bluuebunny/crossref_metadata_2025 huggingface dataset:
Fibromyalgia in the Patients With Allergic Rhinitis: Its Prevalence and Impact on the Quality of Life
Authors: Gultuna Selcan , Tezel Nihal , Ozalp Ates Funda Seher
Published: July 2019

Background

Allergic rhinitis (AR) is a common allergic diseases which affect a patient’s quality of life. Another important disease which has a negative impact on quality of life is fibromyalgia (FM). Some studies have suggested that a probable relationship exists between atopic diseases and FM.

Objectives

This study was designed to determine the prevalence of FM and its impact on quality of life among AR patients.

Methods

One hundred five consecutive adult patients with AR who were between 18 and 57 years old were prospectively recruited in this study between April 2017 and May 2018. All patients were evaluated for the presences of FM. Patients were diagnosed with FM according to the classification criteria of the 2010 American College of Rheumatology. The patients’ quality of life was evaluated by Turkish versions of the Rhinoconjunctivitis Quality of Life Questionnaire and the Nottingham Health Profile (NHP).

Results

Thirty-four patients were diagnosed as having FM (32.4%). The percentage of FM was considerably higher than in the general population (2%–5%). Median individual domain scores except practical problems ( P = .108) and eyes symptoms ( P = .227) were significantly higher in AR with FM patients ( P < .001). All median levels of the NHP domains were significantly higher in AR with FM patients ( P < .001).

Conclusion

We would like to suggest that FM may be considered as one of the overlooked comorbid conditions in AR patients. Physicians should be aware of the occurrence of FM, especially in patients with impaired quality of life.
Pemetrexed, Bevacizumab, or the Combination As Maintenance Therapy for Advanced Nonsquamous Non–Small-Cell Lung Cancer: ECOG-ACRIN 5508
Authors: Ramalingam Suresh S. , Dahlberg Suzanne E. , Belani Chandra P. , Saltzman Joel N. , Pennell Nathan A. , Nambudiri Gopakumar S. , McCann John C. , Winegarden Jerome D. , Kassem Mohammed A. , Mohamed Mohamed K. , Rothman Jan M. , Lyss Alan P. , Horn Leora , Stinchcombe Thomas E. , Schiller Joan H.
Published: July 2019

PURPOSE

Pemetrexed or bevacizumab is used for maintenance therapy of advanced nonsquamous non–small-cell lung cancer (NSCLC). The combination of bevacizumab and pemetrexed has also demonstrated efficacy. We conducted a randomized study to determine the optimal maintenance therapy.

PATIENTS AND METHODS

Patients with advanced nonsquamous NSCLC and no prior systemic therapy received carboplatin (area under the curve, 6), paclitaxel (200 mg/m2), and bevacizumab (15 mg/kg) for up to four cycles. Patients without progression after four cycles were randomly assigned to maintenance therapy with bevacizumab (15 mg/kg), pemetrexed (500 mg/m2), or a combination of the two agents. The primary end point was overall survival, with bevacizumab serving as the control group.

RESULTS

Of the 1,516 patients enrolled, 874 (57%) were randomly assigned after induction therapy to one of the three maintenance therapy groups. With a median follow-up of 50.6 months, median survival with pemetrexed was 15.9 months, compared with 14.4 months with bevacizumab (hazard ratio [HR], 0.86; P = .12); median survival with pemetrexed and bevacizumab was 16.4 months (HR, 0.9; P = .28); median progression-free survival was 4.2, 5.1 (HR, 0.85; P = .06), and 7.5 months (HR, 0.67; P < .001) for the three groups, respectively. Incidence of worst grade 3 to 4 toxicity was 29%, 37%, and 51%, respectively, for bevacizumab, pemetrexed, and the combination regimen.

CONCLUSION

Single-agent bevacizumab or pemetrexed is efficacious as maintenance therapy for advanced nonsquamous NSCLC. Because of a lack of survival benefit and higher toxicity, the combination of bevacizumab and pemetrexed cannot be recommended.
Neuropathic Pain due to Neurofibromatosis Treated With Transcutaneous Electrical Nerve Stimulation in a Pregnant Patient: A Case Report
Authors: Caño Silva Victor , Serrano Afonso Ancor
Published: July 2019

A patient with neurofibromatosis type 1 presented to the pain clinic with neuropathic pain. Thoracolumbar magnetic resonance imagining revealed meningocele T12–L2 with cauda equina distortion. After becoming pregnant, the patient interrupted opioid treatment, refusing pharmacological treatment until the pain became unbearable. Transcutaneous electrical nerve stimulation (TENS) was proposed. The patient used this treatment from the first trimester until month 6 postpartum, achieving good analgesia without any adverse effects for the mother or child. TENS may be a viable treatment for neuropathic pain (NP) during pregnancy. However, more data are needed due to the difficulty of conducting clinical trials in this population.
The Long-Run Impacts of a Universal Child Care Program
Authors: Baker Michael , Gruber Jonathan , Milligan Kevin
Published: July 2019

Past research documents the persistence of positive impacts of early life interventions on noncognitive skills. We test the symmetry of this finding by studying the persistence of a sizeable negative shock to noncognitive outcomes arising with the introduction of universal child care in Quebec. We find that the negative effects on noncognitive outcomes persisted to school ages, and also that cohorts with increased child care access had worse health, lower life satisfaction, and higher crime rates later in life. Our results reinforce previous evidence of the central role of the early childhood environment for long-run success. (JEL I12, I31, J13, K42)
Provider Supply, Utilization, and Infant Health: Evidence from a Physician Distribution Policy
Authors: Carrillo Bladimir , Feres Jose
Published: July 2019

