Identifying Frailty Levels and Associated Factors in a Population Living in the Context of Poverty and Social Vulnerability.

This study aimed to investigate a vulnerable population living in the context of poverty in a Brazilian municipality, in order to identify the factors that are associated with frailty syndrome in elderly people. From the total population living in the area, a random sample of 363 community-dwelling people, 60 years and older, age and gender-stratified, was selected to participate in the research. After losses, a sample of 304 older adults was classified as non-frail, pre-frail and frail. According to the Fried frailty criteria, the prevalence was 12.2% for non-frail individuals, 60.5% pre-frail and 27.3% frail. The main factors associated with frailty in the studied sample were low level of physical activity (OR: 5.2, 95%CI: 2.5-11.0), the occurrence of two or more falls within 12 months (OR: 3.1, 95%CI: 1.4-7.1), mobility deficits (OR: 3.0, 95%CI: 1.5-5.8), and depressive symptoms (OR: 1.9, 95%CI: 1.1-3.7). This study identified the most important factors that must be evaluated to identify frailty syndrome in a socially vulnerable population in the context of poverty. The data should help to encourage effective strategies concerning public health policies for this population.

Plasticidade fenotípica de Baccharis genistelloides subsp. crispa (Spreng. ) Joch. Müll. (2006) - Asteraceae - sob manejo orgânico / Phenotypic plasticity of Baccharis genistelloides subsp. crispa (Spreng. ) Joch. Müll. (2006) - Asteraceae - under organic management

O objetivo deste trabalho, relacionado a produção orgânica, utilizou preparados homeopáticos visando incremento na biomassa e no teor de flavonóides em plantas dióicas de carqueja. Os tratamentos foram: controle com água, controle com álcool 70%, Phosphorus 12CH, Sulphur 6CH, e a combinação destas homeopatias. Variações fenotípicas foram registradas a partir da análise de crescimento, realizada quinzenalmente durante 60 dias e dos caracteres morfológicos, tais como: como altura, número de ramificações, comprimento do ramo principal, diâmetro do caule e ala caulinar mediana. Na colheita foram medidos: a fitomassa fresca/seca e o volume de raiz. Posteriormente, foi quantificado o teor de flavonóides totais conforme as análises prescritas pela Farmacopéia Brasileira. O experimento foi avaliado em delineamento de blocos casualizados (2x5x2), sendo suas médias avaliadas pelo teste Tukey e o coeficiente de variação ambiental para estimar a plasticidade. Quanto ao estudo do crescimento da planta ao longo do tempo, verificou-se aumento linear simples para a maioria das variáveis nos dois sexos. Foram detectadas respostas plásticas na maioria dos caracteres avaliados. De acordo com os resultados, em ambos os sexos, 60 dias de cultivo são suficientes para obtenção de matéria prima com teor aceitável de flavonóides, bem como para verificação dos efeitos de patogenesia e similitude na aplicação de preparados homeopáticos Phosphorus 12CH, Sulphur 6CH e sua combinação Phosphorus 12CH + Sulphur 6CH. A fitomassa e o teor de flavonóides totais foram semelhantes entre plantas dióicas durante o período de estudo.

This study looked at organic production, in addition to the use of homeopathic preparations, in order to increase biomass and flavonoid content in dioecious plants of Baccharis genistelloides. The adopted treatments were: water control, control with 70% alcohol, Phosphorus 12CH, Sulphur 6CH and a combination of them. Phenotypic changes were recorded for the growth analysis, performed biweekly for 60 days, of the morphological features, such as height, number of branches, length of the main branch, diameter of the stem and median stem wing. At harvest, we measured the fresh/dry phytomass and root volume. Subsequently, we quantified the content of total flavonoids according to the analyses required by the Brazilian Pharmacopoeia. The experiment was evaluated in a randomized block design, and its averages were evaluated by the Tukey's test and environmental variation coefficient to estimate plasticity. As for the study of plant growth over time, there was a simple linear increase for most of the variables in both genders. We could detect phenotypic plasticity traits in most features analyzed. According to these results in both genders, 60 days after inoculation are sufficient to obtain raw material with acceptable level of flavonoids, as well as pathogenesis and similar effects in the application of homeopathic preparations of Phosphorus 12CH, Sulphur 6CH and their combination. Phytomass and content of total flavonoids were similar between the dioecious plants during the study period.

