ABSTRACT The use of salt stress attenuators is considered an important tool to minimize the deleterious effects of salts. However, its application to chives (Allium schoenoprasum L.) has not been studied. This study aimed to evaluate the induction of salt stress tolerance in chives plants in relation to growth and enzymatic reactions, when subjected to different salinity levels of the nutrient solution, after acclimation of seeds with hydrogen peroxide (H2O2) for 24 h. The experiment was conducted in a greenhouse, where chives seeds were acclimated by H2O2 at concentrations of 0.0, 0.15, 0.30, 0.45 and 0.60 mmol. After germination, the plants were cultivated in hydroponic system with electrical conductivities of 1.0, 2.0, 3.0, 4.0 and 5.0 dS m-1. Plant height, length and number of leaves, H2O2 content, malondialdehyde and catalase (CAT) activity were evaluated in chives plants. The increase in the salinity of the nutrient solution up to 5 dS m-1 reduced by 5.88%, 17% and 9.63% plant height, leaf length and number of leaves, respectively. It was observed that the acclimation of chives seeds with H2O2 at 0.45 mmol g-1 fresh mass in plants that were cultivated in nutrient solution of 3.73 dS m-1 led to maximum CAT activity, minimizing the deleterious effects of nutrient solution salinity on plant growth.

RESUMO Introdução: Cuidar completamente das crianças com microcefalia é um grande desafio para os seus cuidadores. A situação de vulnerabilidade social aliada à complexidade do cuidado pode levar à sobrecarga com perda de qualidade de vida. Objetivo: Analisar a relação entre aspectos socioeconómicos, domínio social da qualidade de vida e sobrecarga de mães cuidadoras de crianças com microcefalia. Metodologia: Estudo transversal com 105 participantes, por meio da aplicação de questionários sociodemográficos, WHOQOL-BREF, sobrecarga do cuidador. Foram utilizados os testes ANOVA, t de Student, e coeficiente de correlação de Pearson (r). Resultados: População de mães pardas (65.7%), desempregadas (88.6%), dependentes de benefícios sociais (76.2%), baixa escolaridade (50.5%) e insuficiência financeira (90.5%). A média do domínio social foi considerada baixa (51.11). Houve associação entre benefício social e pontuação total de qualidade de vida (p=0.046). As mães sofrem sobrecarga severa (39%) e intensa (30.4%). Foi encontrada associação entre os níveis de sobrecarga e as variáveis de etnia (p= 0.027), ocupação (p= 0.043) e meio de transporte (p <0.0001). A sobrecarga tem um impacto negativo na qualidade de vida (r= -.463, p <0.0001), percepção de qualidade de vida (r= -.476, p= <0.0001), qualidade de vida total (r= -.576, p= <0.0010). Conclusões: As mães cuidadoras sofrem sobrecarga com perda de qualidade de vida. Os aspectos sociais influenciam diretamente e podem potenciar a sobrecarga do cuidado. A enfermagem tem um papel fundamental na criação e implementação de linhas de cuidados com ênfase na promoção da saúde e no alívio da sobrecarga do cuidador.

ABSTRACT Introduction: Taking care of children with microcephaly is a great challenge for their care providers because of the associated social vulnerability, work overload, and loss of quality of life. Objective: To analyze the associations related to the social aspects, the quality of life, and the work overload among care providing mothers of children with microcephaly. Methodology: This is a transversal study with 105 participants. Social and demographic questionnaires and WHOQOL-BREF were used. ANOVA tests, Student’s t-test, and Pearson’s correlation coefficient were calculated. Results: 65.7% were of mixed ethnicity; 88.6% were unemployed; 76.2% were dependent on Social Welfare; 50.5% had a low level of education; and 90.5% were financially insufficient. The social domain average was considered low (51.11). An association was found between social benefits and quality of life (p=0.046). 39% of these mothers suffer from severe work overload while 30.4% suffer from intense work overload. An association was found between the levels of work overload and ethnicity (p= 0.027), occupation (p= 0.043), and transportation means (p <0.0001). Work overload had a negative impact on the quality of life (r= -.463, p <0.0001), the perception of quality of life (r= -.476, p= <0.0001), and total quality of life (r= -.576, p= <0.0010). Conclusions: These care providing mothers suffer work overload with an associated loss of quality of life. Social aspects have a direct influence and can increase work overload. Nursing professionals have a fundamental role in the creation and implementation of attention initiatives aimed at promoting health and relief to this kind of care providing mothers.

