Gill metazoan parasites of the spotted goatfish Pseudupeneus maculatus (Ostheichthyes: Mullidae) from the Coast of Pernambuco, northeastern Brazil / Metazoários parasitos de brânquias do saramunete Pseudupeneus maculatus (Ostheichthyes: Mullidae) da costa de Pernambuco, Nordeste do Brasil

Abstract This study evaluated the parasite fauna on the gills of spotted goatfish Pseudupeneus maculatus captured in the dry and rainy seasons in the coast of the State of Pernambuco, Brazil. Eight parasite species were identified belonging to the following taxa: Monogenea (Haliotrema caraïbensis, Haliotrema caballeroi and Haliotrema golvani); Crustacea (Rocinela signata, Hamaticolax scutigerulus and Caligidae gen. sp.) and Cestoda (Nybelinia indica and Pseudolacistorhynchus noodti). The most prevalent parasites were: Monogenea (100%), H. scutigerulus (35%), N. indica (11.7%), R. signata (8.3%), Caligidae gen. sp. (3.33%) and P. noodti (0.83%). Values of infestation are compared to other studies, and the uncommon occurrence of Trypanorhyncha on the gills suggests that the spotted goatfish could be an intermediate host for the parasite.

Resumo O presente estudo investigou a fauna parasitária das brânquias do peixe conhecido como saramunete Pseudupeneus maculatus, capturados nas estações seca e chuvosa na costa do estado de Pernambuco, Brasil. Oito espécies de parasitos foram identificadas, pertencentes aos seguintes táxons: Monogenea (Haliotrema caraïbensis, Haliotrema caballeroi e Haliotrema golvani); Crustacea (Rocinela signata, Hamaticolax scutigerulus e Caligidae gen. sp.) e Cestoda (Nybelinia indica e Pseudolacistorhynchus noodti). Os parasitos mais prevalentes foram: Monogenea (100%), H. scutigerulus (35%), N. indica (11,7%), R. signata (8,3%), Caligidae gen. sp. (3,33%) e P. noodti (0,83%). Os valores de infestação são comparados a outros estudos, e a ocorrência incomum de cestóides Trypanorhyncha sugere que o saramunete pode ser um hospedeiro intermediário para o parasito.

Gill metazoan parasites of the spotted goatfish Pseudupeneus maculatus (Ostheichthyes: Mullidae) from the Coast of Pernambuco, northeastern Brazil.

This study evaluated the parasite fauna on the gills of spotted goatfish Pseudupeneus maculatus captured in the dry and rainy seasons in the coast of the State of Pernambuco, Brazil. Eight parasite species were identified belonging to the following taxa: Monogenea (Haliotrema caraïbensis, Haliotrema caballeroi and Haliotrema golvani); Crustacea (Rocinela signata, Hamaticolax scutigerulus and Caligidae gen. sp.) and Cestoda (Nybelinia indica and Pseudolacistorhynchus noodti). The most prevalent parasites were: Monogenea (100%), H. scutigerulus (35%), N. indica (11.7%), R. signata (8.3%), Caligidae gen. sp. (3.33%) and P. noodti (0.83%). Values of infestation are compared to other studies, and the uncommon occurrence of Trypanorhyncha on the gills suggests that the spotted goatfish could be an intermediate host for the parasite.

Effect of water temperature and salinity in oviposition, hatching success and infestation of Aphanoblastella mastigatus (Monogenea, Dactylogyridae) on Rhamdia quelen.

