Rooftop water harvesting for managed aquifer recharge and flood mitigation in tropical cities: Towards a strategy of co-benefit evaluations in João Pessoa, northeast Brazil.

Intense urbanisation in many coastal areas has led to intensification of groundwater consumption, while reducing permeable areas and increasing the frequency and magnitude of flooding. Among the potential strategies to compensate for these adverse effects, which are expected to become worse as a result of climate change, rooftop rainwater harvesting (RWH) in combination with managed aquifer recharge (MAR), may be indicated. This work investigated the performance of different configurations of such a system, tested as a twofold sustainable stormwater and domestic water management tool in a tropical metropole (João Pessoa, Brazil). This area located over a sedimentary aquifer system illustrates the water security challenges of densely urbanised areas in southern cities. To that end, several configurations of rooftop catchments and storage volumes were evaluated, by simulating a MAR-RWH system connected to the regional unconfined aquifer (Barreiras Formation) through a 6″ diameter injection well. Rainfall-runoff-recharge processes and water balances were simulated using monitored high-temporal resolution rainfall data. The results showed that catchments ranging from 180 to 810 m2, connected to tanks from 0.5 to 30.0 m³, are the optimal solutions in terms of efficient rainwater retention and peak flow reduction. These solutions provided mean annual estimates of aquifer recharge between 57 and 255 m³/yr from 2004 to 2019. The results of this study highlight the opportunity for MAR schemes to reconcile stormwater management and water supply goals.

Spatial multicriteria approach to support water resources management with multiple sources in semi-arid areas in Brazil.

Semi-arid regions often face severe drought events that reduce agricultural and livestock production. In recent years, some international studies have used multicriteria decision analysis (MCDA) approaches combined with geographic information systems (GIS-MCDA) to support decision-makers in assessing the suitability of agricultural land for irrigation in semi-arid regions. Unlike previous studies, which have only considered a single source of water for crop irrigation, this study proposes a GIS-MCDA approach that considers all potentially available local water sources (e.g., groundwater, surface water, and wastewater) as possible alternatives for better multisource water resource management (MWRM) in regions facing water shortages. The geospatial multicriteria evaluation implemented in this study considers a series of technical, environmental, and agricultural productivity criteria using the analytical hierarchy process (AHP) method. Three independent baseline maps were generated, showing the spatial distribution of suitable areas for crop irrigation for each considered water source in the studied area. Surface water, groundwater, and wastewater offered suitable crop irrigation for 83%, 70%, and 26% of the study area, respectively. Overlapping these areas produced a final map showing all the feasible areas for each crop irrigation alternative at the same time. The MWRM approach considering all water sources increased the coverage of suitable areas to be irrigated in the study area by 2.2%, 20.4%, and more than 225% compared to considering surface water, groundwater, and wastewater, respectively, independently. The GIS-MCDA framework proposed in this study provides better support for decision-makers and stakeholders, favouring a reduction in possible conflicts over water scarcity, the diversification of irrigated crops, and an improvement in the quality-quantitative management of water resources in semi-arid regions.

Mutagenic activity and chemical composition of phenolic-rich extracts of leaves from two species of Ficus medicinal plants.

Plant species from the Ficus genus are widely used as food, and in folk medicine as anti-inflammatory, antioxidant and anticancer agents, although some of these species are known to produce adverse effects. The aim of this study was to determine and compare the chemical composition as well as in vitro antioxidant and mutagenic activity of the aqueous extracts of leaves from F. adhatodifolia and F. obtusiuscula. Phytochemical screening using thin-layer chromatography identified 6 classes of secondary metabolites in the extracts. Total phenolic content was estimated by the Folin-Ciocalteau method and the phenolic profile was determined by UPLC-DAD-ESI/MS/MS. Antioxidant activities were evaluated by the DPPH radical assay and by the ß-carotene/linoleic acid system. Mutagenic activity was measured by the Salmonella typhimurium reverse mutation test with 4 strains, in both the presence and absence of metabolic activation. Flavonoids, coumarins, and tannins were detected in both extracts, and 6 major derivatives were identified as flavone compounds. Antioxidant activities were demonstrated for both extracts, while F. obtusiuscula contained higher concentrations of phenolic compounds. Mutagenic activity of the TA97 strain without metabolic activation was observed for both tested extracts, as well as the TA102 strain with metabolic activation. In addition, the extract of F. adhatodifolia was shown to be mutagenic to the TA102 strain without metabolic activation. Evidence indicates that the use of teas obtained from these two plant extracts in folk medicine may raise concerns and needs further investigation as a result of potential pro-oxidant mutagenic effects in the absence or presence of metabolic activation.

