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ABSTRACT: This study aimed to identify dogs with a presumptive diagnosis of cervical intervertebral disc disease (IVDD; C1-C5 or C6-T2) submitted to clinical management and evaluate the outcome. This study also aimed to demonstrate the age, sex, and treatment response according to the neurological degree, and verify whether those factors could potentially influence the outcome. The data were obtained from patients with a neurological dysfunction, admitted at the Veterinary Hospital from January 2006 to March 2017. In addition to patient records, the tutors answered a questionnaire related to the success of therapy. A hundred and seventy-seven neurological records were evaluated, and 78 were included in the study according to the inclusion criteria. The most frequent breeds were Dachshunds, followed by mixed-breed dogs. Regarding the neurological dysfunction degree, 58.97% presented grade I (only neck pain), 25.64% were grade II (ambulatory tetraparesis), and 15.38% grade III (nonambulatory tetraparesis). Absolute and partial space rest were performed in 75.64% and 24.36% of the cases, respectively. The minimum rest time was one week and could come up to four weeks. Most dogs were small-sized (≤15kg). The recovery was satisfactory in 87.17% of dogs and unsatisfactory in 12.83%. Regarding recurrence, we observed that 10.3% of dogs presented satisfactory recovery. The clinical treatment for dogs with cervical IVDD can be indicated with adequate clinical response to dysfunction degrees ranging from I to III, either at rest or in restricted space and with a low rate of relapse.

Este trabalho aborda processos de escrita e desenvolvimento de autoria a partir das reflexões de Virginia Woolf (2016), presentes em seu ensaio Profissões para mulheres, lido em 1931 para a inglesa Sociedade Nacional de Auxílio às Mulheres; e de Clarice Lispector (1999), em sete crônicas de seu livro A descoberta do mundo. Busca-se discutir autoria e estilo em processos de ensino cujos objetivos contemplem a busca por experiências reais com a linguagem, algo nem sempre priorizado no exercício da produção textual escolar. A fim de relacionar a criação textual na Educação Básica – considerado o descompasso entre documentos oficiais e realidade (aluno, ensino, professor e escola) – com as produções inerentes de quem tem a escrita como ofício, são acionadas enunciações sobre a (não) atuação de alunas e alunos em seus textos (Bernardo, 2012) e recomendações da Base Nacional Comum Curricular (Brasil, 2018) sobre o trabalho com o texto na sala de aula, especificamente sobre o que o documento entende por autoria.

A agroecologia é uma ciência sistêmica e integrativa entre as dimensões ecológica, econômica e social. Sua transdisciplinaridade eclode em diferentes áreas da sociedade, pois envolve conhecimentos de diversas áreas como as das ciências sociais e humanas, ciências ecológicas e agrícolas, ciências econômicas e da saúde, promovendo sustentabilidade, qualidade de vida e bem viver. Desta forma, o objetivo deste ensaio é apresentar a relevância da agroecologia e do bem viver para a saúde coletiva. Trata-se de um estudo qualitativo de caráter exploratório e descritivo. A base de sustentação do estudo foi feita por meio da coleta de dados secundários, a partir da revisão bibliográfica. Nas bases de dados da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (Capes), da Biblioteca Virtual em Saúde (BVS) e da Web of Science e Scientific Electronic Library (SciELO) das produções científicas publicadas a partir das duas últimas décadas sobre o tema agroecologia e saúde. Como principais resultados visualiza-se que a agroecologia contribui no propósito de promover uma alimentação saudável, no cuidado com o meio ambiente e na promoção do bem viver e da saúde coletiva, minimizando a ocorrência da degradação do meio ambiente, da perda de sua biodiversidade e das doenças relacionadas pelo uso indiscriminado de insumos agrícolas químicos. Abstract: Agroecology is a systemic and integrative science between the ecological, economic and social dimensions, its transdisciplinarity erupts in different areas of society, as it involves knowledge from different areas such as social and human sciences, ecological and agricultural sciences, economic sciences and of health, promoting sustainability, quality of life and good living. All these elements can influence environmental preservation, the promotion of healthy and sustainable agrifood systems, and the improvement of people's quality of life. In this way, the objective of this essay is to present the relevance of agroecology and well-being for collective health.This is a qualitative exploratory and descriptive study. The support base of the study was made through the collection of secondary data, from the bibliographic review. In the databases of the Coordination for the Improvement of Higher Education Personnel (Capes), the Virtual Health Library (BVS) and the Web of Science and Scientific Electronic Library (SciELO) of the scientific productions published from the last two decades on the subject agroecology and health. As main results it is visualized that agroecology contributes to the purpose of promoting healthy eating, caring for the environment and promoting good living and collective health, minimizing the occurrence of environmental degradation, the loss of its biodiversity and diseases related to the use indiscriminate use of chemical agricultural inputs.