Several environmental parameters may influence biological processes of several aquatic invertebrates, such as the Monogenea. Current analysis investigates oviposition, hatching success and infestation of Aphanoblastella mastigatus, a parasite of the silver catfish Rhamdia quelen at different temperatures (~ 24 and 28 °C) and salinity (by adding sodium chloride to water, at concentrations 0, 5 and 9 g/L) in laboratory. There was no significant difference in oviposition rate and in A. mastigatus infestation success at 24 and 28 °C. On the other hand, the concentration 9 g/L of sodium chloride in the water impaired the parasite's survival and the viability of the eggs. Results show that its usage is efficient as a possible prophylactic treatment. Eclosion rate of A. mastigatus's eggs was significantly higher at 28 °C, although it was significantly less from 5 g/L. Two oviposition peaks (06h15 and 18h15) occurred during a 24-hour period, or rather, during the highest variations in luminosity. Further studies are recommended with greater temperature intervals and more intense experimental infestations to verify the effects of temperature in the life span and infestation success of A. mastigatus.

Effect of water temperature and salinity in oviposition, hatching success and infestation of Aphanoblastella mastigatus (Monogenea, Dactylogyridae) on Rhamdia quelen

Abstract Several environmental parameters may influence biological processes of several aquatic invertebrates, such as the Monogenea. Current analysis investigates oviposition, hatching success and infestation of Aphanoblastella mastigatus, a parasite of the silver catfish Rhamdia quelen at different temperatures (~ 24 and 28 °C) and salinity (by adding sodium chloride to water, at concentrations 0, 5 and 9 g/L) in laboratory. There was no significant difference in oviposition rate and in A. mastigatus infestation success at 24 and 28 °C. On the other hand, the concentration 9 g/L of sodium chloride in the water impaired the parasites survival and the viability of the eggs. Results show that its usage is efficient as a possible prophylactic treatment. Eclosion rate of A. mastigatuss eggs was significantly higher at 28 °C, although it was significantly less from 5 g/L. Two oviposition peaks (06h15 and 18h15) occurred during a 24-hour period, or rather, during the highest variations in luminosity. Further studies are recommended with greater temperature intervals and more intense experimental infestations to verify the effects of temperature in the life span and infestation success of A. mastigatus.

Resumo Diversos parâmetros ambientais podem afetar os processos biológicos de diversos organismos invertebrados aquáticos, como os Monogenea. Neste estudo, nós investigamos a oviposição, sucesso de eclosão e infestação de Aphanoblastella mastigatus, parasito de jundiá Rhamdia quelen, em diferentes condições de temperatura (~ 24 e 28 °C) e salinidade (por meio da adição de cloreto de sódio na água nas concentrações de 0, 5 e 9 g/L) em laboratório. Não houve diferença significativa na taxa de oviposição nem no sucesso de infestação de A. mastigatus à 24 e 28 °C; por outro lado, a concentração de 9 g/L de cloreto de sódio na água inviabilizou não só a sobrevivência do parasito mas também a viabilidade dos ovos. Esse resultado indica que seu uso é eficiente como potencial tratamento profilático. A taxa de eclosão dos ovos de A. mastigatus foi significativamente maior a 28 °C. A partir de 5 g/L, a mesma foi significativamente menor. Durante um período de 24 horas, dois picos na oviposição ocorreram nos momentos de maior variação da luminosidade (06h15 e 18h15). Futuros estudos são recomendados utilizando intervalos de temperatura e intensidades de infestação experimental maiores para verificar a influência da temperatura na longevidade e sucesso de infestação de A. mastigatus.

Effect of water temperature and salinity in oviposition, hatching success and infestation of Aphanoblastella mastigatus (Monogenea, Dactylogyridae) on Rhamdia quelen / Efeito da temperatura da água e salinidade na oviposição, sucesso de eclosão e infestação de Aphanoblastella mastigatus (Monogenea, Dactylogyridae) em Rhamdia quelen

Abstract Several environmental parameters may influence biological processes of several aquatic invertebrates, such as the Monogenea. Current analysis investigates oviposition, hatching success and infestation of Aphanoblastella mastigatus, a parasite of the silver catfish Rhamdia quelen at different temperatures (~ 24 and 28 °C) and salinity (by adding sodium chloride to water, at concentrations 0, 5 and 9 g/L) in laboratory. There was no significant difference in oviposition rate and in A. mastigatus infestation success at 24 and 28 °C. On the other hand, the concentration 9 g/L of sodium chloride in the water impaired the parasite’s survival and the viability of the eggs. Results show that its usage is efficient as a possible prophylactic treatment. Eclosion rate of A. mastigatus’s eggs was significantly higher at 28 °C, although it was significantly less from 5 g/L. Two oviposition peaks (06h15 and 18h15) occurred during a 24-hour period, or rather, during the highest variations in luminosity. Further studies are recommended with greater temperature intervals and more intense experimental infestations to verify the effects of temperature in the life span and infestation success of A. mastigatus.