Piezometric level and electrical conductivity spatiotemporal monitoring as an instrument to design further managed aquifer recharge strategies in a complex estuarial system under anthropogenic pressure.

Recife Metropolitan Region (RMR, NE Brazil) lies over a multi-layered aquifer system located in an estuarial area. The region has experienced fast population growth and repeated droughts in the last three decades, which led to unprecedented anthropogenic pressure on groundwater resources because of intense water pumping. Accordingly, scientific and stakeholder communities have been challenged to ensure the maintenance of sustainable groundwater resource by managing all water cycle. Because controlling pumping rates is difficult due to the large number of illegal wells, the Managed Aquifer Recharge (MAR) strategies are now under consideration. The RMR presents a tropical climate and an annual average rainfall rate of approximately 2450 mm year-1, providing great potential volumes of water to be used for piezometric level recovery. However, MAR implementation requires a detailed and in-depth knowledge of the human-impact on the hydrogeological behavior of the resource over the long-term, in order to find out the most appropriate recharge strategy. Therefore, the present study illustrates how routine data monitoring, i.e., piezometric level and electrical conductivity (EC), in combination with the geological knowledge, may allow proposing further MAR strategies. Two contrasted behaviors were observed in RMR: (i) groundwater level decrease and stable EC in the North and Southernmost areas of Recife; and (ii) stable groundwater level and high/varying EC values next to the estuarial zone. Although aquifers are undergoing over-abstraction, this spatiotemporal heterogeneity suggests that a recharge is possibly locally favored next to the estuarial area of the RMR thanks to hydraulic connections between surface and deep aquifers throughout extended paleo-channels. Thus, based on this typology, MAR implementation through controlled infiltration close to the estuarial area seems to be more appropriated, whereas the direct deep injection appears to be more relevant in more distant zones.

Timing of pollen release and stigma receptivity period of Piper vicosanum: New insights into sexual reproduction of the genus.

PREMISE OF THE STUDY: Dichogamy is a common characteristic among angiosperms, including Piper species. In this genus, the tiny flowers are morphologically similar and have an asynchronous stamen development. However, there is no information on the duration of stigma receptivity and whether it overlaps with pollen release. To better understand mechanisms of floral function in Piper vicosanum, we provide a detailed characterization of the timing of pollen release from the four stamens and the period of stigma receptivity and exposure mode of the receptive areas. METHODS: We investigated plants of a natural population in a semideciduous seasonal forest (Viçosa, Minas Gerais State, southeastern Brazil), based on chemical tests, light microscopy, and scanning electron microscopy analyses. KEY RESULTS: Incomplete protogyny-a mechanism that favors outcrossing-was recorded. The period of stigma receptivity was long (14 d), and the sequential exposure and senescence of stigmatic papillae occurred gradually and in a basipetal direction. Pollen release began 2-6 d after the beginning of the pistillate phase, with an average pollen viability of 87.7%, during the bisexual flower phase. Pollen was released for up to 6 d and occurred in one stamen at a time. The fruit set observed in tests of self-pollination indicated self-compatibility. CONCLUSIONS: The gradual and sequential exposure of stigmatic papillae in P. vicosanum flowers is described here as the mechanism for the long duration of receptivity. Anther development and pollen release were also sequential. These findings are yet unreported reproductive characteristics of the genus and offer new perspectives for future studies on the floral biology of other Piper species.

