Patient-centered Outcomes in Breast Cancer: Description of EQ-5D-5L and EORTC-QLQ-BR23 Measurements in Real-world Data and Their Association With Survival.

AIMS: In recent years, major improvements in breast cancer treatments have led to a significant increase in survival. Despite that, this population's quality of life (QoL) information is lacking, especially real-world data. MATERIALS AND METHODS: This was a prospective, multicentre, observational study of female breast cancer patients, without prior systemic treatment, treated between 2012 and 2019 in private health care in Brazil. QoL was assessed by two questionnaires, the EQ-5D-5L and the EORTC-QLQ-BR23. Additional data were retrospectively collected. RESULTS: The study comprised 1372 patients, most with early-stage disease (80.2% stages 0-II). At a median follow-up of 25.6 months, the estimated 3-year overall survival was 93.6%. Patients with locally advanced and metastatic breast cancer had the lowest visual analogue scale scores and the highest symptom burden in all dimensions of EQ-5D-5L, but with the most significant improvement after treatment. With the EORTC-QLQ-BR23 questionnaire, patients undergoing lumpectomy had a better perception of body image. Axillary dissection led to greater arm symptoms after 12 months, radiotherapy enhanced breast symptoms and patients treated with chemotherapy had significant worsening in the effects of systemic therapy compared with endocrine or HER2 therapy. Staging and immunohistochemical subtype correlated with survival and with several QoL parameters, but overall survival was not independently affected by patient-reported outcomes in this cohort. CONCLUSION: Our results show that early diagnosis and access to treatments with fewer side-effects, such as endocrine or targeted therapy, and less aggressive surgeries are the best strategies to achieve a better QoL for breast cancer patients.

Dynamic medium containing growth differentiation factor-9 and FSH maintains survival and promotes in vitro growth of caprine preantral follicles after long-term in vitro culture.

The aim of the present study was to evaluate the effects of growth differentiation factor 9 (GDF-9) and FSH on the in vitro development of caprine preantral follicles cultured for 16 days. Ovarian fragments were cultured in αMEM⁺ (α-minimum essential medium, pH 7.2-7.4, 10 µg mL⁻¹ insulin, 5.5 µg mL⁻¹ transferrin, 5.0 ng mL⁻¹ selenium, 2 mM glutamine, 2 mM hypoxanthine and 1.25 mg mL⁻¹ bovine serum albumin) in the absence or presence of 200 ng mL⁻¹ GDF-9 and/or 50 ng mL⁻¹ FSH added during the first (Days 0-8) and/or second (Days 8-16) half of the culture period. Non-cultured and cultured fragments were processed for histological and ultrastructural analyses. After 16 days, all treatments using GDF-9 or FSH showed higher rates of follicular survival compared with αMEM⁺ alone. Compared with non-cultured control, sequential culture media containing GDF-9 and/or FSH significantly increased the percentage of developing follicles and follicle diameter. Moreover, a progressive increase in oocyte diameter was observed only with sequential culture medium containing GDF-9 until Day 8 followed by FSH (GDF-9/FSH) in the second half of the culture period. After 16 days of culture, ultrastructural analysis confirmed the integrity of follicles cultured in the presence of GDF-9/FSH. In conclusion, a dynamic medium containing GDF-9 and FSH (GDF-9/FSH) maintained follicular integrity and promoted activation of primordial follicles and growth during long-term in vitro culture of goat preantral follicles.

Effect of sequential medium on in vitro culture of goat ovarian cortical tissue.

