bluuebunny/crossref_metadata_2025 huggingface dataset:
Behavioral aspects of Santa Inês sheep kept in pasture in a tropical rainforest climate
Authors: Manno Maria Cristina , Rodrigues Luiz Fernando de Souza , Lima Kedson Raul de Souza , Carvalhal Monique Valéria de Lima , Rodrigues Filho Silas Santiago , Costa Gleyce Lopes da , Monteiro Ailime Nayara Gomes , Barreto Andrea do Nascimento
Published: February 2019

ABSTRACT: This study aimed to evaluate behavioral aspects of Santa Inês sheep in pasture in humid tropical climate. In order to do so, nine Santa Inês sheep were kept on pasture, exposed to the climate directly, without shade, for 24 days, with 12 alternate days in each period (dry and raining) in 2015. The behavioral parameters evaluated were: food consumption, standing idleness, lying idle and rumination. Observations occurred from 08:00 A.M. to 05:55 P.M. The experimental was a completely randomized design (CRD) with two treatments (rainy season and dry period), nine replications, one animal per experimental unit. To understand the correlations of the behavioral parameters with the climatic variables, Pearson’s correlation was performed. Approximate average values between the rainy and dry periods for the behavioral variables were observed, but there was a greater intake in the volume of water in the dry period (9.59L/sheep). Also, there were significant differences in the behavior of the animals throughout the day. In the hottest time of the day, at 02:00 P.M., there was standing idle of 25.83min., lying idle of 1.21min., and spent less time-consuming food (27.08min.) in relation to other schedules. We concluded that the sheep had similar behavioral parameters in the rainy and dry periods, but when we observe the times of the days, the behaviors are different. The main activity recorded was grazing, and the variables, temperature and relative humidity of the air influence differently between the seasons, being more marked in the dry period.
Development of a fruit smoothie with solid albumen of green coconut
Authors: Teixeira Nátali Silva , Torrezan Renata , Freitas-Sá Daniela De Grandi Castro , Pontes Sérgio Macedo , Ribeiro Leilson de Oliveira , Cabral Lourdes Maria Correa , Matta Virgínia Martins da
Published: February 2019

ABSTRACT: The present study aimed to develop a mixed smoothie drink using the solid albumen of the green coconut in its composition. Smoothie formulations were prepared following an experimental design, setting the solid albumen concentration at 20% and varying the contents of the acerola (Barbados Cherry), pineapple, and coconut water pulps, which corresponded to 80% of the total mass of the product. Response parameters evaluated were vitamin C content, antioxidant capacity, and overall sensory acceptance. Ten formulations were evaluated. The ones that contained higher concentrations of acerola pulp had higher values of bioactive compounds but were not the most sensorially accepted. By means of the desirability function, a final formulation consisted of 52.8% of pineapple, 27.2% of acerola, and 20.0% of solid albumen of green coconut. This new formulation was well accepted, with a grade (score) 7 (“good”). It represents a good nutritional contribution and a source of vitamin C which can contribute to add value to a co-product of the beverage industry.
Wobbly syndrome in an Africa pygmy hedgehog (Atelerix albiventris): neuropathological and immunohistochemical studies
Authors: Oliveira Letícia Batelli de , Moreira Matheus Vilardo Lóes , Santos Willian Henrique de Magalhães , Stuart Líslie Caroline Oliveira , Castro Maria Dolors Pi , Balle Martí Pumarola , Ecco Roselene
Published: February 2019

ABSTRACT: A three-year-old female African pygmy hedgehog (Atelerix albiventris), born and domiciled in Brazil, presented apathy, prostration, and difficulty to stay standing. Its parents were siblings but did not present clinical signs related to this condition. As its clinical condition worsened, the animal was euthanized and referred for necropsy. No gross lesions were found in the central nervous system (CNS). Histologically, there was vacuolation with axonal degeneration in the white matter of the CNS and in peripheral nervous tissue. The Kluver-Barrera (KB) stain confirmed demyelination in vacuolated areas. Immunohistochemistry using several neural markers confirmed astrocytosis and microgliosis associated with vacuolated areas. In addition, there was a mild decrease in the immuno intensity of myelin proteolipid protein (PLP) in these areas. These results suggest a genetic origin of the present demyelination, which resulted in the wobbly syndrome described in this report.
Genotyping of South American clinical isolates of Pythium insidiosum based on single nucleotide polymorphism-based multiplex PCR
Authors: Weiblen Carla , Azevedo Maria Isabel de , Ianiski Lara Baccarin , Stibbe Paula Cristina , Pereira Daniela Isabel Brayer , Zanette Régis Adriel , Sangioni Luís Antônio , Rivero Rodolfo , Santurio Janio Morais , Botton Sônia de Avila
Published: February 2019

ABSTRACT: We aimed to genotype the South American clinical isolates of Pythium insidiosum using the single nucleotide polymorphisms (SNP) of the ribosomal DNA sequences (rDNA). Previously, an SNP-based multiplex-PCR was able to distinguish three different clades of P. insidiosum isolates. Thus, we used this assay to evaluate South American clinical isolates of P. insidiosum (n=32), standard strains from Costa Rica (n=4), Thailand (n=3), Japan (n=1), and India (n=1), a standard strain of Pythium aphanidermatum, and Brazilian environmental isolates of Pythium torulosum, Pythium rhizo-oryzae and Pythium pachycaule voucher (n=3). It was possible to allocate each American P. insidiosum isolate to clade I, the isolates of India, Japan, and Thailand to clade II, and the Thai isolate to clade III. P. aphanidermatum, P.torulosum, P.rhizo-oryzae and P.pachycaule voucher isolates were not amplified. For the first time, a P. insidiosum isolate from Uruguay, South America, was included in molecular analyzes. By SNP-based multiplex-PCR, it was possible to perform the identification and genotyping of the South American isolates of P. insidiosum, demonstrating similar genetic characteristics of these isolates.
HIGIENE DAS MÃOS E PREVENÇÃO DA INFLUENZA: CONHECIMENTO DE DISCENTES DA ÁREA DA SAÚDE
Authors: Amorim Catarina de Siena Vieira , Pinheiro Isabella Ferreira , Vieira Vitória Geovana Silva , Guimarães Rafael Alves , Nunes Patrícia Silva , Marinho Tamíris Augusto
Published: February 2019

