These results suggest that the management of recurrent wheezing and asthma must consider checking for and simultaneously treating rhinitis. The measures to minimize the effects of recurrent wheezing should include educational and treatment programs focusing on asthma.

Avaliação dos Indicadores da Assistência Pré-Natal em Unidade de Saúde da Família, em um Município da Amazônia Legal Evaluation of the indicators of prenatal care in a family health unit in a municipality in the Legal Amazon RESUMO Introdução: a utilização de indicadores como método de avaliação de desempenho das estratégias de redes tem sido cada vez mais utilizada no Brasil, especialmente na saúde, para gestão de políticas públicas. Objetivo: avaliar os indicadores de atenção preconizados pelo Programa de Humanização no Pré-Natal e Nascimento (PHPN), a Rede Cegonha e a adequação destes nos atendimentos de pré-natal realizados na Unidade de Saúde da Família em Gurupi-TO, município da Amazônia Legal. Materiais e Métodos: estudo epidemiológico descritivo realizado pela atenção primária da saúde de Gurupi-TO, entre março-2016 e novembro-2017, avaliadas através dos indicadores de assistência pré-natal, PHPN e Índice MS. Foram calculados frequência, média, incidência e porcentagem de 50 pacientes, por meio de consulta, prontuários e cartões de gestantes. Resultados: das gestantes, 46% completaram o objetivo preconizado do PHPN. Mas ao avaliar o componente básico da qualidade pré-natal proposto pelo Ministério da Saúde, apenas 18% de todas as gestantes apresentaram 'classificação adequada superior' e 24% tiveram 'assistência adequada', outros 24%, 'intermediária' e 34% 'inadequada'. Conclusão: Além de aprimoramento das estratégias de captação precoce das gestantes, com conscientização e mobilização da população sobre a importância do acompanhamento do pré-natal, faz-se necessário registro mais acurado dos dados desses serviços.

ABSTRACT. During a faunal rescue conducted at a hydroelectric power station constructed in a Cerrado savanna area in the state of Mato Grosso, a sample of five small stripe-patterned individuals of snakes of the genus Apostolepis Cope, 1862 document the existence of an undescribed species, which is named herein. The new species can be distinguished from its congeners by a combination of scale counts, number of maxillary teeth and color pattern. The new species is most similar to Apostolepis borellii Peracca, 1904, A. lineata Cope, 1887, A. nelsonjorgei Lema & Renner, 2004, A. nigroterminata Boulenger, 1896, A. serrana Lema & Renner, 2006 and A. underwoodi Lema & Campbell, 2017 in its coloration pattern. However, it is distinguished from these species by having a pair of triangular blotches covering portions of the third to sixth supralabials, a white nuchal collar, the shape of the fourth supralabial and the shape of the tip of tail, the number of supralabials in contact with parietals, the size of the anterior chinshields, the color pattern of the paraventral side, parietal and terminal scales, the width of dorsal stripes, and a distinct number of subcaudals. The new species occurs in areas within the Cerrado biome.

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Cardim VLN et al. Canthopexy and tarsal reinforcement using a periosteal flap Cantopexia e reforço tarsal com retalho de periósteo ABSTRACT Introduction: The low resistance of the palpebral tissues to the retractable forces of postoperative scarring can predispose patients to undesirable surgical outcomes. Among the more effective techniques for solving this issue are the periosteal flaps. This report aims to present a technique for canthopexy and tarsal reconstitution using a periosteal flap to obtain a consistent and definitive reinforcement of the tarsal ligament and its continuity to the inner face of the sidewall of the orbit. Methods: From July 2009 to December 2012, 49 patients underwent canthopexy with flap rotation of the arcus marginalis of the inferior tarsus. The functional and aesthetic results were evaluated together with the presence of complications. Results: Eighty-four cantopexies and tarsal reinforcements using a periosteal flap were performed in 49 patients. No complications such as hematoma, infection, or necrosis were observed. Complete remission of the preoperative signals was observed in 45 (91.8%) patients, while the other 4 (8.2%) showed partial remission on at least one of the sides related to prior ocularis paralysis. Conclusions: Canthopexy reinforced by a tarsal periosteal flap provides good tarsal ligament reconstitution with appropriate positioning of the outer corner and good contact of the eyelid with the ocular globe.