bluuebunny/crossref_metadata_2025 huggingface dataset:
Dinamika Hubungan Islam dan Lokalitas: Perebutan Makna Keislaman di Madura
Authors: Hamdi Ahmad Zainul
Published: February 2019

The discussion about Islam and local culture has resulted in a number of monumental academic works. The relation of Islam and the Javanese culture along with its dynamics have frequently colored intellectual debates in the field. Among the din of such fascinating academic debates, Islam Madura has been nearly neglected as an uninteresting academic discourse to observe. It has been argued that Madura is viewed as a “back door” of Java. It implies that observing Java means observing Madura automatically. This study seeks to raise the issue of contestation over the meaning of Islam within the relational context between Islam and the local culture of Madura society. Based on field research conducted under the light of Beatty’s multi-vocality concept, the study finds that Islam Madura is a communal identity, but it defines nothing about the Madurese Muslim community in general. Although each group acknowledges Islam as a shared identity, every individual and group, or sub-group, will have no a common understanding about the meaning of Islam. Islam has, certainly, unified all the Madurese people within a common perspective of mankind, God, and worldly matters, but this identity represents no one and does not specifically define any conception of anyone. The meaning of Islam Madura has been, therefore, endlessly knitted within compromising and synthesis process.
Pergulatan Sosioreligius di Tengah Arus Perubahan Ekonomi pada Masyarakat Kampung Inggris Pare Kediri
Authors: Subakir Ahmad
Published: February 2019

The establishment of educational institutes which mainly focus on English language course at Kampung Inggris (the Village of English) of Pare-Kediri plays pivotal role in the process of transformation of the local society especially in socio-religious and economic aspects they deal with. This article attempts to reveal socio-religious characteristic of the society at the Kampung Inggris along with their work ethos. The change of economic aspect has led to encounter of socio-religious aspect and the work ethos within the society as a result of the establishment of the English language courses coupled with the advent of outsiders who take the course. Employing socio-economic approach the study scrutinizes the dynamic of socio-religious aspect which grows as a consequence of the economic change. To get the necessary data and information, I use a panel of methods, which comprises interview, observation, and documentation. The discussion will focus on the socio-religious problems faced by the residents of the Kampung Inggris and their work ethos. The study finds that there has been a substantial change among the local society. The agrarian society at the Kampung Inggris has now transformed into capitalistic one. The transformation has subsequently affected their religious pattern from organic-religious to mechanic-religious.
Critical illness polyneuromyopathy in septic patients: Is it possible to diagnose it in a bedside clinical examination?
Authors: Schmidt Débora , Coelho Ana Cláudia , Vieira Fernando Nataniel , Torres Vitor Félix , Savi Augusto , Vieira Silvia Regina Rios
Published: February 2019

ABSTRACT Objective: To determine the sensitivity and specificity of peripheral and respiratory muscle strength tests in diagnosing critical illness polyneuromyopathy (CIPNM), compared with an electrophysiological examination. Methods: Fifty septic patients who required mechanical ventilation for at least five days, and without a previous history of muscle weakness, were included. Peripheral muscle strength was assessed using the Medical Research Council (MRC) score, handgrip strength by dynamometry, and respiratory muscle strength with maximum respiratory pressures. Diagnosis of CIPNM was either confirmed or rejected by an electrophysiological examination. Receiver operating characteristic curve analysis was performed to determine the cut-off values with the best sensitivity (SN) and specificity (SP) of the studied variables in the presence or absence of CIPNM. Results: Patients with CIPNM were older, more critical (APACHE IV/SAPS 3), had a longer hospitalization, required mechanical ventilation for longer, and had a higher rate of intensive care unit readmission. Cutoff values identified CIPNM patients using MRC scores, dynamometry according to sex, maximal expiratory and inspiratory pressures, as well as being confirmed by the electrophysiological examination, with good sensitivity and specificity: < 40 (SN: 0.893; SP: 0.955); < 7 kg (SN: 1; SP: 0.909) for men, < 4 kg (SN: 0.882; SP: 1) for women; < 34 cmH2O (SN: 0.808; SP: 0.909) and > −40 cmH2O (SN: 0.846; SP: 0.909), respectively. Conclusion: The MRC score, dynamometry or maximum respiratory pressures can be used to identify patients with CIPNM at the intensive care bedside assessment. The healthcare professional can choose any of the methods studied to evaluate the patient, based on his experience and the resource available.
Evaluation of vestibular and oculomotor functions in individuals with dizziness after stroke
Authors: Pimentel Bianca Nunes , Filha Valdete Alves Valentins dos Santos
Published: February 2019

ABSTRACT Changes in postural balance and visual complaints are frequent consequences of stroke. We aimed to investigate the symptoms and the vestibular and oculomotor functions of patients with dizziness post ischemic and hemorrhagic stroke and compare the results among them. Methods: Fifty patients with dizziness after stroke were evaluated through a clinical anamnesis and computerized vector electronystagmography: calibration of ocular movements, spontaneous nystagmus, semi-spontaneous nystagmus, pendular tracking, optokinetic nystagmus, rotary chair testing, and the caloric test. Results: All patients complained of dizziness, especially imbalance. Ischemic stroke in the carotid territory was the prevalent type. Visual complaints were reported by 56% of the sample and were related to abnormalities in oculomotor and caloric tests. Conclusion: The occurrence of visual symptoms was related to some abnormalities in the vector electronystagmography tests, being more frequent in cases of stroke in the vertebrobasilar system, and with oscillopsia and reduced visual acuity as symptoms.
Transient global amnesia: clinical features and prognostic factors suggesting recurrence
Authors: Alessandro Lucas , Calandri Ismael L. , Suarez Marcos Fernández , Heredia María L. , Chaves Hernán , Allegri Ricardo F. , Farez Mauricio F.
Published: February 2019

