bluuebunny/crossref_metadata_2025 huggingface dataset:
Reliability of Triaxial Accelerometry for Measuring Load in Men's Collegiate Ice Hockey
Authors: Van Iterson Erik H. , Fitzgerald John S. , Dietz Calvin C. , Snyder Eric M. , Peterson Ben J.
Published: August 2016

Van Iterson, EH, Fitzgerald, JS, Dietz, CC, Snyder, EM, and Peterson, BJ. Reliability of triaxial accelerometry for measuring load in men's collegiate ice hockey. J Strength Cond Res 31(5): 1305–1312, 2017—Wearable microsensor technology incorporating triaxial accelerometry is used to quantify an index of mechanical stress associated with sport-specific movements termed PlayerLoad. The test-retest reliability of PlayerLoad in the environmental setting of ice hockey is unknown. The primary aim of this study was to quantify the test-retest reliability of PlayerLoad in ice hockey players during performance of tasks simulating game conditions. Division I collegiate male ice hockey players (N = 8) wore Catapult Optimeye S5 monitors during repeat performance of 9 ice hockey tasks simulating game conditions. Ordered ice hockey tasks during repeated bouts included acceleration (forward or backward), 60% top-speed, top-speed (forward or backward), repeated shift circuit, ice coasting, slap shot, and bench sitting. Coefficient of variation (CV), intraclass correlation coefficient (ICC), and minimum difference (MD) were used to assess PlayerLoad reliability. Test-retest CVs and ICCs of PlayerLoad were as follows: 8.6% and 0.54 for forward acceleration, 13.8% and 0.78 for backward acceleration, 2.2% and 0.96 for 60% top-speed, 7.5% and 0.79 for forward top-speed, 2.8% and 0.96 for backward top-speed, 26.6% and 0.95 for repeated shift test, 3.9% and 0.68 for slap shot, 3.7% and 0.98 for coasting, and 4.1% and 0.98 for bench sitting, respectively. Raw differences between bouts were not significant for ice hockey tasks (p > 0.05). For each task, between-bout raw differences were lower vs. MD: 0.06 vs. 0.35 (forward acceleration), 0.07 vs. 0.36 (backward acceleration), 0.00 vs. 0.06 (60% top-speed), 0.03 vs. 0.20 (forward top-speed), 0.02 vs. 0.09 (backward top-speed), 0.18 vs. 0.64 (repeated shift test), 0.02 vs. 0.10 (slap shot), 0.00 vs. 0.10 (coasting), and 0.01 vs. 0.11 (bench sitting), respectively. These data suggest that PlayerLoad demonstrates moderate-to-large test-retest reliability in the environmental setting of male Division I collegiate ice hockey. Without previously testing reliability, these data are important as PlayerLoad is routinely quantified in male collegiate ice hockey to assess on ice physical activity.
Exercise Intensity and Technical Demands of Small-Sided Soccer Games for Under-12 and Under-14 Players: Effect of Area per Player
Authors: Martone Domenico , Giacobbe Moreno , Capobianco Adriano , Imperlini Esther , Mancini Annamaria , Capasso Mario , Buono Pasqualina , Orrù Stefania
Published: August 2016

Martone, D, Giacobbe, M, Capobianco, A, Imperlini, E, Mancini, A, Capasso, M, Buono, P, and Orrù, S. Exercise intensity and technical demands of small-sided soccer games for under-12 and under-14 players: Effect of area per player. J Strength Cond Res 31(6): 1486–1492, 2017—The aim of this study was to evaluate the effects of 6 different areas per player (AP) on exercise intensity (EI) measured during small-sided games (SSGs) and expressed as percentage of maximal heart rate (%MHR) and technical actions (TAs) involvement with the ball, crosses, headers, tackles, shots on goal, dribbling, passing, and target passing-in U-12 and U-14 soccer players during SSGs. Seventeen male U-12 soccer players (age 10.0 ± 0.5 years, body mass 39.3 ± 5.3 kg, and height 143.8 ± 4.6 cm) and 16 male U-14 soccer players (age 13.2 ± 0.3 years, body mass 46.6 ± 11.9 kg, and height 154.8 ± 8.5 cm) performed SSGs with different AP: 40, 50, 66.7, 90, 112.5, and 150 m2. Our results indicate that at larger AP, the U-12 group's mean EI values were significantly higher than those at smaller AP (p ≤ 0.05); in addition, intergroup comparison showed that EI was higher in U-12 than that in U-14 players when AP of 112.5 and 150 m2 were considered (p ≤ 0.05). Technical action analysis evidenced that moving from smaller to larger AP, U-14 players adapted better to AP changes. In conclusion, these results suggest that AP influences differently EI and TAs in U-12 and U-14 players. Our results could be taken into account by conditioning coaches to better tailor the physiological and technical training in young players through the modulation of AP.
Vildagliptin reduces cardiac ischemic-reperfusion injury in obese orchiectomized rats
Authors: Pongkan Wanpitak , Pintana Hiranya , Jaiwongkam Thidarat , Kredphoo Sasiwan , Sivasinprasasn Sivaporn , Chattipakorn Siriporn C , Chattipakorn Nipon
Published: August 2016

