Abstract Introduction: The relative age effect is prevalent in different elite team sports. However, little is known about this phenomenon in high-level adult male futsal players. Aim: The present study aimed to investigate the prevalence of relative age effect in Brazilian male elite futsal players, and its relationship with playing position and goals scored on Brazil National Futsal Leagues (BNFL) from 2016 to 2020. Methods: The distribution of birth dates, playing positions, and goals scored by male participants of the Brazil National Futsal Leagues were analyzed. Chi-squared tests were used to analyze the birth dates distribution based on quarters and semesters of the year, according to playing position (defender, winger, pivot, and goalkeeper) and scoring performance (high and low). Results: The overall analysis indicated that the relative age effect is prevalent on the pool of athletes analyzed. However, this effect was position-dependent, since relatively older athletes were overrepresented only in wingers and defenders playing positions. On the other hand, scoring performance was not associated with the relative age effect, since this effect was found in both performance levels. Conclusion: Relative age effects are prevalent in Brazilian male elite futsal athletes, especially for defenders and wingers. Considering the high level of competitiveness for spots in elite futsal teams, coaches and sports administrators must be educated about the prevalence of the relative age effect in this sporting context. This is necessary in order to reduce the inequalities generated by age categories based on arbitrary cut-off dates, which may reduce potential talent loss.

Abstract Chronic Lymphocytic Leukemia (CLL) has shown great biological heterogeneity, with a variable prognosis, and a short survival in some patients. In this light, the present study focused on the prognostic utility of circulating microparticles (MPs) and a Thrombin Generation (TG) Profile for thrombotic risk and disease progression in CLL patients. Circulating microparticles and TG were evaluated in 35 patients with CLL and 35 healthy individuals. For circulating microparticles, significant differences were observed among the following groups: MPs derived from endothelial cells (p = 0.002), B lymphocytes (p < 0.001), platelets (p = 0.003), and Tissue Factor MPs in monocytes (p < 0.001). In all cases, MP values were higher for the CLL group. When compared to the controls, CLL patients presented a decrease in TG, characterized by a reduced endogen thrombin potential (ETP) (p = 0.031). When the results were analyzed according to the Binet stage, as compared to the controls, the Binet B+C group also presented lower ETP values (p = 0.009). No significant differences were observed between the control and the Binet A groups or between the Binet A and the Binet B + C groups. Although hemostatic alterations may occur in patients with CLL, these parameters do not seem to be useful to indicate disease progression.

Abstract The present study evaluated 56 patients diagnosed with Chronic Lymphocytic Leukemia (CLL) and a control group of 44 clinically healthy subjects with no previous history of leukemia. Genetic expressions of AKT and microRNAs were evaluated by quantitative PCR (qPCR). A significant increase in AKT gene expression in patients when compared to controls was observed (p = 0.017). When the patients were stratified according to Binet subgroups, a significant difference was observed between the subgroups, with this protein kinase appearing more expressed in the B+C subgroup (p = 0.013). Regarding miRNA expression, miR-let-7b and miR-26a were reduced in CLL patients, when compared to controls. However, no significant differences were observed in these microRNA expressions between the Binet subgroups (A versus B+C). By contrast, miR-21 to miR-27a oncogenes showed no expression difference between CLL patients and controls. AKT protein kinase is involved in the signaling cascade that occurs with BCR receptor activation, leading to increased lymphocyte survival and protection against the induction of cell death in CLL. Thus, increased AKT protein kinase expression and the reduction of miR-let-7b and miR-26a, both tumor suppressors, may explain increased lymphocyte survival in CLL patients and may be promising markers for the prognostic evaluation of this disease.

RESUMO Introdução: A queilite actínica é uma lesão inflamatória com potencial de transformação maligna e desenvolvimento associado à exposição solar excessiva. Objetivo: Avaliar a prevalência de queilite actínica em um grupo de agricultores, bem como a percepção e conhecimento desse grupo sobre a lesão. Métodos: O estudo observacional de levantamento epidemiológico envolveu uma população de agricultores de uma região do sertão brasileiro. A amostra foi obtida por acessibilidade a essa população, e alcançou-se o total de 219 agricultores. Além do exame físico intraoral, utilizou-se um questionário estruturado para coleta dos dados. Resultados: A queilite actínica foi diagnosticada em 30,6% dos agricultores examinados. A lesão foi encontrada com maior frequência no sexo masculino (86,6%), com mais de 60 anos (64,2%) e leucodermas (58,2%). A maioria dos indivíduos com queilite actínica se expunham à radiação solar por mais de 30 anos (65,7%), por mais de 6h por dia (73,1%) e não se protegiam adequadamente (94%). Sexo, idade, escolaridade, hábito de beber e tempo de exposição solar tiveram uma correlação estatisticamente significante com a presença da queilite actínica (p<0,05). Verificou-se que 76,1% dos participantes não notavam sinais e 61,2% não percebiam sintomas da lesão. O conhecimento sobre queilite actínica foi baixo para 97% dos indivíduos com lesão. Conclusões: Os resultados demonstraram alta prevalência de queilite actínica, além de uma baixa percepção e conhecimento sobre esta lesão, o que indica a necessidade de realização de ações de educação em saúde.