RESUMO Objetivo: descrever e analisar o conhecimento de discentes da área da saúde sobre higiene das mãos e a prevenção e transmissão do vírus influenza. Método: estudo transversal conduzido em discentes de dois campus de formação na área da saúde do Instituto Federal de Goiás, realizado nos meses de janeiro e fevereiro de 2017. Foram atribuídos escores para avaliação do nível de conhecimento em relação a higiene das mãos (componente 1), prevenção e transmissão do vírus influenza (componente 2) e ambos os componentes (componente global). Resultados: participaram da pesquisa 262 discentes. Foi encontrado maior percentual de erro nos questionamentos envolvendo transmissão do vírus influenza, compartilhamento de objetos de uso pessoal e manutenção de ambientes ventilados. O estudo evidenciou ainda falhas no conhecimento referente à higiene das mãos, momentos preconizados para sua realização, e alguns aspectos da técnica. Os escores médios de conhecimento foram de 83,9% (IC 95%: 82,6 a 85,2), 86,2% (IC 95%: 84,4-87,9) e 82,8% (IC 95%: 81,3-84,2) para os componentes 1, componente 2 e componente global, respectivamente. Conclusão: o estudo identificou lacunas no conhecimento dos discentes sobre a higiene das mãos, prevenção e transmissão do vírus influenza, apontando para a importância da abordagem dos conteúdos na prática de ensino e formação de futuros profissionais de saúde.
PARENTALIDADE DE PAIS DE RECÉM-NASCIDOS HOSPITALIZADOS POR SÍFILIS CONGÊNITA À LUZ DA TEORIA DAS TRANSIÇÕES
Authors: Guimarães Marcelle Sampaio de Freitas , Santos Inês Maria Meneses dos , Silva Laura Johanson da , Christoffel Marialda Moreira , Silva Leila Rangel da
Published: February 2019

RESUMO Objetivo: compreender a vivência de transições na parentalidade de pais que tiveram um filho recém-nascido hospitalizado por sífilis congênita. Método: estudo qualitativo realizado com treze mães e quatro pais de recém-nascidos hospitalizados por sífilis congênita, no alojamento conjunto e unidade neonatal de um hospital universitário do Rio de Janeiro, entre setembro de 2014 e maio de 2015, utilizando o método Narrativa de Vida e a análise temática. Resultados: no tema “descobrir-se mãe/pai de um filho recém-nascido com sífilis congênita e o impacto do diagnóstico na construção da parentalidade” verificou-se que os pais tinham a consciencialização de que o filho poderia ser hospitalizado por sífilis congênita, emergindo a culpa pela transmissão vertical da sífilis e o medo de sofrer estigmas. No tema “vivência de transições na parentalidade em face da hospitalização do filho com sífilis congênita”, identificou-se que a parentalidade foi uma experiência considerada boa, feliz e de superação, todavia a hospitalização do filho desencadeou sofrimento e estresse. O apoio dos familiares e os cuidados da enfermagem foram aspectos facilitadores da transição na parentalidade, que proporcionaram aos pais novos conhecimentos e reformulação de suas identidades. Conclusão: constatou-se que os enfermeiros têm um papel essencial no cuidar de pais que vivenciam transições na parentalidade devido à hospitalização do filho por sífilis congênita, fortalecendo o vínculo mãe-pai-recém-nascido, empoderando os pais para o cuidado parental e para prevenir a reinfecção da sífilis.
Genetic diversity in natural populations of Hancornia speciosa Gomes: Implications for conservation of genetic resources
Authors: Fajardo Cristiane Gouvêa , Costa Daniel Ferreira da , Chagas Kyvia Pontes Teixeira das , Vieira Fábio de Almeida
Published: February 2019

ABSTRACT The continuing fragmentation of forests has been a threat to the maintenance of genetic resources. Genetic diversity is fundamental to the survival of species in natural environments in the long term, as well as being the basis for genetic improvement. The objective of this study was to evaluate the genetic diversity in natural populations of Hancornia speciosa and to contribute to the development of conservation strategies. We sampled 105 individuals of H. speciosa, distributed in seven populations. The ISSR (Inter-Simple Sequence Repeat) markers provided 70 loci, of which 81% were polymorphic. The mean genetic diversity of Nei (h) was 0.19, and the Shannon index (I) was 0.27. The h and I diversity indices ranged respectively from 0.16 to 0.24 in the PAD (Parque das Dunas) population and from 0.21 to 0.29 in MAC (Macaíba) population. Resulting from a Bayesian analysis, the genotypes were divided into four groups (K = 4). The allelic diversity patterns observed indicated the occurrence of the genetic bottleneck in all populations, according to the stepwise mutation model (SMM). The infinite allele model (IAM) revealed an imbalance between mutation and genetic drift only in the PAD population. Genetic conservation strategies for H. speciosa should cover each genetic group that was differentially structured. We recommend in situ conservation and the creation of germplasm banks, especially with the PAD population which demonstrated the lower genetic diversity and decreased effective population size according to the two mutational models.
Culture media for the multiplication of wild Manihot species
Authors: Sá Jucieny Ferreira de , Sampaio Emília dos Santos , Mendes Maria Inês de Souza , Santos Karen Cristina Fialho dos , Sousa Antônio da Silva , Ledo Carlos Alberto da Silva
Published: February 2019

