26 results on '"Carvalho FT"'
Search Results
2. Street scars: Suicide ideation and suicide attempt among street-involved adolescents and youth in southern Brazil.
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Neiva-Silva L, Gomes JR, Goulart-Peres T, Demenech LM, Paludo SS, Carvalho FT, Koller SH, and Corrêa ML
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- Child, Humans, Male, Adolescent, Young Adult, Adult, Female, Brazil epidemiology, Cross-Sectional Studies, Cicatrix, Risk Factors, Suicide, Attempted, Suicidal Ideation
- Abstract
Objective: To measure the prevalence of suicidal ideation and attempts as well as suicide attempts' associated factors among street-involved youth in southern Brazil., Participants and Setting: Cross-sectional study was conducted with street-involved adolescents and children from Porto Alegre and Rio Grande, Brazil., Methods: A respondent-driven sampling strategy was used to access this hard-to-reach population quickly and efficiently. Descriptive, bivariate, and multivariate analyses were conducted, with the latter being binary logistic regression., Results: The prevalence of suicide attempts was 16.3%, while the frequency of suicidal ideation was 30.9%. Most participants were male, aged between 16 and 18 years, with no ties to school and family. Almost half of the sample had been in a street situation for five years or more, and two-thirds reported spending more than seven hours a day on the streets. Variables independently associated with suicide attempts were aged 19-21 years old, with reduced ties with school and family, having had an experience of sexual abuse, and lifetime use of crack., Conclusions: Public policies targeting the strengthening ties of street-involved children, adolescents, and youth with school and family might reduce their vulnerability to threats, such as sexual abuse and use of crack, and hence focus on decreasing suicide attempts., Competing Interests: Declaration of competing interest No conflicts declared., (Copyright © 2022. Published by Elsevier Ltd.)
- Published
- 2023
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3. Salmonella Behavior in Meat during Cool Storage: A Systematic Review and Meta-Analysis.
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Silva JLD, Vieira BS, Carvalho FT, Carvalho RCT, and Figueiredo EES
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The aim of the present study was to investigate Salmonella behavior in meat stored in cool conditions (between 0 °C and 7.5 °C), by employing a systematic review and meta-analysis. The data were obtained from research articles published in SciELO, PubMed, the Web of Science, and Scopus databases. The results of the retrieved studies were obtained from meat (beef, chicken, pork, poultry, and turkey), fish, shellfish, and broth media samples The data were extracted as sample size (n), initial concentration (Xi), final concentration (Xf), standard deviation (SD), standard error (SE), and microbial behavior effects (reduction or growth). A meta-analysis was carried out using the metaphor package from R software. A total of 654 articles were initially retrieved. After applying the exclusion criteria, 83 articles were selected for the systematic review, and 61 of these were used for the meta-analysis. Most studies were conducted at 0 °C to 4.4 °C storage temperatures under normal atmosphere package conditions. Salmonella Typhimurium, S. Enteritidis, and a cocktail (strain mixture) were inoculated at 5.0 and 6.0 log CFU mL−1. Articles both with and without the addition of antimicrobial compounds were found. Salmonella concentration decreases were observed in most studies, estimated for all study combinations as −0.8429 ± 0.0931 log CFU g−1 (95% CI; −1.0254, −0.6604) (p < 0.001), varying for each subgroup analysis. According to this survey, Salmonella concentration decreases are frequent during cool storage, although concentration increases and no bacterial inactivation were observed in some studies.
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- 2022
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4. Risky Sexual Behavior Among Street Children, Adolescents, and Young People Living on the street in southern Brazil.
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Hartmann CF, Silva LN, Corrêa ML, Oliveira GF, Dutra JC, Ishikame KR, Pereira LB, Carvalho FT, and Dos Santos Paludo S
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- Adolescent, Brazil epidemiology, Child, Cross-Sectional Studies, Humans, Male, Risk-Taking, Sexual Behavior, Homeless Youth
- Abstract
Although adolescents living on the street tend to have unprotected sex with many partners and substance abuse, little is known about this reality in Brazil. To estimate the prevalence and factors associated with risky sexual behavior among children and adolescents living on the street in Porto Alegre and Rio Grande. A cross-sectional study was carried out using the Respondent-Driven Sampling (RDS) sampling method to quickly and efficiently access populations of difficult access. Poisson regression with robust adjustment of variance was used in the multivariate analysis. The sample consisted of 231 participants aged 10-21 years. Most were male and aged 16- 21 years. More than half (66.7%) of the respondents did not have a school bond, and 64.5% did not live with the family. Half of the sample had been living on the street for at least four years, spending 15 h or more on the street. Most (86.6%) responded that they had already used illicit drugs in their lives, and unprotected sex prevalence was 61.9%. The variables independently associated with unprotected sex were years living on the street, hours spent on the street, having a steady partner, illicit drug use, and sexual intercourse without a condom under the influence of drugs. The high prevalence of unprotected sex points to the need for intervention policies for this population to prevent the main risk factors., (© 2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
- Published
- 2021
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5. Longitudinal assessment of coping and quality of life over 24 months postpartum in mothers living with HIV.
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Faria ER, Gonçalves TR, Carvalho FT, and Piccinini CA
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- Adaptation, Psychological, Brazil, Female, Humans, Mothers, Postpartum Period, Pregnancy, HIV Infections, Quality of Life
- Abstract
This study investigated the influence of coping strategies on quality of life of mothers living with HIV over 24 months postpartum. Fifty-six Brazilian mothers living with HIV answered quality of life and coping scales at pregnancy, 3rd, 12th, and 24th month postpartum. Mixed model longitudinal regressions were conducted. Quality of life improved in physical, level of independence, and environmental domains over time. While problem-focused coping was positively associated with all changes in quality of life, emotionally focused strategies showed inverse association with physical and environmental quality of life. Health care should help mothers living with HIV to actively cope with HIV together with political and community efforts to address their social vulnerability.
