bluuebunny/crossref_metadata_2025 huggingface dataset:
CHRONIC CONSUMPTION OF ALCOHOL ADVERSELY AFFECTS THE BONE OF YOUNG RATS
Authors: Rosa Rodrigo César , Rodrigues Wellington Francisco , Miguel Camila Botelho , Cardoso Fabrizio Antonio Gomide , Espindula Ana Paula , Oliveira Carlo Jose Freire , Volpon José Batista
Published: November 2019

ABSTRACT Objective: To assess the effect of chronic alcohol consumption on the longitudinal growth of the tibia and bone quality parameters in young rats under an experimental setup. METHODS: The control (n=10) rats received only water. The ethanol (n=10) rats received ethyl alcohol at concentrations established in the protocol for the induction of chronic alcohol consumption. The blood samples were immediately collected via cardiac puncture and processed to evaluate the levels of alkaline phosphatase by automated spectrophotometry. Following blood sample collection, both tibias were dissected, and weighed; the tibial length was measured., and the samples were stored in a freezer for future analysis of the bone mineral content and mechanical resistance, known as maximal load and stiffness. RESULTS: Compromised bone health, with a 35.3% decrease in the serum alkaline phosphatase levels (p < 0.01), a 10% decrease in the tibial mass (p < 0.05), and a 5.3% decrease in the tibial length (p < 0.0001) were noted. Furthermore, a 10% decrease in the bone mineral density was observed (p < 0.01), which led to a 17.2% decrease in the maximum strength (p < 0.01) and 22.6% decrease in stiffness (p < 0.001). CONCLUSION: Chronic consumption of alcohol affected the bones of young rats, making them weaker and osteopenic. In addition, the long bones were shorter, suggesting interference with growth. Level of Evidence III, Case Control Study.
COMPARISON OF LCP AND INTRAMEDULLARY NAIL OSTEOSYNTHESIS IN CALCANEAL FRACTURES
Authors: Zeman Jaroslav , Zeman Petr , Matejka Tomas , Belatka Jaroslav , Matejka Jiri
Published: November 2019

ABSTRACT Objective: This study compared groups of patients with calcaneal fractures of Sanders types II and III. One group was treated with ORIF using an LCP (plate), while the second was treated with a minimally invasive method using a C-Nail. Methods: The study included 217 patients in the ORIF group and 19 patients in the minimally invasive nail osteosynthesis group. Results: In the LCP group, the outcomes were excellent for 35.7% of the patients; good, 38.9%; satisfactory, 19.7%; and poor, 5.7%. In the C-Nail group, the outcomes were excellent for 36.9% of the patients; good; 31.6%; satisfactory, 21%; and poor, 10.2%. The mean values of the restoration of Böhler's angle from post-injury were 6.8° to 32.3° in the LCP group and 7.1° to 33.3° in the C-Nail group. After 12 months, there was only a minimal decrease in Böhler's angle to 29.2° in both the LCP and C-Nail groups. Conclusion: The outcomes obtained with C-Nail fixation are statistically identical to those obtained with LCP fixation. We conclude that osteosynthesis with a C-Nail is suitable as the first-choice treatment for Sanders types II and III fractures. Level of evidence IV, retrospective observational study.
SHOULDER ISOKINETIC PERFORMANCE IN HEALTHY PROFESSIONAL JUDO ATHLETES: NORMATIVE DATA
Authors: Marcondes Freddy Beretta , Castropil Wagner , Schor Breno , Miana Andreia , Vasconcelos Rodrigo , Etchebehere Mauricio
Published: November 2019

ABSTRACT Objective: To evaluate normative data of shoulder isokinetic strength in healthy professional judo athletes. Methods: Cross-sectional study with 20 professional male and female athletes (10 female), evaluated with an isokinetic dynamometer. The strength assessment was carried out in external and internal rotation, flexion, extension, adduction and abduction. All data collected on muscle torque were normalized with body mass index. Results: Athletes demonstrated higher peak torque and joint work in shoulder adduction, abduction, flexion, and extension for the dominant limb compared to the non-dominant limb (p <0.05), with most of these deficits below 10%. Shoulder internal/external rotation ratios for male and female athletes had no significant differences between dominant and non-dominant sides, demonstrating values at 60°/s of 49.4 ± 7.2 on the dominant side of males and 49.1 ± 4.9 for females. Conclusion: The normative data are described to assist during treatment, return to sport and injury prevention. Level of evidence IV, cross-sectional study.
TRANSFER OF THE RADIAL NERVE BRANCHES FOR THE TREATMENT OF THE ANTERIOR INTEROSSEOUS NERVE LESION: AN ANATOMICAL STUDY
Authors: Matavelli Júnior Fernando César , Gobbi Lucas , Santos Marcos Paulo Sales dos , Caetano Edie Benedito , Vieira Luiz Angelo , Andrade Renato Alves de
Published: November 2019