ABSTRACT The cassava propagation system is slow and favors disease transmission through successive generations. Micropropagation is an alternative to overcome the aforementioned limitations, besides allowing the generation of a larger number of pest- and pathogen-free plants. Therefore, the aim of the present study is to investigate the effect of culture media on the multiplication in vitro of five wild Manihot species. The experiment followed a completely randomized design, at factorial arrangement 5 (wild Manihot species) x 6 (culture media), with 11 repetitions. Explants consisted in nodal segments (91 cm long and one lateral bud) of species Manihot flabellifolia, M. tristis, M. caerulescens, M. chlorosticta and M. jacobinensis, which were extracted in vitro from the collection of wild cassava species. One segment was placed in each test tube added with 10 mL of MS media 0.01, 17N, 12A3, 4E, 8S and WPM, and kept for 90 days in growth room under 30 μmol m-2 s-1irradiance, temperature 27 ± 1 °C and 16h photoperiod. Variables plant height (cm), number of green leaves, number of senescent leaves, number of shoots, number of microcuttings, fresh and dry shoot mass, fresh and dry root mass (mg) and callus mass (mg) were analyzed. Our results showed that the culture medium 12A3 was not responsive to any of the species; however, if one takes into consideration variables plant height and number of microcuttings, this medium can possibly be used in the micropropagation of other wild species belonging to genus Manihot.
Mapping land use capability in tropical conditions adapting criteria to different levels of agricultural management
Authors: Taveira Luís Renato Silva , Menezes Michele Duarte de , Teixeira Anita Fernanda dos Santos , Curi Nilton
Published: February 2019

ABSTRACT Land use capability is one of the most widespread technical-interpretative classification systems, however, regional adaptations may be necessary because different attributes may affect it. For these adaptations, the Minas Gerais soil map was used as the starting point for this study. The criteria to define the land use capability were adapted to management levels with small (level A) and medium (level B) application of capital and modern technology (level C). The aim of the present study was to map land use capability for Minas Gerais state, Brazil, following the criteria adapted to different levels of management and measure the accuracy of the resulting maps. The system of land use capability is widely used by INCRA in evaluations of rural properties. Erosion criterion was replaced by erodibility. The information was handled in a geographic information system. For validation, soil profiles from regional pedological surveys were sampled, classified, and its land use capability was compared to the land use capability shown on the map according to the different management levels. In spite of the small scale of the soil map, the maps of land use capability exhibited adequate accuracy: 73% (management level A), 71% (B), and 50% (C). Therefore, it can be applied in initial phases of regional planning studies, in which the level of details required is reduced (for example, in ecological-economic zoning). More detailed analyses still depend on detailed field surveys, as advocated by the system of land use capability.
PROTOCOL FOR TREATING ACUTE INFECTIONS IN CASES OF TOTAL KNEE ARTHROPLASTY
Authors: Pecora Jose Ricardo , Lima Ana Lucia Munhoz , Helito Camilo Partezani , Gobbi Riccardo Gomes , Demange Marco Kawamura , Camanho Gilberto Luis
Published: February 2019

ABSTRACT Objective: To retrospectively evaluate the results after applying a protocol for treating acute infections in cases of total knee arthroplasty and to establish factors predictive of success or failure. Methods: Thirty-two patients who were diagnosed with acute infection of the knee following total arthroplasty between 2004 and 2009 were retrospectively evaluated. Infections following arthroplasty were treated in accordance with the protocol for acute infections following arthroscopy recommended at our institution. Results: With application of a treatment protocol for acute infections following total knee arthroplasty, 26 patients (81.2%) had good results and 6 (18.8%) had unsatisfactory results. Statistical analysis showed that the variables correlated with a worse prognosis were age (p = 0.038) and number of surgical debridement procedures performed (p = 0.038). Conclusion: Our treatment routine was effective for infection. Prosthesis revision was performed in 2 cases when the initial surgical debridement failed to control the infection. Nível de Evidência IV, Série de casos.
DIAGNOSIS AND MANAGEMENT OF PAGET'S DISEASE OF BONE - SERIES OF 8 CASES
Authors: Oliveira Felipe Augusto Kazan de , Pinto Fábio Fernando Eloi , Sardenberg Trajano , Pereira Gilberto José Cação , Curcelli Emílio Carlos , Penna Valter
Published: February 2019

ABSTRACT Paget's disease of bone is a chronic condition characterized by focal abnormalities of absorption and formation of bone, and it may lead to anatomical deformities, pain, fractures, and malignant transformation. It is common in the UK, Australia, New Zealand, and North America and has a strong hereditary component, affecting first- to third-degree relatives. The etiology remains unclear and treatment is based on control of the disease with bisphosphonates, with the aim of relieving symptoms and correcting laboratory abnormalities. Surgical treatment may also be necessary to correct deformities or treat pathological fractures. This study evaluated the management and course of 8 patients with Paget's disease of bone, followed in the Orthopedic Clinic of this hospital. Among these patients, 1 had concomitant advanced prostate carcinoma, highlighting the association between Paget's disease and secondary bone diseases that can affect the differential diagnosis. Level of evidence IV, Study type: Case Series.
PREOPERATIVE ANALYSIS OF RADIOGRAPHIC FINDINGS IN 516 PATIENTS WITH HALLUX VALGUS DEFORMITY
Authors: Götze Marco , Hasmann Sandra Elisabeth , Hofmann Ulf Krister , Walter Christian , Mittag Falk
Published: February 2019