We analyze a policy that substantially expanded the supply of primary care physicians in Brazil. The program increased doctor visits across all age groups and led to greater utilization of doctors for prenatal care. However, these physicians replaced nurse visits for prenatal care without increasing the overall number of visits women receive. We find no evidence of gains in widely used metrics of infant health, including birth weight, gestation, and infant mortality. Together, these findings provide suggestive evidence that physicians and nurses may be good substitutes in the production function of infant health. (JEL I11, I12, I18, J13, J16, J44, O15)
Intervening along the spectrum of tuberculosis: meeting report from the World TB Day nanosymposium in the Institute of Infectious Disease and Molecular Medicine at the University of Cape Town
Authors: Hadebe Sabelo , Chengalroyen Melissa , Guler Reto , Nakedi Kehilwe , Koch Anastasia , Makatsa Mohau , Shey Muki , Parihar Suraj P. , Bryson Bryan , Marakalala Mohlopheni J. , Ndlovu Hlumani
Published: July 2019

Tuberculosis (TB), caused by the highly infectious Mycobacteriumtuberculosis, remains a leading cause of death worldwide, with an estimated 1.6 million associated deaths reported in 2017. In South Africa, an estimated 322,000 people were infected with TB in 2017, and a quarter of them lost their lives due to the disease. Bacille Calmette-Guérin (BCG) remains the only effective vaccine against disseminated TB, but its inability to confer complete protection against pulmonary TB in adolescents and adults calls for an urgent need to develop new and better vaccines. There is also a need to identify markers of disease protection and develop novel drugs. On March 25th 2019, the Institute of Infectious Disease and Molecular Medicine at the University of Cape Town hosted the second annual World TB Day nanosymposium. The theme of the nanosymposium was “Intervening across the spectrum of TB II” and the goal was to commemorate World TB Day by showcasing research insights shared by early-career scientists and researchers in the field. The speakers spoke on four broad topics: identification of novel drug targets, development of host-directed drug therapies, transmission of TB and immunology of TB/HIV co-infections. Assistant Professor Bryan Bryson gave a highly interesting keynote address that showcased the application of engineering tools to answer fundamental biological questions, particularly in the context of TB.
Nação e palavra: escritores de língua alemã no exílio latino-americano
Authors: Da Silva Santos Patrícia
Published: July 2019

Proponho uma reflexão de cunho teórico e empírico sobre a literatura de exílio e detestemunho e seus aspectos sociológicos relativos ao encontro entre culturas e às alteraçõesde identidade promovidas pelo rompimento do vínculo direto com a nação. Para isso, recorroa teóricos como Georg Simmel, Norbert Elias, Alfred Schütz, Theodor Adorno e outros. A baseempírica consiste em obras de intelectuais e escritores (sobretudo mulheres) de língua alemãexilados em países latino-americanos por conta de perseguição pelo nacional-socialismo.
When is the right time to speak up?
Authors: Bissett Julie
Published: July 2019

The onus is on us all to share concerns, insight and ideas. Julie Bissett reveals why
Gimmicks, fads and folklore
Authors: Middleton Anna
Published: July 2019

Anna Middleton offers a guide to putting patients on the safe track to a healthy smile
How to manage your ‘chimp’ brain
Authors: Khwaja Mahrukh
Published: July 2019

A strong and healthy workforce depends upon the fostering of wellness at work. Dr Mahrukh Khwaja, founder of the Empowering Women in Dentistry group, explains
Just do it!
Authors: Fowler John
Published: July 2019

Helping people learn is not as scary as you might think. In this new series, John Fowler discusses how the dental nurse can develop great teaching skills
Floss and lipgloss
Authors: Meldrum Eloise
Published: July 2019

From beauty salon to dental nurse and now a student dental hygienist – Megan Tompkins talks to Eloise Meldrum about her blossoming career
‘Endless job satisfaction’
Authors: Cooney Jane
Published: July 2019

Profile of Jane Cooney, a dental nurse working with patients living with dementia sufferers and special care patients
The ABCDE approach
Authors: Jevon Phil
Published: July 2019

Recognition and treatment of the acutely ill patient, by Phil Jevon
Sepsis in the dental setting
Authors: Whiteford Peter
Published: July 2019

Peter Whiteford investigates the mysteries of this potentially life-threatening condition
Orthodontic management of patients with autistic spectrum disorder
Authors: Ali Hesham , Mushtaq Brekhna , Malik Ovais
Published: July 2019

Autism is a life-long developmental disability that affects how people perceive the world and interact with others. The aetiology of autism has not been clearly identified. Affected individuals experience difficulty in social interaction and changes in their environment. There appears to be a higher percentage of malocclusion within the population with special needs than the normal population, and the demand for orthodontic treatment from this group of patients is likely to increase in line with awareness of autism and access to care. The strategies available to manage patients with autism successfully are discussed here.

CPD/Clinical Relevance: Understanding the difficulties faced by individuals affected by autistic spectrum disorder and anticipating the challenges in the provision of their care is of paramount importance in the context of their orthodontic management. These challenges, and the strategies available to successfully negotiate them, are concisely presented.
The multifactorial aetiology of gingival overgrowth: a case report illustrating diagnosis and management
Authors: Jablonski Rachael Y , Rushworth Bethany , Durey Kathryn A
Published: July 2019

Gingival overgrowth is the enlargement of gingival tissues and has various underlying aetiological factors. This case report highlights the multifactorial aetiology of gingival overgrowth for a patient who was prescribed an immunosuppressive strategy following renal transplantation, had poor levels of oral hygiene and a diet deficient in fruit and vegetables. The report highlights the importance of a detailed assessment to identify all underlying factors and demonstrates how a referral to the specialist services for gingival overgrowth led to a diagnosis of vitamin C deficiency. It also illustrates how both patient engagement and a conservative cause-related therapy can achieve a satisfactory resolution without any surgical intervention.

