bluuebunny/crossref_metadata_2025 huggingface dataset:
Mercado de ações brasileiro: uma investigação empírica sobre suas relações de longo prazo e de precedência temporal pré-crise de 2008
Authors: Silva Roseli da , Bertella Mario Augusto , Pereira Renan de Almeida Magner
Published: November 2014

Este estudo investiga empiricamente se variáveis macroeconômicas nacionais (produção industrial, inflação, taxa de juros real, risco de crédito doméstico e câmbio real) e internacionais (índice da bolsa de valores americana, a taxa de juros americana e o preço de petróleo) podem explicar o comportamento de longo e/ou de curto prazo do índice da Bolsa de Valores de São Paulo (Ibovespa) no período de 1995 a 2007, dados de frequência mensal. Aplicou-se metodologia econométrica de modelos de correção de erro resultando em evidências de relação de longo prazo positiva com o Ibovespa para a bolsa americana e o preço do petróleo e negativa para a taxa de juros americana e o risco de crédito. Do ponto de vista dinâmico, identificou-se o Ibovespa como única variável de ajuste para desvios da relação de longo prazo e precedência temporal significativa para a maior parte das variáveis, indicando a possibilidade de avaliação antecedente do comportamento futuro do indicador da bolsa brasileira.
As características da estrutura financeira brasileira e a trajetória de industrialização
Authors: Souza-Santos Elson Rodrigo de , Costa Armando Dalla
Published: November 2014

O artigo tem como objetivo identificar as principais características da estrutura financeira brasileira usando a abordagem histórico-institucional, as alterações legais e discussões sobre suas transformações recentes. As conclusões indicam predomínio do crédito público para financiamento de longo prazo no investimento das firmas e pessoas físicas, aliado ao autofinanciamento por retenção de lucros. Nos anos 2000 o crédito público foi fortalecido devido à crise financeira internacional (2007-...), como parte de uma política anticíclica para manter a demanda aquecida e auxiliar as empresas a financiar os investimentos. No período de crescimento entre 2004 e 2008 foi possível identificar a participação das grandes empresas do mercado de capitais em produtos financeiros como forma de angariar recursos para valorização e investimentos. Entretanto, as grandes firmas se mantêm dependentes dos recursos dos bancos públicos e simpáticas à especulação e a assumir riscos elevados, revelados com a crise.
O crédito como mecanismo de transmissão da política monetária: aspectos teóricos e evidências empíricas para o Brasil
Authors: Abrita Mateus Boldrine , Rondina Neto Angelo , Oliveira Luma de , Araujo Eliane Cristina de
Published: November 2014

Este trabalho analisa a operacionalidade e a eficiência do canal de crédito como mecanismo de transmissão da política monetária no Brasil, para o período de janeiro de 2001 a setembro de 2011. Com esse fim, estimaram-se duas equações IS, com diferentes especificações para a taxa de juros real, com e sem crédito, a fim de medir a intensidade e o timing de resposta de variações da taxa de juros no produto. Para tanto, utilizou-se como metodologia o modelo de Vetor de Correção de Erros (VEC). Os resultados para as duas equações corroboram a eficácia do canal do crédito no Brasil, já que os efeitos negativos do choque na taxa de juros real sobre o produto são mais intensos e o afetam com mais rapidez, ao incluir a variável crédito.
A regra da maioria como agregação de preferências: questões e respostas
Authors: Mauerberg Junior Arnaldo , Strachman Eduardo
Published: November 2014

Ancorado na abordagem racionalista, mas na impossibilidade da regra consensual e buscando apresentar as características da regra da maioria e alguns de seus problemas, como o paradoxo de Condorcet, e soluções a esses problemas, como o logrolling, este artigo se propõe a revisar e sintetizar a teoria a respeito, baseado nas principais contribuições ao tema. O estudo se justifica porque, como processo de agregação de preferências, a regra da maioria se destaca para usos eleitorais e de processos políticos internos, em um elevado número de nações.
Avaliação sistêmica do eventual lançamento de novos produtos universitários: uma abordagem baseada no Pensamento Sistêmico
Authors: Paraboni Priscila Bonalume , Rodrigues Luis Henrique , Serrano Rosiane
Published: November 2014

Existem diferentes metodologias para o processo de desenvolvimento de novos produtos, as quais abordam, principalmente, uma sequência de passos lógicos aplicados por uma pessoa ou equipe e baseados no escopo do projeto. Entende-se que o contexto organizacional atual exige um processo de desenvolvimento de produtos que contemple esse dinamismo vivenciado. Nesse sentido, este artigo realiza a aplicação do Pensamento Sistêmico (SENGE, 2012) durante o processo de desenvolvimento de um novo curso de graduação tecnológica em uma Instituição de Ensino Superior, em busca da análise do lançamento, no tempo e no espaço, identificando os impactos sistêmicos do lançamento do novo curso. A pesquisa foi aplicada seguindo a lógica do Design Science Research (BAYAZIT, 2004). O método sistêmico (ANDRADE et al., 2006) foi aplicado em um grupo de professores e pesquisadores da Universidade que participaram do desenvolvimento do curso de graduação tecnológica.
Proposta de indicadores para avaliação de desempenho dos Sistemas de Gestão Ambiental e de Segurança e Saúde no Trabalho de Empresas do ramo de engenharia consultiva
Authors: Almeida Clarissa Lima , Nunes Ana Bárbara de Araújo
Published: November 2014