ABSTRACT Objective: This is a descriptive study to report our method of operative correction for patients with hallux valgus deformities. Methods: From 2006 to 2012, 516 consecutive patients (601 feet) with hallux valgus deformities were treated surgically in our department after conservative treatments were exhausted. The hallux valgus angle, intermetatarsal angle, distal metatarsal articular angle, and degree of osteoarthritis in the first metatarsophalangeal joint were measured on preoperative plain radiographs of the weight-bearing forefoot. Results: Young patients with severe intermetatarsal deviation received a combined proximal and distal osteotomy of the first metatarsal (n = 21). Patients with low intermetatarsal deviation received a distal metatarsal chevron osteotomy (n = 196), whereas patients with severe intermetatarsal deviation and less flexible deformities without osteoarthritis received a basal metatarsal osteotomy with a distal soft tissue procedure (n = 173). Elderly active patients with osteoarthritis in the first metatarsophalangeal joint received an arthrodesis (n = 100) or resection arthroplasty (n = 58). Conclusion: Determining a few simple angles on plain radiographs of the weight-bearing forefoot in combination with the age and level of activity of patients can help simplify the operative correction method by using the schema we developed. Level of evidence IV, case series.
POSTEROLATERAL ARTHRODESIS AND INTERBODY ARTHRODESIS FOR LUMBAR CANAL STENOSIS
Authors: Nascimento Oswaldo Roberto , Asano Leonardo Yukio Jorge , Machado André Nunes , Cesar André Evaristo Marcondes , Rodrigues Luciano Miller Reis
Published: February 2019

ABSTRACT Objectives: To compare the clinical outcomes and quality of life of patients surgically treated for lumbar spinal stenosis with decompression and posterolateral fusion, and decompression with interbody fusion. Methods: The study included 88 patients with lumbar canal stenosis who underwent surgery treatment (decompression and interbody fusion in 36 patients and decompression and posterolateral fusion [PL] in 52 patients). The clinical outcomes were assessed using the Oswestry Disability Index (ODI), Roland-Morris (RM) functional disability scale, and visual analog scale (VAS) for pain. These questionnaires were administered preoperatively and 1 month, 6 months, 1 year, and 2 years postoperatively. Results: Eighty-eight patients had surgery 2 years prior. The ODI and RM scale scores showed significant differences in the posterolateral group. In the interbody group, the ODI score showed a significant change only from before to 1 and 2 years after surgery. The VAS score significantly changed only from before to after surgery in the posterolateral group, but in the interbody group, the change was also observed at 1 month and 1 year after surgery. Conclusions: The two techniques are effective surgical treatment options for lumbar canal stenosis as long as they are well indicated. Level of evidence III, Comparative prospective case-control study.
VALIDITY AND RELIABILITY OF THE MANCHESTER SCALE USED IN THE ORTHOPEDIC EMERGENCY DEPARTMENT
Authors: Andrade-Silva Fernando Brandão , Takemura Renan Lyuji , Bellato Renato Tavares , Leonhardt Marcos de Camargo , Kojima Kodi Edson , Silva Jorge dos Santos
Published: February 2019

ABSTRACT Objectives: To describe the clinical utility of the Manchester triage scale adapted for orthopedic emergency departments and to evaluate its validity in identifying patients with the need for hospital care and its reliability when reproduced by different professionals. Methods: Five triage flowcharts were developed based on the Manchester scale for the following orthopedic disorders: traumatic injuries, joint pain, vertebral pain, postoperative disorders, and musculoskeletal infections. A series of patients triaged by two orthopedists was analyzed to assess the concordance between the evaluators (reliability) and the validity of the Manchester scale as predictive of severity. Results: The reliability analysis included 231 patients, with an inter-observer agreement of 84% (Kappa = 0.77, p <0.001). The validity analysis included 138 patients. The risk category had a strong association with the need for hospital care in patients with trauma (OR = 6.57, p = 0.001) and was not significant for non-traumatic disorders (OR = 2.42; p = 0.208). The overall sensitivity and specificity were 64% and 76%, respectively. Conclusion: The evaluated system presented high reliability. Its validity was adequate, with good sensitivity for identifying patients requiring hospital care among those with traumatic lesions. However, the sensitivity was low for patients with non-traumatic lesions. Level of Evidence III, Retrospective Study.
Insatisfação com os serviços odontológicos entre idosos brasileiros dentados e edentados: análise multinível
Authors: Souza João Gabriel Silva , Oliveira Bárbara Emanoele Costa , Lima Carolina Veloso , Sampaio Aline Araujo , Noronha Mayara dos Santos , Oliveira Renata Francine , Ferreira Efigênia Ferreira e , Martins Andrea Maria Eleutério de Barros Lima
Published: February 2019

Resumo Avaliou-se a insatisfação com os serviços odontológicos entre idosos brasileiros dentados e edentados e sua associação com variáveis contextuais e individuais. Foram utilizados os dados do Levantamento Nacional de Saúde bucal realizado em 2010 e dados contextuais referentes aos municípios. Análises descritivas, bivariadas e multinível foram realizadas. Incluiu-se 1.989 idosos. Destes, 11,2% dos idosos dentados e 22,1% dos edentados estavam insatisfeitos. Entre os dentados, a insatisfação foi associada com variáveis contextuais (localização do município, índice de desenvolvimento humano, Índice de GINI, presença de Centro de Especialidades Odontológicas e cobertura das equipes de saúde bucal) e individuais pertencentes à atenção à saúde e condições de saúde bucal. Para os idosos edentados, não foi identificado associação com variáveis contextuais. Apenas o motivo do uso do serviço e a satisfação com dentes e boca foram associados. Identificou-se uma prevalência considerável de insatisfação com os serviços, sendo maior entre os idosos edentados. Entre os idosos dentados, foi observado associação com variáveis contextuais.
Análise epistemológica dos conhecimentos científicos sobre Toxocara sp. com ênfase na infecção humana
Authors: Marques Silvia Rafaelli , Alves Leucio Câmara , Faustino Maria Aparecida da Glória
Published: February 2019

