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1.
J Fish Biol ; 2024 Mar 30.
Artigo em Inglês | MEDLINE | ID: mdl-38553979

RESUMO

A new species of characid with remarkable sexual characteristics is described from the upper Guayabero River drainage from the Orinoco basin in Colombia. The new species is included in the genus Monotocheirodon by sharing most of the previously proposed diagnostic features of this genus. It differs from all Stevardiinae by the combination, in adult males, of an enlarged urogenital papilla in contact with the first anal-fin unbranched ray and a highly modified anal fin with enlarged and distally elongated first and second branched anal-fin rays, forming a gonopodium-like structure. In addition, it differs from congeners by the presence of an adipose fin, an incomplete lateral line, an ascending process of the premaxilla dorsally oriented, and a long snout. The new species was discovered from a poorly sampled region in Colombia and is an unexpected new record given its disjunct geographic distribution from other species of the genus. Monotocheirodon species were previously known from piedmont drainages in Bolivia and Peru. The conservation status of the new species is herein categorized following IUCN criteria.

2.
Conserv Biol ; 36(4): e13911, 2022 08.
Artigo em Inglês | MEDLINE | ID: mdl-35390208

RESUMO

With the genetic health of many plant and animal populations deteriorating due to climate change outpacing adaptation, interventions, such as assisted gene flow (AGF), may provide genetic variation necessary for populations to adapt to climate change. We ran genetic simulations to mimic different AGF scenarios in large populations and measured their outcomes on population-level fitness to determine circumstances in which it is worthwhile to perform AGF. In the absence of inbreeding depression, AGF was beneficial within a few generations only when introduced genotypes had much higher fitness than local individuals and traits affecting fitness were controlled by a few genes of large effect. AGF was harmful over short periods (e.g., first ∼10-20 generations) if there was strong outbreeding depression or introduced deleterious genetic variation. When the adaptive trait was controlled by many loci of small effect, the benefits of AGF took over 10 generations to realize-potentially too long for most climate-related management scenarios. The genomic integrity of the recipient population typically remained intact following AGF; the amount of genetic material from the donor population usually constituted no more of the recipient population's genome than the fraction of the population introduced. Significant genomic turnover (e.g., >50% replacement) only occurred when the selective advantage of the adaptive trait and translocation fraction were extremely high. Our results will be useful when adaptive management is used to maintain the genetic health and productivity of large populations under climate change.


Con el deterioro de la salud genética de muchas poblaciones de plantas y animales debido a la ventaja que le lleva el cambio climático a la adaptación, algunas intervenciones, como el flujo génico asistido (FGA), pueden proporcionar la variación genética necesaria para que las poblaciones se adapten al cambio climático. Simulamos diferentes escenarios de FGA aplicado en poblaciones grandes y medimos los resultados en la aptitud a nivel poblacional para determinar las circunstancias en las que merece la pena realizar FGA. Cuando no hubo depresión endogámica, el FGA produjo un beneficio en pocas generaciones sólo cuando se introdujeron genotipos que tenían una aptitud mucho mayor que los individuos locales y cuando unos cuantos genes de gran efecto controlaron los rasgos que afectaban a la aptitud. El flujo génico asistido fue dañino en periodos cortos (p.ej.: las primeras 10-20 generaciones) si existía una fuerte depresión exogámica o una variación genética deletérea introducida. Cuando muchos loci de pequeño efecto controlaron el rasgo adaptativo, los beneficios del FGA tardaron más de 10 generaciones en aparecer - un tiempo potencialmente muy largo para la mayoría de la gestión relacionada con el clima. La integridad genómica de la población receptora casi siempre permaneció intacta después del FGA; es decir, la cantidad de material genético de la población donante generalmente no constituyó más que la fracción de población introducida en el genoma de la población receptora. La rotación genómica significativa (p.ej.: reemplazos >50%) sólo ocurrió cuando la ventaja selectiva del rasgo adaptativo y la fracción de reubicación fueron extremadamente elevadas. Nuestros resultados serán útiles cuando se use la gestión adaptativa para mantener la salud genética y la productividad de las poblaciones grandes bajo el cambio climático.