A sequential medium was evaluated on the survival, activation and growth rates of caprine preantral follicles submitted to a long-term culture period, aiming to establish an ideal in vitro culture system. Ovarian fragments were cultured for 16 days in α-MEM(+) alone or supplemented with hormones (GH and/or FSH) added sequentially on different days of culture. Ovarian fragments were cultured in the first (days 0-8) and second (days 8-16) halves of the culture period, generating 10 treatments: α-MEM(+)/α-MEM(+), FSH/FSH, FSH/GH, FSH/FSH+GH, GH/GH, GH/FSH, GH/FSH+GH, FSH+GH/FSH+GH, FSH+GH/FSH and FSH+GH/GH. Follicle morphology, viability and ultrastructure were analyzed. After day 1 of culture, FSH treatments maintained the percentage of normal follicles similar to the fresh control. At day 16 of culture, the treatment FSH/GH showed the highest (P<0.05) percentage of normal follicles. The ultrastructure of follicles was preserved in the fresh control and FSH/GH treatment. Follicles cultured with FSH/GH had a higher (P<0.05) viability than α-MEM(+); however the viability was lower (P<0.05) when compared to the fresh control. The FSH/GH treatment showed the highest (P<0.05) percentage of follicular activation and secondary follicle formation and produced the largest (P<0.05) mean follicular diameter after 16 days of culture. In conclusion, a sequential medium supplemented with FSH followed by GH during a long-term culture maintains the survival, viability and ultrastructure of goat preantral follicles, and promotes activation and secondary follicles.

Content identification of the interdisciplinary assessment of cerebral palsy using the International Classification of Functioning, Disability and Health as reference.

PURPOSE: To identify relevant items and most frequents categories related to functioning and disability recorded by professionals involved in rehabilitation of children with cerebral palsy (CP) and to assess the filling of the records. METHODS: A retrospective cross-sectional study based on the written documents provided by an interdisciplinary rehabilitation team. Participated in the study 40 patients with CP, aged 10 months to 17 years. Two raters extracted information from the patients' medical documents as recorded by physicians, physiotherapists, occupational therapists, speech therapists, social workers, psychologists and dieticians using the ICF-CY. Patients' records were scored (+functioning, -disability and *environmental factors) using 27 ICF-CY items to assess the filling of the records. RESULTS: Eighty-one items in the medical records [body structure(15), bodily functions(32), activity(24) and environmental factors(10)] were identified as related to the evaluation of the different professions involved with neuro-rehabilitation. Physiotherapy and occupational therapy provided the most comprehensive assessments performed. Fourteen categories had a minimum frequency of 40% during the registration process. CONCLUSIONS: The content of the information involves categories related to the structures and body functions, activities and environmental factors. The information follows a heterogeneous pattern in content and number of categories. The most frequent items can comprise a set of codes for triage of CP. It is necessary to establish an interdisciplinary consensus based on ICF-CY for systematize the information's record.

Foliar growth of Eriocnema fulva Naudin (Melastomataceae) in a forest fragment in southeastern Brazil.

Eriocnema fulva Naudin is an endangered herbaceous, perennial, iteroparous, evergreen species geographically restricted to southeastern-center Minas Gerais State, SE Brazil. The individuals occur as patches on rocky riverbanks shaded by seasonal semideciduous Atlantic forest; they are fixed by roots and have a pending stem. Aiming to investigate leaf development and its importance for individual survival, fifteen contiguous plots (1 x 1 m) were set down in Jambreiro Forest (19 degrees 58'-59' S and 43 degrees 52'-55' W, 800-1100 m altitude), in the municipality of Nova Lima. A total of 260 individuals with the largest leaf blade length > or = 1 cm was tagged and measured in 1997, 1998, and 1999. Leaf expansion was recorded each month during 26 months until April 2000. Plant size was measured through leaf blade length, petiole length, stem length, and number of leaves. Significant changes were detected only after two years, thus indicating that plant growth is slow. The proportion of surviving leaves after two years was 60%. Total blade expansion took over 14 months, a slow growth rate when compared to leaves of other tropical forest canopy and understory species. Long leaf lifespans are to be found in plants exhibiting slow growth, and we observed that some leaves lived longer than three years. Petiole growth can help to better position the leaf in the search for light, thus contributing to the growth and survival of the plant. The relationships among size measures were significant, reinforcing the great contribution of leaf size for plant size. The age of the largest individual was estimated as 36 years based on the median annual leaf production rate.