Leaf anatomy and histochemistry of three species of Ficus sect. Americanae supported by light and electron microscopy.

In this work the leaf anatomy of three species of Ficus section Americanae (Miq.) Miq. from Brazil, whose leaves and latex are used in folk medicine is reported. The work was carried out using light and scanning electron microscopy in order to characterize these species and to evaluate their taxonomic significance, and also contribute to the quality control of their ethnodrugs. The three species (Ficus cyclophylla, Ficus elliotiana, and Ficus caatingae) showed hypostomatic leaves, anomocytic stomata, straight epidermal cell outlines, and a dorsiventral mesophyll. Some micro-morphological characters such as density and distribution of epicuticular waxes, glandular trichomes, the length and width of stomata, as well as the palisade of mesophyll and petiole outlines proved to be the most useful and distinctive characters for the separation of species. These may contribute as additional support for the taxonomy of the section and for the quality control of their ethnodrugs.

Prospective Randomized Controlled Trial to Compare Dusting vs Fragmentation Using Thulium Fiber Laser in Retrograde Intrarenal Surgery.

Objective: To compare the dusting vs fragmentation modes with thulium fiber laser (TFL) in retrograde intrarenal surgery (RIRS) for upper tract stones using the same fixed low-power settings in both the arms. The primary objective was to compare the stone-free rate (SFR) and secondary objectives were to compare mean operating times, hospital stay duration, complication rates, need for secondary procedures, and laser efficacy. Materials and Methods: A prospective randomized trial, with patients having proximal ureteral or renal stones of 10-20 mm and planned for RIRS was done at a single institute. A total of 60 consecutively admitted patients with signed consent were included for randomization with 30 patients in each arm of dusting and fragmentation modes. Results: Median age in dusting and fragmentation arms of 41.5 and 45.5 years, median stone size of 10.45 and 12.25 mm, median stone volume of 351.6 and 490.7 mm3, and median stone density of 1263.5 HU in both arms with comparable hospital stay of median of 2 days in both arms. Lasing time was significantly lesser in the fragmentation group (20.5 minutes; interquartile range [IQR] 15.12-31.62) than in the dusting group (34.25 minutes, IQR 26.62-38.62, p < 0.001). Higher ablation speed for fragmentation mode (0.405 mm3/sec, IQR 0.337-0.635) than for dusting mode (0.17 mm3/sec, IQR 0.135-0.325, p < 0.001). SFRs and complication rates were comparable in both the arms. Conclusion: TFL in fragmentation mode has shorter lasing times and better laser efficacy than dusting mode with comparable minimal complications, SFRs, and hospital stay duration. Clinical Trial Registration number: CTRI050827.

Multi-centric evaluation of Truenat MTB and MTB-RIF Dx assays for diagnosis of extrapulmonary tuberculosis.

Extra-pulmonary TB (EPTB) is difficult to diagnose due to paucibacillary nature of disease. Current study evaluated accuracy of Truenat MTB and MTB-Rif Dx (TN), for detection of Mycobacterium tuberculosis and resistance to rifampicin. Samples were collected from 2103 treatment naive adults with presumptive EPTB, and tested by smear microscopy, liquid culture (LC) (MGIT-960) and GeneXpert MTB/RIF (GX) (Microbiological Reference Standards, MRS). TN results were compared to MRS and Composite Reference Standards (CRS, Microbiology, histopathology, radiology, clinical features prompting decision to treat, response to treatment). CRS grouped patients into 551 confirmed, 1096 unconfirmed, and 409 as unlikely TB. TN sensitivity and specificity was 73.7% and 90.4% against GX. Against LC, Overall sensitivity of GX was 67.6%, while that of TN was 62.3%. Highest sensitivity by TN was observed in pus samples (89%) and highest specificity (92%) in CSF samples, similar to GX. TN sensitivity was better in fluid and biopsy samples and slightly inferior for lymph node aspirates compared to GX. TN sensitivity for RIF resistance detection was slightly superior to GX. TN and GX results were further compared to Clinical Reference Standards. TN detected 170 TB patients initiated on treatment missed by GX, while GX detected 113 such patients missed by TN. Of 124 samples with RIF resistance discordance between GX and TN, GX reported 103/124 as sensitive, 3/124 as indeterminate and 18 as resistant (13/18 samples had low/very low DNA load) while TN reported RIF resistance indeterminate in 103/111 low/very low DNA load samples. Due to paucibacillary nature of EPTB samples, culture yield was poor and phenotypic drug susceptibility testing failed to resolve the discordance. The study establishes TN at par with GX and can be utilized for quick and accurate diagnosis of EPTB.

