bluuebunny/crossref_metadata_2025 huggingface dataset:
Recent Advancements in Our Understanding of the Ergogenic Effect of Respiratory Muscle Training in Healthy Humans: A Systematic Review
Authors: Shei Ren-Jay
Published: July 2018

Shei, R-J. Recent advancements in our understanding of the ergogenic effect of respiratory muscle training in healthy humans: a systematic review.J Strength Cond Res32(9): 2674–2685, 2018—Respiratory muscle training (RMT) has been shown to be an effective ergogenic aid for sport performance. Respiratory muscle training has been documented to improve performance in a wide range of exercise modalities including running, cycling, swimming, and rowing. The physiological effects of RMT that may explain the improvements in performance have been proposed to include diaphragm hypertrophy, muscle fiber–type switching, improved neural control of the respiratory muscles, increased respiratory muscle economy, attenuation of the respiratory muscle metaboreflex, and decreases in perceived breathlessness and exertion. This review summarizes recent studies on the ergogenicity and mechanisms of RMT since 2013 when the topic was last systematically reviewed. Recent evidence confirms the ergogenic effects of RMT and explores different loading protocols, such as concurrent exercise and RMT (i.e., “functional” RMT). These studies suggest that adapting new training protocols may have an additive improvement effect, but evidence of the efficacy of such an approach is conflicting thus far. Other recent investigations have furthered our understanding of the mechanisms underpinning RMT-associated improvements in performance. Importantly, changes in ventilatory efficiency, oxygen delivery, cytokine release, motor recruitment patterns, and respiratory muscle fatigue resistance are highlighted as potential mechanistic factors linking RMT with performance improvements. It is suggested that future investigations focus on development of sport-specific RMT loading protocols, and that further work be undertaken to better understand the mechanistic basis of RMT-induced performance improvements.
In Praise of Doubt: How to Have Convictions Without Becoming a Fanatic, by Peter Berger and Anton Zijderveld
Authors: Lewis Kevin
Published: July 2018

In Praise of Doubt: How to Have Convictions Without Becoming a Fanatic, by Peter Berger and Anton Zijderveld. Harper Collins, 2009. Pb. 208pp., $13.99, ISBN-13: 9780061778179.
Ritual and the Sacred: A Neo-Durkheimian Analysis of Politics, Religion and the Self, by Massimo Rosati
Authors: De Groot Kees
Published: July 2018

Ritual and the Sacred: A Neo-Durkheimian Analysis of Politics, Religion and the Self, by Massimo Rosati. Routledge, 2009. 180pp, Hb. $160.00. ISBN-13: 9780754676409; Ebook, $128.00, ISBN-13: 9781315606644.
The Fetishization Effect
Authors: Fallon Breann
Published: July 2018

The perpetrators of the Rwandan Genocide were the most efficient killers of the twentieth century, with 8000 victims per day at a modest count. Tribal tensions, Belgian Colonization, and the Church are frequently highlighted as foundational to the slaughter in 1994, but this paper suggests an additional, overlooked propellant behind the actions of Hutu perpetrators - the machete. Via an investigation of primary perpetrator (Hatzfeld 2003) and victim accounts (Gourevitch 1998), this paper presents a new spiritual, psychological, and social paradigm around the fetishization (Ellen 1988) of the machete in the Rwandan Genocide - ‘The Fetishization Effect.' This paradigm occurs in three stages - unification, operation and fetishization - for the machete comes to unify community, create a new ‘imagining' of reality (Anderson 1991, 7) and is thus unconsciously enchanted with a divine essence. When fully fetishized, the inspirited machete was able manipulate perpetrator psyche, propel violent actions, justify final blows, and absolve the perpetrator of consequence. This weapon was no inanimate object, but rather a manipulative ‘machine of power' (Ellen 1988, 228) complicit in the murder of the Tutsi population. As such, this paper will delineate this paradigm, explicating the machete's role in the creation of the ‘true Rwandan' community and their new reality, displaying the subsequent inspiriting of the machete by this group, through which it came to influence, control, and substantiate their actions.
Categorizing “Religion”
Authors: Taira Teemu
Published: July 2018

Transcription ofReligious Studies Project, Podcast with Teemu Taira (19 September 2016).Interviewed by Breann FallonTranscribed by Claire Berlinger.Audio and transcript available at:http://www.religiousstudiesproject.com/podcast/categorising-religion-from-case-studies-to-methodology/
Decisions about deep brain stimulation therapy in Parkinson’s disease
Authors: Brandão Pedro , Grippe Talyta Cortez , Modesto Luiz Cláudio , Ferreira André Gustavo Fonseca , Silva Flávia Martins da , Pereira Flávio Faria , Lobo Marcelo Evangelista , Allam Nasser , Freitas Tiago da Silva , Munhoz Renato P.
Published: July 2018

ABSTRACT Parkinson’s disease can be treated surgically in patients who present with motor complications such as fluctuations and dyskinesias, or medically-refractory disabling tremor. In this review, a group of specialists formulated suggestions for a preoperative evaluation protocol after reviewing the literature published up to October 2017. In this protocol, eligibility and ineligibility criteria for surgical treatment were suggested, as well as procedures that should be carried out before the multidisciplinary therapeutic decisions. The review emphasizes the need to establish “DBS teams”, with professionals dedicated specifically to this area. Finally, surgical target selection (subthalamic nucleus or globus pallidus internus) is discussed briefly, weighing the pros and cons of each target.
Lazarević-Lasègue sign
Authors: Maranhão-Filho Péricles , Vincent Maurice
Published: July 2018