Resumo Este artigo objetivou analisar a evolução do conhecimento sobre Toxocara sp. em seu aspecto zoonótico por meio de dados científicos entre os anos de 1996 a 2015 utilizando a epistemologia como ferramenta. A análise epistemológica da evolução do conhecimento sobre o aspecto zoonótico de Toxocara sp. no Brasil demonstrou que, de uma maneira geral, foram agregadas poucas novas informações as quais tiveram, ao longo do período estudado, absorção lenta, descontínua, e não foram inseridas na realidade social do ponto de vista de Saúde Pública.
Comprensión de la ciencia al servicio y cuidados de la salud y alteración mental
Authors: Marulanda Flor Ángela Tobón , Arroyave Cristian David Londoño
Published: February 2019

Resumen Los cuidados de la salud y de la alteración mental, desde la atención primaria en salud, son un derecho ineludible. El objetivo fue indagar testimonios de usuarios de servicios de atención en salud sobre la actitud y práctica asistencial. Estudio cualitativo hermenéutico de casos. Hallazgos, se infiere la crisis relativa de la falta de aplicación de la política pública y de motivar aprendizajes significativos en función de su mayor o menor potencialidad, conexa a la construcción de subjetividades. Conclusiones, se requiere reflexión profunda de la mutación del significado y sentidos del servicio y cuidados a la salud y alteración mental, máxime la re-significación de lo humano y de lo psicoafectivo del paciente por los actores involucrados del servicio asistencial de forma holística sistemática. Unido al servicio farmacéutico en equipo intersectorial, en la búsqueda de un tratamiento alternativo cognitivo de entrenar el cerebro como productor de sustancias endógenas que fortalece el equilibrio entre la mente-emociones y lo orgánico, por el bienestar individual y social; y usar psicofármaco sólo cuando sea necesario.
Validade e concordância do diabetes mellitus referido em idosos
Authors: Menezes Tarciana Nobre de , Oliveira Elaine Cristina Tôrres
Published: February 2019

Resumo Este estudo teve como objetivo verificar a validade e a concordância do relato de diabetes mellitus (DM) na população idosa do município de Campina Grande/PB. Trata-se de um estudo transversal, domiciliar, realizado com 362 idosos de 60 anos ou mais de idade cadastrados na Estratégia Saúde da Família do município de Campina Grande/PB. Para verificar a validade e confiabilidade do relato foi realizado o cálculo de sensibilidade, especificidade e valores preditivos positivo (VPP) e negativo (VPN) em relação às variáveis demográficas e socioeconômicas. Utilizou-se o teste Kappa para verificar a concordância entre o diagnóstico e o relato da doença. Entre os participantes deste estudo, 67,4% eram mulheres. Foi verificada prevalência de DM diagnosticado de 14,1% e de DM referido de 18,1%. Foi observada moderada sensibilidade (58,8%), excelente especificidade (87,8%), moderado VPP (44,8%) e excelente VPN (92,7%), além de concordância moderada do relato de DM (Kappa = 0,413; p < 0,001). Observou-se neste estudo que devido à moderada validade e concordância do relato do DM entre os idosos, não é aconselhável que o DM referido seja utilizado como indicador de prevalência da doença na população estudada.
Autopercepção da saúde entre adultos e idosos usuários da Atenção Básica de Saúde
Authors: Lindemann Ivana Loraine , Reis Natasha Rodrigues , Mintem Gicele Costa , Mendoza-Sassi Raúl Andrés
Published: February 2019

Resumo Com o objetivo de avaliar a autopercepção negativa da saúde entre usuários da atenção básica de saúde, foi realizado um estudo transversal com 1246 adultos e idosos, de ambos os sexos, em Pelotas, RS. A prevalência da autopercepção negativa da saúde foi referida por 41,6% dos entrevistados. As mulheres, aqueles que não estavam trabalhando, que referiram diagnóstico de três ou mais doenças crônicas não transmissíveis, que estavam em insegurança alimentar e não praticavam atividade física relataram em maior proporção, a autopercepção negativa da saúde. Enquanto que os usuários com no mínimo o ensino superior e aqueles cujos domicílios tinham quatro ou mais moradores foram menos predispostos ao desfecho. A elevada prevalência de autopercepção negativa da saúde nessa população, bem como as associações encontradas, indicam a necessidade de maior entendimento sobre a influência desses fatores na procura pelo atendimento e, consequentemente, na adesão ao tratamento.
O controle social em saneamento e em saúde: análise comparativa com base nos marcos legais federais brasileiros
Authors: Souza Cezarina Maria Nobre , Heller Léo
Published: February 2019

Resumo A comparação entre os marcos legais federais brasileiros das áreas de saúde e de saneamento, sob a perspectiva do controle social, é o fio condutor deste trabalho, tendo em vista o pioneirismo da primeira e sua possível influência sobre a segunda. O esforço comparativo foi realizado a partir de seis critérios analíticos: mecanismos de controle social definidos; caráter conferido ao controle social; responsabilidade, recomendações e apoio para viabilizar o controle social; acesso à informação; controle sobre o uso dos recursos; controle da implementação das deliberações. Avaliaram-se possibilidades de o marco do saneamento se beneficiar das formulações no campo da saúde e lograr produzir práticas mais efetivas de controle social na condução dessa política pública. Os resultados revelam que, mesmo tendo recebido alguma influência da área de saúde, o marco do saneamento é mais restrito e tem menor potencialidade de produzir práticas mais efetivas, uma vez que apresenta: 1) mecanismos mais restritivos por não serem necessariamente deliberativos; 2) ausência de uma política de formação de conselheiros e de educação popular como incentivo e fortalecimento ao controle social; 3) ausência de mecanismos efetivos voltados para a fiscalização do uso dos recursos.
Bienestar psicológico en las personas mayores no dependientes y su relación con la autoestima y la autoeficacia
Authors: Mesa-Fernández María , Pérez-Padilla Javier , Nunes Cristina , Menéndez Susana
Published: February 2019

