Barriers to patient recruitment in a poststroke neurorehabilitation multicenter trial in Brazil.

There is a high demand for stroke rehabilitation in the Brazilian public health system, but most studies that have addressed rehabilitation for unilateral spatial neglect (USN) after stroke have been performed in high-income countries. Therefore, the aim of this study was to analyze USN patient recruitment in a multicenter noninvasive brain stimulation clinical trial performed in Brazil and to provide study design recommendations for future studies. We evaluated the reasons for exclusion of patients from a multicenter, randomized, double-blinded clinical trial of rehabilitation of USN patients after stroke. Clinical and demographic variables were compared between the included and excluded patients. A descriptive statistical analysis was performed. Only 173 of the 1953 potential neglect patients (8.8%) passed the initial screening. After screening evaluation, 87/173 patients (50.3%) were excluded for clinical reasons. Cognitive impairment led to the exclusion of 21/87 patients (24.1%). Low socioeconomic status led to the exclusion of 37/173 patients (21.4%). Difficulty obtaining transportation to access treatment was the most common reason for their exclusion (16/37 patients, 43.3%). The analyzed Brazilian institutions have potential for conducting studies of USN. The recruitment of stroke survivors with USN was restricted by the study design and limited financial support. A history of cognitive impairment, intracranial stenting or craniectomy, and lack of transportation were the most common barriers to participating in a multicenter noninvasive brain stimulation trial among patients with USN after stroke.

Barriers to patient recruitment in a poststroke neurorehabilitation multicenter trial in Brazil

There is a high demand for stroke rehabilitation in the Brazilian public health system, but most studies that have addressed rehabilitation for unilateral spatial neglect (USN) after stroke have been performed in high-income countries. Therefore, the aim of this study was to analyze USN patient recruitment in a multicenter noninvasive brain stimulation clinical trial performed in Brazil and to provide study design recommendations for future studies. We evaluated the reasons for exclusion of patients from a multicenter, randomized, double-blinded clinical trial of rehabilitation of USN patients after stroke. Clinical and demographic variables were compared between the included and excluded patients. A descriptive statistical analysis was performed. Only 173 of the 1953 potential neglect patients (8.8%) passed the initial screening. After screening evaluation, 87/173 patients (50.3%) were excluded for clinical reasons. Cognitive impairment led to the exclusion of 21/87 patients (24.1%). Low socioeconomic status led to the exclusion of 37/173 patients (21.4%). Difficulty obtaining transportation to access treatment was the most common reason for their exclusion (16/37 patients, 43.3%). The analyzed Brazilian institutions have potential for conducting studies of USN. The recruitment of stroke survivors with USN was restricted by the study design and limited financial support. A history of cognitive impairment, intracranial stenting or craniectomy, and lack of transportation were the most common barriers to participating in a multicenter noninvasive brain stimulation trial among patients with USN after stroke.

Correction to: α-Phellandrene attenuates tissular damage, oxidative stress, and TNF-α levels on acute model ifosfamide-induced hemorrhagic cystitis in mice.

The published online version contains figure in poor quality.

α-Phellandrene attenuates tissular damage, oxidative stress, and TNF-α levels on acute model ifosfamide-induced hemorrhagic cystitis in mice.

Hemorrhagic cystitis (HC) is the major dose-limiting adverse effect of the clinical use ifosfamide (IFOS). The incidence of this side effect can be as high as 75%. Mesna has been used to reduce the risk of HC, although 5% of patients who get IFOS treatment may still suffer from HC. In previous studies, our group demonstrated that α-phellandrene (α-PHE) possesses anti-inflammatory activity, which opens the door for its study in the attenuation of HC. The objective of this study was to investigate the potential uroprotective effect of the α-PHE in the mouse model of IFOS-induced HC. In order to analyze the reduction of the urothelial damage, the bladder wet weight, hemoglobin content, and the Evans blue dye extravasation from the bladder matrix were evaluated. To investigate the involvement of neutrophil migration and lipid peroxidation and involvement of enzymatic and endogenous non-enzymatic antioxidants, the tissue markers myeloperoxidase (MPO), malondialdehyde, nitrite/nitrate (NOx), superoxide dismutase (SOD), and reduced glutathione (GSH) were evaluated. TNF-α and IL-1ß were measured by ELISA immunoassay technique. The results show that pretreatment with α-PHE significantly reduced urothelial damage that was accompanied by a decrease in the activity of MPO, MDA, and NOx levels and prevention of the depletion of SOD and GSH in bladder tissues. In the assessment of cytokines, α-PHE was able to significantly reduce TNF-α level. However, it does not affect the activities of IL-1ß. These data confirm that α-PHE exerts potent anti-inflammatory properties and demonstrates that α-PHE represents a promising therapeutic option for this pathological condition.