Foliar growth of Eriocnema fulva Naudin (Melastomataceae) in a forest fragment in southeastern Brazil

Eriocnema fulva Naudin is an endangered herbaceous, perennial, iteroparous, evergreen species geographically restricted to southeastern-center Minas Gerais State, SE Brazil. The individuals occur as patches on rocky riverbanks shaded by seasonal semideciduous Atlantic forest; they are fixed by roots and have a pending stem. Aiming to investigate leaf development and its importance for individual survival, fifteen contiguous plots (1 x 1 m) were set down in Jambreiro Forest (19° 58’-59’ S and 43° 52’-55’ W, 800-1100 m altitude), in the municipality of Nova Lima. A total of 260 individuals with the largest leaf blade length > 1 cm was tagged and measured in 1997, 1998, and 1999. Leaf expansion was recorded each month during 26 months until April 2000. Plant size was measured through leaf blade length, petiole length, stem length, and number of leaves. Significant changes were detected only after two years, thus indicating that plant growth is slow. The proportion of surviving leaves after two years was 60 percent. Total blade expansion took over 14 months, a slow growth rate when compared to leaves of other tropical forest canopy and understory species. Long leaf lifespans are to be found in plants exhibiting slow growth, and we observed that some leaves lived longer than three years. Petiole growth can help to better position the leaf in the search for light, thus contributing to the growth and survival of the plant. The relationships among size measures were significant, reinforcing the great contribution of leaf size for plant size. The age of the largest individual was estimated as 36 years based on the median annual leaf production rate.

Eriocnema fulva é uma espécie herbácea, perene, iteropárica, com distribuição geográfica restrita ao centro-sudeste do Estado de Minas Gerais, Brasil, e ameaçada de extinção. Os indivíduos ocorrem agrupados em paredões rochosos, na beira de riachos sombreados pela Mata Atlântica estacional semidecídua e têm caule que pendem do barranco. Com o objetivo de investigar o desenvolvimento da folha e sua importância para a sobrevivência dos indivíduos, foram instaladas 15 parcelas contíguas de 1 x 1 m na Mata do Jambreiro (19° 58’-59’S, 43° 52’-55’ W, 800-1100 m de altitude), município de Nova Lima. Todos os indivíduos cuja maior folha tivesse comprimento do limbo maior ou igual a 1 cm foram marcados, sendo medidos em 1997, 1998 e 1999. O tempo de expansão da folha foi registrado mensalmente durante 26 meses até abril de 2000. Na área amostrada foram marcados 260 indivíduos cujo limbo foliar tinha comprimento > 1cm. O tamanho das plantas, medido através do comprimento do limbo e do pecíolo e do número de folhas, apresentou mudanças significativas somente após dois anos, indicando que o crescimento é lento. A proporção das folhas sobreviventes após dois anos foi de 60 por cento. O tempo necessário para a expansão da folha foi superior a 14 meses e é lento quando comparado com o de outras espécies do dossel ou do sub-bosque da floresta tropical. Maior longevidade foliar tende a ser encontrada em plantas de crescimento lento. Observamos que algumas folhas tiveram maior longevidade que 3 anos. O crescimento do pecíolo pode ajudar no melhor posicionamento da folha na busca de luz no sub-bosque, contribuindo para o crescimento e sobrevivência da planta. As relações entre a folha e demais medidas de tamanho foram significativas, indicando sua grande importância para o tamanho de cada planta. A idade do indivíduo de maior tamanho foi estimada em 36 anos através da taxa mediana de produção anual de folhas.

Size structure and fertility in an Eriocnema fulva Naudin (Melastomataceae) population in Southeastern Brazil

Eriocnema fulva Naudin is an endangered perennial herbaceous plant, endemic to Minas Gerais state, Brazil. This study was conducted in the Jambreiro Forest (19° 58' -59'S and 43° 52' -55' W, 800-1100 m altitude). In an attempt to describe the population size structure and its association with individual fertility, fifteen 1 x 1 m contiguous plots were set. We tagged, counted, and measured a total of 260 individuals in 1997, 1998 and 1999. Young individuals with leaf lamina lengths < 3.4 cm comprised 33 percent of the total sampled, indicating that the population was reproducing locally. The number of leaves varied significantly, growth differences being detected only after two years of measurements. Stem length was the variable that best showed population size variation. The length of the largest leaf lamina was the best indication of its development phase. Assessing the number of leaves helped to evaluate the alteration in plant size during the study. The probability that individuals with laminas > 10 cm in length did not reproduce was 2.69 percent. The highest survival probability of the large-sized individuals confirmed the strong correlation between size and survival. The data indicated that size is important for the fertility of E. fulva, and it may be one of the relevant aspects to be considered for analyses of survival probability. The intraspecific competition, which was indicated by negative correlation between fruit production per size unit and density, can affect fertility, as larger plants had higher fruit production.