Goat milk presents interesting characteristics to consumers, but the production of this food faces several challenges that influence its quality. Process failures from milking to processing and commercialization can expose milk to contamination by pathogenic microorganisms, including the coagulase-positive Staphylococcus group. Although Staphylococcus aureus is the most relevant species in mastitis and food poisoning, other species in this group are also important, especially those related to food poisoning. This study aimed to identify the coagulase-positive Staphylococcus species in goat milk using biochemical tests, determine the prevalence of antimicrobial resistance using the disc diffusion test, and investigate enterotoxin-producing genes, sea, seb, sec, sed, see, seg, seh, and sei by multiplex PCR. A total of 384 coagulase-positive Staphylococcus strains obtained from raw goat milk collected from nine farms in Paraná during four seasons of the year were studied. Biochemical tests showed that 85.69% of the 384 strains were S. aureus, followed by 9.38% of S. intermedius, 4.17% of S. hyicus and 0.78% of S. delphini. For the antimicrobial resistance test, up to three strains of each species identified as coagulase-positive Staphylococci were chosen from each farm, with a total of 74 strains. Of these, 27% (20/74) showed resistance to at least one antibiotic, and among all penicillin-resistant strains, 45% (9/20) also presented resistance to tetracycline. In the search for staphylococcal enterotoxin-producing genes, 49 S. aureus strains were studied; among them, 40.81% (20/49) presented enterotoxin-producing genes. The highest prevalence was detected for the sec gene, which was present in 22.44% (11/49) of the strains, followed by the seh gene in 18.36% (9/49), and the see gene was detected in 4.08% (2/49). It was concluded that S. aureus was the predominant species in raw goat milk, with a high prevalence of penicillin- and tetracycline-resistant Staphylococci and a significant number of strains with staphylococcal enterotoxin-producing genes. The strains studied carried enterotoxin-producing genes involved in food poisoning in humans, indicating that goat milk is a possible source of contamination and, therefore, a potential danger to public health.

O principal carboidrato do leite é a lactose e a sua absorção ocorre devido à hidrólise enzimática, gerando glicose e galactose. A intolerância à lactose é a redução da capacidade de hidrólise intestinal devido à hipolactasia, gerando a necessidade do consumo de alimentos lácteos com baixo teor deste carboidrato. As enzimas beta-galactosidase são utilizadas nas indústrias de laticínios para hidrolisar a lactose, proporcionando ao consumidor intolerante a possibilidade de ingerir os produtos lácteos sem prejuízos à saúde. Para quantificar o conteúdo de carboidratos resultante da hidrólise enzimática, são utilizados métodos analíticos alternativos e oficiais. O objetivo deste estudo foi avaliar a hidrólise enzimática de duas enzimas industriais distintas produzidas pelos microrganismos Bacillus licheniformis e Kluyveromyces lactis, através de três métodos analíticos: método enzimático, crioscopia e HPLC. A inteligência artificial foi utilizada para melhorar o controle dos processos industriais. Após a adição das enzimas ao leite desnatado, foi realizada a cinética de tempo coletando as amostras no tempo 0, a cada 10 minutos até completar 1 hora de reação e a cada 30 minutos até o fechamento das 5 horas de reação de hidrólise. Em 97% dos casos observados a diminuição da concentração de lactose por HPLC acompanhou o aprofundamento do ponto crioscópico. As medições de glicose por absorbância e HPLC foram correlacionadas (r = 0,79; p < 0,01), mas não concordantes (p < 0,01). Concluiu-se que, por meio da inteligência artificial, é possível estimar indiretamente a concentração de lactose a partir de um algoritmo que associa a crioscopia e a concentração de glicose.