Guanosine Prevents Spatial Memory Impairment and Hippocampal Damage Following Amyloid-ß1-42 Administration in Mice.

Alzheimer's disease (AD) is a progressive neurodegenerative illness responsible for cognitive impairment and dementia. Accumulation of amyloid-beta (Aß) peptides in neurons and synapses causes cell metabolism to unbalance, and the production of reactive oxygen species (ROS), leading to neuronal death and cognitive damage. Guanosine is an endogenous nucleoside recognized as a neuroprotective agent since it prevents glutamate-induced neurotoxicity by a mechanism not yet completely elucidated. In this study, we evaluated behavioral and biochemical effects in the hippocampus caused by the intracerebroventricular (i.c.v.) infusion of Aß1-42 peptide (400 pmol/site) in mice, and the neuroprotective effect of guanosine (8 mg/kg, i.p.). An initial evaluation on the eighth day after Aß1-42 infusion showed no changes in the tail suspension test, although ex vivo analyses in hippocampal slices showed increased ROS production. In the second protocol, on the tenth day following Aß1-42 infusion, no effect was observed in the sucrose splash test, but a reduction in the recognition index in the object location test showed impaired spatial memory. Analysis of hippocampal slices showed no ROS production and mitochondrial membrane potential alteration, but a tendency to increase glutamate release and a significant lactate release, pointing to a metabolic alteration. Those effects were accompanied by decreased cell viability and increased membrane damage. Guanosine treatment prevented behavioral and biochemical alterations evoked by Aß1-42, suggesting a potential role against behavioral and biochemical damage evoked by Aß in the hippocampus.

Recurrent perineal aggressive angiomyxoma: dilemma in diagnosis and outcome of this rare disease.

Aggressive angiomyxoma (AAM) is a very rare, benign, locally infiltrative mesenchymal tumour with a high chance of recurrence following surgical excision. In the male population, it is so rare that less than only 50 cases have been reported so far. We present a case of a large recurrent perineal AAM in a man who presented with swelling in the perineal region following surgical excision 3 years ago. After evaluation, the diagnostic dilemma of a possible perineal hernia or recurrence remained. Surgical exploration ruled out hernia and the tumour was excised with difficulty. Immunohistochemical examination showed tumour cells with diffuse nuclear positivity for oestrogen receptor and patchy cytoplasmic positivity for desmin (A2). Histological and immunohistochemical features confirmed the diagnosis. Being very rare, AAMs need to be considered as a differential diagnosis of pelvic/perineal tumours among males. With no standardised therapy for AAM, complete resection would be the goal of therapy.

Delineating groundwater contamination risks in southern coastal metropoles through implementation of geochemical and socio-environmental data in decision-tree and geographical information system.

