Miracle-dz/UniFAR-FTUs huggingface dataset:
Transtorno de Déficit de Atenção/Hiperatividade

O presente trabalho tem por objetivo esclarecer o que e, e como funciona o Transtorno de Deficit de Atencao/Hiperatividade (TDAH) que e um transtorno neurobiologico, com elevada ocorrencia em criancas e adolescentes, que tem como principais caracteristicas dificuldades em manter o foco da atencao, controle da impulsividade e a agitacao, o que pode causar ao portador desse transtorno prejuizos significantes em sua vida pessoal, assim como no trabalho, escola, familia e em seus relacionamentos em geral. Tendo como principal foco compreender e explicar como se desenvolve, quais sao os sintomas, como diagnosticar, e quais os possiveis tratamentos para o Transtorno de Deficit de Atencao/Hiperatividade (TDAH), a proposta desse trabalho surgiu dentro do grupo PET-Pedagogia, tendo em vista que como futuras pedagogas iremos ter contato com os mais diversificados tipos de criancas, e que muitas vezes os professores rotulam seus alunos injustamente com esse tipo de diagnostico. Porem muitas pessoas desconhecem a que realmente estao sujeito os alunos com esse transtorno. Nossa metodologia utilizada foram leituras abrangentes de textos e artigos sobre as diversas questoes que englobam o TDAH. O trabalho apresentado tem como foco esclarecer o conceito de TDAH, a influencia nas relacoes interpessoais e o comprometimento do desempenho escolar de criancas e adolescentes e como esse transtorno que pode causar uma baixa estima nas criancas e jovens que sofrem desse transtorno. A partir dos estudos realizados concluimos que o Transtorno de Deficit de Atencao/Hiperatividade e um transtorno mental com maior ocorrencia em criancas e adolescentes, mas que tambem pode afetar alguns adultos, um dos seus elementos que e tambem o mais conhecido e a hiperatividade, que pode ocorrer em diferentes graus de intensidade, com sintomas variando entre leves a graves. Contudo ressaltamos que para um diagnostico seguro de TDAH e necessario que o sujeito em questao apresente pelo menos seis dos sintomas de desatencao e/ou seis dos sintomas de hiperatividade; e que esses sintomas devem manifestar-se em no minimo dois ambientes diferentes (escola, casa, trabalho) e por um periodo superior a seis meses evitando-se assim que um periodo de ansiedade ou um comportamento inadequado (comum a algumas criancas) seja confundido com o TDAH. Esse trabalho esta servindo de suporte para futuros Planos de Acao juntamente com a Secretaria Municipal de Educacao de Jaguarao, em que bolsistas do Programa PET estarao desenvolvendo atividades didatico-pedagogicas junto as escolas.
The body and physiotherapy

In recent years, physiotherapists have been increasingly interested in defining their professional identity. At the heart of this interest lies a fundamental question about the role that the body plays in defining physiotherapy practice. Given the importance of the body to physiotherapy, it is surprising how under-theorized the body is in existing physiotherapy literature. With a few notable exceptions, the body as a philosophical/theoretical construct has been almost entirely bypassed by the profession. In this paper the authors argue that a renewed interest in the meaning given to the body by physiotherapists is timely, and offer a sociohistorical critique of the role the body has played in defining physiotherapy practice. We challenge physiotherapists' longstanding affinity with a biomechanical view of the body, arguing that whilst this approach may have been critically important in the past, it is now increasingly clear that a more diverse and inclusive approach to the body will be needed in the future. The authors explore the notion of embodiment and suggest ways in which embodiment theory might be applied to physiotherapy practice.
The reliability and validity of a physical work test.

This investigation deals with the reliability and validity of different measurements of importance for the physical working capacity. Some physiological variables, e. g. pulse rate during a work test, have been correlated with each other, with some morphological variables and with an independent external criterion of the physical working capacity in the form of results from a skiing competition. The reliability of the work test on the bicycle ergometer was shown to be very high with intra-test correlations as high as r = 0.97 and re-test correlations (after about 8 months) r = 0.75. The highest validity correlation was 0.54 thus showing the usefulness of the work test on the bicycle ergometer.
Simplified frequency-dependent formulae for series-impedance matrices of single-core HVAC cables