ABSTRACT The risk of recurrence of new amnesia events in patients having previously experienced transient global amnesia (TGA) ranges between 2.9-23.8%. Objective: Our objective was to search for recurrence predictors in TGA patients. Methods: Retrospective analysis to identify recurrence predictors in a cohort of 203 TGA patients from a single center in Buenos Aires, Argentina, diagnosed between January 2011 and March 2017 Clinical features and complementary studies (laboratory results, jugular vein Doppler ultrasound and brain MRI) were analyzed. Comparison between patients with recurrent versus single episode TGA was performed, applying a multivariate logistic regression model. Results: Mean age at presentation was 65 years (20-84); 52% were female. Median time elapsed between symptom onset and ER visit was two hours, with the average episode duration lasting four hours. Mean follow-up was 22 months. Sixty-six percent of patients referred to an identifiable trigger. Jugular reflux was present in 66% of patients; and 22% showed images with hippocampus restriction on diffusion-weighted MRI. Eight percent of patients had TGA recurrence. Patients with recurrent TGA had a more frequent history of migraine than patients without recurrence (37.5% vs. 14%; p = 0.03). None of the other clinical characteristics and complementary studies were predictors of increased risk of recurrence. Conclusions: Patients with migraine may have a higher risk of recurrent TGA. None of the other clinical characteristics evaluated allowed us to predict an increased risk of recurrence. Although the complementary studies allowed us to guide the diagnosis, they did not appear to have a significant impact on the prediction of recurrence risk.
The effect of vitamin D on cognitive functions in young female patients: a prospective controlled study using the Montreal Cognitive Assessment
Authors: Balbaloglu Ozlem , Tanık Nermin
Published: February 2019

ABSTRACT Aim: Our aim was to determine whether there is a relationship between vitamin D [25(OH)D] and cognitive functioning in women with low 25(OH)D levels. Methods: Ninety female patients, 25-45 years of age, who attended our outpatient clinic and had 25(OH)D levels < 30 ng/mL, were included. The Montreal Cognitive Assessment (MoCA) scale was used to determine cognitive functioning; the scale is divided into seven subgroups. Patients were divided into three subgroups according to their 25(OH)D levels. After a three-month period of 25(OH) D replacement, the patients underwent a re-evaluation using the MoCA scale. Results: The total MoCA score before treatment was significantly different from the score after treatment (p < 0.05). Language and delayed recall functions were significantly different before and after treatment (p < 0.05). Conclusion: Vitamin D levels were related to cognitive functioning in our study group.
Mario Henrique Simonsen e Antonio Delfim Netto: Socializações Desiguais, Carreiras Análogas, Modalidades Díspares de Exercício do Poder
Authors: Klüger Elisa
Published: February 2019

RESUMO Este artigo apresenta e analisa duas modalidades contrastantes de acesso à elite dirigente e de exercício do poder, a partir da comparação das origens sociais e das atuações na academia e na política de Mario Henrique Simonsen e Antonio Delfim Netto. Tal abordagem permite observar uma transição entre um modelo de acesso ao poder calcado na combinação entre origem social privilegiada, trunfos culturais, cosmopolitismo e laços de família; e um modelo no qual a especialização técnica e os laços tecidos no universo profissional ganham destaque. Simonsen e Delfim desempenharam funções análogas na consolidação da ciência econômica no Brasil, sendo centrais na moldagem da pós-graduação em economia e na incorporação de perspectivas matematizadas no ensino e na pesquisa. Em seguida, transitam para o Governo Federal, carregando consigo seus alunos e a capacidade de legitimar tecnicamente suas decisões políticas. O artigo sustenta que, malgrado a homologia profissional, os dois agem em suas escolas e exercem o poder de formas díspares, correlacionáveis às suas origens sociais e vias de acesso à elite dirigente.
Desigualdade de Renda e Demanda por Redistribuição Caminham Juntas na América Latina no Período 1997-2015
Authors: Méndez Yasmín Salazar , Waltenberg Fábio Domingues
Published: February 2019

RESUMO Por que em alguns países há mais redistribuição de renda do que em outros? A questão é relevante, não apenas para o desenho de sistemas de tributação e de políticas redistributivas, mas também para uma melhor compreensão do surgimento de conflitos sociais ou da posição (in)tolerante dos habitantes de um país frente a situações de desigualdade social. A literatura, centrada em estudos para países desenvolvidos, aponta que as chamadas "preferências por redistribuição" dependem de inúmeros fatores, tanto de ordem macro como microeconômica. Neste trabalho se combinam dados de três fontes distintas para se estimar um modelo multinível com dados empilhados e um pseudopainel, a fim de se analisar o efeito da desigualdade de renda na demanda por redistribuição na América Latina. Os resultados revelam que a probabilidade de apoio a políticas redistributivas aumenta em países/momentos com desigualdade mais elevada, e também indicam que os pobres estariam demandando sociedades mais igualitárias.
Party Membership and Activism in a New Democracy: Evidence from the Portuguese Case
Authors: Santo Paula do Espírito , Lisi Marco , Costa Bruno Ferreira
Published: February 2019

