bluuebunny/crossref_metadata_2025 huggingface dataset:
How do young low-income university students deal with risk and time preferences in Brazil?,
Authors: Santos Érica Teixeira dos , Klotzle Marcelo Cabus , Silva Paulo Vitor Jordão da Gama , Pinto Antonio Carlos Figueiredo
Published: September 2022

ABSTRACT This article sought to understand the behavior of young low-income university students through an experiment based on prospect and hyperbolic discounting theory, with risk and time preferences, and their relationships with financial literacy with regard to choice probability distortions. There is a notable lack of studies that simultaneously address risk and time preferences in low-income urban groups, relating experiments based on prospect theory to capture probability distortions in choice processes. This study opens the doors for the question of the relationship between poverty and risk and time preferences to be better discussed in Brazil with the aim of providing evidence that supports national financial literacy plans. The study shows the importance of financial education as a means of reducing agents’ probability distortion. This is crucial, given that probability distortion is one of the pillars of prospect theory. This experiment was based on prospect and hyperbolic discounting theory and used value, weight, and quasi-hyperbolic discounting functions within a maximum likelihood methodology to estimate the risk and time parameters with sociodemographic variables, and with the Financial Literacy Index moderating variable, in a private HEI, with 54 students and 5,940 lotteries. It was observed that low-income urban populations in emerging economies have similar risk and loss aversion parameters to rural populations in developing countries. Low-income students have a greater preference for the present, with it being perceived that a small increase in income is associated with a higher level of patience, making decisions more rational. A better financial education could lead to a smaller probability distortion.
Effects of 48-hour feed deprivation on acute-phase response in horses
Authors: Filippo Paula Alessandra Di , Duarte Bárbara Ribeiro , Albernaz Antônio Peixoto , Fonseca Leandro Abreu da , Viana Inácio Silva , Quirino Célia Raquel
Published: September 2022

Abstract The objective of this study was to evaluate the effect of feed restriction on acute-phase response in horses. Twenty horses were deprived of food for 48 h and others 12 animals (control) had free access to water and hay. They were closely monitored and examined, and blood samples were taken at the beginning (0) of the study and 6, 12, 18, 24, 30, 36, 42 and 48 hours afterward. Data were submitted to two-way analysis of variance with repeated measures and statistical significance was P ≤ 0.05. The horses tolerated feed restriction without serious clinical complications. Feed restriction induced an increase in the acute-phase response by elevating serum concentrations of α2-macroglobulin (24-38 h), ceruloplasmin (36-48 h), α1-antitrypsin (30-48 h), α1-acid glycoprotein (42-48 h) and haptoglobin (42-48 h). Nutrient deprivation raised the levels of circulating cortisol, which acts on the innate immune system, which then induces the acute-phase response. In conclusion, food restriction is a physical stressor for horses, capable of inducing an acute-phase protein reaction, characterized by increased production of α2-macroglobulin, ceruloplasmin, α1- antitrypsin, α1-acid glycoprotein and haptoglobin.
Caracterização da distocia em um rebanho de vacas da raça Holandesa no Brasil
Authors: Lourenço Jean Carlos Steinmacher , Ossani Paulo Cesar , Salles Márcia Saladini Viera , Bánkuti Ferenc Istvan , Almeida Rodrigo de , Rossoni Diogo Francisco , Osorio Jesús Alberto Cardozo de , Santos Geraldo Tadeu dos
Published: September 2022

Resumo O objetivo deste estudo foi caracterizar os partos com leve ou severa dificuldade e diferenciá-los com base no desempenho produtivo e reprodutivo de vacas leiteiras. Os partos foram agrupados em partos sem assistência, partos com baixa assistência e partos com elevada assistência. O banco de dados original continha 1902 registro de partos que foram obtidos de uma grande fazenda comercial localizada no Sudeste do Brasil. A análise fatorial foi aplicada através do programa estatístico SAS® Studio 3.8 por meio de procedimento fatorial, considerando a categoria de análise multivariada. Os teores de gordura do leite (0,92– 0,79) e de sólidos totais (0,91–0,80) foram altamente correlacionados com o fator 1. Intervalo entre partos (0,87–0,68) e número de IA (inseminações artificiais) por concepção (0,87–0,71) apresentaram alta correlação com o fator 2. Produção de leite (0,84–0,76) e produção acumulada de leite (0,84–0,77) foram altamente correlacionados com o fator 3. Baseados nos resultados, é possível concluir que as três situações de parto foram caracterizadas por fatores independentes e bem definidos. Vacas que necessitaram de alta assistência ao parto apresentaram menor variância explicada pelo modelo para teores de gordura e sólidos totais do leite, intervalo entre partos e número de IA por concepção.
Caracterização reológica de ovos rhea (Rhea americana) submetidos a diferentes períodos de armazenamento
Authors: Cervi Renato Clini , Andrade Maria Auxiliadora , Cavallieri Ângelo Luiz Fazani , Moura Celso José de , Café Marcos Barcellos
Published: September 2022

