Conselho Nacional de Desenvolvimento CientÃfico e TecnolÃgico / A associaÃÃo entre disfunÃÃes tireoideanas clinicamente manifestas e o desenvolvimento de distÃrbios metabÃlicos està bem determinada. Entretanto, nos Ãltimos anos, o debate acerca da relaÃÃo entre alteraÃÃes na funÃÃo tireoideana (FT) e a sÃndrome metabÃlica (SM), ou seus componentes, tem ganhado especial atenÃÃo. Sendo o hormÃnio tireoestimulante (TSH) o teste de rastreamento mais sensÃvel para a detecÃÃo de alteraÃÃes da FT, tem se discutido critÃrios mais rigorosos de normalidade em indivÃduos sadios, a partir do achado de associaÃÃo de desfechos clÃnicos desfavorÃveis com valores anteriormente considerados normais. No entanto, torna-se difÃcil a definiÃÃo de âsaÃdeâ, em especial no Ãmbito relacionado à adiposidade corporal, considerando ser a obesidade uma condiÃÃo de elevada prevalÃncia e per si relacionada a inÃmeras morbidades. Assim, este trabalho objetivou avaliar a relaÃÃo entre os elementos definidores da SM e a FT e determinar o valor de referÃncia (VR) do TSH em uma amostra de indivÃduos saudÃveis, do ponto de vista tireoideano, residentes na cidade de Fortaleza-CE, Brasil. Trata-se de um estudo transversal conduzido no perÃodo de marÃo de 2009 a janeiro de 2010 onde foram incluÃdos 267 indivÃduos eutireoideanos, selecionados a partir de critÃrios clÃnicos e laboratoriais. Esta seleÃÃo compreendeu quatro etapas incluindo o preenchimento de um questionÃrio auto-administrado, avaliaÃÃo mÃdica e laboratorial, com antropometria, medida da circunferÃncia abdominal (CA), da pressÃo arterial sistÃlica (PAS) e diastÃlica (PAD), determinaÃÃo sÃrica de TSH, tiroxina livre (T4l), triiodotironina (T3), anticorpo anti-tireoperoxidase (ATPO), anticorpo anti-tireoglobulina (ATG), glicose em jejum (GJ), insulina, colesterol total (CT), LDL, HDL e triglicerÃdeos (TG), cÃlculo da resistÃncia à insulina, atravÃs do modelo de avaliaÃÃo da homeostase (HOMA-IR), e a realizaÃÃo de ultrassonografia tireoideana (UST). Dentre os 267, foram selecionados 125 participantes, denominados indivÃduos-referÃncia, caracterizados por T4l e T3 normais, anticorpos anti-tireoideanos negativos e UST normal. Este grupo compÃs o banco de registros individuais necessÃrios para a determinaÃÃo do VR do TSH de acordo com as recomendaÃÃes do NCCLS e NACB guidelines. Os dados foram submetidos à anÃlise estatÃstica, atravÃs do software Statistical Package for the Social Sciences (SPSS), versÃo 14.0 para Windows&#61666;, sendo usados o teste t de Student, teste de Mann-Whitney para comparaÃÃo das variÃveis contÃnuas, o teste do qui-quadrado para variÃveis categÃricas e o teste de Spearman para anÃlise de correlaÃÃes, sendo adotado o nÃvel de significÃncia estatÃstica de 5% (p<0,05). Modelos de regressÃo linear mÃltipla foram aplicados na avaliaÃÃo das associaÃÃes entre a FT com as concentraÃÃes de lipÃdeos sÃricos e com vÃrios traÃos da SM, com e sem ajuste para idade, sexo e HOMA-IR. Para determinaÃÃo do intervalo de referÃncia do TSH foram adotados os percentis 2,5% e 97,5% da curva de distribuiÃÃo deste analito, como sendo os correspondentes dos limites inferior e superior do VR do TSH. ApÃs a anÃlise, observou-se que 77,2% dos indivÃduos eutireoideanos apresentaram pelo menos um elemento definidor da SM. Quanto Ãs relaÃÃes entre os parÃmetros metabÃlicos e a FT, observou-se correlaÃÃo positiva do TSH apenas com CA e PAD, enquanto o T4l correlacionou-se inversamente com quatro (CA, GJ, TG, PAD) dos cinco elementos definidores da SM. Ainda foi demonstrada uma clara correlaÃÃo inversa entre o status de FT e o HOMA-IR. A partir destes achados, especula-se que de fato exista uma associaÃÃo entre a FT e a SM, e que os nÃveis sÃricos de hormÃnios tireoideanos (HTs), mais do que TSH, estÃo relacionados com fatores de risco cardiovascular. Na