ABSTRACT Charles Lasègue is reputed to have described the test/sign bearing his name, but he never wrote about it and misinterpreted its mechanism. The purpose of this note is to highlight the work of the Serbian, Laza Lazarević, who was first to present the original report of this seminal sign in sciatica and provide its appropriate pathophysiological interpretation.
Prevalence of obesity among stroke patients in five Brazilian cities: a cross-sectional study
Authors: Vicente Vanessa Speckhahn , Cabral Norberto Luiz , Nagel Vivian , Guesser Vanessa V , Safanelli Juliana
Published: July 2018

ABSTRACT Objective There is gap in knowledge about obesity prevalence in stroke patients from low- and middle-income countries. Therefore, we aimed to measure the prevalence of overweight and obesity status among patients with incident stroke in Brazil. Methods In a cross-sectional study, we measured the body mass index (BMI) of ischemic and hemorrhagic stroke patients. The sample was extracted in 2016, from the cities of Sobral (CE), Sertãozinho (SP), Campo Grande (MS), Joinville (SC) and Canoas (RS). Results In 1,255 patients with first-ever strokes, 64% (95% CI, 62–67) were overweight and 26% (95%CI, 24–29) were obese. The obesity prevalence ranged from 15% (95%CI, 9–23) in Sobral to 31% (95%CI, 18–45) in Sertãozinho. Physical inactivity ranged from 53% (95%CI, 43-63) in Sobral to 80% (95%CI, 73–85) in Canoas. Conclusions The number of overweight patients with incident stroke is higher than the number of patients with stroke and normal BMI. Although similar to other findings in high-income countries, we urgently need better policies for obesity prevention.
Performances on the Timed Up and Go Test and subtasks between fallers and non-fallers in older adults with cognitive impairment
Authors: Ansai Juliana Hotta , Andrade Larissa Pires de , Nakagawa Theresa Helissa , Rebelatto José Rubens
Published: July 2018

ABSTRACT This work aimed to compare performances on the Timed Up and Go (TUG) test and its subtasks between faller and non-faller older adults with mild cognitive impairment (MCI) and mild Alzheimer’s disease (AD). A prospective study was conducted, with 38 older adults with MCI and 37 with mild AD. Participants underwent an assessment at baseline (the TUG and its subtasks using the Qualisys ProReflex system) and the monitoring of falls at the six-month follow up. After six months, 52.6% participants with MCI and 51.3% with AD fell. In accordance with specific subtasks, total performance on the TUG distinguished fallers from non-fallers with AD, fallers from non-fallers with MCI and non-fallers with MCI from non-fallers with AD. Although no other difference was found in total performances, non-fallers with MCI and fallers with AD differed on the walking forward, turn and turn-to-sit subtasks; and fallers with MCI and non-fallers with AD differed on the turn-to-sit subtask.
Existential experience of children with cancer under palliative care
Authors: França Jael Rúbia Figueiredo de Sá , Costa Solange de Fátima Geraldo da , Lopes Maria Emília Limeira , Nóbrega Maria Mirian Lima da , Batista Patrícia Serpa de Souza , Oliveira Regina Célia de
Published: July 2018

ABSTRACT Objective: To understand the existential experience of children with cancer under Palliative Care from the Humanistic Nursing Theory's point of view. Method: This is a field and qualitative research, in which eleven children participated, supported by the Support Centre for Children with Cancer in Paraíba State. To collect data it was used the Story Drawing Procedure. The data were qualitatively analyzed based on Humanistic Nursing Theory. Results: From the analysis of the empirical study's subject, the following thematic categories have emerged: children experiencing fear, sadness, anguish and insecurity in the face of their diagnosis and children experiencing fear of their family falling apart because of the possibility of dying. Conclusion: It is fundamental the participation of nurses in the Palliative Care to the children with cancer in order to strengthen the trust between the children and the professional to have the relationship of dialogue as central axis.
The maternity ward of a teaching hospital: reconfiguration of maternal-child nursing care
Authors: Pontes Mônica Barros de , Santos Tânia Cristina Franco , Peres Maria Angélica de Almeida , Almeida Filho Antonio José de
Published: July 2018

ABSTRACT Objective: to analyze the strategies used by nurses and nurse professors for a better position in the maternity ward of the teaching hospital of the Universidade Federal do Espírito Santo. Method: this is a social-historical study with a qualitative approach. The primary sources were written documents, such as official letters, memos, ordinances, standards and routines of the hospital; photographic material; and oral testimonies from seven participants. The interviews were performed using a semi-structured questionnaire, with questions regarding the adaptation from a sanatorium to a teaching hospital, the challenges faced, and the strategies adopted by the nursing department. Results: the results allowed us to understand the close link between the maternity ward and the nursing course of the Universidade Federal do Espírito Santo, which created a differentiated nursing care that integrated training and care with a broader and humanized look. Final considerations: the actions of the nurses were recognized and gave them professional visibility, influencing a new form of care in the maternity ward.
Permanent Education in a neonatal unit from Culture Circles
Authors: Silva Luiz Henrique Ferreira da , Santo Fátima Helena do Espírito , Chibante Carla Lube de Pinho , Paiva Eny Dórea
Published: July 2018