Resumo Os ovos são usados como ingredientes da indústria alimentícia devido às suas propriedades funcionais. Ovos de diferentes espécies de aves podem ser usados no processamento industrial. Foram realizados experimentos reológicos em estado estacionário para obtenção das curvas de fluxo e também em estado dinâmico para estudar as propriedades reológicas dos ovos de emas Rhea americana. O comportamento viscoelástico dos fluidos em função das temperaturas de coagulação para albúmen e gema e da frequência oscilatória foi estudado. Foram analisados 15 ovos de rhea armazenados por até 28 dias a 10 °C em 1, 7, 14, 21 e 28 dias. As frações de albumina e gema mostraram comportamento reológico pseudoplástico com pequeno cisalhamento de fluxo inicial e dependência do tempo de cisalhamento, com albúmen demonstrando tixotropia e a gema mostrando reopexia. Em testes reológicos de cisalhamento baixo, observou-se gelificação térmica de albúmen, apresentando uma primeira mudança no módulo elástico em torno de 56 °C, e um segundo de 78 °C. Na gema, observou-se uma mudança a partir de 66 °C, com variações mais estruturais no desenvolvimento do gel a temperaturas mais elevadas. Para os ovos de rhea, a temperatura estruturante de gel (gelificação) de albumen (80 °C) e gema de ovo (69 °C) não sofreu variações durante os períodos de armazenamento. Em comparação com os ovos comerciais, as maiores temperaturas de viscosidade e gelificação apresentadas pelos ovos rhea podem ajudar a determinar o tamanho do sistema de processamento industrial, pois podem ser submetidos a temperaturas mais altas sem modificar estruturas proteicas e dificultar o processo.
Migration, Domestic Care Work and Public Policies on Long-Term Care in Spain
Authors: Martínez Buján Raquel
Published: September 2022

Abstract: This article explores the impact of the Covid-19 pandemic on the labour conditions of migrant workers who provide care to elderly and dependent persons in Spain. Using data from the Active Population Survey, we analyse the effects of the health crisis on the precariousness of this labour sector (measured through unemployment, underemployment and temporary employment). The figures shed light on the degradation of working conditions during the health crisis, the situation of social vulnerability experienced by female workers and the absence of effective policy responses to reverse this inequality during the pandemic. This situation of subordination is structured around the connection between the demand for care workers in private homes and the philosophy behind the public welfare system. Special emphasis is given to the effect of cash transfer programs in the process of the commodification of care.
Estudantes secundaristas de origem boliviana: relatos de experiências sobre línguas, culturas e identidades
Authors: Kohatsu Lineu Norio , Braga Adriana de Carvalho Alves , Felippe Irene Monteiro
Published: September 2022

Resumo: Este artigo tem por objetivo apresentar e discutir as experiências culturais de jovens secundaristas bolivianos e filhos de bolivianos. A pesquisa empírica foi realizada em uma escola pública de São Paulo, nos anos de 2018 e 2019. Foram entrevistados 21 alunos da 3ª série do ensino médio, sendo 14 bolivianos e 7 brasileiros, filhos de bolivianos, de ambos os sexos. Foram analisadas: as relações dos jovens com os idiomas (espanhol, português e línguas originárias), com as fraternidades folclóricas, e os modos como se identificam. A análise dos relatos revela experiências singulares, diversas e heterogêneas, mostrando diferentes apropriações dos idiomas, graus variados de contato com a cultura boliviana e diferentes formas de identificação.
INDUSTRIALIZAÇÃO E DESENVOLVIMENTO ECONÔMICO: EFEITOS DA INTERAÇÃO ENTRE A MANUFATURA E O INVESTIMENTO FIXO
Authors: Gewehr Adriano Cristian , Lélis Marcos Tadeu Caputi
Published: September 2022

RESUMO A pesquisa deste artigo avalia se os efeitos do setor manufatureiro sobre o crescimento econômico são potencializados pelos gastos em investimento. Estudos previamente explorados demonstraram a importância da manufatura ao crescimento; todavia, desconsideraram efeitos de spillovers da formação bruta de capital fixo em conjunto com a manufatura. Assim, esta pesquisa inova para a literatura pertinente ao considerar tal interação, e por fornecer possível interpretação alternativa para a baixa atividade econômica de algumas regiões. Utilizou-se o modelo dinâmico de dados em painel com estimador GMM-DIF, numa amostra com 119 países (96% do PIB mundial), observados de 1996 a 2016. Os resultados são consistentes com a teoria da mudança estrutural. Para cada alteração de 1% da participação manufatureira no PIB, estimou-se um aumento médio na taxa de crescimento do PIB per capita que pode variar de 0,30% a 0,81%, enquanto os valores da formação bruta de capital fixo transitam entre a média e muito próximos do máximo da amostra. Confirmou-se, assim, o efeito spillover da acumulação de capital, aumentando os impactos da manufatura sobre o crescimento econômico da região. A importância da manufatura para o crescimento foi ratificada.
Dentoalveolar trauma induced by intubation in urgent maxillofacial surgery: case report
Authors: ANDRADE Taysnara Ismaeley de , PONTES Kaiane Tavares , ARAÚJO Francisco Rikilly de , ANDRADE Joelma Silva de , OLIVEIRA José Eudes Protázio de
Published: September 2022

ABSTRACT Dental trauma is a common complication in general anesthesia, especially when using nasotracheal intubation during the classic laryngoscopy. Risk factors range from difficult intubation through difficult airways to occlusal changes in the patient, with incisors being widely affected by dental elements. Tooth avulsion is the most frequent type of trauma, followed by lateral dislocation and root fracture. Male patient, 39 years old, presented at the Emergency and Trauma Hospital in Caruaru/PE, a motorcycle accident victim with a bilateral jaw fracture. Given the need to fix fractures, the patient underwent a surgical procedure under general anesthesia. During laryngoscopy, heavy bleeding was observed in the oral cavity. After inspection, root fracture of lateral incisor and avulsion of right central incisor were noted. The avulsionated tooth was not found. An orthopedic image intensifier was used to locate the dental element in the thoracic region. However, it was not possible to determine its location. Therefore, an upper gastrointestinal (UGI) endoscopy was requested, and the dental element was in the digestive tract at the esophagus level. The tooth was removed, and the surgical procedure for osteosynthesis of bilateral mandible fracture was carried on. Dentoalveolar traumas induced by general anesthesia are frequent and require preventive measures since they can directly affect the patient’s physical, economic, and medical conditions, along with anesthesiologists and maxillofacial surgeon’s risk of receiving a civil lawsuit.
Autograft reconstruction of nasal dorsum in cutaneous neoplasia treatment
Authors: AGUIAR Camilla Siqueira de , PINHEIRO Milena Mello Varela Ayres de Melo , MELO Rodrigo Henrique Mello Varela Ayres de , MELO Victor Leonardo Mello Varela Ayres de , LIMA Lohana Maylane Aquino Correia de , CALDAS JÚNIOR Arnaldo de França , MELO Ricardo Eugenio Varela Ayres de
Published: September 2022

