bluuebunny/crossref_metadata_2025 huggingface dataset:
Associação entre o nível socioeconômico e o consumo alimentar de crianças com idade escolar matriculadas na rede pública de ensino do município de Maringá-PR
Authors: Pereira Cadamuro Suelen , Vicentini de Oliveira Daniel , Bennemann Rose Mari , Schunk Silva Eraldo , Dias Antunes Mateus , Andrade do Nascimento Júnior José Roberto , Gonçalves José Eduardo
Published: December 2017

Objetivo: analisar a associação entre o nível socioeconômico e o consumo alimentar de crianças com idade escolar matriculadas na rede pública de ensino. Método: fizeram parte deste estudo descritivo 82 crianças de 5 a 7 anos, de escolas municipais da cidade de Maringá, Paraná. Foi aplicado aos pais um questionário socioeconômico e de consumo alimentar. Para a classificação socioeconômicas das famílias foi utilizado o questionário da associação brasileira de estudos populacionais e para a o consumo alimentar, o marcador de consumo do sistema de vigilância alimentar nutricional. Para a análise dos dados, foi utilizado o teste exato de Fisher (p0,05) entre o consumo de alimentos saudáveis e não saudáveis e o nível socioeconômico. Verificou-se que 75,7% (34) das crianças das classes AB e 72,9% (27) das classes CD consomem alimentos saudáveis mais de três vezes na semana. Em relação aos alimentos não saudáveis, nota-se que as crianças da classe AB, 77,7% (35) comem até três vezes na semana, enquanto 64,71% (22) das crianças das classes CD comem acima de três vezes na semana. Conclusão: nesse estudo não ficou evidenciado a diferença de consumo alimentar entre crianças da classe socioeconômica AB quando comparado com CD. Entretanto, houve tendência às crianças da classe CD ingerirem alimentos não saudáveis em um número maior de dias, quando comparados com o AB, sem diferença significativa.
Brand New Images? Implications of Instagram Photography for Place Branding
Authors: Thelander Åsa , Cassinger Cecilia
Published: December 2017

The aim of this article is to develop an understanding of what happens when Instagram photography is used for branding a place. Questions raised are which photographs are taken and published, does the practice result in novel ways of representing a place, and, in turn the image of a place. A practice approach to photography is used where focus is directed to the performative aspect of photography. Fifteen qualitative interviews were conducted with participants in an Instagram takeover project concerning their photographs. The study shows that adopting a communication strategy based on visual social media is dependent on the participants’ competencies and that it is embedded in everyday life. Moreover, the participants’ photographic practices were found to be influenced by social conventions, which resulted in the city being imagined differently by different participants. To use visual social media such as Instagram for branding purposes does not necessarily mean that novel images are generated, but that they are choreographed according to the conditions of Instagram as medium.
Introduction to Visual Communication in the Age of Social Media: Conceptual, Theoretical and Methodological Challenges
Authors: Russmann Uta , Svensson Jakob
Published: December 2017

This thematic issue of Media and Communication focuses attention on the shift towards visual images on social media as well as the transformation of visual communication which has occurred within the online ecology of social media platforms. The sharing of images is becoming an integral part of the social media experience today, and given that social media platforms are the prime locus for sociability—at least among young people in the West—this shift towards visuals arguably transforms how we relate to each other and the world around us, as well as how we perceive and construct our sense of self. For researchers, this raises conceptual, theoretical and methodological challenges. This thematic issue presents six articles as well as a book review on visual communication in social media focusing on developing a conceptual apparatus and precise definitions of objects and practices of study as well as contributions that address and discuss the methodological challenges as well as their potential solutions. The idea was to synergize research from a wide variety of communication-related disciplines on this rather new topic.
Comparison of nebulized Salbutamol versus Adrenaline in the treatment of wheeze associated respiratory tract infection
Authors: S. Sireesha , Prasad B. S. , J. Suresh
Published: December 2017