Eriocnema fulva é endêmica no estado de Minas Gerais e é ameaçada de extinção. Este estudo foi realizado na Mata do Jambreiro (19° 58' -59' S e 43° 52'-55' W, 800-1100 m de altitude) Com o objetivo de descrever a estrutura de tamanho da população e suas relações com a fertilidade dos indivíduos, foram instaladas 15 parcelas contíguas de 1 x 1m. Marcamos, contamos e medimos um total de 260 indivíduos em 1997, 1998 e 1999. Os indivíduos jovens com o comprimento do limbo < 3,4 cm somaram 33 por cento do total amostrado, mostrando que a população estava reproduzindo-se no local. O número de folhas variou significativamente entre os anos, com diferenças de crescimento só detectadas após dois anos de medições. O comprimento do caule foi a variável que melhor mostrou a variação de tamanho na população. O comprimento da lâmina da maior folha foi a melhor expressão da fase de desenvolvimento da planta, e o número de folhas auxiliou na avaliação da alteração do tamanho ao longo do tempo. A probabilidade de indivíduos com limbos foliares > 10 cm não se reproduzirem foi de 2,69 por cento. A maior probabilidade de sobrevivência dos indivíduos de maior tamanho confirmou a forte correlação entre tamanho e sobrevivência. Os dados mostraram que o tamanho é importante para a fertilidade de Eriocnema fulva e pode ser relevante para análises de probabilidade de sobrevivência da espécie. A competição intra-específica, indicada pela correlação negativa entre a produção de frutos por unidade de tamanho e a densidade, pode influir na fertilidade, pois plantas maiores apresentaram maior produção de frutos.

Reproductive system of Eriocnema fulva Naudin (Melastomataceae), an endemic species of Minas Gerais state, SE Brazil.

Eriocnema fulva Naudin is a perennial herb, endemic to Minas Gerais state, SE Brazil, found on humid, shaded rocky riverbanks in montane semideciduous seasonal forests. The species is threatened, but information regarding its biology is still lacking, although such information is fundamental to any management plan. We aimed to evaluate the reproductive system of Eriocnema fulva in the Jambreiro Forest (19 degrees 58'-59' S and 43 degrees 55'-52' W, 800-1100 m altitude), municipality of Nova Lima, by experiments carried out in 1997 and 1998. The flowers are white, and flowering is of the steady state type, occurring once a year from November to December. Anthers are poricidal, and pollen is the only resource for visitors. The chromosome number is n = 17 during meiosis. The species is self-compatible, but does not produce fruits by spontaneous self-pollination or agamospermy; it requires pollen vectors and buzz pollination in order to produce fruits. Cross-pollination is the main reproductive strategy of E. fulva, and is accentuated by the small number of flowers (one or two in each plant) opened per day. Although the population studied was shaded by forest canopy, the seeds needed light to germinate. Germination ratio was lower in germination cabinet on filter paper (14% after 30 days) than in greenhouse on soil brought from the forest (47% after 25 days). Although the fruit is a capsule and the seeds are small, dispersion (anemochory or hydrochory) does not seem to occur at long distance, as it is the case for other Melastomataceae species with similar syndrome.

Reproductive system of Eriocnema fulva Naudin (Melastomataceae), an endemic species of Minas Gerais state, SE Brazil