Assuntos
Conservação dos Recursos Naturais , Fluxo Gênico , Animais , Mudança Climática
3.
Front Robot AI ; 8: 674292, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34805287

RESUMO

Improvisation is a hallmark of human creativity and serves a functional purpose in completing everyday tasks with novel resources. This is particularly exhibited in tool-using tasks: When the expected tool for a task is unavailable, humans often are able to replace the expected tool with an atypical one. As robots become more commonplace in human society, we will also expect them to become more skilled at using tools in order to accommodate unexpected variations of tool-using tasks. In order for robots to creatively adapt their use of tools to task variations in a manner similar to humans, they must identify tools that fulfill a set of task constraints that are essential to completing the task successfully yet are initially unknown to the robot. In this paper, we present a high-level process for tool improvisation (tool identification, evaluation, and adaptation), highlight the importance of tooltips in considering tool-task pairings, and describe a method of learning by correction in which the robot learns the constraints from feedback from a human teacher. We demonstrate the efficacy of the learning by correction method for both within-task and across-task transfer on a physical robot.

4.
PLoS Comput Biol ; 17(11): e1009534, 2021 11.
Artigo em Inglês | MEDLINE | ID: mdl-34762646

RESUMO

Computational biology has gained traction as an independent scientific discipline over the last years in South America. However, there is still a growing need for bioscientists, from different backgrounds, with different levels, to acquire programming skills, which could reduce the time from data to insights and bridge communication between life scientists and computer scientists. Python is a programming language extensively used in bioinformatics and data science, which is particularly suitable for beginners. Here, we describe the conception, organization, and implementation of the Brazilian Python Workshop for Biological Data. This workshop has been organized by graduate and undergraduate students and supported, mostly in administrative matters, by experienced faculty members since 2017. The workshop was conceived for teaching bioscientists, mainly students in Brazil, on how to program in a biological context. The goal of this article was to share our experience with the 2020 edition of the workshop in its virtual format due to the Coronavirus Disease 2019 (COVID-19) pandemic and to compare and contrast this year's experience with the previous in-person editions. We described a hands-on and live coding workshop model for teaching introductory Python programming. We also highlighted the adaptations made from in-person to online format in 2020, the participants' assessment of learning progression, and general workshop management. Lastly, we provided a summary and reflections from our personal experiences from the workshops of the last 4 years. Our takeaways included the benefits of the learning from learners' feedback (LLF) that allowed us to improve the workshop in real time, in the short, and likely in the long term. We concluded that the Brazilian Python Workshop for Biological Data is a highly effective workshop model for teaching a programming language that allows bioscientists to go beyond an initial exploration of programming skills for data analysis in the medium to long term.


Assuntos
Biologia Computacional/educação , Currículo , Linguagens de Programação , Brasil , COVID-19 , Educação a Distância , Humanos , Pandemias , Distanciamento Físico
5.
J Fish Biol ; 98(1): 219-236, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-32997388

RESUMO

Species delimitation is a permanent issue in systematics. The increasing recognition of geographically isolated populations as independent lineages allowed by new methods of analysis has inflated the species-populations dilemma, which involves deciding whether to consider separate lineages as different species or structured genetic populations. This is commonly observed between fishes of adjacent river basins, with some lineages being considered allopatric sister species and others considered isolated populations or variants of the same species. Pseudocorynopoma doriae is a characid diagnosed from its single congener by the number of anal-fin rays and sexually dimorphic characters of males, including distinct fin colouration. The authors found variation in the colour pattern between isolated populations previously identified as P. doriae but no variation in scale or fin-ray counts. They analysed molecular evidence at the population level and morphological differences related to life history (e.g., colour dimorphism related to inseminating behaviour). The results provide compelling evidence for the recognition of a new species of Pseudocorynopoma despite the lack of discrete differences in meristic data. The recognition of the new species is consistent with biogeographical evidence for the long-term isolation of the respective river drainages and with differences between the ichthyofaunal communities of these rivers.