Resumo Diversos parâmetros ambientais podem afetar os processos biológicos de diversos organismos invertebrados aquáticos, como os Monogenea. Neste estudo, nós investigamos a oviposição, sucesso de eclosão e infestação de Aphanoblastella mastigatus, parasito de jundiá Rhamdia quelen, em diferentes condições de temperatura (~ 24 e 28 °C) e salinidade (por meio da adição de cloreto de sódio na água nas concentrações de 0, 5 e 9 g/L) em laboratório. Não houve diferença significativa na taxa de oviposição nem no sucesso de infestação de A. mastigatus à 24 e 28 °C; por outro lado, a concentração de 9 g/L de cloreto de sódio na água inviabilizou não só a sobrevivência do parasito mas também a viabilidade dos ovos. Esse resultado indica que seu uso é eficiente como potencial tratamento profilático. A taxa de eclosão dos ovos de A. mastigatus foi significativamente maior a 28 °C. A partir de 5 g/L, a mesma foi significativamente menor. Durante um período de 24 horas, dois picos na oviposição ocorreram nos momentos de maior variação da luminosidade (06h15 e 18h15). Futuros estudos são recomendados utilizando intervalos de temperatura e intensidades de infestação experimental maiores para verificar a influência da temperatura na longevidade e sucesso de infestação de A. mastigatus.

Acute inflammation and hematological response in Nile tilapia fed supplemented diet with natural extracts of propolis and Aloe barbadensis.

This study evaluated the acute inflammatory response induced by carrageenin in the swim bladder of Nile tilapia supplemented with the mixture of natural extracts of propolis and Aloe barbadensis (1:1) at a concentration of 0.5%, 1% and 2% in diet during 15 days. Thirty-six fish were distributed into four treatments with three replicates: fish supplemented with 0.5% of admix of extracts of propolis and Aloe (1:1) injected with 500 µg carrageenin; fish supplemented with 1% of admix of extracts of propolis and Aloe (1:1) injected with 500 µg carrageenin; fish supplemented with 2% of admix of extracts of propolis and Aloe (1:1), injected with 500 µg carrageenin and unsupplemented fish injected with 500 µg carrageenin. Six hours after injection, samples of blood and exudate from the swim bladder of fish were collected. It was observed an increase in the leukocyte count in the swim bladder exudate of fish supplemented with extracts of propolis and Aloe injected with carrageenin. The most frequent cells were macrophages followed by granular leukocytes, thrombocytes and lymphocytes. Supplementation with propolis and Aloe to 0.5% caused a significant increase in the number of cells on the inflammatory focus mainly macrophages, cells responsible for the phagocytic activity in tissues, agent of innate fish immune response.

Haematological and histopathological analysis in South American fish Piaractus mesopotamicus parasitized by monogenean (Dactylogyridae).