ABSTRACT Objective: This anatomical study aimed to analyze the possibility of transferring the radial nerve branches destined to the brachioradialis (BR), extensor carpi radialis longus (ECRL), extensor carpi radialis brevis (ECRB), and supinator (SM) muscles to innervate the AIN. Methods: Ten limbs from five male cadavers were prepared by intra-arterial injection of a solution of 10% glycerol and formalin. Results: The presence of only one branch to the BR muscle was noted in 7 limbs and two branches were noted in three limbs. In two members of a common trunk with branch to the ECRL. In eight cases, we identified one branch for the ERLC and two branches in two cases. We identified only one branch for the ECRB, while in six limbs, two branches were noted, penetrating the muscular body at two different points. We identified at least two branches innervating the supinator muscle. The AIN was detached from the median nerve distal to the intercondylar line of the humerus. In seven limbs, it originated from the nervous fascicles of the posterior region of the median nerve and from the posterolateral fascicles in three limbs. The flexor pollicis longus and flexor digitorum profundus muscles received more than one branch of the AIN in all limbs. Conclusion: The radial nerve branches for the ECRL, ECRB, and supinator muscles can be transferred directly to the AIN or to one of its branches after intraneural dissection, without tension even in elbow movements. Level of Evidence IV; Case series.
BIOLOGICAL ENHANCEMENTS FOR ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION
Authors: Leite Chilan Bou Ghosson , Demange Marco Kawamura
Published: November 2019

ABSTRACT The anterior cruciate ligament (ACL) is mostly responsible for providing knee stability. ACL injury has a marked effect on daily activities, causing pain, dysfunction, and elevated healthcare costs. ACL reconstruction (ACLR) is the standard treatment for this injury. However, despite good results, ACLR is associated with a significant rate of failure. In this context, the mechanical and biological causes must be considered. From a biological perspective, the ACLR depends on the osseointegration of the graft in the adjacent bone and the process of intra-articular ligamentization for good results. Here, we discuss the mechanisms underlying the normal graft healing process after ACLR and its biological modulation, thus, presenting novel strategies for biological enhancements of the ACL graft. Level of evidence III, Systematic review of level III studies.
A new species of freshwater amphipod (Crustacea, Amphipoda, Hyalellidae) from state of Rio Grande do Sul, Southern Brazil
Authors: Streck-Marx Morgana Taís , Castiglioni Daniela da Silva
Published: November 2019

Abstract: The current study describes a new species of Hyalella found in a natural pond at the municipality of Palmeira das Missões, located in the northwestern region of state of Rio Grande do Sul, southern Brazil. The new species differs from other species found in state of Rio Grande do Sul (Hyalella bonariensis, H. castroi, H. kaigang, H. imbya, H. georginae, H. gauchensis, H. montenegrinae and H. pampeana) in the type and number of setae on uropods, on telson and on the inner face of gnathopod 1. Besides, Hyalella palmeirensis is morphologically similar to H. curvispina, especially in the shape and number of setae of uropods. However, H. palmeirensis differs from H. curvispina in having only two simple setae on telson, the inner face of gnathopod 1 with five serrate setae and only the posterior distal margin with denticles in comb-scales, and especially by the tubular sternal gills, present on segments 3 to 7. These new records increase from 11 to 12 the number of species known from state of Rio Grande do Sul.
Detection of efflux pump CmeABC in enrofloxacin resistant Campylobacter spp. strains isolated from broiler chickens (Gallus gallus domesticus) in the state of Rio de Janeiro, Brazil
Authors: Nascimento Regina J. , Frasão Beatriz S. , Dias Thomas S. , Nascimento Elmiro R. , Tavares Louise S.B. , Almeida Virginia L. , Aquino Maria Helena C.
Published: November 2019

ABSTRACT: Fowls are the main reservoirs of the highly important food-originating pathogen called Campylobacter spp. and broilers’ meat and byproducts are the main vehicles of this microorganism. Increasing of Campylobacter spp. resistant strains to fluorquinolones, an antimicrobial class often employed in poultry farming and in human medicine has become a great concern to poultry breeders. In fact, several studies evaluated increasing bacterial resistance against these antimicrobial agents. The role of CmeABC efflux system has been underscored among the resistance mechanisms in Campylobacter spp. to fluorquinolones. This study investigated the occurrence of CmeABC efflux pump in 81 and 78 enrofloxacin resistant strains of Campylobacter jejuni and C. coli respectively, isolated from broilers collected from six abattoirs situated at São José do Vale do Rio Preto/RJ poultry center and from two commercial abattoirs situated at Metropolitan Region of Rio de Janeiro, from 2013 to 2016. The resistance to enrofloxacin was assessed by agar dilution to determine minimum inhibitory concentration (MIC). The CmeABC efflux system was investigated through the detection of genes genes cmeA, cmeB and cmeC by PCR. The activity of CmeABC efflux pump was investigated in 20 strains by using the efflux pump inhibitor Phenylalanine-Arginine β-Naphthylamide (PAβN). The three genes cmeA, cmeB and cmeC were detected in 94.3% of the strains (C. jejuni = 80 and C. coli = 70), whereas the system was absent or incomplete in 5.7% of strains (C. jejuni = 1 and C. coli = 8). MIC varied between 0.5μg/ml and 64μg/ml, and 88.7% of strains were enrofloxacin resistant and 11.3% featuring intermediate resistance. The inhibition of the efflux pump by PAβN reduced the MIC to enrofloxacin up to eight times in fifteen strains (75%). These results indicate that this system is frequent and active in Campylobacter spp. Resistant strains in the presence of enrofloxacin.
Comparison of two collection methods to determine protodioscin concentrations in Brachiaria spp. and to monitor Brachiaria spp. Poisoning
Authors: Melo Gleice K.A. , Silva Westerlly J. , Pupin Rayane C. , Heckler Rubiane F. , Nonato Lucimara M. , Ítavo Camila C.B.F. , Ferreira Valquíria B.N. , Lemos Ricardo A.A.
Published: November 2019