RESUMEN Introducción: Cuidar completamente de niños con microcefalia es un gran desafío para sus cuidadores. La situación de vulnerabilidad social junto con la complejidad de la atención puede llevar a sobrecarga con pérdida de la calidad de vida. Objetivo: Analizar la relación entre aspectos socioeconómicos, dominio social de la calidad de vida y la sobrecarga de madres cuidadoras de niños con microcefalia. Metodología: Estudio transversal con 105 participantes, mediante aplicación de cuestionarios sociodemográficos, WHOQOL-BREF, sobrecarga del cuidador. Se utilizaron pruebas ANOVA, t de Student, coeficiente de correlación de Pearson (r). Resultados: Población de madres mestizas (65.7%), desempleadas (88.6%), dependientes de la prestación social (76.2%), bajo nivel educativo (50.5%) e insuficiencia financiera (90.5%). El promedio del dominio social se consideró bajo (51.11). Hubo asociación entre beneficio social y puntaje de calidad de vida total (p=0.046). Las madres sufren sobrecarga severa (39%) e intensa (30.4%). Se encontró asociación entre niveles de sobrecarga y variables etnia (p= 0.027), ocupación (p= 0.043) y medios de transporte (p <0.0001). La sobrecarga tiene impacto negativo en la calidad de vida (r= -.463, p <0.0001), percepción de la calidad de vida (r= -.476, p= <0.0001), calidad de vida total (r= -.576, p= <0.0010). Conclusiones: Las madres cuidadoras manifiestan sobrecarga con pérdida de calidad de vida. Los aspectos sociales influyen directamente y pueden potenciar la sobrecarga del cuidado. El personal de enfermería tiene un papel fundamental para crear e implementar líneas de atención con énfasis en promover la salud y alivio de la sobrecarga en el cuidador.

The objective was to evaluate the effect of increasing the dietary inclusion of spineless cactus (Nopalea cochenillifera Salm Dyck) on the carcass characteristics and meat quality of confined lambs. Thirty-two male Santa Inês lambs with an average age of 140 days and an initial body weight of 20.4 ± 2.60 kg were used in this study. The lambs were housed in individual stalls for 70 days and individually fed a ration with spineless cactus included at 0, 241, 519, or 753 g/kg of dry matter (DM). The lambs were slaughtered, and characteristics of the carcass and meat were recorded and analysed. Inclusion of spineless cactus had a quadratic effect on the bodyweight at slaughter and on the empty bodyweight of the lambs. The inclusion of 500 g/kg of spineless cactus provided the highest predicted cold carcass weight (16.03 kg). There was a quadratic effect of the inclusion of spineless cactus on the weight of meat cuts and leg composition of lambs. The inclusion of spineless cactus did not influence pH, tenderness, and water-retention capacity of the meat. However, the intramuscular fat content increased 1 mg for every 10 g/kg inclusion of spineless cactus in the diet. Quadratic effects were observed of the inclusion of spineless cactus on the weights of the liver, heart, rumen, blood, skin and internal fat of the lambs. Up to 500 g/kg of spineless cactus could be included in the diet of confined lambs.

This study evaluated the effects of various nitrogen (N) sources augmenting spineless cactus-based diets on intake, digestibility, rumen kinetics and N balance in sheep. Eight rumen-fistulated sheep with an average initial bodyweight of 62 ± 6.83 kg were allotted to one of two 4 x 4 Latin squares. The diets consisted of spineless cactus (Nopalea cochenillifera), Tifton hay, corn grain, vegetable oil and a mineral mixture augmented with either soybean meal (SBM), cottonseed meal (CSM), whole cottonseed (WCS) or urea (U) to provide additional nitrogen. Dry matter (DM), crude protein (CP), and neutral detergent fibre (NDF) intakes were similar (P >0.05) for sheep fed the diets with SBM, CSM, and WCS. The digestibility coefficients of DM and CP were similar (P >0.05) for SM, CM, and U diets. The rate of DM disappearance from the rumen did not differ (P >0.05) between treatments. However, the rumen ammonia, pH and N balance was higher (P <0.05) for sheep fed the WCS and U diets. The N absorbed and N retained did not differ (P >0.05) between the diets. Soybean meal and CSM are similar in their effects and can be used for sheep in diets based on spineless cactus. Whole cottonseed and U are interesting sources of N but should be used with caution owing to their effects on digestibility and nutrient intake in sheep.