Resumen Este estudio tuvo como objetivo examinar las relaciones entre el bienestar psicológico, la autoeficacia para envejecer y la autoestima en personas mayores de 60 años no dependientes. Han participado 148 personas con edades comprendidas entre 60 y 96 años, completando una batería de instrumentos relacionados con la autonomía, el grado y tipo de actividad, la autoeficacia para afrontar el proceso de envejecimiento, la autoestima y el bienestar psicológico. Los resultados indican que el bienestar psicológico no está asociado con la edad, sino con un conjunto de factores de corte psicológico. En concreto la percepción de la salud, las actividades físico-deportivas, la autoeficacia para envejecer, la autoestima y la autonomía se relacionan con el bienestar psicológico, aunque sólo los tres últimos indicadores lo explican. Por tanto la autoeficacia y la autoestima funcionan como promotores del bienestar físico, psicológico y social, de manera que resulta fundamental motivar la participación de los mayores en actividades físico-deportivas, recreativas, sociales y cognitivas promoviendo así su bienestar.
Metabolic risk factors clustering among adolescents: a comparison between sex, age and socioeconomic status
Authors: Guimarães Roseane de Fátima , Silva Michael Pereira da , Mazzardo Oldemar , Martins Rafael Vieira , Watanabe Priscila Iumi , Campos Wagner de
Published: February 2019

Abstract The aim was to compare the metabolic risk factors (MRF) between sex, age and socioeconomic status in a sample of adolescents from Curitiba, Brazil. A cross-sectional school-based study was conducted on 997 adolescents (429 boys) aged 12-17 years old from public schools. Total Cholesterol (TC), LDL-c, HDL-c, Triglycerides, Glycemia, Blood Pressure, waist circumference and body mass index were measured. Sex, age and socioeconomic status information was obtained using a questionnaire. Descriptive analyses, Fisher Exact and Chi-Square Tests were used to establish the sample's characteristics and the MRF comparison between variables. We found that 27.4% were classified as overweight/obese, almost half of them had TC and LDL-c classified as limitrophe/altered, with a difference between the sexes (p < 0.01), and that a higher percentage of altered values was seen among girls. The percentage of 3 and 4 or more MRF was 13.8% and 6.3%, respectively. In addition, 86.5% of the participants had at least one and 39.7% had at least two MRF. We conclude that there was a high percentage of overweight/obese, as well as a great number of subjects with altered TC and HDL-c. We also pointed out the large percentage of aggregated metabolic risk factors in both sexes. Strategies to reduce metabolic risk factors are required.
Jack Elinson (1917-2017) – o legado de um pioneiro
Authors: Nunes Everardo Duarte
Published: February 2019

Resumo O artigo analisa a formação e a carreira profissional de Jack Elinson (1917-2017), pioneiro no campo das ciências sociomedicas na introdução de seu ensino e pesquisa em uma faculdade de saúde pública, na Universidade de Columbia, onde trabalhou durante trinta anos (1956-1986). Suas contribuições estendem-se para os campos da psicologia social, estatística e sociologia médica, especialmente sobre indicadores de saúde e suas relações com a qualidade de vida. Em 1985 recebeu o Leo G. Reeder Award da American Sociological Association pelo conjunto de seus estudos no campo da sociologia médica. Com Renée Fox, Robert Straus, Eliot Freidson e outros compõe o grupo da segunda geração de cientistas sociais no processo de institucionalização da sociologia médica/saúde.
A luta dos povos indígenas por saúde em contextos de conflitos ambientais no Brasil (1999-2014)
Authors: Rocha Diogo Ferreira da , Porto Marcelo Firpo de Souza , Pacheco Tania
Published: February 2019

Resumo O modelo de desenvolvimento brasileiro, fortemente baseado na produção de commodities e em indústrias eletrointensivas para trocas nos mercados globais, gera desigualdades sociais e ambientais que desencadeiam diversos conflitos entre povos indígenas e grupos econômicos envolvendo disputas por terra e bens comuns em contextos que influenciam fortemente a situação de saúde dessas comunidades. O objetivo deste artigo é apresentar um panorama dos conflitos socioambientais envolvendo os povos indígenas brasileiros, suas estratégias para garantir o acesso e a qualidade do Subsistema de Atenção à Saúde Indígena (SASI), e alternativas que eles têm proposto para o enfrentamento dos problemas gerados. Esta análise se baseia em um mapeamento de conflitos ambientais baseado na revisão bibliográfica de fontes secundárias (do movimento indígena ou seus parceiros) que subsidiaram a construção de relatos sobre os conflitos e a análise das narrativas indígenas sobre o território onde vivem e suas lutas. A partir da qual concluímos que as estratégias de luta pela saúde dos povos indígenas brasileiros são influenciadas pelas suas disputas socioambientais e são parte das mobilizações desses povos pelo reconhecimento integral de direitos.
Medicamentos na amamentação: quais as evidências?
Authors: Raminelli Michele , Hahn Siomara Regina
Published: February 2019