Obesity and testosterone deprivation are associated with coronary artery disease. Testosterone and vildagliptin (dipeptidyl peptidase-4 inhibitors) exert cardioprotection during ischemic-reperfusion (I/R) injury. However, the effect of these drugs on I/R heart in a testosterone-deprived, obese, insulin-resistant model is unclear. This study investigated the effects of testosterone and vildagliptin on cardiac function, arrhythmias and the infarct size in I/R heart of testosterone-deprived rats with obese insulin resistance. Orchiectomized (O) or sham operated (S) male Wistar rats were divided into 2 groups to receive normal diet (ND) or high-fat diet (HFD) for 12 weeks. Orchiectomized rats in each diet were divided to receive testosterone (2 mg/kg), vildagliptin (3 mg/kg) or the vehicle daily for 4 weeks. Then, I/R was performed by a 30-min left anterior descending coronary artery ligation, followed by a 120-min reperfusion. LV function, arrhythmia scores, infarct size and cardiac mitochondrial function were determined. HFD groups developed insulin resistance at week 12. At week 16, cardiac function was impaired in NDO, HFO and HFS rats, but was restored in all testosterone- and vildagliptin-treated rats. During I/R injury, arrhythmia scores, infarct size and cardiac mitochondrial dysfunction were prominently increased in NDO, HFO and HFS rats, compared with those in NDS rats. Treatment with either testosterone or vildagliptin similarly attenuated these impairments during I/R injury. These finding suggest that both testosterone replacement and vildagliptin share similar efficacy for cardioprotection during I/R injury by decreasing the infarct size and attenuating cardiac mitochondrial dysfunction caused by I/R injury in testosterone-deprived rats with obese insulin resistance.
Pulmonary hypertension in patients with hepatic cirrhosis and portal hypertension. An echographic study
Authors: Gurghean Adriana V. , Tudor Ioana A.
Published: August 2016

Aim of the study. The aim of the study is to determine the frequency of pulmonary hypertension in patients with hepatic cirrhosis and portal hypertension, to determine the possibility of an accurate ultrasound diagnosis of the characteristics of this complication.Method. 347 patients with liver cirrhosis consecutively hospitalized at Coltea Clinical Hospital were screened. 61 were excluded because of other possible causes of portal or pulmonary hypertension. All patients were investigated clinically and by abdominal and cardiac ultrasonography.Results. 0f the remaining 286 patients, 116 had portal hypertension, 27 of them (23%) having pulmonary hypertension. In this group we found a higher cardiac index and right atrial volume, higher pressures in the right atrium, suggesting a hyperdynamic state. Porto-pulmonary hypertension was found in only one patient.Conclusion. Echocardiography permits characterization of patients with cirrhosis and portal hypertension
Physical Activity for Cognitive and Mental Health in Youth: A Systematic Review of Mechanisms
Authors: Lubans David , Richards Justin , Hillman Charles , Faulkner Guy , Beauchamp Mark , Nilsson Michael , Kelly Paul , Smith Jordan , Raine Lauren , Biddle Stuart
Published: August 2016

CONTEXT:

Physical activity can improve cognitive and mental health, but the underlying mechanisms have not been established.

OBJECTIVE:

To present a conceptual model explaining the mechanisms for the effect of physical activity on cognitive and mental health in young people and to conduct a systematic review of the evidence.

DATA SOURCES:

Six electronic databases (PubMed, PsycINFO, SCOPUS, Ovid Medline, SportDiscus, and Embase) were used.

STUDY SELECTION:

School-, home-, or community-based physical activity intervention or laboratory-based exercise interventions were assessed. Studies were eligible if they reported statistical analyses of changes in the following: (1) cognition or mental health; and (2) neurobiological, psychosocial, and behavioral mechanisms.

DATA EXTRACTION:

Data relating to methods, assessment period, participant characteristics, intervention type, setting, and facilitator/delivery were extracted.

RESULTS:

Twenty-five articles reporting results from 22 studies were included. Mechanisms studied were neurobiological (6 studies), psychosocial (18 studies), and behavioral (2 studies). Significant changes in at least 1 potential neurobiological mechanism were reported in 5 studies, and significant effects for at least 1 cognitive outcome were also found in 5 studies. One of 2 studies reported a significant effect for self-regulation, but neither study reported a significant impact on mental health.

LIMITATIONS:

Small number of studies and high levels of study heterogeneity.

CONCLUSIONS:

The strongest evidence was found for improvements in physical self-perceptions, which accompanied enhanced self-esteem in the majority of studies measuring these outcomes. Few studies examined neurobiological and behavioral mechanisms, and we were unable to draw conclusions regarding their role in enhancing cognitive and mental health.
Thomas Aquinas’ Commentary on Boethius’ De Trinitate and the Structure of the Summa contra gentiles
Authors: Kostelecky Matthew
Published: August 2016

In this essay, I argue that there are noteworthy textual and thematic links between Thomas’ Commentary on Boethius’ De Trinitate and the Summa contra gentiles that shed light on the contents and peculiarities of these two works. While it is commonly held through codicological research that these two texts are closely related, I have not found some of the precise thematic links I will be discussing announced, much less explored, in the literature or commentary tradition. I present these connections in order to account more perspicuously for Thomas’ conception of metaphysics over and against that of revealed theology, especially with respect to how those two domains figure into the odd structure of the Summa contra gentiles.
Why I No Longer Work with Holocaust Literature
Authors: Kokkola Lydia
Published: August 2016

This vividly written reflection on research content, dissemination of knowledge, the researcher’s selfhood and ethical choices at a career point at which the author’s work is highly recognized and speaking invitations abound is a personal account of her decision to leave the field of Holocaust studies. Kokkola explains how she used elements from her own life-story to find the empathy needed to engage with the research material, whilst highlighting the dangers of drawing such parallels. She concludes by exposing how the Holocaust has been leveraged for political and economic purposes to negate the other genocides and to promote a simplified view of saviour nations and idealized victims.
Christian Fundamentalism in America: A Cultural History, by David S. New
Authors: Lamoreaux Jason
Published: August 2016

Christian Fundamentalism in America: A Cultural History, by David S. New. McFarland and Company, 2012. 265pp. Pb. $35.00. ISBN-13: 9780786470587.
Sex, Love and Marriage, by Paul Flaman
Authors: Severin Anna
Published: August 2016