RESUMO O objetivo deste trabalho foi avaliar a resposta metabólica de cordeiros nativos alimentados com feno de capim-tifton 85 (Cynodon dactylon) ou feno de maniçoba (Manihot pseudoglaziovii) associados à palma forrageira (Nopalea cochenillifera Salm Dyck). Foram utilizados 16 cordeiros Morada Nova, com peso inicial médio de 19,36±1,48kg, distribuídos em delineamento de blocos ao acaso, com dois tratamentos e oito repetições. O consumo de matéria seca foi maior nos cordeiros alimentados com feno de maniçoba em comparação ao feno de tifton, enquanto o peso corporal ao abate não foi influenciado pelas dietas. Em relação aos metabólitos sanguíneos, apenas a concentração sérica de ureia foi influenciada, com maior valor observado nos cordeiros que ingeriram a dieta contendo feno de capim-tifton. Quando foi realizada a análise dos biomarcadores sanguíneos nas diferentes coletas quinzenais, foi observado aumento linear nas concentrações sanguíneas de ureia, glicose, frutosamina, fosfatase alcalina e sódio, e efeito quadrático para o potássio sérico. Os demais metabólitos sanguíneos não foram influenciados em função dos dias de coleta. A substituição do feno de tifton 85 por feno de maniçoba influencia positivamente o metabolismo de cordeiros sem causar alterações na dinâmica dos diferentes biomarcadores e se apresenta como um promissor recurso forrageiro.

ABSTRACT The objective of this study was to evaluate the metabolic response of native lambs fed Tifton 85 hay (Cynodon dactylon) or Maniçoba hay (Manihot pseudoglaziovii) associated with spineless cactus (Nopalea cochenillifera Salm Dyck). Sixteen Morada Nova lambs were used, with a mean initial weight of 19.36±1.48kg, distributed in a randomized block design, with two treatments and eight replications. Dry matter intake was higher for lambs fed Maniçoba hay compared to Tifton hay, while the body weight at slaughter was not influenced by diets. Regarding the blood metabolites, only the serum concentration of urea was influenced, with higher value observed in the lambs that fed the diet containing Tifton hay. When analyzing blood biomarkers, in the different biweekly collections, a linear increase in the blood concentration of urea, glucose, fructosamine, alkaline phosphatase and sodium was observed, as well as a quadratic effect for serum potassium. The other blood metabolites were not influenced in function of the collection days. The replacement of Tifton 85 hay for Maniçoba hay does not cause negative changes in the dynamics of different biomarkers and presents itself as a promising forage resource.

This study aimed to evaluate the chemical composition, fractionation of nitrogen compounds and carbohydrates, digestibility parameters, gas production kinetics and ruminal fermentation of fruit seed cakes. The experiment was conducted in a completely randomized design with three fruit seed cakes (treatments) and four replications. The cakes were made of seeds of custard apple (Annona squamosa), soursop (Annona muricata) and passion fruit (Passiflora edulis), which were collected in a biodiesel plant. The passion fruit seed cake presented the highest content of dry matter, neutral detergent fibre crude protein (NDFcp), acid detergent fibre (ADF), lignin and total carbohydrates (P<0.05). The custard apple seed cake presented high proportions of crude protein, condensed tannins and digestible energy (P<0.05). The soursop seed cake presented higher values for ether extract and total digestible nutrients (P<0.05). For potential degradability, the authors detected a difference between the custard apple, soursop and passion fruit seed cakes. The total volume of gases was higher for custard apple and soursop seed cakes. Custard apple seed cake presented higher proportions of in vitro degradation parameters (P<0.05). Thus this cake could provide greater nutrient levels when supplied in ruminant diets, followed by soursop seed cake and passion fruit seed cake.