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- 2021
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6. Salmonella in the processing line of farmed Tambatinga (Colossoma macropomum x Piaractus brachypomus) in Mato Grosso, Brazil: serotypes of occurrence and antimicrobial profile.
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Fernandes DVGS, Carvalho RCT, Castro VS, Cunha-Neto A, Muller B, Carvalho FT, Dos Prazeres Rodrigues D, Vieira BS, and de Souza Figueiredo EE
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- Animals, Anti-Bacterial Agents pharmacology, Brazil, Microbial Sensitivity Tests veterinary, Serogroup, Serotyping veterinary, Salmonella, Salmonella Infections, Animal epidemiology
- Abstract
The objective of this study was to evaluate the dispersion dynamics and antimicrobial resistance profiles of Salmonella in the processing of Tambatinga (Colossoma macropomum x Piaractus brachypomus). Thirty fish were monitored during four processing stages (reception, first wash, evisceration, and prepackage area) in a fish slaughterhouse. One hundred and twenty fish surface samples were collected and tested through bacteriological analysis, PCR, serotyping, and antimicrobial resistance profile (disk-diffusion). Of these samples, 7.5% (9/120) were positive for Salmonella, with 0.83% being observed in the pre-packaging phase, indicating a low occurrence at this stage. All the analyzed stages were positive for Salmonella, with the prevalent serovars being Ndolo, Mbandaka, Typhimurium, Rough, and O:16. All strains were sensitive to various antimicrobials. Improvements in microbiological control during all processing stages should be implemented to ensure a Salmonella-free product.
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- 2021
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7. Impact of the COVID-19 Pandemic on the Urologist's clinical practice in Brazil: a management guideline proposal for low- and middle-income countries during the crisis period.
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Carneiro A, Wroclawski ML, Nahar B, Soares A, Cardoso AP, Kim NJ, and Carvalho FT
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- Brazil epidemiology, COVID-19, Humans, Pandemics, Personal Protective Equipment standards, SARS-CoV-2, Surveys and Questionnaires, Betacoronavirus, Coronavirus Infections epidemiology, Pneumonia, Viral epidemiology, Practice Patterns, Physicians' standards, Urologists standards
- Abstract
This letter to the Editor aims to provide suggestions and recommendations for the management of urological conditions in times of COVID-19 crisis in Brazil and other low- and middle-income countries. It is important to highlight that one of the main characteristics of this pandemic is the oversaturation of the health system capacity, mostly due to a high demand for personal protective equipment (PPE), Hospital/ICU beds, as well as ventilators. In places with limited resources and where the health care systems are already saturated, such consideration is even more worrisome. Therefore, most worldwide authorities are recommending to avoid, as much as possible, patient's elective visits to hospitals, as well as a judicious use of the operating room in order to mitigate the strain put on the health system. While efforts should be directed to the care of COVID-19 patients, other conditions (especially urgencies and oncological cases) must continue to be assisted. Thus, through a panel of experts, we have prepared a practical guide for Thus, through a panel of experts, we have prepared a practical guide for urologists based on the recommendations from the main Urologic Associations, as well as data from the literature to support the suggested management. We will try to follow the standard guideline recommendations from the American Urological Association (AUA) and European Association of Urology (EAU), with the aim of pursuing the best outcomes possible. However, some recommendations were based on the consensus of the panel, taking into consideration the reality of developing countries and the unprecedented situation caused by the COVID-19 crisis. Most importantly, all recommendations on this manuscript are based on the expectancy of a maximum 3-month duration of the crisis. If this period shall extended, these recommendations will be revised and updated., Competing Interests: None declared., (Copyright® by the International Brazilian Journal of Urology.)
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- 2020
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8. Listeria monocytogenes in Export-approved Beef from Mato Grosso, Brazil: Prevalence, Molecular Characterization and Resistance to Antibiotics and Disinfectants.
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Teixeira LAC, Carvalho FT, Vallim DC, Pereira RCL, Cunha Neto A, Vieira BS, Carvalho RCT, and Figueiredo EES
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The Brazilian state of Mato Grosso is the largest producer and exporter of beef in the country, but few studies of relevance have been conducted to evaluate the microbiological safety of its products. This study aimed to estimate the prevalence of Listeria monocytogenes (LM) in export-approved beef from Mato Grosso and to characterize the isolates in terms of molecular properties and antimicrobial resistance. From a total of 50 samples analyzed, Listeria sp. was isolated in 18 (36% prevalence). Listeria monocytogenes was confirmed in 6 (12% prevalence). Among the serotype groups assessed by multiplex PCR, serotype 4 (4b, 4d or 4e) was the most prevalent. Although antibiotic resistance was not an issue, two strains isolated from different plants showed high resistance to sodium hypochlorite. Overall, this scenario causes concern because it puts at risk not only the Brazilian customer, but also the population of countries that import beef from Mato Grosso.
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- 2019
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9. [Pregnancy and abortion experience among children, adolescents and youths living on the streets].