ABSTRACT Introduction: Actinic cheilitis is an inflammatory, potentially malignant lesion associated with excessive sun exposure. Objective: To evaluate the prevalence of actinic cheilitis in a group of farmers, as well as the perception and knowledge of that group about this lesion. Methods: The observational epidemiological study included Brazilian semi-arid region farmers. The sample was obtained for accessibility to this population and a total of 219 farmers was reached. A structured questionnaire was used to collect the data in addition to the intraoral physical examination. Results: Actinic cheilitis was diagnosed in 30.6% of the examined farmers. The lesion was found more frequently in males (86.6%), older than 60 years (64.2%), and leukoderma (58.2%). Most individuals with actinic cheilitis were exposed to solar radiation for more than 30 years (65.7%), for more than 6 hours a day (73.1%), and did not adequately protect themselves (94%). Sex, age, education level, drinking habits, and time of sun exposure had a statistically significant correlation with the presence of actinic cheilitis (p <0.05). It was found that 76.1% of the participants did not notice signs and 61.2% did not perceive symptoms of this injury. Knowledge about actinic cheilitis was low for 97% of individuals with the lesion. Conclusions: The results showed a high prevalence of actinic cheilitis, in addition to low perception and knowledge about it, which indicates the need for health education actions.

RESUMEN Introducción: La queilitis actínica es una lesión inflamatoria con potencial de transformación maligna y desarrollo asociado con la exposición excesiva al sol. Objetivo: Evaluar la prevalencia de queilitis actínica en un grupo de agricultores brasileños y la percepción y conocimiento que estos tienen sobre la lesión. Métodos: Estudio observacional epidemiológico. Incluyó una población de agricultores de una región rural brasileña. La muestra, constituida por 219 agricultores, se obtuvo por accesibilidad a esta población. Además del examen físico intraoral, se utilizó un cuestionario estructurado para recopilar los datos. Resultados: Se diagnosticó queilitis actínica en el 30,6 % de los agricultores examinados. La lesión se encontró con mayor frecuencia en hombres (86,6 %), mayores de 60 años (64,2 %) y leucodermos (58,2 %). La mayoría de las personas con queilitis actínica estuvieron expuestas a la radiación solar durante más de 30 años (65,7 %), más de seis horas al día (73,1 %) que no se protegieron adecuadamente (94 %). El género, la edad, el nivel de educación, los hábitos de bebida y el tiempo de exposición al sol tuvieron una correlación estadísticamente significativa con la presencia de queilitis actínica (p < 0,05). Se encontró que el 76,1 % de los participantes no notó signos y el 61,2 % no percibió síntomas de la lesión. El conocimiento sobre la queilitis actínica fue bajo para el 97 % de las personas con lesiones. Conclusión: Los resultados mostraron una alta prevalencia de queilitis actínica, además de una baja percepción y conocimiento al respecto de esta lesión, lo que indica la necesidad de acciones de educación para la salud.

Resumo A adequação da embalagem de armazenamento é um aspecto importante para minimizar a deterioração fisiológica e melhorar a conservação de produtos minimamente processados. Dessa forma, o objetivo deste estudo foi avaliar as alterações fisiológicas e bioquímicas associadas à perda de qualidade de inhame minimamente processado, mantido em duas embalagens a 5 ± 2 °C. As raízes de inhame foram selecionadas, lavadas e mantidas a 8 ± 2 °C durante 24 horas. Em seguida, foram descascadas e cortadas em fatias com cerca de 3 cm de espessura, e minimamente processadas. Aproximadamente 300 g de raízes minimamente processadas de inhame foram embaladas em sacos de polipropileno (PP, 4 μm de espessura) e nylon multicamada (NY, 15 μm de espessura), com 15 cm de largura e 20 cm de comprimento, e mantidos a 5 ± 2 °C durante 14 dias. As embalagens de polipropileno resultaram em fluorescência na superfície dos pedaços, sintomas característicos de Pseudomonas spp. e apresentaram maiores atividades de Catalase e Peroxidase. A embalagem de nylon multicamada foi mais eficiente em reduzir os danos por oxidação. Esta embalagem também inibiu a atividade de Polifenoloxidase e diminuiu o acúmulo de proteínas solúveis, resultando em redução nos sintomas de deterioração durante o armazenamento. Assim, a qualidade do inhame minimamente processado mantido em embalagem de nylon foi conservada até 14 dias a 5 ± 2 °C.

