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The aim of this study was to evaluate the supplementation of embryo culture medium with antioxidant obtained from oily extract of Lippia origanoides on in vitro blastocyst development and quality. Oocytes collected from slaughterhouse ovaries were matured and fertilized in vitro following standard laboratory procedures. Zygotes were cultured in SOF medium supplemented according to the following treatments: T1 embryo culture medium without antioxidant supplementation; T2)50µM/mL Cysteamine; T3)2.5µg/mL; T4)5.0µg/mL and T5)10.0µg/mL of antioxidant obtained from oily extract of Lippia origanoides. On the seventh day of culture, the blastocysts were fixed and evaluated for apoptosis rates, number of total cell and inner cell mass cells by means of the TUNEL Test. The use of antioxidants during cultivation did not increase (P> 0.05) the final blastocyst production rate. The treatments T2, T3, T4 and T5 had the lowest (P< 0.05) apoptotic indexes (4.5±1.1%, 8.4±2.5%, 3.4±1.1% and 5.5±0.9%, respectively) when compared to T1 treatment (10.0±1.4%). The number of inner cell mass did not differ (P> 0.05) among embryos from different treatments. The addition of antioxidant obtained from oily extract of Lippia origanoides reduces the apoptosis rate and improves the quality without increasing the total in vitro production of bovine embryos.(AU)

O objetivo desse estudo foi avaliar a suplementação de meio de cultura de embriões com antioxidante obtido do extrato oleoso da Lippia origanoides no desenvolvimento e na qualidade de blastocistos produzidos in vitro. Oócitos coletados de ovários de matadouros foram maturados e fertilizados in vitro segundo procedimento laboratorial padrão. Zigotos foram cultivados em meio SOF suplementado de acordo com os seguintes tratamentos: T1) meio de cultivo embrionário sem suplementação antioxidantes; T2) 50µM/mL Cisteamina; T3) 2,5µg/mL; T4) 5,0µg/mL e T5) 10,0µg/mL do antioxidante obtido do extrato oleoso de Lippia origanoides. No sétimo dia de cultivo, os blastocistos foram fixados e avaliados para taxa de apoptose, número total de células e massa celular interna através do teste TUNEL. O uso de antioxidantes durante cultivo não aumentou (P>0,05) a taxa de produção final de blastócitos. Os tratamentos T2, T3, T4 e T5 tiverem menor índice apoptótico (p>0,05 - 4,5±1,1%, 8,4±2,5%, 3,4±1,1% e 5,5±0,9%, respectivamente) quando comparados a T2 (10,0±1,4%). O valor de massa celular interna não diferenciou (p>0,05) entre embriões de diferentes tratamentos. A adição de antioxidante obtido do extrato oleoso de Lippia origanoides reduziu a taxa de apoptose e melhorou a qualidade sem aumentar a produção in vitro de embriões bovinos.(AU)

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The aim of this study was to evaluate the supplementation of embryo culture medium with antioxidant obtained from oily extract of Lippia origanoides on in vitro blastocyst development and quality. Oocytes collected from slaughterhouse ovaries were matured and fertilized in vitro following standard laboratory procedures. Zygotes were cultured in SOF medium supplemented according to the following treatments: T1 embryo culture medium without antioxidant supplementation; T2)50µM/mL Cysteamine; T3)2.5µg/mL; T4)5.0µg/mL and T5)10.0µg/mL of antioxidant obtained from oily extract of Lippia origanoides. On the seventh day of culture, the blastocysts were fixed and evaluated for apoptosis rates, number of total cell and inner cell mass cells by means of the TUNEL Test. The use of antioxidants during cultivation did not increase (P> 0.05) the final blastocyst production rate. The treatments T2, T3, T4 and T5 had the lowest (P< 0.05) apoptotic indexes (4.5±1.1%, 8.4±2.5%, 3.4±1.1% and 5.5±0.9%, respectively) when compared to T1 treatment (10.0±1.4%). The number of inner cell mass did not differ (P> 0.05) among embryos from different treatments. The addition of antioxidant obtained from oily extract of Lippia origanoides reduces the apoptosis rate and improves the quality without increasing the total in vitro production of bovine embryos.(AU)

