Rheumatoid arthritis (RA) is an autoimmune disease characterized by chronic symmetric polyarthritis of large and small joints and by morning stiffness that may lead to musculoskeletal impairment, with functional impotence. The concept of functionality relates to the ability of an individual to perform effectively and independently daily activities and tasks of everyday life. The aim of this review is to familiarize the rheumatologist with the concept of functional capacity evaluation and with the tests that can be applied in this population, as these are important steps for a proper exercise prescription. From functional tests already used in the elderly population, the Physical Fitness and Rheumatology Laboratory - LAR - Brasilia, which is accompanying patients from Brasilia Cohort of Early Rheumatoid Arthritis, describes in this article a protocol of tests to assess functional capacity for application in patients with RA, including the description of tests: 1) Sit and Reach; 2) Agility/Dynamic Balance; 3) Manual Dynamometry; 4) Sit Back and Lift; 5) Biceps Curl and 6) Six-minute Walk Test.

Interventions focusing on education and self-management of rheumatoid arthritis (RA) by the patient improves adherence and effectiveness of early treatment. The combination of pharmacologic and rehabilitation treatment aims to maximize the possibilities of intervention, delaying the appearance of new symptoms, reducing disability and minimizing sequelae, decreasing the impact of symptoms on patient's functionality. Occupational therapy is a health profession that aims to improve the performance of daily activities by the patient, providing means for the prevention of functional limitations, adaptation to lifestyle changes and maintenance or improvement of psychosocial health. Due to the systemic nature of RA, multidisciplinary follow-up is necessary for the proper management of the impact of the disease on various aspects of life. As a member of the health team, occupational therapists objective to improve and maintaining functional capacity of the patient, preventing the progression of deformities, assisting the process of understanding and coping with the disease and providing means for carrying out the activities required for the engagement of the individual in meaningful occupations, favoring autonomy and independence in self-care activities, employment, educational, social and leisure. The objective of this review is to familiarize the rheumatologist with the tools used for assessment and intervention in occupational therapy, focusing on the application of these principles to the treatment of patients with RA.

-The present study investigates new sources of infusion as an oviposition attractant for Aedes aegypti L. Infusions with fetid and non-fetid odors were compared as an oviposition stimulant. Traps baited with infusions of dehydrated cashew leaves (Anacardium occidentale), potato peels (Solanum tuberosum) and graminea (Panicum maximum) were compared as attractants, and the effect of odor (fetid and unfetid) on attractiveness was tested. Oviposition activity changed signifi cantly according to the concentration and type of infusion (F = 4.1279; gl = 2; P = 0.0231). A larger number of eggs were observed in cups containing 50% A. occidentale (non-fetid odor) and 30% P. maximum (fetid odor). When compared in the same cage, comparable oviposition was found between A. occidentale and P. maximum. Moreover, approximately 20% more eggs were recorded in the infusion without odor when compared to the grass infusion and water. These fi ndings suggest A. occidentale as a new stimulant for use in ovitraps for Aedes surveillance and control, with the benefi t of having an agreeable odor.KEY WORDS: Attractive, mosquito, posture, ovitrap Epidemiologically, gravid females are the most important component of the mosquito population and are targeted in mosquito reduction programs and in the active surveillance of disease for the early detection of epidemic events (Macielde-Freitas et al 2008a). Mosquito egg traps (ovitrap) are a current trend as integral components of surveillance efforts, contributing to control efforts and monitoring of mosquito populations in countries with endemic dengue fever. This method was proven effective in detecting early infestations of Aedes aegypti L., particularly when density is low and larval indices are not good indicators (Braga et al 2000, Morato et al 2005. It is also useful in indicating critical areas for control activities (Masuh et al 2008, Regis et al 2008.There is a consensus regarding the use of organic infusions to achieve a better ovitrap performance. Most studies have used infusions of hay (Reiter et al 1991, Chadee et al 1993, Maciel-de-Freitas et al 2008b, white-oak leaf (Ponnusamy et al 2008, Trexler et al 1998, mixed grass (Regis et al 2008) and Panicum maximum (Sant'ana et al 2006, Gama et al 2007. The association of grass infusion, Eleusine indica, with the biological larvicide Bacillus thuringiensis israelensis in the fi eld has also been used (Santos et al 2003), offering the advantage of a long-term duration of traps in the wild. Recent efforts have been made to identify potential synthetic oviposition attractants/repellents for mosquitoes using certain fatty acids and esters from grass infusions (Sant'ana et al 2006) and egg extracts of A. aegypti as oviposition attractants (Ganesan et al 2006). However, different types and concentrations of organic detritus lead to variations in the abundance and types of microorganisms (Yee & Juliano 2006, Murrel & Juliano 2008, which could, in turn, infl uence the potential attraction of the infusion. Thus, the most appropriate org...