determinaÃÃo do intervalo de referÃncia do TSH, os valores obtidos se encontram entre 0,56 a 4,45mUI/l, o que està em consonÃncia com os pontos previamente estabelecidos em estudos de base populacional. / The association between clinically overt thyroid dysfunction and the development of metabolic disorders is well established. However, in recent years, the debate about the relationship between changes in thyroid function (TF), the metabolic syndrome (MS) or its components has gained special attention. Since the thyroid stimulating hormone (TSH) screening test more sensitive for detecting changes in TF, has been discussed more stringent criteria of normality in healthy individuals, from the finding of an association of adverse clinical outcomes with values previously considered normal. However, it is difficult to define "health", particularly in relation to body adiposity, whereas obesity is a condition of high prevalence itself linked to numerous illnesses. This study aimed to evaluate the relationship between the defining elements of MS and changes in the TF and determine the reference value (RV) of TSH in a sample of healthy subjects, from the stand point of thyroid, in the city of Fortaleza, Brazil. This is a cross-sectional study conducted from March 2009 to January 2010 which included 267 euthyroid subjects were selected from clinical and laboratory criteria. This team comprised four stages including the completion of a self-administered questionnaire, laboratorial and medical evaluation, with anthropometry, measurement of waist circumference (WC), systolic blood pressure (SBP) and diastolic (DBP), determination of serum TSH, free thyroxine ( FT4), triiodothyronine (T3), anti-thyroperoxidase (ATPO), thyroglobulin antibody (ATG), fasting glucose (FG), insulin, total cholesterol (TC), LDL, HDL and triglycerides (TG), insulin resistance calculated by homeostasis model assessment (HOMA-IR ), and the realization of thyroid ultrasound (TUS). Among the 267, 125 participants were selected, named individuals-reference, characterized by normal FT4, anti-thyroid antibody negative and normal TUS normal. This group composed the database of individual records necessary for determining the VR TSH according to the NCCLS and NACB guidelines. Data were subjected to statistical analysis (software Statistical Package for the Social Sciences (SPSS), versÃo 14.0 para Windows&#61666;) being used the Student t test, Mann-Whitney test to compare continuous variables, the chi-square test for categorical variables and Spearman test for correlation analysis, adopting the statistical significance level of 5% (p < 0.05). Multiple linear regression models were applied to evaluate the associations between the FT with the concentrations of serum lipids and various traits of MS, with and without adjustment for age, sex, and HOMA-IR. To determine the reference range of TSH were adopted percentiles 2.5% and 97.5% of the distribution curve of the analyte, as the correspondents of the lower and upper limits of TSH RV. After the analysis, we observed that 77.2% of euthyroid subjects had at least one defining element of MS. Regarding the relationships between metabolic parameters and FT, there was positive correlation of TSH with only WC and DBP, while the FT4 correlated inversely with four (WC, FG, TG, DBP) in the five defining elements of MS. Yet been demonstrated a clear inverse correlation between the status of TF and HOMA-IR. From these findings, we speculate that in fact there is an association between the TF and MS, and that serum levels of thyroid hormones (THs) more than TSH, are related to cardiovascular risk factors. In determining the reference range of TSH, the values are between 0.56 to 4.45 mIU / l, which is in line with the points previously established in population-based studies.