Due to global warming and local anthropogenic pressures, sustainable groundwater resource exploitation in coastal cities is increasingly threatened. For example, the fifth largest Brazilian city, Recife, is considered as a representative hot spot for these issues and illustrates the great challenges facing many urban areas in the southern hemisphere. There, recharge as well as surface water and groundwater quality are altered by frequent droughts and poorly planned environmental management since decades. To maintain access to water, thousands of private wells were dug in order to pump water from the multi-layered aquifer system found under the city. This massive exploitation is causing a chronic lowering of the water levels, as well as seawater intrusion and contaminations by wastewater or polluted surface waters. Through hydrochemical characterization, mainly Cl/Br ratio and Cl concentrations, of wells sampled throughout the metropole, this study first characterizes the main environmental impacts on the resource, i.e. waste waters and seawater. Combining this evaluation with lithological, land-use and socio-environmental data, it was then possible to build decision trees identifying combinations of multiple factors possibly having an impact on contamination types. The well and population densities, the waste and sewage management, as well as the absence of sanitary facilities in houses appeared as critical parameters to target in order to reduce the risk of contamination of the water resource and ensure its preservation. Based on these factors, we created a risk map for contamination types that should help in identifying areas where groundwater resource may present an environmental (and then health) issue for people. Besides, this study shows that the combination of hydrochemical, geomorphological and socio-environmental characterizations of these urban systems featuring very contrasted situations between neighborhoods is a relevant tool to propose further groundwater management strategies.

Colonic inflammatory myofibroblastic tumour presenting as 'pyrexia of unknown origin': report of a rare disease and its unique presentation.

An intra-abdominal inflammatory myofibroblastic tumour (IMT) belongs to a rare group of diseases initially described as an inflammatory pseudotumour. Even though it is seen more often in children, its incidence in adults is even rarer. Clinical presentations can vary depending on its site and inherent tumour properties. The colon is an uncommon site for IMT and pyrexia of unknown origin (PUO) as its dominant clinical presentation is even rarer. A 27-year-old woman presented with PUO. She was evaluated under the department of internal medicine before undergoing an 18F-fluorodeoxyglucose positron emission tomography-computed tomography scan. This showed an intensely enhancing descending colon mass. An image-guided biopsy of this lesion was reported as IMT. She underwent a left hemicolectomy and complete excision of the tumour, following which her symptoms resolved completely. The patient has been disease-free at a 6-month follow-up and is asymptomatic at 1 year.

Opportunistic penicilliosis infection causing intestinal obstruction in people living with HIV complicating antiretroviral therapy.

We report a retroviral positive patient who presented to us with recurrent skin lesions along with intermittent, colicky periumbilical abdominal pain associated with non-projectile, postprandial vomiting. Contrast-enhanced CT (CECT) of abdomen and pelvis was suggestive of proximal jejunal obstruction. Double balloon enteroscopy done which showed extensive deep ulceration with surrounding nodular surface and friable mucosa at 60 cm from pylorus with luminal narrowing. The biopsy from this region as well as the skin lesion on the forehead grew Talaromyces marneffei She was initially treated with liposomal amphotericin B for 2 weeks following which she received itraconazole for 3 weeks for disseminated talaromycosis infection. She had already been started on antiretroviral therapy (ART) 1 year back however her cluster of differentiation 4 (CD4) counts did not show any improvement. Proximal bowel obstruction leading to poor nutritional status compounded with ineffective ART therapy due to suboptimal absorption, dictated the staged management of her condition. Feeding jejunostomy was done with a plan to offer her resection and anastomosis of affected jejunal segment, should she require one, after optimising her nutritional and immunological status.

How Input Parameters and Calculation Rules Influence On-Farm Antimicrobial Use Indicators in Animals.

A variety of indicators of antimicrobial use are available in veterinary medicine, their choice should depend on the study objective as none has been recognized as the most appropriate metric. Calculation of indicators of antimicrobial use is based on a number of parameters (e.g., treatment dose or weight at treatment) that can be informed using theoretical (also called "standard") or actual (also called "used") values. Although few studies compare the application of several indicators to the same antimicrobial data, the obtained results lead to apparent discrepancies or contradictions. This study aimed to investigate antimicrobial use at the weaning stage in French pig farms and, more specifically, the impact the sources of information regarding doses, body weight at treatment and treatment length, had on the indicators results. A cross-sectional survey was conducted, and data collected from 70 farms made it possible to calculate four indicators at the weaning stage using different input values. The indicator values did not show significant differences when calculated based on the theoretical dose and length of treatment (as recommended by the summary of product characteristics) or when calculated based on the dose used and treatment length as applied by the farmer. However, all of the indicators showed significant differences when calculated using the standard theoretical weight (15 kg) or actual weight (P < 0.05). It appears that if data collection plans cannot be harmonized, clarification of indicator calculations in the literature is needed to allow comparisons between studies.