ABSTRACT We report an unusual case of a 24-year-old girl with a history of recurrent hypokalemic paralysis episodes and skin lesions on the lower limbs and buttocks, both of which had an acute evolution. In subsequent investigations, the patient also had nephrocalcinosis, nephrolithiasis, hyperchloremic metabolic acidosis and persistent alkaline urinary pH. The findings were consistent with distal renal tubular acidosis as the cause of hypokalemic paralysis. Clinical findings, immunological tests and the result of skin biopsy suggested primary Sjögren's syndrome as an underlying cause. The patient developed azotemia due to obstructive nephrolithiasis. All the features presented in this case are an unusual manifestation of distal renal tubular acidosis; so far, we are not aware of a similar report in the literature.

ABSTRACT: Chrysodeixis includens (Walker) and Anticarsia gemmatalis Hübner are important soybean defoliators. The chemical control of A. gemmatalis has been easier and more effective than that of C. includens. It is hypothesized that C. includens is natural tolerant to insecticides. This study quantified and compare the susceptibility of C. includens and A. gemmatalis to the insecticides flubendiamide, methomyl, and spinetoram. A susceptible population of each species, maintained under laboratory conditions without insecticides selection pressure for more than 17 generations, was used. Ingestion bioassays using five to eight concentrations of each insecticide applied on the artificial diet surface were used to estimate the LC50 and LC99 (LC = Lethal Concentration). The tolerance ratio (TR) was calculated by dividing the LC50 or LC99 of the most tolerant species by the respective value of the most susceptible species. Chrysodeixis includens was more tolerant to all insecticides tested than A. gemmatalis, with TR50 values of 45.9-, 10.0- and 2.6-fold for methomyl, flubendiamide, and spinetoram. These findings indicated that the risk of evolution of resistance may be higher for C. includens than A. gemmatalis due to differential survival when exposed to the same dose of insecticide applied in soybean fields. Therefore, to improve the control of both species, integrated pest management (IPM) and insect resistance management (IRM) strategies should be considered to avoid control failures in field conditions.

The looper caterpillar Chrysodeixis includens (Walker) is considered the main defoliating pest in soybean crops, which contributes to yield losses. Delaying its resistance to insecticides is a major challenge in its management. This study aimed to characterize the susceptibility of C. includens to flubendiamide, cyantraniliprole, spinetoram and methomyl, as well as to establish a diagnostic concentration for monitoring resistance. The insecticide was applied to the surface of the artificial diet. For the dose-response curve, concentrations that resulted in 5 to 99 % mortality were used to estimate the lethal concentrations (LC50 and LC99) and resistance ratios (RR50 and RR99). The diagnostic concentrations were based on concentrations that provided 90 to 99 % mortality in the susceptible reference population. For flubendiamide and methomyl, the decrease in the susceptibility resulted in estimated RR50 of 6.2 to 24.2 and 4.4 to 19.6 times, respectively. For cyantraniliprole and spinetoram, there was little difference in susceptibility among the populations, with RR99 lower than 6.1 times. Differences in the susceptibility of C. includens were evident from concentrations of 0.5053, 5.053, 0.1579 and 28.42 μg cm-², respectively for flubendiamide, cyantraniliprole, spinetoram and methomyl.