ABSTRACT While the analysis of party models and types of party members has been widely discussed at the theoretical level, empirical research has not attracted similar attention. This study contributes to filling this gap by examining an understudied case, namely party members in Portuguese political parties. The key objective of this article is to make a contribution to the study of activism and dedication to the party, in a comparative perceptive, considering different types of parties. The survey applied was based on an on-line questionnaire conducted within the MAPP (Members and Activists of Political Parties) research network. The dataset included members of several parties ranging from typical catch-all parties (PS - Socialist Party; PSD - Social Democratic Party) to elite-based types (CDS-PP - Social Democratic Centre-Popular Party), as well as 'movement' party types (BE - Left Bloc; LIVRE). The study covers four main dimensions of party membership: party members' socio-demographic profile, ideological attitudes, reasons for joining the party, and activism levels and types. We show that party membership in Portugal follows similar trends to other advanced European democracies, albeit with important differences between parties. These results are an important barometer for measuring the quality of democracy, especially one as young as Portugal's.
Drying kinetics of jabuticaba pulp by regression models
Authors: Furtado Thais Destefani Ribeiro , Muniz Joel Augusto , Silva Edilson Marcelino , Fernandes Jaqueline Gonçalves
Published: February 2019

Abstract Jabuticaba tree is native to the Atlantic Forest in Southern Brazil, and its fruit is widely consumed in the fresh form, but it is highly perishable, requiring conservation techniques. The aim of this study was to describe the drying kinetics of jabuticaba pulp at temperatures of 50 and 60°C, comparing the Henderson, Simple Three-Parameter Exponential, Lewis, Thompson, Fick and Wang and Sing regression models and estimating the Absolute Drying Rate (ADR) for the best model. Parameters were estimated using the SAS software. The evaluation of the quality in the adjustment and selection of models was made based on the adjusted determination coefficient, Residual Standard Deviation and Akaike Information Criterion. Models presented good adjustment to data, and the Lewis model was the most suitable to describe the drying kinetics of jabuticaba pulp at temperatures of 50 and 60°C, with drying rate of 0.000063 and 0.000082 g of water/s respectively. ADR indicated that in one third of the drying time, 70% of moisture loss occurred at both temperatures and after this period, there was a deceleration of moisture loss until stabilization, when equilibrium moisture content is reached.
Acute spontaneous unilateral adrenal hemorrhage: etiology and imaging findings in six cases
Authors: Adôrno Isa Félix , Tibana Tiago Kojun , Lima Guilherme Castilho Sorensen de , Martins Leticia de Assis , Gutierrez Junior Walberth , Goldman Suzan Menasce , Nunes Thiago Franchi
Published: February 2019

Abstract Objective: To evaluate the computed tomography characteristics of patients admitted with clinical suspicion of acute adrenal hemorrhage at three centers over a 3-year period and in whom that diagnosis was ultimately confirmed. Materials and Methods: This was a retrospective analysis of computed tomography findings in patients with suspected acute adrenal hemorrhage. We included only those cases in which the diagnosis was confirmed. Patients with aortic rupture and retroperitoneal hemorrhage were excluded. The images were analyzed by an experienced radiologist and by two radiology residents. Results: Six cases of unilateral adrenal hemorrhage (three on the left and three on the right) were analyzed. On computed tomography, each appeared as a rounded, oval mass altering the usual anatomy of the adrenal gland. The maximum diameter was 12.2 cm, and attenuation ranged from 45 to 70 HU. There was no appreciable contrast enhancement. No calcifications were observed. Conclusion: Adrenal hemorrhage, albeit rare, is potentially fatal. Early diagnosis is essential. Therefore, recognition of the possible presentations of these lesions by radiologists may help prevent hemorrhage from progressing to adrenal insufficiency and death.
Mise-en-scène da religiosidade afro-brasileira no cinema de Arthur Omar: fabulações de um Reinado em A coroação de uma rainha
Authors: Boeing Rafael Antônio Motta , Veiga Roberta
Published: February 2019

Resumo: A proposta do presente artigo é refletir sobre a mise-en-scène das experiências do sagrado próprias às tradições do Congado, ou Reinado, no cinema-documentário, especialmente no filme A coroação de uma rainha (1993), de Arthur Omar. Baseado nos conceitos de fabulação e de sagrado, o artigo traz uma leitura da obra de Omar com atenção para as formas pelas quais o olhar da câmera, a montagem e a trilha sonora se afetam e, portanto, são constituídos pelos ritos, mitos e cosmologia do Reinado de Nossa Senhora do Rosário do Jatobá. Para tanto, identificam-se tanto os objetos, sons, gestos congadeiros que adquirem potência de ficção, quanto os recursos fílmicos que reverberam tal potência.
O efeito Aleijadinho: ensaio de antropologia da expertise
Authors: Gomes Lilian Alves
Published: February 2019

Resumo: Neste artigo, analiso as incertezas em torno das obras de Aleijadinho, com vistas a sublinhar como argumentos sobre expertise são acionados em elaborações acerca da atribuição de autoria. Inicialmente, apresento o artífice/artista e como o referencial da antropologia da admiração (Heinich 1991) é profícuo para entender os efeitos da mitificação de sua trajetória e a importância conferida às suas obras no campo da arte brasileira. Em seguida, mostro como tais obras e outras imagens são vinculadas a noções de autoria, de estilo e de originalidade. Destaco, por fim, que imagens de santos e outras obras de arte podem se configurar como artefatos que devem ser decifrados por um olhar particular e revelador de afinidades entre domínios artísticos e mágico-religiosos.
Reflexões sobre a imprensa católica no Brasil
Authors: Marin Jérri Roberto
Published: February 2019

Resumo: Apresento neste artigo uma crítica à vertente interpretativa de Oscar de Figueiredo Lustosa, consagrada na obra Os bispos do Brasil e a imprensa, sobre o desenvolvimento da imprensa católica no Brasil. Para tal, enfoco as relações entre a Santa Sé e a hierarquia eclesiástica brasileira desde o final do século XIX até as primeiras décadas do regime republicano. O episcopado brasileiro valorizava a imprensa católica como meio de recristianização social e de combate aos inimigos e aos erros da modernidade. Porém, os investimentos não correspondiam às expectativas da Santa Sé, evidenciando a existência de resistências, tensões e embates às determinações pontifícias e de disputas e embates, em função dos diferentes projetos de recristianização social e de intervenção na sociedade.
Variabilidade dos casos de malária e sua relação com a precipitação e nível d’água dos rios no Estado do Amazonas, Brasil
Authors: Wolfarth-Couto Bruna , Silva Rosimeire Araújo da , Filizola Naziano
Published: February 2019