Assuntos
Characidae/anatomia & histologia , Characidae/classificação , Filogenia , Animais , Feminino , Masculino , Rios , Caracteres Sexuais , Especificidade da Espécie
6.
Mol Ecol ; 29(23): 4665-4679, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-32991032

RESUMO

Phylogeographic concordance, or the sharing of phylogeographic patterns among codistributed species, suggests similar responses to topography or climatic history. While the orientation and timing of breaks between lineages are routinely compared, spatial dynamics within regions occupied by individual lineages provide a second opportunity for comparing responses to past events. In environments with complex topography and glacial history, such as New Zealand's South Island, geographically nested comparisons can identify the processes leading to phylogeographic concordance between and within regional genomic clusters. Here, we used single nucleotide polymorphisms (obtained via ddRADseq) for two codistributed forest beetle species, Agyrtodes labralis (Leiodidae) and Brachynopus scutellaris (Staphylinidae), to evaluate the role of climate change and topography in shaping phylogeographic concordance at two, nested spatial scales: do species diverge over the same geographic barriers, with similar divergence times? And within regions delimited by these breaks, do species share similar spatial dynamics of directional expansion or isolation-by-distance? We found greater congruence of phylogeographic breaks between regions divided by the strongest dispersal barriers (i.e., the Southern Alps). However, these shared breaks were not indicative of shared spatial dynamics within the regions they delimit, and the most similar spatial dynamics between species occurred within regions with the strongest gradients in historical climatic stability. Our results indicate that lack of concordance as traditionally detected by lineage turnover does not rule out the possibility of shared histories, and variation in the presence and type of concordance may provide insights into the different processes shaping phylogeographic patterns across geologically dynamic regions.


Assuntos
Besouros , Animais , Mudança Climática , Besouros/genética , DNA Mitocondrial , Variação Genética , Nova Zelândia , Filogenia , Filogeografia
7.
Mol Ecol ; 29(4): 783-796, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-31958183

RESUMO

Assessments of spatial and temporal congruency across taxa from genetic data provide insights into the extent to which similar processes structure communities. However, for coastal regions that are affected continuously by cyclical sea-level changes over the Pleistocene, congruent interspecific response will not only depend upon codistributions, but also on similar dispersal histories among taxa. Here, we use SNPs to test for concordant genetic structure among four codistributed taxa of freshwater fishes (Teleostei: Characidae) along the Brazilian Atlantic coastal drainages. Based on population relationships and hierarchical genetic structure analyses, we identify all taxa share the same geographic structure suggesting the fish utilized common passages in the past to move between river basins. In contrast to this strong spatial concordance, model-based estimates of divergence times indicate that despite common routes for dispersal, these passages were traversed by each of the taxa at different times resulting in varying degrees of genetic differentiation across barriers with most divergences dating to the Upper Pleistocene, even when accounting for divergence with gene flow. Interestingly, when this temporal dissonance is viewed through the lens of the species-specific ecologies, it suggests that an ecological sieve influenced whether species dispersed readily, with an ecological generalist showing the highest propensity for historical dispersal among the isolated rivers of the Brazilian coast (i.e., the most recent divergence times and frequent gene flow estimated for barriers). We discuss how our findings, and in particular what the temporal dissonance, despite common geographic passages, suggest about past dispersal structuring coastal communities as a function of ecological and paleo-landscape sieves.


Assuntos
Characidae/genética , Ecologia , Genética Populacional , Genômica , Animais , Brasil , DNA Mitocondrial/genética , Água Doce , Fluxo Gênico , Variação Genética/genética , Filogenia , Filogeografia , Rios , Especificidade da Espécie
8.
Mol Ecol Resour ; 19(6): 1381-1384, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31657534

