ABSTRACT HPV types 16 and 18 were studied in paraffin-fixed cervical biopsy collected in southern Brazil. HPV 16, HPV 18 and co-infection HPV 16/18 were identified in 10/57 (17.5%), 4/57 (7%) and in 43/57 (75.4%) samples, respectively. Southern Brazil has one of the highest prevalence rates of HPV 16/18 reported.

Análise de um livro de artista realizado em 2008 pelo artista brasileiro Fernando Augusto. O livro é um conjunto de interferências realizadas sobre outro livro de 2000, respectivo a trabalhos artísticos de Amilcar de Castro. A análise parte da complexidade dos livros em geral, em que diversos saberes se organizam por um editor, que assume para si uma autoria compósita. Em um livro sobre um artista visual, sistemas paralelos se tangenciam (o sistema artístico e o sistema editorial); a intervenção de Fernando Augusto é radical ao anular os elementos que possam identificar a figura autoral do editor.

Analysis of an artist' book made by Fernando Augusto, Brazilian artist, in 2008. His artwork is made of interferences in other book, about Amilcar de Castro' artworks. This analysis starts from the complexity of book in general, a group of several different knowledge and staff, under editor's response, that assumes himself a composite authorship. Regarding to a book about artist' artworks, parallels systems touch themselves (artistic and editorial); Fernando Augusto' intervention is radical by cancelling all signs of identification of editor as a specific author.

BACKGROUND Porto Alegre is the Brazilian state capital with second highest incidence of tuberculosis (TB) and the highest proportion of people infected with human immunodeficiency virus (HIV) among patients with TB. Hepatitis C virus (HCV) infection increases the risk of anti-TB drug-induced hepatotoxicity, which may result in discontinuation of the therapy. OBJECTIVES The aim of this study was (i) to estimate prevalence of HCV and HIV in a group of patients newly diagnosed with active TB in a public reference hospital in Porto Alegre and (ii) to compare demographic, behavioural, and clinical characteristics of patients in relation to their HCV infection status. METHODS One hundred and thirty-eight patients with TB were tested for anti-HCV antibody, HCV RNA, and anti-HIV1/2 antibody markers. HCV RNA from real-time polymerase chain reaction (PCR)-positive samples was submitted to reverse transcription and PCR amplification. The 5′ non-coding region of the HCV genome was sequenced, and genotypes of HCV isolates were determined. FINDINGS Anti-HCV antibody, HCV RNA, and anti-HIV antibodies were detected in 27 [20%; 95% confidence interval (CI), 13-26%], 17 (12%; 95% CI, 7-18%), and 34 (25%; 95% CI, 17-32%) patients, respectively. HCV isolates belonged to genotypes 1 (n = 12) and 3 (n = 4). Some characteristics were significantly more frequent in patients infected with HCV. Among them, non-white individuals, alcoholics, users of illicit drugs, imprisoned individuals, and those with history of previous TB episode were more commonly infected with HCV (p < 0.05). MAIN CONCLUSIONS HCV screening, including detection of anti-HCV antibody and HCV RNA, will be important to improving the management of co-infected patients, given their increased risk of developing TB treatment-related hepatotoxicity.

Análise de desenhos das séries "Manual de boas práticas" e "Monstros", da artista brasileira Daniela Maura. Ela se representa contracenando com figuras e formas outras, permitindo-nos problematizar sua identidade. Trabalhamos com a ideia de alteridade formadora da identidade; valemo-nos dos conceitos de Unheimliche (Freud) e Extimidade (Lacan).

Analysis of drawings from Daniela Maura's series - "Guide for good practices" and "Monsters". She represents herself acting with other figures and forms; this allows us to quote about her identity. We work with otherness conception, that forms our identity; we use the concepts of Unheimliche (Freud) and "Extimacy" (Lacan).