ABSTRACT Basal cell carcinoma is the most common type among skin cancers. It occurs in basal cells and is primarily caused by sun exposure. It mainly affects elderly people, mainly man, in exposed areas of the body and is diagnosed through biopsy. The choice of treatment depends on the type, size, location and depth of penetration, the patient’s age, health conditions and potential aesthetic outcome. The present study aims to evidence, through a case report, the aesthetic and functional importance of the cutaneous transplant technique in cases of tissue loss in the face region by Basal cell carcinoma. A 56-year-old female patient, leukoderma, attended the Maxillofacial Surgery and Traumatology service of the Federal University of Pernambuco, complaining of asymmetry in the nasal dorsum region, with differentiated staining and raised edges. In anamnesis time she reported having suffered sun exposure for long periods. The patient underwent an incisional biopsy and subsequently, with a diagnosis of basal cell carcinoma, a resection of the lesion followed by skin autografting. Good acceptances of the skin flap as well as excellent aesthetic result were attained. The autogenous grafts use has shown satisfactory aesthetic results for remaining coverage after the lesion excision.
Lingual amyloidosis associated to multiple myeloma: case report
Authors: LEAL Gustavo André , BALLARDIN Bárbara Soldatelli , RISSETE Melissa Tomie Mozena , AMENABAR José Miguel , SCHUSSEL Juliana Lucena
Published: September 2022

ABSTRACT Oral amyloidosis is a disease characterized by extracellular and irreversible deposition of amorphous and fibrillar proteins in the oral cavity, being strongly associated with Multiple Myeloma. The objective of this study is to report a case of a 62-year-old woman diagnosed with Multiple Myeloma who, approximately 2 years after starting treatment for the underlying disease, presented a lesion on the lateral border of the tongue with exophytic growth, pinkish color, vascularized, painless, measuring 3cm in its largest diameter. After histopathological analysis through incisional biopsy, a final diagnosis of amyloidosis was obtained. As a local treatment, we opted for complete excision of the lesion. The patient evolved to death due to Multiple Myeloma influenced by the diagnosis of systemic amyloidosis. Oral amyloidosis is usually associated with the systemic presentation of the disease, making it necessary to conduct a thorough investigation of other organs. Its diagnosis is important since the prognosis is directly related and can negatively influence survival rates and treatment of the underlying disease.
Lateral window maxillary sinus lift surgery: case report
Authors: FARIAS Illa Oliveira Bitencourt , BAHIA Roberta Rodrigues Casali , BARRETO Maurício Andrade , PINTO Fabrício Sméra , FERNANDES Atson Carlos de Souza
Published: September 2022

ABSTRACT The loss in height of the alveolar bone crest after tooth extraction makes rehabilitation of the posterior maxilla challenging due to low bone density and atrophy, in addition to pneumatization of the maxillary sinus. Maxillary sinus lift surgery prior to implant placement makes implant-supported rehabilitation feasible. This study aimed to describe a case report of maxillary sinus surgery using the side window technique prior to rehabilitation with a prosthesis supported by dental implants, highlighting the importance of planning to minimize intraoperative complications. This is a clinical case report of a 59-year-old male patient who was assisted at a private higher education institution complaining of edentulous spaces and the desire for rehabilitation with implants. He underwent rehabilitation planning, including the surgical treatment of maxillary sinus lifting using the side window technique. Bone gain was confirmed using cone beam computed tomography six months after the surgical approach to the maxillary sinus. The planning of rehabilitation of the posterior maxilla and careful sinus lift surgery using the side window technique is a predictable therapeutic option for clinical cases with bone gain in height of the posterior region of the maxilla prior to the installation of dental implants. The clinical case presented demonstrated success in the gain of bone volume in the posterior region of the maxilla, without postoperative complications, and the patient was still satisfied with the proposed treatment, awaiting complete implant-supported rehabilitation.
Risk Factors for cognitive, motor and language development of preterm children in the first year of life
Authors: Hass Júlia Vicente , Panceri Carolina , Procianoy Renato Soibelmann , Silveira Rita de Cássia , Valentini Nadia Cristina
Published: September 2022

Abstract Objective: To perform a longitudinal investigation of risk factors in premature infants’ cognitive, motor, and language development. Methods: Thirty-three preterm infants were assessed at 4, 8, and 12 months of corrected age, using the Bayley-III Scales. Parents completed questionnaires regarding development opportunities at home, parenting practices and knowledge. Results: Significant associations were found (1) at 4-months between cognitive scores and family income, variety of stimuli, availability of toys, parenting practices and knowledge; language and parenting practices; and motor skills and parenting practices; (2) at 8-months between cognitive score and length of stay in the Neonatal Intensive Care Unit (NICU), gestational age, birth weight, toys, and parenting knowledge; language and toys; and motor skills and toys and parenting knowledge; (3) at 12-months between cognitive scores and length of stay in the NICU, family income, breastfeeding, toys, and parenting knowledge; language and income and toys; and motor scores and length of stay in the NICU, gestational age, income, stimuli, toys, and parenting knowledge. Regression analyses indicated that: for (1) cognitive development, stimulus variety explained 72% of the model variance at 4 months of age; time at the NICU explained 67 and 43% at 8 and 12 months of age, respectively, and breastfeeding time explained 41% of the model variance at 12 months; (2) for language development, family income explained 42% of the model variance at 12 months; and for motor development (3), time at the NICU explained 80% of the model variance at 12 months. Conclusions: The development over the first year of life is not explained by the severity of birth conditions and associated morbidities only, but also by parenting practices.
Physical activity level measured by accelerometry and physical fitness of schoolchildren
Authors: Estivaleti José Matheus Oliveira , Bergamo Raiany Rosa , Oliveira Luís Carlos de , Beltran Diana Carolina Gonzalez , Silva Junior João Pedro da , Santos Maurício dos , Matsudo Victor Keihan Rodrigues
Published: September 2022