RESUMO Objetivou-se avaliar os efeitos do zinco ou do propilenoglicol sobre o desempenho e nas características da carcaça e da carne de ovinos sob pastejo em pastagem nativa da Caatinga. Utilizaram-se 24 ovinos, mestiços Santa Inês, machos, não castrados, peso inicial de 19,3±2,52kg, com quatro meses de idade, oito repetições por tratamento, distribuídos em um delineamento inteiramente ao acaso. Os tratamentos foram: sem aditivo, controle (CT), adição de sulfato de zinco (ZnSO4.7H2O) (Zn) para fornecimento de 300mg de Zn dia-1 via sal mineral, e propilenoglicol (PG), 2,5mL kgPC0,75-1 animal-1 dia-1 misturado no concentrado. Os animais foram suplementados com concentrado constituído de milho (54,0%), farelo de soja (45,1%) e calcário (0,911%) em 0,7% do PC médio de cada tratamento. O ensaio foi conduzido durante quatro meses (março a junho/2014). Avaliaram-se o desempenho e, após o abate dos animais, as características de carcaça e os componentes não carcaça, os parâmetros físico-químicos e organolépticos na carne. O Zn e o propilenoglicol não afetaram o desempenho e os parâmetros da carcaça em termos absoluto e relativo, bem como os pesos dos cortes e seus rendimentos (P>0,05). Não houve efeito dos aditivos nas características organolépticas e nos aspectos físico-químicos da carne (P>0,05), exceto cinzas (P<0,05). O zinco e o propilenoglicol não melhoram o desempenho e as características da carcaça de animais terminados em pastagem nativa da Caatinga. O baixo suprimento energético devido à má qualidade do pasto entre os meses de abril a junho contribui para a ineficiência no aproveitamento dos constituintes proteicos, implicando menor consumo e consequente diminuição do desempenho.

ABSTRACT The aim was to evaluate the effects of zinc sulfate or propylene glycol on performance and carcass and meat characteristics from sheep under grazing in native Caatinga (Brazilian savannah) pasture during the rainy season. Twenty-four intact Santa Ines crossbreed male lambs, with an initial weight of 19.3±2.52kg, and 4-mo old, were distributed in a completely randomized design with eight replications per treatment. The treatments were composed of additives, as follows: no additive - control (CT); addition of zinc sulfate (ZnSO4.7H2O) (Zn) to supply a total of 300mg Zn day−1 on mineral salt; and addition of propylene glycol (PG), 2.5mL kg LW0.75−1 animal−1 day−1 mixed directly in the concentrate. Afterwards, they were supplemented with concentrate at 0.7% of the average LW of each batch according to the treatments. The concentrate was based on corn (54.0%), soybean meal (45.1%), and limestone (0.911%). The trials were carried out during the rainy season (March to June 2014), and evaluated the performance, and before of slaughter, carcass characteristics and non-carcass components were evaluated and the physical-chemical aspects and the organoleptic attributes on the meat. The additives did not affect the performance, parameters of carcass, in terms absolute and relative, carcass morphometric measurements, weight of the commercial cuts and yields (P>0.05). The additives did not affect the organoleptic characteristics and physical-chemical aspects of the meat (P>0.05), except, ash (P<0.05). The zinc sulfate and propylene glycol did not improve on performance and in carcass characteristics in lambs finished on a native Caatinga (Brazilian savannah) pasture. The low supply energetic due to poor quality of pasture between the months of April to June, which contributed to inefficiency in the utilization of proteics constituents, implying in lower intake, and decrease in performance.