ABSTRACT: The objective of this study was to evaluate the methods of collecting Brachiaria spp. (Simulated Grazing vs. Total Collection) for the determination of protodioscin concentrations and to monitor the intoxication in sheep susceptible and resistant to poisoning by Brachiariaspp. The collection of Brachiaria spp. was done through two different methods. The first one consisted in throwing a metallic square at 10 random picket points. The second was performed simulating, with the hands, the grazing behavior of sheep. The leaf blades obtained by the two methods were conditioned in a forced ventilation oven. The extraction and quantification of protodioscin from the dry milled plant material was done by reverse-phase high-performance liquid chromatography (HPLC). The collections were carried out at three stages of the life of experimental lamb (suckling, rearing, and finishing). The lambs were divided into resistant and susceptible to intoxication by Brachiaria spp. The criterion for a lamb to be considered sensitive was to present some clinical signs at some stage of its life. No significant differences were observed between the general averages of the two collections when the evaluation was done in the whole period. However, a significant difference was found at the onset of the clinical signs. The concentrations of protodioscin in this period were higher in Brachiaria spp. collected by the simulating grazing method. Both methodologies were efficient to determine the level of protodioscin in the pastures of Brachiaria spp. However, during the periods when the outbreaks occurred, the simulated grazing method was more reliable.
Glucose and insulin curve in pregnant mares and its relationship with clinical and biometric features of newborn foals
Authors: Mousquer Mariana A. , Pereira Amanda B. , Finger Ilusca S. , Franz Helen C. , Torres Aníbal J. , Müller Vitória , Nogueira Carlos E.W.
Published: November 2019

ABSTRACT: The aim of the present study was to describe the dynamics of glucose and insulin curves in pregnant mares, and to evaluate the curves according to body condition score, identifying the presence of insulin resistance and correlating these values with the weight, height and clinical changes of the neonates. For this, pregnant mares were evaluated and then grouped according to body condition score during the gestation length until lactation. GrM corresponds to mares with moderate body score (BCS 5-6); GrOv were mares with overweight body score (BCS 7) and GrOb were obese mares (BCS 8-9). A two-step oral sugar test (OST) was used to determine the data. Cortisol analysis was performed with 300-320 days of gestation, at foaling and after parturition. For evaluation of the neonate, a general clinical examination and, weight and height measurements were performed. The results showed hyperglycemia in response to OST with normal insulin values at foaling with a subsequent fall in both values at lactation disregarding group division. Baseline glucose was decreased in GrM compared to GrOv and GrOb with 70-100 days of gestation and with 130-160 days of gestation. With 270-300 days of gestation and post-partum GrOb had increased baseline glucose than GrM. After OST, glucose at foaling day in GrOb presented increased values than GrM. Baseline insulin values did not differ between groups. Post OST insulin levels were higher in GrOb than GrM and GrOv at parturition. No difference in cortisol between moments was identified. GrOb and GrOv maintained increased concentrations after foaling while GrM had a decrease. No correlation was found between maternal glucose and insulin values with foal weight and height, however, a lower ratio between neonatal weight and mare’s weight in GrOb and GrOv was identified in relation to the GrM. At foaling, mares presented glucose dysregulation, with obese and overweight mares presenting a greater response to OST.
Experimental infection by Anaplasma marginale in buffaloes and cattle: clinical, hematological, molecular and pathological aspects
Authors: Lima Danillo H.S. , Vinhote Wagner M.S. , Ubiali Daniel G. , Soares Pierre C. , Cordeiro Matheus D. , Silva Jenevaldo B. , Fonseca Adivaldo H. , Barbosa José D.
Published: November 2019

ABSTRACT: The study aimed to evaluate and compare the clinical, laboratory and pathological aspects of buffalo and bovine experimentally infected with AmRio 2 strain of Anaplasma marginale. Four Murrah buffaloes and four crossbred cattle were used in the experiment, which two animals of each species were splenectomized. Strain AmRio 2 of A. marginale was inoculated in all experimental animals. Clinical exams, Packed Cell Volume (PCV), blood counts, blood smears, rickettsemia, necropsy and histopathology were performed in all cases. Semi-Nested-PCR (snPCR) for the msp5 and snPCR for the msp1α target gene for identification of A. marginale in blood samples from animals was done. From positive samples for msp1α snPCR, samples were analyzed for the amino acid sequences of this gene. Two splenectomized cattle presented apathy, pale mucous membranes, jaundice, hyperthermia, and severe anemia. The remaining experimental animals did not show clinical signs. The rickettsemia in all animals was less than 1%. The mean PCV of the splenectomized cattle was below 20% at two-time points after infection. On the blood count, the main changes were observed in splenectomized calves and were characterized by a decrease in red blood cells, hemoglobin, PCV and platelets (p <0.05). All animals presented leukocyte elevation by increased lymphocytes, however, with no significant difference. The average prepatent period was two days in all the animals. The average incubation period in cattle that became ill was 25.5 days, and death occurred, on average, 63 days after inoculation of the strain. The necropsy findings were characterized by pale carcass, ascites, enlarged liver, distended gallbladder, and thick bile. Histopathological findings included infiltration of macrophages and lymphocytes in various organs, hepatic sinusoidal dilatation, and necrosis of the large intestine. In snPCR for the msp5 gene, 100% of the animals were positive in at least one evaluation. And in the snPCR for the infection of the msp1α target gene was also found in all animals in at least one sample evaluated. However, sequencing revealed only five animals, including the bovine which died, with a similarity of the amino acid sequences with AmRio 2 strain of A. marginale. It is concluded that the splenectomized cattle died due to anaplasmosis caused by the inoculated strain and the buffalo were more resistant compared to cattle. Buffaloes can be an alternative to cattle rearing in areas with a high occurrence of clinical cases of anaplasmosis.
ABSORPTIVE CAPACITY OF SIGNALS CAPTURED FROM ENVIRONMENT FOR INNOVATION
Authors: SOUZA SHIRLEY A. , SILVA DÉBORA E. P. , ABREU ALINE F.
Published: November 2019