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Neiva-Silva L, Demenech LM, Moreira LR, Oliveira AT, Carvalho FT, and Paludo SDS
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- Adolescent, Age Factors, Brazil epidemiology, Child, Cross-Sectional Studies, Female, Humans, Male, Multivariate Analysis, Poisson Distribution, Pregnancy, Prevalence, Sex Factors, Sexual Partners, Young Adult, Abortion, Induced statistics & numerical data, Homeless Youth statistics & numerical data, Pregnancy in Adolescence statistics & numerical data, Sexual Behavior statistics & numerical data
- Abstract
The aim of this study is to identify the prevalence of pregnancy and abortion experience, along with associated factors among street children, adolescents and youths in Porto Alegre and Rio Grande, RS, Brazil. The sampling method in this cross-sectional study was Respondent-Driven Sampling (RDS), innovative in research about hidden populations. Interviews were conducted with 307 subjects, aged 10 to 21 years. In multivariate analysis, Poisson regression with a robust error variance was used. Most of this sample were males, with no contact with school and family. Almost half of the participants had been on the street for five years or more, spending more than 15 hours per day on the streets. The prevalence of pregnancy experience was 29.3%, independently associated with being a girl, having 10 sexual partners or more in the last year, having a fixed sexual partner in the last year, and being older. The prevalence of abortion experience was 10.4%, independently associated with not living with the family, having more than two pregnancies, and being younger. The high prevalence of pregnancy and abortion experience highlights the need for the development of better sexual and reproductive health policies focused on this population.
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- 2018
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10. Behavioral interventions to promote condom use among women living with HIV: a systematic review update.
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Gonçalves TR, Faria ER, Carvalho FT, Piccinini CA, and Shoveller JA
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- Brazil, Clinical Trials as Topic, Female, HIV Infections transmission, Humans, Condoms statistics & numerical data, HIV Infections prevention & control, Health Promotion, Safe Sex statistics & numerical data
- Abstract
Behavioral interventions have been essential components of HIV prevention approaches, especially those aimed to promote safe sexual practices. We conducted a comprehensive literature search without language restrictions between 1980 and July 2014 to identify randomized controlled trials or controlled studies investigating behavioral interventions which: included women living with HIV; focused on condom use promotion; presented/analyzed outcomes by gender; used a 3-month follow-up or more; and considered at least one HIV-related behavioral or biological outcome. Eight studies comprising a total of 1,355 women living with HIV were included in the meta-analyses, and 13 studies were qualitatively described. When compared to standard care or minimal support intervention, behavioral interventions did not demonstrate an effect on increasing consistent condom use at the 3-month follow-up (RR = 0.92; 95%CI: 0.73, 1.16; p = 0.48), 6-month follow-up (RR = 1.13; 95%CI: 0.96, 1.34; p = 0.15), and 12-month follow-up (RR = 0.91; 95%CI: 0.77, 1.08; p = 0.30). Behavioral interventions also failed to reach positive effect in reduction of unprotected sexual intercourse at 6-months (MD = -1.80; 95%CI: -4.21, 0.62; p = 0.14) and 12-months follow-up (MD = -1.39; 95%CI: -2.29, 0.21; p = 0.09). These findings should be interpreted with caution since they are based on a few small trials. New researches are needed to assess the potential gains from a combination of interventions that promote safe sexual behavior with a harm reduction and gender approach, particularly in developing countries where HIV infection rates remain high.
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- 2017
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11. RNAi mediated IL-6 in vitro knockdown in psoriasis skin model with topical siRNA delivery system based on liquid crystalline phase.
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Depieri LV, Borgheti-Cardoso LN, Campos PM, Otaguiri KK, Vicentini FT, Lopes LB, Fonseca MJ, and Bentley MV
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- Gene Knockdown Techniques, Humans, In Vitro Techniques, Interleukin-6 genetics, Models, Biological, Psoriasis genetics, RNA Interference, RNA, Small Interfering administration & dosage
- Abstract
Gene therapy by RNA interference (RNAi) is a post-transcriptional silencing process that can suppress the expression of a particular gene and it is a promising therapeutic approach for the treatment of many severe diseases, including cutaneous disorders. However, difficulties related to administration and body distribution limit the clinical use of small interfering RNA (siRNA) molecules. In this study, we proposed to use nanocarriers to enable siRNA application in the topical treatment of skin disorders. A siRNA nanodispersion based on liquid crystalline phase and composed of monoolein (MO), oleic acid (OA) and polyethylenimine (PEI) was developed and its physicochemical properties, efficiency of complexation and carrier/siRNA stability were assessed. Subsequently, cell viability, cellular uptake, in vitro skin irritation test using reconstructed human epidermis (RHE) and in vitro IL-6 knockdown in psoriasis skin model were evaluated. The results showed that the liquid crystalline nanodispersion is a promising topical delivery system for administration of siRNA, being able to overcome the limitations of the route of administration, as well those resulting from the characteristics of siRNA molecules. The formulation was effective at complexing the siRNA, presented high rate of cell uptake (∼90%), increased the skin penetration of siRNA in vitro, and did not cause skin irritation compared with Triton-X (a moderate irritant), resulting in a 4-fold higher viability of reconstructed human epidermis and a 15.6-fold lower release of IL-1α. A single treatment with the liquid crystalline nanodispersion carrying IL-6 siRNA for 6h was able to reduce the extracellular IL-6 levels by 3.3-fold compared with control treatment in psoriasis skin model. Therefore, liquid crystalline nanodispersion is a suitable nanocarrier for siRNA with therapeutic potential to suppress skin disease-specific genes. This study also highlights the applicability of reconstructed skin models in pharmaceutical field to evaluate the performance of delivery systems without the use of animal models., (Copyright © 2016 Elsevier B.V. All rights reserved.)
- Published
- 2016
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12. Counselling in STD/HIV/AIDS in the context of rapid test: Perception of users and health professionals at a counselling and testing centre in Porto Alegre.