Abstract Appropriate storage packaging is an important aspect to minimize physiological deterioration and enhance the shelf-life of minimally processed products. Thus, the goal of this study was to evaluate the physiological and biochemical changes associated with the quality loss of minimally processed yam, maintained in two different packages at 5 ± 2 °C. The yam roots were selected, washed and conserved at 8 ± 2 °C for 24 hours. They were then peeled and cut into slices about 3 cm thick and minimally processed. Approximately 300 g of minimally processed yam roots were packed in polypropylene (PP, 4 μm thick) and multilayer nylon (NY, 15 μm thick) 15 cm wide x 20 cm long bags, which were stored at 5 ± 2 °C for 14 days. The minimally processed yam conserved in PP packaging presented fluorescence on the surface of the segments, characteristic symptoms of Pseudomonas spp., and showed higher peroxidase and catalase activities. The nylon packaging was more efficient in reducing oxidative damage and also inhibited polyphenol oxidase activity and decreased the accumulation of soluble proteins, resulting in decreased deterioration during storage. Thus, the quality of the minimally processed yam maintained in NY packaging was conserved for 14 days at 5 ± 2 °C.

ABSTRACT This study aimed to impute the genetic makeup of individual fishes of Serrasalmidae family on the basis of body weight and morphometric measurements. Eighty-three juveniles, belonging to the genetic groups Pacu, Pirapitinga, Tambaqui, Tambacu, Tambatinga, Patinga, Paqui and Piraqui, were separated into 16 water tanks in a recirculation system, with two tanks per genetic group, where they remained until they reached 495 days of age. They were then weighed and analyzed according to the following morphometric parameters: Standard Length (SL), Head Length (HL), Body Height (BH), and Body Width (BW). The identity of each fish was confirmed with two SNPs and two mitochondrial markers. Two analyses were performed: one for the validating the imputation and another for imputing a genetic composition of animals considered to be advanced hybrids (post F1). In both analyses, we used linear mixed models with a mixture of normal distributions to impute the genetic makeup of the fish based on phenotype. We applied the mixed models method, whereby the environmental effects were estimated by the Empirical Best Linear Unbiased Estimator (EBLUE) and genetic effects are considered random, obtaining the Empirical Best Linear Unbiased Predictor (EBLUP) from the general (GCA) and the specific (SCA) combining ability effects. The results showed that validation of the genetic makeup imputation based on body weight can be used because of the strong correlation between the observed and imputed genotype. The fish classified as advanced hybrids had a genetic composition with a high probability of belonging to known genotypes and there was consistency in genotype imputation according to the different characteristics used.

RESUMO Objetivou-se avaliar a qualidade de mandioca de mesa minimamente processada com o uso de antioxidantes e revestimento comestível a base de amido. Raízes de mandioca de mesa foram lavadas, resfriadas, imersas em água fria, cortadas e descascadas. Os pedaços foram imersos em solução clorada, centrifugados e imersos em suspensão de amido (3%) ou em solução contendo antioxidantes (ácido cítrico 3% e ácido ascórbico 3%) ou em ambos (revestimento + antioxidantes). Os pedaços contendo revestimento foram secos em sala climatizada a 18 ± 2 °C por 1 hora. Os pedaços foram embalados em polipropileno, contendo 150 g por embalagem, e mantidos a 5 ± 2 °C por 15 dias, com avaliações a cada três dias. Foi utilizado o DIC, em esquema fatorial 4 x 6 [controle, revestimento, antioxidantes e revestimento + antioxidantes x dias de conservação (0; 3 6; 9; 12 e 15 dias)] com 3 repetições. Verificou-se que os valores de pH, área escurecida e as atividades da peroxidase e polifenoloxidase foram menores e as notas da análise visual e o teor de fenólicos totais foram superiores nos tratamentos contendo antioxidantes. O uso dos antioxidantes foi eficiente na redução do escurecimento em mandioca de mesa minimamente processada, mantendo os pedaços com qualidade por 15 dias a 5 ± 2 ºC e a associação de antioxidantes e revestimento comestível não apresentou melhorias em comparação aos antioxidantes isolados.