No Brasil, ainda não há a realização de pesquisas envolvendo a determinação de elementos químicos em fluidos biológicos e a elaboração de valores de referência para a sua população infantil. O biomonitoramento de elementos químicos apresenta essencial importância na avaliação da saúde humana, no entanto, na análise dos dados dos estudos brasileiros de biomonitoramento, os resultados obtidos são geralmente comparados com valores estipulados para outros países, o que pode gerar uma estimativa equivocada do risco. Sendo assim, o objetivo do presente estudo foi descrever as concentrações médias urinárias de elementos químicos essenciais e não essenciais em crianças brasileiras em fase escolar (6-14 anos), propondo valores de referência para Cd, Co, Li, Mo, Pt e Sb. Para o desenvolvimento do estudo, foram utilizadas amostras de urina obtidas pela \"Pesquisa Nacional para Avaliação do Impacto da Iodação do Sal\" (PNAISAL), sendo tomada uma amostragem de 6.965, escolhidas aleatoriamente, abrangendo 19 unidades da federação e comtemplando as 5 regiões brasileiras. As determinações dos elementos químicos foram realizadas por método de ajuste de matriz, com simples diluição de urina e análise direta por espectrometria de massas com plasma acoplado indutivamente (ICP-MS). Foi realizada dosagem de creatinina nas amostras para ajuste de matriz e correção de possíveis efeitos de diluição. As concentrações médias obtidas para os elementos Cd, Co, Li, Mo, Pt e Sb foram 0,267, 0,769, 7,949, 66,839, 0,022 e 2,389 ?g/g de creatinina, respectivamente. Os dados obtidos foram comparados com resultados de estudos de biomonitoramento para população adulta brasileira e de outros países, evidenciando a necessidade da estipulação de valores próprios para a população infantil brasileira. / There is no research involving the determination of chemical elements in biological fluids and the development of reference values in Brazil for its child population. Human biomonitoring of chemical elements has great importance in human health assessment, however, in analysis of Brazilian biomonitoring studies, the results are usually compared with values established for other countries, which can lead to an erroneous estimate of the risk. Thus, the aim of this study was to determine the concentration of essential and nonessential elements in Brazilian children (6-14 years), proposing reference values for Cd, Co, Li, Mo, Pt and Sb. To develop the study, urine samples obtained by the \"Pesquisa Nacional para Avaliação do Impacto da Iodação do Sal\" (PNAISAL) were used, taking a sample of 6,965 randomly chosen, covering all Brazilian regions. Samples were directly analyzed by inductively coupled plasma mass spectrometry ICP-MS against matrix-matching calibration. Creatinine measurement was done to correct possible effects of sample dilution. The mean concentrations obtained for Cd, Co, Li, Mo, Sb and Pt elements were 0.267, 0.769, 7.949, 66.839, 0.022 and 2.389 ?g/g of creatinine, respectively. The data were compared with results from biomonitoring studies for Brazilian adult and foreign populations, highlighting the need for stipulation of reference values for Brazilian child population.

<p>Angiogenesis is necessary for the growth and spread of solid tumors. In these studies angiogenesis was measured in childhood malignancies in general and in Wilms’ tumor in particular, and cutting needle biopsy (CNB) specimens were evaluated for diagnosis in childhood renal tumors. </p><p>In 33 patients with Wilms’ tumor, tumor capillaries were quantified, expression of angiogenic growth factors in tumor tissue investigated, and concentrations of angiogenic growth factors in serum measured. Reference values for angiogenic growth factors were obtained in 80 healthy adults (fibroblast growth factor 2 [FGF-2], vascular endothelial growth factor A [VEGF-A]) and 94 healthy children (angiogenin [ANG], epidermal growth factor [EGF], FGF-2, hepatocyte growth factor [HGF], tumor necrosis factor alpha [TNFA] and VEGF-A) aged 0.5-18 years. These reference values were compared with values in sera taken at diagnosis in 268 children with tumors and leukemias. CNB specimens were evaluated in 25 children with renal tumors.</p><p>A large number of capillaries was an independent prognostic factor for a poor outcome in Wilms’ tumor. Angiogenic growth factors were expressed in Wilms’ tumor tissue, and elevated concentrations of HGF and VEGF-A were found in both benign and malignant tumors. HGF was increased in leukemia, and TNFA was increased in leukemia, lymphoma and neuroblastoma. CNB, which proved to be a safe procedure, had a sensitivity of 76%. </p><p>These studies have demonstrated that quantification of capillaries is a prognostic factor in Wilms’ tumor and that HGF, TNFA and VEGF-A are frequently elevated in sera from children with cancer. Quantification of capillaries in tumor tissue and of circulating angiogenic growth factors would therefore seem to be of clinical relevance in managing children with cancer.</p>