Use of collard green stalks as environmental enrichment for cockatiels (Nymphicus hollandicus) kept in captivity / Utilização de talos de couve como enriquecimento ambiental para calopsitas (Nymphicus hollandicus) mantidas em cativeiro

The objective of this study was to evaluate the influence of collard green stalks as environmental enrichment on the behavior of cockatiels (Nymphicus hollandicus) maintained in captivity. Sixteen birds were housed individually in cages and fed a commercial diet for parrots and seed mix, with water ad libitum during 12 days in climatic chamber with temperature and relative humidity simulating tropical conditions. The animals (n = 8) were divided into two groups, control and enriched, and the experimental period was divided into two phases (during and after enrichment) of four days each. The collard green stalks were used as enrichment only during the first period of the experiment, daily changed and maintained only during the day. The stalks increased the feed intake and decreased the sleep activities. No effect was observed on the body surface temperature, locomotion, maintenance and other resting activities. Small undesirable activities were detected. It was concluded that collard green stalks can be used as environmental enrichment, becoming part of food preferences of cockatiels. However, its use does not significantly alter the behavior of birds kept in captivity.(AU)

O objetivo deste estudo foi avaliar a influência de talos de couve como enriquecimento ambiental sobre o comportamento de calopsitas (Nymphicus hollandicus) mantidas em cativeiro. Dezesseis aves foram alojadas individualmente em gaiolas e alimentadas com dieta comercial para psitacídeos e mistura de sementes, com água ad libitum durante 12 dias, em câmara climática com temperatura e umidade relativa do ar simulando condições tropicais. Os animais (n=8) foram divididos em dois grupos, controle e enriquecido, e o período experimental foi dividido em duas fases (durante e após o enriquecimento) de quatro dias cada. Os talos de couve foram usados como enriquecimento apenas durante o primeiro período do experimento, trocados diariamente e mantidos apenas durante o dia. Os talos aumentaram o consumo de ração e diminuíram o comportamento dormir. Nenhum efeito foi observado nas outras atividades de descanso, na temperatura da superfície corporal, na locomoção e manutenção. Foram detectadas pequenas atividades indesejáveis. Concluiu-se que os talos de couve podem ser usados como enriquecimento ambiental, formando parte das preferências alimentares de calopsitas. No entanto, seu uso não altera de maneira expressiva o comportamento das aves.(AU)

Use of collard green stalks as environmental enrichment for cockatiels (Nymphicus hollandicus) kept in captivity / Utilização de talos de couve como enriquecimento ambiental para calopsitas (Nymphicus hollandicus) mantidas em cativeiro

The objective of this study was to evaluate the influence of collard green stalks as environmental enrichment on the behavior of cockatiels (Nymphicus hollandicus) maintained in captivity. Sixteen birds were housed individually in cages and fed a commercial diet for parrots and seed mix, with water ad libitum during 12 days in climatic chamber with temperature and relative humidity simulating tropical conditions. The animals (n = 8) were divided into two groups, control and enriched, and the experimental period was divided into two phases (during and after enrichment) of four days each. The collard green stalks were used as enrichment only during the first period of the experiment, daily changed and maintained only during the day. The stalks increased the feed intake and decreased the sleep activities. No effect was observed on the body surface temperature, locomotion, maintenance and other resting activities. Small undesirable activities were detected. It was concluded that collard green stalks can be used as environmental enrichment, becoming part of food preferences of cockatiels. However, its use does not significantly alter the behavior of birds kept in captivity.(AU)

O objetivo deste estudo foi avaliar a influência de talos de couve como enriquecimento ambiental sobre o comportamento de calopsitas (Nymphicus hollandicus) mantidas em cativeiro. Dezesseis aves foram alojadas individualmente em gaiolas e alimentadas com dieta comercial para psitacídeos e mistura de sementes, com água ad libitum durante 12 dias, em câmara climática com temperatura e umidade relativa do ar simulando condições tropicais. Os animais (n=8) foram divididos em dois grupos, controle e enriquecido, e o período experimental foi dividido em duas fases (durante e após o enriquecimento) de quatro dias cada. Os talos de couve foram usados como enriquecimento apenas durante o primeiro período do experimento, trocados diariamente e mantidos apenas durante o dia. Os talos aumentaram o consumo de ração e diminuíram o comportamento dormir. Nenhum efeito foi observado nas outras atividades de descanso, na temperatura da superfície corporal, na locomoção e manutenção. Foram detectadas pequenas atividades indesejáveis. Concluiu-se que os talos de couve podem ser usados como enriquecimento ambiental, formando parte das preferências alimentares de calopsitas. No entanto, seu uso não altera de maneira expressiva o comportamento das aves.(AU)