ABSTRACT This study aimed to evaluate the quality of minimally-processed cassava treated with antioxidants and a starch-based edible coating. Cassava roots were washed, cooled, immersed in cold water, peeled and then cut. Root pieces were then immersed in a chloride solution, centrifuged, and subsequently immersed in either a starch suspension (3%), a solution containing antioxidants (3% citric acid and 3% ascorbic acid), or in both the coating and antioxidant solutions. Coated root pieces were dried at 18 ± 2°C for 1 hour, then packaged into polypropylene bags (150 g per pack) and kept at 5 ± 2°C for 15 days, and assessed every 3 days. A completely randomized design was used in a 4 × 6 factorial consisting of the treatment (control, coating, antioxidant, or coating and antioxidant) and the storage period (0, 3 6, 9, 12 or 15 days), with three replicates in each group. The pH, blackened area and peroxidase and polyphenol oxidase activities of the cassava was reduced in treatments containing antioxidants and the scores of visual analysis and phenolic content were higher. Therefore, treatment with antioxidants was effective for reducing browning in minimally- processed cassava, retaining the quality of cassava pieces stored for 15 days at 5 ± 2°C. The combination of antioxidants and the edible coating showed no improvement compared to treatment with antioxidants alone.

ABSTRACT Aim The study aimed to verify the effect of carbohydrate (CHO) mouth rinse on time to exhaustion, energy systems contribution and rating of perceived exertion (RPE) during a high-intensity exercise. Methods Fourteen men performed an incremental exercise test to determine their maximal oxygen uptake and peak power output (PPO) and two time-to-exhaustion tests at 110% of PPO. Participants rinsed their mouth with 25ml of 6.4% of CHO or placebo (PLA) solution immediately before the time-to-exhaustion test, using a crossover design. The contribution of the energy systems was calculated using the free software GEDAE-LaB®. Results Time to exhaustion was similar between the conditions (CHO:174.3±42.8s; PLA:166.7±26.3s; p=0.33). In addition, there was no difference between the CHO and PLA condition for aerobic (CHO:135.1±41.2kJ and PLA:129.8±35.3kJ, p=0.34), anaerobic lactic (CHO:57.6±17.1kJ and PLA:53.4±15.1kJ, p=0.10), and anaerobic alactic (CHO:10.4±8.4kJ and PLA:13.2±9.2kJ, p=0.37) contribution. Consequently, total energy expenditure was similar between conditions (CHO:203.2±46.4kJ and PLA:196.5±45.2kJ, p=0.15). However, CHO mouth rinse reduced the RPE at the moment of exhaustion (CHO:18.2±1.0units and PLA:19.1±1.1units; p=0.02). Conclusion CHO mouth rinse neither increased time to exhaustion nor altered energy systems contribution during a high-intensity exercise, but reduced the perceived effort at the exhaustion.

O estudo foi conduzido com o objetivo de avaliar a associação de fitase com um complexo enzimático composto por carboidrases (α-galactosidase, galactomananase, xilanase e β-glucanase) em dieta com redução nutricional para poedeiras semipesadas e seus efeitos sobre o desempenho e qualidade de ovos. Foram distribuídas 400 poedeiras Isa Brown de 42 a 57 semanas de idade em delineamento inteiramente casualisado com cinco tratamentos e oito repetições, sendo cinco períodos de produção, com 21 dias cada. As variáveis estudadas foram: produção de ovos, consumo de ração, peso médio dos ovos e conversão alimentar, unidade Haugh, porcentagens de gema, casca e albúmen, cor da gema, espessura da casca e gravidade específica. Houve interação significativa (p < 0,05) entre tratamentos e períodos experimentais para o consumo de ração. Não houve efeitos significativos (p > 0,05) dos tratamentos sobre produção e sobre as variáveis de peso médio e de qualidade interna e externa dos ovos. Houve efeito dos tratamentos sobre a conversão alimentar, com melhor valor para aves que receberam o tratamento controle. Os níveis adotados de redução nutricional das dietas com ou sem suplementação enzimática não proporcionaram bons resultados no que diz respeito à conversão alimentar e consumo de ração, não afetando, porém, os demais parâmetros produtivos e de qualidade interna e externa dos ovos.

This study was conducted in order to evaluate the association of phytase with an enzymatic complex comprised of carbohydrases (α-galactosidase, galactomannan, xylanase and β-glucanase) in nutrition reduction diets for semi-heavy laying hens and its effect on egg performance and egg quality. Four hundred Isa Brown laying hens with 42 to 57 weeks of age were distributed in an entirely random experiment with five treatments and 8 repetitions, during five production periods of 21 days. Variables studied: egg production, feed intake, mean egg weight, feed conversion, Haugh unit, percentage of yolk, egg white and albumen, yolk color, eggshell thickness and specific gravity. There was a significant interaction (p < 0.05) between treatments and experimental periods for feed intake. There were no significant effects (p > 0.05) of treatment on production, egg weight or internal and external egg quality. Treatment effects on feed conversion showed better values for hens fed with the control diet. The levels of nutrient reduction used in the diets with or without enzyme supplementation did not provide good results with regard to feed conversion and feed intake. However, they did not affect the other parameters for egg production and internal and external egg quality.