The installation of HVAC underground cables became more common in recent years, a trend expected to continue in the future. Underground cables are more complex than overhead lines and the calculation of their resistance and reactance can be challenging and time consuming for frequencies that are not power frequency. Different methods exist for estimating the impedance of single-core cables. The IEC60287-1-1 standard presents equations that may be use for power frequencies, whereas the loop-method, based on Bessel equations, is typically used for higher frequencies. Simplifications of the reference formula using Bessel equations exist, but they still have some complexity, e.g., hyperbolic cotangents and hyperbolic cosecants are used. Moreover, the series impedance matrix that is designed with these equations and used to estimate the resistance and reactance, requires the summation of at least eight different terms, all calculated in a different way. This paper simplifies the equations used in the loop method, by means of expansions in Taylor series, with other further simplifications that can be made for typical cable thicknesses and materials.
Searching for the optimal management of hepatitis C patients after liver transplantation

Abstract The optimal immunosuppressive regimen in patients transplanted for hepatitis C (HCV) is still under discussion. High immunosuppression may promote viral replication and recurrent graft hepatitis. But acute and chronic rejection frequently seen in conjunction with HCV recurrence may require some rescue therapy. One hundred and thirty-seven patients transplanted for HCV cirrhosis, who were HCV-RNA positive prior to transplantation, were analyzed. Seventy-nine patients received CSA-based immunosuppression and 58 patients FK506-based immunosuppression. One-month patient survival was 100 % in both groups. Three month and 1-year survival rates and the cumulative 1–5-year patient survival was similar in CsA-treated [67/79 (84.8 %)] and FK506-treated patients [50/58 (86.2 %)]. Retransplantations for HCV recurrence were performed in 5.1 % of CsA-treated patients and 6.9 % of FK506-treated patients; it was successful in 50 % and 75 % of patients, respectively. Conversion from CsA to FK506 and vice versa was high with 25 out of 79 patients (31.6 %) converting in the CsA group and 8 out of 58 patients (13.8 %) converting in the FK506 group. Conversion to FK506 was performed due to acute and chronic rejection and to CsA because of toxicity and HCV recurrence. In both groups, 25 % of converted patients died. Five patients of the CsA group and 9 of the FK506 group received OKT3; more than one-third of each group died. Five patients in the CsA group and 6 in the FK506 group received mycophenolate mofetil (MMF) for HCV recurrence or acute and chronic rejection in conjunction with HCV recurrence. All patients of this critical group are alive with good graft function. In conclusion, survival rates of HCV patients were similar to those seen for other indications. Conversion from CsA to FK506 and vice versa was high and reflects a critical group concerning patient survival. OKT3 treatment should be avoided. A promising therapeutic option for critical patients experiencing acute or chronic rejection in conjunction with HCV recurrence may be treatment with MMF.
Seroprevalence of neutralizing antibodies to human adenoviruses type‐5 and type‐26 and chimpanzee adenovirus type‐68 in healthy Chinese adults

Replication‐defective adenoviruses have been utilized as candidate vaccine vectors. However, clinical application of the best‐studied human adenovirus type‐5 (AdHu5) is limited by the high prevalence of preexisting neutralizing antibodies resulting from natural infection. Therefore, rare adenovirus serotypes, such as human adenovirus type‐26 (AdHu26) and chimpanzee adenovirus type‐68 (AdC68), have been employed as substitutes for AdHu5. However, few studies have described the epidemiology of pre‐existing immunity to these adenoviruses in China. Thus, 1,154 participants from six regions in China were examined to assess the presence of neutralizing antibodies against AdHu5, AdHu26, and AdC68. The seroprevalence rates of neutralizing antibodies were as follows: AdHu5, 73.1% (844/1,154) (95% confidence interval: 70.5–75.6%); AdHu26, 35.3% (407/1,154) (95% confidence interval: 32.6–38.1%); and AdC68, 12.7% (147/1,154) (95% confidence interval: 10.9–14.8%), respectively. The most frequently detected and highest titer antibodies were specific for AdHu5. The results indicate that AdHu26 and AdC68 serve as more suitable vaccine vectors than AdHu5. J. Med. Virol. 85: 1077–1084, 2013. © 2013 Wiley Periodicals, Inc.
Familial patterns in patients with infrequent panic attacks.