ABSTRACT Purpose: This article aims to describe the absorptive capacity (ACAP) of textile manufacturing industrial companies of Sergipe state, Brazil, for the signals captured from the environment, indicating the need for innovation in response to changes in the market. The theoretical bases of absorptive capacity postulate that a company that develops this capacity has the ability to recognize the information value, assimilate it, and apply it for commercial purposes. They can develop skills that allow them to achieve competitive advantage. Originality/value: From the theoretical point of view, the factors that stimulate the apparel companies to recognize, assimilate, transform, and exploit the external knowledge were listed. Regarding the practical contributions, the study can provide references to organizations wishing to extend or develop the absorption of new knowledge, so this can promote improvement in organizational activity and innovation. Design/methodology/approach: For the study, it was built a qualitative data collection instrument. The instrument had been applied in seven companies with innovative characteristics when compared to the local competition. Companies are micro to medium-sized and develop innovations in process and marketing. Findings: The result shows that the analyzed companies look for renewal of existing knowledge and assimilate the external information to adapt and transform their organizational strategies. The exploitation of knowledge occurs from relationships with customers and suppliers, prior knowledge of leadership and organization existing structure. Companies with best ACAP were those who faced direct competition. This fact has created incentives for the search for information to differentiate the companies and make them competitive.
PSICANÁLISE E POLÍTICA: POR UMA PRÁTICA DA INCOMPLETUDE
Authors: Danziato Leonardo Barreira
Published: November 2019

RESUMO O presente artigo desenvolve uma discussão acerca das relações entre psicanálise e política, constatando inicialmente um paradoxo nesta relação, já que, apesar de uma recusa mútua, as interlocuções são historicamente inumeráveis e profícuas. A partir daí considera as proposições políticas da psicanálise a partir da sua noção de sujeito e da discussão lógica entre o universal e o contingente. Em seguida, enveredando por uma discussão ôntica, apresenta todo o processo histórico de emergência do mundo moderno e contemporâneo, cotejando as obras de Foucault e Lacan, e denunciado a gênese das lógicas segregacionistas a partir da instalação do saber como principal operador político na modernidade. Objetiva, com isso, realizar uma relevante discussão sobre os efeitos para o sujeito das transformações no mundo atual e sua ideologia principal, o “apoliticismo bio-político”, ilustrada por todo o processo hegemônico de globalização e pela lógica neoliberal.
Hunting paths in the Amazon: technics and ontogenesis among the Panará
Authors: Bechelany Fabiano Campelo
Published: November 2019

Abstract This paper presents a description of hunting and an analysis of its technical relations among the Panará, an indigenous group which inhabits southern Amazonia. The paper is focused around two genetic processes of hunting: the individuation of the hunter and the constitution of a hunting territory. In this sense, it approaches the constitution of the hunter as person in relation with his weaponry, a technical object that is the mediator between the hunter’s action and the prey; afterwards, it approaches the forms of environment that emerges from the movement across the forest and through the production of hunting paths where the prey is encountered. The analysis of these aspects allows us to get insight of the hunting activity from the point of view of its actions, materials and interactions with the environment, from the analysis of technical elements which are socially relevant and construct important modes of relation between Panará and their territory.
Extension of the geographic distribution of Plecturocebus baptista (Pitheciidae, Primates) and a possible hybrid zone with Plecturocebus hoffmannsi: evolutionary and conservation implications
Authors: ROCHA Alessandro , BARNETT Adrian P.A. , SPIRONELLO Wilson R.
Published: November 2019

ABSTRACT Titi monkeys (family Pitheciidae) are Neotropical primates highly diversified in morphology, ecology and genetics, with a wide geographic distribution, including the Amazon, Atlantic Forest, Cerrado, Pantanal and Caatinga. This diversity, together with knowledge gaps, generates uncertainties in titi monkey taxonomy and distribution. An example is Plecturocebus baptista, with only 14 occurrence records and an ill-defined distribution based on untested geographical barriers. Here, we report the occurrence of this species at a new locality outside its known range, across the Paraná-Urariá River, which was considered a distributional limit for the species. The new record implies an overlap of P. baptista with the range of P. hoffmannsi. We document the sighting of an apparent hybrid animal. Our observations suggest that i) the distribution of P. baptista needs to be reviewed, and ii) the evolutionary relationships between P. baptista and P. hoffmannsi may be more complex than previously assumed. Since both species share contiguous areas of potential hybridization, we question whether the two species arose via allopatric speciation.
Anatomical and histochemical comparison of the primary and adventitious roots of Attalea microcarpa (Arecaceae) at the initial growth stage
Authors: CORRÊA Marcos Melo , ARAÚJO Maria Gracimar Pacheco de , MENDONÇA Maria Sílvia de
Published: November 2019