RESUMO

Connectivity and movement patterns of populations are influenced by past and present environmental and biotic factors, which are reflected in genetic relatedness among populations. Methods that estimate the "commute time" between populations based on electrical resistance (i.e., isolation-by-resistance [IBR]) have been widely applied to either infer movement patterns directly from environmental factors or detect possible barriers to gene flow given empirical genetic relatedness. Yet, the commute time is only equivalent to the coalescence time between populations under symmetric migration with isotropic landscapes. Asymmetric gene flow is relatively common when populations are expanding, retreating, or with source-sink dynamics. In a From the Cover paper in this issue of Molecular Ecology Resources, Lundgren and Ralph (Molecular Ecology Resources, 19, 2019) describe a Bayesian method to infer bidirectional gene flow rates and population sizes without the assumption of symmetry. The method shows great accuracy in connectivity estimations under symmetric, as well as asymmetric gene flow scenarios where resistance methods fail. However, computational complexity limits the method to a few populations, preventing its application to finescale environmental maps. Also, as a discrete-deme static model, the inferred differences in gene flow rates are sensitive to population discretization and cannot be directly used to differentiate among processes (e.g., past expansion vs. current barrier). Here, we discuss scenarios where the new method can best be utilized and provide potential directions to identify the underlying processes causing deviations in gene flow patterns.


Assuntos
Fluxo Gênico/genética , Animais , Teorema de Bayes , Viés , Ecologia/métodos , Ecossistema , Genética Populacional/métodos , Humanos , Modelos Genéticos , Densidade Demográfica , Dinâmica Populacional
9.
Mol Phylogenet Evol ; 132: 265-274, 2019 03.
Artigo em Inglês | MEDLINE | ID: mdl-30528083

RESUMO

With 22 described species, Phalloceros is the most species-rich genus of Poeciliidae in South America. Phalloceros diversity is characterized by high degrees of endemism and sympatry in coastal and inland drainages in southeastern South America. The taxa are also characterized by pronounced differentiation in sexual characters (i.e., female urogenital papilla and male gonopodium), which might have contributed to their diversification. Here we estimate phylogenetic relationships based on more than 18,000 loci in 93 individuals representing 19 described species and two putative undescribed species. Morphologically defined species correspond to monophyletic species lineages, with individuals within a species clustering together in phylogenetic estimates, with the main exception being P. harpagos, supporting undiscovered diversity in this morphospecies. Shifts in the female and male sexual traits (i.e., urogenital papilla and gonopodium) occurred in concert multiple times along the phylogeny highlighting the role of sexual selection in driving divergence in this genus. Out of 22 valid species, 14 species are found in sympatry with at least one other species of this genus. However, most co-occurrences are observed among non-sister species suggesting that diversification among closely related species involved mostly allopatric speciation, with only two instances of sympatric sister-species observed. A strong mismatch in sexual traits among sympatric taxa suggests that co-existence may be linked to divergent sexual traits that maintain species genetic distinctiveness through mechanical disruptions of interbreeding.


Assuntos
Ciprinodontiformes/classificação , Animais , Biodiversidade , Ciprinodontiformes/anatomia & histologia , DNA/química , DNA/genética , DNA/metabolismo , Especiação Genética , Fenótipo , Filogenia , Filogeografia , Polimorfismo de Nucleotídeo Único , América do Sul
10.
Neotrop. ichthyol ; 16(3): [e180019], out. 2018. tab, mapas, ilus, graf
Artigo em Inglês | LILACS, VETINDEX | ID: biblio-963963

RESUMO

The eastern coastal basins of Brazil are a series of small and isolated rivers that drain directly into the Atlantic Ocean. During the Pleistocene, sea-level retreat caused by glaciations exposed the continental shelf, resulting in enlarged paleodrainages that connected rivers that are isolated today. Using Geographic Information System (GIS), we infer the distribution of these paleodrainages, and their properties for the east Brazilian coast. Specifically, using elevation/bathymetric data for the largest sea-level retreats during the Pleistocene, the paleodrainages, their area and the number of contemporary basins connected by each palaeodrainage, was inferred. For the 145 inferred paleodrainages, total paleodrainage area is strongly correlated with the contemporary area encompassed by each paleodrainage, as well as with the number of contemporary basins encompassed by a paleodrainage. Differences in the continental shelf exposure along the coast affected the degree of past connectivity among contemporary rivers. With our results freely available, we discuss how paleodrainages have tremendous utility in biological studies, especially in regions with limited geologic data. With respect to the diverse ichthyofauna of the Brazilian coast, and its high endemism, we highlight how the inferred paleodrainages provide a backdrop to test hypotheses about the effect of past riverine connectivity on diversity patterns.(AU)