O objetivo desse estudo foi avaliar a suplementação de meio de cultura de embriões com antioxidante obtido do extrato oleoso da Lippia origanoides no desenvolvimento e na qualidade de blastocistos produzidos in vitro. Oócitos coletados de ovários de matadouros foram maturados e fertilizados in vitro segundo procedimento laboratorial padrão. Zigotos foram cultivados em meio SOF suplementado de acordo com os seguintes tratamentos: T1) meio de cultivo embrionário sem suplementação antioxidantes; T2) 50µM/mL Cisteamina; T3) 2,5µg/mL; T4) 5,0µg/mL e T5) 10,0µg/mL do antioxidante obtido do extrato oleoso de Lippia origanoides. No sétimo dia de cultivo, os blastocistos foram fixados e avaliados para taxa de apoptose, número total de células e massa celular interna através do teste TUNEL. O uso de antioxidantes durante cultivo não aumentou (P>0,05) a taxa de produção final de blastócitos. Os tratamentos T2, T3, T4 e T5 tiverem menor índice apoptótico (p>0,05 - 4,5±1,1%, 8,4±2,5%, 3,4±1,1% e 5,5±0,9%, respectivamente) quando comparados a T2 (10,0±1,4%). O valor de massa celular interna não diferenciou (p>0,05) entre embriões de diferentes tratamentos. A adição de antioxidante obtido do extrato oleoso de Lippia origanoides reduziu a taxa de apoptose e melhorou a qualidade sem aumentar a produção in vitro de embriões bovinos.(AU)

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The aim of this study was to assess the suitability of body mass index, waist circumference, waist-to-height ratio and aerobic fitness as predictors of cardiovascular risk factor clustering in children. A cross-sectional study was conducted with 290 school boys and girls from 6 to 10 years old, randomly selected. Blood was collected after a 12-hour fasting period. Blood pressure, waist circumference (WC), height and weight were evaluated according to international standards. Aerobic fitness (AF) was assessed by the 20-metre shuttle-run test. Clustering was considered when three of these factors were present: high systolic or diastolic blood pressure, high low-density lipoprotein (LDL) cholesterol, high triglycerides, high plasma glucose, high insulin concentrations and low high-density lipoprotein (HDL) cholesterol. A ROC curve identified the cut-off points of body mass index (BMI), WC, waist-to-height ratio (WHtR) and AF as predictors of risk factor clustering. BMI, WC and WHR resulted in significant areas under the ROC curves, which was not observed for AF. The anthropometric variables were good predictors of cardiovascular risk factor clustering in both sexes, whereas aerobic fitness should not be used to identify cardiovascular risk factor clustering in these children.

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The aim of this study was to verify the acute effects of the application of local vibration on upper limbs during resistance training on the number of maximum repetitions, metabolic and hormonal responses. 32 volunteers performed a maximum voluntary contraction test during a lat pulldown exercise. After the test, all volunteers underwent one conventional resistance training session and one resistance training session with local vibration. In both interventions, volunteers performed 4 sets with the highest possible number of repetitions of the lat pulldown exercise at 55% of maximum voluntary contraction. During the vibratory resistance training intervention, vibration was locally applied (20-Hz and 12-mm). During the conventional resistance training, volunteers performed the same procedures without vibration. Blood samples were taken at each experimental session before and 5 min after the end of each intervention. No significant differences were observed in number of maximum repetitions between the series of vibratory and conventional training. Serum testosterone, cortisol and lactate were significantly increased after 2 interventions. Vibratory resistance training induced greater increases in testosterone and lactate concentrations. No significant changes were found in creatine kinase, creatinine or urea concentration. These data indicate that local vibration increases the metabolic and anabolic response to the resistance training, without changing the training volume.