Sex, Love and Marriage, by Paul Flaman. Ottawa, Justin Press, 2015. 300pp., Pb. $23.95. ISBN-13: 9780991934294.
Reclaiming the Faravahar: Zoroastrian Survival in Contemporary Tehran, by Navid Fozi
Authors: Khaira Arshdeep
Published: August 2016

Reclaiming the Faravahar: Zoroastrian Survival in Contemporary Tehran, by Navid Fozi. Iranian Studies Series. Leiden University Press, 2014. 240pp. 9 halftones, | 1 illustration, 1 table. Pb. $26.29. ISBN-13: 9789087282141.
Prevalence and predictors of post stroke depression among elderly stroke survivors
Authors: Santos Emanuella Barros dos , Rodrigues Rosalina Aparecida Partezani , Pontes-Neto Octávio Marques
Published: August 2016

ABSTRACT Objective To identify the prevalence of post stroke depression (PSD) and their socio-demographic and clinical predictors among elderly stroke survivors after hospital discharge to home. Methods In this cross-sectional study, 90 elderly stroke survivors were evaluated 14 days after hospital discharge with the following scales: National Institutes of Health Stroke Scale, Functional Independence Measure, and Geriatric Depression Scale – 15 items (GDS-15). PSD was defined as a score > 5 on GDS-15. After univariate analyses, a multivariate logistic regression model was built to identify independent predictors of PSD. Results Fourteen days after hospital discharge, 27.7% (95%CI 18.1 to 37.2) of elderly stroke survivors had PSD. Functional dependence was the only independent predictor of PSD (OR: 1.04 95%CI: 1.01 to 1.09; p = 0.02). Conclusion After stroke, depressive symptoms are common among elderly survivors. The degree of functional dependency is the main predictor of PSD among elderly stroke patients in Brazil.
Patients’ satisfaction with and views about treatment with disease-modifying drugs in multiple sclerosis
Authors: Spessotto Caroline Vieira , Cavalli Hanaie , Eboni Audred Cristina Biondo , Machado Rafael Berlezi , Mousquer Analara Munardi , Palazzo Lara Both , Finkelsztejn Alessandro , Goncalves Marcus Vinicius Magno , Sato Henry Koiti , Siquineli Fabio , Fragoso Yara Dadalti
Published: August 2016

ABSTRACT Objective The treatment of multiple sclerosis (MS) with disease-modifying-drugs (DMDs) is evolving and new drugs are reaching the market. Efficacy and safety aspects of the drugs are crucial, but the patients’ satisfaction with the treatment must be taken into consideration. Methods Individual interview with patients with MS regarding their satisfaction and points of view on the treatment with DMDs. Results One hundred and twenty eight patients attending specialized MS Units in five different cities were interviewed. Over 80% of patients were very satisfied with the drugs in use regarding convenience and perceived benefits. The only aspect scoring lesser values was tolerability. Conclusion Parameters for improving treatment in MS must include efficacy, safety, and patient satisfaction with the given DMD.
Brain stimulation used as biofeedback in neuronal activation of the temporal lobe area in autistic children
Authors: Silva Vernon Furtado da , Calomeni Mauricio Rocha , Nunes Rodolfo Alkmim Moreira , Pimentel Carlos Elias , Martins Gabriela Paes , Oliveira Patrícia da Cruz Araruna , Silva Patrícia Bagno , Silva Alair Pedro Ribeiro de Souza e
Published: August 2016

ABSTRACT This study focused upon the functional capacity of mirror neurons in autistic children. 30 individuals, 10 carriers of the autistic syndrome (GCA), 10 with intellectual impairments (GDI), and 10 non-autistics (GCN) had registered eletroencephalogram from the brain area theoretically related to mirror neurons. Data collection procedure occurred prior to brain stimulation and after the stimulation session. During the second session, participants had to alternately process figures evoking neutral, happy, and/or sorrowful feelings. Results proved that, for all groups, the stimulation process in fact produced additional activation in the neural area under study. The level of activation was related to the format of emotional stimuli and the likelihood of boosting such stimuli. Since the increase of activation occurred in a model similar to the one observed for the control group, we may suggest that the difficulty people with autism have at expressing emotions is not due to nonexistence of mirror neurons.
Hemotransfusion and mechanical ventilation time are associated with intra-hospital mortality in patients with traumatic brain injury admitted to intensive care unit
Authors: Almeida Kelson James , Rodrigues Ânderson Batista , Lemos Luiz Euripedes Almondes Santana , Oliveira Filho Marconi Cosme Soares de , Gandara Brisa Fideles , Lopes Raissa da Rocha , Modesto Daniel Rocha e Silva , Rego Irizon Klecio Pereira
Published: August 2016

ABSTRACT Objective To identify the factors associated with the intra-hospital mortality in patients with traumatic brain injury (TBI) admitted to intensive care unit (ICU). Methods The sample included patients with TBI admitted to the ICU consecutively in a period of one year. It was defined as variables the epidemiological characteristics, factors associated with trauma and variables arising from clinical management in the ICU. Results The sample included 87 TBI patients with a mean age of 28.93 ± 12.72 years, predominantly male (88.5%). The intra-hospital mortality rate was of 33.33%. The initial univariate analysis showed a significant correlation of intra-hospital death and the following variables: the reported use of alcohol (p = 0.016), hemotransfusion during hospitalization (p = 0.036), and mechanical ventilation time (p = 0.002). Conclusion After multivariate analysis, the factors associated with intra-hospital mortality in TBI patients admitted to the intensive care unit were the administration of hemocomponents and mechanical ventilation time.
Cross-cultural adaptation to Brazilian Portuguese of the Michigan Neuropathy Screening Instrument: MNSI-Brazil
Authors: Oliveira Franassis Barbosa de , Botelho Kárenn Klycia Pereira , Bezerra Arthur Rodrigues , Azevedo Diego Igor de Oliveira , Santos-Couto-Paz Clarissa Cardoso dos , Fachin-Martins Emerson
Published: August 2016