ABSTRACT Objective: to identify the factors that hinder and facilitate the work of the nursing team in a neonatal unit and to know the demands of Permanent Education described by the nursing team, emerging from the daily care. Method: qualitative study that followed the steps recommended by the “Paulo Freire's Method” carried out with 29 professionals of the nursing team of a neonatal unit of a university hospital. Three Culture Circles were carried out to identify the generating themes. Results: The themes generated were organized according to the issues covered in the interviews and during the Culture Circles, with four themes being highlighted: lack of routines; training; improvement of coexistence of the team and improvement of management process. Final considerations: The study made it possible to know the factors that hinder and facilitate the routine practice of nursing professionals by identifying the emergent themes of the Culture Circles that favored the critical reflection of the group, generating subsidies for the collective elaboration of the Permanent Education program in neonatal unit.
Good practices of labor and birth care from the perspective of health professionals
Authors: Pereira Simone Barbosa , Diaz Claudia Maria Gabert , Backes Marli Terezinha Stein , Ferreira Carla Lizandra de Lima , Backes Dirce Stein
Published: July 2018

ABSTRACT Objective: Determine the understanding of health professionals of an obstetric hospital regarding the good practices of labor and birth care recommended by the World Health Organization. Method: Research-initiative, with data collection between April and July 2016 using the focal group technique, with 27 health professionals of an obstetric hospital of Rio Grande do Sul with 21 hospitalization beds. Results: Three thematic categories were achieved: good obstetric practices and their meanings; from the biological character to singular and multidimensional care; from the punctual and fragmented conception to the labor and birth care network. Conclusion: Good practices, in addition to enabling rethinking the obstetric model and contributing to organize the maternal and child health care network in order to ensure access, humane care, and problem-solving capacity, also foster female protagonism.
Water balance in pediatric nephrology: construction of a Standard Operating Procedure
Authors: Gomes Priscila Pereira de Souza , Lima Francisca Elisângela Teixeira , Araújo Patrícia Rebouças , Oliveira Maria Rosivy de , Brito Edgla Graciela Ferreira Moreira de , Carneiro Jéssica Lourenço , Lima Luana Farias , Andrade Natália Parla Rodrigues Batalha
Published: July 2018

ABSTRACT Objective: To construct a Standard Operating Procedure (SOP) about the water balance, to be used by the health team in the care of children hospitalized in a pediatric nephrology unit. Method: The study was carried out in two stages: integrative review of the literature for the development of SOP and validation by specialists. The search for literature occurred in the electronic databases PUBMED, SCOPUS, LILACS, BDENF. After the bibliographic survey the construction of the SOP was performed, which was evaluated by specialists. The analysis was performed by calculating the Content Validity Index (CVI). Results: nine studies were selected as results of the integrative review. The sample of specialists was composed of nine professionals. The study was evaluated in six items, five of which presented CVI = 1 and one obtained CVI = 0.77. Conclusion: the evaluation of specialists culminated in the validation of SOP, suggesting changes that were accepted and discussed with the literature.
The adolescent and the institutionalization: understanding the phenomenon and meanings attributed to it
Authors: Sousa Gutembergue Santos de , Silva Roberto Nadir Figueira da , Ferreira Nathália Giordana , Ferreira Maria Goreth Silva
Published: July 2018

ABSTRACT Objective: To understand the meaning of being institutionalized and in conflict with the law for the institutionalized adolescent. Method: A qualitative, phenomenological-comprehensive study carried out in a Socio-educational Service Foundation in the northern region of Brazil, with 05 institutionalized adolescents. The analysis was carried out under the understanding of the content suggested by Heidgger, thus allowing the construction of analytical categories for a hermeneutical interpretation. Results: Conflicting with the law means something negative and bad for the institutionalized adolescents, in which they understand that although there is deprivation of liberty, the period of hospitalization is an important moment for the reflection on the need to start over. Conclusion: The meaning of conflicting with the law goes far beyond a simple word, act or behaviour, it is something that only those who experience the phenomenon are able to unveil, arouse deep feelings and provide reflection to the adolescent about the damages caused by the infraction.
Computerized nursing process: development of a mobile technology for use with neonates
Authors: Lima José Janailton de , Vieira Larissa Gabrielle Dias , Nunes Marília Mendes
Published: July 2018

ABSTRACT Objective: to build a mobile technology to assist nurses during data collection, diagnostic reasoning, and identification of interventions in neonates. Method: methodological study with a qualitative approach. The development was carried out in three phases, namely: bibliographical survey, construction of a database of diagnosis/interventions, and development of the software. We used the development tools Ruby on Rails, IONIC 2, PostgresSQL, and Amazon EC2. Results: The developed technology received the name Natus, able to contribute to the development of the nursing process applied to patients of neonatal units. Its requirements are: to define human needs, select nursing diagnoses, select interventions, define time periods, and issue printed files. Final considerations: the technology built is a computerized tool that allows for the development of the nursing process, facilitating data collection, diagnostic reasoning, and identification and grouping of the clinical signs presented by the newborn in neonatal units.
Family violence against gay and lesbian adolescents and young people: a qualitative study
Authors: Braga Iara Falleiros , Oliveira Wanderlei Abadio de , Silva Jorge Luiz da , Mello Flávia Carvalho Malta de , Silva Marta Angélica Iossi
Published: July 2018