Guanosine Prevents Anhedonic-Like Behavior and Impairment in Hippocampal Glutamate Transport Following Amyloid-ß1-40 Administration in Mice.

Amyloid-beta (Aß) peptides are the major neuropathological hallmarks related with Alzheimer's disease (AD). Aß peptides trigger several biochemical mechanisms of neurotoxicity, including neuroinflammation and glutamatergic neurotransmission impairment. Guanosine is the endogenous guanine-derived nucleoside that modulates the glutamatergic system and the cellular redox status, thus acting as a neuroprotective agent. Here, we investigated the putative neuroprotective effect of guanosine in an AD-like mouse model. Adult mice received a single intracerebroventricular injection of Aß1-40 (400 pmol/site) or vehicle and then were treated immediately, 3 h later, and once a day during the subsequent 14 days with guanosine (8 mg/kg, intraperitoneally). Aß1-40 or guanosine did not alter mouse locomotor activity and anxiety-related behaviors. Aß1-40-treated mice displayed short-term memory deficit in the object location task that was prevented by guanosine. Guanosine prevented the Aß1-40-induced increase in latency to grooming in the splash test, an indicative of anhedonia. Aß1-40 increased Na+-independent glutamate uptake in ex vivo hippocampal slices, and guanosine reversed it to control levels. The repeated administration of guanosine increased hippocampal GDP levels, which was not observed in the group treated with Aß plus guanosine. Aß1-40 induced an increase in hippocampal ADP levels. Aß1-40 decreased GFAP expression in the hippocampal CA1 region, an effect not modified by guanosine. No differences were observed concerning synaptophysin and NeuN immunolabeling. Together, these results show that guanosine prevents memory deficit and anhedonic-like behavior induced by Aß1-40 that seem to be linked to glutamate transport unbalance and alterations on purine and metabolite levels in mouse hippocampus.

Neuroprotection Promoted by Guanosine Depends on Glutamine Synthetase and Glutamate Transporters Activity in Hippocampal Slices Subjected to Oxygen/Glucose Deprivation.

Guanosine (GUO) has been shown to act as a neuroprotective agent against glutamatergic excitotoxicity by increasing glutamate uptake and decreasing its release. In this study, a putative effect of GUO action on glutamate transporters activity modulation was assessed in hippocampal slices subjected to oxygen and glucose deprivation (OGD), an in vitro model of brain ischemia. Slices subjected to OGD showed increased excitatory amino acids release (measured by D-[(3)H]aspartate release) that was prevented in the presence of GUO (100 µM). The glutamate transporter blockers, DL-TBOA (10 µM), DHK (100 µM, selective inhibitor of GLT-1), and sulfasalazine (SAS, 250 µM, Xc(-) system inhibitor) decreased OGD-induced D-aspartate release. Interestingly, DHK or DL-TBOA blocked the decrease in glutamate release induced by GUO, whereas SAS did not modify the GUO effect. GUO protected hippocampal slices from cellular damage by modulation of glutamate transporters, however selective blockade of GLT-1 or Xc- system only did not affect this protective action of GUO. OGD decreased hippocampal glutamine synthetase (GS) activity and GUO recovered GS activity to control levels without altering the kinetic parameters of GS activity, thus suggesting GUO does not directly interact with GS. Additionally, the pharmacological inhibition of GS activity with methionine sulfoximine abolished the effect of GUO in reducing D-aspartate release and cellular damage evoked by OGD. Altogether, results in hippocampal slices subjected to OGD show that GUO counteracts the release of excitatory amino acids, stimulates the activity of GS, and decreases the cellular damage by modulation of glutamate transporters activity.