Eriocnema fulva Naudin is a perennial herb, endemic to Minas Gerais state, SE Brazil, found on humid, shaded rocky riverbanks in montane semideciduous seasonal forests. The species is threatened, but information regarding its biology is still lacking, although such information is fundamental to any management plan. We aimed to evaluate the reproductive system of Eriocnema fulva in the Jambreiro Forest (19° 58'-59' S and 43° 55'-52' W, 800-1100 m altitude), municipality of Nova Lima, by experiments carried out in 1997 and 1998. The flowers are white, and flowering is of the steady state type, occurring once a year from November to December. Anthers are poricidal, and pollen is the only resource for visitors. The chromosome number is n = 17 during meiosis. The species is self-compatible, but does not produce fruits by spontaneous self-pollination or agamospermy; it requires pollen vectors and buzz pollination in order to produce fruits. Cross-pollination is the main reproductive strategy of E. fulva, and is accentuated by the small number of flowers (one or two in each plant) opened per day. Although the population studied was shaded by forest canopy, the seeds needed light to germinate. Germination ratio was lower in germination cabinet on filter paper (14 percent after 30 days) than in greenhouse on soil brought from the forest (47 percent after 25 days). Although the fruit is a capsule and the seeds are small, dispersion (anemochory or hydrochory) does not seem to occur at long distance, as it is the case for other Melastomataceae species with similar syndrome.

Eriocnema fulva Naudin é uma planta herbácea, perene, endêmica no estado de Minas Gerais, sendo encontrada em paredões rochosos úmidos, ao longo de riachos sombreados pela Floresta Estacional Semidecídua Montana. A espécie é ameaçada de extinção e não existem informações sobre a sua biologia, embora sejam fundamentais para um plano de manejo. Com o objetivo de avaliar o sistema de reprodução, foram feitos experimentos em 1997 e 1998 em uma população na Mata do Jambreiro (19° 58'-59' S e 43° 55'-52' W, 800-1100 m de altitude), no município de Nova Lima. As flores são brancas e a floração é do tipo steady state, ocorrendo uma vez ao ano durante novembro e dezembro. As anteras são poricidas e o pólen é a única recompensa para os visitantes. O número cromossômico encontrado na meiose foi n = 17. A espécie é autocompatível, não produz frutos por autopolinização espontânea nem por agamospermia, mas requer obrigatoriamente vetores de pólen e polinização vibrátil. A polinização cruzada é a principal estratégia reprodutiva de Eriocnema fulva, sendo acentuada devido ao pequeno número de flores abertas por dia, apenas uma ou duas em cada planta. Embora as populações estejam localizadas em ambientes sombreados e úmidos, as sementes precisam de luz para germinar, sendo fotoblásticas positivas. A taxa de germinação em papel de filtro na câmara de germinação foi menor (14 por cento após 30 dias) que em solo da floresta na casa de vegetação (47 por cento após 25 dias). Embora o fruto seja do tipo cápsula com sementes pequenas, a dispersão (anemocoria ou hidrocoria) parece não ocorrer a distâncias longas, como é observada em outras espécies de Melastomataceae com síndrome de dispersão semelhante.

Development of an open case-based decision-support system for diagnosis in oral pathology.

BACKGROUND: Making diagnoses in oral pathology are often difficult and confusing in dental practice, especially for the less-experienced dental student. One of the most promising areas in bioinformatics is computer-aided diagnosis, where a computer system is capable of imitating human reasoning ability and provides diagnoses with an accuracy approaching that of expert professionals. This type of system could be an alternative tool for assisting dental students to overcome the difficulties of the oral pathology learning process. This could allow students to define variables and information, important to improving the decision-making performance. However, no current open data management system has been integrated with an artificial intelligence system in a user-friendly environment. Such a system could also be used as an education tool to help students perform diagnoses. The aim of the present study was to develop and test an open case-based decision-support system. METHODS: An open decision-support system based on Bayes' theorem connected to a relational database was developed using the C++ programming language. The software was tested in the computerisation of a surgical pathology service and in simulating the diagnosis of 43 known cases of oral bone disease. The simulation was performed after the system was initially filled with data from 401 cases of oral bone disease. RESULTS: The system allowed the authors to construct and to manage a pathology database, and to simulate diagnoses using the variables from the database. CONCLUSION: Combining a relational database and an open decision-support system in the same user-friendly environment proved effective in simulating diagnoses based on information from an updated database.

Size structure and fertility in an Eriocnema fulva Naudin (Melastomataceae) population in Southeastern Brazil.