Cutaneous leishmaniasis (CL) is the most frequent clinical form of tegumentary leishmaniasis and is characterised by a single or a few ulcerated skin lesions that may disseminate into multiple ulcers and papules, which characterise disseminated leishmaniasis (DL). In this study, cells were quantified using immunohistochemistry and haematoxylin and eosin staining (CD4+, CD68+, CD20+, plasma cells and neutrophils) and histopathology was used to determine the level of inflammation in biopsies from patients with early CL, late CL and DL (ulcers and papules). The histopathology showed differences in the epidermis between the papules and ulcers from DL. An analysis of the cells present in the tissues showed similarities between the ulcers from localised CL (LCL) and DL. The papules had fewer CD4+ T cells than the DL ulcers. Although both CD4+ cells and macrophages contribute to inflammation in early CL, macrophages are the primary cell type associated with inflammation intensity in late ulcers. The higher frequency of CD20+ cells and plasma cells in lesions demonstrates the importance of B cells in the pathogenesis of leishmaniasis. The number of neutrophils was the same in all of the analysed groups. A comparison between the ulcers from LCL and DL and the early ulcers and papules shows that few differences between these two clinical forms can be distinguished by observing only the tissue.

OBJETIVO: Analisar desfechos clínicos de pacientes incidentes em hemodiálise vinculados a operadora de plano de saúde. MÉTODOS: Estudo de coorte de incidentes em hemodiálise em Belo Horizonte, MG, de 2004 a 2008, a partir de registros no banco de dados de operadora de planos de saúde. Variáveis independentes: sexo, idade, tempo entre primeira consulta com nefrologista e início da hemodiálise, tipo do primeiro acesso vascular, diabetes mellitus, tempo de permanência hospitalar/ano de tratamento e óbito. Variáveis dependentes: tempo entre início da hemodiálise e óbito e tempo de permanência hospitalar/ano de tratamento > 7,5 dias. Análise estatística: teste Qui-quadrado de Pearson na análise univariada para os desfechos óbito e tempo de permanência hospitalar/ano de tratamento; método de Kaplan-Meier para análise de sobrevida; modelo de Cox e regressão Poisson para risco de óbito e chance de tempo de permanência hospitalar/ano de tratamento > 7,5 dias. Foi utilizada ferramenta de Business Intelligence para extração dos dados e software Stata(r) 10.0. RESULTADOS: Estudados 311 indivíduos em hemodiálise, 55,5% homens, média de 62 anos (dp: 16,6 anos). A prevalência aumentou 160% no período estudado. Na análise de sobrevivência a mortalidade foi maior entre os mais idosos, nos que não realizaram consulta com nefrologista, fizeram uso de cateter vascular temporário como primeiro acesso, com diabetes mellitus, nos que foram internados no mesmo mês do início da hemodiálise. No modelo de Cox associaram-se a maior risco para óbito a idade avançada, diabetes mellitus, não realizar consulta prévia com nefrologista e internar-se no primeiro mês de hemodiálise. Maior tempo de permanência hospitalar/ano de tratamento não se associou ao sexo e diabetes. As variáveis não foram significativas na regressão Poisson. CONCLUSÕES: A avaliação pelo especialista antes do início da hemodiálise diminui o risco de óbito na doença renal crônica terminal, enquanto o diabetes e internação no mesmo mês de início da hemodiálise são marcadores de risco para o óbito.