Monogeneans are the parasites mostly found on the body surface and gills of fish and can cause large losses in farmed fish. Some studies demonstrate elevated parasitic levels causing hematological alterations. But few of them relate the effects of parasitism on the hematology and histopathology of native freshwater farmed fish. This study evaluated the host-parasite relationship in pacu (Piaractus mesopotamicus) parasitized by the monogenean Anacanthorus penilabiatus. Hematological and parasitological assessments were obtained in 60 fish captured in a fish farm located in Dourados, State of Mato Grosso do Sul, Central Brazil. Fish were analyzed in different categories of parasite number: class I (n=13; 0-200 parasites), class II (n=17; 201-1200 parasites); class III (n=7; 1201-2200 parasites); and class IV (n=23; more than 2200 parasites per host). The highest levels of parasitism caused significant decrease (p<0.05) in the hematocrit, red blood cells (RBC), mean hemoglobin concentration (MCHC) and basophils number. Thrombocytes, mean corpuscular volume (MCV), mean corpuscular hemoglobin concentration (MCHC), monocytes, eosinophils, neutrophils and LG-PAS did not present significant difference among the parasitic levels. In contrast, increased number of total leukocytes and lymphocytes were found in highly-parasitized fish. A positive linear correlation (p<0.01) was found between the amount of parasites and fish weight. Histopathology revealed severe hyperplasia, sub-epithelial edema, fusion of the secondary lamellae, focal and multifocal necrosis in highly parasitized fish.

Parasite fauna of wild and cultured dusky-grouper Epinephelus marginatus (Lowe, 1834) from Ubatuba, southeastern Brazil / Fauna parasitária da garoupa selvagem e de cultivo Epinephelus marginatus (Lowe, 1834) em Ubatuba, sudeste do Brasil

This study aimed at identifying and quantifying the parasites of wild and cultured dusky grouper Epinephelus marginatus. During a year and thereby all four seasons, 20 wild and 20 cultured groupers were examined for the presence of parasites, except in the last season, in which 19 wild and 20 cultured fish were examined, totalling 159 groupers analysed from Ubatuba, southeastern Brazil. Prevalence, mean intensity of infection, mean abundance and mean relative dominance were calculated. Five species of parasites were identified in fish from both origins: Pseudorhabdosynochus beverleyburtonae (Monogenea), Neobenedenia melleni (Monogenea), Pseudempleurosoma sp. (Monogenea), Helicometrina nimia (Digenea) and larvae of Contracaecum sp. (Nematoda). The prevalence of ectoparasites, in most cases, was higher than endoparasites. The most abundant parasite was the monogenea Pseudorhabdosynochus beverleyburtonae in both wild and cultured fish, along all seasons. Neobenedenia melleni was observed in wild and cultured fish in all seasons, with a gradual increase in the number of parasites from the coldest to the hottest seasons, with the highest prevalence and mean intensity in the summer. Helicometrina nimia was found in all seasons in both wild and cultured fish, except for summer, where its presence was detected only in wild fish. Pseudempleurosoma sp. and larvae of Contracaecum sp. showed low prevalence occurring in wild and cultured fish in the autumn and spring, respectively. This study revealed high intensities of potentially pathogenic parasites that could favour disease outbreaks in culture conditions.

Este estudo teve como objetivo identificar e quantificar os parasitos da garoupa verdadeira Epinephelus marginatus selvagem e cultivada. Durante um ano, nas quatro estações, 20 garoupas selvagens e 20 cultivadas foram examinadas quanto à presença de parasitos, exceto na última estação, em que foram examinados 19 peixes selvagens e 20 cultivados, totalizando 159 peixes examinados em Ubatuba, Sudeste do Brasil. A prevalência, intensidade média de infecção, abundância média and dominância média relativa foram calculados. Cinco espécies de parasitos foram identificadas nos peixes de ambas as origens: Pseudorhabdosynochus beverleyburtonae (Monogenea), Neobenedenia melleni (Monogenea), Pseudempleurosoma sp. (Monogenea), Helicometrina nimia (Digenea) e larvas de Contracaecum sp. (Nematoda). A prevalência de ectoparasitos foi, na maioria das vezes, maior do que a de endoparasitos. O parasito mais abundante foi o monogenea Pseudorhabdosynochus beverleyburtonae em ambos os peixes selvagens e cultivados, durante todas as estações. Neobenedenia melleni foi observado e, peixes selvagens e cultivados em todas as estações, com aumento gradativo no número de parasitos das estações mais frias para as mais quentes, com as maiores prevalências e intensidades médias no verão. Helicometrina nimia foi encontrado em todas as estações em ambos os peixes selvagens e cultivados, exceto no verão, em que foi observada sua presença apenas em peixes selvagens. Pseudempleurosoma sp. e larvas de Contracaecum sp. apresentaram baixas prevalências, ocorrendo em peixes selvagens e cultivados no outono e na primavera, respectivamente. Este estudo revelou altas intensidades de parasitos potencialmente patogênicos que podem favorecer surtos de doenças em situações de cultivo.