ABSTRACT Objective: To analyze the experiences of gay and lesbian adolescents and young people in the process of revealing sexual orientation to their families. Method: A qualitative study carried out in a city in the state of São Paulo. Twelve gay and lesbian adolescents and youngsters participated. For the data collection, the semi-structured interview was used and data analysis was performed using the method of interpretation of the senses. Results: The family reactions in the process of “coming out of the closet” of the participants were violent, with persecution and even expulsion from home, in addition to the repression of expressions of homoerotic experiences, which impacted on their health and quality of life. Final considerations: The family is an essential component of the support network, but also a space that can generate and reproduce forms of violence in the name of heteronormativity. Health services should develop care practices and care for the family and adolescent and homosexual youth victim of violence.
Identification of post-cesarean surgical site infection: nursing consultation
Authors: Cunha Marcia Regina , Padoveze Maria Clara , Melo Célia Regina Maganha e , Nichiata Lucia Yasuko Izumi
Published: July 2018

ABSTRACT Objective: To describe the profile of women in relation to their living conditions, health status and socio-demographic profile, correlating it with the presence of signs and symptoms suggestive of post-cesarean surgical site infection, identifying information to be considered in the puerperium consultation performed by nurses and proposing a roadmap for the systematization of care. Method: Quantitative, exploratory, descriptive, cross-sectional and retrospective review of medical records of women who had cesarean deliveries in 2014, in the city of São Paulo. Results: 89 medical records were analyzed, 62 of them with incomplete information. In 11, there was at least one of the signs and symptoms suggestive of infection. Conclusion: Given the results of the study, the systematization of puerperal consultation is essential. The roadmap is an instrument that can potentially improve the quality of service and the recording of information.
Children hospitalized due to maltreatment in the ICU of a Public Health Service
Authors: Santomé Letícia Medeiros , Leal Sandra Maria Cezar , Mancia Joel Rolim , Gomes Antônio Marcos Freire
Published: July 2018

ABSRACT Objective: to characterize children hospitalized due to violence in a pediatric ICU in 2011; to relate violence and the mechanisms of trauma with death; to know the contextualization of violence, from the records in the medical records. Method: retrospective cohort, performed in a first aid hospital, Porto Alegre city, in the records of 22 children hospitalized in the ICU due to violence. Quantitative analysis was performed by absolute and relative frequency rates, chi-square and relative risk. Results: 54.5% were boys, 81.8% were white and 50% were up to three years old. Physical violence 50% and neglect 36.4%, family of children (77.3%), highlighting the mother (35.3%). Mechanisms of aggression: fall (22.7%), burns (18.2%). Burns were at high risk for death. Discharge to go home after ICU admission (59.1%). Conclusion: It is considered that the characterization of the cases of violence reflects the complexity of the theme, mainly, in face of the life histories that surround each case of children hospitalized by this aggravation.
THE USE OF MELD SCORE (MODEL FOR END-STAGE LIVER DISEASE) AND DERIVATIVES IN CARDIAC TRANSPLANTATION
Authors: MORAES Ana Claudia Oliveira de , FONSECA-NETO Olival Cirilo Lucena da
Published: July 2018

ABSTRACT Introduction: Heart transplantation is still the best therapeutic alternative for the treatment of end-stage heart failure. The use of criteria that consider the complications associated with this procedure can guarantee a better evaluation of the recipient and prepare the team for possible unsatisfactory post-transplant results. The use of the MELD score has been expanded to evaluate cirrhotic patients undergoing various procedures, including cardiac transplantation. Objective: To analyze the knowledge on MELD score and its derivatives to the prognosis of patients with end-stage heart failure considered for heart transplantation. Method: Was carried out an integrative review of the publications of the last ten years in Pubmed and Lilacs databases, using the descriptors “heart transplantation”, “liver disease” and “prognosis”. From the total of 111 articles found, six were selected and composed the sample. Results: The MELD-XI score (eXcluding INR) was the most analyzed in the studies due to the exclusion of INR, since many patients with heart failure use anticoagulants, which may alter their value. MELD and derivatives were associated with unsatisfactory results in cardiac transplantation. Conclusion: The MELD score can be considered as a good predictor for heart transplantation; however, there are still few studies that make this correlation.
PRE- AND POSTOPERATIVE IMAGING METHODS IN COLORECTAL CANCER
Authors: SOUZA Gleim Dias de , SOUZA Luciana Rodrigues Queiroz , CUENCA Ronaldo Mafia , VILELA Vinícius Martins , SANTOS Bruno Eduardo de Morais , AGUIAR Felipe Souza de
Published: July 2018

ABSTRACT Introduction: Among the screening tests for colorectal cancer, colonoscopy is currently considered the most sensitive and specific technique. However, computed tomography colonography (CTC), magnetic resonance imaging (MRI), and transrectal ultrasonography have gained significant ground in the clinical practice of pre-treatment, screening and, more recently, post-treatment and surgical evaluation. Objective: To demonstrate the high accuracy of CT and MRI for pre and postoperative colorectal cancer staging. Methods: Search and analysis of articles in Pubmed, Scielo, Capes Periodicals and American College of Radiology with headings “colorectal cancer” and “colonography”. Weew selected 30 articles that contained radiological descriptions, management or statistical data related to this type of neoplasia. The criteria for radiological diagnosis were the American College of Radiology. Results : The great majority of patients with this subgroup of neoplasia is submitted to surgical procedures with the objective of cure or relief, except those with clinical contraindication. CTC colonography is not the most commonly used technique for screening; however, it is widely used for treatment planning, assessment of the abdomen for local complications or presence of metastasis, and post-surgical evaluation. MRI colonography is an alternative diagnostic method to CT, recommended by the American Society of Gastrointestinal Endoscopy. Although there are still no major studies on the use of MRI for screening, the high resolution examination has now shown good results for the American Joint Committee on Cancer TNM classification. Conclusion: MRI and CT represent the best means for colorectal neoplasm staging. The use of these methods as screening tools becomes beneficial to decrease complications and discomfort related to colonoscopy.
CURRENT STATUS OF THE MULTIDISCIPLINARY TREATMENT OF GASTRIC ADENOCARCINOMA
Authors: TONETO Marcelo Garcia , VIOLA Luciana
Published: July 2018