O processo de implantação de um sistema de gestão agrega valor à cultura organizacional, pois desenvolve competências relacionadas ao planejamento e execução das atividades, prioriza a capacidade de trabalho em equipe e promove a confiabilidade do sistema produtivo. Deste modo, uma das principais ferramentas utilizadas na política econômica das organizações tem sido a implementação de um Sistema de Gestão Ambiental (SGA). Do mesmo modo, o crescente número de acidentes repercutidos na mídia fez com que as organizações buscassem nos Sistemas de Gestão de Segurança e Saúde no Trabalho (SGSST) o instrumento para alcançar melhores resultados na área de SST. O uso dos indicadores de avaliação de desempenho auxilia as organizações a quantificar e relatar o desempenho de seus sistemas de gestão. Diante disso, o objetivo deste trabalho foi propor um conjunto de indicadores de avaliação de desempenho para os SGA e SGSST de uma empresa certificada pelas normas NBR ISO 14001:2004 e OHSAS 18001:2007, a fim de melhorar o desempenho destes sistemas, contribuindo com seus processos de melhoria contínua. Para isso, foi realizado um estudo de caso em uma empresa de engenharia consultiva, em que foram levantados os dados necessários para viabilizar a elaboração e proposta dos indicadores, por meio, principalmente, de entrevistas, aplicação de questionário aos funcionários e acompanhamento às auditorias realizadas na empresa. Desta forma, foram propostos 23 indicadores, sendo 11 para o SGA e 12 para o SGSST. Os indicadores propostos podem ser empregados em SGA e SGSST de empresas de qualquer ramo de atividade, por se tratar de indicadores de fácil implementação e controle.
Um tipo diferente de diferença na elite política: perfis políticos e inserções culturais de parlamentares brasileiras
Authors: Reis Eliana Tavares dos
Published: November 2014

O artigo analisa perfis e inserções de oito parlamentares brasileiras que se notabilizaram tanto na ocupação de posições políticas (administrativas e eletivas) como em meios culturais (universidades, institutos, meios midiáticos, entre outros). A questão mais geral que se coloca é quem são essas mulheres, quais os recursos mobilizam e em que condições conseguem se alocar num espaço no qual são tão raras? Triplamente raras, porque se distinguem da maioria das mulheres ao entrar na competição política; dos outros políticos por serem mulheres; e da maioria dos políticos, homens e mulheres, por ocuparem o topo da hierarquia política e se destacarem, entre os profissionais da política, como produtoras de bens culturais.
Espaço, profissão e gênero: mobilidade e carreira entre juízes e juízas no Estado de São Paulo
Authors: Marques Jr Gessé
Published: November 2014

Por meio de pesquisa realizada com juízes e juízas no estado de São Paulo, este artigo revela que, apesar de um discurso interno e de diretivas institucionais igualitárias, a carreira desses profissionais é marcada por diferenças e desigualdades de gênero. Este trabalho faz uma interconexão entre gênero, profissão e espaço, e mostra como a construção das carreiras dos juízes(as) analisados está relacionada com a capacidade individual de mobilidade e deslocamento espacial no estado.
Quando a intimidade sobe e desce as escadas da zona boêmia de Belo Horizonte
Authors: Marina Veiga França
Published: November 2014

Este artigo aborda permeabilidades entre diferentes tipos de relações que envolvem intimidade e troca econômica. Trata do papel dos afetos na prostituição na zona boêmia de Belo Horizonte e sua importância no atendimento de clientes em interações rápidas e, especialmente, em relações que envolvem trocas mais complexas entre prostitutas e clientes. Problematiza a demarcação entre interesses e sentimentos no comércio do sexo e também nas relações pessoais de prostitutas que, como outras pessoas, estabelecem diversas conexões entre vida econômica, afetiva e sexual.
Os desafios da participação e da cidadania nos sistemas de saúde
Authors: Serapioni Mauro
Published: November 2014

Os temas da participação cidadã e da cidadania têm assumido grande relevância nas políticas públicas da maior parte dos países do mundo. Neste artigo, após ter brevemente resumido as principais etapas do desenvolvimento do conceito de cidadania e ter ilustrado a preeminência da participação social como sua prática, serão analisadas as potencialidades e os limites das abordagens deliberativas utilizadas para promover novas formas em saúde. Sucessivamente serão enfocados outros aspetos críticos que contribuem para reduzir o exercício dos direitos de cidadania, nomeadamente: a questão da representatividade, que subjaz aos métodos de participação dos cidadãos; o tema da influência da participação nos processos de decisão; a limitada experiência e o escasso interesse em avaliar a efetividade da participação no sector da saúde. Em conclusão, serão focalizados os principais desafios da participação e da prática da cidadania nos sistemas de saúde.
Esgotamento entre profissionais da Atenção Primária à Saúde
Authors: Martins Leonardo Fernandes , Laport Tamires Jordão , Menezes Vinicius de Paula , Medeiros Priscila Bonfante , Ronzani Telmo Mota
Published: November 2014