La Universidad Nacional de Río Negro (Argentina) fortalece la vinculación con la sociedad a partir del principio de asociatividad, junto con los de ciencia, innovación y excelencia. Con enfoque cualitativo y exploratorio-descriptivo se abordaron las prácticas de innovación pedagógica en Paleontología y Geología. Estas innovaciones fueron basadas en las necesidades de los museos regionales y canalizadas a través de proyectos de extensión, voluntariado y trabajo social. Como resultado se lograron dos objetivos centrales: reactivar colaborativamente los museos hacia el interior y el exterior a través de la vinculación científico-tecnológica, mejorando la comunicación social de la ciencia y la educación científica, y enriquecer la formación de los estudiantes implementando innovaciones pedagógicas curriculares centradas en el aprendizaje-servicio. Asimismo, se fortaleció el compromiso ciudadano de los estudiantes, se prepararon las colecciones para uso de los investigadores y se generaron estrategias de preservación del patrimonio geológico.

ABSTRACT: The objective of this study was to verify the clinical recovery of dogs that underwent ventral slot surgical decompression with lateralized compressions of the cervical spinal cord caused by intervertebral disc disease (IVDD). Twenty patients were selected in different degrees of neurological dysfunction with definitive diagnosis of lateralized compression by cervical IVDD. Postoperative clinical recovery was assessed in patients who had undergone at least two months of the surgical procedure. There was a satisfactory recovery in 19 dogs (95%) and unsatisfactory recovery in another (5%), showing a significant clinical improvement (p

Abstract The propagation of guabijuzeiro (M. pungens) by seed is originating plants with high genetic variability and a long juvenile period. Therefore, the objective was to study the multiplication and rooting in vitro of guabijuzeiro in order to get information to enable the clonal propagation. In the multiplication, apical and nodal segments were used, taken from in vitro plantlets, combined with 6-Benzylaminopurine (BAP), naphthaleneacetic acid (NAA) and gibberellic acid (GA). In the rooting, NAA and IBA (indolebutyric acid) were used. The results showed that in the multiplication there was superiority in media with BAP, while rooting was not satisfactory in media with NAA or IBA. Thus, it is possible to multiply M. pungens in vitro using BAP phytoregulator in the multiplication stage. However, the rooting stage needs more tests to induce the production of roots and facilitate acclimatization of the plants obtained in vitro.

Abstract: The objective of this work was to evaluate the natural resistance of soybean cultivars to Chrysodeixis includens. For this, four commercial soybean cultivars recommended for the Southern region of Brazil were used: BR 36, NA 5909 RG, BMX Turbo RR, and Benso 1RR. In the laboratory, larvae were subjected to the antixenosis feeding assay, in which they were free or not to choose among old leaves, new leaves, and pods. Neonate larvae were subjected to two antibiosis tests: in the first one, they were fed with leaves from the middle third of the plants of the four cultivars; and, in the second one, with leaves or pods of the NA 5909 RG cultivar. Chrysodeixis includens larvae prefer leaves over pods and old leaves over new ones. The Benso 1RR cultivar extends the development cycle of C.includens, but only BMX Turbo RR will reduce the population growth of larvae in the next generations.

Abstract Objective: To understand the perception of primary care users in the face of mental suffering and participation in a coexistence therapeutic group. Methods: Convergent Care Research of qualitative approach performed with four participants of a therapeutic group in a Family Health Strategy. Was used the semi-structured interview, carried out in February 2018, and the software Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires for coding the data. Results: The therapeutic group in mental health can contribute to the reduction of stigma related to mental illness and to promotion and prevention in mental health, using relational technologies, low-cost and accessible for professionals. Conclusion: The study contributed to inspire new actions and revitalize mental health practices through an intervention that can be implemented and that can bring benefits to those involved in the context of Primary Care.