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The purpose of this study was to assess the effect of training load regulation, using the CMJ at the beginning of the session, on the total plyometric training load and the vertical jump performance. 44 males were divided into 4 groups: No Regulation Group (nRG), Regulation Group (RG), Yoked Group (YG) and Control Group (CG). The nRG received 6 weeks of plyometric training, with no adjustment in training load. The RG underwent the same training; however, the training load was adjusted according to the CMJ performance at the beginning of each session. The adjustment made in RG was replicated for the volunteers from the corresponding quartile in the YG, with no consideration given to the YG participant's condition at the beginning of its session. At the end of the training, the CMJ and SJ performance of all of the participants was reassessed. The total training load was significantly lower (p=0.036; ES=0.82) in the RG and the YG (1905±37 jumps) compared to the nRG (1926±0 jumps). The enhancement in vertical jump performance was significant for the groups that underwent the training (p<0.001). Vertical jump performance, performed at the beginning of the session, as a tool to regulate the training load resulted in a decrease of the total training load, without decreasing the long-term effects on vertical jump performance.

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The aim of this study was to compare the chronic effects of different frequencies of mechanical vibrations, applied in the direction of the resultant muscle forces' vector addition, on the performance of the lower extremities. After performing the maximal voluntary contraction (MVC), squat jump (SJ), countermovement jump (CMJ), multiple vertical jumps and running speed tests, 55 male volunteers were distributed into 4 groups: an Isometric group, an 8-Hz group, a 26-Hz group and a Control group. After a 4-week training period, the same tests were performed. The training groups reached a significant increase of the MVC, but the increases of the 8-Hz (23.2%) and 26-Hz (22.2%) groups were higher than the Isometric group (12.1%). A significant increase was observed between SJ and CMJ values measured at the pre-test and the post-test stages in the 8-Hz (SJ=11.1%; CMJ=8.7%) and 26-Hz groups (SJ=9.6%; CMJ=7.5%). No differences were observed between 8-Hz and 26-Hz groups. The application of vibrations of 8 Hz and 26 Hz, directed to the resulting muscle forces, was able to increase the performance of the lower extremities. This kind of local vibration did not produce positive effects on multiple vertical jumps or running speed.

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Most molecular analyses, including phylogenetic inference, are based on sequence alignments. We present an algorithm that estimates relatedness between biomolecules without the requirement of sequence alignment by using a protein frequency matrix that is reduced by singular value decomposition (SVD), in a latent semantic index information retrieval system. Two databases were used: one with 832 proteins from 13 mitochondrial gene families and another composed of 1000 sequences from nine types of proteins retrieved from GenBank. Firstly, 208 sequences from the first database and 200 from the second were randomly selected and compared using edit distance between each pair of sequences and respective cosines and Euclidean distances from SVD. Correlation between cosine and edit distance was -0.32 (P < 0.01) and between Euclidean distance and edit distance was +0.70 (P < 0.01). In order to check the ability of SVD in classifying sequences according to their categories, we used a sample of 202 sequences from the 13 gene families as queries (test set), and the other proteins (630) were used to generate the frequency matrix (training set). The classification algorithm applies a voting scheme based on the five most similar sequences with each query. With a 3-peptide frequency matrix, all 202 queries were correctly classified (accuracy = 100%). This algorithm is very attractive, because sequence alignments are neither generated nor required. In order to achieve results similar to those obtained with edit distance analysis, we recommend that Euclidean distance be used as a similarity measure for protein sequences in latent semantic indexing methods.