ABSTRACT Since 1994, the University of Michigan Diabetes Research and Training Center proposed an instrument to measure neuropathies not yet adapted to use in Brazil. Then, this study aimed to adapt cross-culturally the Michigan Neuropathy Screening Instrument (MNSI) into Brazilian Portuguese, verifying its reliability. Thirty diabetic patients were initially evaluated with the adapted version after completed the essential steps to accomplish the cross-cultural adaptation. Twenty-two of them completed the procedures to repeat the measured scores after day 1 (trial 0). The repeated measurements were tested at days 2 or 3 (trial 1) by another rater (inter-rater reliability) and retested at day 20 (trial 2) by one of the attended raters (inter-test reliability). There were not great semantics, linguistics or cultural differences between two versions and excellent reliability was confirmed by intra-class correlation coefficient above 0.840. It was concluded that MNSI in the Brazilian version is reliable and it is ready to use.
Harbinger of storm: influence of Oliver Sacks on levodopa therapy in early 1970s
Authors: Santos-Lobato Bruno Lopes dos , Tumas Vitor
Published: August 2016

ABSTRACT Most known by his literary ability, the words of the neurologist Oliver Sacks (1933-2015) also had an impact on scientific community about the role of levodopa on parkinsonisms. Different from the most authors and based on his experience described on the book “Awakenings”, he had a pessimistic opinion about levodopa, which was related on many articles written by himself and colleagues in early 1970s. We reviewed the scientific contribution of Oliver Sacks associated to levodopa therapy on parkinsonisms, and how he advised caution with its complications before the majority of physicians.
Serum levels of adiponectin, CCL3/MIP-1α, and CCL5/RANTES discriminate migraine from tension-type headache patients
Authors: Domingues Renan B. , Duarte Halina , Senne Carlos , Bruniera Gustavo , Brunale Fernando , Rocha Natália P. , Teixeira Antonio L.
Published: August 2016

ABSTRACT Objectives Inflammatory molecules and neurotrophic factors are implicated in pain modulation; however, their role in primary headaches is not yet clear. The aim of this study was to compare the levels of serum biomarkers in migraine and tension-type headache. Methods This was a cross-sectional study. We measured serum levels of adiponectin, chemokines, and neurotrophic factors in patients with migraine and tension-type headache. Depression and anxiety symptoms, headache impact and frequency, and allodynia were recorded. Results We included sixty-eight patients with migraine and forty-eight with tension-type headache. Cutaneous allodynia (p = 0.035), CCL3/MIP-1α (p = 0.041), CCL5/RANTES (p = 0.013), and ADP (p = 0.017) were significantly higher in migraine than in tension-type headache. The differences occurred independently of anxiety and depressive symptoms, frequency and impact of headache, and the presence of pain. Conclusions This study showed higher CCL3/MIP-1α, CCL5/RANTES, and ADP levels in migraine in comparison with tension-type headache. Our findings suggest distinctive roles of these molecules in the pathophysiology of these primary headaches.
Performance of language tasks in patients with ruptured aneurysm of the left hemisphere worses in the post-surgical evaluation
Authors: Vieira Ana Cláudia C. , Andrade Gustavo , Souza Moysés Ponte de , Griz Maria de Fátima Leal , Silva Isabel Eugênia Costa e , Quinino Saul M. C. , Câmara Jr Divaldo , Azevedo-Filho Hildo R.C.
Published: August 2016

ABSTRACT Sub-arachnoid hemorrhage (SAH) promotes impairment of upper cortical functions. However, few information is available emphasizing changes in language after aneurismal SAH and aneurysm location influence. Objective To assess the language and verbal fluency performance in aneurismal SAH pre- and post-surgery in patients caused by an aneurysm of the anterior communicating artery (AcomA), left middle cerebral artery (L-MCA) and left posterior comunicating artery (L-PcomA). Methods Assessment in 79 patients with SAH, on two occasions: pre- and post surgical treatment. They were divided into three groups by the aneurysms’ location. Results Deterioration is detected in the performance of all patients during the post-surgical period; L-MCA aneurysm patients displayed a reduction in verbal naming and fluency; L-PcomA patients deteriorated in the written language and fluency tasks. Conclusion After the surgical procedure the patients decreased in various language tasks and these differences in performance being directly related to the location of the aneurysm.
Lumbar puncture in patients using anticoagulants and antiplatelet agents
Authors: Domingues Renan , Bruniera Gustavo , Brunale Fernando , Mangueira Cristóvão , Senne Carlos
Published: August 2016

ABSTRACT The use of anticoagulants and antiplatelet agents has largely increased. Diagnostic lumbar puncture in patients taking these drugs represents a challenge considering the opposing risks of bleeding and thrombotic complications. To date there are no controlled trials, specific guidelines, nor clear recommendations in this area. In the present review we make some recommendations about lumbar puncture in patients using these drugs. Our recommendations take into consideration the pharmacology of these drugs, the thrombotic risk according to the underlying disease, and the urgency in cerebrospinal fluid analysis. Evaluating such information and a rigorous monitoring of neurological symptoms after lumbar puncture are crucial to minimize the risk of hemorrhage associated neurological deficits. An individualized patient decision-making and an effective communication between the assistant physician and the responsible for conducting the lumbar puncture are essential to minimize potential risks.
Are astrocytes executive cells within the central nervous system?
Authors: Sica Roberto E. , Caccuri Roberto , Quarracino Cecilia , Capani Francisco
Published: August 2016