RESUMO O caquizeiro é uma planta muito complexa na questão de sua biologia floral, já que pode apresentar três tipos de flor (feminina, masculina ou hermafrodita) ou apenas flores femininas, como no caso das cultivares comerciais. O objetivo deste trabalho foi estudar o período de florescimento, os tipos de flores e estimar a viabilidade dos grãos de pólen em nove cultivares de D. kaki e em D. virginiana. As cultivares Pomelo e Rama Forte foram precoces para o início do florescimento. A cultivar Pomelo e a espécie D. virginiana apresentaram produção de flores masculinas, com pólen viável. As nove cultivares de D. kakiestudadas apresentaram produção de flores femininas (também masculinas em Pomelo) como esperado em cultivares comerciais. Porém a cultivar Mikado apresentou, ao final do florescimento, flores com produção de pólen viável, o que ainda não havia sido relatado. A viabilidade dos grãos de pólen, em geral, foi acima de 90% para as cultivares Pomelo e Mikado, e para D. virginiana.

BACKGROUND: Although Brazilian National Public Health System (BNPHS) has presented advances regarding the treatment for obesity in the last years, there is a repressed demand for bariatric surgeries in the country. Despite favorable evidences to laparoscopy, the BNPHS only performs this procedure via laparotomy. AIM: 1) Estimate whether bariatric surgeons would support the idea of incorporating laparoscopic surgery in the BNPHS; 2) If there would be an increase in the total number of surgeries performed; 3) As well as how BNPHS would redistribute both procedures. METHODS: A panel of bariatric surgeons was built. Two rounds to answer the structured Delphi questionnaire were performed. RESULTS: From the 45 bariatric surgeons recruited, 30 (66.7%) participated in the first round. For the second (the last) round, from the 30 surgeons who answered the first round, 22 (48.9%) answered the questionnaire. Considering the possibility that BNPHS incorporated laparoscopic surgery, 95% of surgeons were interested in performing it. Therefore, in case laparoscopic surgery was incorporated by the BNPHS there would be an average increase of 25% in the number of surgeries and they would be distributed as follows: 62.5% via laparoscopy and 37.5% via laparotomy. CONCLUSION: 1) There was a preference by laparoscopy; 2) would increase the number of operations compared to the current model in which only the laparotomy is available to users of the public system; and 3) the distribution in relation to the type of procedure would be 62.5% and 37.5% for laparoscopy laparotomy.

Background: Previous studies have been inconsistent in demonstrating beneficial cardiovascular effects of vitamin D supplementation., Objective: To evaluate the effects of vitamin D3 supplementation on central hemodynamic parameters and autonomic activity in obese/overweight individuals with low vitamin D levels (<30ng/dl)., Methods: Adults 40-65 years old with body mass index ≥25<40 kg/m2 were enrolled in this prospective, randomized, double-blind clinical trial (NCT05689632). Central hemodynamics was assessed using the oscillometric method (Mobil-O-Graph®), and heart rate variability using a Polar heart rate monitor (Kubios® software). Patients (n=53) received a placebo in the control group (CO, n=25) or vitamin D3 (VD, n=28) 7000 IU/day, and were evaluated before (W0) and after 8 weeks (W8) with a significance level of 0.05., Results: The groups were homogeneous regarding age (51±6 vs 52±6 years, p=0.509) and vitamin D levels (22.8±4.9 vs 21.7±4.5ng/ml, p=0.590). At W8, the VD group had significantly higher levels of vitamin D (22.5 vs 35.6ng/ml, p<0.001). Only the VD group showed a significant reduction in systolic blood pressure (SBP; 123±15 vs 119±14mmHg, p=0.019) and alkaline phosphatase (213±55 vs 202±55mg/dl, p=0.012). The CO group showed an increase in augmentation pressure (AP: 9 vs 12 mmHg, p=0.028) and augmentation index (AIx: 26 vs 35%, p=0.020), which was not observed in the VD group (AP: 8 vs 8 mmHg, AIx: 26 vs 25%, p>0.05). VD group showed an increase in the parasympathetic nervous system index (PNSi) (-0.64±0.94 vs -0.16±1.10, p=0.028) and the R-R interval (866±138 vs 924±161 ms, p= 0.026)., Conclusion: In this sample, eight weeks of daily vitamin D supplementation resulted in an improvement in blood pressure levels and autonomic balance.