Angiogenesis is necessary for the growth and spread of solid tumors. In these studies angiogenesis was measured in childhood malignancies in general and in Wilms’ tumor in particular, and cutting needle biopsy (CNB) specimens were evaluated for diagnosis in childhood renal tumors. In 33 patients with Wilms’ tumor, tumor capillaries were quantified, expression of angiogenic growth factors in tumor tissue investigated, and concentrations of angiogenic growth factors in serum measured. Reference values for angiogenic growth factors were obtained in 80 healthy adults (fibroblast growth factor 2 [FGF-2], vascular endothelial growth factor A [VEGF-A]) and 94 healthy children (angiogenin [ANG], epidermal growth factor [EGF], FGF-2, hepatocyte growth factor [HGF], tumor necrosis factor alpha [TNFA] and VEGF-A) aged 0.5-18 years. These reference values were compared with values in sera taken at diagnosis in 268 children with tumors and leukemias. CNB specimens were evaluated in 25 children with renal tumors. A large number of capillaries was an independent prognostic factor for a poor outcome in Wilms’ tumor. Angiogenic growth factors were expressed in Wilms’ tumor tissue, and elevated concentrations of HGF and VEGF-A were found in both benign and malignant tumors. HGF was increased in leukemia, and TNFA was increased in leukemia, lymphoma and neuroblastoma. CNB, which proved to be a safe procedure, had a sensitivity of 76%. These studies have demonstrated that quantification of capillaries is a prognostic factor in Wilms’ tumor and that HGF, TNFA and VEGF-A are frequently elevated in sera from children with cancer. Quantification of capillaries in tumor tissue and of circulating angiogenic growth factors would therefore seem to be of clinical relevance in managing children with cancer.

Abstract The Energy Declaration is a law that will come into effect October 1: Th 2006. This report has Värnamo municipality as principal and shall clarify what the estate owner in general and Värnamo municipality in particular need to know about this law. Another part that is going to be dealt with is how large the future need for energy experts in this field will be, and which competence that will be demanded for them. The work will in general deal with simplified energy declarations for apartment houses and public buildings, since these buildings are the first to be involved with energy declarations. The energy declaration will consist of a number of important components. • Energy power i.e. how much energy the building consume • If the ventilation control is done • If the radon measurement is carried out • Recommendations of measures to improve the energy power • Reference value to compare the buildings energy power against According to the law the declaration shall been made by an independent expert, which will need certain information for this. The estate owner will need to collect some of this information. To simplify the collection of information a model was developed that can be used by the estate owner. The model was tested on Trälleborgskolan in Värnamo. It worked well because energy statistics were available from Värnamo municipality estate department. Regarding the energy consumption monthly statistics were also available which was desirable. Some improvement can been made by correlate the heat consumption for a normal year. There will be an estimated need for about 500-1000 energy experts to work with energy declarations in the future. The requirements on these experts are apart from the right education, also a couple of years of experience from the energy business. This can be hard to fulfil for a newly examined engineer. This report focuses on the simplified energy declaration. In a couple of years when building will need to be inspected more thoroughly, there might be a need for more information to be collected. How this can be done in the different estate management computer software that are available, could be a base for future work in this area.