Parasite fauna of wild and cultured dusky-grouper Epinephelus marginatus (Lowe, 1834) from Ubatuba, southeastern Brazil.

This study aimed at identifying and quantifying the parasites of wild and cultured dusky grouper Epinephelus marginatus. During a year and thereby all four seasons, 20 wild and 20 cultured groupers were examined for the presence of parasites, except in the last season, in which 19 wild and 20 cultured fish were examined, totalling 159 groupers analysed from Ubatuba, southeastern Brazil. Prevalence, mean intensity of infection, mean abundance and mean relative dominance were calculated. Five species of parasites were identified in fish from both origins: Pseudorhabdosynochus beverleyburtonae (Monogenea), Neobenedenia melleni (Monogenea), Pseudempleurosoma sp. (Monogenea), Helicometrina nimia (Digenea) and larvae of Contracaecum sp. (Nematoda). The prevalence of ectoparasites, in most cases, was higher than endoparasites. The most abundant parasite was the monogenea Pseudorhabdosynochus beverleyburtonae in both wild and cultured fish, along all seasons. Neobenedenia melleni was observed in wild and cultured fish in all seasons, with a gradual increase in the number of parasites from the coldest to the hottest seasons, with the highest prevalence and mean intensity in the summer. Helicometrina nimia was found in all seasons in both wild and cultured fish, except for summer, where its presence was detected only in wild fish. Pseudempleurosoma sp. and larvae of Contracaecum sp. showed low prevalence occurring in wild and cultured fish in the autumn and spring, respectively. This study revealed high intensities of potentially pathogenic parasites that could favour disease outbreaks in culture conditions.

Seasonal variation on the ectoparasitic communities of Nile tilapia cultured in three regions in southern Brazil.

A total of 240 Nile tilapia were examined between April 2007 and March 2008, gathered from three different fish farms, 20 fish in each fish farm, in the four seasons of the year. Fish ponds were located in Joinville, Blumenau and Ituporanga, Santa Catarina state, Brazil and each pond had a different culture system. Prevalence, mean intensity, mean abundance and mean relative dominance were compared among fish ponds and seasons. During this period, the water quality was kept in normal values. Piscinoodinium pillulare (Dinoflagellida) was the most dominant parasite followed by Trichodina magna e T. compacta (Ciliophora), Cichlydogyrus sclerosus, C halli, C. thurstonae, Scutogyrus longicornis (Monogenoidea), copepodids Lernaeidae gen. sp. The highest prevalence, mean intensity and mean abundance of ectoparasites were found on the body surface in fish from Joinville followed by Blumenau and Ituporanga. In the gills, the highest mean intensity and mean abundance were found in fish from Blumenau and Ituporanga in the winter. Piscinoodinium pillulare showed prevalence 100% during autumn in Blumenau and Ituporanga. In winter P. pillulare occurred in all study facilities. Fish from Joinville showed 100% prevalence of Monogenoidea during all seasons, as well as the highest mean intensity and abundance. The results showed that the majority of examined fish had higher infestations by protozoan during autumn and winter and higher infestations by metazoan have occurred in spring and summer.

[Trends in the graduation of Brazilian physicians]. / Tendências na formação de médicos no Brasil.

Physicians numerical increment in Brazil presented critical variations in recent years. So, annual means of graduated physicians were: 1972-1976, 7,082; 1977-1981, 8,304; 1982-1986, 7,542; 1987-1991, 7,058. In spite of this tendency to reduction, physicians per 10,000 inhabitants rate increased in the last 20 years: 5.96 in 1972, 4.59 in 1982 and 13.87 in 1992. Percentual increment of physicians per year represents 3.5% of the total number of active professionals/against less than 2% in the total population increase in Brazil. Thus that rate has a clear tendency to increase in the next years.