Microbial contamination of a University dental clinic in Brazil

Pathogens of the oral cavity of a patient can be transferred to the dental office surfaces by direct contact, aerosol instruments and blood or saliva. The objective of this study was to investigate the microbiological contamination presents in the stands, chairs and spittoons in the University Nilton Lins dental clinics, in Manaus, Amazonas. Samples were collected with sterile swabs and seeded in different microbiological culture media for the isolation of microorganisms collected from each room. Then, assays were carried out for identification of strains isolated from each environment, such as: Gram stain, DNA purification, Amplification of 16s rRNA genes and sequencing. All these experiments were performed in the LBS / ILMD / FIOCRUZ. It was found 40 CFU / mL in the stands, 43 on the chairs and 47 in the spittoons and it was also possible to identify microorganisms like Klebsiella pneumoniae, Shigella sonnei and Staphylococcus aureus. The greatest number of CFUs was found in Clinic 3 and it was observed that the spittoon was the dental surface with the highest number of CFUs. Some of the bacterial species isolated are opportunists, suggesting that more severe biosecurity measures must be taken in order to prevent cross-infection (AU)

Avaliação estética e condutas terapêuticas relacionadas aos principais perfis faciais / Aesthetic evaluation and therapeutic procedures related to main facial profiles

Introdução: A cirurgia ortognática para correções de deformidades dentofaciais proporciona uma face mais harmoniosa, funcional e estética. O objetivo desse estudo foi avaliar a percepção dos cirurgiões bucomaxilofaciais quanto à estética dos perfis faciais padrões I, II e III, relacionada ao sexo, etnia e às principais condutas terapêuticas. Métodos: Foram entrevistados 18 cirurgiões especialistas ou em formação em Cirurgia e Traumatologia Bucomaxilofacial, utilizando uma ficha clínica padronizada para avaliação estética e condutas terapêuticas de 12 imagens manipuladas simulando os perfis faciais, sexo e raças. Resultados: Quanto à estética, destacaram-se os perfis faciais tipo I, que apresentaram as melhores médias, enquanto os perfis faciais tipo III as menores; entretanto, não houve diferenças significativas entre as médias obtidas nos diferentes perfis faciais em relação ao sexo e à raça. As condutas terapêuticas foram homogêneas nos perfis II e III, com maiores percentuais para condutas clássicas no tratamento ortocirúrgico destas deformidades dentofaciais. Conclusão: O perfil facial I foi o considerado mais estético; então, houve influência do sexo e do tipo racial na estética para a amostra estudada. Os perfis faciais I foram os mais difíceis de avaliar quanto às condutas terapêuticas, o que resultou em grande variedade de opções em relação aos perfis II e III.

Introduction: Orthognathic surgery for correction of dentofacial deformities provides a more-symmetrical face, and functional and aesthetic benefits. The aim of this study was to evaluate the perception of buccomaxillofacial surgeons regarding the aesthetics of facial profiles patterns I, II, and III in related to sex, ethnicity, and the main therapeutic procedures. Methods: We interviewed 18 specialist surgeons or surgeons in training in buccomaxillofacial surgery by using a standardized clinical report form for aesthetic evaluation and therapeutic procedures of 12 manipulated images simulating facial profiles, sex, and race. Results: As for aesthetics, the highlights were that facial profile type I had the highest mean values, whereas facial profile type III had the lowest mean values. However, no significant differences were found between the mean values obtained in different facial profiles in relation to sex and race. The therapeutic procedures were homogeneous in profiles II and III, with higher percentages for classical procedures in the orthosurgical treatment of these dentofacial deformities. Conclusion: Facial profile I was considered more aesthetic. Furthermore, sex and racial type effects on aesthetics for the studied sample. Facial profiles I were the most difficult to assess as to therapeutic procedures, which resulted in a wide range of options in relation to profiles II and III.