O esgotamento profissional (EP) caracteriza-se por exaustão emocional, despersonalização, e baixa realização profissional, podendo ocorrer entre profissionais da saúde. Este artigo avalia o EP entre trabalhadores da Atenção Primária à Saúde (APS) em três municípios de pequeno porte da Zona da Mata Mineira. O estudo analisa a associação por regressão logística entre EP, aspectos socioeconômicos, demográficos e aspectos do trabalho. Um total de 149 profissionais foi selecionado, destes, 107 responderam a todos os questionários. Para mensurar o EP, foi utilizado o Maslach Burnout Inventory(MBI) e, para a caracterização dos profissionais, foi utilizado outro questionário segundo três diferentes questões: aspectos individuais, sociodemográficos e área de cobertura da equipe. Foram classificados 101 profissionais com indicação positiva para EP. As variáveis presentes no modelo de regressão logística backward stepwise, associadas positivamente com indicativo de esgotamento profissional foram: possuir idade inferior à mediana da população (> 29,5 anos) e fazer uso de medicamentos "calmantes, tranquilizantes e remédios para dormir". Os resultados contribuem para identificar fatores associados com o esgotamento profissional e apontam, neste sentido, para a necessidade de investigações mais detalhadas.
Exposição ao benzeno em postos de revenda de combustíveis no Brasil: Rede de Vigilância em Saúde do Trabalhador (VISAT)
Authors: Moura-Correa Maria Juliana , Jacobina Alexandre José Ribeiro , Santos Simone Alves dos , Pinheiro Regina Dal Castel , Menezes Marco Antônio Carneiro , Tavares Andrea Marques , Pinto Nanci Ferreira
Published: November 2014

O objetivo deste artigo é apresentar a experiência da rede de vigilância da exposição ao benzeno em Postos de Revenda de Combustíveis, descrevendo seus componentes, desenvolvida no Sistema Único de Saúde. Relato e análise de experiência de vigilância e seus impactos à saúde dos trabalhadores de postos de combustíveis em seis estados do Brasil. Apresenta a perspectiva de ação operada pela circulação de informações, encontros nacionais, discussões de estratégias particulares e compartilhadas das experiências, metodologias e instrumentos comuns. São descritos procedimentos de inspeção, avaliações individuais e formação. Foram identificadas situações de risco e exposições ocupacionais e ambientais em 1.312 postos e 564 trabalhadores foram avaliados. Estavam expostos frentistas, chefes de pista e encarregados de medição, descarga e testes. As características integradas e complementares desta vigilância, articuladas às áreas ocupacional e ambiental, contemplam a intervenção a territórios ampliados e conectados em rede. A intervenção supera as fragmentações entre práticas individuais e coletivas e entre serviços e ensino, tornando-se um exemplo de ação para avaliação e redução do impacto à saúde em trabalhadores, pela articulação da ação sanitária, ambiental e de conexão intersetorial.
Processo de trabalho e condições de trabalho em frigoríficos de aves: relato de uma experiência de vigilância em saúde do trabalhador
Authors: Oliveira Paulo Antonio Barros , Mendes Jussara Maria Rosa
Published: November 2014

Este artigo apresenta o relato de uma experiência de atividades de vigilância em saúde desenvolvidas em frigoríficos de aves no sul do Brasil. Tem como objetivo apresentar subsídios para compreender o processo de trabalho desenvolvido, o crescimento do setor, a organização do trabalho, além do confronto com suas formas econômicas que vêm expondo trabalhadores a condições de trabalho que aviltam a saúde. As condições de trabalho identificadas são consideradas, em grande parte, incompatíveis com a saúde e com a dignidade humana. O presente estudo valoriza a intervenção interinstitucional, notadamente com o Ministério Público do Trabalho, critica a fraca implementação de intervenções concretas do Estado nas condições de saúde no setor e apresenta a nova Norma Regulamentadora 36 como perspectiva positiva para um futuro próximo.
Experiência de vigilância no setor canavieiro: desafios para interromper a "maratona" perigosa dos canaviais
Authors: Vilela Rodolfo Andrade de Gouveia , Santos Simone Alves dos , Silva Alessandro José Nunes da , Almeida Ildeberto Muniz de
Published: November 2014

O setor sucroalcooleiro cresce anualmente com participação expressiva do estado de São Paulo que concentra atualmente cerca de 42,9 % das usinas do país. A cadeia produtiva é objeto de preocupação de órgãos públicos e da sociedade civil por expor trabalhadores migrantes a riscos decorrentes do processo de trabalho. Em São Paulo, de 2006-2009, a Vigilância em Saúde do Trabalhador construiu duas iniciativas para enfrentar problemas relacionados às condições de trabalho e moradia de trabalhadores da cana. O objetivo do artigo apresentado na modalidade de ensaio é analisar as experiências em seu contexto. O método usado associa análise documental à percepção dos autores que participaram das ações. As experiências possibilitaram melhorias nessas condições e início de debate público sobre as condições do trabalho exaustivo. As intervenções resultaram na definição de normas sanitárias e iniciativas no nível legislativo e judiciário, mas mesmo aquelas mais exitosas não conseguiram alcançar os determinantes organizacionais, especialmente a remuneração por produção, que desafia a ação tradicional de vigilância e tem seus impactos agravados pela fragilidade da representação dos trabalhadores.
The gap between what has been defined and what is still pending in occupational health surveillance
Authors: Vasconcellos Luiz Carlos Fadel de , Gomez Carlos Minayo , Machado Jorge Mesquita Huet
Published: November 2014

The scope of this paper is to address some questions about Occupational Health Surveillance (VISAT) in Brazil based on various elements of analysis, in order to contribute to the debate on this theme at the Fourth National Conference on Occupational Health. The topics discussed in the article are: the role of Reference Centers for Occupational Health (CEREST) as a place for discussing VISAT; training and qualification of the VISAT agents; commitment of workers as subjects of VISAT action; strategies for intersectorial liaison with other areas of the State; and the dialogue between peers working in the field of research and action of VISAT. It should be emphasized that in Brazil there is specific legislation on VISAT that is a priority of the National Labor Policy. The conclusion drawn is that heavy investment in the training of agents and the development of specific guidelines is needed to implement systematic and intersectorial actions in this respect. At the time of the Conference, the greatest expression of the exercise of social control, it is recommended that the participation in surveillance procedures of health workers be evaluated as a precondition to ensure the effectiveness of these actions.
Hacia un estudio bidimensional del Síndrome de Burnout en estudiantes universitarios
Authors: Ricardo Yury Rosales , Paneque Fredy Rafael Rosales
Published: November 2014