ABSTRACT Background: The complexity of the management of gastric cancer requires a multidisciplinary evaluation of patients with this tumor. Several treatments have been employed, associated to the surgical resection. Objective: To review the available therapeutic alternatives for the treatment of gastric adenocarcinoma. Methods : A review of selected articles on multidisciplinary treatment of gastric adenocarcinoma in the Pubmed and Medline databases between 2000 and 2017 was carried out. The following headings were related: stomach cancer, treatment, chemotherapy and radiotherapy. Results : There are several valid alternatives, with good results for the treatment of gastric cancer: chemoradiotherapy or chemotherapy in the adjuvant scenario; perioperative chemotherapy; and chemoradiotherapy after neoadjuvance with isolated chemotherapy. Conclusion : Current evidences suggest that combined multidisciplinary treatment is superior to surgery alone. However, the optimal treatment regimen is not yet established, and depends on a number of factors, especially the type of surgical resection employed. Therefore, the therapeutic decision should be made by a multidisciplinary team, assessing patient’s personal characteristics, biology of the tumor, residual disease, risks and side effects.
THE IMPORTANCE OF COLONOSCOPY IN INFLAMMATORY BOWEL DISEASES
Authors: PASSOS Márcio Alexandre Terra , CHAVES Fernanda Correa , CHAVES-JUNIOR Nilson
Published: July 2018

ABSTRACT Introduction: Endoscopic evaluation, particularly the macroscopic mucosal and histological results of ileocolic biopsies, is essential for the management of inflammatory bowel disease. Endoscopic appearance is not always sufficient to differentiate Crohn’s disease and ulcerative colitis, but there are some characteristics that favor one or another diagnosis. Both diseases have an increased incidence of colorectal carcinoma; so, surveillance colonoscopy is important for detecting early neoplastic lesions. Objective: To update the importance of endoscopy in the evaluation, diagnosis and prognosis of inflammatory bowel disease. Method: Search was done in the scientific literature of the TRIP database, chosen from clinical questions (PICO) with the following descriptors: “inflammatory bowel disease”, “endoscopy/colonoscopy”, “Crohn’s disease”, “ulcerative colitis” and “diagnosis/treatment”. Results: Endoscopic investigation in patients with chronic colitis is quite accurate for the differential diagnosis between ulcerative colitis and Crohn’s disease. Endoscopy is indicated for ulcerative colitis during severe crisis due to its prognostic value. Another accepted indication for endoscopy in inflammatory bowel disease is its use in the screening for dysplastic lesion. Conclusion: Ileocolonoscopy allows an accurate diagnosis of Crohn’s disease or ulcerative colitis in up to 90% of cases. The healing of the mucosa assessed by endoscopy after treatments despite not being consensus is still the gold-standard in the evaluation of remission of the disease. Colonoscopy is essential for long-term cancer surveillance and in the future the implementation of Confocal Laser Endomicroscopy seems to be very promising in assessing the initial dysplasia.
Construção de índices de preços de imóveis para o Distrito Federal por meio de vendas repetidas e GWR
Authors: Albuquerque Pedro Henrique Melo , Nadalin Vanessa Gapriotti , Lima Neto Vicente Correia , Montenegro Mariana Rosa
Published: July 2018

Resumo: A necessidade de monitoramento do mercado imobiliário como instrumento de avaliação da efetividade das políticas de planejamento urbano no território é etapa crucial para a boa gestão pública. Nesse sentido, o presente texto tem por objetivo construir o índice de preços para os imóveis transacionados no Distrito Federal entre 2003 e 2012 por meio do método de vendas repetidas. O índice proposto permite a avaliação de políticas públicas e seus impactos territoriais no preço dos bens imóveis, por meio do monitoramento contínuo da evolução dos preços de imóveis no Distrito Federal. Esse acompanhamento contínuo constitui-se em instrumento da política urbana no âmbito da capital federal, o qual servirá não somente para avaliação de políticas públicas, como também de operacionalização das mesmas, a partir da integração com instrumentos urbanísticos, tais como a outorga onerosa.
The relation between labor productivity and wages in Brazil:
Authors: Katovich Erik S. , Maia Alexandre Gori
Published: July 2018

Abstract: Labor productivity is a crucial long-run determinant of real wages. Nonetheless, wage and productivity dynamics often diverge in practice due to a range of economic and institutional factors. This study analyzes the relation between the dynamics of labor productivity and wages in Brazil from 1996 to 2014, and adopts a sectoral perspective to account for divergent trends among economic sectors. Analyses are based on pooled data drawn from the National Accounts and the Pesquisa Nacional por Amostra de Domicílios, and hierarchical data models are estimated to assess the impacts of state- and sector-level factors on individuals’ wages. Results indicate that productivity is significantly positively associated with wage levels for all economic sectors, but that institutional factors such as labor formalization and minimum wage exert equally significant impacts, suggesting that wage growth over the 1996-2014 period was as much the result of institutional changes as of transformation of Brazil’s productive structure.
Vegetation composition and forage mass in grassland with a double structure under two winter grazing regimes
Authors: Coelho André Alfredo , Trindade José Pedro Pereira , Volk Leandro Bochi da Silva , Pinheiro Clodoaldo Leites , Quadros Fernando Luiz Ferreira de
Published: July 2018