Abstract Objective: To describe and compare physical fitness variables according to compliance with the recommendations of physical activity, measured by accelerometry. Methods: The sample gathered 120 students, 57 boys and 63 girls aged 9 to 11 years. The variables analyzed were: weight, stature, BMI, skinfolds, waist circumference, agility, flexibility, speed and strength of upper and lower limbs, and abdominal strength. Physical activity was measured objectively using an accelerometer. The students were divided into two groups: “complies with recommendations” (≥60min/day) and “does not comply with recommendations” (<60min/day). To verify the normality of the data, the Kolmogorov-Smirnov test was used. The mean values of students who do or do not comply with the physical activity recommendation were compared using Student's t and U-Mann Whitney tests. The level of significance was set at p<0.05. Results: The students who followed the recommendation showed significantly lower values compared to those who did not for adiposity (sum of 7 skinfolds); body weight; body mass index (BMI) and abdominal strength. No significant differences were found in the variables of speed and agility, and the upper limbs’ strength was greater in subjects who did not comply with recommendations. Conclusions: Students who complied with physical activity recommendations had better body composition and more abdominal strength than those who did not.
Comparative analysis of pulmonary function in children born preterm and full-term at 6–9 years of age
Authors: Gonzaga Ana Damaris , Davidson Josy , Goulart Ana Lucia , Barros Marina Carvalho de Moraes , Chiba Sonia Mayumi , Santos Amélia Miyashiro Nunes dos
Published: September 2022

Abstract Objective: To compare pulmonary function parameters and the prevalence of altered pulmonary function in children born preterm and full-term, using the Global Lung Initiative reference values. Methods: This is a cross-sectional study with 6–9-year-old children submitted to measurement of airway resistance (Rint) and spirometry according to the American Thoracic Society and European Respiratory Society Technical Statement. The inclusion criteria were, among the preterm group: gestational age <37 weeks and birth weight <2000g; among the full-term group: schoolchildren born full-term with birth weight >2500g, recruited at two public schools in São Paulo, Brazil, matched by sex and age with the preterm group. As exclusion criteria, congenital malformations, cognitive deficit, and respiratory problems in the past 15 days were considered. Results: A total of 112 children were included in each group. Preterm children had gestational age of 30.8±2.8 weeks and birth weight of 1349±334g. Among them, 46.6% were boys, 46.4% presented respiratory distress syndrome, 19.6% bronchopulmonary dysplasia, and 65.2% were submitted to mechanical ventilation in the neonatal unit. At study entry, both groups were similar in age and anthropometric parameters. Parameters of pulmonary function (Z scores) in preterm and full-term groups were: Rint (0.13±2.24 vs. -1.02±1.29; p<0.001); forced vital capacity (FVC) (-0.39±1.27 vs. -0.15±1.03; p=0.106), forced expiratory volume in one second (FEV1)/FVC (-0.23±1.22 vs. 0.14±1.11; p=0.003), FEV1 (-0.48±1.29 vs. -0.04±1.08; p=0.071), and forced expiratory flow between 25% and 75% of vital capacity (FEF25-75) (1.16±1.37 vs. 2.08±1.26; p=0.005), respectively. The prevalence values of altered airway resistance (16.1 vs. 1.8%; p<0.001) and spirometry (26.8 vs. 13.4%, p=0.012) were higher in preterm infants than in full-term ones. Conclusions: Preterm children had higher prevalence of altered pulmonary function, higher Z scores of airway resistance, and lower Z scores of FEV1/FVC and FEF25-75 compared with those born full-term.
Obstáculos judiciais aos indígenas: duas decisões, duas conclusões e um discurso.
Authors: Bezerra André Augusto Salvador
Published: September 2022

Resumo O artigo objetiva apontar que, dentre os fatores de violações aos direitos dos indígenas, está uma incompreensão, por membros dos tribunais, das ontologias de tais povos. Metodologicamente, baseia-se em levantamento bibliográfico interdisciplinar e em Análise Crítica do Discurso de duas decisões do Superior Tribunal de Justiça. Ambas revelam equívocos sobre uma vida não ocidental.
Sexo, poder e imunidade: uma reflexão sobre dois casos brasileiros
Authors: Fonseca Angela Couto Machado , Santos Andressa Regina Bissolotti dos
Published: September 2022