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Carvalho FT, Both NS, Alnoch EM, Conz J, and Rocha KB
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- Adult, Behavioral Medicine methods, Brazil, Female, Humans, Male, Middle Aged, Needs Assessment, Young Adult, Acquired Immunodeficiency Syndrome diagnosis, Acquired Immunodeficiency Syndrome psychology, Attitude of Health Personnel, Counseling methods, HIV Infections diagnosis, HIV Infections psychology
- Abstract
This article discusses the perceptions of professionals and users about counselling practices at a counselling and testing centre in Porto Alegre/RS based on interviews with 27 service users and 14 members of the staff. The following categories emerged from thematic analysis: professionals' perceptions on counselling, users' perceptions on counselling and changes in counselling due to the introduction of rapid test procedures. The results show that, although initially there were some imprecision and apparent contradictions in its use, rapid testing was considered an invitation to rethink practices, bringing service closer to users' needs., (© The Author(s) 2016.)
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- 2016
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13. An in situ gelling liquid crystalline system based on monoglycerides and polyethylenimine for local delivery of siRNAs.
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Borgheti-Cardoso LN, Depieri LV, Kooijmans SA, Diniz H, Calzzani RA, Vicentini FT, van der Meel R, Fantini MC, Iyomasa MM, Schiffelers RM, and Bentley MV
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- Animals, Cellulitis chemically induced, Cellulitis immunology, Cellulitis pathology, Female, Gels, Glycerides adverse effects, Glycerides chemistry, Injections, Subcutaneous, Mice, Inbred BALB C, Monoglycerides adverse effects, Monoglycerides chemistry, Polyethyleneimine adverse effects, Propylene Glycol adverse effects, Propylene Glycol chemistry, RNA, Small Interfering adverse effects, RNA, Small Interfering chemistry, Skin drug effects, Skin immunology, Skin pathology, Solubility, Subcutaneous Tissue drug effects, Subcutaneous Tissue immunology, Subcutaneous Tissue pathology, Viscoelastic Substances adverse effects, Viscosity, Water analysis, Cellulitis prevention & control, Gene Transfer Techniques adverse effects, Polyethyleneimine chemistry, RNA Interference, RNA, Small Interfering administration & dosage, RNAi Therapeutics adverse effects, Viscoelastic Substances chemistry
- Abstract
The development of delivery systems able to complex and release siRNA into the cytosol is essential for therapeutic use of siRNA. Among the delivery systems, local delivery has advantages over systemic administration. In this study, we developed and characterized non-viral carriers to deliver siRNA locally, based on polyethylenimine (PEI) as gene carrier, and a self-assembling drug delivery system that forms a gel in situ. Liquid crystalline formulations composed of monoglycerides (MO), PEI, propylene glycol (PG) and 0.1M Tris buffer pH 6.5 were developed and characterized by polarized light microscopy, Small Angle X-ray Scattering (SAXS), for their ability to form inverted type liquid crystalline phases (LC2) in contact with excess water, water absorption capacity, ability to complex with siRNA and siRNA release. In addition, gel formation in vivo was determined by subcutaneous injection of the formulations in mice. In water excess, precursor fluid formulations rapidly transformed into a viscous liquid crystalline phase. The presence of PEI influences the liquid crystalline structure of the LC2 formed and was crucial for complexing siRNA. The siRNA was released from the crystalline phase complexed with PEI. The release rate was dependent on the rate of water uptake. The formulation containing MO/PEI/PG/Tris buffer at 7.85:0.65:76.5:15 (w/w/w/w) complexed with 10 μM of siRNA, characterized as a mixture of cubic phase (diamond-type) and inverted hexagonal phase (after contact with excess water), showed sustained release for 7 days in vitro. In mice, in situ gel formation occurred after subcutaneous injection of the formulations, and the gels were degraded in 30 days. Initially a mild inflammatory process occurred in the tissue surrounding the gel; but after 14 days the tissue appeared normal. Taken together, this work demonstrates the rational development of an in situ gelling formulation for local release of siRNA., (Copyright © 2015 Elsevier B.V. All rights reserved.)
- Published
- 2015
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14. Effects of two exercise protocols on postural balance of elderly women: a randomized controlled trial.
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Mesquita LS, de Carvalho FT, Freire LS, Neto OP, and Zângaro RA
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- Aged, Aged, 80 and over, Female, Humans, Middle Aged, Treatment Outcome, Accidental Falls prevention & control, Aging physiology, Exercise physiology, Exercise Therapy methods, Postural Balance physiology
- Abstract
Background: The aging process reduces both sensory capabilities and the capabilities of the motor systems responsible for postural control, resulting in a high number of falls among the elderly. Some therapeutic interventions can directly interrupt this process, including physical exercise. This study compares and examines the effects of two exercise protocols on the balance of elderly women., Methods: Elderly women who participated in a local church project (n = 63) were randomly divided into three groups: the proprioceptive neuromuscular facilitation group (PNFG), Pilates group (PG), and control group (CG). Of the 63 women, 58 completed the program. A training program involving 50-min sessions was performed in the PNFG and PG three times a week for 4 weeks. The elderly women in the CG received no intervention and continued with their daily activities. Stabilometric parameters, the Berg Balance Scale score, functional reach test, and timed up and go test (TUG test) were assessed before and 1 month after participation., Results: In the comparison among groups, the women in the PNFG showed a significant reduction in most of the stabilometric parameters evaluated and better Berg Balance Scale score, functional reach test result, and TUG test result than did women in the CG (p < 0.05). Women in the PG showed significantly better performance on the functional reach test and TUG test than did women in the CG (p < 0.05)., Conclusions: Women in the PNFG showed significantly better static and dynamic balance than did women in the CG. Women in the PG also showed better dynamic balance than did women in the CG. However, no significant differences were observed in any of the balance variables assessed between the PNFG and PG., Trial Registration: clinicaltrials.gov, number NCT02278731.