Background: Wheezing related to respiratory infections is common in infancy and early child hood. In 1-3% of all infants these infections are severe enough to require hospitalization. Most episodes of wheezing in early life are of viral origin and form a heterogeneous group with different outcomes. The objectives of this study were to assess the efficacy of bronchodilators in wheeze associated respiratory infection and to comparing the efficacy of a nebulized nonspecific adrenergic agonist -1 adrenaline with a nebulized beta-2 specific agonist salbutamol for the treatment of the wheeze associated respiratory tract infection.Methods: The study was conducted in children reporting to the Pediatric Department Government General Hospital in Kakinada. The study period was 6 months from January to June 2014. Children between the ages of two months to two years attending the hospital with the clinical diagnosis of bronchiolitis were enrolled. Results: 30 children were enrolled. 22 (73.3) were in age group of 2 months to 1 year and 8 (26.7%) were in age group of 1-2 years. There is no added advantage of decreasing the respiratory rates, wheezing and retractions of one over the other groups.Conclusions: It can be inferred that bronchodilators, both nebulized adrenalin and salbutamol are useful in relieving symptoms and improving oxygenation in wheezy infants with clinical diagnosis of WRTI. No drug is said to be better over the other.
Clinical profile of somatic symptom and related disorders in children
Authors: Richa . , Ghildiyal Radha G. , Subramanyam Alka , Sharma Pragya
Published: December 2017

Background: Somatic symptom disorder is characterized by somatic symptoms that are either very distressing or result in significant disruption of functioning, as well as excessive and disproportionate thoughts, feeling and behavior regarding those symptoms. The objective of this study was to study the clinical profile of patients presenting with somatic symptom and related disorders and to attempt to identify the stressors in these children. Methods: An open labelled, unidirectional and prospective study was conducted at a tertiary care hospital on 60 children in 5 to 16-year age group over a period of 18 months.Results: The overall prevalence of somatic symptom and related disorders was 60 (0.2%). In the present study, 35 (58.3%) were males and 25 (41.7%) were females. 50% patients belonged to the >8 years and ≤12-year age group. 51.7% had average IQ. 31 (51.7%) patients belonged to lower middle class. Out of the total 60 patients, 46 (76.7%) belonged to a nuclear family. Parents with a post graduate degree had less number of children (3.3%) presenting with somatic symptoms. The most common presenting symptom reported was generalized pain by 30 (50.0%) among somatic symptoms and Pseudo seizures (33.3%) among conversion symptoms. Family issues (most common stressor) was found in 38 (63.3%) subjects. 30 (50.0%) patients had authoritarian parents. 46.7% of those counselled did not require any further intervention. As per the life events scale, the mean was 4.43. Conclusions: In the present study, the most important areas in which stress was apparent was in school and family. Our study highlights the need for a joint effort by parents, pediatricians, psychiatrists and teachers to help our children cope with the stress of today’s fast paced competitive world.
Adição de polpa de maracujá na elaboração de balas comestíveis
Authors: Batista Luana Nóbrega , De Lima Edivaldo Josué , Ferreira Rayana Soares , Ferreira Neto João , Oliveira Dalany Menezes , Monteiro Antonio Roberto Giriboni
Published: December 2017

Industries are technologically perfecting their products by adding new components, in order to meet the demands of consumers. The extraction of pulp from several tropical fruits for manufacture of bullets has been widely used, due to its nutritional and functional value. The aim this study was to develop an edible candy with the addition of passion fruit pulp adding nutritional value from natural ingredients. In order to carry out this study, fruits were purchased in the city of Sousa-PB, then sent to fruit processing sector located at IFPB Campus-Sousa, where the weighing process, sanitization in sodium hypochlorite solution was carried out 100ppm for 15 minutes, then the fruits were cut in half. The extraction was done manually, sieved for aryl separation. Soon after they were packed in plastic bags and sealed, a part sent to physicalchemical and microbiological analyzes and another frozen part to be used in elaboration of bullet. In process of bullet preparation (56.25%) of sucrose, (37.5%) glucose syrup and 6.25% of the passion fruit pulp were used. Microbiological and physical-chemical analyzes (moisture, ash, pH, acidity in citric acid, protein, soluble solids, flavonoids) were performed in the pulp and afterwards, hygroscopicity and color were only performed on bullet. According to results obtained, pulp and passion fruit bullet presented physical-chemical and microbiological results as established by legislation. The addition of concentrated passion fruit pulp extract may be an alternative, making a differentiated product with higher added value nutritionally, offering consumers health benefits without addition of dyes and artificial preservatives. 
Classificação de sinais de voz através da aplicação da transformada Wavelet Packet e redes neurais artificiais
Authors: Silva Augusto Felix Tavares , Abreu Samuel R. de , Costa Silvana Cunha , Correia Suzete Elida Nobrega
Published: December 2017