CPD/Clinical Relevance: This case report highlights the importance of a detailed assessment to diagnose all relevant underlying aetiological factors involved in the development of gingival overgrowth. It also illustrates how both patient engagement and a conservative cause-related therapy can achieve a satisfactory resolution of gingival overgrowth without any surgical intervention.
Primary B-Cell lymphoma of the mandible: a potentially difficult diagnosis
Authors: King Hudson , Rogers Simon
Published: July 2019

There are many causes of a persistent unilateral numbness of the lower lip. A case report of a 34-year-old normally fit and well male, whose symptoms of numbness of the mandibular division of the right trigeminal nerve represented the rare diagnosis of a primary B-cell lymphoma of the mandible, is presented here. The patient's presentation and management, reasons for the difficulty in ascertaining a definitive diagnosis, as well as invaluable points to be reflected on from this case, are discussed.

CPD/Clinical Relevance: Numbness should be treated with a high degree of suspicion, with urgent imaging, biopsy and specialist histopathology staining being carried out to exclude malignancy.
A Palatal Myoepithelioma
Authors: Bains Amandeep , Dennis Thomas , Doumpiotis Dimtrios
Published: July 2019

This case report demonstrates the management of a myoepithelioma in the minor salivary glands of the palate. Myoepitheliomas are rare, benign, salivary gland tumours which usually affect the parotid glands. The rare neoplasms only account for 1–1.5% of all salivary gland neoplasms. This case shows a minimal approach to treating this rare tumour found in a rare site.

CPD/Clinical Relevance: This case demonstrates the potential for rapid epithelial recovery within the oral cavity.
Motivational interviewing in managing dental caries in children
Authors: Bhujel Nabina , Rajan Sadna
Published: July 2019

Motivational Interviewing (MI) is a person-centred behavioural management technique that is valuable in prevention in healthcare including dentistry. This useful tool increases the motivation of patients and their carers and has been incorporated in the professional guidelines for the prevention of dental disease and also behavioural management. This review explores the relevance to the whole dental team in the promotion of oral health behaviour and discusses the relevant evidence related to dentistry.

CPD/Clinical Relevance: All dental professionals who deliver prevention should understand the clinical relevance of using MI so that dental disease can be minimized with positive behaviour change in patients and their care-givers.
Development of a new class of drugs to treat autosomal dominant polycystic kidney disease
Authors: Thompson Maria
Published: July 2019

Autosomal dominant polycystic kidney disease (ADPKD) is a disease that affects over 60 000 people in the UK alone, and around 12 million people worldwide. In this article, Maria Thompson describes the development of a new class of drugs aimed at treating ADPKD, which has been funded in part by Kidney Research UK
Hubungan Pemberian ASI Eksklusif dan Lingkar Kepala dengan Perkembangan Motorik Bayi Usia 6-12 Bulan di Surakarta
Authors: UTAMI SIWI HESTI , WIBOWORINI BUDIYANTI , PAMUNGKASARI ETI PONCORINI
Published: July 2019

Introduction: Motor development needs to be considered to detect the presence or absence of delays in infant’s development which can affect their potency in the future. Exclusive breastfeeding contains lactose, taurine, DHA, and AA which are needed for motor development. Head circumference is related to brain development as one of motor control organs. This study aimed to analyze the relationship between exclusive breastfeeding and head circumference with motor development of infants aged 6-12 months in Surakarta.

Methods: This was an analytical observational study with a cross sectional design. The subject were infants aged 6-12 months in Puskesmas Gajahan and Puskesmas Ngoresan Surakarta who met the inclusion criteria. Data obtained from interviews, measurements of head circumference, and assessments of motor development, in 84 subjects that selected purposely. The data were analyzed using Chi Square test, Odds Ratio (OR), and logistic regression.

Results: There was a significant relationship between exclusive breastfeeding and motor development (p<0,001; OR=9,88) but no significant relationship was found between head circumference and motor development (p=0,208; OR=5,35), complementary feeding and motor development (p=0,242; OR=0,52), sex and motor development (p=0,400; OR=1,59), age and motor development (p=0,432; OR=0,65).

Conclusion: Infants aged 6-12 months who are exclusive breastfed and had normal head circumference have greater chances to experience motor development that is age – appropriate.
Konsensus Dokter Umum Mengenai Materi Inti Anatomi Sistem Reproduksi Wanita Untuk Mahasiswa Kedokteran
Authors: PRATIWI INTAN , HASTAMI YUNIA , WIYONO NANANG , MUNAWAROH SITI
Published: July 2019

Introduction: The anatomy of the female reproductive system is one of the basic sciences of medical clinical practice needed by general practitioners. Until now there has been no standardization regarding anatomical material of the female reproductive system that medical students need to know. Meanwhile, the medical curriculum has undergone many changes that have impacted on reduced learning time resulting in a reduction in anatomical material given to students. This causes the different emphasis on anatomical material given to be different for each medical institution. This study aims to compile the subject matter of the anatomy of the female reproductive system in order to facilitate anatomical learning for medical students.

Methods: This research is a qualitative research with Delphi method two rounds. The subjects were general practitioners from 9 institutions in Indonesia selected through purposive sampling as many as 20 people. The initial Delphi questionnaire was compiled based on three anatomical textbooks, one anatomic terminology, and one study on the anatomical core material. Delphi round I panel is asked to choose material that are important and can add material if it doesn't already exist. Delphi round II panel was asked to rank 1-4 in each material. Researchers set a consensus level of 53%.