ABSTRACT: Remnant areas of Pampas grassland have a distinct double structure. Efficiency of livestock farming on these grasslands depends on practices that are synchronized with natural variation. This study examined the changes in vegetation composition and forage mass during winter to understand the effects of grazing methods in a natural pasture with a double structure that was grazed by heifers. An experimental area in the municipality of Bagé, Rio Grande do Sul, was subjected to continuous or rotational grazing treatments, with two replicates each. Frequency of the structural composition and forage mass of the lower stratum and animal weight was measured at the beginning and end of the experimental period (June 7 to October 7, 2016, respectively). Data were analysed with PCA ordination, regression and variance analysis. Both structural composition and forage mass changed during the experimental period. Axonopus affinis and Paspalum notatum were characteristic of continuous grazing, while Mnesithea selloana and Axonopus argentinus characterized rotational grazing (the latter had the highest levels of forage mass). Although, grazing methods changed the composition of forage mass in winter, they did not affect average daily gain of the animals.
Hyaluronic acid and synovial fluid in preventing adhesion formation after tenorrhaphy: An in vivo study on rabbit Achilles tendon
Authors: Kurt Başak , Ozaydin Isa , Sozmen Mahmut , Bilge Ali , Cihan Mete , Hamamci Emre , Aydin Ugur
Published: July 2018

ABSTRACT: Peritendinous adhesions are a significant problem in tendon surgery. One of the most preferred methods for preventing adhesion formation is anti-adhesive applications. This study aimed to investigate the efficacy of natural synovial fluid as an alternative viscoelastic agent for preventing adhesion in the healing period compared to hyaluronic acid. Thirty adult New Zealand rabbits were used in the study to form three experimental models. In all groups, a rupture was induced in the Achilles tendons. Following tenorrhaphy, hyaluronic acid was applied in one group and synovial fluid in the other group for anti-adhesive purposes. In the control group, no viscoelastic application was made. Bandage was applied to the operated extremities for three weeks post-operatively. At the end of five weeks, euthanasia was performed on the animals using pentobarbital sodium. Surgical sites in all groups were macroscopically examined for healing status as well as the presence and extent of adhesions. Biomechanical tests and histopathological examinations were then performed on the tendons in all groups. Findings established once again the positive contribution of hyaluronic acid to preventing adhesion formation as well as to healing and tensile strength in tendon surgery. Although, we found that it is possible to use synovial fluid, which is a natural source of hyaluronic acid, as a viscoelastic material, it is not superior to commercial hyaluronic acid preparation.
Digestible methionine + cysteine: lysine ratios for growing meat-type quails
Authors: Castro Mariana Resende de , Pinheiro Sandra Regina Freitas , Miranda Jéssica Amaral , Costa Leonardo da Silva , Rocha Graziela Maria de Freitas , Oliveira Renata Gomes de , Martins Paulo Gustavo Macedo de Almeida
Published: July 2018

ABSTRACT: The objective was to estimate the most appropriate digestible methionine + cysteine:lysine ratios for growing meat-type quails (Coturnix coturnix) from 1 to 21 days of age. Quails were fed with a basal ration deficient in digestible methionine + cysteine, with five levels of DL-methionine, in substitution of glutamic acid and starch, resulting in digestible methionine + cysteine:lysine ratios of 0.61, 0.66, 0.71, 0.76 and 0.81. Feed and methionine + cysteine intake, body weight gain, feed conversion and uniformity were assessed. From 1 to 7 days, an increasing linear effect was observed for feed and methionine + cysteine intake, body weight gain, and uniformity, and a linear decrease for feed conversion. From 8 to 14 days, the 0.70 methionine + cysteine: lysine ratio was the best for feed intake and body weight gain, and for uniformity, the 0.75 methionine + cysteine:lysine ratio was the most appropriate. For methionine + cysteine intake and feed conversion, an increasing and decreasing linear adjustment was observed, respectively. From 15 to 21 days, an increasing linear effect was observed for feed and methionine + cysteine intake and body weight gain; a decreasing linear effect was observed for feed conversion. The 0.81 ratio was the most efficient for feed conversion during all evaluated experimental periods. In conclusion, the 0.81 dietary methionine + cysteine:lysine ratio is the most appropriate for meat-type quails during the first 21 days of age.
Influence of Brazilian pine seed flour addition on rheological, chemical and sensory properties of gluten-free rice flour cakes
Authors: Ikeda Mônica , Carvalho Carlos Wanderlei Piler , Helm Cristiane Vieira , Azeredo Henriette Monteiro Cordeiro de , Gogoy Rossana Catie Bueno de , Ribani Rosemary Hoffmann
Published: July 2018