Eriocnema fulva Naudin is an endangered perennial herbaceous plant, endemic to Minas Gerais state, Brazil. This study was conducted in the Jambreiro Forest (19 degrees 58' -59'S and 43 degrees 52' -55' W, 800-1100 m altitude). In an attempt to describe the population size structure and its association with individual fertility, fifteen 1 x 1 m contiguous plots were set. We tagged, counted, and measured a total of 260 individuals in 1997, 1998 and 1999. Young individuals with leaf lamina lengths < or = 3.4 cm comprised 33% of the total sampled, indicating that the population was reproducing locally. The number of leaves varied significantly, growth differences being detected only after two years of measurements. Stem length was the variable that best showed population size variation. The length of the largest leaf lamina was the best indication of its development phase. Assessing the number of leaves helped to evaluate the alteration in plant size during the study. The probability that individuals with laminas > or = 10 cm in length did not reproduce was 2.69%. The highest survival probability of the large-sized individuals confirmed the strong correlation between size and survival. The data indicated that size is important for the fertility of E. fulva, and it may be one of the relevant aspects to be considered for analyses of survival probability. The intraspecific competition, which was indicated by negative correlation between fruit production per size unit and density, can affect fertility, as larger plants had higher fruit production.

Reproductive seasonality of fishes from a lotic stretch of the Grande River, high Paraná river basin, Brazil.

We searched for correlations between water level, rainfall, temperature, and reproductive activity of fishes in a lotic stretch of the Grande River below the Volta Grande Dam. Gillnets were used to catch the fish on six field journeys made bimonthly between April 1998 and February 1999. Fish gonads were classified according to maturation grade and the amount of mature or spent gonads was correlated with rainfall and air temperature. Most fish species showed seasonal reproduction (between October and February). The relative frequency of fully mature and spent gonads significantly correlated with rainfall (Spearman r = 0.94, p = 0.005) and air temperature (r = 0.84, p = 0.036), showing the importance of these factors in regulating the reproductive cycle of fishes in this location. Nevertheless, dam operation resulted in minimal water level variation that did not significantly correlate with reproductive activity (r = -0.43, p = 0.396).

Diet and feeding of fish from Grande River, located below the Volta Grande Reservoir, MG-SP.

We compare the classic model of feeding of tropical fish by means of six bimonthly samplings using gillnets of varying mesh sizes that were inspected every twelve hours throughout a forty-eight hour period. The stomachs of the fish caught were classified in three categories according to quantity of food found. The amount of fat in the visceral cavity with respect to the energetic reserve deposition was also studied. The relative frequencies of the different categories of stomach repletion and fat deposition were examined for patterns of feeding seasonality. The stomachs considered full were examined to record diet composition. To assess the relative importance of the different food resources, we applied Feeding Importance Degree (FID), which is a useful index when difficulties exist in determining a common basis for volume, number, or weight of a given food item in different species, a common problem when dealing with fish species having different feeding habits. The fish species whose stomach contents were analyzed using the FID index were Serrasalmus spilopleura (Characidae), L. prolixa (Loricaridae), Schizodon nasutus (Anostomidae), and Pimelodus maculatus (Pimelodidae). Our findings indicate some contrasting elements, in dietary composition in relation to the classic model for tropical rivers. These factors include the importance of aquatic macrophytes, the lack of piscivorous species, and a lesser presence of allochthonous vegetation in the diet of the species studied.

Diet and feeding of fish from Grande River, located below the Volta Grande Reservoir, MG-SP

Comparamos um modelo clássico de alimentação de peixes tropicais com os resultados de amostragens bimestrais com redes de espera de diversas malhas, vistoriadas a cada doze horas durante quarenta e oito horas. Os estômagos dos peixes coletados foram classificados em três categorias, de acordo com a quantidade de alimento. A quantidade de gordura depositada na cavidade abdominal, relacionada ao acúmulo de reservas energéticas, também foi estudada. Foram determinadas as freqüências relativas bimestrais dos diferentes graus de repleção estomacal e de gordura visceral acumulada para avaliar a dinâmica da atividade alimentar das espécies. Os estômagos considerados repletos foram examinados para registrar a composição da dieta. Para determinar a importância relativa dos diferentes itens alimentares foi empregado o índice Grau de Preferência Alimentar, um método útil em casos em que existam dificuldades de determinar para várias espécies, numa base comum, o número, peso ou volume dos itens alimentares, situação comum quando se trata de comparar a dieta de espécies com hábitos alimentares distintos. As espécies de peixes das quais foi amostrada a maioria dos estômagos foram Serrasalmus spilopleura (Characidae), Loricaria prolixa (Loricaridae), Schizodon nasutus (Anostomidae) e Pimelodus maculatus (Pimelodidae). Nosso estudo mostrou algumas diferenças quanto à composição da dieta em relação a um modelo clássico para ambientes tropicais, como a importância de macrófitas aquáticas, a escassez de espécies piscívoras e a pequena participação de vegetação alóctone na dieta das espécies estudadas.