Resumo A amamentação desempenha um papel fundamental nos benefícios para a saúde do recém-nascido e da nutriz. O uso de fármacos durante a amamentação é um tema relevante, visto a frequente necessidade de tratamento farmacológico no período pós-parto. O presente artigo teve como objetivo realizar revisão bibliográfica sobre a eficácia e a segurança dos medicamentos utilizados durante o período de amamentação. Foram consultadas as bases de dados PubMed (National Library of Medicine), Science Direct e Biblioteca Virtual em Saúde (BVS), nas línguas portuguesa, inglesa e espanhola, em artigos publicados no período de 1981-2016. Esta revisão discute o risco do uso de medicamentos na lactação e os efeitos que podem causar no lactente. Poucos fármacos são contraindicados e outros requerem cuidados devido ao risco de efeitos adversos em lactentes ou ainda na supressão do volume de leite materno. Portanto, a divulgação de informações atualizadas para o profissional de saúde avaliar adequadamente os riscos e os benefícios do uso de fármacos durante a amamentação é de vital importância e, dessa forma, contribui para evitar o desmame precoce.
Instrumentos ópticos em Proust
Authors: D'Agord Marta Regina de Leão , Kives Eduardo
Published: February 2019

Este trabalho toma, como chave de leitura para a obra Em busca do tempo perdido, de Marcel Proust, a função desempenhada pelos instrumentos ópticos à luz do conceito de paralaxe. Em nossa leitura da obra de Proust, a incidência da mudança de posição do observador sobre a percepção do fenômeno dialoga com os conceitos de realidade psíquica (Freud) e Real (Lacan). Os instrumentos ópticos, entre os quais a própria obra, servem antes para deformar do que como meio de acesso ao mundo. Assim, a realidade psíquica não provém de dados perceptivos, mas de constante releitura.
Diagnóstico em psicanálise: da estrutura ao discurso
Authors: Moreira Isa Gontijo , Teixeira Antônio M. R.
Published: February 2019

O presente artigo propõe uma investigação acerca da questão do diagnóstico diferencial no contexto da prática de orientação psicanalítica. Trata-se de uma pesquisa traçada diante de uma constatação clínica que se refere à operacionalidade do diagnóstico estrutural, um apontamento de uma perspectiva na qual a orientação do manejo clínico perpassa não pelo rigor classificatório preestabelecido, mas factualmente pela questão do sujeito em sua relação com o Outro, sua posição de discurso.
THE EFFECT OF BCAA ON ISOMETRIC FORCE FOLLOWING ENDURANCE EXERCISE IN A HOT ENVIRONMENT
Authors: Moraes Michele Macedo , Paulinelli-Júnior Reinaldo Teles , Teixeira-Coelho Francisco , Cançado Gustavo Henrique da Cunha Peixoto , Wanner Samuel Penna , Chagas Mauro Heleno , Soares Danusa Dias
Published: February 2019

ABSTRACT Introduction: Fatigue due to endurance exercise results from both peripheral and central changes, and may influence subsequent performance during a strength task. The increase in serotonin concentration is one of the central factors associated with endurance exercise-induced fatigue, particularly in hot environments. A nutritional strategy employed to reduce serotonergic activation is supplementation with branched-chain amino acids (BCAA). Objective: To investigate whether BCAA supplementation attenuates the reduction in isometric force caused by prior endurance exercise in a hot environment. Methods: Nine volunteers (aged 25.4 ± 1.2 years) performed a 2-min maximal voluntary isometric contraction (MVCISO) of upper limb muscles before and after an endurance exercise on a cycle ergometer at 40% of the maximal aerobic power. The volunteers underwent three experimental trials: 1) endurance exercise in a temperate environment (23°C and 60% RH); exercise in a hot environment (35°C and 60% RH) with the ingestion of: 2) a placebo solution or 3) a solution containing BCAA 30 mg.kg−1. During the MVCISO test, the isometric force of flexor muscles of the right elbow, core body temperature (TCORE) and heart rate (HR) were measured. Results: Isometric force decreased following endurance exercise in the hot environment, and BCAA administration did not attenuate this reduction. Greater TCORE and HR values were observed following endurance exercise in the heat, compared to pre-exercise values, and supplementation did not interfere with these physiological responses. Conclusion: The reduction in isometric force, caused by previous endurance exercise in a hot environment, was not diminished by supplementation with BCAA. Level of evidence I; Type of study: Therapeutic studies - Investigation of treatment outcomes.
BEHAVIORAL REGULATION IN SPORT QUESTIONNAIRE (BRSQ): USE IN YOUNG BRAZILIAN ATHLETES
Authors: Guedes Dartagnan Pinto , Caus Vilmar Aparecido , Sofiati Sandro Lucas
Published: February 2019

ABSTRACT Introduction: The Behavioral Regulation in Sport Questionnaire (BRSQ) was originally proposed in English in order to identify sports motivation regulations according to the self-determination theory. Objectives: To translate into Portuguese, to perform cross-cultural adaptation, and to examine the psychometric properties of the BRSQ in a sample of young Brazilian athletes. Methods: The original version was translated according to international recommendations. A panel of judges analyzed the translated versions of the questionnaire, using semantic, idiomatic, cultural and conceptual equivalence as analysis criteria. The final version of the translated questionnaire was administered in a sample of 1217 young athletes (410 girls and 807 boys) aged 12 to 17 years. An exploratory factor analysis was carried out to identify initial psychometric properties, followed by a confirmatory factor analysis. Cronbach's alpha coefficient was used to assess the internal consistency of each factor associated with the BRSQ. Results: After minor changes identified in the translation process, the panel of judges was of the opinion that the Portuguese version of the BRSQ had semantic, idiomatic, cultural and conceptual equivalence. The factor analysis confirmed the structure of the eight factors proposed originally, through the statistical indicators χ2/gl = 1.87, CFI = 0.940, GFI = 0.945, AGFI = 0.958 and RMSR = 0.052 (95% CI 0.043 – 0.062). The Cronbach's alpha ranged from 0.71 to 0.85. Conclusions: Translation, cross-cultural adaptation and analysis of the psychometric qualities of the BRSQ were satisfactory, facilitating its application in future studies involving young athletes in Brazil. Level of Evidence III; Retrospective comparative study.
FACTORS ASSOCIATED WITH LOW CONCERN ABOUT FALLING IN PHYSICALLY ACTIVE OLDER PEOPLE
Authors: Fortunato Artur Rodrigues , Hauser Eduardo , Capeletto Eduardo , Petreça Daniel Rogério , Faleiro Deise Jaqueline Alves , Mazo Giovana Zarpellon
Published: February 2019