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In spite of the consideration that toxicity testing is a reduced approach to measure the effects of pollutants on ecosystems, the early-life-stage (ELS) tests have evident ecological relevance because they reflect the possible reproductive impairment of the natural populations. The procedure and validation of Crassostrea rhizophorae embryonic development test have shown that it meets the same precision as other U.S. EPA tests, where EC(50) is generally used as a toxicological endpoint. However, the recognition that EC(50) is not the best endpoint to assess contaminant effects led U.S. EPA to recently suggest EC(25) as an alternative to estimate xenobiotic effects for pollution prevention. To provide reliability to the toxicological test results on C. rhizophorae embryos, the present work aimed to establish the critical effect level for this test organism, based on its reaction to reference toxicants, by using the statistical method proposed by Norberg-King (Inhibition Concentration, version 2.0). Oyster embryos were exposed to graded series of reference toxicants (ZnSO(4) x 7H(2)O; AgNO(3); KCl; CdCl(2)H(2)O; phenol, 4-chlorophenol and dodecyl sodium sulphate). Based on the obtained results, the critical value for C. rhizophorae embryonic development test was estimated as EC(15). The present research enhances the emerging consensus that ELS tests data would be adequate for estimating the chronic safe concentrations of pollutants in the receiving waters. Based on recommended criteria and on the results of the present research, zinc sulphate and 4-chlorophenol have been pointed out, among the inorganic and organic compounds tested, as the best reference toxicants for C. rhizophorae ELS-test.

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Most molecular analyses, including phylogenetic inference, are based on sequence alignments. We present an algorithm that estimates relatedness between biomolecules without the requirement of sequence alignment by using a protein frequency matrix that is reduced by singular value decomposition (SVD), in a latent semantic index information retrieval system. Two databases were used: one with 832 proteins from 13 mitochondrial gene families and another composed of 1000 sequences from nine types of proteins retrieved from GenBank. Firstly, 208 sequences from the first database and 200 from the second were randomly selected and compared using edit distance between each pair of sequences and respective cosines and Euclidean distances from SVD. Correlation between cosine and edit distance was -0.32 (P < 0.01) and between Euclidean distance and edit distance was +0.70 (P < 0.01). In order to check the ability of SVD in classifying sequences according to their categories, we used a sample of 202 sequences from the 13 gene families as queries (test set), and the other proteins (630) were used to generate the frequency matrix (training set). The classification algorithm applies a voting scheme based on the five most similar sequences with each query. With a 3-peptide frequency matrix, all 202 queries were correctly classified (accuracy = 100%). This algorithm is very attractive, because sequence alignments are neither generated nor required. In order to achieve results similar to those obtained with edit distance analysis, we recommend that Euclidean distance be used as a similarity measure for protein sequences in latent semantic indexing methods.

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BACKGROUND: A hospital-wide, traditional prospective surveillance for nosocomial infections was commenced in 1992 in Centro Geral de Pediatria in Minas Gerais, Brazil, to describe the epidemiology of nosocomial infection in this pediatric hospital and to implement cross-infection prevention and control policies. METHODS: We performed a prospective cohort nosocomial infection surveillance of all patients receiving acute care according to the hospital-wide and intensive care unit components of the National Nosocomial Infections Surveillance System from January 1993 to December 1997 (14,892 discharges; 131,764 patient-days). The Centers for Disease Control and Prevention (Atlanta) 1988-definitions and the Brazilian Ministry of Health-Legislation 930 (1992) were used. RESULTS: The average overall nosocomial infection rate per 1000 patient-days was 8.9 in units 2 and 3 and 16.4 in the pediatric intensive care unit. Over time, the overall hospital infection rate decreased from 16.6 nosocomial infections per 1000 patient-days in 1993 to 7.0 in 1997 (P <.05). We believe this can be attributed to interventions and data reporting during the period. The five most frequent sites of infections were eye-ear-nose-throat (38%), skin (22%), pneumonia (12%), soft tissue (5%) and laboratory-confirmed bloodstream infection (4%). In the pediatric intensive care unit, the most frequent nosocomial infection sites were pneumonia related to mechanical ventilators (22%), with rates ranging from 0 to 42 per 1000 ventilator-days; and sepsis related to central lines (11%), with rates ranging from 0 to 32 per 1000 central line-days. CONCLUSIONS: Describing the epidemiology of nosocomial infections in this hospital enabled us to establish infection occurrence, distribution, and expected incidence, as well as to recognize trends and keep track of possible outbreaks. The knowledge acquired through this surveillance allowed us to target more specific and continuous quality improvement projects, to upgrade health care quality in pediatric public hospitals in Brazil, and to implement preventive strategies. Methods from the National Nosocomial Infections Surveillance System can be successfully applied in pediatric public hospitals in Brazil.

