Resumo A leishmaniose canina é uma doença transmitida pela picada de flebotomíneos infectados. A doença é endêmica em várias regiões tropicais e subtropicais, incluindo o Brasil. No entanto, informações sobre a prevalência da doença em cães em muitos estados brasileiros são limitadas. Este estudo foi realizado para avaliar a soroprevalência de leishmaniose canina em Rio Branco, capital do Estado do Acre. Para isso, amostras de sangue foram coletadas de 375 cães com idades superiores a 6 meses. Para ocorrência de anticorpos anti-Leishmania spp, foram utilizados dois métodos sorológicos distintos, o ELISA e o DPP®. Os resultados mostraram uma soroprevalência de leishmaniose canina de 38,1%, indicando que a doença é endêmica na região. As amostras de sangue, consideradas reagentes em pelo menos um dos métodos sorológicos, foram submetidas à Reação em cadeia da polimerase convencional (PCR) e confirmaram a presença de infecção em 28,3% (106/375) desse total. Este estudo é o primeiro a fornecer informações detalhadas sobre a soroprevalência de leishmaniose canina em cães em Rio Branco, destacando a importância da vigilância e controle da doença na região. Ações efetivas, como campanhas de educação sobre medidas de prevenção e controle de flebotomíneos, são necessárias para retardar a dispersão da enfermidade na cidade. infectados subtropicais Brasil entanto limitadas Branco Acre isso 37 meses antiLeishmania anti Leishmania spp distintos DPP DPP® 381 38 1 38,1% região PCR (PCR 283 28 3 28,3 106/375 106375 106 (106/375 total efetivas cidade 38,1 2 28, 106/37 10637 10 (106/37 38, 106/3 1063 (106/3 106/ (106/ (106 (10 (1 (

Abstract Canine leishmaniasis is a parasitic disease whose agents are transmitted through the bites of infected phlebotomine sand flies. This disease is endemic in tropical and subtropical regions, including Brazil. However, information on its prevalence in dogs in some Brazilian states remains limited. This study aimed to assess the seroprevalence of canine leishmaniasis in Rio Branco, Brazil. Blood samples were collected from 375 dogs aged > 6 months. Two distinct serological methods, dual path platform test (DPP) and enzyme linked immunosorbent assay (ELISA), were used to investigate the occurrence of anti-Leishmania spp. antibodies. The results showed a seroprevalence of 38.1%, indicating that the disease occurred in this region. Blood samples considered positive in at least one of the serological methods were subjected to conventional polymerase chain reaction (PCR), which confirmed the presence of infection in 28.3% (106/375) of the total samples. This is the first study to provide detailed information on the seroprevalence of canine leishmaniasis in dogs in Rio Branco, highlighting the importance of disease surveillance and control. Effective actions, such as education campaigns on sand fly prevention and control measures, are necessary to reduce the occurrence of canine and human leishmaniasis in cities. flies regions Brazil However limited Branco 37 months DPP (DPP ELISA, ELISA , (ELISA) antiLeishmania anti Leishmania spp antibodies 381 38 1 38.1% region PCR, PCR (PCR) 283 28 3 28.3 106/375 106375 106 (106/375 actions measures cities (ELISA 38.1 (PCR 2 28. 106/37 10637 10 (106/37 38. 106/3 1063 (106/3 106/ (106/ (106 (10 (1 (

Abstract The mainstay of management of phenylketonuria (PKU) is restriction of dietary phenylalanine (Phe) intake. The present study sought to assess the perception and understanding of health care providers and lay users (patients/family members/caregivers) regarding the national reference database for checking the Phe content of foods, provided by the Brazilian Health Regulatory Agency (Anvisa), whose data are presented in the Table of Phenylalanine Content of Foods (TCFA-Anvisa) and recently in the Phenylalanine Content of Foods Dashboard (PCCFA-Anvisa); and to identify factors which interfere with the usability of these resources. Two online questionnaires, one for providers (n=33) and another for lay users (n=194), were used to collect sociodemographic information, knowledge about dietary management of PKU, sources of information about the Phe content of foods, and perception and understanding of the Anvisa tools. TCFA-Anvisa and PCCFA-Anvisa were not used as main sources of information by either group. Among the participants who had used these tools (15 providers;35 lay users), most considered the PCCFA-Anvisa to be superior or partially superior to the TCFA-Anvisa. The main limitations reported were related to layout and limited variety of foods. We suggest that the limitations identified in this study be considered for future improvement of these resources.