ABSTRACT We describe the anatomical structure of roots originating from the apocole of Attalea microcarpa compared to the primary root, by means of usual methods for optical microscopy. The adventitious roots are differentiated in the apocole associated to vascular bundles, and can remain as a single structure or branch. They have the basic root structure characteristic of Arecoideae palms, without schizogenous spaces, which are observed in the primary root, in addition to few air spaces. Mucilages, starch and proteins were present in both types of roots. Adventitious roots of the apocole are described for the first time in Arecaceae.
Impactos da longevidade na família multigeracional
Authors: Herédia Vania Beatriz Merlotti , Casara Miriam Bonho , Cortelletti Ivonne Assunta
Published: November 2019

Resumo O presente artigo tem como objetivo conhecer os impactos da longevidade na família multigeracional e é resultado de uma pesquisa desenvolvida no Núcleo de Estudos do Envelhecimento da Universidade de Caxias do Sul, denominada “A família multigeracional em Caxias do Sul”, no período de 2004-2006. A amostra da pesquisa é composta por 27 famílias multigeracionais do município de Caxias do Sul - RS, com a participação de três pessoas de gerações diferentes de uma mesma família, perfazendo um total de 81 pessoas que compõem uma amostra intencional, orientada e conveniente. A metodologia utilizada envolve análise de conteúdo e abordagem dialética. Com os resultados da pesquisa, pretende-se contribuir para a discussão dos problemas que a família enfrenta no convívio com idosos e das dificuldades que os mesmos sofrem no ambiente familiar. Conhecer esses desafios e propor alternativas para enfrentá-los, de modo a qualificar a vida de relações das pessoas individualmente e da própria família, como instituição, são necessidades relevantes.
Avaliação do desempenho cognitivo em idosos
Authors: Souza Pollyanna da Silva de , Falcão Jorge Tarcísio da Rocha , Leal Márcia Carréra Campos , Marino Jacira Guiro
Published: November 2019

Resumo Objetivo avaliar o processo do envelhecimento, relacionando-o ao desempenho cognitivo. Método estudo epidemiológico, descritivo, transversal, realizado na UNATI/UFPE, com 65 idosos. Foi utilizado questionário semi-estruturado, incluindo dados sociodemográficos, escala de avaliação da satisfação global com a vida e o Miniexame do Estado Mental (MEEM). Resultados 83,1% apresentam uma doença ou condição crônica; 59,3% - hipertensão, 18,5% - problemas de coluna e artrose, 14,8% - osteoporose, 13% - colesterol elevado, 11,1% - doença do coração, 9,3% - artrite e 3,7% - diabetes. Foi reportada por 16,9% dos sujeitos a não-realização de atividades rotineiras por problema de saúde nas últimas duas semanas. Com relação à percepção acerca da própria saúde, 93,8% consideraram boa ou muito boa. No entanto, 66,2% mencionaram ter alguma dificuldade de memória, sendo esta freqüente para 58,1% dos sujeitos com queixa, e rara ou muito rara para 41,9%. Além disso, 73,8% praticam alguma atividade física: caminhada (44,6%), a hidroginástica (23,1%) e ioga (13,8%). As análises inferenciais estatísticas evidenciaram efeito isolado significativo da escolaridade (F=8,703, p<0,000, 64g.l.), mas nenhum efeito significativo isolado da idade (F=0,442, p=0,724, 64g.l.) sobre os escores do MEEM. Conclusões o processo de envelhecimento não deve ser associado necessariamente ao adoecimento e degeneração patológica, pois não inviabiliza o funcionamento sócio-psicocultural.
Nutrição e envelhecimento: algumas reflexões sobre a integração entre ensino, pesquisa e extensão no Projeto Nutrição e Terceira Idade
Authors: Prado Shirley Donizete , Menezes Maria Fátima Garcia de , Santos Débora Martins dos , Tavares Elda Lima , Castro Luciana Maria Cerqueira de
Published: November 2019

Resumo Buscamos discutir a articulação entre pesquisa e extensão no âmbito do Projeto de Extensão Nutrição e Terceira Idade desenvolvido pelo Instituto de Nutrição da Universidade do Estado do Rio de Janeiro no qual implementamos um conjunto de atividades individuais e coletivas organizadas em quatro eixos principais: (a) assistência nutricional individual e personalizada; (b) avaliação nutricional individual: análise antropométrica e dietética; (c) pesquisa sobre comportamento alimentar: cultura, envelhecimento e saúde; (d) práticas educativas: desenvolvimento de metodologias. Para tanto, tomamos o pensamento de Nogueirasobre a extensão como uma relação de mão dupla entre Universidade e Sociedade que possibilita a oportunidade da elaboração da práxis de um conhecimento acadêmico; os conceitos de ciência e de técnica em Canguilhema partir de suas discussões sobre a Medicina e o campo da saúde; e os referenciais teóricos de Foucault relativos a saberes em seus debates acerca do campo das Ciências Humanas. Identificamos algumas limitações importantes a exigirem de nós novas posturas. Principalmente, a necessidade de escrever, de registrar o que fazemos. Estamos gerando novos conhecimentos e saberes, novas técnicas que estão ainda encerradas em nossos muros. Múltiplos fatores podem ser elencados na identificação da determinação desses limites. Certamente, ações individuais e institucionais precisam ser implementadas para a superação desses limitantes que, acreditamos, sejam característicos, em algum grau, das atividades extensionistas na UERJ e talvez no Brasil.
PERINEAL CARE AND OUTCOMES IN A BIRTH CENTER
Authors: Lopes Gisele Almeida , Leister Nathalie , Riesco Maria Luiza Gonzalez
Published: November 2019