ABSTRACT: Brazilian pine seeds (pinhão) are gluten-free seeds produced by the native pine species named Araucaria angustifolia. In this study, gluten-free cake mixes composed of Brazilian pine seed flour and rice flour were developed. The cake mixes were produced following a Simplex Centroid experimental design, with rice flour and Brazilian pine seed flour contents ranging from 50 to 100% and from 0 to 50%, respectively. Mixes were analyzed for chemical composition, apparent paste viscosity, and particle size distribution. The resulting cakes were analyzed for sensory acceptance, texture, specific volume and chemical composition. The Brazilian pine seed flour showed a peak viscosity on heating of 1.761Pa.s against 4.747Pa.s for the 100% rice flour sample. The variation of firmness of cakes decreased with increasing percentage of Brazilian pine seed flour. Cakes containing Brazilian pine seed flour at 25-37.5% of the formulation presented highest overall acceptance.
Validation of the sampling methodology for Opsiphanes invirae caterpillars on oil palm plantations in the Brazilian Amazon
Authors: Oliveira Taciane Almeida de , Lemos Walkymário Paulo , Tinôco Ricardo Salles , Barbosa José Carlos , Martins Ivan Carlos Fernandes
Published: July 2018

ABSTRACT: This study validated the use of leaf 17 on the sampling of Opsiphanes invirae Hübner (Lepidoptera: Nymphalidae) through the quantification of caterpillar abundance on the different spirals leaves, in comparison to leaf 17, and, on the apical, intermediate and basal leaf regions. This study was performed in the state of Pará, between March-2014 and March-2015. Results confirmed that leaf 17 is the most adequate method for monitoring this defoliator pest.
External preference map to evaluate the acceptance of light and diet yogurt preparedusingnatural sweeteners
Authors: Carvalho Daiana Aparecida de , Valente Gerson de Freitas Silva , Assumpção Giovana Maria Pereira
Published: July 2018

ABSTRACT: Owing to the high demand for healthier foods, the food industry has been marketing diet and light yogurts. The present study aimed to sensorially evaluate yogurts prepared using natural sweeteners through a simple centroid mixture design with three repetitions at the central point using the preference map methodology. Different formulations were processed using stevia, xylitol, and sucrose in delimited proportions based on the sweetness of the sweetener. A team of tasters was recruited to survey the sensory attributes of the formulations using the check-all-that-apply (CATA) methodology. A product acceptance analysis was also conducted in which 50 consumers evaluated the formulations using a 9-point hedonic scale. After assessing the acceptance, consumers completed the CATA questionnaire. Internal and external preference maps were built using the obtained results. We found high acceptance means (xylitol:stevia:sugar)for F7 (1.0:0:0), F1 (0.5:0:0), and F2 (0:0.5:0.5), which were characterized by a sweet taste, creamy texture, strawberry flavor, fermented milk flavor, and light pink appearance. Formulations with the lowest scores were F6 (0:1.0:0), F3 (0.33:0.33:0.33), and F4(0.5:0.5:0), which were characterized by a residual and bitter taste, astringent sensation, and inconsistent texture.
Conquistas, limites e obstáculos à redução de riscos ambientais à saúde nos 30 anos do Sistema Único de Saúde
Authors: Freitas Carlos Machado de , Rocha Vânia , Silva Eliane Lima e , Alpino Taís de Moura Ariza , Silva Mariano Andrade da , Mazoto Maíra Lopes
Published: July 2018

Resumo A Constituição de 1988 representou importantes conquistas de direitos em torno de um projeto de país com um modelo de desenvolvimento socioeconômico orientado para a redução de risco de doenças e agravos e um meio ambiente ecologicamente equilibrado. Estas conquistas se manifestaram nas políticas, na institucionalização e na criação de espaços institucionais de participação da sociedade. O objetivo deste artigo é situar as conquistas e também os limites e obstáculos na agenda de saúde e ambiente expressos nestes 30 anos do Sistema Único de Saúde. As conquistas são situadas a partir da ampliação dos espaços institucionais de participação da sociedade e institucionalização no Sistema Único de Saúde dos temas relacionados aos riscos ambientais. Os limites são situados a partir da relação entre desenvolvimento e padrões de riscos ambientais presentes nos níveis global, regional, local e comunitário. Por fim são apontados os obstáculos que, a partir do golpe parlamentar de 2016, não só acentuaram os limites já existentes, como vem produzindo retrocessos em diversas áreas relacionadas à saúde ambiental.
Gênero, direitos sexuais e suas implicações na saúde
Authors: Gomes Romeu , Murta Daniela , Facchini Regina , Meneghel Stela Nazareth
Published: July 2018

Resumo O artigo objetiva problematizar aspectos relacionados a gênero e direitos sexuais, bem como suas implicações no campo da saúde. Para isso, utiliza-se o ensaio como desenho metodológico. Na primeira parte, procura-se discutir o feminicídio, destacando-se que há mortes de mulheres devido ao fato de serem mulheres que se constituem de situações de lesa humanidade ou femi-genocídio. Em seguida, trata-se da diversidade sexual e de gênero, com ênfase na fragilidade do direito a ter direitos, que se expressa na piora das condições de saúde da população LGBTI (Lésbicas, Gays, Bissexuais, Travestis, Transexuais e Intersexo). Por último, discute-se o reconhecimento da pluralidade de gênero e o limite aos direitos dos corpos fora da norma, criticando-se a reiteração da normatividade cisgênera e binária que pode reforçar a vulnerabilidade em saúde de pessoas trans e demais corpos e identidades não normativos. Conclui-se que, nos 30 anos de existência do Sistema Único de Saúde, não se pode desconsiderar avanços no campo político, muitos deles criados por conta de movimentos sociais e iniciativas que procuram enfrentar o feminicídio e a não assistência adequada às pessoas LGBTI. Frente aos desafios, reitera-se a relação necessária entre promoção da saúde e proteção de direitos humanos relacionados a gênero e a sexualidade.
Um olhar sobre a agenda de alimentação e nutrição nos trinta anos do Sistema Único de Saúde
Authors: Jaime Patricia Constante , Delmuè Denise Costa Coitinho , Campello Tereza , Silva Denise Oliveira e , Santos Leonor Maria Pacheco
Published: July 2018