OBJECTIVE To evaluate the family environment in patients with infrequent panic attacks. DESIGN Survey. SETTING Waiting room of a family health center at a university-based family practice residency program. The center primarily serves low-income or underinsured patients, 80% of whom are Hispanic. PATIENTS OR OTHER PARTICIPANTS Randomly selected patients completed the panic disorder section of the Structured Clinical Interview of the Diagnostic and Statistical Manual of Mental Disorders, Third Edition. Thirty patients with infrequent panic attacks were compared with 30 control patients without panic attacks matched for age, gender, and ethnicity. Both groups completed in-depth interviews. INTERVENTIONS None. MAIN OUTCOME MEASURES The in-depth structured interview included family environment instruments--Family Adaptability and Cohesion Evaluation Scales and Duke Social Support and Stress Scale--as well as a genogram. Family violence and sexual abuse were assessed by means of the Conflict Tactic Scales and the Sexual Stress Questionnaire. RESULTS Although patients with infrequent panic attacks were of lower birth order than patients without panic attacks (Wilcoxon chi 2 = 2.13, P < or = .02), no differences in childhood or current family functioning were found. However, patients with infrequent panic attacks reported higher levels of childhood (paired t = 3.97, P < or = .001) and current (paired t = 3.05, P < or = .005) family stress. Although the prevalence of family violence was similar between groups, the group with infrequent panic attacks reported more violent events in the past year (paired t = 2.60, P < or = .02) than did the group with no panic attacks. Similarly, 60% of patients with infrequent panic attacks reported childhood sexual abuse, as opposed to 13% of patients without panic attacks (McNemar's chi 2 = 10.5, P < or = .005). CONCLUSIONS Although no association between infrequent panic attacks and family functioning or support were found, the group with infrequent panic attacks reported more frequent violent events currently and higher levels of family stress. The high rate of childhood sexual abuse may have important causative implications for infrequent panic attacks.
Portal Inflow Modulation by Somatostatin During Major Liver Resection With a High Risk of Postoperative Liver Failure.

We have read with great interest the article entitled ‘‘Portal inflow modulation by somatostatin after major liver resection: A pilot study. ’’ It is a very interesting topic because the relationship between high portal vein pressure (PVP) and ‘‘small for size’’ syndrome (SFSS) has been clearly demonstrated insomuch as some authors refer to it as ‘‘small for flow’’ syndrome. SFSS was first described in living donor liver transplantation, and it has been attributed to a PVP above 20 mm Hg with secondary sinusoidal endothelial cell injuries. The same pathogenic mechanism has been attributed to major liver resections with a small future liver remnant
Effects of Ureteral Stent on Urologic Complications in Renal Transplant Recipients: A Retrospective Study

The aim of the present study was to analyze the effects of ureteral stents used in renal transplantation on urologic as well as other complications. Cases of renal transplants from living or deceased donors performed in our hospital were retrospectively evaluated. The effects of the routine use of ureteral stents on postoperative complications were investigated. All outcomes and complications encountered during the postoperative follow-up were recorded. The Lich-Gregoire technique, which is a method of extravesical ureteroneocystostomy, was performed on all patients. One hundred and twenty-two patients underwent renal transplantation between 2001 and 2007 in our hospital. Stents were placed routinely in all patients. Leakage was observed in one patient, and one patient developed an obstruction; however, none of the patients developed an infection. A lymphocele developed in one patient. All urologic complications were treated without major morbidity. Graft loss did not occur. Complications following urinary anastomosis have a high rate of morbidity in renal transplantation. Ureteral stenting in renal transplant recipients prevents early urologic complications. The data generated in the current study were compared to the literature.
Increased Complications in Trapeziectomy With Ligament Reconstruction and Tendon Interposition Compared With Trapeziectomy Alone