The aim of this study was to evaluate the association between the frequency of micronuclei (MN) and the cellular changes detected in the conventional Papanicolaou test. One hundred and seventy-four Papanicolaou test smears with cellular changes were examined. MN screening was done in cytopathological smears by counting 1,000 cervical cells in a light microscope. MN frequencies were significantly higher in the group with cellular changes compared to the control group (p < 0.001). The mean MN frequencies were 0.95 ± 1.12 (mean ± SD) in the control group (n = 223), 2.98 ± 1.20 in individuals with atypical squamous cells of undetermined significance (ASC-US) (n = 50), 4.04 ± 1.45 in cervical intraepithelial neoplasia (CIN) I (n = 52), 5.97 ± 1.83 in CIN II (n = 30), 7.29 ± 1.55 in CIN III (n = 17) and 8.64 ± 1.55 in invasive cancer (n = 25). These findings suggest that MN monitoring should be included as an additional criterion for the early detection of cytogenetic damage in routine examinations. This monitoring should be done in the same smear as used for cytopathological examination. More specific and systematic studies are necessary to confirm this proposal.

Certain host single nucleotide polymorphisms (SNPs) affect the likelihood of a sustained virological response (SVR) to treatment in subjects infected with hepatitis C virus (HCV). SNPs in the promoters of interleukin (IL)-10 (-1082 A/G, rs1800896), myxovirus resistance protein 1 (-123 C/A, rs17000900 and -88 G/T, rs2071430) and tumour necrosis factor (TNF) (-308 G/A, rs1800629 and -238 G/A, rs361525) genes and the outcome of PEGylated α-interferon plus ribavirin therapy were investigated. This analysis was performed in 114 Brazilian, HCV genotype 1-infected patients who had a SVR and in 85 non-responders and 64 relapsers. A significantly increased risk of having a null virological response was observed in patients carrying at least one A allele at positions -308 [odds ratios (OR) = 2.58, 95% confidence intervals (CI) = 1.44-4.63, p = 0.001] or -238 (OR = 7.33, 95% CI = 3.59-14.93, p < 0.001) in the TNF promoter. The risk of relapsing was also elevated (-308: OR = 2.87, 95% CI = 1.51-5.44, p = 0.001; -238: OR = 4.20, 95% CI = 1.93-9.10, p < 0.001). Multiple logistic regression of TNF diplotypes showed that patients with at least two copies of the A allele had an even higher risk of having a null virological response (OR = 16.43, 95% CI = 5.70-47.34, p < 0.001) or relapsing (OR = 6.71, 95% CI = 2.18-20.66, p = 0.001). No statistically significant association was found between the other SNPs under study and anti-HCV therapy response.

The aim of the present study was to investigate the association between HPV-DNA and micronucleus (MN) frequency in women with normal cervical cytology. A total of 158 normal cervical smears were analyzed cytologically. The HPV genome was amplified using the GP5+/bioGP6+ consensus primers. HPV-DNA of high-risk types 16, 18, 31, 33, 39, 45 and 59 were also investigated. Of the 158 samples, 20 (12.7%) and 47 (29.7%) were positive for HPV-DNA and MN, respectively. Evidence for MN was found in 11 out of 20 (55%) HPV-DNA positive samples and in 36 out of 138 (26.1%) HPV-DNA negative ones. MN presence was significantly higher in HPV-DNA positive samples (p = 0.016). On the other hand, the absence of MN observed in a considerable number of HPV-DNA negative samples (102) may be of great value in predicting the absence of HPV. The mean age of HPV-DNA positive women (34.2 ± 12.6) was significantly lower than the mean age of HPV-DNA negative women (43.9 ± 13.7) (p = 0.003). Infection by one or multiple HPV types was found in 11 out of 20 (55.0%) and 9 out of 20 (45.0%) samples, respectively. The evaluation of MN using cervical smears collected for cytology tests could, thus, be used as additional information to monitor a population's exposure to HPV.