Environmental enrichment on the behavior and welfare of cockatiels (Nymphicus hollandicus) / Enriquecimento ambiental no comportamento e no bem-estar de calopsitas (Nymphicus hollandicus)

This study evaluated the influence of physical environmental enrichment on the behavior of cockatiels (Nymphicus hollandicus). Eighteen birds, nine males and nine females, were monitored in environments enriched with wooden sticks and bead rings and in non-enriched environments, in a completely randomized design. Behavioral categories were grouped into locomotion, maintenance, rest, feed, undesirable activities, and interaction with environmental enrichment. Data were analyzed using descriptive analysis of behaviors to produce the ethogram and percentage comparison of frequency values for behavior analysis. Environmental enrichment positively influenced behavioral categories and some behavioral activities of birds.(AU)

Objetivou-se, com o presente trabalho, avaliar a influência do enriquecimento ambiental físico sobre o comportamento de calopsitas (Nymphicus hollandicus). Foram monitoradas 18 aves, sendo nove machos e nove fêmeas, em ambientes enriquecidos com tocos de madeira e argola de miçangas e sem enriquecimento ambiental. O delineamento foi inteiramente ao acaso. As categorias comportamentais foram agrupadas em locomoção, manutenção, repouso, alimentação, atividades indesejáveis e interação com o enriquecimento ambiental. Os dados foram examinados por meio da análise descritiva dos comportamentos para elaboração do etograma e comparação percentual das frequências observadas para análise dos comportamentos. Foi observada influência positiva do enriquecimento ambiental sobre as categorias comportamentais e algumas atividades comportamentais das aves.(AU)

Environmental enrichment on the behavior and welfare of cockatiels (Nymphicus hollandicus) / Enriquecimento ambiental no comportamento e no bem-estar de calopsitas (Nymphicus hollandicus)

This study evaluated the influence of physical environmental enrichment on the behavior of cockatiels (Nymphicus hollandicus). Eighteen birds, nine males and nine females, were monitored in environments enriched with wooden sticks and bead rings and in non-enriched environments, in a completely randomized design. Behavioral categories were grouped into locomotion, maintenance, rest, feed, undesirable activities, and interaction with environmental enrichment. Data were analyzed using descriptive analysis of behaviors to produce the ethogram and percentage comparison of frequency values for behavior analysis. Environmental enrichment positively influenced behavioral categories and some behavioral activities of birds.(AU)

Objetivou-se, com o presente trabalho, avaliar a influência do enriquecimento ambiental físico sobre o comportamento de calopsitas (Nymphicus hollandicus). Foram monitoradas 18 aves, sendo nove machos e nove fêmeas, em ambientes enriquecidos com tocos de madeira e argola de miçangas e sem enriquecimento ambiental. O delineamento foi inteiramente ao acaso. As categorias comportamentais foram agrupadas em locomoção, manutenção, repouso, alimentação, atividades indesejáveis e interação com o enriquecimento ambiental. Os dados foram examinados por meio da análise descritiva dos comportamentos para elaboração do etograma e comparação percentual das frequências observadas para análise dos comportamentos. Foi observada influência positiva do enriquecimento ambiental sobre as categorias comportamentais e algumas atividades comportamentais das aves.(AU)

Behaviour of cockatiels (Nymphicus hollandicus) at two temperatures in captivity / Comportamento de calopsita (Nymphicus hollandicus) sob duas temperaturas em cativeiro