Background: The diet's inorganic nitrate (NO3-) may provide a physiological substrate for reducing nitrate (NO2-) to NO independent of the endothelium. Studies suggest that inorganic NO3- has beneficial effects on cardiovascular health., Objective: This study evaluated the acute effects of 500 mL nitrate-rich beetroot juice (BRJ; containing 11.5mmol NO3-) on blood pressure and endothelial function in treated hypertensive patients., Methods: A randomized, placebo-controlled, crossover study was conducted in treated hypertensive patients (n=37; women=62%) who underwent clinical and nutritional evaluation and assessment of central hemodynamic parameters and microvascular reactivity. The significance level was p<0.05., Results: The mean age was 59±7 years, and mean systolic and diastolic blood pressures were 142±10/83±9mmHg. There was a significant increase in the subendocardial viability ratio (SEVR; 149±25 vs. 165±30%, p<0.001) and reduction in ejection duration (ED; 37±4 vs. 34±4%, p<0.001) in the beetroot phase but no significant SEVR difference in the control phase. The % increase in perfusion (155 vs. 159 %, p=0.042) was significantly increased in the beetroot phase, which was not observed in the control phase. In the beetroot phase, the change in SEVR showed a significant correlation with the change in the area under the curve of post-occlusive reactive hyperemia (AUC-PORH) (r=0.45, p=0.012). The change in ED showed a significant correlation with the post-intervention perfusion peak (r=-0.37, p=0.031) and AUC-PORH (r=-0.36, p=0.046)., Conclusions: The acute ingestion of BRJ by hypertensive patients resulted in an improvement of endothelial function, which was associated with higher subendocardial viability and performance in myocardial contraction.

Spirituality/religiousness has been regarded as an important dimension for health studies and services. The present study consists of a systematic review on health and spirituality/religiousness, specifically, instruments for its measurement. In order to do so, we searched for papers using the keywords "scales spirituality religiousness" and "scales spirituality religiousness and health" in CAPES, DOAJ, Lilacs, Pubmed, Scielo and Web of Science, from 2000 to 2017. The search returned 500 studies, from which 35 were selected, considering their originality, availability, language (English or Portuguese), and description of scales for measuring spirituality/religiousness and adapted for the Brazilian culture. From such papers, 16 instruments were identified; the instruments with most studies were the WHOQOL-100 (as well as its reduced version and the SRPB module), the Spiritual Well-Being Scale and the RCOPE scale. We conclude that studies on this field are scarce, for, although many instruments are described, the continuity of their validation is poor.

Objective: to report the characteristics, evolution and outcome of patients with primary umbilical endometriosis., Methods: an observational and descriptive study of patients with primary umbilical endometriosis diagnosed between 2014 and 2017. The clinical variables evaluated were age, clinical picture, lesion characteristics, diagnostic methods, treatment and recurrence., Results: six patients diagnosed with primary umbilical endometriosis aged 28 to 45 years were operated on during the study period. They had lesions ranging from one to 2.5cm in diameter, violet in five patients and erythematous-violaceous in one. The duration of the symptoms until diagnosis ranged from one to three years and in all the cases studied the diagnosis was made through the clinical manifestations and confirmed by histopathological analysis. No case was associated with neoplastic alterations. All patients evaluated had pain and umbilical bleeding in the menstrual period., Conclusion: umbilical endometriosis is an uncommon disease and should be included in the differential diagnosis of women as umbilical nodules. The treatment of choice is the total exeresis of the lesion.