Results: The results of Delphi round I obtained 176 materials from a total of 178 materials and no additional material was obtained. Delphi round II obtained 84 (47.72%) core anatomical materials from 176 material.

Conclusion: General practitioners consensus of core materials of female reproductive system anatomy is 84 materials.
El feminismo ante el Movimiento del 22 de febrero: La revolución por las mujeres
Authors: Tamzali Wassyla
Published: July 2019

Entrevista electrónica realizada por Naima Benaicha Ziani y respondida, el 15 de junio de 2019, desde Argel. Traducida del original en francés, en ella Wassyla Tamzali responde a un interlocutor imaginario, que puede ser cualquiera de los lectores.
Association of single nucleotide polymorphisms in the fatty acid synthase, LOC514211, and fat mass and obesity-associated genes with milk traits in Indonesian-Holstein dairy cattle
Authors: Rahayu Amalia Puji , Hartatik Tety , Purnomoadi Agung , Kurnianto Edy
Published: July 2019

Aim: The study aimed to identify fatty acid synthase (FASN), LOC514211, and fat mass and obesity-associated (FTO) gene polymorphisms and to investigate their associations with milk traits in an Indonesian-Holstein dairy cow population. Materials and Methods: A total of 100 Indonesian-Holstein cows consisting of 50 heads (0th generation; G0) and 50 heads of their daughters (1st generation; G1) were used. Polymerase chain reaction-restriction fragment length polymorphism was performed to genotype three single nucleotide polymorphisms: rs41919985 in the FASN gene, rs42688595 in the LOC514211 gene, and g.1371T>A in the FTO gene. Results: FASN rs41919985 was associated with milk protein percentage (p<0.05), FTO g.1371T>A was associated with milk fat percentage (p<0.05), and LOC514211 rs42688595 was not associated with any trait (p>0.05). Heterozygote variants showed a higher protein percentage for FASN and the highest fat percentage for FTO. These associations were consistent in the G0 and G1 populations. Conclusion: Our results indicate that the milk protein and fat percentages can be improved by increasing the frequency of the AG genotype of FASN and the AT genotype of FTO, respectively.
Extended-spectrum beta-lactamase and Class 1 integrons in multidrug-resistant Escherichia coli isolated from turkeys
Authors: Eid Samah , Samir Abdel Hafeez
Published: July 2019

Aim: This study aimed to investigate the prevalence and implication of extended-spectrum beta-lactamase (ESBL) producing and Class 1 integrons (int1) gene carriers Escherichia coli isolates that demonstrated multidrug resistance (MDR) phenotypes and was isolated from turkeys that suffered from respiratory manifestation.

Materials and Methods: A total of 120 freshly dead turkey poults that suffered from respiratory manifestations, with a history of treatment failure at Hefna, Belbis, Sharqia (Egypt) were sampled. From each bird lung and liver were aseptically collected and transported for laboratory investigations.

Results: Examination of samples collected from 120 freshly dead turkey poults revealed the isolation of coagulase-positive staphylococci, coagulase-negative staphylococci, Campylobacter spp., Salmonella spp., Proteus spp., Pseudomonas spp., Klebsiella spp., and E. coli with the prevalence rates of 12/120 (10%), 30/120 (35%), 17/120 (14.2%), 5/120 (4.1%), 17/120 (14.2%), 6/120 (5%), 7/120 (5.8%), and 18/120 (15%), respectively. E. coli isolates were subjected for serotyping and characterization, while the rest of isolates were preserved to be investigated later in further studies. Serogrouping of E. coli isolates revealed the identification of O119, O6, O8, and O169, while 1/18 isolate was untypable. Studying phenotypic antibiotic susceptibility profiles of isolates revealed that 18/18 (100%) of isolates demonstrated resistance against cefuroxime, tetracycline, and trimethoprim, 16/18 (88.9%) of isolates demonstrated resistance to amoxicillin/ clavulanic acid, enrofloxacin, and norfloxacin, 14/18 (77.8%) of isolates demonstrated resistance to doxycycline and ciprofloxacin, and 9/18 (50%) of isolates showed resistance to gentamycin. Double disk synergy test showed that 6/18 (33.3%), 8/18 (44.4%), and 13/18 (72.2%) of isolates demonstrated the phenotypic pattern of ESBL producers with cefepime, cefotaxime, and ceftriaxone, respectively. Genotypic attributes for beta-lactamase TEM gene and int1 gene were studied by reverse transcriptase-polymerase chain reaction and revealed that 17/18 (94.4%) of isolates were positive for both genes. Embryo lethality test indicated that the 18 studied E. coli isolates were considered primary pathogens.

Conclusion: The results revealed that 18/18 (100%) of E. coli isolates demonstrated MDR against three or more antibiotic groups, 9/18 (50%) of isolates showed extensive resistance against the nine tested chemotherapeutic agents from seven antibiotic groups. It is recommended to monitor the circulation of MDR and ESBL-producing pathogens in poultry production in a one health approach, as a preventive measure to mitigate the risk imposed on public health.
Desempenho do modelo Hydrus - 1D utilizando diferentes formas de caracterização hidrodinâmica
Authors: Dias Allana Siqueira , Soares Willames De Albuquerque
Published: July 2019