As bacias costeiras do leste do Brasil são formadas por uma série de rios pequenos e isolados que drenam diretamente para o Oceano Atlântico. Durante o Pleistoceno, o recuo do nível do mar causado por glaciações expôs a plataforma continental, resultando em paleodrenagens amplas que conectaram rios atualmente isolados. Usando o Sistema de Informações Geográficas (GIS), inferimos a distribuição destas paleodrenagens e suas propriedades ao longo da costa leste do Brasil. Especificamente, utilizando dados de elevação/batimetria para as maiores regressões marinhas do Pleistoceno, inferimos as paleodrenagens, suas áreas e quantas bacias contemporâneas foram conectadas por cada paleodrenagem. Para as 145 paleodrenagens inferidas, uma forte correlação é observada entre a área das paleodrenagens e a área atualmente exposta de cada paleodrenagem, bem como a quantidade de bacias contemporâneas conectadas por uma paleodrenagem. Diferenças na exposição da plataforma continental ao longo da costa afetaram o grau de conectividade passada entre os rios. Com estes resultados publicamente disponíveis, discutimos como as paleodrenagens são extremamente úteis para estudos biológicos, especialmente em regiões com dados geológicos limitados. A respeito da diversa ictiofauna da costa brasileira e seus altos níveis de endemismo, destacamos como estas paleodrenagens fornecem uma base importante para o teste de hipóteses a respeito do efeito da conectividade passada dos rios nos padrões de diversidade biológica.(AU)


Assuntos
Animais , Ecologia , Peixes/classificação
11.
Evolution ; 70(3): 731-9, 2016 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-26888211

RESUMO

It is widely recognized that physical landscapes can shape genetic variation within and between populations. However, it is not well understood how riverscapes, with their complex architectures, affect patterns of neutral genetic diversity. Using a spatially explicit agent-based modeling (ABM) approach, we evaluate the genetic consequences of dendritic river shapes on local population structure. We disentangle the relative contribution of specific river properties to observed patterns of genetic variation by evaluating how different branching architectures and downstream flow regimes affect the genetic structure of populations situated within river networks. Irrespective of the river length, our results illustrate that the extent of river branching, confluence position, and levels of asymmetric downstream migration dictate patterns of genetic variation in riverine populations. Comparisons between simple and highly branched rivers show a 20-fold increase in the overall genetic diversity and a sevenfold increase in the genetic differentiation between local populations. Given that most rivers have complex architectures, these results highlight the importance of incorporating riverscape information into evolutionary models of aquatic species and could help explain why riverine fishes represent a disproportionately large amount of global vertebrate diversity per unit of habitable area.


Assuntos
Ecossistema , Peixes/classificação , Rios , Animais , Peixes/genética
13.
BMC Evol Biol ; 15: 146, 2015 Jul 21.
Artigo em Inglês | MEDLINE | ID: mdl-26195030

RESUMO

BACKGROUND: The subfamily Stevardiinae is a diverse and widely distributed clade of freshwater fishes from South and Central America, commonly known as "tetras" (Characidae). The group was named "clade A" when first proposed as a monophyletic unit of Characidae and later designated as a subfamily. Stevardiinae includes 48 genera and around 310 valid species with many species presenting inseminating reproductive strategy. No global hypothesis of relationships is available for this group and currently many genera are listed as incertae sedis or are suspected to be non-monophyletic. RESULTS: We present a molecular phylogeny with the largest number of stevardiine species analyzed so far, including 355 samples representing 153 putative species distributed in 32 genera, to test the group's monophyly and internal relationships. The phylogeny was inferred using DNA sequence data from seven gene fragments (mtDNA: 12S, 16S and COI; nuclear: RAG1, RAG2, MYH6 and PTR). The results support the Stevardiinae as a monophyletic group and a detailed hypothesis of the internal relationships for this subfamily. CONCLUSIONS: A revised classification based on the molecular phylogeny is proposed that includes seven tribes and also defines monophyletic genera, including a resurrected genus Eretmobrycon, and new definitions for Diapoma, Hemibrycon, Bryconamericus sensu stricto, and Knodus sensu stricto, placing some small genera as junior synonyms. Inseminating species are distributed in several clades suggesting that reproductive strategy is evolutionarily labile in this group of fishes.