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OBJECTIVES: To examine the role of the laboratory in nosocomial infection control from January 1993 to December 1996 in Centro Geral de Pediatria of Hospital Foundation of Minas Gerais state. METHODS: Follow -up of 101,139 patient-days (11,147 discharges + deaths + transfers) in the wards and intensive care unit by using the National Nosocomial Infection Surveillance (NNIS) system proposed by the Centers for Disease Control and Prevention (CDC- Atlanta). Prospective surveillance of nosocomial infections at all sites was performed according to the hospital - wide (since 1992) and intensive care unit (since 1996) NNIS components. The CDC definitions since 1988 and Brazilian Ministry of Health regulation number 930 since 1992 were used to diagnose the nosocomial infections. RESULTS: The five most frequent nosocomial pathogens (from a total of 139 isolates) were Klebsiella sp = 24.5%; S. aureus = 18%; P. aeruginosa = 13.7%; E. coli = 12.9%; S. epidermidis = 12.2%. The percentage of identification of pathogens isolated from nosocomial infection sites has increased from 6.2% in 1993 to 13.3% in 1995 and 28.2% in 1996 (p< 0.001) and so has the attempt to isolate the pathogens: 7.5% in 1993, 16.1% in 1995, 33.8% in 1996 (p< 0.001). The time interval taken for lab results (from specimen collected to microbiology result) has decreased from the average of ten days in 1993 to six days in 1996 (p = 0.001). CONCLUSIONS: The continuing education and improved communication among infection control personnel, pediatricians, surgeons and members of the laboratory have proven to play a key role in the epidemiology of nosocomial infections by defining their etiologies in the Centro Geral de Pediatria. A task force to determine the microbiology has been achieved by the understanding of all clinicians that it is important to treat their patients specifically. The NNIS method applied to Brazilian hospitals has shown its impact on the microbiology lab role in nosocomial infection control as well.

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OBJECTIVE: To assess the magnitude of nosocomial infections (NI) in general hospitals of Belo Horizonte. DESIGN: Multicenter point-prevalence study of nosocomial infections. SETTING: All of the 11 general hospitals of Belo Horizonte that have more than 20 beds, from August 27 to October 5, 1992. RESULTS: Of the 2,339 patients surveyed, 267 patients had 328 nosocomial infections. The global prevalence rate of NI was 14.0%, ranging from 4.6% to 27.3% in the hospitals surveyed. The most prevalent infections were found to be pneumonia and surgical-wound infections, representing 19.5% and 19.2%, respectively, of the total infections. The highest prevalence rates of NI were observed in the cardiac surgery (31.9%), pediatric (27.2%), and orthopedic (20.7%) services. The most frequently isolated microorganisms were Staphylococcus aureus, Escherichia coli, Pseudomonas species, and Klebsiella species. CONCLUSION: The study allowed a thorough evaluation of the NI distribution profile in Belo Horizonte, Minas Gerais, Brazil, and showed it to be a serious public health problem that requires interinstitutional efforts so that effective action can be taken.