Background: In the treatment of basal joint arthritis of the thumb, recent studies suggest equivalent outcomes with regard to long-term pain, mobility, and strength, in patients undergoing either trapeziectomy alone or trapeziectomy with ligament reconstruction and tendon interposition (LRTI). The goal of this study was to investigate risk factors for complications in carpometacarpal (CMC) arthroplasty. Methods: We conducted a retrospective chart review of 5 surgeons at a single institution performing CMC arthroplasties from November 2006 to November 2012. A total of 200 thumbs in 179 patients underwent simple trapeziectomy with or without LRTI and with or without Kirschner wire stabilization, or a Weilby procedure. The average follow-up was 11.6 months (range = 1-69 months). Data collection included sex, age, history of smoking or diabetes, and any other surgeries performed on the hand at the time of arthroplasty. Furthermore, we collected outcomes involving any adverse events, paying attention to those necessitating reoperation, antibiotics, or those who developed complex regional pain syndrome. Results: Seventy hands had a postoperative complication. Ten of these complications were considered major, defined as requiring antibiotics, reoperation, or other aggressive interventions. On multivariate analysis, risk of total complications was significantly greater only in patients undergoing either trapeziectomy with LRTI or Weilby procedure in comparison with trapeziectomy with K-wire stabilization (odds ratio = 4.30 and 6.73, respectively). Conclusions: Patients undergoing trapeziectomy with LRTI or Weilby had a greater incidence of reported complications when compared with trapeziectomy alone. These results suggest an advantage of simple trapeziectomy; however, further study is warranted.
ADOLESCENTES EM CONFLITO COM A LEI, PADRÕES DE COMPORTAMENTO INFRACIONAL E TRAJETÓRIA DA CONDUTA DELITUOSA: UM MODELO EXPLICATIVO NA PERSPECTIVA DESENVOLVIMENTAL.

Um dos desafios a ser enfrentado para a instalacao de condicoes apropriadas de aplicacao e de execucao das medidas socioeducativas para adolescentes em conflito com a Lei e o de dispor de referenciais teorico-metodologicos especificos, suficientemente robustos, testados para a nossa realidade. No presente trabalho, o objetivo e o de apresentar o referencial da Criminologia Desenvolvimental e o da Teoria da Regulacao Social e Pessoal da Conduta na Adolescencia, tendo em vista os aportes que fazem a compreensao do fenomeno e, por conseguinte, ao enfretamento desse desafio. Esses referenciais estao sendo utilizados para o desenvolvimento de um conjunto de investigacoes no contexto do Grupo de Estudos e Pesquisa em Desenvolvimento e Intervencao Psicossocial (GEPDIP), do Departamento de Psicologia da Faculdade de Filosofia, Ciencias e Letras de Ribeirao Preto, na Universidade de Sao Paulo, com vistas a validacao do modelo a nossa realidade. As pesquisas sao tambem sucintamente apresentadas. Destaca-se que os estudos em Criminologia Desenvolvimental evidenciam, em diferentes sociedades, que a maioria dos adolescentes comete pequenos delitos. Aponta-se que o desafio, portanto, e identificar um subgrupo cujo padrao de comportamento infracional e preocupante, composto pelos jovens que a literatura denomina por persistentes. Com base nos estudos das trajetorias das condutas infracionais, proposicoes teoricas mais elaboradas foram desenvolvidas, em meio as quais figura a Teoria destacada. Esta estabelece a existencia de mecanismos relacionados a producao e a manutencao da conduta no tempo: os vinculos, o alocentrismo, os circunscritores e os modelos. As interacoes reciprocas entre esses, moduladas por variaveis de contexto, produziriam a regulacao, no sentido de desencadear/manter o comportamento infracional ou no de fazer cessar.
Ultrasonography shows increased cross-sectional area of the median nerve in patients with arthritis and carpal tunnel syndrome.

OBJECTIVES To examine whether patients with arthritic diseases and carpal tunnel syndrome (CTS) have increased cross-sectional areas of the median nerves measured by ultrasonography (US). Enlarged cross-sectional areas have previously been found in non-arthritic patients with idiopathic CTS. METHODS During 1 yr, all 12 patients with rheumatoid arthritis (RA) or other arthritic diseases hospitalized in our department for surgery for CTS were included. Nine of the patients had bilateral CTS, giving a total of 21 pathological nerves. The median duration of CTS symptoms was 9.5 months. The controls were 30 randomly selected RA patients without symptoms of CTS and 30 healthy persons. Both CTS patients and controls were examined bilaterally by use of US at the entrance of the carpal tunnel, and the cross-sectional areas of the median nerves were calculated. RESULTS Cross-sectional areas of the median nerves were significantly higher in the CTS patients compared with the RA controls and healthy persons; median (range) areas were 15.7 mm(2) (11.1-21.8), 8.5 mm(2) (5.8-11.0) and 8.0 mm(2) (4.9-12.0), respectively (P<0.0001). No significant differences in cross-sectional areas were observed between the two control groups, or between the right and left hand in the control groups. CONCLUSIONS Higher cross-sectional areas were found in the arthritic patients with CTS than in RA patients and healthy persons without CTS. This supports previous studies of idiopathic CTS in which increased cross-sectional areas have been found. Thus, as in idiopathic CTS, arthritic patients may be examined by US of the median nerve when CTS is suspected.
Physicochemical Properties of Defatted Rambutan (Nephelium lappaceum) Seed Flour after Alkaline Treatment