Resumo O presente artigo desenvolve a análise de dois casos brasileiros de política de saúde sexual. O caso da sífilis em sua relação com a prostituição e o caso da AIDS/HIV em sua relação com a homossexualidade. A forma de investigação dos casos foi operada a partir da compreensão do biopoder em Foucault e do Paradigma Imunitário de Roberto Esposito, na intenção de problematizar, inicialmente, não apenas a pertinência entre políticas do Estado face a tais referenciais, mas, inclusive, uma melhor compreensão dessas políticas pelo arsenal analítico desses autores. Num segundo momento, realizamos uma análise do sexo como motor, objeto e locus da política, operando como critério dos processos de subjetivação excludente da prostituta e do homossexual, da gestão da vida pautada por critérios de valorização hierárquica e dos contornos biopolíticos da relação entre vida e morte (dos que devem viver e dos que podem morrer). A intenção do trabalho é a de localizar os casos de políticas de saúde sexual, como práticas de subjetivação, gestão da vida da população e formulação de hierarquia entre desviados e normais, que permite precarizar e até mesmo exterminar certos grupos.
Em busca de um paradigma: o debate escandinavo sobre a identidade da sociologia do direito
Authors: Konzen Lucas P. , Pamplona Roberta S.
Published: September 2022

Resumo Este trabalho analisa o debate entre Reza Banakar, Thomas Mathiesen e Håkan Hydén com foco em uma sequência de artigos publicados no periódico Retfærd: Nordisk juridisk tidsskrift entre 1998 e 2001. Escrevendo em um momento em que a realização de estudos sociojurídicos já era prática acadêmica rotineira na Escandinávia, eles propõem soluções bem diferentes para o problema da identidade da sociologia do direito. Assim, o debate escandinavo lança luzes sobre os elementos basilares que atualmente conformam o paradigma sociojurídico em contextos como o brasileiro.
Ellwanger e as transformações do Supremo Tribunal Federal: um novo começo?
Authors: Arguelhes Diego Werneck
Published: September 2022

Resumo Neste trabalho, procuro reconstruir Ellwanger como um momento de mudança no discurso adotado pelos ministros do STF para descrever e justificar seu poder em uma democracia. Ao longo dos anos 90, o tribunal havia sido no geral contido na maneira como exercia seus poderes e não havia investido em uma pauta de direitos fundamentais. Em contraste com outros tribunais em democracias recentes no mesmo período, o STF não se aproveitou do potencial ganho de legitimidade proporcionado pelo “novo começo constitucional” de 1988. No processo de transformação desse tribunal tímido no STF que temos hoje, Ellwanger pode ser lido como um ponto de virada na narrativa dos ministros. Ao longo do julgamento, o tribunal se apresentou, pela primeira vez desde a Constituição de 1988, como representante local de uma tarefa global: a proteção de direitos fundamentais de indivíduos ou grupos social ou politicamente vulneráveis. Com o voto do ministro Celso de Mello traçando a diferença entre o “velho” STF e a “nova” lógica de atuação, Ellwanger dá ao tribunal a chance de construir um “novo começo”, afirmando-se – no discurso, ainda que não necessariamente na prática – como um protetor de direitos fundamentais.
HONROSOS CIDADÃOS OU VADIOS? GUERRA, CONFLITOS SOCIAIS E LUTAS POR DIREITOS NAS FILEIRAS MILITARES - RIO DE JANEIRO, 1820-1831
Authors: Souza Adriana Barreto de
Published: September 2022

Resumo O objetivo deste artigo é analisar os possíveis significados das lutas pela independência para uma geração de “homens de cor” residentes no Rio de Janeiro que, ou tomaram parte diretamente nos conflitos, ou acompanharam o engajamento de pais, familiares e amigos. Apesar dos grandes avanços da historiografia nas últimas décadas, para o caso do Rio de Janeiro, as narrativas sobre a Independência ainda enfatizam a atuação de grupos políticos mais organizados e as articulações palacianas. Pretendo construir, assim, uma narrativa dessas lutas que faça sobressair outros atores, experiências e vontades políticas. O argumento central é que a população não só participou, como foi instada a participar dessas lutas. Ao perceber, especialmente a partir de outubro de 1821, a fragilidade de sua autoridade, premida entre a fidelidade à Casa de Bragança e o juramento às bases da Constituição, o príncipe-regente D. Pedro avançou nas negociações - já bem conhecidas - com elites de São Paulo e Minas Gerais, mas também investiu na busca de apoio popular. Uma participação que, posteriormente, foi desqualificada e gradativamente silenciada.
A New Ideological Classification of Brazilian Political Parties
Authors: Bolognesi Bruno , Ribeiro Ednaldo , Codato Adriano
Published: September 2022

ABSTRACT Just as democratic politics changes, so does the perception about the parties out of which it is composed. This paper’s main purpose is to provide a new and updated ideological classification of Brazilian political parties. To do so, we applied a survey to political scientists in 2018, asking them to position each party on a left-right continuum and, additionally, to indicate their major goal: to pursue votes, government offices, or policy issues. Our findings indicate a centrifugal force acting upon the party system, pushing most parties to the right. Furthermore, we show a prevalence of patronage and clientelistic parties, which emphasize votes and offices rather than policy.
Presença comum: dispositivos para invenção na formação em Saúde
Authors: Federici Conrado Augusto Gandara , Guzzo Marina Souza Lobo , Liberman Flávia
Published: September 2022

Movidos pelo desejo de arriscar a invenção com o que se tinha à mão, realizamos um projeto de pesquisa e extensão universitária denominado Metodologias da Presença para estudantes em formação da área da Saúde. Tratou-se de uma plataforma remota de criação para encorajar os participantes a produzir e compartilhar exercícios artísticos por meio de três ativações de presença. Esta experiência contou com a participação de uma comunidade provisória. Impulsionados pela prática limiar pedagógica e artística, seguimos indagando como foi possível a instauração desse estado sensível e vitalizador no grupo? Que tipos de composição impulsionaram as transformações singulares e coletivas mediante a materialização das produções artísticas? Quais as distintas qualidades de presença que puderam ser ali mobilizadas? A produção artística, a presença comum e a construção de grupalidade podem existir em comunicações tecnomediadas na formação em Saúde?
INCIDENCE, PREVALENCE, AND EPIDEMIOLOGICAL CHARACTERISTICS OF INFLAMMATORY BOWEL DISEASES IN THE STATE OF PARANÁ IN SOUTHERN BRAZIL
Authors: RENUZZA Stellamaris Soraya Szulc , VIEIRA Elizabete Regina , CORNEL César Augusto , LIMA Mônica Nunes , RAMOS JUNIOR Odery
Published: September 2022