A anestesia inalatória vem sendo amplamente difundida na medicina veterinária, no entanto seu uso em animais selvagens ainda é restrito, não sendo observado nenhum estudo referente à sua utilização na espécie Tayassu tajacu. O objetivo da pesquisa foi determinar a concentração alveolar mínima (CAM) do isofluorano em catetos e apresentar os efeitos desta administração sobre as variáveis hemodinâmicas e respiratórias, como também a qualidade da recuperação anestésica. Utilizou-se 10 animais, machos, com idade variando de 1 a 3 anos oriundos do Centro de Multiplicação de Animais Silvestres da Universidade Federal Rural do Semi-Árido, Brasil. Todos os animais tiveram anestesia induzida com 7mg.kg-1 de propofol e posteriormente foram conectados a circuito anestésico com isofluorano e oxigênio 100%. O estímulo noceptivo supramáximo adotado foi pinçamento interdigital, o qual era realizado após 15 minutos de espera para cada concentração de isofluorano fornecida. Ao ser observada resposta negativa frente ao estímulo a concentração era reduzida em 20%, quando verificada resposta positiva o estímulo era cessado, calculando-se a partir daí o valor da CAM. Observou-se dados quantitativos e qualitativos referentes à recuperação. Utilizou-se o teste de normalidade de Shapiro Wilk e de homogeneidade de variânica de Levene, as variáveis avaliadas foram submetidas à One Way ANOVA-RM para medidas repetidas, seguidas por Teste Tukey, sendo os dados expressos em média e desvio padrão. A CAM do isofluorano foi de 2,4%, sendo a CAM cirúrgica igual a 3,5%. Observou-se ação depressiva do isofluorano sobre a pressão arterial, frequência cardíaca e respiratória quando comparada a média dessas variáveis para animais acordados, entretanto durante a manutenção anestésica mantiveram-se estáveis. Observou-se acidose metabólica no período pré-anestésico o qual foi compensado após a realização da anestesia inalatória. A recuperação anestésica foi tranquila e rápida. Concluiu-se que a CAM do isofluorano para catetos foi maior que a observada em espécies afins. O isofluorano pode ser utilizado nesta espécie, sendo considerado seguro e eficaz. A recuperação dos animais após anestesia com isofluorano foi livre de excitação.

Inhalation anesthesia has been widespread in veterinary medicine. Nevertheless, its use in wild animals is still limited, having no studies on its use been observed in the species. The objective of the research was to determine the isoflurane minimum alveolar concentration (MAC) in peccaries and present the effects of its administration on the hemodynamic and respiratory variables, as well as data concerning the anesthesia recovery. The study used 10 male animals with age ranging from one to three years, from the Centro de Multiplicação de Animais Silvestres of Universidade Federal Rural do Semi-Árido, Brazil. All the animals had anesthesia induced with propofol 7mg.kg-¹, were intubated and connected to the anesthetic circuit with isoflurane and 100% oxygen. The supramaximal noxious stimulation used was the interdigital pinch, which was performed after 15 minutes of waiting for each provided isoflurane concentration. When negative response to the stimulus was observed, the concentration was reduced by 20%; when positive response was verified, the stimulus was stopped, being the CAM value calculated from that point. Quantitative and qualitative data regarding recovery were also observed. Shapiro-Wilk test for normality was performed, as well as Levene test for equality of variance; the variables were subjected to One Way RM ANOVA for repeated measures followed by Tukey test, and the data expressed as mean and standard deviation. The MAC of isoflurane was 2.4% and the surgical MAC equal to 3.5%. Depressive action of isoflurane on blood pressure, heart and breathing rates was observed when compared to the average of the variables on awake animals; however, during maintenance of anesthesia, they remained stable. Metabolic acidosis was observed in the pre-anesthetic, which was offset after inhalation anesthesia. Recovery was quiet and smooth. It was concluded that the isoflurane MAC for peccaries was greater than that observed in related species. Isoflurane can be used in this species, being considered safe and effective. The animals' recovery after anesthesia with isoflurane was free from excitement.

Este trabalho explora o custo-benefício vantajoso apresentado por sequênciasde baixa discrepância como uma técnica de decimação de pixeis para melhorar a performance da estimação de blocos no h.264/avc. O método proposto é capaz de estimar vetores de movimento de forma eficiente para algoritmos de casamento de blocos presentes no codec h.264 utilizando decimação ladrilhada amostrada através da sequência van der corput-halton.Este artigo explora a estimação de movimento dentro do h.264, validando-a com casos práticos de codificação de vídeos. Os resultados mostram que esta técnica incorporada ao h.264 é geralmente mais eficiente que outras técnicas de decimação utilizadas em condições semelhantes.