Atualização dos dados nos sistemas de informação em saúde / Data update in health information system / Actualización de los datos en los sistemas de información en salud

Objetivou-se conhecer como o Sistema de Informação da Atenção Básica e o Sistema de Vigilância Alimentar e Nutricional são atualizados. Estudo de abordagem mista, qualitativa e quantitativa, com delineamento ecológico e exploratório realizado com os dados de 37 municípios, da Zona da Mata de Minas Gerais, sendo a maioria com menos de 20 mil habitantes. Foi utilizado o site do Banco de Dados do Sistema Único de Saúde e o Instituto Brasileiro de Geociências e Estatística, com dados de 2009, e obtidos depoimentos de 10 profissionais responsáveis pela atualização dos sistemas. As menores taxas de cobertura do Sistema de Informação da Atenção Básica estão nas cidades mais populosas. A cobertura do Sistema deVigilância Alimentar e Nutricional de 56,7% dos municípios foi acima de 10%. Os digitadores salientam como dificuldade o registro manual dos dados e conhecem a importância do consolidado de informações para o planejamento das políticas públicas de saúde e assistência ao usuário.

This study investigated update mechanisms of the Primary Healthcare Information System and of the Food and Nutrition Surveillance System. It made use of mixed qualitative and quantitative approach on the basis of an ecological and exploratory outline. It was conducted in 37 (thirty-seven) municipalities in the Zona da Mata region, MG, Brazil, the majority of which with fewer than 20,000 inhabitants. The sites of the Database of the Brazilian National Health System and the BrazilianInstitute of Geosciences and Statistics for research reference were fed with data from 2009 and statements were obtained from 10 (ten) professionals in charge of system update. The lowest coverage rates of the Primary Healthcare Information System arelocated in the most populous cities. The coverage of the Food and Nutrition Surveillance System for 56.7% of the municipalities was above 10%. Personnel in charge of immediate feeding of the system highlighted hindrances generated by manual entering of data as well as relevance of information consolidation for planning public health policies and user care.

Se objetivó conocer como se actualizan el Sistema de Información de la Atención Básica y el Sistema de Vigilancia Alimentar y Nutricional. Estudio de abordaje mixto, cualitativo y cuantitativo, con delineamiento ecológico y exploratorio, fue realizado en 37 municipios de la Zona da Mata de Minas Gerais-Brasil, la mayoría con menos de 20 mil habitantes. Se utilizarondatos del 2009 de la website del Banco de datos del Sistema Único de Salud y del Instituto Brasileño de Geociencias y Estadística, y se entrevistaron a 10 profesionales responsables por la actualización de los sistemas. Las menores tasas de cobertura del Sistemade Información de la Atención Básica están en las ciudades más populosas. La cobertura del Sistema de Vigilancia Alimentar y Nutricional de 56,7% de los municipios fue mayor que 10%. Los digitadores destacaron como dificultad el registro manual de datos y conocen la importancia del consolidado de informaciones para planificar políticas públicas de salud y atención al usuario.

A pharmacobotanical study of vegetative organs of Solanum torvum

In this work, a morpho-anatomical study of the leaves, stems and roots of Solanum torvum Sw. was performed with the objective of providing a macroscopical and microscopical morphodiagnosis for its characterization. The species is popularly called "jurubeba-branca" in the Northeastern Brazil and is used in folk medicine to treat liver diseases, tuberculosis, and as antianemic. Anatomical studies were done by paradermic sections of the leaf blade (adaxial and abaxial surfaces), and cross sections of leaves (blade and petiole), stems and roots. The sections were clarified and stained with safranin and/ or astrablue, observed and photographed on light microscope. Histochemical tests were carried out in cross sections of leaves, stems and roots and assayed for specific reagents. The leaves are chartaceous, ovate to elliptic, with lobed margins, oblique at the base. The leaf is amphistomatic with anisocytic and anomocytic stomata simultaneously, and the epidermal cells, in face view, have anticlinal walls sinuate on the upper surface and wavy on the lower surface. The mesophyll is dorsiventral; the midrib has a central bicollateral vascular bundle; and the petiole has three or fourone. The stem shows external phloem, xylem, internal phloem and a parenchymatic pith. The root is axial and striate longitudinally and the secondary xylem is a massive cylinder. The macroscopical and microscopical vegetative characters constitute a set of diagnostic parameters to the studied species.