O entendimento das relações entre as variáveis de precipitação e nível d’água dos rios com os casos de malária podem fornecer indícios importantes da modulação da doença no contexto da variabilidade climática local. No intuito de demonstrar como essas relações variam no mesmo espaço endêmico, realizou-se a análise de coerência e fase de ondeletas entre as variáveis ambientais e epidemiológica no período de 2003 a 2010 para 8 municípios do Estado do Amazonas (Barcelos, Borba, Canutama, Carauari, Coari, Eirunepé, Humaitá e São Gabriel da Cachoeira). Os resultados indicam coerências significativas principalmente na escala de variabilidade anual, contudo, escalas menores que 1 ano e bienal também foram encontradas. As análises mostram que casos de malária apresentam pico com aproximadamente 1 mês e meio antes ou depois dos picos de chuva, e em média 1-4 meses após o pico dos rios para grande parte dos municípios estudados. Foi notado que cada variável ambiental apresentou atuação local distinta no tempo e no espaço, sugerindo que outras variáveis locais (a topografia é um exemplo) possam controlar as condições ambientais favorecendo uma atuação diferenciada em cada município, porém, quando as análises são feitas em conjunto é possível ver uma ordem não aleatória destas relações acontecerem. Embora os fatores ambientais e climáticos denotem certa influência sobre a dinâmica da malária, questões de vigilância, prevenção e controle não devem ser desprezadas, significando que as atuações governamentais de saúde podem mascarar possíveis relações com as condições hidrológicas e climáticas locais.
Um estudo longitudinal da associação do capital social e mortalidade entre idosos brasileiros residentes em comunidade
Authors: Gontijo Cristina Franco , Firmo Josélia Oliveira Araújo , Lima-Costa Maria Fernanda , Loyola Filho Antônio Ignácio de
Published: February 2019

Resumo: O objetivo do estudo foi verificar se o capital social seria um preditor da mortalidade por todas as causas entre idosos brasileiros residentes em comunidade. Participaram 935 idosos sobreviventes da coorte idosa do Projeto Bambuí em 2004, que foram acompanhados até 2011. O desfecho foi a mortalidade por todas as causas e a exposição de interesse foi o capital social, mensurado em seus dois componentes, o cognitivo (coesão social e o suporte social) e o estrutural (participação social e satisfação com a vizinhança). Variáveis sociodemográficas, de condições de saúde e tabagismo foram incluídas na análise para o propósito de ajuste. A análise dos dados baseou-se no modelo dos riscos proporcionais de Cox, que fornece hazard ratios (HR) e intervalos de 95% de confiança (IC95%). O componente estrutural do capital social, na dimensão da participação social, foi o único independentemente associado à mortalidade: os idosos que não participavam de grupos sociais ou associações apresentaram um risco de morte duas vezes maior (HR = 2,28; IC95%: 1,49-3,49) que suas contrapartes. Os resultados desta investigação evidenciam a necessidade de estender as intervenções direcionadas à promoção da longevidade para além do campo específico de atuação da saúde, voltando-se também para características ambientais e sociais.
Association between sociodemographic characteristics and sexual behaviors among a nationally representative sample of adolescent students in Brazil
Authors: Woolley Natalia Oliveira , Macinko James
Published: February 2019

Abstract: Although low socioeconomic status (SES) adolescents suffer from higher rates of adverse sexual and reproductive health outcomes, evidence on the association between SES and sexual behaviors has been less consistent. A cross-sectional analysis of the association between sociodemographic characteristics (household wealth, maternal education and race/ethnicity) and sexual behaviors (sexual initiation, multiple sexual partners, inconsistent condom use and inconsistent contraceptive use) of Brazilian adolescents was carried out using the 2015 Brazilian National Survey of School Health (PeNSE), a nationally representative school-based survey of 102,301 adolescents. Analyses included multivariable logistic models, which accounted for geographic and family characteristics. About 27.5% of adolescents were sexually initiated. Household wealth was associated with female sexual initiation, while race/ethnicity was associated with condom use and multiple sexual partners among males. For instance, black males had 35% higher odds of having multiple partners (aOR = 1.35, 95%CI: 1.13-1.62), but 22% lower odds of condom use (aOR = 0.78, 95%CI: 0.65-0.94), compared to white males. Frequent parental supervision was positively related to condom use (females, aOR = 1.28, 95%CI: 1.10-1.49; and males, aOR = 1.33, 95%CI: 1.18- 1.49). Results show the complex relationship between SES and sexual behaviors. Researchers should pay attention to gender, racial and social norms salient to adolescent sexual behaviors, as they can influence data collection and results. National policies should also support active parental supervision, since it can be a protective factor.
IMPLEMENTATION OF ENHANCED RECOVERY AFTER COLORECTAL SURGERY (ERAS) PROTOCOL: INITIAL RESULTS OF THE FIRST BRAZILIAN EXPERIENCE
Authors: TEIXEIRA Uirá Fernandes , FONTES Paulo Roberto Ott , CONCEIÇÃO Cristiane Weckerle Nazareth , FARIAS Carlos Alberto Teixeira , FERNANDES Daieni , EWALD Ingrid Petroni , VITOLA Luciano , MENDES Florentino Fernandes
Published: February 2019