Reproductive seasonality of fishes from a lotic stretch of the Grande River, high Paraná river basin, Brazil

Foi investigada a correlação entre nível hidrológico, pluviosidade e temperatura e reprodução de peixes num trecho lótico do rio Grande, abaixo da barragem de Volta Grande. Para a captura, realizada com redes de espera, foram feitas seis amostragens bimestrais de abril de 1998 a fevereiro de 1999. As gônadas foram classificadas de acordo com o estádio de maturação e aquelas maduras ou esgotadas foram correlacionadas com as variáveis ambientais. A maioria das espécies apresentou reprodução sazonal, entre outubro e fevereiro. A freqüência relativa bimestral de gônadas maduras ou esgotadas de todos os exemplares agrupados foi correlacionada significativamente com pluviosidade (Spearman r = 0,94, p = 0,005) e temperatura do ar (r = 0,84, p = 0,036), mostrando a importância destes fatores no controle do ciclo reprodutivo dos peixes. Devido à barragem, o nível hidrológico pouco variou e não foi encontrada correlação significativa entre reprodução e nível hidrológico (r = û0,43, p = 0,396).

The Th1 /Th2 immune-type response of the recurrent aphthous ulceration analyzed by cDNA microarray.

BACKGROUND: The reduced ability to activate oral tolerance plays a role in the pathogenesis of some gastrointestinal inflammatory diseases. This activation may reflect a preferential reduction of a T-helper (Th)2- or Th3-type response. In recurrent aphthous ulceration (RAU), genetic and environmental factors may contribute to low tolerance, permitting a cytotoxic reaction against the oral epithelium. The cytokine profile has not permitted the definition of RAU as resulting from enhanced Th1 or Th2 responses. A cDNA microarray study would allow the identification of differentially expressed genes and provide a basis for classification of the immune response. METHODS: The cDNA from 29 samples of aphthae and from 11 samples of normal mucosa from aphthae-free volunteers were hybridized on microarray membranes with 1176 genes. RESULTS: Forty-one differentially expressed genes were identified, and a higher expression level of the Th1 gene cluster in RAU was found. CONCLUSIONS: Microarrays permitted us definition of the gene expression profile of the lesion and identify an increased Th1 activity in RAU lesions.

Estrogen and selective estrogen receptor modulator regulation of insulin-like growth factor binding protein 5 in the rat uterus.

Insulin-like growth factor (IGF) binding protein 5 (IGFPB-5) is abundant in the uterus and is implicated in the sex steroid-induced growth of this tissue. The purpose of this study was to investigate the potential for modulation of the action of IGFPB-5 at the uterus level in the rat by estrogen and selective estrogen receptor modulators (SERMs). One hundred and twenty adult rats, 2-3 months of age, were included. Among them 100 animals were ovariectomized 4 days prior to the use of drugs for 48 days. Rats were divided into six groups: non-ovariectomized (group 1); ovariectomized (group 2); and those receiving conjugated equine estrogens, 50 microg/day (group 3), tamoxifen 250 microg/day (group 4), raloxifene 3 mg/kg (group 5) and toremifene 2.5 mg/kg (group 6). Total RNA was isolated from the uterus and IGFBP-5 mRNA levels were assessed by the semiquantitative reverse transcription polymerase chain reaction (RT-PCR). Our results demonstrate that conjugated equine estrogens were able to up-regulate mRNA levels of the IGFBP-5 gene, while oophorectomy alone as well as associated with hormone therapy such as tamoxifen, raloxifene and toremifene resulted in down-regulation of uterine IGFBP-5 gene expression. The up-regulation of IGFBP-5 expression induced by estrogens suggests that, in vivo, the uterotrophic effects of estrogen replacement therapy are mediated, at least inpart, by the IGF pathways. On the other hand, the use of SERMs (tamoxifen, raloxifene and toremifene) was associated with severe down-regulation of this gene at the transcription level.