ABSTRACT Objective: to analyse the perineal outcomes in childbirth and post-partum perineal care in a freestanding birth centre. Method: a cross-sectional study, with data collection performed in the women’s birth records forms from Casa Angela, a freestanding birth centre, São Paulo, Brazil, in 2016-2017 (n=415). The following data was analysed: occurrence and perineal tear degree; maternal, neonatal and birth care-related variables; perineal suture prevalence; complications in wound healing and natural methods on perineal care. Data were subjected to descriptive, inferential and multiple analyses. Results: in 11.8% of women, the perineum was kept intact, 61.9% had spontaneous first-degree tear and 26.3% had second-degree tear. The variables related to the occurrence and higher spontaneous degree tears were maternal age and second period of childbirth >2 hours. The protective factors against the occurrence and higher degree tears were number of previous vaginal childbirths and maternal position different from vertical during childbirth. Perineal suture was performed in 16.0% and 70.6% of women with spontaneous first- and second-degree tears, respectively. The main perineal complications after birth were edema (53.6%) and pain (29.4%); and the perineal suture increased the chance for these complications (OR=2.5; 95%CI 1.5-4.3). Perineum icepack compress was used in 53.8% of women during post-partum period. Conclusion: maternal and health-care related factors were associated to the prevalence and degree of spontaneous perineal tear. First-degree spontaneous perineal tears were prevalent and sutured in a low number of women. There were more complications in the wound healing process when the perineal suture was performed, regardless the tear degree. The number of natural methods in post-partum perineal care was higher than the use of medicines.
HPV VACCINE ADHERENCE AMONG ADOLESCENTS: INTEGRATIVE REVIEW
Authors: Carvalho Ayla Maria Calixto de , Andrade Elaine Maria Leite Rangel , Nogueira Lídya Tolstenko , Araújo Telma Maria Evangelista de
Published: November 2019

ABSTRACT Objective: to identify what factors are connected to adolescent adherence to the vaccination against Human Papillomavirus. Method: integrative developed using the following data base: Medical Literature Analysis and Retrieval System Online and Web of Science, Cumulative Index to Nursing and Allied Health Literature, Literatura Latino-Americana e do Caribe em Ciências da Saúde (Latin-American and Caribbean Literature in Health Sciences), and Base de dados de Enfermagem (Nursing Database); using the descriptors and keywords: Papillomaviridae, immunization, vaccines. The final sample had 31 original articles. Result: Vaccine adherence predictors were identified as: knowledge about virus infection risk, vaccination and its benefits; cervical cancer and genital warts prevention; sexual activity; being over 14 years old; mothers’ intention to adhere to vaccination; mother-child communication about sexually transmitted infections, contraception and condoms; vaccination offered in school; recommendation by teachers and health professionals; vaccine safety and effectiveness. Conclusion: Evidence points towards the necessity to redesign the presentation strategy of the vaccine, because despite the cultural differences among the countries where the studies were carried out, it is noticeable that society shelters adolescents aged from 10 to 14 years old, considering it early for sexual initiation and presenting difficulties to broach sexuality-related topics with children.
PATIENT SAFETY IN THE ADMINISTRATION OF ANTINEOPLASTIC CHEMOTHERAPY AND OF IMMUNOTHERAPICS FOR ONCOLOGICAL TREATMENT: SCOPING REVIEW
Authors: Oliveira Patrícia Peres de , Santos Viviane Euzébia Pereira , Bezerril Manacés dos Santos , Andrade Fernanda Belmiro de , Paiva Renilly de Melo , Silveira Edilene Aparecida Araújo da
Published: November 2019

ABSTRACT Objective: to identify and synthesize the scientific evidence on cancer patient safety in the administration of antineoplastic and immunotherapeutic chemotherapeutic agents. Method: a scoping review, according to the Joanna Briggs Institute and to the recommendations of the PRISMA-ScR international guide. The research was conducted in five electronic databases, the Cochrane Library and eight catalogs of theses and dissertations. The inclusion criteria were the following: studies related to patient safety in the administration of antineoplastic and immunotherapeutic chemotherapy by nurses in places where cancer care occurs, published entirely in Portuguese, Spanish and/or English, with no time limit. The extracted data were analyzed and synthesized in narrative form. Results: a total of 14,444 records were retrieved and 47 studies were kept for review. Most publications (44.7%) had a qualitative approach, while 40.4% were quantitative and 14.9%, mixed. When summarizing the findings, the following themes emerged: Safety standards in parenteral administration of antineoplastic chemotherapy; Good practices for patient safety using oral antineoplastic therapy; Administration and safe handling of immunotherapies; Prevention and management of errors related to the administration of antineoplastic and immunotherapeutic chemotherapeutic agents. Conclusion: patients safety with cancer in the administration of antineoplastic therapy occurs when there is implementation of evidence-based protocols, continuing education of nurses and implementation of safety standards and processes, as a strategy to prevent errors in drug administration.
CARE PROTOCOL WITH TOTALY IMPLANTED VENOUS CATHETER: A COLLECTIVE CONSTRUCTION
Authors: Fonseca Deborah Franscielle da , Oliveira Patrícia Peres de , Amaral Rosilene Aparecida Costa , Nicoli Luciana Helena da Silva , Silveira Edilene Aparecida Araújo da , Rodrigues Andrea Bezerra
Published: November 2019