Protective effects of glutamine enriched diets on acute actinic enteritis.

Radiotherapy plays an important role in cancer treatment, although it may cause collateral effects and sever complications due to cellular damage of peritumoral tissues. Recently different nutritional resources have been indicated to achieve intestinal protection during cancer irradiation. The aim of this study was to set the role of glutamine in acute actinic enteritis prevention. Sixty-five Wistar male rats (200 g) were maintained in individual metabolic cages, where body weight and food ingestion were carefully monitored daily. The animals were chosen at random in three groups and fed isocaloric and isoproteid diets: 1) CRt (23)-polymeric-casein diet (CD); 2) GRt (22)-polymeric-casein diet supplemented with 2% glutamine (GD), and 3) ERt (20)--elemental diet supplemented with 2% glutamine (ED). After an adaptation period (seven days), all rats received 1500 cGy of abdominal radiation in five equal daily doses of 300 cGy. After three days post radiation the rats were submitted to jejunal perfusion test with polyethylene-glicol 4000. Finally, small bowel and colon were resected for histological evaluation. It was observed that ERt group had greater average daily food intake than CRt and GRt groups during all periods (p < 0.05). All rats had equal weight gain during adaptation period; during irradiation all the animals had weight loss, but ERt group had smaller weight loss than CRt. All rats recovered weight after irradiation, and ERt group presented better results than the others (p < 0.05). Sodium transepithelial transport average values (mEq/min/cm) were negative and not statistically different in all groups. Small bowel histological evaluation in ERt and GRt rats were better than CRt rats, by preserving mucosal cellularity and increasing mitosis number and villi length (p < 0.05). Simultaneously, ERt group had greater number of rats with normal villuscrypt relation than CRt of CRt groups (p < 0.05). Large bowel histological data showed that the average crypt's length in ERt and GRt rats were greater than in CRt ones (p < 0.05). By the present work, an elemental diet enriched with 2% glutamine favored greater food ingestion and lessened weight loss during and after radiotherapy. Glutamine-supplemented polymeric or elemental diets given to rats before, during and after abdominal radiotherapy showed protective effects against radiation injury, by supporting mucosal structure and recovery.

[Learning theories and medical education]. / Teorias da aprendizagem e educação médica.

The author analyses the most important aspects of learning theories: the behaviorist, the gestaltic and the construtivist ones and concludes that the most effective attitude assimilates all positive constributions of each theory. Examining three basic learning principles, the author also presents their relation to medical educative components: knowledge retainment, psycho-motor habilities breeding and interpersonal attitudes development.

Influence of medium-chain triglyceride-based lipid emulsion on rat polymorphonuclear cell functions.

Intravenous lipid emulsions are used as energy and essential fatty acids sources. There are controversial reports postulating in vitro and in vivo inhibitory effects of long-chain triglycerides (LCT) upon the blood polymorphonuclear leukocytes (PMNL) functions. In the present study the in vivo and in vitro effects of LCT and a physical mixture of medium- and long-chain triglycerides (MCT/LCT) emulsions were investigated on select PMNL functions, i.e., chemotaxis, phagocytosis, and bacterial killing. Blood from 20 rats was incubated with LCT, MCT, MCT/LCT, and saline, respectively. MCT-containing emulsions exhibited an inhibitory effect on all PMNL functions investigated, whereas LCT exerted an effect on the phagocytic index only. The administration of a parenteral supply of LCT, MCT/LCT, and saline for 30 h followed by saline infusion for 14 h in discontinuous mode did not influence any of the investigated PMNL functions. Similarly, continuous infusion over 44 h at increasing infusion rates up to 1.5 mL/h did not affect the PMNL functions. The obvious difference between in vitro and in vivo response of the PMNL model emphasizes the necessity for continuous monitoring of in vivo conditions. Appropriate interpretation of the data requires continuous circumspection and consideration of trials in a clinical setting.