A utilização da modelagem matemática para a simulação dos eventos hidrológicos é de fundamental importância no planejamento do uso e conservação do solo, para agricultura e pecuária, na meteorologia e na gestão dos recursos hídricos, sendo uma ferramenta conveniente para a avaliação de impactos no meio ambiente devido as atividades humanas.O uso agropecuário de alguns tipos de solo (como é o caso do Neossolo Flúvico) depende de suas condições de drenagem e se são necessárias correções desse fator ou não. Condições estas, que podem ser caracterizadas com o uso de modelos computacionais, como o Hydrus – 1D.Assim, o presente trabalho teve como objetivo avaliar o desempenho de quatro formas de caracterização hidrodinâmica do solo oferecidas pelo software Hydrus – 1D por meio das curvas de retenção de água do solo e da condutividade hidráulica. Os valores dos parâmetros hidráulicos do solo, bem como da condutividade hidráulica, foram determinados em ensaio e para analisar o desempenho dos modelos foram utilizados parâmetros estatísticos. O modelo que apresentou melhor desempenho nas simulações foi o que utilizou as informações da composição granulométrica do solo como dado de entrada e o modelo com o pior desempenho foi o que utilizou as informações da composição granulométrica e da densidade do material estudado, diferentemente do esperado, fato atribuído a alta sensibilidade relativa, no modelo Hydrus-1D, no cálculo dos parâmetros hidrodinâmicos “n” e “0s"> ”.
Environmental fragility based on the spatial distribution of soil resistance for the en-vironmental protection area (EPA) of Botucatu, Sao Paulo, Brazil
Authors: Yoshida Fernando De Alvarenga , Stolf Rubismar
Published: July 2019

Effective soil management requires an understanding of the physical, chemical and spatial distribution features of soil. Based on the spatial distribution of soil resistance to mechanical penetration, this study sought to construct an environmental fragility index of this resistance and apply it to an environmental fragility map of the Environmental Protection Area (EPA) of Botucatu, Sao Paulo, Brazil. Methodologies consisting of an empirical analysis of the environment, geostatistics, a multi-criteria decision analysis and algebraic maps were used. Measurements of soil resistance to mechanical penetration, sloping, soil type and land use were integrated into an environmental fragility map. The results showed that 32.5% of the sample area fell into the low fragility categories and 67.57%, into the middling and very high fragility categories. Our conclusion was that soil resistance to mechanical penetration, which is a natural feature found in various types of soils, can therefore be included as one of the criteria in a fragility analysis. We found evidence suggesting that soil resistance to mechanical penetration has a direct relationship with sloping and land use, namely, in cases where different types of use and their management exert change on the soil’s natural resistance to the extent of rendering it fragile.
Desafios e oportunidades na utilização sustentável dos recursos naturais no distrito de Massinga, Província de Inhambane-Moçambique
Authors: Guimaraes Angelo Lourenco
Published: July 2019

No presente artigo analisa-se os desafios e oportunidades da utilização de Recursos Naturais no Distrito de Massinga, Província de Inhambane, com destaque para o calcário, olhando para os Objectivos do Desenvolvimento Sustentável. Em termos de Materiais e Métodos, recorreu-se à consulta bibliografia relevante que aborda a gestão dos recursos naturais no País (Leis nacionais) e outros documentos normativos, como por Exemplo a Constituição da República de Moçambique. Segundo o Plano para o Desenvolvimento do Distrito 2017-2026 (PDD), o Distrito possui inúmeros recursos naturais, sendo de destacar os minerais. Os recursos minerais, neste caso concreto o calcário, quando bem explorado constituem fonte de economia comunitário contribuindo para o desenvolvimento do Distrito e em particular para a comunidade de Mambadine. A extracção de recursos naturais faz parte da história humana. Contudo, muito tem se discutido sobre como conciliar a crescente necessidade humana de obter recursos, com a possibilidade de os mesmos virem a se esgotar. O estudo revela que o Distrito de Massinga, não é rica em recursos naturais, dada a sua localização numa bacia sedimentares recente. Existe sim disponíveis alguns recursos a serem capitalizados, o exemplo de calcários e Saibro, assim como os florestais que são usados em grande medida para a construção de habitações à nível Distrital e Provincial. O aproveitamento económico dos recursos naturais traz consigo o aumento da renda familiar para além de produzir consequências ambientais que exigem soluções integradas em vários campos do conhecimento, ou seja, a gestão ambiental integrada.
Balanço de massa de biodigestor modelo Bioköhler abastecido com dejetos de bovinocultura de leite
Authors: Soares Caroline Monique Tietz , Feiden Armin
Published: July 2019

As transformações dos sistemas de produção de animais têm originado avanços significativos ao setor. Entretanto, tais transformações têm provocado problemas ambientais, em razão da concentração e aumento de escala da atividade. Diante deste cenário, é de fundamentalmente importante a busca por novas alternativas para mitigar os problemas ambientais e também agregar valor aos resíduos gerados. Estudos voltados para a geração e o aproveitamento do biogás a partir desses resíduos tem ganhado cada dia mais relevância, mostrando-se como uma alternativa interessante. Este estudo teve como objetivo verificar o balanço de massa de um biodigestor modelo Bioköhler abastecido com dejetos de bovinocultura de leite. O experimento foi realizado em um biodigestor de 20 m3 localizado na Estação Experimental Antônio Carlos dos Santos Pessoa, pertencente à UNIOESTE – Campus de Marechal Cândido Rondon, no período de 03/08/2014 a 07/02/2015. Foram obtidos dados de densidade dos afluentes e efluentes, valores de sólidos totais, fixos e voláteis, volume de biogás produzido e teor de metano presente neste biogás. Os resultados indicaram que a capacidade média esperada de produção de biogás esteve em torno de 12 m3 por dia e obteve-se uma média de 57,33% de metano neste biogás. Houve remoção de sólidos voláteis e esta foi satisfatória.
Desafios da regionalização na assistência à gestante e ao parto na V região de saúde, Garanhuns, Pernambuco.
Authors: Santos Maria Antonia da Silva , Cruz Jaciara Balbino da , Silva Valdemir Rodrigues da
Published: July 2019