ABSTRACT Objective: to collectively construct a fully implanted central venous catheter care protocol with nurses from a highly complex oncology center. Method: a convergent care research, conducted at a hospital qualified as a highly complex oncology care unit in Minas Gerais, Brazil, from September 2017 to January 2018. The construction of the protocol was guided by Evidence Based Practice. Initially, data was collected from client records. After that, five workshops were held with the nurses, aiming to verify the material and human resources available, besides the viable care to compose the protocol. The analysis involved processes of apprehension, synthesis, theorization and transference. Results: most of the 219 medical records evaluated from clients with fully implanted venous catheters were female (77.1%), with a mean age 49.6 years old, breast cancer, and average catheter stay of 502 days. The nurses participating in the research were female, with a mean age 30.2 years old, time since graduation of 5.2 years and experience in oncology of 4.8 years on average. During the workshops, the participants reflected on the daily routine of the service, with a theoretical and scientific basis, which allowed, considering the professionals' opinion, to verify the care evidences and the practicability of the practices in the study scenario for the construction of a protocol. Care emerged related to puncture, manipulation, salinization and catheter clearance. Conclusion: the protocol construction process involved the participation of all oncology nurses, and all the mentioned care has scientific evidence for its use.
MATERNAL ROLE DURING CHILD'S HOSPITALIZATION IN THE NEONATAL INTENSIVE THERAPY UNIT
Authors: Santos Aliniana da Silva , Rodrigues Lidiane do Nascimento , Santos Maria Solange Nogueira dos , Sousa George Jó Bezerra , Viana Maria Corina Amaral , Chaves Edna Maria Camelo
Published: November 2019

ABSTRACT Objective: to identify the experience of motherhood during the hospitalization period of the newborn in a neonatal intensive care unit. Method: a descriptive and exploratory research, with a qualitative approach, based on the Maternal Role Attainment Theory. A semi-structured interview was conducted in June 2018 with 23 mothers of newborns in a neonatal therapy unit of a public teaching hospital in the state of Ceará (Brazil). The method for data analysis was the Descending Hierarchical Classification based on the Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires software. Results: with the codings and analysis of the empirical material, it was found that mothers presented negative feelings such as fear, sadness and anguish. Consolidated feelings were based on experiences faced by these women, making it difficult to exercise the maternal role in the neonatal intensive care unit. Conclusion: data from this research signaled at the lack of maternal protagonism considered important by the theory used, so that the bond between mother and child is established in the neonatal intensive care unit.
Do que não floresce em tempos de violação aos direitos das mulheres: uma leitura de Hibisco Roxo, de Chimamanda Ngozi Adichie
Authors: Gomes Márcia Letícia , Barbosa Xênia de Castro
Published: November 2019

RESUMO Numa Nigéria entrecortada por sucessivos golpes de Estado em que se fazem notar as consequências da colonização nos hábitos e, especificamente, nas crenças religiosas, Chimamanda Ngozi Adichie ambienta seu romance Hibisco Roxo, no qual a narração autodiegética de Kambili permite entrar em contato com a violência doméstica em seus episódios mais duros até o desfecho que surpreende e marca a ruptura daquela família com a situação de abuso de poder praticado pelo pai. Hibisco Roxo é uma ficção histórica que permite ao leitor conhecer a situação política vivenciada na Nigéria, a repressão aos meios de comunicação que ousavam fazer denúncia e o cotidiano de duas famílias que vivem situações opostas: a riqueza e a violência que caracterizam o lar de Kambili e que são problematizadas apenas quando ela nota que, no lar de sua prima, Amaka, apesar de, em alguns momentos, faltar o essencial para uma vida digna, sob o ponto de vista material, havia algo precioso: a liberdade de pensamento e de discussão de ideias, elementos que serão explorados com mais vagar ao longo do artigo.
Coaching as a strategy for the health promotion of the elderly: a systematic review
Authors: Casadei Graciele Reinert , Silva Eraldo Schunk , Oliveira Leonardo Pestillo de , Bennemann Rose Mari
Published: November 2019

Abstract Objective: To evaluate the effect of the application of coaching on the health promotion of the elderly. Method: A systematic review was performed in the PubMed, MEDLINE and SciELO databases. The selection of articles followed the PRISMA guidelines, and the articles were published from 2008 to July 2018. The following descriptors were used: aged (idoso, anciano), elderly (idoso, anciano), coaching (tutoria, tutoría), mentoring (tutoria, tutoría) and health promotion (promoção da saúde, promoción de la salud). Boolean operators were used for all databases: (coaching OR mentoring) AND (health promotion) AND (aged OR elderly); (idoso) AND (tutoria OR coaching) AND (promoção da saúde); (anciano) AND (tutoría OR coaching) AND (promoción de la salud). Results: The final analysis included three articles. These evaluated coaching tools for changes in lifestyle and the reduction of health risks for the elderly. The results were positive, with a significant improvement in the quality of life (mental and physical), health status, goal attainment, self-efficacy and increased immunization of the evaluated elderly persons. Conclusion: The use of coaching in health promotion in elderly is still incipient, however, based on the results, health coaching proved to be an effective strategy to enable the elderly to reach the maximum potential of self-management in health.
(End of) Life spaces: an ethnographic study in Brazilian and French homes and medical-social institutions
Authors: Cordeiro Franciele Roberta , Kruse Maria Henriqueta Luce
Published: November 2019