OBJECTIVE: To analyze clinical outcomes of patients on hemodialysis linked to health care plan provider. METHODS: Cohort study of hemodialysis events in Belo Horizonte, MG, Southeastern Brazil, between 2004 and 2008, based on records from health care plan provider databases. The independent variables were: sex, age, time between first appointment with nephrologist and starting hemodialysis, type of first vascular access, diabetes mellitus, length of time spent in hospital/year of treatment and death. Dependent variables: time between starting hemodialysis and death and length of time spent in hospital/year of treatment > 7.5 days. Statistical analysis was carried out using Pearson's Chi-squared test in the univariate analysis for the outcomes 'death' and 'length of time spent in hospital/year of treatment'; the Kaplan-Meier method was used to analyze survival; the Cox model and Poisson regression were used for risk of death and chance of length of time spent in hospital/year of treatment > 7.5 days. The Business Intelligence tool and Stata(r) 10.0 software were used to extract data. RESULTS: There were 311 patients on hemodialysis included in the study, with a mean age of 62 (sd 16.6 years), of whom 55.5% were male. Prevalence increased 160% during the period in question. Survival analysis showed a higher mortality among older patients, patients that did not consult a nephrologists, those whose first vascular access was using a temporary catheter, those with diabetes mellitus, those admitted to hospital within a month of beginning hemodialysis. The Cox model showed that a higher risk of death was associated with age, diabetes mellitus, not consulting a nephrologists and those that were hospitalized within a month of beginning hemodialysis. Greater length of time spent in hospital/year of treatment was not associated with sex or diabetes. According to Poisson regression, the variables were not significant. CONCLUSIONS: Assessment by a specialist before starting hemodialysis decreases the risk of death in cases of chronic kidney disease, whereas the presence of diabetes and being hospitalized within a month of beginning hemodialysis are markers of risk of death.

OBJETIVO: Analizar los resultados clínicos de pacientes incidentes en hemodiálisis vinculados a operadora de seguro de salud MÉTODOS: Estudio de cohorte de incidentes en hemodiálisis en Belo Horizonte, MG, Brasil, de 2004 a 2008, a partir de registros en el banco de datos de operadora seguros de salud. Variables independientes: sexo, edad, tiempo entre primera consulta con nefrólogo e inicio de hemodiálisis, tipo del primer acceso vascular, diabetes mellitus, tiempo de permanencia en el hospital /año de tratamiento y óbito. Variables dependientes: tiempo entre inicio de hemodiálisis y óbito y tiempo de permanencia en hospital/año de tratamiento > 7,5 días. Análisis estadístico: prueba Chi-cuadrado de Pearson en el análisis univariado para los resultados óbito y tiempo de permanencia en el hospital/año de tratamiento; método de Kaplan-Meier para análisis de sobrevida; modelo de Cox y regresión Poisson para riesgo de óbito y chance de tiempo de permanencia en hospital/año de tratamiento > 7,5 días. Se utilizó herramienta de Business Intelligence para extracción de los datos y software Stata(r) 10.0. RESULTADOS: Se evaluaron 311 individuos en hemodiálisis, 55,5% hombres, promedio de edad de 62 años (ds: 16,6 años). La prevalencia aumentó 160% en el período estudiado. En el análisis de sobrevivencia la mortalidad fue mayor entre los adultos de mayor edad, en los que no realizaron consulta con el nefrólogo, uso de catéter vascular temporario como primer acceso, con diabetes mellitus, en los que fueron internados en el mismo mes de inicio de la hemodiálisis. En el modelo de Cox se asociaron a mayor riesgo de óbito la edad avanzada, diabetes mellitus, no realizar consulta previa con nefrólogo e internarse en el primer mes de hemodiálisis. El mayor tiempo de permanencia en el hospital/año de tratamiento no se asoció al sexo y diabetes. Las variables no fueron significativas en la regresión Poisson. CONCLUSIONES: La evaluación por el especialista antes del inicio de la hemodiálisis disminuye el riesgo de óbito en la enfermedad renal crónica terminal mientras que la diabetes e internación en el mismo mes de inicio de la hemodiálisis aumentan el riesgo de óbito.

OBJETIVO: Analisar desfechos clínicos de pacientes incidentes em hemodiálise vinculados a operadora de plano de saúde.MÉTODOS: Estudo de coorte de incidentes em hemodiálise em Belo Horizonte, MG, de 2004 a 2008, a partir de registros no banco de dados de operadora de planos de saúde. Variáveis independentes: sexo, idade, tempo entre primeira consulta com nefrologista e início da hemodiálise, tipo do primeiro acesso vascular, diabetes mellitus, tempo de permanência hospitalar/ano de tratamento e óbito. Variáveis dependentes: tempo entre início da hemodiálise e óbito e tempo de permanência hospitalar/ano de tratamento > 7,5 dias. Análise estatística: teste Qui-quadrado de Pearson na análise univariada para os desfechos óbito e tempo de permanência hospitalar/ano de tratamento; método de Kaplan-Meier para análise de sobrevida; modelo de Cox e regressão Poisson para risco de óbito e chance de tempo de permanência hospitalar/ano de tratamento > 7,5 dias. Foi utilizada ferramenta de Business Intelligence para extração dos dados e software Stata(r) 10.0.RESULTADOS: Estudados 311 indivíduos em hemodiálise, 55,5% homens, média de 62 anos (dp: 16,6 anos). A prevalência aumentou 160% no período estudado. Na análise de sobrevivência a mortalidade foi maior entre os mais idosos, nos que não realizaram consulta com nefrologista, fizeram uso de cateter vascular temporário como primeiro acesso, com diabetes mellitus, nos que foram internados no mesmo mês do início da hemodiálise. No modelo de Cox associaram-se a maior risco para óbito a idade avançada, diabetes mellitus, não realizar consulta prévia com nefrologista e internar-se no primeiro mês de hemodiálise. Maior tempo de permanência hospitalar/ano de tratamento não se associou ao sexo e diabetes. As variáveis não foram significativas na regressão Poisson.CONCLUSÕES: A avaliação pelo especialista antes do início da hemodiálise diminui o risco de óbito na doença renal crônica terminal, enquanto o diabetes e internação no mesmo mês de início da hemodiálise são marcadores de risco para o óbito.

