycobacterium tuberculosis strain H37Rv (ATCC 27294) using the Alamar Blue susceptibility test. The activity was expressed as the minimum inhibitory concentration (MIC) in µg/mL (µM). Derivatives of isoniazid (INH), (E)-N'-[(1-aryl)-1H-1,2,3-triazole-4-yl)methylene] isonicotinoyl hydrazides, exhibited significant activity with MIC values ranging from 2.5 to 0.62 µg/mL. In addition, they displayed low cytotoxicity against liver cells (hepatoma HepG2) and kidney cells (BGM), thereby providing a high therapeutic index. The results demonstrated the potential and importance of developing new INH derivatives to treat mycobacterial infections.


Assuntos
Antituberculosos/farmacologia , Carcinoma Hepatocelular/tratamento farmacológico , Proliferação de Células/efeitos dos fármacos , Isoniazida/química , Neoplasias Hepáticas/tratamento farmacológico , Mycobacterium tuberculosis/efeitos dos fármacos , Triazóis/farmacologia , Antituberculosos/síntese química , Antituberculosos/química , Química Click , Humanos , Testes de Sensibilidade Microbiana , Mycobacterium tuberculosis/crescimento & desenvolvimento , Triazóis/síntese química , Triazóis/química , Células Tumorais Cultivadas
12.
Reprod Health ; 6: 12, 2009 Jul 29.
Artigo em Inglês | MEDLINE | ID: mdl-19640270

RESUMO

BACKGROUND: A review of validated methods for assessing female sexual dysfunction and a review of male and female sexual dysfunction did not refer to any specific questionnaire for evaluating sexuality during pregnancy. A study was performed at the Obstetrics and Gynecology Department of Botucatu Medical School, São Paulo State University, Brazil to design and validate a pregnancy sexuality questionnaire, the Pregnancy Sexual Response Inventory (PSRI). METHODS: Women with a singleton pregnancy between 10 and 35 weeks of gestation were randomly recruited. There were five phases in the development of the PSRI: (1) item selection; (2) item development; (3) determination of internal consistency, reliability and convergence; (4) content validity; and (5) determination of inter-interviewer reliability. Internal consistency and reliability were evaluated using Cronbach's alpha. Inter-interviewer reliability was assessed by evaluating the responses of 18 academics at various institutions, using Kappa Index and Student t test. RESULTS: Good internal consistency and reliability were obtained (Cronbach's alpha coefficient = 0.79). Among the 18 academics, 13 totally agreed (K = 1.0), three partially agreed (K = 0.67) and two disagreed (K = 0.33) with the proposed questions. Comparisons of the mean PSRI domain scores made between the primary investigators and the other interviewers showed no significant differences in all domains (p > 0.05). CONCLUSION: PSRI is a new validated instrument for evaluating sexuality and sexual activity and related health concerns during pregnancy.

14.
Rev. SOCERJ ; 17(4): 251-256, out.-dez. 2004. ilus, tab, graf
Artigo em Português | LILACS | ID: lil-398593

RESUMO

O eletrocardiograma constitui-se no primeiro exame complementar no diagnóstico cardiológico, tornando fundamental o conhecimento da interpretação do ECG normal e patológico. Os autores apresentam uma revisão sumária da ativação elétrica do coração, a base para o atendimento e a interpretação do traçado. Apresentam um método de sistematização na interpretação do eletrocardiograma normal, a propedêutica eletrocardiográfica, e acrescentam notas práticas que auxiliam no diagnóstico de algumas das alterações observadas na clínica cardiológica.


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Cardiopatias/diagnóstico , Eletrocardiografia/história , Eletrocardiografia/métodos , Frequência Cardíaca
15.
Rev. SOCERJ ; 17(4): 257-261, out.-dez. 2004. ilus, graf
Artigo em Português | LILACS | ID: lil-398594

RESUMO

Durante a vida fetal, o ventrículo direito trabalha contra uma alta resistência, pois impulsiona o fluxo sanguíneo para regiões de alta pressão, como o tronco, os membros e, principalmente, os pulmões ainda não expandidos. A normalização fisiológica das pressões, na pequena circulação e no ventrículo direito, ocorre progressivamente ao longo dos dois primeiros anos de vida. Portanto, o recém-nato apresenta fisiologicamente o padrão hemodinâmico e eletrocardiográfico de sobrecarga ventricular direita. Os autores apresentam uma revisão sumária da circulação e da fisiologia fetal, dos padrões hemodinâmicos observados em cardiopatias congênitas, e a análise sistematizada do eletrocardiograma normal do recém-nato. Além disso, destacam os elementos no eletrocardiograma que auxiliam no diagnóstico de algumas das principais cardiopatias congênitas.