This work explores the highly advantageous cost/benefit relation presented by low discrepancy sequences as a pixel-decimation technique to improve the block estimation performance in the H.264/AVC. The proposed method is able to efficiently estimate motion vectors for block matching algorithms present in the H.264 by using latticed decimation sampled according to the Van Der Corput-Halton sequences. This paper further explores motion estimation within the H.264, validating it with real-case-video-encoding scenarios. The results have shown that this technique incorporated to the H.264 is generally more efficient than other decimation techniques used in similar conditions.

Few studies have reported the molecular epidemiological characterization of HIV-1 in the Northern region of Brazil. The present study reports the molecular and epidemiological characterization of 31 HIV-1 isolates from blood donors from the State of Amazonas who donated blood between April 2006 and March 2007. Serum/plasma samples from all donors were screened for HIV antibodies by ELISA and the results confirmed by Western blot analysis. Genomic DNA was extracted from the buffy coat using the Super Quik-Gene-DNA Isolation kit. Nested PCR was performed on the env, gag, and pol regions of HIV-1 using the Gene Amp PCR System 9700. Sequencing reactions were performed using the inner PCR primers and the DYEnamic™ ET Dye Terminator Kit, and phylogenetic analysis was performed using the gag, pol, and env gene sequences. We collected samples from 31 blood donors who tested positive for HIV-1 in confirmatory experiments. The male:female ratio of blood donors was 3.4:1, and the mean age was 32.4 years (range: 19 to 61 years). Phylogenetic analysis showed that subtype B is the most prevalent among Northern Brazilian HIV-1-seropositive blood donors. One HIV-1 subtype C and one circulating recombinant form (CRF_BF) of HIV-1 were identified in the State of Amazonas. This is the first study showing the occurrence of a possible "homogenous" subtype C in this region of Brazil. This finding could contribute to a better characterization of the HIV-1 strains that circulate in the country.

A utilização terapêutica de doses elevadas de imunossupressores pode promover diversas complicações, principalmente infecciosas. OBJETIVOS: Avaliar as complicações secundárias ao uso de corticóide e ciclofosfamida em portadores de nefropatias. MÉTODOS: Foram estudados retrospectivamente 76 pacientes atendidos no Hospital das Clínicas da Faculdade de Medicina de Botucatu -- UNESP, sendo divididos em três grupos: G1= Lúpus Eritematoso Sistêmico sem lesão renal (n=15); G2= nefrite lúpica (n=33) e G3= síndrome nefrótica por glomerulopatia idiopática (n=28). RESULTADOS: Não houve diferença em relação ao tempo de acompanhamento (G1= 42,4 ± 51, G2= 52,3 ± 51, G3= 41,8 ± 47,8 meses), dose total de corticóide utilizada (G1= 20, G2= 28, G3= 16 gramas) e tempo de uso da droga (G1= 20, G2= 26, G3= 14,5 meses). Quanto ao uso de ciclofosfamida, não houve diferença na percentagem de pacientes que a utilizaram (13% no G1, 51% no G2, 28% no G3), porém pacientes do G1 receberam dose total menor que G2 (mediana de zero e um grama, respectivamente -- p<0.05). Aspecto cushingóide, manifestações gástricas, distúrbios comportamentais, diabetes mellitus e alterações oculares ocorreram nos três grupos, sem diferença estatística. Quanto às complicações infecciosas, aquelas consideradas clinicamente mais graves, foram mais freqüentes no G2 (G1= 6%, G2= 15%, G3= 0% - p<0.05), o mesmo ocorrendo em relação aos óbitos (7% no G1, 30% no G2, 0% no G3 -- p<0.05). CONCLUSÕES: Pacientes portadores de nefrite lúpica apresentaram maior freqüência de complicações infecciosas decorrentes da imunossupressão prolongada, o que pode representar um marcador de gravidade deste tipo de lesão.