Resumo A alimentação e a nutrição são requisitos básicos para a promoção e a proteção da saúde. A vigilância nutricional e a orientação alimentar estão inclusas no campo de atuação do Sistema Único de Saúde (SUS), conforme estabelecido na Lei Orgânica da Saúde nº 8.080 de 1990. O presente artigo apresenta e discute a agenda de alimentação e nutrição no SUS e sua interface com a Segurança Alimentar e Nutricional, seus marcos históricos, avanços e desafios. Este ensaio foi orientado por pesquisa biográfica e documental e, sobretudo, no resgate das experiências e percepções das autoras que, em diferentes momentos e contextos, foram e são sujeitos da agenda de alimentação e nutrição no Brasil. Reforçamos assim a ideia do SUS, com suas conquistas e imperfeições, como um sistema vivo e derivado do compromisso técnico-ético-político dos gestores, dos trabalhadores, da academia e da sociedade como um todo. Desta forma, buscamos contribuir com o debate sobre a trajetória brasileira de construção de um sistema público de proteção social que se comprometeu com o direito humano à saúde e à alimentação adequada.
Sistema universal de saúde e cobertura universal: desvendando pressupostos e estratégias
Authors: Giovanella Ligia , Mendoza-Ruiz Adriana , Pilar Aline de Carvalho Amand , Rosa Matheus Cantanhêde da , Martins Gabrieli Branco , Santos Isabela Soares , Silva Danielle Barata , Vieira Jean Mendes de Lucena , Castro Valeria Cristina Gomes de , Silva Priscilla Oliveira da , Machado Cristiani Vieira
Published: July 2018

Resumo Nos últimos anos, acirrou-se o debate internacional sobre diferentes concepções de universalidade em saúde, polarizado nas propostas de sistema universal versus cobertura universal em saúde. A concepção de cobertura universal tem sido difundida por organizações internacionais e incorporada às reformas dos sistemas de saúde de alguns países em desenvolvimento, inclusive na América Latina. O artigo explora os pressupostos e as estratégias relacionados à proposta de cobertura universal de saúde. Inicialmente contrastam-se as concepções de universalidade nos modelos de cobertura universal e de sistemas universais de saúde. A seguir, contextualiza-se o debate internacional, incluindo exemplos de diferentes sistemas de saúde. Por fim, discutem-se as implicações da concepção de cobertura universal para o direito à saúde no Brasil. A análise das diferentes concepções de universalidade e das experiências de países evidenciam que arranjos de seguros (privados ou sociais) não superam as fortalezas de sistemas públicos universais de saúde. A compreensão dos projetos em disputa no cenário internacional é fundamental para identificar possibilidades e ameaças à consolidação do Sistema Único de Saúde no Brasil.
Do Programa à Estratégia Saúde da Família: expansão do acesso e redução das internações por condições sensíveis à atenção básica (ICSAB)
Authors: Pinto Luiz Felipe , Giovanella Ligia
Published: July 2018

Resumo Criado em 1994, o Programa Saúde da Família gradualmente tornou-se a principal estratégia para a mudança do modelo assistencial e a ampliação do acesso de primeiro contato aos serviços de saúde no SUS. Pouco mais de dez anos depois foi enunciada como Estratégia de Saúde da Família (ESF) na Política Nacional de Atenção Básica (PNAB), em 2006. Este artigo avaliou os efeitos da implementação da ESF ao longo das duas últimas décadas no Brasil, demonstrando o acesso proporcionado e a tendência das internações por condições sensíveis à atenção básica (ICSAB). Trata-se de um estudo do tipo ecológico de séries temporais com dados secundários referentes ao número de equipes implantadas de saúde da família e às ICSAB no SUS de 2001 a 2016. Os resultados evidenciam a redução em 45% das taxas padronizadas de ICSAB por 10.000 hab, que passaram de 120 para 66 no período de 2001 a 2016. Apesar de não ser possível isolar os efeitos da atenção primária, é bastante plausível que o resultado da redução das ICSAB esteja vinculada ao avanço da cobertura da ESF no Brasil, em especial na melhoria do acompanhamento das condições crônicas, no aprimoramento do diagnóstico e na facilidade do acesso aos medicamentos.
SUS: oferta, acesso e utilização de serviços de saúde nos últimos 30 anos
Authors: Viacava Francisco , Oliveira Ricardo Antunes Dantas de , Carvalho Carolina de Campos , Laguardia Josué , Bellido Jaime Gregório
Published: July 2018

Resumo Ao longo dos últimos 30 anos, o Sistema Único de Saúde brasileiro se caracterizou por importantes mudanças na atenção à saúde. No presente artigo, são apresentados dados relativos à evolução das estruturas ambulatorial e hospitalar, e dos recursos humanos, bem como acerca da utilização dos serviços de saúde. A expansão da rede pública ocorreu principalmente entre as unidades que dão suporte aos programas de atenção básica, ampliando o acesso às consultas médicas e a redução das internações para um conjunto de doenças, mas persiste uma carência de profissionais, especialmente no cuidado odontológico. Entretanto, a despeito do avanço na cobertura, permanecem os desafios à continuidade do SUS e à melhoria da qualidade do cuidado, particularmente no tocante ao financiamento público, oferta de serviços, e na relação com o setor privado.