Rambutan seeds were subjected to SC-CO2 extraction at 35 MPa, 45 °C to obtain defatted rambutan seed flour. Its physicochemical properties before and after treatment with alakali solution using 0.075 N NaOH were investigated. Alkali-treated flour had a significant increment in bulk density, swelling power, water adsorption capacity, emulsion capacity and stability but a reduction in turbidity, solubility and oil absorption capacity. Pasting measurements showed peak viscosity, breakdown, setback and final viscosity increased significantly for the alkali-treated flour, while pasting temperature decreased. The alkaline treatment decreased the least gelation concentration, but increased the apparent viscosity.
Is the severity of periodontitis related to gingival crevicular fluid and serum high-sensitivity C-reactive protein concentrations?

BACKGROUND Periodontitis is a chronic multifactorial inflammatory disease caused by microorganisms and characterized by progressive destruction of the tooth supporting tissues leading to tooth loss. Periodontal diseases are associated with an increase in CRP (C-reactive protein) levels. Release of the cytokines such as prostaglandin-E2 (PGE2), and interleukin-1-beta (IL-1β) from the periodontal lesion, stimulate hepatocytes and circulating leukocytes to produce CRP. The purpose of this cross-sectional study was to evaluate serum levels of hs-CRP (high sensitive C-reactive protein) and gingival crevicular fluid (GCF) levels of hs-CRP, PGE2, and IL-1β in patients with varying degrees of periodontal disease. METHODS A total of 60 (30 mild and 30 severe) chronic periodontitis patients were included in this study. GCF and serum samples were collected and whole-mouth clinical periodontal measurements were recorded. GCF levels of hs-CRP, PGE2, IL-1β, and serum levels of hs-CRP were measured by Enzyme-Linked Immunosorbent Assay (ELISA). Serum hs-CRP levels were measured by latex-enhanced immunoturbidimetric assay. Correlation analyses were performed between the sampled site PD, CAL, and the biomarkers. RESULTS The groups were similar with regard to age, gender, and number of teeth. All periodontal clinical parameters were increased in the severe periodontitis group. GCF IL-1β and PGE2 levels were significantly higher in the severe periodontitis group than in the mild periodontitis group (p = 0.04). Serum and GCF levels of hs-CRP were not significantly different between severe and mild cases. There was no significant correlation between serum and GCF levels of CRP. GCF IL-1β levels were positively correlated with the PD of the sampled site (r = 0.52, p = 0.003). CONCLUSIONS IL-1β in GCF could be a marker of disease severity and activity. Neither serum nor GCF levels of hs-CRP differed with disease severity. Serum hs-CRP levels did not reflect GCF levels in periodontitis patients. Local and systemic involvement of CRP in periodontal disease remains to be determined.
Self-help On-line: An Outcome Evaluation of Breast Cancer Bulletin Boards

Many breast cancer patients find help from on-line self-help groups, consisting of self-directed, asynchronous, bulletin boards. These have yet to be empirically evaluated. Upon joining a group and 6 months later, new members (N= 114) to breast cancer bulletin boards completed measures of depression (CES-D), growth (PTGI) and psychosocial wellbeing (FACT-B). Improvement was statistically significant on all three measures. This serves as a first validation of Internet bulletin boards as a source of support and help for breast cancer patients. These boards are of particular interest because they are free, accessible and support comes from peers and not from professional facilitators.
Female carriers of Duchenne muscular dystrophy: a dilemma

In this paper female non‐identical twins of a known Duchenne carrier are presented; one has typical features and the anticipated progression of Duchenne dystrophy, the other appears to be normal. In addition, two female children with Duchenne‐like dystrophy are discussed. These cases show no evidence of translocation or mosaicism and offer an opportunity to reappraise the genetics of Duchenne dystrophy with specific regard to females. The subjects have been fully investigated, and in Case 3 the glycolytic enzymes and mitochondrial energy‐producing capacity were also studied.