 Regionalização da atenção a saúde surge pela necessidade de uma política de interiorização forte, como meio de garantir o acesso do usuário do SUS a serviços de qualidade, ao menor custo social,econômico e sanitário. Regionalizar não significa colocar vem segundo planos os deveres do municípios e sim a partir destes soma a uma rede horizontal de assistência integralizada da atenção .É um processo solidário participativo entre os três níveis federados, promovendo a auto suficiência da rede em atenção de média complexidade. Processo este iniciado pelo governo do estado de Pernambuco recentemente (2009/2010).O presente estudo visa demonstrar a real situação deste processo, a partir da análise da demanda de assistência na maternidade Regional (número de consultas, internamento e parto), constatando a falta de assistência a nível de municípios da V regional. Inclusive a cidade sede, que teoricamente, seria parâmetro comparativo pois, estar em melhores condições de desenvolvimento sócio econômico.
Potencialidades e Fragilidades da rede de atenção à saúde da mulher no município de Limoeiro
Authors: Oliveira Darlene , Ricarte Luana , Cristine Sandra
Published: July 2019

 O objetivo deste ensaio foi analisar as potencialidades e fragilidades da saúde da mulher no município de Limoeiro. Foram utilizados artigos publicados entre nas bases de dados Lilacs, Medline e BVS utilizando as palavras chaves "saúde da mulher", "rede de atenção básica" e suas versões em inglês, como também os dados do diagnóstico da rede de saúde da II regional de saúde elaborado pela Secretaria Estadual de Saúde de Pernambuco. Pôde-se perceber que a saúde da mulher no município de Limoeiro se resume aos cuidados do pré-natal de baixo e alto risco, citologia e exame de mama com solicitação de mamografia e USG mama além do encaminhamento aos especialistas.
Câncer de colo de útero: organização e análise crítica do cuidado em rede no município de Garanhuns, Pernambuco
Authors: Maia Ana Angélica Aguiar , Melo Eduardo Henriques de , Santos Juliana Cabral Ventura dos , Carvalho Lívia Cristina Rios de , Saborido Tárcila Kalyna de Alves
Published: July 2019

O presente estudo objetivou realizar uma análise da rede de atenção a saúde no que se refere ao câncer de colo de útero. Para tal, foi realizado um levantamento de dados a partir de documentos oficiais disponibilizados pela secretaria municipal de saúde e pelo sistema de informação do ministério da saúde. Foi escolhido um município de médio porte, localizado no interior do estado em questão. Potencialidades e fragilidades foram levantadas após o diagnóstico da rede, que conta com referência e contra-referência das equipes de saúde de família para os serviços especializados que o município dispõe para tratamento das lesões iniciais e, ou cancerizáveis. Uma vez diagnósticos os casos avançados as pacientes recentemente passaram a ter acesso através de um convenio com uma unidade privada de oncologia. Tal medida facilitou o acesso das mesmas ao tratamento de alta complexidade o que não existia, já que antes as pacientes eram enviadas a capital do estado sem qualquer acompanhamento ou seguimento. Os princípios de resolutividade, integralidade e equidade foram detectados após a análise. Por outro lado, questões de natureza psicológicas, culturais, e também noções de participação social e de cidadania ainda não são trabalhados neste município quando se trata da saúde da mulher.
Potencialidades e fragilidades da rede de atenção à saúde no controle da hipertensão arterial no município das Correntes, Pernambuco
Authors: Cabral Alessandra Lucas Nunes , Lima Harley Davidson Rocha de , Cabral Hugo Leonardo de Oliveira
Published: July 2019

A assistência integral à saúde permanece como um grande desafio. Neste sentido, a atenção básica e os diversos níveis de especialidades, apoio diagnóstico e terapêutico, média e alta complexidade precisam estar disponíveis para garantir esta assistência. As Doenças crônicas não transmissíveis são um dos principais desafios de saúde e dentre estas, a Hipertensão Arterial (HA) apresenta-se com alta prevalência. O objetivo deste estudo foi avaliar as potencialidades e fragilidades da rede de atenção à HA no município de Correntes (PE). No município existe cobertura de Estratégia de Saúde da Família de 100%, onde os usuários são atendidos, recebem medicação, são encaminhados para realizarem exames laboratoriais e diagnósticos; a média complexidade disponibiliza no próprio município alguns serviços. Os demais são realizados no município sede da regional de saúde. A alta complexidade concentra-se na Capital do Estado. A rede de atenção do município das Correntes possui estrutura de atenção básica organizada, em recurso de processo e resultado e gestão, porém há falhas na estrutura física das Unidades de Saúde da Família e no financiamento. Na média complexidade, as potencialidades consistem em parte dos serviços serem disponibilizados dentro do próprio município. Como entrave para a estruturação desta rede, tem-se as filas de espera para a marcação dos exames e os serviços de alta complexidade que não são oferecidos na Regional de saúde.
Potencialidades e fragilidades da rede de atenção à assistência farmacêutica no Município de Tabira
Authors: Filho Djalma Pinheiro de Andrade
Published: July 2019