<p>Abstract</p><p>The Energy Declaration is a law that will come into effect October 1: Th 2006. This report has Värnamo municipality as principal and shall clarify what the estate owner in general and Värnamo municipality in particular need to know about this law. Another part that is going to be dealt with is how large the future need for energy experts in this field will be, and which competence that will be demanded for them.</p><p>The work will in general deal with simplified energy declarations for apartment houses and public buildings, since these buildings are the first to be involved with energy declarations.</p><p>The energy declaration will consist of a number of important components.</p><p>• Energy power i.e. how much energy the building consume</p><p>• If the ventilation control is done</p><p>• If the radon measurement is carried out</p><p>• Recommendations of measures to improve the energy power</p><p>• Reference value to compare the buildings energy power against</p><p>According to the law the declaration shall been made by an independent expert, which will need certain information for this. The estate owner will need to collect some of this information. To simplify the collection of information a model was developed that can be used by the estate owner.</p><p>The model was tested on Trälleborgskolan in Värnamo. It worked well because energy statistics were available from Värnamo municipality estate department. Regarding the energy consumption monthly statistics were also available which was desirable. Some improvement can been made by correlate the heat consumption for a normal year.</p><p>There will be an estimated need for about 500-1000 energy experts to work with energy declarations in the future. The requirements on these experts are apart from the right education, also a couple of years of experience from the energy business. This can be hard to fulfil for a newly examined engineer.</p><p>This report focuses on the simplified energy declaration. In a couple of years when building will need to be inspected more thoroughly, there might be a need for more information to be collected. How this can be done in the different estate management computer software that are available, could be a base for future work in this area.</p>

Made available in DSpace on 2014-10-09T12:28:20Z (GMT). No. of bitstreams: 0 / Made available in DSpace on 2014-10-09T13:56:38Z (GMT). No. of bitstreams: 0 / Dissertacao (Mestrado) / IPEN/D / Instituto de Pesquisas Energeticas e Nucleares - IPEN-CNEN/SP

Made available in DSpace on 2014-10-09T12:28:20Z (GMT). No. of bitstreams: 0 / Made available in DSpace on 2014-10-09T13:56:38Z (GMT). No. of bitstreams: 0 / No presente estudo valores de referência para Br (0,0008 - 0,0056 gL-1), Ca (0,089 - 0,369 gL-1), Cl (2,10 - 3,26 gL-1), Fe (0,381 - 0,689 gL-1), I (0,00018 - 0,00266 gL-1), K (1,14 - 2,74 gL-1), Mg (0,030 - 0,074 gL-1), Na (1,36 - 2,80 gL-1), P (<1,99 gL-1), S (0,99 - 2,79 gL-1) e Zn (0,0012 - 0,0048 gL-1) bem como a matriz de correlação em sangue de eqüinos da Raça Crioula foram determinados utilizando metodologia nuclear (técnica de Análise por Ativação com Nêutrons). Estes dados permitiram identificar alterações fisiológicas relacionadas ao gênero e regime de exercício em que se enquadram estes animais (produção de soros hiperimunes no Instituto Butantan, São Paulo, Brasil). Para realização dessas análises foram utilizados 20 cavalos adultos (8 machos e 12 fêmeas) sadios, na faixa etária de 1 a 3 anos e peso médio de 350 kg, mantidos na Fazenda São Joaquim do Instituto Butantan (São Paulo). Outro grupo recém imunizados, composto por 6 cavalos machos (mesmo peso e idade) foram também analisados. Estes dados auxiliaram na interpretação das funções fisiológicas desses elementos no sangue destes animais durante o processo de imunização para produção de soros. / Dissertacao (Mestrado) / IPEN/D / Instituto de Pesquisas Energeticas e Nucleares - IPEN-CNEN/SP

No Brasil, ainda não há a realização de pesquisas envolvendo a determinação de elementos químicos em fluidos biológicos e a elaboração de valores de referência para a sua população infantil. O biomonitoramento de elementos químicos apresenta essencial importância na avaliação da saúde humana, no entanto, na análise dos dados dos estudos brasileiros de biomonitoramento, os resultados obtidos são geralmente comparados com valores estipulados para outros países, o que pode gerar uma estimativa equivocada do risco. Sendo assim, o objetivo do presente estudo foi descrever as concentrações médias urinárias de elementos químicos essenciais e não essenciais em crianças brasileiras em fase escolar (6-14 anos), propondo valores de referência para Cd, Co, Li, Mo, Pt e Sb. Para