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- 2015
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15. Zymographic and ultrastructural evaluations after low-level laser irradiation on masseter muscle of HRS/J strain mice.
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Iyomasa MM, Rizzi EC, Leão JC, Issa JP, Dias FJ, Pereira YC, Fonseca MJ, Vicentini FT, and Watanabe IS
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- Animals, Humans, Male, Masseter Muscle metabolism, Masseter Muscle ultrastructure, Matrix Metalloproteinase 2 metabolism, Matrix Metalloproteinase 9 metabolism, Mice, Mice, Hairless, Microscopy, Electron, Transmission, Models, Animal, Temporomandibular Joint Disorders radiotherapy, Vascular Endothelial Growth Factor A metabolism, Vascular Endothelial Growth Factor Receptor-2 metabolism, Low-Level Light Therapy, Masseter Muscle radiation effects
- Abstract
Low-level laser therapy (LLLT) has been widely used in the treatment of the stomatognathic system dysfunction; however, its biological effect remains poorly understood. This study evaluated the effect of LLLT (GaAlAs, 780 nm, 20 J/cm(2), 40 mW) on masseter muscle of HRS/J mice after different numbers of laser irradiations (three, six, and ten) for 20 s in alternate days. Three experimental groups were defined according to the number of laser irradiations and three control groups (n=5) were used. On the third day after the last irradiation, all animals were killed and the masseter muscle was removed and processed for the following analysis: (a) transmission electron microscopy, (b) zymography, (c) immunohistochemistry for vascular endothelial growth factor (VEGF) and VEGFR-2. The results showed: (a) with six laser applications, a dilation of T tubules, and sarcoplasmic reticulum cistern, increased pinocytosed vesicles in the endothelium; with ten laser applications, few pinocytic vesicles in the endothelium and condensed mitochondria. (b) Under the conditions of this study, the synthesis of other matrix metalloproteinases was not observed, only the MMP-2 and -9. (c) After ten laser irradiations, immunostaining was observed only for VEGFR-2. We conclude that after six laser applications, ultrastructural changes may facilitate the Ca(+2) transfer to cytosol and increase the fluid transport from one surface to another. The ultrastructural changes and no immunostaining for VEGF with ten applications may decrease the metabolic activity as well as damage the angiogenic process, suggesting that an effective number of laser applications may be less than ten, associating to this therapy a better cost-benefit.
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- 2013
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16. Delivery systems and local administration routes for therapeutic siRNA.
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Vicentini FT, Borgheti-Cardoso LN, Depieri LV, de Macedo Mano D, Abelha TF, Petrilli R, and Bentley MV
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- Administration, Topical, Animals, Drug Delivery Systems instrumentation, Humans, RNA Interference, RNA, Small Interfering genetics, Drug Delivery Systems methods, RNA, Small Interfering administration & dosage, RNA, Small Interfering therapeutic use
- Abstract
With the increasing number of studies proposing new and optimal delivery strategies for the efficacious silencing of gene-related diseases by the local administration of siRNAs, the present review aims to provide a broad overview of the most important and latest developments of non-viral siRNA delivery systems for local administration. Moreover, the main disease targets for the local delivery of siRNA to specific tissues or organs, including the skin, the lung, the eye, the nervous system, the digestive system and the vagina, were explored.
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- 2013
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17. Liquid crystalline phase nanodispersions enable skin delivery of siRNA.
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Vicentini FT, Depieri LV, Polizello AC, Del Ciampo JO, Spadaro AC, Fantini MC, and Vitória Lopes Badra Bentley M
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- Amines chemistry, Animals, Female, Gene Knockdown Techniques, Glyceraldehyde-3-Phosphate Dehydrogenases genetics, Glycerides chemistry, Male, Mice, Mice, Hairless, Polyethyleneimine chemistry, RNA, Small Interfering pharmacokinetics, Skin metabolism, Swine, Liquid Crystals, Nanoparticles, RNA, Small Interfering administration & dosage, Skin Absorption
- Abstract
The ability of small interfering RNAs (siRNAs) to potently but reversibly silence genes in vivo has made them particularly well suited as a new class of drugs that interfere with disease-causing or disease-promoting genes. However, the largest remaining hurdle for the widespread use of this technology in skin is the lack of an effective delivery system. The aim of the present study was to evaluate nanodispersed systems in liquid crystalline phases that deliver siRNA into the skin. The proposed systems present important properties for the delivery of macromolecules in a biological medium, as they are formed by substances that have absorption-enhancing and fusogenic effects; additionally, they facilitate entrapment by cellular membranes due to their nano-scale structure. The cationic polymer polyethylenimine (PEI) or the cationic lipid oleylamine (OAM) were added to monoolein (MO)-based systems in different concentrations, and after dispersion in aqueous medium, liquid crystalline phase nanodispersions were obtained and characterized by their physicochemical properties. Then, in vitro penetration studies using diffusion cell and pig ear skin were carried out to evaluate the effect of the nanodispersions on the skin penetration of siRNA; based on these results, the nanodispersions containing MO/OA/PEI/aqueous phase (8:2:5:85, w/w/w/w) and MO/OA/OAM/aqueous phase (8:2:2:88, w/w/w/w) were selected. These systems were investigated in vivo for skin penetration, skin irritation, and the ability to knockdown glyceraldehyde 3-phosphate dehydrogenase (GAPDH) protein levels in animal models. The results showed that the studied nanodispersions may represent a promising new non-viral vehicle and can be considered highly advantageous in the treatment of skin disorders; they were effective in optimizing the skin penetration of siRNA and reducing the levels of the model protein GAPDH without causing skin irritation., (Copyright © 2012 Elsevier B.V. All rights reserved.)
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- 2013
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18. Ocular manifestations of Noonan syndrome.