Please cite this article in press as: Costa TF, et al. Prevalence of sexual dysfunction among female patients followed in a Brasília Cohort of early rheumatoid arthritis. Rev Bras Reumatol. 2015. http://dx.RBRE-171; No. of Pages 10 r e v b r a s r e u m a t o l . 2 0 1 5;x x x(x x):xxx-xxx REVISTA BRASILEIRA DE REUMATOLOGIA w w w . r e u m a t o l o g i a . c o m . b r Sexuality Rheumatoid arthritis Quality of life a b s t r a c t Objective: To determine the prevalence of sexual dysfunction in women diagnosed with early rheumatoid arthritis (RA) (less than one year of symptoms at the time of diagnosis), as well as to evaluate the possible association between sexual dysfunction with AR activity and functional disability. Methods: Cross-sectional study assessing women diagnosed with early RA, accompanied per protocol in the Brasilia Cohort, Hospital Universitário de Brasília. Demographics, disease activity index (Disease Activity Score 28 -DAS 28) and functional disability questionnaire (Health Assessment Questionnaire -HAQ), were obtained by direct interviews. The Female Sexual Function Index (FSFI) was used questionnaire which contains 19 items that assess six domains: sexual desire, sexual arousal, vaginal lubrication, orgasm, sexual satisfaction and pain.Results: 68 patients studied, of whom 54 (79.4%) reported sexual activity in the last four weeks. The participants were 49.7 ± 13.7 (mean ± SD) years old and the majority were married (61.4%). The mean DAS 28 was 3.6 ± 1.5 and the mean HAQ was 0.7. The prevalence of sexual dysfunction (FSFI ≤26) was 79.6%. There was no association of disease activity or of functional disability with the occurrence of sexual dysfunction in the female patients evaluated. Conclusion:The prevalence of sexual dysfunction found in this study was higher than that reported in the literature in healthy women. A knowledge of the extent of the problem is needed to provide adequate therapeutic options for these patients. Please cite this article in press as: Costa TF, et al. Prevalence of sexual dysfunction among female patients followed in a Brasília Cohort of early rheumatoid arthritis. Rev Bras Reumatol. 2015. http://dx.RBRE-171; No. of Pages 10 2 r e v b r a s r e u m a t o l . 2 0 1 5;x x x(x x):xxx-xxxPrevalência de disfunção sexual entre pacientes acompanhadas na coorte Brasília de artrite reumatoide inicial Palavras-chave: Disfunção sexual Sexualidade Artrite reumatoide Qualidade de vida r e s u m o Objetivo: Determinar a prevalência de disfunção sexual em mulheres com diagnóstico de artrite reumatoide (AR) inicial (menos de um ano de sintomas ao diagnóstico), bem como avaliar a possível associação entre disfunção sexual com atividade da AR e incapacidade funcional. Métodos: Estudo transversal, que avaliou mulheres com diagnóstico de AR inicial, acompanhadas de forma protocolar na coorte Brasília, no Hospital Universitário de Brasília. Dados demográficos, índice de atividade da doença (Disease Activity Score 28 -DAS 28) e dados do questionário de incapacidade funcional (Health Asse...