Se realizó un estudio de revisión con el objetivo proponer una nueva definición del Síndrome de Burnout (SB) en estudiantes universitarios, como un síndrome bidimensional, donde las dos dimensiones imprescindibles o corazón del SB estudiantil son el agotamiento y el desinterés estudiantil. Se elimina la tercera dimensión eficacia o autoeficacia académica en el caso particular de los estudiantes por no cumplir los requisitos situacionales y conceptuales del síndrome en sí.
The use of medication and associated factors among adults living in Campinas, São Paulo, Brazil: differences between men and women
Authors: Francisco Priscila Maria Stolses Bergamo , Bastos Tássia Fraga , Costa Karen Sarmento , Prado Maria Aparecida Medeiros Barros do , Barros Marilisa Berti de Azevedo
Published: November 2014

The objective of this study was to verify factors associated with the use of medication by adults, with emphasis on the differences between men and women. It was a population-based, cross-sectional study with cluster sampling conducted in two stages in Campinas in the state of São Paulo in 2008. Among the 2,413 individuals aged 20 or older, the prevalence of use of at least one drug in the three days before the research was 45.4% (95% CI: 41.3 - 49.4) in men and 64.6% (95% CI: 59.8 - 69.2) in women. For adult men over 40 years old who were not working, former smokers, with one or more chronic diseases, with two or more health problems and who sought health care or a health professional in the two weeks preceding the research showed higher prevalence of medication use. Among women, a higher prevalence of use was observed in females over 40, obese, former smokers, who reported a short sleep pattern, with one or more chronic diseases and two or more health problems, and who reported seeking a health care service or professional in the past 15 days. The findings showed some differences in the determinants of drug use in relation to gender, revealing the greater importance of health-related behavior among women.
Cultivo do tabaco no sul do Brasil: doença da folha verde e outros agravos à saúde
Authors: Riquinho Deise Lisboa , Hennington Élida Azevedo
Published: November 2014

O objetivo do estudo foi identificar a presença de problemas de saúde e outros agravos e seus significados para agricultores do tabaco, representantes do Estado, da sociedade civil, da indústria do tabaco e estratégias de enfrentamento. Foi desenvolvido estudo do tipo etnográfico com realização de 35 entrevistas semiestruturadas entre famílias de agricultores e informantes-chave, e observação participante das famílias em localidade rural do RS. Os resultados evidenciaram o reconhecimento da presença da Doença da Folha Verde do Tabaco (DFVT) e outros agravos por parte dos agricultores e representantes da sociedade civil. Representantes da área da saúde não reconhecem problemas de saúde desta população como resultado da atividade produtiva vinculada ao tabaco. Os representantes da indústria admitem a existência de problemas de saúde, porém culpabilizam os agricultores. Conclui-se que é preciso maior aproximação, acompanhamento e intervenção do Poder Público em comunidades rurais que produzem tabaco, visando desenvolver ações de vigilância e promover a saúde do trabalhador.
Impact of oral health conditions on the quality of life of workers
Authors: Guerra Maria Júlia Campos , Greco Rosangela Maria , Leite Isabel Cristina Gonçalves , Ferreira Efigênia Ferreira e , Paula Marcos Vinícius Queiroz de
Published: November 2014

Occupational health has been the scope of numerous studies, primarily due to the concern that the worker should enjoy good working conditions and a satisfactory quality of life. This study seeks to analyze the impact of oral health on the quality of life of workers at a public university using the simplified version of the Oral Health Impact Profile (OHIP-14) and associated factors. A cross-sectional study was conducted with 326 workers who responded the questions of OHIP-14 about self-rated health, oral morbidity, and socioeconomic and demographic questions. Multiple linear regression analysis was performed to verify the association between the independent variables and OHIP-14. About 40% of the impact of oral health on quality of life can be explained by the variables: education level (p = 0,03), age (p = 0,03), reason for visiting a dentist (p = 0,01), oral health perception (p < 0,01) and satisfaction with teeth and mouth (p < 0,01). The use of OHIP-14 can be useful for planning programs and actions focused on health education for occupational health, prioritizing workers with greater psychosocial impacts caused by oral problems.
Retrospective cohort of trisomy 18 (Edwards syndrome) in southern Brazil
Authors: Denardin Daniela , Savaris Fabíola Elizabete , Cunha André Campos da , Betat Rosilene da Silveira , Telles Jorge Alberto Bianchi , Targa Luciano Vieira , Weiss Aline , Zen Paulo Ricardo Gazzola , Rosa Rafael Fabiano Machado
Published: November 2014