ABSTRACT Background: Guidelines for enhanced recovery after surgery have their bases in colonic surgery, through the first protocols published in 2012. Since then, this practice has spread throughout the world, mainly due to improvements in surgical outcomes associated with resource savings. Aim: To analyze the first prospective results after the implementation of the guidelines. Methods: Were retrospectively analyzed 48 patients operated in the institution prior to the standardization. This group was then compared with a series of 25 patients operated consecutively after the guidelines were implemented. Results: With a 68.6% compliance rate, hospital length of stay (p=0.002), use of abdominal drains (p<0.001) and mechanical bowel preparation (p<0.001) were reduced. Mortality rates, anastomotic fistula, abdominal abscesses and reoperations were also reduced, but without statistical significance. Conclusion: Enhanced recovery after surgery protocols benefit patients care, resulting in better outcomes and possibly resource savings. Even with some limitations, its implementation is feasible in the Brazilian Public Health System.
COMPLICATIONS AFTER TRANSABDOMINAL SOAVE’S PROCEDURE IN CHILDREN WITH HIRSCHSPRUNG’S DISEASE
Authors: ASKARPOUR Shahnam , PEYVASTEH Mehran , IMANIPOUR Mohammad Hossein , JAVAHERIZADEH Hazhir , HESAM Saeed
Published: February 2019

ABSTRACT Background: Hirschsprung’s disease is a congenital disorder that causes functional obstruction of large bowel. Aim: To evaluate complication and bowel function score of children with Hirschsprung’s disease who underwent transabdominal Soave’s procedure. Methods: In this study all the children with Hirschsprung’s disease who underwent transabdominal Soave procedure were evaluated regarding bowel function and complication of trans-abdominal Soave’s procedure. Results: Were enrolled 160 children. Enterocolitis and constipation were seen in 15% of the cases. Fecal incontinency was the least frequent study which was seen in 1% of the children. Conclusion: Constipation and enterocolitis was the most frequent complication following transabdominal Soave technique.
STAGES AND FACTORS OF THE “PERIOPERATIVE PROCESS”: POINTS IN COMMON WITH THE AERONAUTICAL INDUSTRY
Authors: DAVRIEUX Carlos Federico , PALERMO Mariano , SERRA Edgardo , HOUGHTON Eduardo Javier , ACQUAFRESCA Pablo Agustín , FINGER Caetano , GIMÉNEZ Mariano Eduardo
Published: February 2019

ABSTRACT Background: The aeronautical industry is one of the disciplines that most use control systems. Its purpose is to avoid accidents and return safer flights. The flight of an airplane, from its takeoff to its landing is a process divided into stages under strict control. A surgical procedure has the same characteristics. We try to identify and develop the stages of the surgical process using the experience of the aviation industry in order to optimize the results and reduce surgical complications. Aim: To identify and develop the stages of the surgical process so that they could be applied to surgery departments. Methods: A search, review and bibliographic analysis of the application of aeronautical control and safety to medical practice in general and to surgery, in particular, were carried out. Results: Surgical process comprises the perioperative period. It is composed of Preoperative Stage (it is divided into 2 “sub-steps”: hospital admission and control of preoperative studies) Operative Stage (it is divided into 3 “sub-steps”: anesthetic induction, surgery, and anesthetic recovery) and Postoperative Stage (it is divided into 2 “sub-steps”: control during hospitalization and ambulatory control). Two checkpoints must be developed. Checkpoint #1 would be located between the preoperative and operative stages, and checkpoint #2 would be located between the operative and postoperative stages. Surgical factors are surgeons, instrumental and technology, anesthesiology and operating room environment. Conclusion: It is possible and necessary to develop a systematic surgical procedure. Its application in the department of surgery could optimize the results and reduce the complications and errors related to daily practice.
ENHANCED RECOVERY (ERAS) AFTER LIVER SURGERY:COMPARATIVE STUDY IN A BRAZILIAN TERCIARY CENTER
Authors: TEIXEIRA Uirá Fernandes , GOLDONI Marcos Bertozzi , WAECHTER Fábio Luiz , SAMPAIO José Artur , MENDES Florentino Fernandes , FONTES Paulo Roberto Ott
Published: February 2019

ABSTRACT Background: After the publication of the first recommendations of ERAS Society regarding colonic surgery, the proposal of surgical stress reduction, maintenance of physiological functions and optimized recovery was expanded to other surgical specialties, with minimal variations. Aim: To analyze the implementation of ERAS protocols for liver surgery in a tertiary center. Methods: Fifty patients that underwent elective hepatic surgery were retrospectively evaluated, using medical records data, from June 2014 to August 2016. After September 2016, 35 patients were prospectively evaluated and managed in accordance with ERAS protocol. Results: There was no difference in age, type of hepatectomy, laparoscopic surgery and postoperative complications between the groups. In ERAS group, it was observed a reduction in preoperative fasting and in the length of hospital stay by two days (p< 0.001). Carbohydrate loading, j-shaped incision, early oral feeding, postoperative prevention of nausea and vomiting and early mobilization were also significantly related to ERAS group. Oral bowel preparation, pre-anesthetic medication, sub-costal incision, prophylactic nasogastric intubation and abdominal drainage were more common in control group. Conclusion: Implementation of ERAS protocol is feasible and beneficial for health institutions and patients, without increasing morbidity and mortality.
TOTAL OMENTECTOMY IN GASTRIC CANCER SURGERY: IS IT ALWAYS NECESSARY?
Authors: BARCHI Leandro Cardoso , RAMOS Marcus Fernando Kodama Pertille , DIAS André Roncon , YAGI Osmar Kenji , RIBEIRO-JÚNIOR Ulysses , ZILBERSTEIN Bruno , CECCONELLO Ivan
Published: February 2019