OBJECTIVE: To analyze clinical outcomes of patients on hemodialysis linked to health care plan provider.METHODS: Cohort study of hemodialysis events in Belo Horizonte, MG, Southeastern Brazil, between 2004 and 2008, based on records from health care plan provider databases. The independent variables were: sex, age, time between first appointment with nephrologist and starting hemodialysis, type of first vascular access, diabetes mellitus, length of time spent in hospital/year of treatment and death. Dependent variables: time between starting hemodialysis and death and length of time spent in hospital/year of treatment > 7.5 days. Statistical analysis was carried out using Pearson's Chi-squared test in the univariate analysis for the outcomes 'death' and 'length of time spent in hospital/year of treatment'; the Kaplan-Meier method was used to analyze survival; the Cox model and Poisson regression were used for risk of death and chance of length of time spent in hospital/year of treatment > 7.5 days. The Business Intelligence tool and Stata(r) 10.0 software were used to extract data.RESULTS: There were 311 patients on hemodialysis included in the study, with a mean age of 62 (sd 16.6 years), of whom 55.5% were male. Prevalence increased 160% during the period in question. Survival analysis showed a higher mortality among older patients, patients that did not consult a nephrologists, those whose first vascular access was using a temporary catheter, those with diabetes mellitus, those admitted to hospital within a month of beginning hemodialysis. The Cox model showed that a higher risk of death was associated with age, diabetes mellitus, not consulting a nephrologists and those that were hospitalized within a month of beginning hemodialysis. Greater length of time spent in hospital/year of treatment was not associated with sex or diabetes. According to Poisson regression, the variables were not significant.CONCLUSIONS: Assessment by a specialist before starting hemodialysis decreases the risk of death in cases of chronic kidney disease, whereas the presence of diabetes and being hospitalized within a month of beginning hemodialysis are markers of risk of death.

OBJETIVO: Analizar los resultados clínicos de pacientes incidentes en hemodiálisis vinculados a operadora de seguro de saludMÉTODOS: Estudio de cohorte de incidentes en hemodiálisis en Belo Horizonte, MG, Brasil, de 2004 a 2008, a partir de registros en el banco de datos de operadora seguros de salud. Variables independientes: sexo, edad, tiempo entre primera consulta con nefrólogo e inicio de hemodiálisis, tipo del primer acceso vascular, diabetes mellitus, tiempo de permanencia en el hospital /año de tratamiento y óbito. Variables dependientes: tiempo entre inicio de hemodiálisis y óbito y tiempo de permanencia en hospital/año de tratamiento > 7,5 días. Análisis estadístico: prueba Chi-cuadrado de Pearson en el análisis univariado para los resultados óbito y tiempo de permanencia en el hospital/año de tratamiento; método de Kaplan-Meier para análisis de sobrevida; modelo de Cox y regresión Poisson para riesgo de óbito y chance de tiempo de permanencia en hospital/año de tratamiento > 7,5 días. Se utilizó herramienta de Business Intelligence para extracción de los datos y software Stata(r) 10.0.RESULTADOS: Se evaluaron 311 individuos en hemodiálisis, 55,5% hombres, promedio de edad de 62 años (ds: 16,6 años). La prevalencia aumentó 160% en el período estudiado. En el análisis de sobrevivencia la mortalidad fue mayor entre los adultos de mayor edad, en los que no realizaron consulta con el nefrólogo, uso de catéter vascular temporario como primer acceso, con diabetes mellitus, en los que fueron internados en el mismo mes de inicio de la hemodiálisis. En el modelo de Cox se asociaron a mayor riesgo de óbito la edad avanzada, diabetes mellitus, no realizar consulta previa con nefrólogo e internarse en el primer mes de hemodiálisis. El mayor tiempo de permanencia en el hospital/año de tratamiento no se asoció al sexo y diabetes. Las variables no fueron significativas en la regresión Poisson.CONCLUSIONES: La evaluación por el especialista antes del inicio de la hemodiálisis disminuye el riesgo de óbito en la enfermedad renal crónica terminal mientras que la diabetes e internación en el mismo mes de inicio de la hemodiálisis aumentan el riesgo de óbito.