Behavioural studies with cockatiels (Nymphicus hollandicus) in captivity are scarce. Due to the need for appropriate management of these animals, this study was performed to examine the behaviour of cockatiels kept in captivity at two temperatures. Sixteen cockatiels were individually housed in cages (62cm high x 43cm long x 27cm wide) and fed with a commercial ration and seed mixture for psittacids. Water was provided ad libitum. The eight-day experiment was divided into two stages of four days each. In the first stage, the birds were kept at room temperature (25°C) with 70% relative humidity during 24 hours. In the next stage, they were kept at 35°C from 06:00 to 18:00h and 25°C from 18:00 to 06:00h, also at 70% relative humidity. The behaviour of the birds was assessed by the analysis of video recordings taken from 6:00 to 18:00h. Lateral displacement on the perch, walking on the wire net, resting on the abdomen, stopping on the wire net, standing on the drinker or feeder, seed intake, cleaning the wings and shaking the plumage were not influenced (P>0.08) by temperature. Undesirable activities such as gnawing the perch or the wire net also showed no influence of temperature (P>0.15). At 35°C, the birds remained on the cage floor less often (P<0.02) and more often on the perch. Flapping or gnawing the feeder increased as did the consumption of ration (P<0.01). Increase in temperature from 25 to 35°C changed the behaviour of the cockatiels, although these behaviours were not characterised as responses to temperature stress.

Estudos comportamentais com calopsitas (Nymphicus hollandicus) em cativeiro são escassos. Devido à necessidade de um manejo adequado desses animais, este estudo foi realizado para avaliar o comportamento de calopsitas mantidas em cativeiro em duas temperaturas. Dezesseis calopsitas foram alojadas individualmente em gaiolas (62cm de altura x 43cm de comprimento x 27cm de largura) e alimentadas com ração comercial e mistura de sementes para psitacídeos. A água foi fornecida ad libitum. O período experimental foi de oito dias, dividido em duas fases de quatro dias cada. Na primeira fase, as aves foram mantidas à temperatura ambiente (25°C), com 70% de umidade relativa, durante o dia e a noite. Na etapa seguinte, elas foram mantidas a 35°C de 6-18h e 25°C de 18-6h, também com 70% de umidade relativa. O comportamento das aves foi avaliado através de filmagem de 6-18h. Os comportamentos, deslocando lateralmente no poleiro, andando na tela da gaiola, repousando sobre o ventre, paradas na tela da gaiola, de pé sobre o bebedouro ou comedouro, ingestão de sementes, limpeza das asas e sacudindo a plumagem, não foram influenciados (P>0,08) pelas duas temperaturas testadas. Atividades indesejáveis, tais como roer o poleiro ou a tela da gaiola também não foram influenciadas (P>0,15). Sob a temperatura de 35°C, as aves permaneceram menos frequentemente no chão da gaiola (P<0,02) e mais frequentemente no poleiro. Nessa temperatura, bater as asas e roer o comedouro aumentaram com o aumento do consumo de ração (P<0,01). Concluiu-se que o aumento da temperatura de 25 para 35°C alterou o comportamento das calopsitas, embora esses comportamentos não pudessem ser caracterizados como respostas ao estresse térmico.

Behaviour of cockatiels (Nymphicus hollandicus) at two temperatures in captivity / Comportamento de calopsita (Nymphicus hollandicus) sob duas temperaturas em cativeiro

Behavioural studies with cockatiels (Nymphicus hollandicus) in captivity are scarce. Due to the need for appropriate management of these animals, this study was performed to examine the behaviour of cockatiels kept in captivity at two temperatures. Sixteen cockatiels were individually housed in cages (62cm high x 43cm long x 27cm wide) and fed with a commercial ration and seed mixture for psittacids. Water was provided ad libitum. The eight-day experiment was divided into two stages of four days each. In the first stage, the birds were kept at room temperature (25°C) with 70% relative humidity during 24 hours. In the next stage, they were kept at 35°C from 06:00 to 18:00h and 25°C from 18:00 to 06:00h, also at 70% relative humidity. The behaviour of the birds was assessed by the analysis of video recordings taken from 6:00 to 18:00h. Lateral displacement on the perch, walking on the wire net, resting on the abdomen, stopping on the wire net, standing on the drinker or feeder, seed intake, cleaning the wings and shaking the plumage were not influenced (P>0.08) by temperature. Undesirable activities such as gnawing the perch or the wire net also showed no influence of temperature (P>0.15). At 35°C, the birds remained on the cage floor less often (P<0.02) and more often on the perch. Flapping or gnawing the feeder increased as did the consumption of ration (P<0.01). Increase in temperature from 25 to 35°C changed the behaviour of the cockatiels, although these behaviours were not characterised as responses to temperature stress(AU)