ABSTRACT Background: Traditionally, total omentectomy is performed along with gastric resection and extended lymphadenectomy in gastric cancer (GC) surgery. However, solid evidences regarding its oncologic benefit is still scarce. Aim: To evaluate the incidence of metastatic omental lymph nodes (LN) in patients undergoing curative gastrectomy for GC, as well as its risk factors and patients’ outcomes. Methods: All consecutive patients submitted to D2/modified D2 gastrectomy due to gastric adenocarcinoma from March 2009 to April 2016 were retrospectively reviewed from a prospective collected database. Results: Of 284 patients included, five (1.8%) patients had metastatic omental LN (one: pT3N3bM0; two: pT4aN3bM0; one: pT4aN2M0 and one pT4bN3bM0). Four of them deceased and one was under palliative chemotherapy due relapse. LN metastases in the greater omentum significantly correlated with tumor’s size (p=0.018), N stage (p<0.001), clinical stage (p=0.022), venous invasion growth (p=0.003), recurrence (p=0.006), site of recurrence (peritoneum: p=0.008; liver: p=0.023; ovary: p=0.035) and death (p=0.008). Conclusion: The incidence of metastatic omental LN of patients undergoing radical gastrectomy due to GC is extremely low. Total omentectomy may be avoided in tumors smaller than 5.25 cm and T1/T2 tumors. However, the presence of lymph node metastases in the greater omentum is associated with recurrence in the peritoneum, liver, ovary and death.
PRE-OPERATIVE GASTRIC GIST DOWNSIZING: THE IMPORTANCE OF NEOADJUVANT THERAPY
Authors: RODRIGUES João Bernardo Sancio Rocha , CAMPANATI Renato Gomes , NOLASCO Francisco , BERNARDES Athos Miranda , SANCHES Soraya Rodrigues de Almeida , SAVASSI-ROCHA Paulo Roberto
Published: February 2019

ABSTRACT Introduction: Gastric gastrointestinal tumors (GIST) are a rare and usually asymptomatic neoplasm that can present as abdominal mass in more advanced scenarios. Since surgical resection is the main aspect of the treatment, locally advanced tumors require multivisceral resection and, therefore, higher postoperative morbidity and mortality. Objective: To perform a review the literature on the topic, with emphasis on the neoadjuvant therapy. Methods: Literature review on the Medline database using the following descriptors: gastrointestinal stromal tumors, neoadjuvant therapy, imatinib mesylate and molecular targeted therapy. Results: Surgical resection remains the cornerstone for the treatment of GISTs; however, tyrosine kinase inhibitors have improved survival as an adjuvant therapy. More recently, neoadjuvant therapy have been described in the treatment of locally advanced tumors in order to avoid multivisceral resection. Conclusion: Despite surgical resection remains as the most important aspect of the treatment of GISTs, adjuvant and neoadjuvant therapy with tyrosine kinase inhibitors have shown to both improve survival and resectability, respectively.
Physical, chemical and sensory evaluation of meat from cobia (rachycentron canadum), desensitized with different voltages of electric shock, stored under refrigeration
Authors: Melo Fúlvio Viegas Santos Teixeira de , Viegas Elisabete Maria Macedo , Parisi Giuliana , Bordignon Adriana Cristina , Cruz Neto Manoel Adriano da , Melo Jose Fernando Bibiano
Published: February 2019

ABSTRACT: Fish quality is conditioned by several factors, among them desensitization methods applied for fish managing and slaughtering. This research used electric shock at different intensities as a desensitization method for cobia (Rachycentron canadum) slaughtering and evaluated its effects over fish quality during refrigerated storage. The experiment was carried out by numbing the fish with electroshock at the intensities of 100, 150 and 200 Volts, and keeping them in refrigerated storage for 21 days. On the cobia, obtained from a commercial fish farm the following physical, chemical and sensorial characteristics as quality variables were evaluated: dielectric properties, rigor index, pH, texture, color, sensorial evaluation of freshness, ATP and degradation catabolites. The experimental design was a 6×3 factorial (6 times of analysis and 3 electroshock intensities). Significant differences (P<0.05) were observed for the analyzed variables, as a consequence of desensitization treatments and of storage time within each treatment. However, the number of variables affected by the treatment was smaller than the number of variables significantly affected by the storage time, and the interaction time×treatment was highly significant within the results reported. The best results for the parameters tested were obtained when the treatment at 150 volts intensity with the majority of analyzed variables held significant differences (P<0.05) among treatments. It was also concluded that cobia can be conserved in refrigerated storage within seven days after slaughtering using electro-narcosis as a method of desensitization.
Antibacterial and anti-biofilm activity of cinnamon essential oil and eugenol
Authors: Millezi Alessandra Farias , Costa Karine Angélica Dalla , Oliveira José Maria , Lopes Susana Patrícia , Pereira Maria Olívia , Piccoli Roberta Hilsdorf
Published: February 2019

ABSTRACT: Biofilms are responsible for most of the interference caused by microorganisms in food processing. The aim of this study was to evaluate the cinnamon (Cinnamomum zeylanicum) essential oil and eugenol sanitizer and anti-biofilm activity against biofilms. Concentrations used of essential oil were 0.0% (control) 0.12%; 0.48%; 0.96% and 1.92%; the amount of eugenol was 0.76%. Concentrations were determined from other published studies. Number of viable cells and quantification the bacterial biomass were determined. Anti-biofilm treatment was effective in preventing the formation of biofilms. The 1.92% concentration was the most satisfactorily with Escherichia coli reduction of 5.91log CFUcm-2 and Staphylococcus aureus reduction of 5.17log CFUcm-2 (P<0.05) biomass of the two bacteria. Sanitizing treatment was not effective in reducing biomass. Seen this, the cinnamon and eugenol essential oil may be promising alternatives for controlling biofilms.
Intra-abdominal granulomas caused by Clostridium tertium in an American Fuzzy Lop rabbit
Authors: D’Elia Mirella Lauria , Santos Alice Barroso , Ribeiro Beatriz Novaes Telles , Torres Renato Cesar Sacchetto , Santos Renato de Lima , Silva Rodrigo Otávio Silveira , Nepomuceno Anelise Carvalho
Published: February 2019