Pathologies such as edema, nodules and paralysis are quite recurrent and directly influence vocal dysfunctions. The acoustic analysis has been used to evaluate the disorders caused in the voice signals, detecting the presence of pathologies in the larynx, through digital signal processing techniques. This work aims to distinguish healthy voice signals from the ones affected by laryngeal pathologies, using the Wavelet Packet transform in the feature extraction step. Energy and entropy measures, in six resolution levels, obtained through the Daubechies wavelet of order 4 are used in the discrimination of the voice signals. The classification is done through Artificial Neural Networks. Accuracies above 90% were obtained, with the entropy measure, in the discrimination between healthy voices and affected ones by pathologies in the vocal folds (nodules, Reinke’s edema and paralysis)
Spatial mismatch, wages and unemployment in metropolitan areas in Brazil
Authors: Barufi Ana Maria Bonomi , Haddad Eduardo Amaral
Published: December 2017

The spatial mismatch hypothesis states that a lack of connection to job opportunities may affect an individual’s prospects in the labour market, especially for low-skilled workers. This phenomenon is especially observed in large urban areas, in which low-skilled minorities tend to live far away from jobs and face geographical barriers to finding and keeping jobs. This paper aims to investigate whether this negative relationship between spatial mismatch and labour market outcomes is valid in Brazil after controlling for individual characteristics. Our conclusions indicate that there is no clear relation between different measures of accessibility to jobs and the probability of being unemployed. However, for wages there is a clear correlation, which is stronger in larger metropolitan areas in the country. Given the exploratory nature of this work, our results still rely on strong identification hypotheses to avoid potential bias related to simultaneous location decisions of workers and firms within the city. Even if these conditions do not hold, the results are still meaningful as they provide a better understanding of the conditional distribution of wages and the unemployment rate in the biggest metropolitan areas of Brazil.
Endometrium in focus of the gynecologist’s attention: the role of hysteroscopy and immunohistochemistry in the diagnosis of chronic endometritis, the choice of treatment
Authors: І. Т. Кишакевич  , Н. В. Коцабин  , В. В. Радченко
Published: December 2017

The aim of the study was to evaluate the immunohistochemical marker CD138 for the diagnosis of chronic endometritis in women with infertility and to explore the impact and effectiveness of Epigalin® (indole-3-carbinol – 200 mg, epigallocatechin-3-gallate – 45 mg) on the state of the endometrium based on established key relationships between structural and functional state of the endometrium, morphological and imunoglobulin features.Materials and methods: the study included 46 women of reproductive age with infertility, ranging in age from 20 to 45 years. All women were carried out hysteroscopy with endometrial biopsy with subsequent morphological study of the endometrium and determination CD138 expression (membrane protein used as a marker of plasma cells).Patients were randomized into two equal groups. The first group received traditional antibiotic therapy, women of the second group in combination with antibacterial therapy received Epigalin® 1 capsule twice a day for 3 months.Monitoring the effectiveness of therapeutic interventions was carried out through 3 months after treatment conducted. Repeated CD138 expression was determined in endometrial samples obtained during Pipelle biopsy of the endometrium, which was carried out on 7–10 days of ovarian menstrual cycle. An important criterion of treatment effectiveness was the positive dynamics in the implementation of reproductive function.Results: during a year the number of achieved pregnancies among women of the Epigalin® group was significantly higher than the other group number.Conclusion: the comprehensive therapy with Epigalin® of chronic endometritis in women with infertility allowes tosignificantly reduce the severity of clinical symptoms, increase reproductive function, normalize morphological function and proliferation and apoptosis processes in the endometrium.
Looking at the problem of cytomegalovirus and Epstein-Barr viral infection in gynecology and possible solutions
Authors: Л. С. Осипова  , А. А. Суханова  , Е. И. Соколова
Published: December 2017