Assuntos
Characidae/classificação , Characidae/genética , Animais , América Central , DNA Mitocondrial/genética , Evolução Molecular , Proteínas de Peixes/genética , Filogenia , Análise de Sequência de DNA
14.
Mol Phylogenet Evol ; 57(3): 1347-52, 2010 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-20965264

RESUMO

The phylogenetic relationships among characids are complex with many genera remaining of uncertain systematic position inside the family. The genus Hollandichthys is one of these problematic genera. It has been considered as incertae sedis inside this family until two recently published phylogenies, one morphological and one molecular, arrived at alternative hypothesizes as to the relationships of Hollandichthys with Pseudochalceus or Rachoviscus, respectively. In this paper, we infer the phylogenetic relations of these taxa based on five genes (three mitochondrial - COI, ND2 and 16S; and two nuclear - Sia and Trop), totaling up to 2719 bp. The 41 analyzed species in the Characidae include four incertae sedis characid taxa once hypothesized as related to Hollandichthys, but never analyzed in a single phylogeny (Rachoviscus, Pseudochalceus, Nematocharax and Hyphessobrycon uruguayensis). Here we propose Rachoviscus as the sister-group of Hollandichthys, grouped in the large clade C previously defined, along with the remaining incertae sedis taxa studied here. In addition, we support the evidence that insemination evolved independently at least three times in the Characidae.


Assuntos
Evolução Molecular , Peixes/classificação , Filogenia , Animais , Teorema de Bayes , Núcleo Celular/genética , DNA Mitocondrial/genética , Peixes/genética , Alinhamento de Sequência , Análise de Sequência de DNA
15.
Rev. Kairós ; 13(2): 75-89, 2010.
Artigo em Português | LILACS | ID: lil-638336

RESUMO

Este artigo teve como objetivo discorrer sobre as imagens que os jovens fazem dos velhos, ou seja, como os jovens enxergam e encaram os idosos e o envelhecimento contemporâneo, contribuindo para a manutenção de uma imagem pré-estabelecida socialmente ou permitindo aos velhos recriarem e se apresentarem de modo mais singular. Conclui-se que, apesar de os idosos ainda serem vistos com mitos e preconceitos, está emergindo outro conceito de se viver a velhice, mais positivo e inclusivo.


This text intends to discuss about the different images that young people have about elderly people, it’s to know how young people see those elderly and face aging, contributing to keep the social image or promoting and allowing the elderly to present themselves in a different and in a particular way. The conclusion is that although elderly have being seeing with a lot of prejudice, a new way of living the aging is being created: a more positive and included way.


Assuntos
Humanos , Adolescente , Adulto Jovem , Idoso , Envelhecimento , Relação entre Gerações
16.
Rev. Kairós ; 13(2): 75-89, 2010.
Artigo em Português | Index Psicologia - Periódicos | ID: psi-51103

RESUMO

Este artigo teve como objetivo discorrer sobre as imagens que os jovens fazem dos velhos, ou seja, como os jovens enxergam e encaram os idosos e o envelhecimento contemporâneo, contribuindo para a manutenção de uma imagem pré-estabelecida socialmente ou permitindo aos velhos recriarem e se apresentarem de modo mais singular. Conclui-se que, apesar de os idosos ainda serem vistos com mitos e preconceitos, está emergindo outro conceito de se viver a velhice, mais positivo e inclusivo.(AU)


This text intends to discuss about the different images that young people have about elderly people, it’s to know how young people see those elderly and face aging, contributing to keep the social image or promoting and allowing the elderly to present themselves in a different and in a particular way. The conclusion is that although elderly have being seeing with a lot of prejudice, a new way of living the aging is being created: a more positive and included way.(AU)


Assuntos
Humanos , Adolescente , Adulto Jovem , Idoso , Envelhecimento , Relação entre Gerações
17.
Acta fisiátrica ; 14(4): 204-209, dez. 2007. ilus, tab
Artigo em Português | LILACS | ID: lil-536594