A single-nucleotide polymorphism (SNP) upstream of interleukin (IL)28B was recently identified as an important predictor of the outcome of chronic hepatitis C patients treated with pegylated interferon plus ribavirin (PEG-IFN/RBV). The aim of this study was to investigate the association between the IL28B gene polymorphism (rs12979860) and virological response in chronic hepatitis C patients. Brazilian patients (n = 263) who were infected with hepatitis C virus (HCV) genotype 1 and were receiving PEG-IFN/RBV were genotyped. Early virological response (EVR) (12 weeks), end-of-treatment response (EOTR) (48 weeks), sustained virological response (SVR) (72 weeks) and relapse were evaluated using conventional and quantitative polymerase chain reaction (PCR) assays. The frequency of the C allele in the population was 39%. Overall, 43% of patients experienced SVR. The IL28B CC genotype was significantly associated with higher treatment response rates and a lower relapse rate compared to the other genotypes [84% vs. 58% EVR, 92% vs. 63% EOTR, 76% vs. 38% SVR and 17% vs. 40% relapse rate in CC vs. other genotypes (CT and TT), respectively]. Thus, the IL28B genotype appears to be a strong predictor of SVR following PEG-IFN/RBV therapy in treatment-naïve Brazilian patients infected with HCV genotype 1. This study, together with similar research examining other SNPs, should help to define adequate protocols for the treatment of patients infected with HCV genotype 1, especially those with a poor prognosis.

This study investigates the frequency of Torque teno virus (TTV) infection in 150 blood donors and 77 patients requiring haemodialysis in southern Brazil. Plasma samples were screened for TTV DNA using polymerase chain reaction (PCR). The prevalences of TTV among blood donors and patients requiring haemodialysis were 73.3% and 68.8%, respectively. The presence of TTV was correlated with age in the blood donors (p = 0.024). In haemodialysis patients, no association was found between TTV infection and the demographic parameters (age, sex and education), the duration of haemodialysis or a history of blood transfusion. This study is the first to evaluate the prevalence of TTV infection in Brazilian patients requiring haemodialysis.

Análise de desenhos de Lúcia Fonseca, artista brasileira. São borrachas vulcanizadas pretas que dialogam mais efetivamente com o espaço real. Meu raciocínio vai à busca de valores reveladores da potência escultórica de tais desenhos. Aproximo esses trabalhos com experimentações de Richard Serra e Robert Morris, realizadas com materiais flexíveis, em que havia uma preocupação com o tectonismo da matéria (Serra) e um interesse pela multiplicidade de situações formais (Morris).

Text about Lucia Fonseca drawings, Brazilian artist. Black vulcanized rubbers establish effective dialogue with real space. My text explores sculptural potency of her drawings with this material. I also bring them near Richard Serra and Robert Morris experiments with flexible materials. These experiments reveal their concerns with tectonism of matter (Serra) and multiplicity of formal situations (Morris).

Hepatitis C virus (HCV) isolates have been divided into six genotypes (1 to 6). The duration of hepatitis C standard treatment is 48 weeks for patients infected with HCV genotype 1 vs 24 weeks for those infected with genotypes 2 and 3. A total of 1544 HCV isolates from chronic patients living in the southern Brazilian states of Rio Grande do Sul (RS, n = 627) and Santa Catarina (SC, n = 917) were genotyped by restriction fragment length polymorphism (RFLP) of polymerase chain reaction (PCR) products. In RS, 338 (53.9%; 95% CI 50.0 - 57.8%), 34 (5.4%; 95% CI 3.8 - 7.4%) and, 255 (40.7%; 95% CI 36.9 - 44.6%) samples were from genotypes 1, 2, and 3, respectively. In SC, 468 (51%; 95% CI 47.8 - 54.2%), 26 (2.9%; 95% CI 1.9 - 4.1%) and, 423 (46.1%; 95% CI 42.9 - 49.3%) samples were from genotypes 1, 2, and 3, respectively. Genotyping results were confirmed by direct nucleotide sequencing of PCR products derived from 68 samples, without any discrepancy between PCR-RFLP and nucleotide sequencing methods. In conclusion, almost half of the hepatitis C patients from South of Brazil are infected by genotypes 2 and 3 and, these results have important consequential therapeutic implications as they can be treated for only 24 weeks, not 48.