ABSTRACT Background: The epidemiology of inflammatory bowel diseases (IBD) varies between different regions of Brazil. This cross-sectional study examined the epidemiological characteristics of IBD in the Southern Brazilian state of Paraná. Methods: We included patients with IBD (n=6.748) selected across 11,468,818 population of Paraná. All patients had a known diagnosis of either Crohn’s disease (CD) or ulcerative colitis (UC) and had started treatment through the Government Program of the Brazilian Unified Health System (2010-2019). The primary outcomes were changes in the incidence and prevalence rates of IBD. Results: The study population consisted of 4.931 (73.1%) patients with UC and 1.817 (26.9%) patients with CD. In participants aged 11-30 years, CD was more common, while in participants aged 40-80 years, UC predominated. UC was more common in female compared to male patients, with a similar incidence between the sexes evident for CD. In 2010, the incidence of IBD was 2.00/100,00 population; this increased to 13.77/100,000 population by 2019. The highest concentration of IBD patients was found in the eastern macro-region of Paraná, which includes the 2nd Health Regional of Curitiba, where the capital of the state is located. Conclusion: This is the first study to describe the epidemiological characteristics of IBD in the state of Paraná and showed an increase in its incidence and prevalence. We also identified that IBD was concentrated in the eastern macro-region of this Brazilian state.
STUDY OF ANORECTAL PHYSIOLOGY PRE AND POS NEOADJUVANT THERAPY FOR RECTAL CANCER BY ANORECTAL MANOMETRY AND JORGE-WEXNER SCORE
Authors: FRATTA Cláudia Luciana , PINHEIRO Lilian Vital , COSTA Felipe Osório , MAGRO Daniéla Oliveira , MARTINEZ Carlos Augusto Real , COY Cláudio Saddy Rodrigues
Published: September 2022

ABSTRACT Background: The treatment of distal rectal cancer may be accompanied by evacuation disorders of multifactorial etiology. Neoadjuvant chemoradiotherapy (NCRT) is part of the standard treatment for patients with locally advanced extraperitoneal rectal cancer. The assessment of anorectal function after long-term NCRT in patients with cancer of the extraperitoneal rectum has been poorly evaluated. Objective: The aim of the present study was to evaluate the effects of NCRT on anorectal function and continence in patients with extraperitoneal rectal cancer. Methods: Rectal adenocarcinoma patients undergoing neoadjuvant therapy were submitted to functional evaluation by anorectal manometry and the degree of fecal incontinence using the Jorge-Wexner score, before and eight weeks after NCRT. The manometric parameters evaluated were mean resting anal pressure (ARp), maximum voluntary contraction anal pressure (MaxSp) and average voluntary contraction anal pressure (ASp). All patients underwent the same NCRT protocol based on the application of fluoropyrimidine (5-FU) at a dosage of 350 mg/m2 associated with folic acid at a dosage of 20 mg/m2, intravenously, in the first and last week of treatment, concomitantly with conformational radiotherapy with a total dose of 50.4Gy, divided into 28 daily fractions of 1.8Gy. For statistical analysis of the quantitative variables with normal distribution, the mean, standard deviation, median and interquartile range were calculated. For comparison of two related samples (before and eight weeks after NCRT), Wilcoxon’s non-parametric test was used. Results: Forty-eight patients with rectal cancer were included in the study, with a mean age of 62.8 (39-81) years, 36 (75%) of whom were male. The use of NCRT was associated with a decrease in the values of ARp (55.0 mmHg vs 39.1 mmHg, P<0.05) and ASp (161.9 mmHg vs 141.9 mmHg, P<0.05) without changing MaxSp values (185,5 mmHg vs 173 mmHg, P=0.05). There was no worsening of the incontinence score eight weeks after the use of NCRT (3.0 vs 3.3; P>0.05). Conclusion: NCRT was associated with a reduction in the values of ARp and the ASp. There was no change in MaxSp, as well as in the degree of fecal continence by the Jorge-Wexner score.
FREQUENCY AND SEVERITY OF LIVER INVOLVEMENT IN HYPERTENSIVE DISORDERS OF PREGNANCY
Authors: OLIVEIRA Jade Castro de , CODES Liana , LUCCA Maria Magalhães Frenzel Brito de , SOARES Maria Alice Pires , LYRIO Leomar , BITTENCOURT Paulo Lisboa
Published: September 2022