[Experimental study of fecal excretion of nitrogen in different nutritional conditions]. / Estudo experimental da excreção fecal de nitrogênio em diferentes condições nutricionais.

Fecal nitrogen excretion in different nutritional conditions were studied in 32 adult Wistar rats, casually distributed in four groups: group A (12), with normal control rats; group B (6), with subcutaneous impalnt of Walker-256 carcinosarcoma, at the beginning of the experiment; group C (8), with tumor implant eight days before the experiment beginning; group D (6), with standard skin wound in 15th day. The animals were fed with normoproteic diet (25% casein content). Nitrogen ingestion and urinary and fecal excretion were daily measured. Evaluation selected parameters were: nitrogen ingestion and urinary, fecal and total excretion; nitrogen fecal excretion/ingestion, nitrogen fecal excretion/urinary excretion and nitrogen fecal excretion/total excretion ratios; nitrogen urinary excretion/ingestion and nitrogen urinary excretion/total excretion ratios. Adequate statistical analysis was done with p < 0.05 critical limit value. It was observed that in normal animals nitrogen fecal excretion was equal to 5.7% ingestion value, 12.0% urinary excretion and 10.8% total excretion. In presence of malignant tumor, nitrogen fecal excretion was equal to 79% of normal animals value. In rats with skin wound in cicatrization nitrogen fecal excretion was 70.5% of normal animals value.

[Performance of FMUSP graduate students and curricular disciplines evaluation: in search of correlations]. / Desempenho do aluno de graduação da FMUSP e avaliação das disciplinas curriculares: em busca de correlações.

In search of correlation, the performance of graduate students at the Medical Faculty of the University of São Paulo, established by self-evaluation of the students, was compared with curricular performance. There was no statistically significant difference between these two ways of analysis.

[Medicine in Brazil today: education and practice]. / A medicina no Brasil, hoje: ensino e prática.

Present situation of medical education and medical practice in Brazil is analyzed, and the scientific-technological impact in medical practice is studied, in both diagnostic and therapeutic aspects. The influence of scientific methods in medical education, specifically the Flexner's contribution, is evaluated. In the recent years, Flexner's propositions have been put in question, particularly because of important contributions of psychology, anthropology and sociology to a better knowledge of human nature. Therefore many curricular alternatives have been proposed, aiming at a medical education that would favor the formation of well poised personality and a critical intelligence.

[Body composition in various nutritional conditions. Experimental study]. / Composição corpórea em diferentes condições nutricionais. Estudo experimental.

Body composition parameters were studied in different nutritional conditions in Wistar rats with experimental cancer. Results were submitted to statistical analysis. Under a hyperlipidic diet, fat increased in control rats and decreased in animals with tumor; sodium increase and potassium decrease was verified in rats with tumor. The NA/K ratio increased in both groups and the N/K ratio increased in rats with tumor under standard diet, but decreased in rats with tumor under hyperlipidic diet. Fat decreased in the animals with tumor under an aproteic diet, but sodium increased. Potassium increased in undernourished animals of both groups. The Na/K ratio increased in rats with tumor. A comparison was made according to two different standards: "fresh body weight" and "fat-free body mass". The parameters analysed showed no significant differences in body composition.

An experimental study of the impact of cancer on nitrogen metabolism and wound healing.

In Wistar rats bearing a Walker-256 carcinoma flank tumor, a standard skin wound was inflicted on the backs of the animals. Nitrogen intake and nitrogen balance measures were obtained. The standard wound did not promote tumor growth. Wound contraction in tumor-bearing animals was not different from that in tumor-free animals. Tumor-bearing rats had anorexia, lower nitrogen intake and a tendency to lower their nitrogen balance. These findings suggest that both cancer and wound healing are privileged metabolic events, having as a consequence sacrifice of the host.