o desenvolvimento do estudo, foram utilizadas amostras de urina obtidas pela \"Pesquisa Nacional para Avaliação do Impacto da Iodação do Sal\" (PNAISAL), sendo tomada uma amostragem de 6.965, escolhidas aleatoriamente, abrangendo 19 unidades da federação e comtemplando as 5 regiões brasileiras. As determinações dos elementos químicos foram realizadas por método de ajuste de matriz, com simples diluição de urina e análise direta por espectrometria de massas com plasma acoplado indutivamente (ICP-MS). Foi realizada dosagem de creatinina nas amostras para ajuste de matriz e correção de possíveis efeitos de diluição. As concentrações médias obtidas para os elementos Cd, Co, Li, Mo, Pt e Sb foram 0,267, 0,769, 7,949, 66,839, 0,022 e 2,389 ?g/g de creatinina, respectivamente. Os dados obtidos foram comparados com resultados de estudos de biomonitoramento para população adulta brasileira e de outros países, evidenciando a necessidade da estipulação de valores próprios para a população infantil brasileira. / There is no research involving the determination of chemical elements in biological fluids and the development of reference values in Brazil for its child population. Human biomonitoring of chemical elements has great importance in human health assessment, however, in analysis of Brazilian biomonitoring studies, the results are usually compared with values established for other countries, which can lead to an erroneous estimate of the risk. Thus, the aim of this study was to determine the concentration of essential and nonessential elements in Brazilian children (6-14 years), proposing reference values for Cd, Co, Li, Mo, Pt and Sb. To develop the study, urine samples obtained by the \"Pesquisa Nacional para Avaliação do Impacto da Iodação do Sal\" (PNAISAL) were used, taking a sample of 6,965 randomly chosen, covering all Brazilian regions. Samples were directly analyzed by inductively coupled plasma mass spectrometry ICP-MS against matrix-matching calibration. Creatinine measurement was done to correct possible effects of sample dilution. The mean concentrations obtained for Cd, Co, Li, Mo, Sb and Pt elements were 0.267, 0.769, 7.949, 66.839, 0.022 and 2.389 ?g/g of creatinine, respectively. The data were compared with results from biomonitoring studies for Brazilian adult and foreign populations, highlighting the need for stipulation of reference values for Brazilian child population.

A cirurgia ortognática utiliza-se de medidas do perfil tegumentar para estabelecer uma relação direta com as bases ósseas. Sabe-se, entretanto, que métodos digitais vêm sendo empregados para auxiliar na precisão e predição do planejamento cirúrgico. O presente estudo comparou as medidas, obtidas da análise cefalométrica dos tecidos moles, de brasileiros xantodermas com as obtidas por SANT\'ANA de brasileiros leucodermas. O trabalho foi realizado utilizando telerradiografias, em norma lateral, digitalizadas e medidas pelo programa Dolphin Imaging 9.0. Treze indivíduos (9 homens e 4 mulheres) satisfizeram os critérios de inclusão e constituíram a amostra do trabalho. Os resultados obtidos foram inseridos em uma planilha do programa Microsoft Excel e foram submetidos à análise estatística com o teste t paramétrico não pareado. Os resultados mostraram que os brasileiros xantodermas apresentam terço médio mais proeminente, lábio inferior mais espesso, ângulo nasolabial mais agudo, ângulo do lábio inferior maior e o incisivo superior mais protruído em relação aos brasileiros xantoderamas. A conclusão do trabalho foi a existência de diferenças estatisticamente significantes no perfil mole entre os brasileiros xantodermas e leucodermas. / Orthognathics surgery uses the measure of soft tissue profile to stablish a relation with osseous basis. However, digital methods have been used to help the prediction and accuracy of surgical planning. The present study compared the measures obtained from the cephalometric analysis of the soft tissues from brazilian xanthoderm (Japanese) with the ones obtained by SANT\'ANA from brazilian leukoderm (white). The work was performed by using cephalometric radiograph and measured by the Dolphin Imagin 9.0 program. Thirteen individuals (9 male and 4 female) were the sample of this work. The results were inserted in an Excel program and were analysed with the non paired parametric t test. The results showed that the brazilian xanthoderm have the medium third more prominent, thicker lower lip, sharper nasolabial angle, bigger lower lip angle and bigger inclination of the superior incisive of soft profile. The conclusion of the present study with the methodology was that there are statistically significant differences between brazilian xanthoderm and leukoderm.