CONTEXT AND OBJECTIVE:Trisomy 18 (T18), or Edwards syndrome, is a chromosomal disease characterized by a broad clinical picture and a poor prognosis. Our aim was to describe clinical, radiological and survival data of a cohort of patients prenatally diagnosed with T18.DESIGN AND SETTING:Retrospective single cohort in the Fetal Medicine Service of Hospital Materno Infantil Presidente Vargas (HMIPV).METHODS:All sequential patients with T18 registered at the Fetal Medicine Service of HMIPV between January 2005 and September 2013 were considered. We gathered their clinical, radiological and survival data and used the Kaplan-Meier test for survival analysis.RESULTS:Ten patients were diagnosed with T18, of whom seven (70%) were female. The majority (90%) were referred due to malformations seen on ultrasound. The mean gestational age at the first evaluation was 25.5 weeks. At karyotyping, the defects were considered multiple in only four patients (40%). All the fetuses presented full trisomy of chromosome 18. The main abnormality observed was congenital heart disease (n = 7). Intrauterine death occurred in half of the patients (50%). All live patients (n = 5) were born through cesarean section presenting low weight and low Apgar scores. The median length of survival after birth was 18 days.CONCLUSIONS:T18 is associated with a high risk of fetal and neonatal death. The majority of the patients present major malformations identified through ultrasound, such as congenital heart defects, which could help in identifying such cases prenatally.
Patients' perceptions about diagnosis and treatment of chronic myeloid leukemia: a cross-sectional study among Brazilian patients
Authors: Hamerschlak Nelson , Souza Carmino de , Cornacchioni Ana Lúcia , Pasquini Ricardo , Tabak Daniel , Spector Nelson , Steagall Merula
Published: November 2014

CONTEXT AND OBJECTIVES: Chronic myeloid leukemia (CML) requires strict daily compliance with oral medication and regular blood and bone marrow control tests. The objective was to evaluate CML patients' perceptions about the disease, their access to information regarding the diagnosis, monitoring and treatment, adverse effects and associations of these variables with patients' demographics, region and healthcare access. DESIGN AND SETTING: Prospective cross-sectional study among CML patients registered with the Brazilian Lymphoma and Leukemia Association (ABRALE). METHODS: CML patients receiving treatment through the public healthcare system were interviewed by telephone. RESULTS: Among 1,102 patients interviewed, the symptoms most frequently leading them to seek medical care were weakness or fatigue. One third were diagnosed by means of routine tests. The time that elapsed between first symptoms and seeking medical care was 42.28 ± 154.21 days. Most patients had been tested at least once for Philadelphia chromosome, but 43.2% did not know the results. 64.8% had had polymerase chain reaction testing for the BCR/ABL gene every three months. 47% believed that CML could be controlled, but 33.1% believed that there was no treatment. About 24% reported occasionally stopping their medication. Imatinib was associated with nausea, cramps and muscle pain. Self-reported treatment adherence was significantly associated with normalized blood count, and positively associated with imatinib. CONCLUSIONS: There is a lack of information or understanding about disease monitoring tools among Brazilian CML patients; they are diagnosed quickly and have good access to treatment. Correct comprehension of CML control tools is impaired in Brazilian patients.
Morpho-physiological and mineral nutrient characterization of 45 collected Purslane (Portulaca oleracea L.) accessions
Authors: Alam Amirul , Juraimi Abdul Shukor , Yusop Mohd Rafii , Hamid Azizah Abdul , Hakim Abdul
Published: November 2014

This study was carried out to determine, evaluation and characterization of the morphological, physiological as well as mineral nutrient vitiations among all forty five purslane accessions collected from different locations of West Peninsular, Malaysia. Significant differences (p<0.05) were observed for all those traits measured regarding morphological, physiological and mineral composition. Morphological traits viz. plant height varied between 20.06-40.8 cm; number of main branch, 1.4-4.4; number of nodes, 8.4-31; internode distance, 2.1-3.43 cm; stem diameter, 2.12-3.8 mm; number of leaves, 97-1019; leaf area, 1.03-2.21 cm², number of flowers, 14-826.8; root length, 5.09-11.7 cm; fresh weight, 40-280 g; and dry weight varied between 2.71-29.16 g. Among physiological traits, total chlorophyll content varied between 26.2-39.52 (SPAD value), net photosynthesis, 20.8-28.73 µmol CO2/m²/sec; stomatal conductance, 0.02-0.28 cm/sec; transpiration rate, 0.46-2.48 mol/m²/sec; and water vapor deficit varied between 0.51-2.65 mol H2O/m²/sec. Analysis of mineral macro and micro nutrient compositions showed that all accessions contained appreciable amount of essential nutrients. Among the macro nutrient elements; N, P, K, Ca and Mg contents ranged respectively between 31.2-100, 2.51-8.2, 78.4-276, 9.1-62.2 and 8.7-32.55 ppm. Whereas micro nutrient elements; Zn, Fe and Mn ranged respectively between 0.31-1.09; 1.01-13.09 and 0.06-1.32 ppm. This great variability among the purslane accessions may contribute enhancing the genetic improvement of the species for desired traits.
Neural complications and physical disabilities in leprosy in a capital of northeastern Brazil with high endemicity
Authors: Araújo Ana Eugênia Ribeiro de Araújo e , Aquino Dorlene Maria Cardoso de , Goulart Isabela Maria Bernardes , Pereira Silma Regina Ferreira , Figueiredo Ivan Abreu , Serra Humberto Oliveira , Fonseca Poliana Cristina de Almeida , Caldas Arlene de Jesus Mendes
Published: November 2014

INTRODUCTION: Leprosy is an infectious disease whose etiologic agent is Mycobacterium leprae, manifested by dermatological and neurological signs and symptoms. OBJECTIVE: To investigate neural changes and the degree of physical disability in the eyes, hands and feet before and after treatment, as well as sociodemographic and clinical profile of patients affected by leprosy. METHOD: A longitudinal epidemiological study comprising 155 patients with leprosy, from a spontaneous demand, diagnosed between March 2010 and February 2011, and treated with multidrug therapy (MDT) between March 2010 and July 2012 in a program for leprosy eradication in São Luis (MA), Brazil. RESULTS: Before treatment, 46.5% of patients were considered as borderline, 51.6% had some alteration in the eyes and 52.3% in the feet, and the radial nerve (18.7%) was the most affected. There was a statistically significant difference between the changes in the radial nerve at the beginning of and after treatment. CONCLUSIONS: The analysis points to late diagnosis, as some patients have had abnormal neural and physical disabilities before treatment.
Epidemiological aspects of visceral leishmaniasis (kala-azar) in Ceará in the period 2007 to 2011
Authors: Cavalcante Ítalo José Mesquita , Vale Marcus Raimundo
Published: November 2014