Purpose: To evaluate the core (First Contact, Longitudinality, Comprehensiveness, and Coordination of Services) and derivative (Family Orientation, Community Orientation) attributes of primary health care (PHC) from the perspective of users with and without disabilities., Methods: Observational, cross-sectional study using the Primary Care Assessment Tool (PCAT) with users with and without disabilities of five basic health units (BHU) in a municipality where 55% of the population depends on the Brazilian Unified Health System (SUS). Scores were assigned to the responses given to each of the PHC attributes evaluated., Results: Study participants were 93 (67 physically disabled and 26 without disabilities) PHC users. No statistically significant differences were observed for any attribute on the comparison between the populations. For both groups, the attributes Degree of Affiliation, First Contact - Utilization, Longitudinality, and Coordination of Services - Information System received satisfactory (above cutoff) scores, whereas the attributes First Contact - Accessibility, Coordination of Services - Care Integration, Comprehensiveness, Family Orientation, and Community Orientation received unsatisfactory (below cutoff) scores. Users reported that the health teams are able to satisfactorily identify mobility issues, but there are failures in the recognition of problems of hearing, voice/speech and vision, and in the orientation of services available and services provided., Conclusion: Users with and without disabilities evaluated the health care received similarly, indicating fragilities on the recognition of specific demands. Structural and work process changes should be conducted to ensure Accessibility, Comprehensiveness, and Family and Community Orientation, and thus increase the quality of PHC.

Background: Although Brazilian National Public Health System (BNPHS) has presented advances regarding the treatment for obesity in the last years, there is a repressed demand for bariatric surgeries in the country. Despite favorable evidences to laparoscopy, the BNPHS only performs this procedure via laparotomy., Aim: 1) Estimate whether bariatric surgeons would support the idea of incorporating laparoscopic surgery in the BNPHS; 2) If there would be an increase in the total number of surgeries performed; 3) As well as how BNPHS would redistribute both procedures., Methods: A panel of bariatric surgeons was built. Two rounds to answer the structured Delphi questionnaire were performed., Results: From the 45 bariatric surgeons recruited, 30 (66.7%) participated in the first round. For the second (the last) round, from the 30 surgeons who answered the first round, 22 (48.9%) answered the questionnaire. Considering the possibility that BNPHS incorporated laparoscopic surgery, 95% of surgeons were interested in performing it. Therefore, in case laparoscopic surgery was incorporated by the BNPHS there would be an average increase of 25% in the number of surgeries and they would be distributed as follows: 62.5% via laparoscopy and 37.5% via laparotomy., Conclusion: 1) There was a preference by laparoscopy; 2) would increase the number of operations compared to the current model in which only the laparotomy is available to users of the public system; and 3) the distribution in relation to the type of procedure would be 62.5% and 37.5% for laparoscopy laparotomy.

Aim: To evaluate smell recognition in pervasive developmental disorders (PDD)., Method: Twenty-one PDD (experimental group) and 21 matched controls (control group) male adolescents were submitted to a standardized, 12-stimuli, smell battery in three moments: with no identification suggestion; associated to four linguistic alternatives for each stimulus, and submitted again, 25 days after, with no linguistic alternatives. Data was analyzed by t test and variance analysis (p=0,05)., Results: The experimental group scored worse than control group. Both groups scored better after stimuli and, after 25 days, scores lowered, but stayed higher than initially, without any stimuli (p<0,001). The gap was higher after 25 days, when the experimental group showed poorer smell memory from initial presentation (p<0,001)., Conclusion: The experimental group showed lower recognition scores, unrelated to clues previously offered, which suggests a difficulty in phenomena and semantic meaning association. Even after matching odors nomination, the gap of recognition scores remains between groups, not only in a deficitary pattern, but also qualitatively disturbed.

This is an update that aimed to describe some aspects of physiopathology of Hypertrophic Cardiomyopathy (HCM) and its therapeutics correlating them to nursing assistance. Data source was based on LILACS bibliographical database using the search expression "hypertrophic cardiomiopathy" and "nursing care". The HCM is a disease that appears from cromossomic alterations that causes hypertrophy of the left ventricule and can cause heart failure, functional class III and IV. Treatment consists in using palliative medications or other procedures like Pace-Maker implantation, ventriculoplasty and heart transplantation. Nursing assistance based on Nursing Diagnoses and Intereventions are presented.