ABSTRACT Introduction: Fear of falling is one of the main consequences of falls in the elderly; therefore, it is important to investigate the factors associated with the reduction of this fear. Objective: The objective of this study consisted of verifying the associated factors that best explain the low concern about falling in physically active older people. Methods: A total of 162 elderly people with a mean age of 69.95 (SD = 6.69) participated in the study. The diagnostic data sheet, the Falls Efficacy Scale-International, the Senior Fitness Test and anthropometric measurements were used to obtain data. Binary Logistic Regression was used in the data analysis to estimate the Odds Ratio (OR) and 95% confidence intervals (95% CI). The p <0.05 Omnibus Test was used to assess the quality of the adjusted model, and the Hosmer-Lemeshow test was applied to verify the explanatory power of the model. Results: In the crude analysis, normal weight elderly subjects (OR = 2.86, 95% CI = 1.32-6.20) with good levels of lower limb strength (OR = 2.64, 95% CI = 1.38-5.06), are more likely to have low fear of falling. In the adjusted analysis, the model was able to explain 75% of endpoint occurrence. Conclusion: It is concluded that among the variables analyzed, age, BMI and lower limb strength best explain the low concern about falling in the elderly. Level of Evidence III; Study of nonconsecutive patients; without consistently applied reference “gold” standard.
WATER-BASED EXERCISE AND RESISTANCE TRAINING IMPROVE COGNITION IN OLDER ADULTS
Authors: Bento-Torres Natáli Valim Oliver , Bento-Torres João , Tomás Alessandra Mendonça , Souza Luís Gustavo Torres de , Freitas Jéssica Oliveira de , Pantoja Jefferson Anderson dos Santos , Picanço-Diniz Cristovam Wanderley
Published: February 2019

ABSTRACT Introduction: Physical exercise has been associated with maintenance of physical abilities and the reduction of age-related cognitive decline, and is considered both a low-cost primary prevention strategy and a non-pharmacological treatment of cognitive dysfunction in older people. However, the contribution of each type of physical exercise to the cognitive health of the elderly population has not yet been fully investigated. Objective: This study investigated the possible influences of water-based and resistance training exercises on the cognitive performance of healthy older adults in automated tests, and investigated which test(s) would be the most effective indicator of differences in aging cognitive performance. Methods: Three groups of community-dwelling healthy older adults: water-based exercise group, resistance training group and sedentary group, were assessed using an automated set of neuropsychological tests (CANTAB) and tests to assess functional exercise capacity. Results were compared by one-way analysis of variance (ANOVA) and Pearson linear correlation. Results: The water-based exercise group had the best functional exercise capacity scores and the best performance in the reaction time evaluation (response and movement latencies). The resistance training group had less movement latency than the sedentary group. Functional mobility was positively correlated with response and movement latency. Conclusions: Taken together our findings show that physical exercise contributes to the preservation of cognitive function in healthy older adults and that water-based exercise has better results than resistance training in terms of reaction time. Moreover, the changes related to reaction time function were detected before the changes in working memory functions, sustained attention and learning in the sedentary participants, suggesting that this variable could be an early sensitive indicator of subtle cognitive changes associated with aging. Level of Evidence II; Retrospective study.
EFFECTS OF WALKING ON THE MOOD OF PHYSICALLY ACTIVE OLDER PEOPLE
Authors: Geraldes Amandio Aristides Rihan , Silva Willames Brito da , Balikian Júnior Pedro , Pereira Piettra Moura Galvão
Published: February 2019

ABSTRACT Introduction: Due to the relationship between exercise and mood (MO), physical activity is being widely used as a nonpharmacological strategy in the treatment of depression. However, most studies have used sample groups of subjects who, besides suffering from ill health, are also older and sedentary, thus presenting wider “windows of adaptations” when compared to apparently healthy or physically active individuals. Thus, the effects of exercise on MO in physically active elderly individuals are yet to be clarified. Objective: To verify the acute effects of 30 minutes of walking of mild to moderate intensity on the MO of physically active elderly subjects. Methods: A total of 43 volunteers (86% women and 14% men), who participated regularly in an activity program offered by a health care institution in Alagoas, were selected in a non-probabilistic manner. MO was evaluated using the Profile of Mood States (POMS) questionnaire before and after 30 minutes of walking. The comparison between means was verified with Student's t-test. Results: Relative differences were observed in all dimensions of MO, ranging from 16.4% (Vigor) to 56.3% (Rage). However, statistically significant differences were only found in the Vigor (p = 0.00) and Confusion (p = 0.026) dimensions. Conclusion: It is concluded that a 30-minute walk, performed at mild to moderate intensity, as recommended by the main medical guidelines for obtaining general health benefits, may be an effective way of promoting MO improvements in physically active elderly people. The study confirms the fact that walking may potentially be an interesting nonpharmacological strategy for the treatment of depression. Level of Evidence II; Therapeutic studies - Investigating treatment results.