INTRODUCTION: Visceral leishmaniasis (VL; kala-azar) is a serious zoonosis that can be lethal, especially in untreated patients. Due to the fact that the State of Ceará is still an important area of transmission of VL, and based on the constant reports of the urbanization process of the disease in the country, it was necessary to monitor the occurrence of cases of leishmaniasis through epidemiological surveillance. OBJECTIVES: To describe the epidemiology of leishmaniasis cases in Ceará, Brazil. METHODS: We conducted an epidemiological survey of secondary data provided by SINAN/MS from January 2007 to December 2011. RESULTS: VL is an endemic disease in the State of Ceará, with cases notified in approximately 88% of the municipalities, with an average of 596.8 ± 29.6 cases, an incidence of 6.1 cases/100,000 inhabitants and prevalence of 7.1 cases/100,000 inhabitants. The Metropolitan Region of Fortaleza is the microregion with the largest number of cases reported in state (51.9% of cases), with the capital, Fortaleza, being the municipality with the highest number of cases in the country. Traditionally, the main age group affected by the disease are children; however, a reversal has been observed in the profile from 2008, when the population of adult patients exceeded the pediatric population. CONCLUSION: Ceará is still an endemic area for VL, and the city of Fortaleza reported the highest number of cases in the country. In the State, a change in the profile of patients with the disease has been observed, now affecting primarily adults.
Physical activity, adiposity and hypertension among patients of public healthcare system
Authors: Turi Bruna Camilo , Codogno Jamile Sanches , Fernandes Rômulo Araújo , Monteiro Henrique Luiz
Published: November 2014

INTRODUCTION: Hypertension is a chronic disease that requires special attention in identifying comorbidities or risk factors including inactivity and obesity. Considering that a large proportion of the Brazilian population is hypertensive, obese, and sedentary, the relationship among these variables in the context of the public health system is unclear. OBJECTIVE: To assess the association among physical activity, markers of adiposity, and hypertension in adult users of the public healthcare system in the city of Bauru, São Paulo, Brazil. METHODS: The study was conducted in five Basic Health Units in Bauru, São Paulo, and consisted of 963 patients. Data were collected from habitual physical activity and previous (childhood and adolescence), education, purchasing power and anthropometric markers of overall and abdominal obesity. RESULTS: The incidence of hypertension was 76.8%. Significant associations were found among sedentarism, presence of total and abdominal obesity, with the higher incidence of hypertension. It was also observed that the magnitude of association between hypertension and adiposity increased with decreased involvement in physical activity. CONCLUSION: Further investigations are needed to analyze the occurrence of overweight and obesity in people suffering from chronic diseases in order to prevent future complications.
Variables associated with the performance of Centers for Dental Specialties in Brazil
Authors: Cortellazzi Karine Laura , Balbino Edna Cesar , Guerra Luciane Miranda , Vazquez Fabiana de Lima , Bulgareli Jaqueline Vilela , Ambrosano Glaucia Maria Bovi , Pereira Antonio Carlos , Mialhe Fábio Luiz
Published: November 2014

The aim of this study was to evaluate the performance of the Centers for Dental Specialties (CDS) in the country and associations with sociodemographic indicators of the municipalities, structural variables of services and primary health care organization in the years 2004-2009. The study used secondary data from procedures performed in the CDS to the specialties of periodontics, endodontics, surgery and primary care. Bivariate analysis by χ2 test was used to test the association between the dependent variable (performance of the CDS) with the independents. Then, Poisson regression analysis was performed. With regard to the overall achievement of targets, it was observed that the majority of CDS (69.25%) performance was considered poor/regular. The independent factors associated with poor/regular performance of CDS were: municipalities belonging to the Northeast, South and Southeast regions, with lower Human Development Index (HDI), lower population density, and reduced time to deployment. HDI and population density are important for the performance of the CDS in Brazil. Similarly, the peculiarities related to less populated areas as well as regional location and time of service implementation CDS should be taken into account in the planning of these services.
Survival and prognostic factors in patients with Non-Small Cell Lung Cancer treated in private health care
Authors: Araujo Luiz Henrique de Lima , Baldotto Clarissa Seródio , Zukin Mauro , Vieira Fernando Meton de Alencar Camara , Victorino Ana Paula , Rocha Viviani Ribeiro , Helal Rafaela Cordeiro , Salem Jonas Hauben , Teich Nelson , Ferreira Carlos Gil
Published: November 2014