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Marin Lda R, da Silva FT, de Sá LC, Brasil AS, Pereira A, Furquim IM, Kim CA, and Bertola DR
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- Adolescent, Adult, Child, Child, Preschool, Eye Abnormalities genetics, Female, Genotype, Humans, Infant, Male, Mutation, Noonan Syndrome genetics, Phenotype, Protein Tyrosine Phosphatase, Non-Receptor Type 11 genetics, Eye Abnormalities diagnosis, Noonan Syndrome diagnosis
- Abstract
Purpose: To describe the ophthalmological characteristics in a group of Noonan syndrome patients with proven mutations in the PTPN11 gene., Methods: Thirty-five Noonan syndrome patients with PTPN11 gene mutations underwent ophthalmological exams, which consisted of external inspection, slit-lamp biomicroscopy examination and an ophthalmoscopic examination after instillation of 1.0% tropicamide or 1.0% cyclopentolate., Results: All 35 patients had at least one abnormality upon ophthalmological examination. The eyelid and external eye abnormalities were the prevailing features, followed by prominent corneal nerves on slit-lamp exam. Fundus changes were detected in 8% of the subjects, mainly associated with high myopia. No statistically significant differences were observed among the patients presenting specific mutations in the PTPN11 gene., Conclusions: The current study further supports the finding that ocular symptoms account for a large fraction of the clinical manifestations of NS. Additional characteristics are described here. The roles for the various mutations of PTPN11 in ocular development are yet to be established.
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- 2012
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19. Synthesis and antileishmanial evaluation of 1-aryl-4-(4,5-dihydro-1H-imidazol-2-yl)-1H-pyrazole derivatives.
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dos Santos MS, Oliveira ML, Bernardino AM, de Léo RM, Amaral VF, de Carvalho FT, Leon LL, and Canto-Cavalheiro MM
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- Animals, Antiprotozoal Agents pharmacology, Antiprotozoal Agents therapeutic use, Imidazoles chemistry, Imidazoles pharmacology, Imidazoles therapeutic use, Leishmania drug effects, Leishmaniasis drug therapy, Mice, Pyrazoles chemistry, Pyrazoles pharmacology, Pyrazoles therapeutic use, Structure-Activity Relationship, Antiprotozoal Agents chemical synthesis, Imidazoles chemical synthesis, Pyrazoles chemical synthesis
- Abstract
A series of 1-aryl-4-(4,5-dihydro-1H-imidazol-2-yl)-1H-pyrazoles (4a-g) and 5-amino-1-aryl-4-(4,5-dihydro-1H-imidazol-2-yl)-1H-pyrazoles (5a-g) were synthesized and evaluated in vitro against three Leishmania species: L. amazonensis, L. braziliensis and L. infantum (L. chagasi syn.). The cytotoxicity was assessed. Among the derivatives examined, six compounds emerged as the most active on promastigotes forms of L. amazonensis with IC(50) values ranging from 15 to 60 μM. The reference drug pentamidine presented IC(50)=10 μM. However, these new compounds were less cytotoxic than pentamidine. Based on these results, the more promising derivative 5d was tested further in vivo. This compound showed inhibition of the progression of cutaneous lesions in CBA mice infected with L. amazonensis relative to an untreated control., (Copyright © 2011 Elsevier Ltd. All rights reserved.)
- Published
- 2011
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20. Effects of low-level laser therapy on the oxidative metabolism and matrix proteins in the rat masseter muscle.
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Dias FJ, Issa JP, Vicentini FT, Fonseca MJ, Leão JC, Siéssere S, Regalo SC, and Iyomasa MM
- Subjects
- Analysis of Variance, Animals, Cell Respiration, Electrophoresis, Polyacrylamide Gel, Male, Masseter Muscle enzymology, Photomicrography, Random Allocation, Rats, Rats, Wistar, Low-Level Light Therapy methods, Masseter Muscle radiation effects, NAD metabolism, Succinate Dehydrogenase metabolism
- Abstract
Objective: This study aims to analyze the effects of low-level laser therapy (LLLT) on the oxidative activity and the expression/activity of metalloproteinases of the masseter muscle., Background Data: Currently in dentistry LLLT has been used on patients with muscular disorders, such as the temporomandibular disorders (TMDs) but its effect at the cellular level has not been fully elucidated., Methods: Thirty male Wistar rats divided into 6 groups (n=5) received 10 laser irradiations (780 nm, 5 mmW, CW laser, illuminated area 0.04 cm(2), power density 125 mW/cm(2)), with different energy densities (group I-0; group II-0.5; group III-1.0; group IV-2.5; group V-5.0; and group VI-20 J/cm(2)). Muscles were processed for nicotinamide adenine dinucleotide diaphorase (NADH) and sucinate dehydrogenase (SDH) activities and zymography. The photomicrographs were evaluated by the point counting method using a test system and ImageJ software; and by the ANOVA statistical test. The proteinases' secretion/activity was qualitatively analyzed by zymography., Results: LLLT significantly increased (p<0.05) masseter muscle oxidative metabolism shown by the increased area of intermediary fibers in the NADH (groups IV, V, and VI) and SDH (group V) reactions. The same metabolic pattern was observed among the groups in both reactions. Sodium dodecyl sulphate polyacrylamide gel electrophoresis (SDS-PAGE) zymography detected only the MMP-2 expression/activity for the untreated-control group (group I). The exposure to LLLT increased the activity of MPP-2 in group VI and the activity of MMP-9 in all groups exposed to different energy densities of laser irradiation (groups II, III, IV, V, and VI)., Conclusions: Thus, LLLT stimulated the oxidative metabolism and the expression of matrix metalloproteinase (MMPs) of the masseter muscle, which may indicate a matrix remodeling process. However, group VI did not show the best results for oxidative metabolism, probably indicating that the dosage they were given was high for this protocol.