ABSTRACT Background: Pre-eclampsia (PE) and eclampsia (E) are among the leading causes of maternal and fetal morbidity and mortality. Both are associated with an evolving spectrum of liver disorders. Objective: The aim of this study was to evaluate the frequency and severity of liver involvement in pregnant women admitted to an intensive care unit with PE/E and to assess its influence on adverse maternal and fetal outcomes. Methods: All subjects, hospitalized between January 2012 and March 2019, were retrospectively evaluated for clinical and biochemical liver-related abnormalities and their frequencies were subsequently correlated with maternal-fetal outcomes. Results: A total of 210 women (mean age 31±6.4 years, mean gestational age 33.8±4.1 weeks) with PE/E were included in the study. Most of them had severe hypertension (n=184) and symptoms of abdominal pain (48%) and headache (40%). Liver enzymes abnormalities were seen in 49% of the subjects, usually less than five times the upper limit of normal. Subcapsular hemorrhage and spontaneous hepatic rupture were identified in one woman who died. No patient had definitive diagnosis for acute fatty liver of pregnancy, neither acute liver failure. A total of 62% of deliveries occurred before 37 weeks. Fetal mortality was observed in 6 (3%) cases. There was no correlation between mean levels of liver enzymes and maternal and fetal outcomes. Conclusion: Biochemical abnormalities of liver enzymes are frequently seen in women with PE/E, but outside the spectrum of HELLP syndrome, they are not associated with adverse maternal and fetal outcomes. Liver-related complications are rare but can be life-threatening.
FOOD TOLERANCE AND NUTRITIONAL RISK AFTER SLEEVE GASTRECTOMY AND ROUX-EN-Y GASTRIC BYPASS IN ELDERLY PATIENTS WITH SEVERE OBESITY: A PROSPECTIVE, RANDOMIZED CONTROLLED TRIAL
Authors: MEDEIROS Veronica Garcia de , PAJECKI Denis , DIAS Maria Carolina Gonçalves , DANTAS Anna Carolina Batista , CLEVA Roberto de , SANTO Marco Aurelio
Published: September 2022

ABSTRACT Background: Bariatric surgery is still controversial in elderly patients with severe obesity. Most publications focus on safety and early clinical outcomes. Food tolerance and nutritional postoperative risk is unknown for this population. Methods: Thirty-six elderly patients with severe obesity were recruited for an open-label randomized trial from September 2017 to May 2019 comparing laparoscopic sleeve gastrectomy (LSG) to Roux-en-Y Gastric Bypass (LRYGB). Food tolerance was accessed by Quality of Alimentation (QoA) questionnaire and data on weight loss, body composition, and nutritional risk were collected between 6 and 24 months after surgery. Results: Comparing LSG to LRYGB patients, the latter had higher total weight loss (22% vs 31%, P=0.01) and excess weight loss (53% vs 68%, P=0.01). Food tolerance to eight food groups was similar between groups (14 vs 15 points, P=0.270), as Suter score (23 vs 25, P=0.238). Daily protein intake was below recommendation in both groups (40 vs 51 g/d, P=0.105). Nutritional risk, evaluated through Standardized Phase Angle (-1.48 vs -1.99, P=0.027), was worse for LRYGB group. Conclusion: Food tolerance and adequacy of food consumption were similar in both groups. LRYGB patients had higher nutritional risk.
IS HOMEOSTASIS MODEL ASSESSMENT FOR INSULIN RESISTANCE >2.5 A DISTINGUISHED CRITERIA FOR METABOLIC DYSFUNCTION-ASSOCIATED FATTY LIVER DISEASE IDENTIFICATION?
Authors: BARRETO Bárbara Ferreira de Mello , PUNARO Giovana Rita , ELIAS Maria Cristina , PARISE Edison Roberto
Published: September 2022

ABSTRACT Background Insulin resistance (IR), assessed by different criteria, is an important factor in the pathogenesis of non-alcoholic fatty liver disease (NAFLD). More recently with the characterization of this metabolic dysfunction-associated fatty liver disease (MAFLD), one of the proposed criteria for this diagnosis has been the determination of the homeostasis model assessment-insulin resistance (HOMA-IR). Objective: The purpose of this study was to evaluate the relationship of HOMA-IR>2.5 with clinical, metabolic, biochemical and histological data obtained in non-diabetic patients diagnosed with NAFLD by liver biopsy. Methods: Cross-sectional, retrospective study was carried out with data from 174 adult individuals of both genders with non-diabetics NAFLD, without obvious signs of portal hypertension. The body mass index (BMI) was classified according to the World Health Organization (1998), and the metabolic syndrome by the criteria of NCEP-ATP-III. Biochemical tests were evaluated using an automated method and insulinemia through immunofluorometric assay. Histological findings were classified according to Kleiner et al. (2005). Results: The mean age of the studied population was 53.6±11.2 years, with 60.3% being female. The average BMI was 30.3 kg/m2 and 75.9% of the patients had increased waist circumference. Among evaluated metabolic parameters, there was a higher prevalence of metabolic syndrome (MS) in patients with HOMA-IR>2.5, with no statistical difference in relation to BMI between studied groups. Values of liver enzymes and serum ferritin were significantly higher in patients with this marker of IR, who had a higher prevalence of non-alcoholic steatohepatitis (NASH) and advanced liver fibrosis. In the multivariate analysis, the clinical diagnosis of MS, hyperferritinemia and the presence of NASH in the liver biopsy were the factors independently associated with the presence of altered HOMA-IR. Conclusion: HOMA-IR values >2.5 identify patients with NAFLD with distinct clinical and metabolic characteristics and with a greater potential for disease progression, which validates this parameter in the identification of patients with MAFLD.
IMMUNOEXPRESSION OF DEK AND PHOSPHO-P38 PROTEINS IN RECTAL CANCER BEFORE CHEMORADIATION THERAPY
Authors: TADOKORO Rebeca De Barros , CARDILI Leonardo , ARTIGIANI NETO Ricardo , PAIOTTI Ana Paula Ribeiro , OSHIMA Celina Tizuko Fujiyama , FORONES Nora Manoukian
Published: September 2022