RESUMO

Introdução: As úlceras de pressão são complicações freqüentes em pacientes com lesão medular. Estas precisam de um diagnóstico precoce e um acompanhamento rigoroso para que não evoluam para um quadro mais grave e para não retardar o processo de reabilitação. Infelizmente, não é sempre que o paciente consegue acesso a um centro especializado no tratamento de feridas e, por isso, a telemedicina pode ser útil nesses casos. Objetivo: Avaliar a eficácia de um protocolo de avaliação de úlceras de pressão através de fotografias digitais. Métodos: Selecionamos 15 pacientes, totalizando 33 úlceras. Os pacientes foram avaliados por 2 médicos fisiatras presenciais, separadamente, que no momento do exame, preencheram a primeira parte do protocolo (dados clínicos do paciente) e tiraram as fotografias. Estas foram encaminhadas aos médicos fisiatras à distância, que avaliaram as feridas através das fotos e dos dados enviados pelo médico presencial. Comparamos as semelhanças e diferenças das avaliações entre os dois médicos presenciais, entre presencial e a distancia e entre os dois médicos à distância nos quesitos grau, necrose, infecção, fístula, secreção, aspecto da borda e do fundo e conduta. A Análise estatística se baseou nos cálculos de Kappa, intervalo de confiança e P valor. Resultados: Encontramos os maiores valores de Kappa quando comparamos as avaliações presenciais. Para necrose, grau e infecção, os kappas Avaliação Presencial (P) x Avaliação à distância (D) foram substantial e moderate. No item conduta, o Kappa variou de fraco a almost perfect. Nas avaliações das bordas, fundo, secreção e fístula foram encontradas divergências. Conclusão: O protocolo é eficaz para avaliar necrose, grau e infecção das úlceras. Existe dificuldade no uso do método para avaliar o aspecto de borda, fundo, secreção e fístula. Houve maior satisfação com o método para úlceras de pressão grau I e II.


Introduction: Pressure ulcers are frequent complications in patients with spinal cord injuries. These ulcers need an early diagnosis and a strict follow-up to prevent a more severe evolution and delays in the rehabilitation process. Unfortunately, patients do not always have access to a center specialized in the treatment of wounds, and thus, telemedicine can be useful in such cases. Objective: To evaluate the effectiveness of a protocol for the assessment of pressure ulcers through digital images. Methods: 15 patients were selected, totaling 33 ulcers. The patients were separately assessed by 2 on-site physiatrists, who filled out the first part of the protocol (patients? clinical data) at the time of the consultation and took the photographs. These were sent to the physiatrists at-distance, who evaluated the wounds through the photographs and the data sent by the on-site physician. The similarities and differences between the two on-site physicians, between the on-site physicians and the physicians at-distance and between the two physicians at-distance were compared regarding the degree, necrosis, infection, fistula, secretion, wound border and depth aspect and conduct. The statistical analysis was based on Kappa calculations, a confidence interval and P value. Results: The highest Kappa values were observed when the on-site assessments were compared. For necrosis, degree and infection, the On-site Assessment (S) x Assessment at distance (D) Kappas were substantial and moderate. For the item conduct, the Kappa varied from weak to almost perfect. As for the evaluations of the borders, depth, secretion and fistula, there were divergences. Conclusion: The protocol is effective to assess wound necrosis, degree and infection. There is some difficulty in using the method to evaluate the border and depth aspect, secretion and fistula. The method showed to be more satisfactory for the assessment of pressure ulcers grade I and II.