- Published
- 2011
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21. Behavioral interventions to promote condom use among women living with HIV.
- Author
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Carvalho FT, Gonçalves TR, Faria ER, Shoveller JA, Piccinini CA, Ramos MC, and Medeiros LR
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- Adult, Female, HIV Infections transmission, HIV Seropositivity psychology, Humans, Randomized Controlled Trials as Topic, Sexually Transmitted Diseases prevention & control, Sexually Transmitted Diseases transmission, Standard of Care, Condoms statistics & numerical data, HIV Infections prevention & control, Risk Reduction Behavior
- Abstract
Background: High rates of HIV infection among women of reproductive age have dramatic consequences for personal and public health. Prophylaxis during sexual intercourse in the form of condoms has been the most effective way to prevent both STI and HIV transmission among people living with HIV., Objectives: To investigate the effectiveness of behavioral interventions in promoting condom use among women living with HIV., Search Strategy: We conducted a comprehensive literature search in several scientific databases, clinical trials databases, conference proceedings, and conference websites to identify studies produced between 1980 and May 2010 that met our selection criteria., Selection Criteria: Studies were included in the analysis if they conducted a randomized controlled trial that examined the effects of behavioral interventions on condom use among HIV-positive women; considered at least one HIV-related behavioral outcome (e.g., reported protected anal, vaginal, or oral sex) or biological outcome (e.g., acquisition of STIs); and one follow-up assessment three months or more after the intervention. Studies were assessed irregardless of langauge or publication status., Data Collection and Analysis: We used random effects models to summarize odds ratios (ORs) that compared intervention and control groups with respect to a dichotomous outcome (consistent versus inconsistent condom use). We used funnel plots to examine publication bias and a χ(2) statistic to test for heterogeneity. The methodological and evidence quality was evaluated through risk of bias criteria and the GRADE system, respectively., Main Results: Five primary studies that collectively researched a total of 725 women living with HIV were analysed. When compared to standard care or minimal HIV support intervention, meta-analysis showed that behavioral interventions had no effect on increasing condom use among HIV-positive women. This finding was consistent at various follow-up meetings (3, 6, and 12-months) as well as over the entire 12-month follow-up period (OR= 0.82; 95% CI 0.65-1.04; p=0.11). Only one study presented adequate data to analyze the relationship between behavioral interventions and STI incidence. Studies included in this analysis demonstrated low risk of bias based on the risk of bias criteria. However, sample size was considered inadequate across all studies., Authors' Conclusions: Meta-analysis shows that behavioral interventions have little effect on increasing condom use among HIV-positive women. However, these findings should be used with caution since results were based on a few small trials that were targeted specifically towards HIV-positive women. To decrease sexual transmission of HIV among this population, we recommend interventions that combine condom promotion, family planning provision and counselling, and efforts to reduce viral loads among HIV-positive women and their partners (e.g., HAART treatment provision). New research is needed to address the needs of HIV-positive women, including an assessment of the impact of interventions that combine safer sexual behavior and harm reduction approaches.
- Published
- 2011
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22. Revised diagnostic criteria for vogt-koyanagi-harada disease: considerations on the different disease categories.
- Author
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da Silva FT, Damico FM, Marin ML, Goldberg AC, Hirata CE, Takiuti PH, Olivalves E, and Yamamoto JH
- Subjects
- Adolescent, Adult, Child, Female, Fluorescein Angiography, HLA-DR Antigens genetics, HLA-DRB1 Chains, Humans, Immunosuppressive Agents therapeutic use, Male, Middle Aged, Retrospective Studies, Tomography, Optical Coherence, Uveomeningoencephalitic Syndrome drug therapy, Uveomeningoencephalitic Syndrome genetics, Uveomeningoencephalitic Syndrome classification, Uveomeningoencephalitic Syndrome diagnosis
- Abstract
Purpose: To evalulate the applicability of the Revised Diagnostic Criteria for Vogt-Koyanagi-Harada (VKH) disease to Brazilian patients and to verify the association between different disease categories, clinical parameters, and the presence of HLA-DRB1*0405., Design: A retrospective observational case series., Methods: Medical charts of 67 patients (10 to 64 years in age; 12 men and 55 women), from the Uveitis Service, Hospital das Clínicas, University of São Paulo School of Medicine (HCFMUSP), São Paulo, Brazil were reviewed. Patients, previously diagnosed with VKH disease using criteria proposed by the American Uveitis Society, underwent retrospective classification based on the Revised Diagnostic Criteria. The degree of concordance was assessed. At presentation, 46 patients (69%) were in the early phase. In this group, the mean time from disease onset to treatment was 15 days (range, one to 30 days). Forty-eight patients (72%) were typed for HLA-DRB1*0405 by polymerase chain reaction-sequence specific primer and polymerase chain reaction-sequence-specific oligonucleotides primer. Disease categories, phase at initial presentation, and ocular complications were analyzed., Results: There was a 100% of concordance between the two criteria. Disease was classified as complete in 10 patients (15%), incomplete in 37 patients (55%), and probable in 20 patients (30%). In each group, respectively, 90%, 76%, and 45% were in the early phase at presentation (P = .017). There was no association between disease categories, the presence of HLA-DRB1*0405, and clinical parameters., Conclusion: The Revised Diagnostic Criteria proved useful for diagnosis of VKH disease in Brazilian patients. The present retrospective study did not find any association between disease category and severity parameters. To better understand the relevance of disease categories, a minimum follow-up period to categorize patients should be included in future prospective studies.
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- 2009
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23. [Historical aspects, maternity and HIV infection in women].