ABSTRACT Background: Colorectal cancer is the third cause of cancer worldwide and a quarter of them are in the rectum. DEK oncogene is involved in several nuclear processes and can accelerate tumorigenesis. Objective: This study aims to evaluate the immunoexpression of DEK and Phospho-P38 proteins before neoadjuvant therapy in patients with rectum adenocarcinoma and correlate it with a clinical response and survival. Methods: Patients with adenocarcinoma of the middle and low rectum who underwent chemotherapy and radiotherapy followed by surgical tumor resection were included. The expression and quantification were studied by immunohistochemistry in the tumor biopsy tissues using a HScore system. Score ≥4 were considered positive and those with <4 negative. Results: 22 patients were included with a mean age of 63.55 years (SD: ±13.49). The clinical-stage before treatment was T3 on 72.7%, T4 on 18.2%, 31.8% were N1, 50% N0 and all M0. After chemo and radiotherapy, 54.6% were T3; 22.7% were classified as T2; 9.1% as T1, and 13.6% were T0. Among the tumors, 22.7% were positive for DEK and 63.6% positive for Phospho-P38. There was a positive correlation between DEK protein before treatment and pTNM stage (P=0.011). Phospho-P38 protein showed no correlation with these parameters. Patients with a negative HScore had a mean survival of 141.33 months (95%CI: 112.41-170.25) and those with a positive HSscore had a mean survival of 25.10 months (95%CI: 17.36-32.84; P<0.001). Conclusion: A higher expression of DEK was observed in advanced stages. Patients who presented DEK expression <4 had a higher survival, being a factor of worst prognosis.
DYSPHAGIA OCCURRENCE IN COVID-19-POSITIVE PATIENTS IN TWO HOSPITALS IN BRAZIL
Authors: NASCIMENTO JUNIOR José Ribamar do , CERON Camila Ferreira , SIGNORINI Alana Verza , KLEIN Amanda Bello , CASTELLI Carla Thamires Rodriguez , SILVÉRIO Carolina Castelli , OTTO Danielle Martins , ANTUNES Hellen de Araújo , SOTERO Laura Karolainy Barcelos , CIRINO Pâmela Barbosa , VIZIOLI Paula Tasca , LIMA Vanderssom Correia
Published: September 2022

ABSTRACT Background COVID-19 comprises a respiratory infection resulting from contamination by SARS-CoV-2, with acute respiratory failure being one of its main characteristics, leading to a high frequency of orotracheal intubation (OTI), which in turn increases the risk for dysphagia. Since this can lead to pulmonary impairment, knowing the real occurrence of dysphagia in part of the Brazilian population and its associations allows early and effective clinical management of the multidisciplinary team in relation to patients. Objective To verify the occurrence of dysphagia in COVID-19-positive adult patients in two Brazilian reference hospitals in the care of the pandemic. Methods This was a prospective, longitudinal observational study carried out in two private hospitals in Brazil, both references in the care of patients with coronavirus isolation. Data were initially collected by consulting the medical records of each patient. Information was collected regarding sex, age, previous diseases, COVID-19 testing, and the OTI period. After data collection, the clinical speech-language assessment of swallowing for each patient was carried out using the adapted Gugging Swallowing Screen (GUSS), the ASHA NOMS and the Functional Oral Intake Scale (FOIS). Results A total of 129 participants were evaluated, with a mean age of 72 years. According to the GUSS scale, 9.3% of the patients presented normal/functional swallowing, while 90.7% presented dysphagia, with mild dysphagia in 17.05%, moderate dysphagia in 33.33%, and severe dysphagia in 37.98%. As for the results of the ASHA NOMS, the majority (36.5%) of the patients were at level 1, which represents the patient who is not able to receive his or her food supply orally, having the need to use tube feedings. This is in line with the results observed with the FOIS scale, whereby most patients (42.1%) were classified as Level I, when food intake occurs exclusively through feeding tubes, with no oral supply. Of the 129 participants, 59% of them required OTI. When comparing the time of OTI and the severity of dysphagia, there was a statistically significant difference, with more severe dysphagia, the longer the patient remained intubated. Conclusion: There is a high incidence of oropharyngeal dysphagia in patients with COVID-19, with increased severity during longer periods of OTI.
A laicização da educação na transição do Império para a República no Brasil: ensino leigo ou religioso?
Authors: Cecchetti Elcio , Santos Ademir Valdir dos
Published: September 2022

RESUMO Este estudo trata do processo de laicização da educação no Brasil. Objetiva analisar a discussão sobre a natureza do ensino leigo no arco cronológico entre o final do Império e os primórdios da República. É uma pesquisa bibliográfica que discute transformações políticas, econômicas, sociais e culturais pelas quais passou o Brasil e que repercutiram na conformação histórica de um estatuto de laicidade. Os resultados apontam a presença, desde o Império, de concepções de ensino leigo cujos fundamentos jurídicos foram aplicados à laicização educacional nos primeiros anos da República. Mostram que as propostas de laicidade apresentadas por Rui Barbosa foram centrais, defendendo a matriz jurídica estadunidense, que foi inserida na Constituição de 1891, apesar dos embates com a interpretação positivista da laicidade e com a Igreja Católica. Por outro lado, adeptos do positivismo conceberam a laicidade com base na matriz francesa, imprimindo conotações anticlericais ou antirreligiosas.
The Gasparian method as a critical perspective of didactic qualification in higher education: research-action
Authors: Pereira Terezinha Lima , Wagner Valdilene , Gasparin João Luiz
Published: September 2022

ABSTRACT This article criticized the reproductivist model of uncritical transmission of knowledge centered on the figure of the teacher and investigates the potential of the didactic teaching action, in higher education, when supported by the Gasparian method. This is a qualitative study of the action-research type and formative evaluation, elaborated under the voice of professors who co-participated in the intervention project. Data were treated by content analysis. Results showed professors’ engagement in relation to the method, a favorable climate for student learning, good adaptation, overcoming of difficulties, and commitment to the intervention. The didactic teaching action, based on the method, brought students closer to the political and social discussions and actions of everyday life, providing academic protagonism. It provided insights that dialectically challenged the situated social issues, indicating a propitious scenario for future implementation.