ABSTRACT Experimental evidence suggests that astrocytes play a crucial role in the physiology of the central nervous system (CNS) by modulating synaptic activity and plasticity. Based on what is currently known we postulate that astrocytes are fundamental, along with neurons, for the information processing that takes place within the CNS. On the other hand, experimental findings and human observations signal that some of the primary degenerative diseases of the CNS, like frontotemporal dementia, Parkinson’s disease, Alzheimer’s dementia, Huntington’s dementia, primary cerebellar ataxias and amyotrophic lateral sclerosis, all of which affect the human species exclusively, may be due to astroglial dysfunction. This hypothesis is supported by observations that demonstrated that the killing of neurons by non-neural cells plays a major role in the pathogenesis of those diseases, at both their onset and their progression. Furthermore, recent findings suggest that astrocytes might be involved in the pathogenesis of some psychiatric disorders as well.
Índice de Desempeño Integral ajustado a las localidades de Bogotá D.C.
Authors: Muñoz María del Pilar Sánchez , Toscano Daniel Fernando Lozano , Infante Mauricio Fernando Moreno
Published: August 2016

Resumen En este documento se presenta un estudio de la descentralización fiscal y administrativa de las 19 localidades de Bogotá (Colombia), adaptando la metodología del Departamento Nacional de Planeación (DNP) para medir el desempeño integral de los entes territoriales, específicamente con los componentes de eficacia y gestión para el periodo 2009-12. Se encontró que el nivel de cumplimiento de metas en los planes de desarrollo de cada localidad es medio, a pesar de que existe una descentralización administrativa en las formas de desconcentración y delegación. La investigación también mostró que, según el índice de gestión, las localidades no tienen autonomía para llevar a cabo proyectos de inversión ni obtener recursos propios, debido a los lineamientos de la Alcaldía Mayor de la ciudad.
Centralidade municipal e interação estratégica na decisão de gastos públicos em saúde
Authors: Soares Robson Fernandes , Clemente Ademir , Freire Fátima de Souza , Scarpin Jorge Eduardo
Published: August 2016

Resumo Este artigo examina a influência que os municípios catarinenses exercem uns sobre outros nas decisões de gasto com saúde no ano de 2010. Partindo da teoria dos lugares centrais, tem-se como ponto focal a ideia de que há relações verticais entre municípios centrais e periféricos, principalmente em relação aos serviços mais específicos, como os hospitalares. Argumenta-se que esse tipo de interação vertical ocorre simultaneamente com a interação horizontal e que, quando a primeira é desconsiderada, pode mascarar esta última. Foi utilizado um modelo espacial autorregressivo para testar tal hipótese. Os resultados empíricos dão suporte a essa ideia, mostrando que municípios centrais apresentam maiores custos na subfunção hospitalar. Há também evidências de que, quando se considera a centralidade no modelo, o coeficiente de dependência espacial horizontal torna-se mais pronunciado.
Redistribuição fiscal para o desenvolvimento turístico local e regional
Authors: Silva Giuliano Alves Borges e , Passador João Luiz
Published: August 2016

Resumo O federalismo municipalista é um modelo descentralizador de políticas, porém possui distorções no que tange à distribuição de receitas e ao porte dos municípios. Entre essas políticas, destaca-se a promoção do turismo. Poucos estados procuram efetivamente redistribuir receitas, o que leva ao seguinte objetivo: analisar a redistribuição do imposto - ICMS Turístico - como política de descentralização, considerando o tamanho dos municípios. O artigo mescla métodos quantitativos para verificar a relação entre competividade e dependência turística com investimento em turismo, além de métodos qualitativos contendo detalhamento de oito municípios. O objeto de análise é o estado de Minas Gerais, pioneiro em redistribuir a arrecadação de um imposto para os municípios turisticamente organizados. Os resultados apontam para o significativo grau de contribuição ao desenvolvimento, principalmente entre os municípios de grande porte com critérios de aplicabilidade limitados nas pequenas cidades. O modelo de redistribuição adotado pelo ICMS Turístico pode se tornar uma solução viável para os problemas do pacto federativo no Brasil.
Patologias sociais na metrópole de São Paulo: análise socioespacial de indicadores nas subprefeituras
Authors: Perosa Graziela Serroni , Leite Cristiane Kerches da Silva , Fonseca Francisco César Pinto da , Lebaron Frédéric
Published: August 2016

Resumo Objetiva-se discutir a importância de análises multideterminadas para a gestão de políticas públicas no âmbito da administração pública. A partir do Censo de 2010 discutem-se as disparidades econômicas e sociais entre as subprefeituras do município de São Paulo por meio do método de análise de componentes principais (ACP) com base nas dimensões derivadas do Índice de Saúde Social, indicador que fornece panorama mais complexo do que o Índice de Desenvolvimento Humano (IDH). A análise multideterminada baseia-se na noção de "espaço social" (Bourdieu) e possibilita valioso instrumento de diagnóstico e impacto de políticas públicas, articulando múltiplas dimensões dos fenômenos sociais. Conclui-se que, pelo método da ACP, é possível observar como os indicadores tradicionais ocultam sutilezas e diferenças quanto às desigualdades de territórios aparentemente homogêneos.
Um "elefante branco" nas dunas de Natal? Uma análise pós-desenvolvimentista dos discursos acerca da construção da Arena das Dunas
Authors: Leão André Luiz Maranhão de Souza , Ferreira Bruno Rafael Torres , Gomes Victor Pessôa de Mélo
Published: August 2016