Este artigo pretende contribuir com a discussão sobre as prerrogativas da paternidade sob o prisma da valorização das funções paternas, das limitações de direitos e da afirmação de deveres do pai. Uma polêmica instigante se instalou a partir da eclosão de demandas judiciais em que filhos denunciam o abandono afetivo, psíquico e moral de seus pais, pedindo reparação pelos danos causados, em processos que chegaram aos tribunais, Alguns entendem que o abandono afetivo deve ser reparado por meio de indenização pecuniária. Outros, com o argumento de que não se pode obrigar um pai a amar e a conviver com seu filho, se opõem à exigência de reparação por abandono. Argumentam que, uma vez cumprido o dever de prestar alimentos, o pai se desincumbiria de suas obrigações perante o filho. Entretanto, nem só de pão vive o homem...

The present article contributes to the discussions regarding the prerrogatives of paternity, under the aspect of valueing paternal functions, the limitation of rights and the affirmation of the paternal duties. A provocative polemic has been installed stemming from the eclosion of judicial demands in which children denounce the affective, psychic and moral abandon suffered from their fathers, claiming reparations for damages caused, all in court. Some of the children demand financial remunerations to compensate affective abandon. Others, claiming that a father can’t be forced to love or live with a child, oppose claiming for financial compensations. They state that, once living up to the function of providing alimony, a father would be exempt from his obligations towards the child. However, a person needs more than bread to survive...

OBJETIVO: Determinar a sensibilidade, a especificidade e o risco de eventos cardiovasculares em pacientes com Duke-escore (DE) baixo, intermediário e alto risco, em comparação com a presença (ou não) de defeitos de perfusão à cintilografia do miocárdio. MÉTODOS: Estudo prospectivo, consecutivo, com 173 pacientes com 2 ou mais fatores de risco para doença arterial coronariana (DAC), que foram submetidos à cintilografia de perfusão do miocárdio com tetrofosmin marcado com tecnécio-Tc 99m (CPM) e ao teste ergométrico (aplicando-se o DE), de um bairro de Curitiba, entre janeiro de 2003 a fevereiro de 2004. Os pacientes tiveram seguimento de 13±1 meses e 162 completaram o acompanhamento. Foi avaliada a presença de morte, angina, infarto agudo do miocárdio, angioplastia coronariana e revascularização do miocárdio. RESULTADOS: A média do DE dos pacientes que apresentaram eventos (18) foi de -0,27 (95% IC= -3,97 a +3,91) e daqueles livres de eventos (144) foi de +4,92 (95% IC= +4,03 a +5,81), com p<0,00069. A sensibilidade do DE foi de 72,22% e da CPM foi de 77,78%, sem diferença estatística, com p=0,21. A especificidade do DE foi de 54,17% e a da CPM foi de 88,19%, com p<0,0001. A curva de Kaplan-Meier demonstrou que 94% dos pacientes com DE baixo risco permaneceram livres de eventos em 01 ano. Em contraste, todos os de alto risco apresentaram eventos no mesmo período. Os que apresentaram DE de intermediário risco apresentaram 15% de eventos em 01 ano. CONCLUSÃO: O DE foi tão sensível quanto CPM em determinar o risco para DAC em um ano. Os pacientes com DE <-0,27 tiveram maior risco de eventos cardíacos.

OBJECTIVE: The purpose was to determine the sensitivity, the specificity and a year-long risk of subsequent cardiovascular events in patients with low, intermediate and high risk prognostic Duke treadmill score (DTS) in comparison with the presence (or not) of the myocardial perfusion defects on radionuclide images. METHODS: A prospective study, with 173 consecutive patients with 02 or more risk factors to coronary artery disease (CAD), who underwent to exercise single photon - emission computed tomographic myocardial perfusion images using technetium-99m tetrophosmin (SPECT) and treadmill test (with DTS), from one neighbourhood of Curitiba city, between January 2003 and February 2004, were followed up for cardiac-cause mortality and major cardiac events. Follow-up was performed in 13± 1 months and in 162 patients was complete. RESULTS: The DTS mean those patients with cardiac event (18) over a year was -0.27 (95% CI= -3.97 to +3.91) and those free cardiac event patients (144) was +4.92 (95% CI= +4.03 to +5.81), with p<0.00069. The DTS sensitivity was 72.22% and the SPECT sensitivity was 77.78%, with no significant difference p=0.21. The DTS specificity was 54.17% and the SPECT specificity was 88.19%, with p<0.0001. The cumulative proportion free-events (Kaplan-Meier) curves demonstrated that 94% those patients with low-risk DTS remained free-cardiac events. In contrast, all high-risk DTS had adverse cardiac events. Those patients with intermediate-risk DTS had 15% of cardiac event over a year. CONCLUSIONS: The DTS was as sensitivity as SPECT in determine a year risk for CAD. Those patients with DTS <-0.27 had high-risk cardiac event.