Disseminated leishmaniasis (DL) differs from other clinical forms of the disease due to the presence of many non-ulcerated lesions (papules and nodules) in non-contiguous areas of the body. We describe the histopathology of DL non-ulcerated lesions and the presence of CD4-, CD20-, CD68-, CD31- and von Willebrand factor (vW)-positive cells in the inflamed area. We analysed eighteen biopsies from non-ulcerated lesions and quantified the inflamed areas and the expression of CD4, CD20, CD68, CD31 and vW using Image-Pro software (Media Cybernetics). Diffuse lymphoplasmacytic perivascular infiltrates were found in dermal skin. Inflammation was observed in 3-73% of the total biopsy area and showed a significant linear correlation with the number of vW+ vessels. The most common cells were CD68+ macrophages, CD20+ B-cells and CD4+ T-cells. A significant linear correlation between CD4+ and CD20+ cells and the size of the inflamed area was also found. Our findings show chronic inflammation in all DL non-ulcerated lesions predominantly formed by macrophages, plasmacytes and T and B-cells. As the inflamed area expanded, the number of granulomas and extent of the vascular framework increased. Thus, we demonstrate that vessels may have an important role in the clinical evolution of DL lesions.

INTRODUÇÃO: O autoconceito é uma estrutura formada por redes de esquemas cognitivos, dentre os quais se encontram os esquemas de gênero (esquema masculino e esquema feminino). De acordo com o Modelo Interativo, todos os indivíduos possuem os dois esquemas de gênero, dos quais resultam diferentes perfis psicológicos. OBJETIVO: Avaliar se atletas de futsal que diferem quanto à tipologia dos esquemas de gênero apresentam diferenças na composição corporal e nos níveis de aptidão física. MÉTODOS: A amostra inicial foi composta por 92 atletas do sexo masculino, classificados em grupos tipológicos de esquemas de gênero: Heteroesquemático Masculino (HM), Heteroesquemático Feminino (HF) e Isoesquemático (ISO). Para a classificação da amostra em grupos tipológicos foi utilizado o Inventário Masculino dos Esquemas de Gênero do Autoconceito (IMEGA). Foram utilizados os testes Squat Jump, Counter Movement Jump e Running Anaerobic Sprint Test; para mensurar, respectivamente, força explosiva e potência anaeróbia. Para a análise dos resultados foram utilizadas ANOVA One Way, ANOVA Mista e MANOVA. RESULTADOS: Os resultados demonstraram que os grupos HM, ISO e HF não apresentaram diferenças quanto à composição corporal, mas que os HM apresentaram índice médio de fadiga maior do que os grupos ISO e HF. Na avaliação dos seis tiros executados pelos atletas, observou-se que o grupo HM apresentou maior variação entre a potência máxima inicial e a final, quando comparado aos demais grupos. CONCLUSÃO: Os resultados permitem concluir que os diferentes perfis psicológicos adéquam-se melhor ao desempenho de determinadas posições do jogo e/ou a determinadas situações específicas durante o jogo

INTRODUCTION: Self-concept is a structure formed by cognitive schemas, among of these there are gender schemas (male and female schemas). According to the Interactive Model, all individuals are composed of both schemas resulting in different psychological profile. OBJECTIVE: This study aimed to evaluate if futsal athletes who differ in gender schemas typological groups present differences in body composition and physical fitness level. METHOD: The initial sample was composed of 92 male athletes, who were classified in the following gender schema typological group: Male Heteroshematic (MH), Female Heteroshematic (FH) and Isoshematic (ISO). In order to classify the sample in typological groups, the Male Inventory of the Self-Concept's Gender Schemas (IMEGA) was used. The Squat Jump, Counter Movement Jump and Running Anaerobic Sprint Tests were used to assess explosive power and anaerobic capacity, respectively. The results were analyzed with Analysis of Variance (ANOVA): One Way, Mixed and Manova. RESULTS: The results showed no differences in body composition, but MH presented more fatigue than the ISO and FH groups. In the assessment of six sprints executed by the athletes, it was observed that MH presented more variation between the initial and final maximum power, when compared with the other groups. CONCLUSION: These results lead to the conclusion that different psychological profiles adapt better to some game positions performance and/or to some specific situations during the game. Finally, it is suggested that the psychological profile must be used as a criterion in the selection of the athletes, considering also physiological and technical factors