Resumo Uma das principais controvérsias relativas à realização da Copa do Mundo no Brasil diz respeito à construção de novos estádios, sobretudo aqueles indicados como potenciais "elefantes brancos", como é o caso da Arena das Dunas, em Natal. O presente trabalho teve por objetivo avaliar os argumentos que constituem os diferentes discursos acerca da construção da Arena das Dunas. Para tal, acessamos três posições discursivas sobre o assunto: dos organizadores, da imprensa e da sociedade civil. Os dados foram coletados por meio de entrevistas, observação direta e documentos. O método adotado foi a arqueologia foucaultiana e sua análise de discurso. Como lente teórica, adotamos a teoria do pós-desenvolvimento. Nossos achados apontam para duas formações discursivas antagônicas: uma favorável e outra contestadora ao investimento feito na construção da arena.
RESIDUAL EFFECTS OF PESTICIDES IN PEACH ORCHARDS ON THE MAIZE WEEVIL Sitophilus zeamais (COLEOPTERA: CURCULIONIDAE)
Authors: NÖRNBERG SANDRO DANIEL , GRÜTZMACHER ANDERSON DIONEI , NAVA DORI EDSON , VALGAS RICARDO ALEXANDRE , OZELAME ÂNGELO LUIS
Published: August 2016

ABSTRACT The aim of this study was to evaluate the residual effect of pesticides sprayed on peach orchards on S. zeamais. The study consisted of two experiments, according to the method of pesticide application. For Experiment I, pesticides were directly sprayed on peach trees and in Experiment II, the application of pesticides was performed under laboratory conditions. In both Experiments, the effect of pesticides was assessed in laboratory through the release of ten weevils per peach fruit. The effect of treatments was assessed by variable number of surviving insects. The results for pesticides [a.i. (ml or g.100L)] have shown that application of treatments in the field (Experiment I), malathion (200) presented persistence at 1DAT (Days after treatments spraying) and control higher than 80%, and thiametoxan (30) up to 3 DAT , while for phosmet (200) and fenthion (100), the control percentage was over 70% at 1 DAT . Under laboratory conditions, the application of the same insecticides showed control of 100% at 120 HAT (Hours after treatment application). In this context, the use of insecticides by spraying plants must be considered an alternative method for the control of S. zeamais in peach, being necessary to the development and adoption of new control tools for its management.
Citrus tristeza disease severity and agronomic performance of ‘Pêra’ sweet orange cultivars and selections in the North and Northwest regions of the State of Paraná, Brazil
Authors: GIAMPANI JOSÉ SEGUNDO , TAZIMA ZULEIDE HISSANO , BABA VIVIANE YUMI , YADA INÊS FUMIKO UBUKATA , LEITE JÚNIOR RUI PEREIRA
Published: August 2016

ABSTRACT ‘Pêra’ sweet orange is the most important citrus cultivar in Brazil, but it is highly susceptible to Citrus tristeza virus (CTV), the causal agent of citrus tristeza disease. In this study, we evaluated the severity of citrus tristeza disease and its relation with the agronomic performance of seven cultivars and six selections of ‘Pêra’ sweet orange under field conditions in the North and Northwest regions of the State of Paraná, Brazil. The citrus tristeza disease severity was determined based on symptoms of stem pitting. The vegetative growth assessed in trees of all four locations for the 2012 season, and in two field plots for the 2011, 2012 and 2013 harvests, respectively. The cultivar ‘IPR 153’ (Bianchi) had the best performance concerning stem pitting severity, while Selection 27 was among the ones with the highest rate of vegetative growth. Further, Selections 27 and 12, and the cultivar ‘Vimusa’ had the largest fruit yields. Based on correlation analysis, stem pitting symptoms severity was negatively correlated with vegetative growth and fruit yield. Furthermore, environmental conditions may have played an important role in the severity of citrus tristeza disease and consequently on the agronomic performance of the cultivars and selections of ‘Pêra’ sweet orange in the North and Northwest regions of the State of Paraná.
YELLOW PASSION-FRUIT IRRIGATED IN DIFERENT CROPPING SYSTEMS
Authors: SOUZA SAMUEL FERREIRA DE , RIBEIRO VALTEMIR GONÇALVES
Published: August 2016

ABSTRACT With this study, the objective was to determine the most economic management of irrigation water applied at different levels in the culture of passion fruit grown in conventional system and in polyethylene bags. The experiment was conducted in the city of Remanso, state of Bahia, Brazil. The experimental set-up was a randomized block design in a factorial design 2 (conventional system, and polyethylene bags of 100 L) x 5 (irrigation levels: 100%, 80%, 60%, 40% and 20% an irrigation management at field capacity) with four replications and four plants per plot. The treatments began 30 days after transplanting the seedlings to the field, and the analyzed variables were: plant height, stem diameter, leaf area and number of tertiary branches, of flower buds and fruits per plant. The data were interpreted by means of analyses of variance (test F) and means were compared by Tukey test at 5% probability of error. It was found that the yellow passion fruit got greater agronomic performance when grown in polyethylene bags, with irrigation management at 80 % field capacity.
Type 2 Diabetes Mellitus remission eighteen months after Roux-en-Y gastric bypass.
Authors: GIRUNDI MARCELO GOMES
Published: August 2016

ABSTRACT Objective: to evaluate the effectiveness of Roux-en-Y gastric bypass in improving the glycemic profile of obese patients with type 2 Diabetes Mellitus (DM2) after 18 months of follow-up. Methods: four hundred sixty-eight pacients with DM2 and BMI ≥35 were submitted to Roux-en-Y gastric bypass, from 1998 to 2010. All patients were submitted to glycemic control analysis in the 3rd, 6th, 9th, 12th and 18th postoperative months. We considered: type 2 diabetic patients, the ones with fasting glucose ≥126mg/dl and HbA1C ≥6.5 in two dosages; high risk patients for diabetes, those who presented fasting glucose ≥ 100 to 125 mg/dl and HbA1C between 5.7%-6.4%; and normal patients, those presenting glucose <100mg/dl and HbA1C <5.7%. Such diagnostic criteria were based on the official position of Sociedade Brasileira de Diabetes, published in July, 2011. Results: The remission of DM2 was seen in 410 (87.6%) out of 468 patients 18 months after the surgery, that being a meaningful difference, with p<0.001. Fourty-eight (10.3%) patients sustained criteria for the disease and ten (2.1%) continued at high risk for DM2. Conclusions: Roux-en-Y gastric bypass was effective in the promotion and maintaince of long-term glycemic control. There are evidences showing that the remission of DM2 is not only related to weight loss and that other enteroinsular axis mechanisms must be involved.
Augmentation mastopexy after bariatric surgery: evaluation of patient satisfaction and surgical results.
Authors: JUNIOR WILSON CINTRA , MODOLIN MIGUEL LUIZ ANTONIO , ROCHA RODRIGO ITOCAZO , GEMPERLI ROLF
Published: August 2016