PURPOSE: To evaluate the therapeutic complications due to the use of immunosupressors in patients with nephropathy. METHODOS: 76 patients who had used steroids and cyclophosphamide were retrospectively studied. The cases were divided into three groups: G1= 15 patients with Systemic Lupus Erythematosus without renal lesion; G2= 33 patients with lupus nephritis and G3= 28 patients with nephrotic syndrome owing to idiopathic glomerulopathy. RESULTS: There were no differences related to time of follow up (G1= 42.4 ± 51, G2= 52.3 ± 51, G3= 41.8 ± 47.8 months), total used dosage of steroids (G1= 20, G2= 28, G3= 16 grams) and time of drug use (G1= 20, G2= 26, G3= 14.5 months). About cyclophosphamide use, there was no difference in the percentage of patients who used it (13% in G1, 51% in G2, 28% in G3), but the patients from G1 received lower total dosage than those from G2 (p<0.05). Cushingoid appearance, epigastric distress, psychiatric disorders, diabetes mellitus and ocular alterations occurred in all the three groups, with no statistically significant differences. The infections complications, those considered more severe clinically, were more frequent in G2 (G1= 6%, G2= 15%, G3= 0% - p<0.05), the same occurring with the deaths (7% in G1, 30% in G2, 0% in G3 -- p<0.05). CONCLUSION: In patients with lupus nephritis there were more infections complications owing to prolonged immunosuppresion what may indicate a severity marker of this type of lesion.

Múltiplos agentes estão envolvidos na etiopatogenia da diarréia em Aids. O exame de fezes e a colonoscopia são elementos decisivos para o diagnóstico específico. A enterocolite por CMV pode cursar com febre, emagrecimento, diarréia intermitente e hematoquesia. Outros agentes causadores de diarréia podem ter o mesmo espectro de apresentação. OBJETIVO: Definir o perfil clínico da enterocolite por CMV em pacientes com Aids, comparando os parâmetros clínicos, endoscópicos e de tempo de sobrevida entre dois grupos com diarréia crônica, grupo A com CMV e grupo B sem CMV. MÉTODOS: Foram acompanhados 48 pacientes com Aids e diarréia de duração maior que 30 dias, sendo 27 do grupo A e 21 do grupo B. Os parâmetros analisados foram idade, situação de risco, duração da diarréia, hematoquesia, intervalo de tempo entre diagnóstico da infecção por HIV e início de diarréia, achados endoscópicos e sobrevida. Foram realizados exames parasitológicos, culturas e colonoscopia com biópsias. Foi utilizado o teste "t-student" para amostras não pareadas e o teste Qui-Quadrado com correção de Yates para variáveis não paramétricas. Foram construídas curvas de sobrevida pelo método descrito por Kaplan-Meier e aplicado o teste de Mantel - Haenszel. Foi assumido como nível de significância estatística o valor de P menor que 0.05. RESULTADOS: O padrão endoscópico da infecção por CMV correspondeu a ulcerações associadas a hemorragia de submucosa 14 (51.8%) P < 0.01. O tempo de sobrevida do grupo B após o diagnóstico do HIV e após o diagnóstico específico da diarréia foi maior que o do grupo A (0.005 > P > 0.001). Os outros parâmetros estudados não mostraram significância estatística. CONCLUSÕES: A presença de enterocolite por CMV em Aids é marcador de mau prognóstico e menor sobrevida. Existe um padrão endoscópico sugestivo da infecção por CMV.

OBJECTIVE: To determine the clinical profile of CMV colitis in AIDS patients, comparing clinical, endoscopic parameters and survival time between 2 groups of AIDS patients having chronic diarrhea. Group A being CMV colitis and group B without CMV colitis. METHODS: 48 patients with diarrhea that lasted more than 30 days, being 27 in Group A and 21 in Group B, were studied. Age, risk factors, interval time between the diagnosis of HIV infection and the beginning of diarrhea, hematochesia, the endoscopic findings and life table in both groups, were analysed. All of them were diagnosed by stool culture and stools for ovum and parasites, along colonoscopy with biopsies. The unpaired t test was used to assess statistical significance of differences observed in the means of continuous and the chi-square with Yates correction for non-parametric variables. The survival curves were assessed by the Kaplan-Meier and the Mantel-Haenszel's tests. A P value of less than 0,05 was considered to indicate statistical significance. RESULTS: The mucosal lesions associated with the CMV infection are tipically ulcerative on a background of hemorrhagic erythema 14 (51,8%) p < 0,01. The life table analysis disclosed shorter survival time in the CMV colitis group 0,005> P>0,001.The others studied data did not achieve statistical significance. CONCLUSIONS: AIDS patients with CMV colitis have a poorer long-term survival. Among the colonoscopic findings, ulcerations with hemorrhagic background were the most common lesions.