Preparados homeopáticos e ambiente de cultivo na produção e rendimento de quercetina em carqueja [Baccharis trimera (Less) DC. ] / Homeopathic preparations and crop environments through production and yield of quercetin on carqueja plants [Baccharis trimera (Less) DC. ]

A carqueja (Baccharis trimera) é uma espécie da família Asteraceae muito utilizada na medicina popular por apresentar várias atividades biológicas relacionadas à seus metabólitos secundários, entre eles os flavonoides. Este experimento teve como objetivo avaliar os efeitos de preparados homeopáticos e do ambiente de cultivo na produção e rendimento de flavonoides totais expressos em quercetina por plantas de carqueja. Foi adotado o esquema fatorial 6 x 2 no delineamento inteiramente casualisado, sendo 5 tratamentos homeopáticos: Silicea CH6, CH12, CH30, D7 e Equisetum D7 e controle (etanol 70%) x 2 ambientes de cultivo: estufa e tela de sombreamento 50%, com 4 repetições, totalizando 48 unidades experimentais. Os tratamentos homeopáticos foram aplicados na concentração de 25 gotas/500 mL de água destilada usando borrifadores manuais. Cada planta recebeu 10 mL da solução por aplicação, via foliar. As aplicações foram realizadas sempre pela manha, três vezes por semana, em dias alternados, durante dois meses (27/07/2010 a 27/09/2010). A interação entre os fatores, assim como os fatores independentes foram comparados pelo teste Tukey a 5% de probabilidade. O efeito dos preparados homeopáticos e dos dois ambientes de cultivo em plantas de carqueja foi avaliado pelas variáveis: massa fresca (MFPA), massa seca (MSPA) e teor de quercetina (QCT) na parte aérea das plantas. As variáveis MFPA e QCT foram influenciadas pelos ambientes de cultivo, pelos preparados homeopáticos e pela interação entre os dois fatores. A variável MSPA foi influenciada apenas pela interação dos fatores. Plantas cultivadas em ambiente com 50% de sombreamento associadas à aplicação dos preparados homeopáti-cos Silicea CH6 e D7, apresentaram maior rendimento em querceti-na. Plantas cultivadas na estufa associadas à aplicação do Equisetum D7 apresentaram menor rendimento em quercetina.

The carqueja plant (Baccharis trimera) is a specie of the family Asteraceae widely used in folk medicine for presenting various biological activities, due to the high content of secondary metabolites, including flavonoids. The objective of this study was to evaluate the effect of homeopathic preparations and crop environments through production and yield of quercetina on carqueja plants. The experiment was a factorial scheme (6X2) on completely randomized design with 5 homeopathic treatments: Silicea CH6, CH12, CH30, D7 and Equisetum D7 e control (70% ethanol) x 2 crop environments: greenhouse and shade 50% and 4 replicates, totaling 48 experimental units. The treatments were applied at concentration of 25 drops/500 mL of distilled water using hand sprayers. Each plant received 10 mL via leaves. The prepara-tions were sprayed always on mornings, three times a week on alternate days during two months (27/09/2010 to 27/11/2010). The interaction between the factors as well as the independents factors were compared by the Tukey test at 5% probability. The effect of homeopathic preparations and the two crop environments on carqueja plants were evaluated through the variables: fresh matter of aerial part (FMAP), dry matter of aerial part (DMAP) and flavonoids content (QCT). The variables FMAP and QCT were significantly influenced by the crop environments, the preparations and interaction between the two factors. The DMAP was only influenced by the interaction of the two factors. The 50% shade environment associated with Silicea CH6 or D7 increased yield of quercetin. The greenhouse environment associated with Equisetum D7 decreased yield of quercetin.