Estudos comportamentais com calopsitas (Nymphicus hollandicus) em cativeiro são escassos. Devido à necessidade de um manejo adequado desses animais, este estudo foi realizado para avaliar o comportamento de calopsitas mantidas em cativeiro em duas temperaturas. Dezesseis calopsitas foram alojadas individualmente em gaiolas (62cm de altura x 43cm de comprimento x 27cm de largura) e alimentadas com ração comercial e mistura de sementes para psitacídeos. A água foi fornecida ad libitum. O período experimental foi de oito dias, dividido em duas fases de quatro dias cada. Na primeira fase, as aves foram mantidas à temperatura ambiente (25°C), com 70% de umidade relativa, durante o dia e a noite. Na etapa seguinte, elas foram mantidas a 35°C de 6-18h e 25°C de 18-6h, também com 70% de umidade relativa. O comportamento das aves foi avaliado através de filmagem de 6-18h. Os comportamentos, deslocando lateralmente no poleiro, andando na tela da gaiola, repousando sobre o ventre, paradas na tela da gaiola, de pé sobre o bebedouro ou comedouro, ingestão de sementes, limpeza das asas e sacudindo a plumagem, não foram influenciados (P>0,08) pelas duas temperaturas testadas. Atividades indesejáveis, tais como roer o poleiro ou a tela da gaiola também não foram influenciadas (P>0,15). Sob a temperatura de 35°C, as aves permaneceram menos frequentemente no chão da gaiola (P<0,02) e mais frequentemente no poleiro. Nessa temperatura, bater as asas e roer o comedouro aumentaram com o aumento do consumo de ração (P<0,01). Concluiu-se que o aumento da temperatura de 25 para 35°C alterou o comportamento das calopsitas, embora esses comportamentos não pudessem ser caracterizados como respostas ao estresse térmico(AU)

Descriptor selection for banana accessions based on univariate and multivariate analysis.

Our objective was to establish a minimum number of morphological descriptors for the characterization of banana germplasm and evaluate the efficiency of removal of redundant characters, based on univariate and multivariate statistical analyses. Phenotypic characterization was made of 77 accessions from Bahia, Brazil, using 92 descriptors. The selection of the descriptors was carried out by principal components analysis (quantitative) and by entropy (multi-category). Efficiency of elimination was analyzed by a comparative study between the clusters formed, taking into consideration all 92 descriptors and smaller groups. The selected descriptors were analyzed with the Ward-MLM procedure and a combined matrix formed by the Gower algorithm. We were able to reduce the number of descriptors used for characterizing the banana germplasm (42%). The correlation between the matrices considering the 92 descriptors and the selected ones was 0.82, showing that the reduction in the number of descriptors did not influence estimation of genetic variability between the banana accessions. We conclude that removing these descriptors caused no loss of information, considering the groups formed from pre-established criteria, including subgroup/subspecies.

Colloidal carriers for benzathine penicillin G: nanoemulsions and nanocapsules.

The main purpose of this work is to formulate benzathine penicillin G nanoemulsion and nanocapsules, to evaluate their physicochemical and stabilising characteristics, and to determine their antimicrobial activity and penicillin in vitro release kinetics. Nanoemulsions were produced by the spontaneous emulsification approach and nanocapsules of poly (D,L-lactic acid-co-glycolic acid) polymer (PLGA) were prepared by the method of interfacial deposition of a pre-formed polymer. A 207+/-8 nm mean diameter nanoemulsion formulation maintained stability for more than 5 months at 4 degrees C. Stable nanocapsules with 224+/-58 nm mean diameter were obtained, which remained stabilised over 120 days at 4 degrees C. The penicillin encapsulation ratio in the nanocapsules was 85%. The in vitro release profiles indicated that penicillin released from the nanoemulsion was similar to the one observed from nanocapsules. However it can be clearly deduced from the in vitro kinetic analysis that the antibiotic cannot be protected in colloidal delivery systems. Nevertheless, stable formulations obtained in this investigation supply a potential dosage form to encapsulate more easily soluble drugs.

[Modification in the contraceptive behavior in Sorocaba in a period of 11 years (1968-1979) (author's transl)]. / Modificacoes nos habitos anticonceptionais em Sorocaba em um periodo de 11 anos (1968-1979).

PIP: 2 surveys were conducted in 1968 and 1979 in the same medium and low income neighborhood of Sorocaba, Brazil, to investigate modifications in contraceptive practice. The number of women knowing about contraception went from 68.9% to 94.6%, but the percentage of women actually using contraception decreased from 58.7% to 39.9%. Among those using contraception there was a marked increase in OC (oral contraception) use and a marked decrease in coitus interruptus and condom use. During the period of 11 years the yearly income of surveyed people had increased about 20%; however, the number of contraceptive users had increased only among women with higher income and better education, it had decreased in all other groups. The use of the pill was relatively higher among Catholic women^ieng