La prevalencia de discapacidades físicas se constituye en un problema de salud en las sociedades contemporáneas, lo que demanda un proceso largo de cuidados con énfasis en la rehabilitación. Este es un estudio de caso con abordaje cualitativo realizado en un centro de rehabilitación de referencia distrital, con 10 usuarios y 22 trabajadores, a fin de analizar el proceso de trabajo en rehabilitación. Se recolectaron datos por medio de entrevistas a usuarios y trabajadores, observación sistemática y análisis documental de historias clínicas. Emergieron cuatro categorías temáticas: usuarios con lesión medular atendidos en el centro de rehabilitación; equipo profesional que actúa junto a las personas con lesión medular; aspectos del proceso de trabajo que favorecen la rehabilitación; aspectos del proceso de trabajo que la dificultan. En esta última, se destacaron los déficits en los instrumentos de trabajos; en los que facilitan la rehabilitación, se destacó el trabajo humanizado en equipo. Se concluye que el trabajo multiprofesional facilita el proceso de rehabilitación, lo que trae beneficios a los usuarios, y que el trabajo de enfermería es parte esencial de este proceso.

The prevalence of physical disabilities is a serious health problem in contemporary societies and one that requires a long process of care with an emphasis on rehabilitation. This is a case study with a qualitative approach. It was conducted at a district rehabilitation center with 10 users and 22 workers to analyze the working process during rehabilitation. The data were collected through interviews with users and workers, systematic observation, and documentary analysis of medical records. Four subject categories emerged: users with spinal cord injury who were being treated at the rehabilitation center; the professional team that works with persons who have spinal cord injuries; aspects of the working process that favor rehabilitation; and aspects of the working process that hamper rehabilitation. As for the latter, shortcomings in the instruments for rehabilitation work and in those facilitating rehabilitation were noted, and the humanized work of the team was highlighted. It was concluded that multidisciplinary work by professionals facilitates the rehabilitation process, which means benefits for users, and nursing work is an essential part of this process.

A prevalência das deficiências físicas constitui-se grave problema de saúde nas sociedades contemporâneas, o que demanda um processo longo de cuidados com ênfase na reabilitação. Este é um estudo de caso com abordagem qualitativa realizado em um centro de reabilitação de referência estadual, o qual envolveu 10 usuários e 22 trabalhadores com o objetivo de analisar o processo de trabalho em reabilitação. Foram coletados dados por meio de entrevistas com usuários e trabalhadores, observação sistemática e análise documental de prontuários. Emergiram quatro categorias temáticas: usuários com lesão medular atendidos no centro de reabilitação; equipe profissional que atua junto às pessoas com lesão medular; aspectos do processo de trabalho que favorecem a reabilitação; aspectos do processo de trabalho que a dificultam. Neste, destacaram-se déficits nos instrumentos de trabalho; nos aspectos que facilitam a reabilitação, destacou-se o trabalho em equipe humanizado. Conclui-se que o trabalho multiprofissional facilita o processo de reabilitação, o que traz benefícios aos usuários, e que o trabalho de enfermagem é parte essencial desse processo.

This study aimed to investigate the reaction of unripe and ripe fruits of Capsicum spp. accessions to Colletotrichum gloeosporioides during the pre- and post-harvest periods, and to identify sources of resistance for use in plant breeding programs. Thirty-seven Capsicum spp. accessions of the Universidade Estadual do Norte Fluminense Darcy Ribeiro were evaluated. They were cultivated in a greenhouse and arranged in a completely randomized design with five replications. Twenty fruits from each accession were inoculated at two stages (unripe and ripe) in two different environments (fruits inoculated in the plant and detached fruit inoculated under laboratory conditions). The symptoms were assessed every 24 hours between the 1st and 8th days after inoculation. There were highly significant differences in the values of the area under the disease progress curve and in severity, considering all sources of individual variation and their interactions. Values of low and moderate correlation were observed for inoculation of unripe and ripe fruit in both environments. These results indicate the existence of distinct genes responsible for resistance at different stages of fruit development. Complete lack of symptoms was registered only for accessions UENF 1718 and UENF 1797 (C. baccatum var. pendulum).

O presente artigo apresenta uma revisão sobre a abordagem psicodinâmica no tratamento de anorexia nervosa e bulimia nervosa. Primeiramente conceitua as bases teóricas da modalidade terapêutica em questão. Logo a seguir, descreve suas indicações e contra-indicações e realiza uma revisão dos estudos sobre a eficácia da técnica psicodinâmica nessas síndromes clínicas. Por fim, destaca e discute vários aspectos técnicos da psicoterapia psicodinâmica no tratamento de pacientes com transtornos alimentares.

The authors underwent a review of psychodinamic psychotherapy in the treatment of anorexia nervosa e bulimia nervosa. First, they defined the conceptual framework of this therapeutical approach. Then, they described the indications and contraindications and, also they discussed the studies about the efficacy of this psychotherapeutic intervention on this syndromes. At last, they pointed out and discussed many psychotherapeutical technical aspects in the treatment of patients with eating disorders.