ABSTRACT Objective: to evaluate patient satisfaction and surgical results obtained after mastopexy with breast implant inclusion. Methods: we conducted a prospective study of 20 consecutive female patients with a mean age of 39.9 years, submitted to augmentation mastopexy. We applied semi-directed psychological interviews pre and postoperatively. The answers to the evaluations were tabulated, categorized, and allowed patient satisfaction analysis. We evaluated surgical results through photographic analysis of three independent plastic surgeons, in the pre and postoperative periods, when scores were attributed to the following items: breasts shape, breasts volume, breasts symmetry, nipple-areolar complex position, and scar quality and extent. Results: nineteen patients (95%) referred satisfaction with the surgical results attained (p<0,001). The mean sum of the scores attributed by the three surgeons to each patient varied between 4.7 and 10, with an overall mean of 7.28. The results were considered good or great for 65% of the sample and poor for 8.4%. Conclusion: there was a 95% satisfaction rate among patients with the results obtained through augmentation mastopexy. The photographic analysis of the results obtained a mean score of 7.28, considered as a good result, albeit the weak correlation among evaluators.
Reliability of nutritional assessment in patients with gastrointestinal tumors
Authors: POZIOMYCK ALINE KIRJNER , FRUCHTENICHT ANA VALERIA GONÇALVES , KABKE GEORGIA BRUM , VOLKWEIS BERNARDO SILVEIRA , ANTONIAZZI JORGE LUIZ , MOREIRA LUIS FERNANDO
Published: August 2016

ABSTRACT Patients with gastrointestinal cancer and malnutrition are less likely to tolerate major surgical procedures, radiotherapy or chemotherapy. In general, they display a higher incidence of complications such as infection, dehiscence and sepsis, which increases the length of stay and risk of death, and reduces quality of life. The aim of this review is to discuss the pros and cons of different points of view to assess nutritional risk in patients with gastrointestinal tract (GIT) tumors and their viability, considering the current understanding and screening approaches in the field. A better combination of anthropometric, laboratory and subjective evaluations is needed in patients with GIT cancer, since malnutrition in these patients is usually much more severe than in those patients with tumors at sites other than the GIT.
Comparative evaluation of ventilatory function through pre and postoperative peak expiratory flow in patients submitted to elective upper abdominal surgery
Authors: SCHEEREN CAIO FERNANDO CAVANUS , GONÇALVES JOSÉ JÚLIO SARAIVA
Published: August 2016

ABSTRACT Objective: to evaluate the ventilatory function by Peak Expiratory Flow (PEF) in the immediate pre and postoperative periods of patients undergoing elective surgical procedures in the upper abdomen. Methods: we conducted a prospective cohort study including 47 patients admitted to the Hospital Regional de Mato Grosso do Sul from July to December 2014, who underwent elective surgeries of the upper abdomen, and submiited to spirometric evaluation and measurement of PEF immediately before and after surgery. Results: of the 47 patients, 22 (46.8%) were male and 25 (53.20%) female. The mean preoperative PEF was 412.1±91.7, and postoperative, 331.0±87.8, indicating significant differences between the two variables. Men had higher PEF values than women, both in the pre and postoperative periods. There was a reasonable inverse correlation between age and decreased PEF. Both situations showed statistical significance (p<0.001). The group of smokers had lower PEF values both before and after surgery. The group of patients with comorbidities (hypertension and/or diabetes) showed lower PEF values both pre and postoperatively (p=0.005). In both groups, surgery resulted in a significant decrease in PEF (p<0.001). The type of surgery performed and the type of anesthesia did not show significant differences. Conclusion: the variables most involved in decreased lung function were: advanced age, smoking and presence of comorbidities. However, there is no consistent evidence to suggest conducting routine spirometry in such patients.
Minilaparoscopy-assisted transumbilical laparoscopic cholecystectomy
Authors: LIMA GERALDO JOSÉ DE SOUZA , LEITE RODRIGO FABIANO GUEDES , ABRAS GUSTAVO MUNAYER , PIRES LIVIO JOSÉ SURETTI , CASTRO EDUARDO GODOY
Published: August 2016

ABSTRACT The role of laparoscopy in the modern surgery era is well established. With the prospect of being able to improve the already privileged current situation, new alternatives have been proposed, such as natural orifice endoscopic surgery (NOTES), the method for single transumbilical access (LESS - Laparo-endoscopic single-site surgery) and minilaparoscopy (MINI). The technique proposed by the authors uses a laparoscope with an operative channel like the flexible endoscope used in NOTES. All operative times are carried out through the umbilical trocar as in LESS, and assisted by a minilaparoscopy grasper. This new technic combines, and results from, the rationalization of technical particularities and synergy of these three approaches, seeking to join their advantages and minimize their disadvantages.
Multiprofissional electronic protocol in ophtalmology with enfasis in strabismus
Authors: RIBEIRO CHRISTIE GRAF , MOREIRA ANA TEREZA RAMOS , PINTO JOSÉ SIMÃO DE PAULA , MALAFAIA OSVALDO
Published: August 2016

