Introduction: Tuberous sclerosis complex is an autosomal dominant neurocutaneous disorder which is characterized by multisystem involvement, including the kidney. Since renal disease is one of the causes of morbidity and mortality, close management is essential. Subjects and Methods: In this retrospective observational,single-center study, authors analyse patients with a definite diagnosis of tuberous sclerosis complex who attended Pediatric Nephrology consultation between 1998 and 2019. Results: 20 patients were included. The median age at the time of the diagnosis was 3 years, mostly after seizures and the median age of the first Pediatric Nephrology consultation was 9 years. Seventeen patients had renal disease, the majority with angiomyolipomas and a smaller number with cysts. None had hypertension or history of acute kidney failure. Systemic mTOR inhibitors were used in three patients. Discussion: The present results were similar to those found in the literature regarding presentation features and kidney disease. The authors emphasized the importance of early diagnosis of renal involvement in order to reduce renal morbidity and mortality (especially when these patients reach adulthood) and highlighted the need for early guidance for pediatric nephrology consultation.

Resumo O campo da Saúde do Trabalhador, disposto a estudar e a intervir nos processos de saúde e doença, tem dialogado com diferentes áreas do conhecimento no intuito de melhor compreender a complexidade presente nesta interação, considerando a diversidade de fatores que podem interferir nos níveis de saúde experimentados pelas pessoas. Em meio ao crescente interesse pelo campo, se faz pertinente questionar como a ciência psicológica tem se posicionado a respeito das repercussões do trabalho sobre a mente humana. Para tanto, o presente estudo propõe identificar em que medida a atuação do psicólogo em saúde do trabalhador tem contemplado os pressupostos da abordagem psicossociológica. Através das bases de dados SciELO (Scientific Eletronic Library Online) e LILACS (Literatura Latino Americana e do Caribe de Informação em Ciências da Saúde) realizou-se uma revisão integrativa da literatura, a fim de compilar informações que viabilizassem a síntese do estado do conhecimento da temática em questão. Foi possível identificar a necessidade de um maior investimento em termos de pesquisa e de intervenção no campo saúde do trabalhador fundamentados nos pressupostos psicossociológicos.

Abstract The field of Worker Healt, willing to study and intervene in health and disease processes, has dialogued with different areas of knowledge in order to better understand the complexity present in this interaction, considering the diversity factors that can interfere in the health levels experienced by people. Amid the growing interest in the field, it is pertinent to question how psychological science has positioned about the repercussions of work on the human mind. Therefore, this study intends to identify to what extent the psychologist in worker health has contemplated the assumptions of psychosociology approach. Through SciELO (Scientific Eletronic Library Online) and LILACS (Latino Literature American and Caribbean Center on Health Sciences) databases we used an integrative literature review, in order to compile information that would enable the synthesis of the state of knowledge of the subject in question. It was possible to identify the need for greater investment in research and reasoned intervention in psychosociology assumptions of the universe of the health workers.

O desempenho de ruminantes domésticos é influenciado por fatores intrínsecos ao animal, ao alimento e pela interação entre animal e alimento. O trabalho foi realizado na Estância do 28, pertencente à Fundação Maronna, Alegrete - RS, dentro da APA do Ibirapuitã. Para representar o fator solo, foram escolhidos os três tipos predominantes da APA do Ibirapuitã: Basalto Superficial, Basalto Profundo e Arenito. As amostras da pastagem natural foram retiradas por simulação de pastejo, através de coleta manual. Os parâmetros nutricionais avaliados foram: proteína bruta, fibra em detergente neutro e taxa de degradação da matéria seca. A forragem da pastagem natural oriunda do solo Basalto Superficial apresentou diferença significativa (P<0,05) nos teores de proteína sobre aquelas obtidas dos solos Basalto Profundo e Arenito, os quais não diferiram entre si. O maior teor de fibra em detergente neutro (84,54%) foi obtido na pastagem oriunda do solo Arenito, em relação às originadas dos solos Basalto Superficial e Profundo, com valores de 74,53 e 77,98%, respectivamente. Para a taxa de degradação, também houve uma diferença significativa (P<0,05). A forragem da pastagem natural oriunda do solo Arenito apresentou valor intermediário de degradação 3,61% h-1, não diferindo dos demais solos. As pastagens naturais apresentam taxa de degradação semelhantes durante a primavera e o verão e durante outono e inverno. A forragem da pastagem natural oriunda do solo Basalto Superficial apresentou qualidade nutricional superior, comprovada pela taxa de degradação da matéria seca.

Intrinsic animal and food factors and the interaction between them influence the performance of domestic ruminants. This study was done at Estância do 28, property of the Maronna Foundation, Alegrete - RS, inside the Ibirapuitã Area of Environmental Protection. In order to represent soil as a factor, the three main soil types were chosen: Superficial Basalt, Deep Basalt and Sandy. Hand plucking methods were used to obtain samples of natural pasture. Nutritional parameters considered were crude protein, neutral detergent fiber and dry matter degradation rate. The forage from natural pasture of the Superficial Basalt presented significant difference (P<0.05) in crude protein rates over the other two types of soil, which did not differ amongst themselves. The highest rate of neutral detergent fibre (84.54%) was obtained in pasture originated from Sandy soil, in relation to Superficial and Deep Basalt, with values of 74.53% and 77.98%, respectively. There was also a significant difference in the degradation rate of dry matter (P<0.05). Sandy soil pasture presented an intermediate degradation value (3.61% h-1), not differing from other soils. The forage from natural pastures present similar degradation rates during summer and spring and for the period of autumn and winter. The forage from natural pasture of Superficial Basalt type soil presented superior nutritional quality, as could be proved by the dry matter degradation rate.