Assuntos
Humanos , Traumatismos da Medula Espinal/fisiopatologia , Telemedicina/instrumentação , Úlcera por Pressão/diagnóstico por imagem
18.
Arq Bras Cardiol ; 82(3): 269-76, 2004 Mar.
Artigo em Inglês, Português | MEDLINE | ID: mdl-15073652

RESUMO

OBJECTIVE: To compare the effect of eggplant extract on serum lipid levels with that of lovastatin. METHODS: The study included 21 individuals of both sexes, with total cholesterol (TC) levels > 200 mg/dL, no diabetes, no contraindication for the use of statins, and no use of cholesterol-lowering drugs, divided into the following 3 groups: 1) the eggplant group (B), in which the patients drank 1 glass of eggplant extract with orange juice before breakfast each morning; 2) the statin group (E), in which the patients received 20 mg of lovastatin in the evening after dinner; 3) control group (C), in which the patients received no treatment. Total cholesterol and fractions (HDL, LDL), and triglycerides were measured 3 times at 3-week intervals. RESULTS: The baseline lipid levels were similar in the 3 groups. After 6 weeks, a significant reduction in TC levels (from 245.29 +/- 41.69 to 205.71 +/- 46.45; P=0.02) and in LDL-cholesterol levels (from 170.83 +/- 41.76 to 121.29 +/- 44.90; P=0.008) was observed in group E. In group B, total cholesterol (from 230.60 +/- 19.30 to 240.20 +/- 16.22; P=0.27) and LDL-cholesterol (from 139.60 +/- 21.49 to 154.40 +/- 9.66; P=0.06) showed no statistically significant variation, as in group C. No significant variation was observed in the HDL-cholesterol and triglyceride levels in the 3 groups throughout the study. CONCLUSION: The eggplant extract with orange juice is not to be considered an alternative to statins in reducing serum levels of cholesterol.


Assuntos
Anticolesterolemiantes/uso terapêutico , Colesterol/sangue , Citrus sinensis , Hipercolesterolemia/tratamento farmacológico , Fitoterapia , Solanum melongena , Bebidas , Estudos de Casos e Controles , HDL-Colesterol/sangue , LDL-Colesterol/sangue , Feminino , Frutas , Humanos , Lipídeos/sangue , Lovastatina/uso terapêutico , Masculino , Extratos Vegetais/uso terapêutico , Preparações de Plantas/uso terapêutico , Triglicerídeos/sangue
19.
Arq. bras. cardiol ; 82(3): 269-276, mar. 2004. tab, graf
Artigo em Inglês, Português | LILACS | ID: lil-356898

RESUMO

OBJETIVO: Avaliar o efeito do suco de berinjela sobre os lípides plasmáticos em comparação à lovastatina. MÉTODOS: Estudados 21 indivíduos de ambos os sexos, com colesterol total (CT) > 200 mg/dl, sem diabetes, ou contra-indicação para o uso de estatinas ou em uso de drogas hipocolesterolêmicas, divididos em 3 grupos: o grupo berinjela (B), um copo de suco de berinjela com laranja pela manhã, em jejum; grupo estatina (E), 20 mg de lovastatina pela manhã; grupo controle (C) nenhum tratamento. Foram feitas três dosagens de CT, frações (HDL, LDL) e triglicérides, com intervalos de três semanas. RESULTADOS: Os três grupos possuíam níveis lipídicos basais semelhantes. Após 6 semanas ocorreu uma diminuição significativa do CT (245,29 ± 41,69 para 205,71 ± 46,45, p=0,02) e do LDL-colesterol (170,83 ± 41,76 para 121,29 ± 44,90, p=0,008) no grupo E. No grupo B, o colesterol total (230,60 ± 19,30 para 240,20 ± 16,22, p=0,27) e o LDL-colesterol (139,60 ± 21,49 para 154,40 ± 9,66, p=0,06) não apresentaram variação significativa, como ocorrido no grupo C. Não houve variação significativa, em nenhum dos três grupos, nos valores de HDL-colesterol e triglicérides ao longo do estudo. CONCLUSAO: O suco de berinjela com laranja não pode ser considerado uma alternativa às estatinas na redução dos níveis séricos de colesterol.


Assuntos
Humanos , Masculino , Feminino , Anticolesterolemiantes/uso terapêutico , Citrus sinensis , Colesterol/sangue , Hipercolesterolemia/tratamento farmacológico , Fitoterapia , Solanum melongena , Estudos de Casos e Controles , HDL-Colesterol , LDL-Colesterol , Frutas , Lipídeos/sangue , Lovastatina/uso terapêutico , Extratos Vegetais/uso terapêutico , Preparações de Plantas/uso terapêutico , Triglicerídeos/sangue
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