ABSTRACT Objective: to create and validate an electronic database in ophthalmology focused on strabismus, to computerize this database in the form of a systematic data collection software named Electronic Protocol, and to incorporate this protocol into the Integrated System of Electronic Protocols (SINPE(c)). Methods: this is a descriptive study, with the methodology divided into three phases: (1) development of a theoretical ophthalmologic database with emphasis on strabismus; (2) computerization of this theoretical ophthalmologic database using SINPE(c) and (3) interpretation of the information with demonstration of results to validate the protocol. We inputed data from the charts of fifty patients with known strabismus through the Electronic Protocol for testing and validation. Results: the new electronic protocol was able to store information regarding patient history, physical examination, laboratory exams, imaging results, diagnosis and treatment of patients with ophthalmologic diseases, with emphasis on strabismus. We included 2,141 items in this master protocol and created 20 new specific electronic protocols for strabismus, each with its own specifics. Validation was achieved through correlation and corroboration of the symptoms and confirmed diagnoses of the fifty included patients with the diagnostic criteria for the twenty new strabismus protocols. Conclusion: a new, validated electronic database focusing on ophthalmology, with emphasis on strabismus, was successfully created through the standardized collection of information, and computerization of the database using proprietary software. This protocol is ready for deployment to facilitate data collection, sorting and application for practitioners and researchers in numerous specialties.
Comparative analysis of endoscopic and histopathological features of superficial elevated lesions resected by endoscopic mucosal resection in the distal and proximal colon
Authors: PARADA ARTUR ADOLFO , RIBAS CARMEN AUSTRALIA PAREDE MARCONDES , VENCO FILADELFIO EUCLYDES , ARDENGH JOSÉ CELSO , REIS MARIANA AMARAL , DEGIOVANI MATHEUS , VARCA-NETO MIGUEL REYNALDO , DIGER NILDEDE RODRIGUES , IBRAHIM ROBERTO EL , CORDOVA KASSIA FERNANDA , FAGUNDES MARÍLIA DA CRUZ , MOREIRA HAMILTON , KUBRUSLY LUIZ FERNANDO
Published: August 2016

ABSTRACT Objective: to compare endoscopic and histopathologic features of superficial, elevated lesions with one or more centimeters in diameter, diagnosed by videocolonoscopy on the distal and proximal colon, and subjected to mucosal resection. Methods: we conducted a retrospective, cross-sectional, observational study involving 8,075 videocolonoscopies. From this total, we evaluated 166 mucosectomies in 145 patients with superficial, elevated lesions with a diameter equal to or greater than 1cm. Results: the lesion prevalence was lower in G1 than in G2 (34.9% vs. 65%). The mean age, gender distribution and size (1.9cm in G1 versus 2.0cm in G2, p=0.921) were similar. There was no difference of mucosal surfaces in relation to the location (p=0.575). Considering Intraepithelial neoplasias, both the low grade, high grade (including carcinomas) and hyperplasic ones showedd no difference (p=0.527), nor did the neoplastic lesions when divided into serrated and non-serrated (p=0.124). Excluding 13 hyperplastic lesions and two carcinomas, 124 (82.1%) were non-serrated and 27 (17.9%), serrated. Conclusion: were found no significant differences between endoscopic and histopathological aspects of superficial, elevated lesions of 1cm or more in diameter in distal colon compared with the proximal, when resected by mucosectomy. Although not significant, there was a tendency of association between the location of the lesion and the presence of serrated features.
Minimally invasive treatment of vesicourethral leak after laparoscopic radical prostatectomy
Authors: ELMOR TIAGO RIVELLO , RUBINSTEIN MAURICIO , LIMA GUILHERME , CRUZ ANTONIO CESAR , PEREIRA CLOVIS FRAGA TENÓRIO , RUBINSTEIN IRINEU
Published: August 2016

ABSTRACT Objective: to describe our experience with a minimally invasive approach for persistent vesicourethral anastomotic leak (PVAL) after Laparoscopic Radical Prostatectomy (LRP). Methods: from 2004 to 2011, two surgeons performed LRP in 620 patients. Ten patients had PVAL, with initially indicated conservative treatment, to no avail. These patients underwent a minimally invasive operation, consisting of an endoscopically insertion of two ureteral catheters to direct urine flow, fixed to a new urethral catheter. We maintained the ureteral catheters for seven days on average to complete resolution of urine leakage. The urethral catheter was removed after three weeks of surgery. Results: the correction of urine leakage occurred within a range of one to three days, in all ten patients, without complications. There were no stenosis of the bladder neck and urinary incontinence on long-term follow-up. Conclusion: the study showed that PVAL after laparoscopic radical prostatectomy can be treated endoscopically with safety and excellent results.
DINHEIRO, EMOÇÃO E AGÊNCIA: UMA ETNOGRAFIA NO MERCADO FUNERÁRIO DE PORTO ALEGRE
Authors: Neves Marcos Freire de Andrade , Damo Arlei Sander
Published: August 2016

Resumo Conduzida na cidade de Porto Alegre, Brasil, a pesquisa etnográfica aqui apresentada descreve circuitos que performam o chamado mercado funerário. Composto principalmente por funerárias, cemitérios e crematórios, o mercado funerário integra um complexo mais amplo cujo intuito é a criação de um estatuto da pessoa morta. Fundamental a este mercado, as negociações entre profissionais do ramo e clientes acabam por performar a agência da pessoa morta, uma das especificidades desta dinâmica de precificação. A pessoa morta, não sendo um locus de passividade, mostra a sua vida ao impor padrões de comportamento nas negociações concernentes ao seu funeral, assim como ao influenciar escolhas e decisões. A pesquisa concentra seu foco em funerárias de Porto Alegre, a partir das quais analisa ideias de uma economia emocional e das singularidades, a agência dos envolvidos nas negociação de consumo - vivos e mortos - e lógicas de precificação.