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As técnicas laparoscópicas e toracoscópicas proporcionaram uma nova dimensão para a correção dos distúrbios funcionais do esôfago. O sucesso terapêutico, entretanto, depende da confirmação da doença esofágica como causa dos sintomas, da compreensão da causa básica da disfunção e da identificação do paciente cirúrgico. O presente trabalho é um estudo retrospectivo em pacientes operados pela técnica de Lind para doença do refluxo gastroesofágico (DRGE). Tem por objetivo estabelecer o valor do uso sistemático da esofagomanometria e da pHmetria de 24 horas na seleção de pacientes e na avaliação funcional pré e pós-operatória. Quarenta e um pacientes (68,3 por cento) tinham hipotonia do esfíncter inferior do esôfago. A pressão foi em média de 9,2mmHg no pré-operatório e de 15,2mmHg no pós-operatório, com um aumento de 6,0mmHg. Este aumento foi de 8,8mmHg nos hipotônicos e 4,3mmHg nos normotônicos. Houve algum grau de hipomotilidade do corpo do esôfago em 14 pacientes (23,3 por cento), sendo que, deste grupo, quatro (28,5 por cento) obtiveram melhora pós-operatória. Refluxo ácido patológico foi constatado em 51 casos (85,0 por cento) pela pHmetria. A média do score de DeMeester pré-operatório foi de 31,4, baixando depois para 3,2. A esofagomanometria e a pHmetria de 24 horas são métodos eficazes em revelar o nível de modificação funcional estabelecido pela cirurgia anti-refluxo e ajudam objetivamente na seleção

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BACKGROUND: Nosocomial infection is an important public health problem in Brazil. The better to understand and address this problem, we began using the National Nosocomial Infection Surveillance (NNIS) system in five Brazilian hospitals in 1991. METHODS: Data were collected prospectively according to the NNIS protocol, by using nosocomial infection definitions from the Centers for Disease Control and Prevention. RESULTS: From January 1991 to June 1995, the overall nosocomial infection rate was 5.1% or 9.7 nosocomial infections/1000 patient-days. From the detailed epidemiologic information obtained by using the NNIS methods, interventions were designed and implemented that have reduced specific nosocomial infection rates. For example, the incidence of infection caused by methicillin-resistant Staphylococcus aureus was reduced from 0.61 infections/1000 patient-days in 1991 to 0.05 infections/1000 patient-days in 1996 (p < 0.01). The surgical site infection rate after cesarean section was reduced from 11.6% in 1993 to 5.9% in 1996 (p < 0.05). Cost savings from a program to optimize the use of antimicrobial agents in one hospital was more than $1.8 million over a 45-month period. CONCLUSION: The NNIS method was applicable in a wide variety of hospitals, even those with little or no experience with nosocomial infection surveillance. By using this method, we defined the detailed epidemiology of nosocomial infection and implemented interventions that have significantly reduced nosocomial infection rates while achieving substantial cost savings.

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La incidencia de infecciones en cirugia pediatrica varya en la literatura internacional de 7,5 por ciento a 30 por ciento, no existiendo una diferencia significativa con los pacientes adultos. Las cifras tan variables dependen de las caracteristicas de la poblacion y de los procedimientos especificos. La clasificacion de los procedimientos por la potencialidad de contaminacion, la evaluacion del estado clinico en base a los criterios de la American Society of Anestesiology (ASA) y el tiempo de duracion de las cirugias, son las formas tradicionales de evaluar estos riesgos. El objetivo de este estudio fue evaluar el indice de Riesgo de Infeccion Quirurgica (IRIQ), propuesto por el Centers of Diseases Control and Prevention (CDC), en tres franjas etarias de la cirugia pediatrica. Fueron evaluados 773 pacientes sometidos a cirugia pediatrica en el periodo de Enero de 1993 a Diciembre de 1994. Las infecciones fueron diagnosticadas mediante una busqueda activa intra y extra hospitalaria, utilizando los criterios del CDC. La tasa de infeccion quirurgica fue del 3,5 por ciento (27/773). El potencial de contaminacion, el ASA y el tiempo de cirugia aisladamente fueron buenos predictores de riesgo de infeccion quirurgica. La asociacion de las tres variables fue mas adecuada y con menos variaciones que la relacion con la franja etaria. Recomendamos que el analisis de incidencia de infeccion en cirugia pediatrica sea realizado a traves de estadificaciones por el IRIQ