Predictive factors for motile sperm recovery using testicular biopsy in nonobstructive azoospermic patients.

OBJECTIVE: The objective of the present study was to assess the predictive value of hormone values, histological analysis for the finding of motile spermatozoa on testicular biopsy in nonobstructive azoospermia. METHODS: This cross-sectional study assessed serum follicle-stimulating hormone (FSH), luteinizing hormone, prolactin and total testosterone values in 50 patients undergoing testicular biopsy prior to ICSI. P < 0.05 was considered significant. RESULTS: Recovery was successful in 28 cases, and motile spermatozoa were retrieved in 7. Significant differences were detected between presence of motile spermatozoa and absence of spermatozoa in terms of FSH values (P = 0.003, one-way ANOVA). The other variables did not present statistical differences. A receiver operating characteristic curve showed that FSH levels below 17.00 IU/L were predictive of motile spermatozoa recovery. CONCLUSIONS: FSH values can serve as a predictive factor for the recovery of motile spermatozoa using biopsy in azoospermic patients. On the other hand, histological analysis and other hormone values were not helpful in the prediction of motile sperm.

Avaliação prospectiva do idoso demenciado que teve queda / Prospective evaluation of demented elderly who had fall accidents

Objetivou-se neste estudo identificar a ocorrência de quedas em um grupo de idosos demenciados. Como técnica, utilizou-se a entrevista, aplicada em 64 idosos e o seu cuidador no próprio domicílio, na cidade de Ribeirão Preto/São Paulo, em 2001/02, empregando um instrumento de avaliação multidimensional do estado funcional, complementado pelos autores deste estudo. Para a análise dos dados, utilizou-se a análise descritiva. Registrou-se maior porcentagem de queda nos idosos do sexo feminino, com idade média de 74,8 anos, sendo que 58 por cento não viviam com o companheiro. A avaliação cognitiva detectou memória regular em 30,6 por cento e ruim em 28,6 por cento. Constataram-se quedas em 31 idosos, sendo 61,2 por cento destes do sexo feminino e 38,8 por cento do masculino, cujas consequências foram consideradas graves, moderadas e leves. Entre os idosos que sofreram quedas, 54,8 por cento revelaram deficiência cognitiva grave, 16,2 por cento moderada e 29 por cento leve. Os resultados mostram a necessidade do apoio da família e organização do ambiente, com vistas à prevenção de quedas em idosos demenciados.

Hepatitis C virus infection and assisted reproduction.

BACKGROUND: In assisted reproduction, hepatitis C virus (HCV) transmission may pose a risk for the baby, technicians, and gametes or embryos from non-contaminated parents. This study aimed at determining the prevalence and risk factors for HCV infection in a group of infertile couples. METHODS: HCV infection was investigated in 409 patients attending the infertility clinic at Hospital de Clínicas de Porto Alegre, Brazil, between 1997 and 1998. Serum was screened for anti-HCV using ELISA and for hepatitis B surface antigen (HBsAg) using an enzyme-linked fluorescent assay (ELFA). HCV infection and semen viraemia was also investigated using HCV RNA detection. RESULTS: The overall prevalence of anti-HCV was 3.2% (8/248) among women and 3.7% (6/161) among men. All subjects were negative for hepatitis B virus (HBV) and human immunodeficiency virus (HIV). From the 14 HCV-positive patients, two were lost, and serum was collected from the remaining 12 patients for assessment of HCV RNA, resulting in five HCV-positive cases (one woman and four men). Only one of the HCV-positive men had viraemia levels >500 000 RNA copies/ml. There was a significant risk associated with being HCV-positive in women with HCV-positive male partners (P < 0.001). In male patients, the correlation between use of intravenous drugs and HCV-positivity was also significant (P < 0.001). CONCLUSIONS: Since the risk for vertical and laboratory HCV infection is not well determined, and HCV prevalence is not negligible in this group, we recommend that infertile patients be screened before assisted reproductive techniques.