Assuntos
Humanos , Recém-Nascido , Lactente , Pré-Escolar , Criança , Cardiopatias Congênitas/diagnóstico , Cardiopatias Congênitas/fisiopatologia , Eletrocardiografia/métodos , Hemodinâmica/fisiologia , Tetralogia de Fallot/diagnóstico , Frequência Cardíaca
16.
Ann Fr Anesth Reanim ; 22(7): 642-7, 2003 Jul.
Artigo em Francês | MEDLINE | ID: mdl-12946498

RESUMO

Diagnosis of an acute obstructive dyspnea in children is very difficult, especially in the prehospital setting, because there are many possible causes. However, some of them may rapidly become life-threatening and therefore require a rapid prehospital management by a team staffed by a physician. The main causes of acute dyspnea in children usually include: obstructive dyspnea (acute laryngitis, foreign body aspiration, bronchiolotis, acute asthma), pulmonary infections and cardiac dyspnea, as well as dyspnea from other origins (cardiovascular collapse, hyperthermia, acidosis, intoxication, deshydratation). Following the assessment of the severity of the illness, the prehospital management should aimed at restoring an optimal oxygenation, before initiating a treatment adapted to the cause of the disease.


Assuntos
Dispneia/terapia , Doença Aguda , Dispneia/diagnóstico , Dispneia/epidemiologia , Dispneia/etiologia , Serviços Médicos de Emergência , Humanos
17.
J Pediatr ; 138(3): 325-31, 2001 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-11241037

RESUMO

OBJECTIVE: To determine the ability of neonatal clinical, audiologic, and computed tomography (CT) findings to predict long-term neurodevelopmental outcome in children with symptomatic congenital cytomegalovirus (CMV) infection. METHODS: Longitudinal cohort study of children (n = 41) with symptomatic congenital CMV infection evaluated at birth and followed up with serial age-appropriate neurodevelopmental testing. The performance of birth characteristics as predictors of long-term outcome were determined, and clinical and CT scoring systems were developed and correlated with intellectual outcome. RESULTS: Microcephaly was the most specific predictor of mental retardation (100%; 95% CI 84.5-100) and major motor disability (92.3%; 95% CI 74.8-99). An abnormality detected by CT was the most sensitive predictor for mental retardation (100%; 95% CI 82.3-100) and motor disability (100%; 95% CI 78.2-100). A highly significant (P <.001) positive correlation was found between head size at birth and the intelligence/developmental quotient (IQ/DQ). Approximately 29% of children had an IQ/DQ >90. There was no association between sensorineural hearing loss at birth and cognitive outcome. However, children with sensorineural hearing loss on follow-up (congenital and late-onset) had a lower IQ/DQ (P =.006) than those with normal hearing. CONCLUSIONS: The presence of microcephaly at birth was the most specific predictor of poor cognitive outcome in children with symptomatic congenital CMV infection, whereas children with normal findings on head CT and head circumference proportional to weight exhibited a good cognitive outcome.


Assuntos
Infecções por Citomegalovirus/congênito , Deficiências do Desenvolvimento/virologia , Doenças do Sistema Nervoso/virologia , Paralisia Cerebral/diagnóstico , Paralisia Cerebral/virologia , Coriorretinite/diagnóstico , Coriorretinite/virologia , Infecções por Citomegalovirus/complicações , Deficiências do Desenvolvimento/diagnóstico , Feminino , Perda Auditiva Neurossensorial/diagnóstico , Perda Auditiva Neurossensorial/virologia , Humanos , Recém-Nascido , Deficiência Intelectual/diagnóstico , Deficiência Intelectual/virologia , Estudos Longitudinais , Masculino , Microcefalia/diagnóstico , Microcefalia/virologia , Doenças do Sistema Nervoso/diagnóstico , Exame Neurológico , Prognóstico , Sensibilidade e Especificidade , Tomografia Computadorizada por Raios X
18.
Rio de Janeiro; Revinter; 1997. 269 p. ilus, tab.
Monografia em Português | LILACS, AHM-Acervo, TATUAPE-Acervo | ID: lil-683853
19.
Rio de Janeiro; Revinter; 1997. 269 p. ilus, tab.
Monografia em Português | Sec. Munic. Saúde SP, AHM-Acervo, TATUAPE-Acervo | ID: sms-6854
20.
J. bras. med ; 69(5/6): 53-71, nov.-dez. 1995.
Artigo em Português | LILACS | ID: lil-161460

RESUMO

Os autores apresentam cinco casos de comprometimento de pericárdio relacionados a etiologias diversas, encontrados no período de um ano em diversas, encontrados no período de um ano em serviço de Clínica Médica: pericardite aguda benigna inespecífica ou pericardite idiopática, pericardite aguda pós-infarto do miocárdio, pericardite neoplásica, pericardite inderteminada, associada a tetralogia de Fallot e pericardite constritiva tuberculosa foram as patologias observadas. Ressaltam que, por ser o acometimento do pericárdio um achado mais freqüente nas necropsias que in vivo (pois em muitos casos as manifestaçoes clínicas estao obscurecidas pelo acometimento geral do paciente), o diagnóstico de pericardite deve estar presente mais amiúde no raciocínio clínico.


Assuntos
Humanos , Masculino , Adulto , Pessoa de Meia-Idade , Pericardite/diagnóstico , Pericardite/etiologia
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