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La incidencia de infecciones en cirugia pediatrica varya en la literatura internacional de 7,5 por ciento a 30 por ciento, no existiendo una diferencia significativa con los pacientes adultos. Las cifras tan variables dependen de las caracteristicas de la poblacion y de los procedimientos especificos. La clasificacion de los procedimientos por la potencialidad de contaminacion, la evaluacion del estado clinico en base a los criterios de la American Society of Anestesiology (ASA) y el tiempo de duracion de las cirugias, son las formas tradicionales de evaluar estos riesgos. El objetivo de este estudio fue evaluar el indice de Riesgo de Infeccion Quirurgica (IRIQ), propuesto por el Centers of Diseases Control and Prevention (CDC), en tres franjas etarias de la cirugia pediatrica. Fueron evaluados 773 pacientes sometidos a cirugia pediatrica en el periodo de Enero de 1993 a Diciembre de 1994. Las infecciones fueron diagnosticadas mediante una busqueda activa intra y extra hospitalaria, utilizando los criterios del CDC. La tasa de infeccion quirurgica fue del 3,5 por ciento (27/773). El potencial de contaminacion, el ASA y el tiempo de cirugia aisladamente fueron buenos predictores de riesgo de infeccion quirurgica. La asociacion de las tres variables fue mas adecuada y con menos variaciones que la relacion con la franja etaria. Recomendamos que el analisis de incidencia de infeccion en cirugia pediatrica sea realizado a traves de estadificaciones por el IRIQ

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The effects of undernutrition on the "gastrocnemius plantaris" muscle of young albino rats were observed with light and electronmicroscopy and were compared with controls. Pregnant rats received a diet containing 6.7% protein and the neonates had a 3.2% protein diet after weaning. A total number of 40 animals were distributed in two groups: one hypoproteic and one control. Half of the animals of each group were killed 15 days after birth and the remaining ones at 30 days. We could observe important reduction in the weight of the undernourished rats reaching about 50% when compared with the control animals. An important reduction in the diameter of muscle fibers was noted in undernourished rats. Histochemical reactions showed that not only the type I but also the type II fibers were involved, the latter being more severely reduced in size. Type II fibers os small diameter, resembling F (fetal) fiber were found in animals at 15 days indicating a delay in maturation. Ultrastructural evaluation of the muscle did not show specific changes except for a severe reduction in the caliber of fibers when compared with control animals. We concluded that there was hypoplasia and not atrophy of the muscular tissue in animals submitted to pre- and post-natal undernutrition. The present study, associated with others in which the spinal motor cells and peripheral nerves of undernourished rats were analysed, allow us to consider that with protein deprivation there is a delay in the development, a hypoplasia of the motor unit. We think that in infantile progressive spinal amyotrophy (Werdnig-Hoffmann disease) there is possibly hypoplasia and not atrophy of the type II fibers and we postulate that a metabolic proteic problem is involved in this disease.

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Spinal adhesive arachnoiditis is not an uncommon disease, usually having a monophasic course. We studied an atypical patient with recurrent spinal adhesive arachnoiditis nine years after intrathecal anesthesia and the first attack of the disease. Also noteworthy was the favorable evolution after surgery.

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Faz-se a analise de cinco casos de doentes mentais submetidos a hipotalamotomia posterior estereotaxica no Servico de Neurocirurgia do Prof. Gianni Temponi do INDC-UFRJ, desde 1981 ate meados de 1983. Uma pequena analise de fisiologia do hipotalamo e do sistema nervoso autonomo e feita, a titutlo de introducao

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Os autores discorrem sobre as anomalias congenitas do sistema nervoso central, incluindo suas correlacoes com a genetica, campo em que ainda e grande a discussao, sendo escassa a quantidade de informacao a este respeito. Ha destacado enfoque as alteracoes fisiopatologicas, aspectos clinicos e terapeuticos das principais mas-formacoes, hidrocefalias, spina bifida e meningocele, que tem alta incidencia em recem-nascidos

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