Abstract Objective: To analyze the constitution of homes and medical-social establishments as possible spaces for the end of life in Brazilian and French scenarios. Method: An ethnographic study in homes and medical-social establishments carried out in Porto Alegre and Grenoble, between October 2014 and October 2016. Participants were six people with end-of-life cancer and four family caregivers. Data was submitted to cultural analysis. Results: We showed how the (re)configurations of the home space and the medical-social establishments occur to receive people at end-of-life stage by two categories: "They don’t know where I live": the home as a space for the end of life and "They are good here, but in another way": care in medical-social settings. Conclusions: The (re)definition of the space where we die takes place based on the culture, besides the social and economic conditions of the families to receive the person at the end of life. In both spaces, home and medical-social establishments, we found that sickness and the end of life are still cross-permeated and signified according to the knowledge of health, in such a way that it continues to medicalize death and the dying process, even outside the hospital.
LEITURA, LINGUAGEM E SABER: REFLEXÕES A PARTIR DA ANÁLISE DISCURSIVA DE DOIS TEXTOS NO CONTEXTO DA EDUCAÇÃO EM CIÊNCIAS
Authors: MACHADO IARA MARES , GIRALDI PATRICIA MONTANARI
Published: November 2019

RESUMO: Neste trabalho apresentamos alguns sentidos sobre leitura e linguagem e analisamos discursivamente dois textos que falam sobre peixes, a partir de diferentes saberes e contextos sociais e históricos. O objetivo foi apontar contribuições da análise discursiva e do trabalho com diferentes saberes para a educação em ciências. O primeiro texto analisado é uma narrativa Kamayurá escrita por Leonardo Boff e o segundo é uma estória de Rachel Carson traduzida por Antônio Salatino. Ambos foram analisados a partir da análise de discurso, com contribuições de estudos sociais da ciência e tecnologia, estudos antropológicos e sobre (de)colonialidade na educação em ciências. Concluímos que a leitura discursiva pode potencializar as discussões sobre circulação e legitimação de saberes na sociedade e que a ambivalência da linguagem e as condições de produção dos textos podem contribuir nos questionamentos sobre determinismo e colonialidade do saber nas ciências e na educação.
La gestión del posicionamiento analítico de la ciudad como herramienta de marketing urbano: caso ciudad de Matanzas, Cuba
Authors: Veiguela Yanlis Rodríguez , Sandoval José Armando Pancorbo , Díaz Jensy Tanda , García Roberto Carmelo Pons , Ricardo Sonia Emilia Leyva
Published: November 2019

Resumen La creciente rivalidad entre ciudades en el escenario actual marca nuevos retos en la planificación urbana, asumiendo el marketing urbano un rol fundamental, donde aspectos como la competitividad y el posicionamiento se favorecen. Este estudio propone determinar el posicionamiento analítico de una ciudad relacionando aspectos de competitividad y el constructo identidad-comunicación-imagen urbana. Se analizan: (i) la competencia y sus niveles; (ii) su imagen, considerando los índices de valoración e importancia y la correspondencia entre identidad e imagen urbanas; (iii) los atributos identificativos y la posición competitiva. Se utilizaron métodos cualitativo-cuantitativos, destacándose en ellos: la entrevista en profundidad, el método clúster, los índices de valoración e importancia de la imagen urbana, el ideograma e imaograma, la matriz importancia-valoración, y el mapa de posicionamiento. Por este motivo, se identificaron 12 ciudades competidoras de la ciudad de Matanzas, Cuba. Siendo agrupadas en tres niveles de competidores: superior, inferior y semejante. Se evaluó el posicionamiento respecto a los competidores superiores (La Habana, Cienfuegos, Trinidad, Camagüey, y Santiago de Cuba). Se determinaron como atributos identificativos: aspecto físico, patrimonio histórico, y oferta turística. El mapa de posicionamiento evidenció que Matanzas tiene una posición similar a Camagüey y Santiago de Cuba, diferente con Cienfuegos, y opuesta a La Habana y Trinidad.
Fórum Intersindical de Formação em Saúde-Trabalho-Direito: uma comunidade ampliada de pares para caminhar na saúde do trabalhador
Authors: Santos Ana Paula Menezes Bragança dos , Vasconcellos Luiz Carlos Fadel de , Caldas Jacqueline Wilhelm , Aguiar Luciene , Bonfatti Renato José
Published: November 2019

Resumo Introdução: a experiência relatada diz respeito às iniciativas desenvolvidas pelo Fórum Intersindical de Formação em Saúde-Trabalho-Direito para a Ação em Saúde do Trabalhador (ST), no Rio de Janeiro, no período de agosto de 2015 a outubro de 2017. O Fórum é um espaço de articulação entre instituições públicas e o movimento sindical cujas iniciativas compreendem reuniões ordinárias e extraordinárias, grupos de trabalho, boletim informativo, cursos de formação intersindical, seminários, encontros e oficinas. Objetivo: descrever a discutir a atuação do Fórum como instrumento de análise e consolidação da saúde do trabalhador. Métodos: organizado enquanto comunidade ampliada de pares, o Fórum foi analisado a partir de três vertentes: um estudo empírico sobre a percepção dos participantes, utilizando-se o método SWOT/FOFA, revisão bibliográfica e análise de documentos produzidos no seu âmbito. Resultados: evidenciaram-se obstáculos, avanços, desafios e resultados relacionados a sua dinâmica de funcionamento e contribuição à implementação da saúde do trabalhador. Conclusão: os resultados demonstraram a relevância e viabilidade do Fórum enquanto comunidade capaz de contribuir para a difusão e consolidação da área de saúde do trabalhador no Brasil.