INTRODUCTION: Outcomes data on Non-Small Cell Lung Cancer (NSCLC) are scarce with regard to the private health care in Brazil. The aim of this study was to describe the characteristics, treatments performed, and the survival of patients with NSCLC in a Brazilian private oncologic institution. METHODS: Medical charts from patients treated between 1998 and 2010 were reviewed, and data were transferred to a clinical research form. Long-term follow-up and survival estimates were enabled through active surveillance. RESULTS: Five hundred sixty-six patients were included, and median age was 65 years. Most patients were diagnosed in advanced stages (79.6% III/IV). The overall survival was 19.0 months (95%CI 16.2 - 21.8). The median survival was 99.7, 32.5, 20.2, and 13.3 months for stages I, II, III, and IV, respectively (p < 0.0001). Among patients receiving palliative chemotherapy, the median survival was 12.2 months (95%CI 10.0 - 14.4). CONCLUSIONS: The outcomes described are favorably similar to the current literature from developed countries. Besides the better access to health care in the private insurance scenario, most patients are still diagnosed in late stages.
The Porto Alegre Early Life Nutrition and Health Study
Authors: Chaffee Benjamin Wilk , Vítolo Márcia Regina , Feldens Carlos Alberto
Published: November 2014

Early childhood caries is a persistent worldwide problem. The etiologic contribution of feeding practices has been less frequently investigated in prospective studies of young children. The Porto Alegre Early Life Nutrition and Health Study has followed a birth cohort of 715 mother-child pairs, recruited from municipal health centers, originally involved in a cluster-randomized controlled trial of healthcare worker training. The birth cohort links prospectively collected socio-demographic, infant feeding, and general and oral health information. To date, oral health data, including caries status and oral health-related quality of life, have been collected for 458 children at the age of 2-3 years. Studies are underway to investigate possible determinants and consequences of oral health among these children.
Auditory and vestibular dysfunctions in systemic sclerosis: literature review
Authors: Rabelo Maysa Bastos , Ana Paula Corona
Published: November 2014

Purpose:To describe the prevalence of auditory and vestibular dysfunction in individuals with systemic sclerosis (SS) and the hypotheses to explain these changes.Research strategy:We performed a systematic review without meta-analysis from PubMed, LILACS, Web of Science, SciELO and SCOPUS databases, using a combination of keywords "systemic sclerosis AND balance OR vestibular" and "systemic sclerosis AND hearing OR auditory."Selection criteria:We included articles published in Portuguese, Spanish, or English until December 2011 and reviews, letters, and editorials were excluded. We found 254 articles, out of which 10 were selected.Data analysis:The study design was described, and the characteristics and frequency of the auditory and vestibular dysfunctions in these individuals were listed. Afterwards, we investigated the hypothesis built by the authors to explain the auditory and vestibular dysfunctions in SS.Results:Hearing loss was the most common finding, with prevalence ranging from 20 to 77%, being bilateral sensorineural the most frequent type. It is hypothesized that the hearing impairment in SS is due to vascular changes in the cochlea. The prevalence of vestibular disorders ranged from 11 to 63%, and the most frequent findings were changes in caloric testing, positional nystagmus, impaired oculocephalic response, changes in clinical tests of sensory interaction, and benign paroxysmal positional vertigo.Conclusion:High prevalence of auditory and vestibular dysfunctions in patients with SS was observed. Conducting further research can assist in early identification of these abnormalities, provide resources for professionals who work with these patients, and contribute to improving the quality of life of these individuals.
Inference comprehension during reading: influence of age and education in normal adults
Authors: Silagi Marcela Lima , Romero Vivian Urbanejo , Mansur Leticia Lessa , Radanovic Marcia
Published: November 2014

Purpose:To determine the effect of age and education on inferential comprehension from written texts in normal individuals.Methods:A total of 224 normal adults were stratified into nine groups according to age (young: 18–39 years, adults: 40–59 years, and elderly: 60–79 years) and educational level (low ≤4 years, medium: 5–8 years and high >8 years) and were evaluated through the battery La gestion de l'implicite (Implicit Information Management Test) to determine the ability to make inferences through different types of questions: explicit, logical, distractor, pragmatic and others.Results:The elderly showed worse performance for total score and distractor questions. Regarding educational level, all groups differed on explicit, logical, distractor questions, and on total test score. Subjects with high schooling performed better on pragmatic inferences and others.Conclusion:Age influence on the comprehension of inferences may be due to difficulties in attention and executive functions. The strong effect of education can be explained by the interaction of inferential abilities with other cognitive functions such as working memory, vocabulary span, as well as world knowledge.
Muscleskeletal pain in dysphonic women
Authors: Silverio Kelly Cristina Alves , Siqueira Larissa Thaís Donalonso , Lauris José Roberto Pereira , Brasolotto Alcione Ghedini
Published: November 2014

Objective:To investigate the location, frequency and intensity of muscle pain in dysphonic functional/organofunctional women in comparison to women with healthy voices.Methods:Sixty women, ranging in age from 18 to 45 years, divided into two groups: Dysphonic Group (DG) – 30 women with functional or organofunctional dysphonia; Non-Dysphonic Group (NDG) – 30 women without vocal complaints, and with adapted voices. All answered a protocol, marking the localization, frequency and intensity symptoms of pain on the temporal area, masseters, submandibular areas, larynx/pharynx, front and back of the neck, shoulders, upper back, lower back, elbows, fists/hands/fingers, hip/this, knees and ankles/feet. The volunteer should report the frequency in which pain was present in the last 12 months: no, rarely, frequently or always. The intensity of pain was measured by visual-analogue scales. The DG and NDG groups were compared using the Mann-Whitney test (p<0.05).Results:The women of the DG reported significantly greater frequency of submandibular area (p=0.008), laryngeal pain (p<0.001), front of the neck (p=0.015), back of the neck (p=0.001), shoulder pain (p=0.027), upper back (p=0.027) and also reported significant greater intensity of pain in the larynx/pharynx (p=0.022) and back of the neck (p=0.003).Conclusion:The frequency and intensity of musculoskeletal pain was more frequent and more intense in dysphonic women than in women without vocal complaints, showing that pain may be related to functional and organofunctional dysphonia in women.
Laryngeal cleft type I in neonate: case report
Authors: Rossi Mirella Spinoso , Buhler Karina Elena Bernardis , Ventura Gabriel Alberto Brasil , Otoch José Pinhata , Limongi Suelly Cecilia Olivan
Published: November 2014