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de Carvalho FT and Piccinini CA
- Subjects
- Female, Humans, Mothers, Feminism, HIV Infections epidemiology, HIV Infections transmission
- Abstract
The aim of this article was to examine historical aspects related to the feminine and to being a mother for deepening the comprehension of motherhood in the context of HIV/Aids infection. We reviewed the traditional role of the woman in society, showing the historical division between the mother, deserving respect and consideration, and the prostitute, marginalized and not worth of respect. In this context, we discuss the sexually transmitted diseases and the social reactions toward these infections in women, especially as refers to motherhood in the context of HIV/Aids infection. The paper emphasizes the presence of socially constructed beliefs about women's behaviors as a factor hampering an effective prevention of STD/HIV/AIDS in women and the great need for reflecting about the strategies for prevention and care.
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- 2008
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24. [Protective factors and resilience in people living with HIV/AIDS].
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Carvalho FT, Morais NA, Koller SH, and Piccinini CA
- Subjects
- Acquired Immunodeficiency Syndrome prevention & control, Acquired Immunodeficiency Syndrome psychology, Adaptation, Psychological, Family Relations, HIV Seropositivity psychology, Humans, Social Behavior, Social Support, Stress, Psychological prevention & control, HIV Infections psychology, Health Promotion, Quality of Life psychology, Sick Role, Stress, Psychological psychology
- Abstract
The aim of this theoretical review was to articulate the resilience concept with key aspects in the lives of people living with HIV/AIDS. We emphasize the analysis of protective factors traditionally related to resilience (personal characteristics and social and affective support networks). The reviewed studies show important protective factors that contribute to the health and well-being of people with HIV/AIDS, such as cognitive coping and acceptance of their HIV status, family participation in treatment and family support, the role of governmental and nongovernmental institutions, and religious beliefs. The concept of resilience defined as a dynamic process that allows human beings to overcome adversities is essential for understanding HIV infection and treatment of AIDS patients. It helps decrease stigmatization and prejudice towards the disease and patients. It also helps alter the notion that living with AIDS is incompatible with well-being and quality of life and fosters the creation of new HIV/AIDS prevention and treatment perspectives.
- Published
- 2007
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25. Routine post-weaning handling of rats prevents isolation rearing-induced deficit in prepulse inhibition.
- Author
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Rosa ML, Silva RC, Moura-de-Carvalho FT, Brandão ML, Guimarães FS, and Del Bel EA
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- Animals, Male, Rats, Rats, Wistar, Weaning, Handling, Psychological, Inhibition, Psychological, Reflex, Startle physiology, Social Isolation psychology
- Abstract
Rats reared under isolation conditions from weaning present a number of behavioral changes compared to animals reared under social conditions (group housing). These changes include deficits in prepulse inhibition (PPI) of the startle reflex to a loud sound. PPI refers to the reduction of the magnitude of the startle reflex when a relatively weak stimulus (the prepulse) precedes by an appropriate time interval the intense startle-elicing stimulus (the pulse). PPI is useful for studying sensorimotor integration. The present study evaluated the effect of handling on the impairment of PPI induced by isolation-rearing. Male Wistar rats (N = 11-15/group) were housed in groups (5 per cage and handled three times a week) or isolated (housed individually) since weaning (21 days) for 10 weeks when they reach approximately 150 g. The isolated rats were divided into "minimally handled" animals (handled once a week for cleaning purposes only) or "handled" animals (handled three times a week). This handling consisted of grasping the rat by the tail and moving it to a clean cage (approximately 5 s). A statistically significant reduction (52%) in the PPI test was found only in the isolated group with minimal handling while no difference was seen between grouped animals and isolated handled animals. These results indicate that isolation rearing causes disruption in the PPI at adult age, which serves as an index of attention deficit. This change in the sensory processing of information induced by post-weaning isolation can be prevented by handling during the development of the animal.
- Published
- 2005
- Full Text
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26. Assessment of aquatic plants in the reservoirs of AES-tietê and development of an integrated control model for the most important species.
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Velini ED, Galo ML, Carvalho FT, Martins D, Cavenaghi AL, Trindade ML, Bravin LF, Negrisoli E, Antuniassi UR, Simionato JL, and Santos SC
- Subjects
- Brazil, Data Collection, Environmental Monitoring, Geologic Sediments, Light, Pest Control, Spacecraft, Water Movements, Geographic Information Systems, Plant Development, Water Supply
- Abstract
The general objective of this work was to develop a monitoring and management model for aquatic plants that could be used in reservoir cascades in Brazil, using the reservoirs of AES-Tietê as a study case. The investigations were carried out at the reservoirs of Barra-Bonita, Bariri, Ibitinga, Promissão, and Nova-Avanhandava, located in the Tietê River Basin; Agua Vermelha, located in the Grande River Basin; Caconde, Limoeiro, and Euclides da Cunha, which are part of the Pardo River Basin; and the Mogi-Guaçu reservoir, which belongs to the Mogi-Guaçu River basin. The main products of this work were: development of techniques using satellite-generated images for monitoring and planning aquatic plant control; planning and construction of a boat to move coating plant masses and an airboat equipped with a DGPS navigation and application flow control system. Results allowed to conclude that the occurrence of all types of aquatic plants is directly associated with sedimentation process and, consequently, with nutrient and light availability. Reservoirs placed at the beginning of cascades are more subject to sedimentation and occurrence of marginal, floating and emerged plants, and are the priority when it comes to controlling these plants, since they provide a supply of weeds for the other reservoirs. Reservoirs placed downstream show smaller amounts of water-suspended solids, with greater transmission of light and occurrence of submerged plants.
- Published
- 2005
- Full Text
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