ABSTRACT: A 6-year-old Fuzzy Lop rabbit was referred to a veterinary hospital with a complaint of lameness. In addition to a vertebral subluxation, two radiopaque and well-defined structures were revealed by radiographic evaluation. Ultrasonographically, the masses were characterized as parenchymal structures with diffuse mineralization and formation of reverberation artifacts, suggesting presence of gas. These two structures were excised during a laparotomy and Clostridium tertium was isolated. To the best of our knowledge, this is the first report of C. tertium infection in a pet animal.
Application of active films with natural extract for beef hamburger preservation
Authors: Lagos Maria Jeannine Bonilla , Sobral Paulo José do Amaral
Published: February 2019

ABSTRACT: Edible chitosan-based films, in pure form (CH100), or blended with gelatin (GEL50:CH50), with and without boldo extract (B) were prepared. The oxygen permeability of the films, as well as color changes and antioxidant and antimicrobial activities on beef hamburgers samples were evaluated. CH100+B film exhibited optimal oxygen barrier properties (6.40±0.170cc-mL/[m²-day]), and this value was significantly increased in blended films (GEL50:CH50+B = 12.99±1.50cc-mL/[m²-day]) (P<0.05). All films provoked color changes in hamburger samples during storage, and the samples covered with CH100+B film showed a lower brightness and a higher redness. All films effectively protected beef hamburger from lipid oxidation, and boldo extract incorporation in pure and blended films enabled significant protection, when compared to the control sample (155.78±0.85meq O2/kg) (P<0.05). Finally, all films proved to be effective in microbial growth control, suggesting that these films are an effective alternative in improving food safety and quality of fresh meat.
Impacto das Variações no Crédito Rural e no Investimento em Pesquisa Agrícola na Produtividade da Agricultura Brasileira Contemporânea
Authors: Costa Junior Celso José
Published: February 2019

Resumo: A queda da produtividade das principais lavouras pode estar relacionada à redução dos investimentos em pesquisa. Ainda, o crédito rural subsidiado pode ser necessário para um aumento da produtividade, uma vez que esse é um fator essencial para a produção e para a modernização setorial. Percebendo a relevância desses dois pontos, este trabalho utiliza um modelo DSGE com economia fechada, sem governo e com dois setores. Os resultados apontam que o baixo investimento em pesquisa levou à baixa produtividade do setor agrícola até 2011, que se recuperou em 2012 e 2013. Por outro lado, o crédito rural subsidiado apresentou resultado nulo até 2009 e, em 2010 e 2011, o resultado foi positivo, mas tornou-se negativo em 2012 e 2013. Entre as duas políticas propostas, o subsídio ao crédito rural apresentou melhor resultado do que a pesquisa agrícola, pois o desempenho do produto foi superior no primeiro caso.
Determinantes das Exportações de Castanha de Caju da Guiné-Bissau (1986-2011): uma análise sob a ótica do modelo de gravidade de Bergstrand
Authors: Cateia Júlio Vicente , Veloso Gilberto de Oliveira , Feistel Paulo Ricardo
Published: February 2019

Resumo: Este trabalho analisa os determinantes das exportações de castanha de caju da Guiné-Bissau para a Índia no período de 1986-2011, utilizando o modelo de gravidade de Bergstrand (1985). Os resultados reportados do modelo de dados em painel (MQO-pooled) sugerem, por um lado, que o fluxo de exportações de castanha de caju é negativamente relacionado com o custo de transporte e, por outro, positivamente relacionado com a taxa de câmbio e rendas brutas e per capita, o que é consistente com os pressupostos teóricos dos modelos gravitacionais e com os estudos seminais da literatura econômica com a aplicação desses modelos.
A Influência da Taxa de Câmbio e Renda Mundial Sobre as Exportações Brasileiras de Soja (2000-2015)
Authors: Braga Francisco Laercio Pereira , Oliveira Ana Claudia Sampaio de
Published: February 2019

Resumo: Este trabalho propõe-se a testar a possível existência de uma relação de longo prazo entre as variáveis taxa de câmbio e renda mundial sobre o desempenho das exportações brasileiras de soja. Para este fim, estima-se um modelo econométrico capaz de descrever o nível de sensibilidade (elasticidade) das variáveis explicativas entre janeiro de 2000 e dezembro de 2015. A estratégia empírica adotada foi o uso dos métodos de séries temporais, teste de raiz unitária, teste de cointegração de Johansen, modelo vetorial autorregressivo (VAR) mais completo, denominado modelo vetor de correção de erros (VECM), a função impulso-resposta e a decomposição dos erros de previsão da variância. Os resultados demonstraram que apenas a variável renda mundial mostrou-se relevante para explicar as oscilações ocorridas ao longo do tempo na variável dependente exportação de soja, revelando a importância da conjuntura internacional para as vendas brasileiras da commodity. A variável taxa de câmbio apresentou sinal contrário à teoria econômica; contudo, registrou um coeficiente significativo. Na análise de curto prazo, observou-se que existe certa defasagem de tempo para que os desequilíbrios ocorridos no curto prazo sejam corrigidos no longo prazo.
Paul Éluard y César Vallejo: de la vanguardia a la fraternidad universal
Authors: Fernández-Cozman Camilo Rubén
Published: February 2019