A Assistência Farmacêutica é o conjunto de ações voltadas à promoção, proteção e recuperação da saúde, tanto individual como coletiva, tendo o medicamento como insumo essencial e visando ao acesso e ao seu uso racional sendo parte integrante do sistema de saúde. O objetivo desse ensaio foi analisar criticamente a rede de assistência farmacêutica no município de Tabira, Pernambuco, Brasil. Para isso foi utilizado dados relativos ao diagnóstico elaborado pela Secretaria Estadual de Saúde de Pernambuco sobre o sistema de saúde da região. Foi percebido que a situação da rede de assistência farmacêutica é precária uma vez que não há políticas de financiamento específicas. Dessa forma o acesso ao medicamento está longe de tornar-se um programa de Saúde pública na região.
Avaliação das atividades instrumentais da vida diária em idosos da periferia de São Luis, Maranhão
Authors: Carneiro Alves de Oliveira Bruno Luciano , Bastos Marcia Mônica Pereira , Baima Vanlinda Jesus Dias , Cunha Carlos Leonardo Figueiredo , Da Silva Alécia Maria
Published: July 2019

A avaliação funcional determina não só o comprometimento funcional da pessoa idosa, mas sua necessidade de auxilio. É uma tentativa sistematizada e objetiva de avaliar os níveis de funcionamento numa variedade de áreas. Buscando avaliar a dependência na realização de Atividades Instrumentais da Vida Diária (AIVD), entre idosos da periferia de São Luis-MA, desenvolvemos um estudo descritivo de abordagem quantitativa. Prevaleceram idosos independentes as AIVD (variação 64,1% a 76,6%), “cuidar de suas finanças” apresentou a maior prevalência de ausência de limitação (76,6%) realizando essa tarefa sem ajuda. Entre os que apresentaram alguma dependência (parcial e total), a atividade “usar telefone” foi a mais predominante (35,9%). Em relação como cada idoso se apresentou (in)/dependente ao total das AIVD encontramos 56,3% dos idosos independentes a todas, enquanto 43,7% se mostraram com algum grau de dependência (parcial ou total). Predominaram idosos independentes, contudo entre os dependentes a maioria é de limitação a todas, representando os senis em situação crítica de dependência, que necessitam de assistência constante e especializada, polarizado por aqueles com dependência em apenas uma AIVD. O estudo revelou um diagnóstico de incapacidade funcional e a necessidade de integração dos diferentes profissionais na promoção da saúde e no apoio à comunidade.
Especialidades ofertadas pelos Centros de Especialidades Odontológicas em Recife, Pernambuco: notas preliminares
Authors: Luciano de Souza Valéria
Published: July 2019

O objetivo desta pesquisa foi avaliar a estruturação dos Centros de Especialidades Odontológicas do Programa de Saúde Bucal na Cidade do Recife, através de uma investigação para registrar a quantidade de CEOs no município pesquisado, a distribuição geográfica dos mesmos e identificar os serviços oferecidos em cada uma dessas unidades especializadas  Os dados foram coletados através da visita do pesquisador aos Centros de especialidades com o auxílio do instrumento de coleta de dados, um formulário tipo “check list” contendo as diversas especialidades que compõe os requisitos mínimos do Programa Brasil Sorridente. Após análise dos dados, concluiu-se que nenhum dos seis Centros de Especialidades Odontológicas da Cidade do Recife atende os requisitos mínimos exigidos pelo programa, que são: Diagnóstico bucal, Periodontia, Endodontia, Cirurgia Oral e Atendimento a pacientes com necessidades especiais.
Planejamento e programação de ações em saúde: conceitos, importância e suas influências na organização dos serviços de saúde bucal
Authors: Carnut Leonardo
Published: July 2019

 Estudos demonstram que o planejamento e a programação a nível local é uma prática pouco difundida no cotidiano das equipes de saúde bucal na estratégia de saúde da família. Especula-se que isso possa ser atribuído, em parte, ao caráter histórico do planejamento e da programação dos serviços de saúde pública no âmbito do processo de trabalho no setor saúde. Este ensaio objetivou revisar os aspectos histórico-conceituais do planejamento e da programação no setor saúde com foco na saúde bucal. Percebeu-se que muitos desafios estão relacionados ao uso de planejamento e, por conseqüência da programação das ações em saúde, dentre elas estão o uso da informação em saúde como insumo para o planejamento, a delimitação conceitual imprecisa de termos relacionados ao planejamento e a programação como também uma inserção incipiente do planejamento nos programas de saúde bucal. Por fim, concluiu-se que o planejamento e a programação em saúde bucal apresentam limitações nos dias atuais e um componente histórico pode ser atribuído como determinante dessa situação.
PREPARATIONS FOR REMEDIATION OF A FORMER SURFACE MINE – A TECHNICAL RECLAMATION AREA
Authors: Černoch Petr , Košťál Jiří
Published: July 2019

The reclamation area for secondary float energy by-products is located on a spoil heap, 45m thick and 30 years old, and consists mostly of clay stone with high plasticity. When depositing a first 18m high stack, it was necessary to verify stability and to analyse deformations during the reclaiming operation. Stability and deformation depend on the shallow groundwater level. Therefore, it was necessary to propose a technical solution for drainage of the structure concerned. This can be divided into two parts: drainage of surface water and drainage of the shallow underground water. It means a complex solution for the entire construction that would not be possible without long-term monitoring of the construction and field mapping. Completion of the proposed facilities will increase the stability of the reclamation area and it will then be possible to continue with remediation of the former surface mine.
IN-SERVICE REMEDIATION OF A RAILWAY EMBANKMENT TO PREVENT SETTLEMENT
Authors: Grepl Jan
Published: July 2019

After optimization of the railway geometry for higher speed, a continuous settlement of the track occurred. Improvement of the embankment body was needed; however, a complete traffic interruption was not allowed. The reconstruction work has been done using the methods of special ground engineering such as vibro-stone columns and driven ductile piles.
RECONSTUCTION OF THE HISTORICAL BUILDING FOKSAL 13 AND 15 IN WARSAW
Authors: Ředina Tomáš
Published: July 2019