O objetivo deste estudo foi avaliar os possíveis efeitos da tetraciclina administrada a ratas, no décimo dia de gestação, no desenvolvimento hepático e renal de seus filhotes. O fígado mostrou vacuolização, necrose, inflamação e dilatação sinusoidal mais evidente em recém-nascidos. Mitoses, aumento precoce da população de células de Kupffer e hipertrofia de hepatócitos com maior síntese de glicogênio estavam presentes no décimo e vigésimo dias de vida. O rim mostrou vacuolização tubular e necrose discretas, mais evidentes nos recém-nascidos, assim como sinais de regeneração tubular no décimo e vigésimo dias. Esses resultados sugeriram que os órgãos estudados sofreram alterações morfológicas transitórias durante o desenvolvimento, mas apresentaram sinais de regeneração ao longo dos primeiros dias de vida.

This study aimed on evaluating the possible effects of tetracycline administered to rats on the tenth day of pregnancy, on kidney and liver development of their offspring. The liver showed vacuolization, necrosis, inflammation and sinusoidal dilatations, more evident in the newborn. Mitosis, early increase of Kupffer cells population and hipertrophy of hepatocytes with greater synthesis of glycogen were present on the tenth and twentieth days of life. The kidney showed slight tubular vacuolizations and necrosis, more proeminent in the newborn, as well as signs of tubular regeneration on the tenth and twentieth days. These results suggested that the organs studied went through several transitory morphological changes during development but presented signs of regeneration along the first days of life.

This study had as a goal to diagnose the difficulties of transferring nurse professionals to the Ambulatory of the Clinical Hospital-UFMG with the purpose of developing an integration training proposal for this sections. It can be justified by the fact of these professionals having difficulties of adaptation to the Ambulatory. The nursing employees transferred to the Ambulatory since 1996, answered a questionnaire with two questions. The employees realized that there isn't any formal training and pointed as one of the difficulties, the unknown activities of the Ambulatory. It is hoped that the proposal developed contributes for the effective follow up of the employees performance, seeking this employees adaptation to the Ambulatory, his or hers satisfaction and productivity.

Este estudio se propuso diagnosticar las dificultades de los profesionales de enfermería en cuanto a su reubicación en el servicio de consulta externa HC-UFMG, con la finalidad de elaborar uma propuesta de entrenamiento de integración para este sector. Este estudio se justifica porque estos profesionales tuvieron dificultades de adaptación en el servicio de consulta externa. Los funcionarios reubicados a partir de 1996, respondieron un cuestionario con 02 preguntas. Ellos reconocieron que no existe un entrenamiento formal y manifestaron como uma de las dificultades el desconocimiento de las actividades de consulta externa. Se espera que la propuesta elaborada contribuya para el acompañamiento del desempeño del funcionario, con miras a su adaptación, satisfación y productividad en la consulta externa.

Neste estudo realiza-se o diagnóstico das dificuldades dos profissionais de enfermagem quanto ao seu remanejamento para o Ambulatório do Hospital das Clínicas da Universidade Federal de Minas Gerais - HC-UFMG com a finalidade de elaborar uma proposta de treinamento de integração para esse setor. Esse treinamento se justifica pelo fato de as atividades no Ambulatório serem diferentes das que o profissional exerce em outros setores do hopital. Justifica-se por estes profissionais apresentarem dificuldades de adaptação no Ambulatório. Os funcionários remanejados a partir de 1996 responderam a um questionário com 02 perguntas. Os mesmos reconheceram que não existe um treinamento formal e apontaram como uma das dificuldades encontradas o desconhecimento das atividades do Ambulatório. Espera-se que a proposta elaborada contribua para o acompanhamento do desempenho do funcionário, visando sua adaptação no Ambulatório, sua satisfação e produtividade.