Resumen Paul Éluard y César Vallejo tuvieron un período vanguardista y luego practicaron una poesía de compromiso político donde se desarrolla el tema de la fraternidad universal. Ambos poetas estuvieron influidos por la guerra civil española y pusieron de relieve de qué manera la solidaridad puede vencer a la muerte. El artículo compara dos libros: España, aparta de mí este cáliz y Au rendez-vous Allemand, en los que tanto Éluard como Vallejo subrayan la hermandad entre los hombres.
Poema corpo: o corpo poema
Authors: Alves Wanderlan
Published: February 2019

Resumo Neste artigo, analisamos a exposição fotográfica Corpo-poema, a partir das noções de campo expandido, pós-autonomia e inespecificidade, visando a compreender os processos criativos e vivenciais da arte, no projeto em questão, e os modos pelos quais o trabalho potencializa a liberação dos corpos femininos, assim como a restituição da literatura e do corpo aos espaços públicos. Num processo em que corpo e palavra são refuncionalizados, ambos desestabilizam a instituição literária e colaboram para um sentido de ampliação do campo da literatura contemporânea brasileira.
Da página ao palco - a arte minimalista do corpo em Max Martins e Sankai Juku
Authors: Pressler Gunter Karl , Takakura Sandra Mina
Published: February 2019

Resumo O poeta Max Martins (1926-2009) estabeleceu em sua obra diálogos intensos com outras culturas, particularmente com a da Ásia. Já a assinatura dos seus poemas, que lembra um ideograma/logogram, aponta para uma síntese minimalista de toda obra como uma construção poética entre o Ocidente e o Oriente - este último compreendido como construção discursiva de inúmeras Ásias. Nosso artigo parte da obra de Max Martins, no contexto da poesia moderna, e da obra do grupo Sankai Juku (fundado 1975), no contexto da dança teatral Butoh, que teve o seu início na segunda metade do século XX, a fim de encontrar e ressaltar o ponto de convergência no movimento minimalista da linguagem artística dos corpos, na poesia e na dança-teatro. A interpretação comparativa visa significar a linguagem artística do espaço em branco e o preenchimento à tinta preta no papel, na poesia, e os corpos brancos em um fundo escuro de um palco construído e adaptado à materialidade/corporalidade no Butoh.
O poema fora do livro: Joaquim Inojosa, Manuel Bandeira e Benedito Monteiro no modernismo pernambucano
Authors: Pasini Leandro
Published: February 2019

Resumo Este texto estuda a poesia modernista em Pernambuco na década de 1920, com foco na diversidade dos núcleos de produção cultural no Brasil. Propõe também um debate sobre o poema fora do livro, tendo em vista a relação desproporcional na história literária entre a forma do livro e os demais espaços do poema. Para isso, acompanha o impacto e o peso estético de “Bailado Rubro das Chamas”, de Joaquim Inojosa, “Evocação do Recife”, de Manuel Bandeira, além de “Knockout...” e “Poema da Bolsa”, ambos de Benedito Monteiro. A relação desses textos com o seu contexto acentua e legitima a heterogeneidade dos ambientes em que o modernismo brasileiro se desenvolve e, com isso, complexifica tanto a noção de modernismo quanto a própria ideia de literatura brasileira.
Tendências distópicas no Brasil: a fantasia como possibilidade de lidar com o pesadelo na literatura nacional
Authors: Pereira Ânderson Martins
Published: February 2019

Resumo O presente artigo busca discutir as especificidades da distopia brasileira, questionando acerca das singularidades na formação de sociedades atrozes e do uso do elemento fantástico para a elaboração e o desenlace destas narrativas em âmbito nacional. Para tal, este trabalho analisa os romances Dorri (2009), de Rafael Silva; Supernova: O encantador de flechas (2015), de Renan Carvalho; e Sombras de Reis Barbudos (1972), de José J. Veiga. Na análise, utiliza-se das contribuições de Causo (2003), Marks de Marques (2014), Matangrano (2013; 2014) e Suvin (1972). Este estudo justifica-se por contribuir com as pesquisas acerca da literatura nacional e acerca do gênero distopia, as quais têm se destacado nas últimas décadas e têm tornado disponíveis novas ferramentas para a (re)leitura de tais textos.
Tragédia, comédia, romance de formação
Authors: Klein Kelvin Falcão
Published: February 2019

Resumo Este trabalho parte de um ensaio de Giorgio Agamben dedicado a Dante e à distinção entre comédia e tragédia. Aproveitando certas indicações de Agamben, o trabalho busca reconfigurar a questão do atravessamento entre trágico e cômico, tendo como ponto de partida as teorias acerca do Bildungsroman, o romance de formação, e da heterogeneidade do discurso romanesco de forma ampla. Por fim, é realizada uma aproximação entre Marcel Proust e Franz Kafka (a partir de Walter Benjamin e Franco Rella), apresentando a hipótese de que, seguindo a reconfiguração do contato entre trágico e cômico, o discurso romanesco abarca também uma revisão das categorias de tempo e sujeito.
The poem as a whole: translating Chris Mccully’s Icarus and Houses
Authors: Pardo Santiago Quiroz
Published: February 2019

Abstract This article presents translations from English into Spanish for Icarus and Houses, two poems from Chris McCully’s Selected Poems (2011), along with a critical commentary. I discuss the controversial topic of poetic translation and some of the most relevant theoretical issues related to it, including the dichotomy of originality and equivalence, the usefulness of framing the endeavour within the principle of equivalence effect, the importance of treating the poem as an organic whole, and the benefit of considering different forms of intertextuality during the translation process. Using Robert Bly’s Eight stages of Translation (1982) as a methodological guideline, I discuss some of the decisions that led to the final Spanish version of the poems. I conclude that translation, even beyond poetry, should be framed as a creative act rather than a passive rendering of what has already been said.