We were asked to design geotechnical structures to enable reconstruction of historical buildings. Buildings have to meet current standards so load bearing capacity had to be increased and underground garages can be built. A description of the securing construction pit is described below as well as the design of the deep foundation. The construction pit was secured by jet-grouting columns with struts and soil nails. Parts of the walls were underpinned by micropile trestles. Jet-grouting columns were also used for the deep foundation of existing walls.
A RETAINING WALL RECONSTRUCTION IN KUTNÁ HORA
Authors: Svoboda Jiří , Hadačová Dana
Published: July 2019

This paper addresses the reconstruction of a historical stone retaining wall at the busy Kremnická – Táborská road in the town of Kutná Hora. The structure was in very poor condition. There was the danger of an accident involving a wall slide, or even a total collapse of the road structure. The construction site in question is located near the St. Barbara’s Church, in the area of the formerly important but now historical mine Osel. With respect to the possibility of undermining, various geodetic surveys and observations of the surrounding area and rock mass were performed.
Estimation of Current Density Using High-Speed-Camera Recordings in a Model Spark Gap during Surge Currents
Authors: Kopp T. H. , Peters E. , Kurrat M.
Published: July 2019

For experimental investigations of short time plasma in spark gaps, as used in surge protective devices, high-speed camera recordings are used frequently. The analysis of these recordings provides further details regarding the plasma state and distribution. These deduced details are used to assist research and development processes. To increase the benefit of high-speed camera recordings an empirical model is presented to improve the picture analysis. In this model the recorded radiation intensity is empirically related to the current density within a spark gap. Therefore a specially adapted model spark gap was developed and tested. In this model spark gap areas with homogenous current densities occur. These current densities are determined in the experimental setup through current measurements with separated electrodes. Additionally, the relative radiation intensity between the electrodes is identified using high-speed camera recordings. An empirical correlation between these two measurement values was found and is discussed. It confirmed that the determined correlation improve the mostly intuitive interpretation of high speed camera recordings in spark gaps.
3D Analysis of Low-Voltage Gas-Filled DC Switch Using Simplified Arc Model
Authors: Gortschakow S. , Gonzalez D. , Yu S. , Werner F.
Published: July 2019

Electro-magnetic simulations have been used for the visualization of distribution of Lorentz force acting on a DC switching arc in low-voltage contactor. A simplified plasma model (black-box model) was applied for the description of arc conductivity. Arc geometry was gained from the high-speed camera images. Influence of arc position, arc current and of external magnetic field has been studied. Results have been compared with optical observations of the arc dynamics.
Analysis of C2 Swan Bands in Ablation-Dominated Arcs in CO2 Atmosphere
Authors: Methling R. , Franke St. , Götte N. , Wetzeler S. , Uhrlandt D.
Published: July 2019

A model circuit breaker in a high-pressure chamber filled with CO2 atmosphere is used to operate a wall-stabilized arc of several kilo-amperes between tungsten-copper electrodes surrounded by polytetrafluoroethylene nozzles. Optical emission spectroscopy (OES) is carried out via quartz plates inserted into the nozzles using a combination of an imaging spectrometer either with a high-speed video camera or with an ICCD camera. Depending on the nozzle geometry and the current, continuum from C2 Swan bands was detected as absorption as well as emission pattern. After current zero, optical absorption spectroscopy (OAS) using a xenon flashlamp as broadband background radiator was applied. An absorption around 493 nm was detected and attributed to CuF molecules. The study proofs the existence of C2 in the active phase and the formation of CuF near to current zero.
Optical Emission Spectroscopy of Magnethron Discharge Ar/Cu Plasma
Authors: Murmantsev A. , Veklich A. , Boretskij V. , Shapovalov A. , Kalenyuk A.
Published: July 2019

Plasma parameters (excitation temperature and electron density) of pulsing magnetron discharge is studied by optical emission spectroscopy. Such discharges are usually used as effective sources in sputtering or deposition processes. Vapor admixtures in argon plasma define mainly the temperature and electron density in such discharges. This is the feature, which is typically takes place in plasma of discharge between contacts/electrodes in switching devices of electric technology circuits.
RELACIÓN ENTRE EL DAÑO EN HOJAS CAUSADO POR LIRIOMYZA HUIDOBRENSIS (DIP- TERA, AGROMIZYDAE), LOS ADULTOS ATRAPADOS EN TRAMPAS PEGAJOSAS Y LOS PA- RASITOIDES EN UN CULTIVO COMERCIAL DE CUCURBITA MAXIMA VAR. ZAPALLITO (CU- CURBITACEAE).
Authors: BERTOLACCINI I. , CURIS M. C. , LUTZ A. , MARTINEZ J. J. , FAVARO J. C. , TROD A.
Published: July 2019

Los agromícidos causan daños en cultivos ornamentales y hortícolas. El objetivo de este estudio fue evaluar el número de adultos de L. huidobrensis en trampas pegajosas ubicadas en un cultivo de C. maxima var. zapallito, y relacionarlo con el total de hojas, hojas dañadas y parasitoides en diferentes fechas de monitoreo, y determinar la correlación entre el número de larvas y de parasitoides, de acuerdo a la cantidad de galerías por hojas. Seis trampas pegajosas fueron colocadas en un lote comercial y reemplazadas semanalmente. En 15 plantas seleccionadas al azar se registró el número total de hojas y el de hojas dañadas. Las hojas dañadas fueron llevadas a laboratorio donde se contó el número de galerías por hoja, y cada una fue colocada en cajas de Petri hasta la emergencia de los adultos del minador o del parasitoide. La población de adultos estuvo en correspondencia con el número de galerías por hoja con diferencias signifi cativas en la primera fecha de monitoreo, pero no con los parasitoides.