Estrogen regulation of uterine genes in vivo detected by complementary DNA array.

INTRODUCTION: In the present study, our aim was to identify differentially expressed genes involved in estrogen actions at the endometrium level in rats. METHODS: Thirty adult rats were ovariectomized four days prior to drug administration for 48 days. Rats were divided in 2 groups: I, control and II, conjugated equine estrogens (CCE). Total RNA was isolated from uterus, and differential expression was analyzed by array technology and RT-PCR. RESULTS: A total of 32 candidate genes were shown to be upregulated or downregulated in groups I or II. Among them, differential expression was already confirmed by RT-PCR for IGFBP5, S12, c-kit, and VEGF, genes whose expression was up regulated during CCE therapy, and casein kinase II and serine kinase expression was the same level in both groups. CONCLUSION: We have demonstrated that cDNA array represents a powerful approach to identify key molecules in the estrogens therapy. A number of the candidates reported here should provide new markers that may contribute to the detection of target estrogen receptor. This information may also aid the development of new approaches to therapeutic intervention.

Piscinoodinium pillulare (Schaperclaus, 1954) Lom, 1981 (Dinoflagellida) infection in cultivated freshwater fish from the Northeast region of São Paulo State, Brazil: parasitological and pathological aspects

The Aquaculture Center of Unesp, Jaboticabal, SP, Brazil, received fishes for diagnosis from fish farmers reporting fish crowding at pond edges and in water inlets. Fifty-three out of 194 cases showed round to oval, immobile whitish structures, measuring up to 162 mm diameter, identified as the dinoflagellate Piscinoodinium pillulare. In 34 diagnosed cases the parasites were present in the gills, in 2 on body surface, and 9 in both. Thirty-one out of 53 were tambacu hybrids hosts; 7, Piaractus mesopotamicus; 6, Colossoma macropomum; 5, Leporinus macrocephalus; 3, Oreochromis niloticus; and 1, Prochilodus lineatus. Fish showed increased mucous production on body surface and gills, while ecchymosis in the caudal peduncle and operculum was present. The gills also showed paleness, congestion, and petechiae. Histopathology presented a great number of trophonts situated between secondary lamellae, fixed to or detached from the epithelium. Primary lamellae presented interstitial hemorrhages, severe hyperplasia of the epithelium, goblet cells, and mononuclear infiltrates. The present work is the first report of P. pillulare in Brazil and emphasizes the importance of this dinoflagellate which caused significant economic losses from 1995 through 1997

Piscinoodinium pillulare (Schäperclaus, 1954) Lom, 1981 (Dinoflagellida) infection in cultivated freshwater fish from the northeast region of Sao Paulo State, Brazil. Parasitological and pathological aspects.

The Aquaculture Center of Unesp, Jaboticabal, SP, Brazil, received fishes for diagnosis from fish farmers reporting fish crowding at pond edges and in water inlets. Fifty-three out of 194 cases showed round to oval, immobile whitish structures, measuring up to 162 microm diameter, identified as the dinoflagellate Piscinoodinium pillulare. In 34 diagnosed cases the parasites were present in the gills, in 2 on body surface, and 9 in both. Thirty-one out of 53 were tambacu hybrids hosts; 7, Piaractus mesopotamicus; 6, Colossoma macropomum; 5, Leporinus macrocephalus; 3, Oreochromis niloticus; and 1, Prochilodus lineatus. Fish showed increased mucous production on body surface and gills, while ecchymosis in the caudal peduncle and operculum was present. The gills also showed paleness, congestion, and petechiae. Histopathology presented a great number of trophonts situated between secondary lamellae, fixed to or detached from the epithelium. Primary lamellae presented interstitial hemorrhages, severe hyperplasia of the epithelium, goblet cells, and mononuclear infiltrates. The present work is the first report of P pillulare in Brazil and emphasizes the importance of this dinoflagellate which caused significant economic losses from 1995 through 1997.