Laryngeal cleft (LC) is a congenital malformation that leads to the unusual communication between the esophagus and the laryngotracheal complex. It is a rare disease, mostly prevalent among male individuals. The goal of this study was to describe the evaluation and intervention by the speech language pathologist of a female newborn diagnosed with LC type I, admitted on the University Hospital of Universidade de São Paulo, in her second hospitalization due to small weight gain and pneumonia. She was submitted to a bedside clinical evaluation of the swallowing and the most important occurrence was frequent gagging. The videofluoroscopy swallowing study showed laryngotracheal aspiration level 8 for thin liquid and level 1 for thickened liquid, according to the Penetration-Aspiration Scale. The newborn was submitted to a microlaryngoscopy, in which the presence of LC type I was found. After the diagnosis, the speech language pathologist offered thickened liquid at 6% and, in 8 days, the newborn was discharged with exclusive oral diet without gagging. Eight outpatient consultations were carried out for 11 months, with emphasis on reintroduction of thin liquids. The treatment was discontinued and the patient was put on general diet for the age without modifications. Throughout follow-up, the patient remained asymptomatic and showed no respiratory complications.
Impact of inter-judge agreement on perceptual judgment of nasality
Authors: Scarmagnani Rafaeli Higa , Oliveira Adriana Cristina de Almeida Santos Furlan de , Fukushiro Ana Paula , Salgado Manoel Henrique , Trindade Inge Elly Kiemle , Yamashita Renata Paciello
Published: November 2014

Purpose:To investigate the effect of perceptual inter-judge agreement of hypernasality on velopharyngeal (VP) closure prediction.Methods:Two logistic regression models were developed aiming to verify the possibility of predicting the VP closure using the following characteristics: rating of VP closure (adequate, borderline, inadequate), determined by the pressure-flow technique, degree of hypernasality (absent, mild, moderate, severe), and the presence/absence of nasal air emission and nasal rustle determined perceptually by three experienced speech language pathologists. In the first model, 100 speech samples with a moderate agreement rate of hypernasality (kappa coefficient: 0.41) were used. In the second model, 43 speech samples with a perfect agreement among judges were included. The χ2-test was used to compare the models (p≤0.05).Results:In the first model, 65 of the 100 samples were rated in the correct VP closure category, with 42 adequate and 23 inadequate. The borderline VP closure was not predicted. The second model rated 31 of the 43 samples in the correct category, with 21 adequate VP closure, 5 in the borderline VP closure, and 5 inadequate. There was no difference (p=0.526) between the two models. However, the second model showed a higher proportion of accuracy (7%) than the first one, and it has also predicted the borderline VP closure.Conclusion:These results showed the importance of high index of inter-judge agreement when using subjective parameters of speech evaluation, especially when compared to an instrumental evaluation. This suggests the need for strategies for training and calibration of judges in the perceptual judgment to improve the reliability of auditory-perceptual assessment.
Risk factors for proper oral language development in children: a systematic literature review
Authors: Gurgel Léia Gonçalves , Vidor Deisi Cristina Gollo Marques , Joly Maria Cristina Rodrigues Azevedo , Reppold Caroline Tozzi
Published: November 2014

Purpose:To conduct a systematic review of literature production related to risk factors for proper oral language development in children.Methods:We used the terms "child language," "risk factors," and "randomized controlled trial" in MEDLINE (accessed via PubMed), Lilacs, SciELO, and The Cochrane Library from January 1980 to February 2014. Randomized controlled trials involving the study of some risk factors related to child language were included. Works with individuals who were not from the age group 0–12 years and presented no reliable definition of risk factors were excluded. The research findings were classified according to their theme and categorized methodological aspects.Results:We observed the lack of a standardized list of risk factors for language available for health professionals. The main risk factor mentioned was family dynamics, followed by interaction with parents, immediate social environment, and encouragement given to the child in the first years of life. It was also observed that organic hazards such as brain injury, persistent otitis media, and cardiac surgery, besides the type of food and parental counseling, may be related to language disorders.Conclusion:More randomized controlled trials involving the evaluation of risk factors for child language and the creation of further studies involving children above 6 years of age and males are needed.
Um um caminho de liberdade: a experiência da disciplina semiologia e semiotécnica
Authors: Garcia Ademilda Maria Gomes de Sousa , Silveira Maria de Fátima de Araújo
Published: November 2014

O trabalho relata a vivência da construção da disciplina Semiologia e Semiotécnica, integrante do novo currículo de Enfermagem. Os objetivos foram: incentivar a criatividade e a sensibilidade que o cuidar comporta no desenvolvimento de técnicas; valorizar os sentimentos e emoções no estabelecimento do relacionamento enfermeira-cliente; possibilitar uma reflexão e auto-conhecimento na vivência coletiva; e estabelecer uma interação docentediscente permeada pela parceria, compromisso e no sentir/aprender/fazer mútuos. A trajetória metodológica privilegiou a sensibilização como etapa necessária para o processo de formação e concomitante a este, desenvolvida a partir da arte e criatividade, e compreendeu a realização de oficinas e dinâmicas de grupos. Os resultados validam a experiência como oportunidade de desenvolver o potencial crítico, criativo e técnico rumo à consciência que conduz à liberdade na Enfermagem.