In recent years, there has been an increase in the number of patients suffering from chronic recurrent herpes-viral infections, which in many cases are accompanied by a pronounced disturbance in overall well-being and a number of therapeutic complaints. In particular, on transplantology and gynecology often have diseases and syndromes caused by cytomegalovirus (type V herpes viruses) and Epstein-Barr virus (type IV herpes viruses). The article presents the results of the effectiveness and experience of using an antiviral drug with the immunomodulatory action of Groprinosin® (inosine pranobex) in the treatment of chronic persistent conditions caused by cytomegalovirus infection and infection of the Epstein-Barr virus.Patients with verified cytomegalovirus infection and Epstein-Barr virus infection were examined. Group I included 56 women with active cytomegalovirus infection; group II – 49 women with active Epstein-Barr virus infection. The control group consisted of 30 healthy women.All patients received in complex therapy Groprinosin® 50 mg per kg of body weight per day for 2 weeks, then 2 tablets (1000 mg) once a day, regardless of body weight for 2 weeks (3 such courses during the 3 months). The daily dose of Groprinosin® was divided into 3–4 doses.After 3 months, the cytomegalovirus DNA was detected in spittle of 3 (5.3%) patients of group I, Epstein-Barr virus DNA – in 2 (4.0%) patients of group II. After treatment in patients receiving complex therapy Grosprinosin®, the quantitative indices of T-lymphocyte subpopulations were restored and their imbalance was eliminated (the immunoregulatory index was normalized), the same dynamics was also observed with regard to the number of natural killers.Based on the conducted studies, it was found that the inclusion of Grosprinosin® in the complex therapy of cytomegalovirus infection and infection with the Epstein-Barr virus promotes an increase in the immunological reactivity of the organism, allowing to significantly improve the clinical course of the disease. Grosrinosin® is well tolerated by patients and can be recommended for the treatment of both of these infections.
Therapeutic options for women with infertility before IVF
Authors: Н. О. Данкович  , О. М. Бабенко
Published: December 2017

The number of infertile couples in Ukraine reaches 20%. Elevated prolactin level is significant reason of fertility decline.The aim of the study was to study the effectiveness of the Agnus Castus extract in infertil women with functional hyperprolactinemia who are preparing for IVF. This observational noninterventional cohort study included 30 women who applied for infertility treatment. All women were prescribed a drug that contained a standardized extract of Agnus Castus Ze 440, a tablet of which contains 20 mg of active ingredient, 1 tablet once a day for 3 months.In the course of the study there was a significant reduction in the severity of complaints as a part of premenstrual syndrome, according to the patients assessment using a visual analogue scale. So, after a month of treatment, half as much patients had irritability and mood swings, 1.5 times less often had headache, breast pain, attacks of anger, and almost 3 times – bloating.Such positive dynamics persisted with further therapy: breast pain and bloating almost disappeared (scores of 1.33 ± 0.10 points and 1.18 ± 0.05 points, p < 0.05); other complaints were low intensity (scores of 2–3 points). The level of prolactin in examined women was 47.12 ± 5.34 ng/ml before the start of treatment, and after completion of the treatment it decreased more than two times – 19.08 ± 3.47 ng/ml (p < 0.05).The authors concluded that the use of standardized extract of the Agnus Castus Ze 440 (Prefemin) in women with infertility and functional hyperprolactinemia was highly effective and led to normalization of prolactin level in 76.66% of cases and reduction of PMS clinical manifestations in majority of patients. Thus, studied drug can be considered as an effective therapeutic option in patients before IVF in order to reduce the pharmacological burden and improve the results of infertility treatment.
Is it necessary to treat the mild preeclampsia?
Authors: А. Х. Каримов  , Г. А. Ахмедова
Published: December 2017

Preeclampsia and eclampsia are the most common causes of gestational complications for both the mother and the fetus. As the results of a confidential audit of maternal deaths from preeclampsia in regions of Russia in 2016 showed, the main causes of maternal deaths from preeclampsia/eclampsia are the lack of prediction of preeclampsia; belated diagnosis of mild preeclampsia and underestimation of its severity; insufficient and untimely examination; belated delivery; cessation of magnesia therapy during and after delivery. The aim of the study was to research the need for the treatment of mild preeclampsia, which, according to the clinical protocols approved by the Ministry of Health of the Republic of Uzbekistan, should not be treated, but it is necessary to observing for arterial pressure and proteinuria.Under observation were 68 women in the third trimester of pregnancy, admitted to the obstetrics department of the 2nd clinic of the Tashkent Medical Academy with a diagnosis of mild preeclampsia. Women were divided into two groups: 1 (comparison group) – 30 pregnant women with mild preeclampsia, administered according to clinical protocols with monitoring of arterial pressure and proteinuria; 2 (main group) – 38 pregnant women with mild preeclampsia who received L-arginine (Tivortin®) in combination with a complex of antioxidant vitamins.In the study, 18 women of the comparison group experienced progression of pre-eclampsia to severe, and after a loading dose of magnesium therapy these patients were delivered by induction of labor or a cesarean section. In patients of the main group who were injected with Tivortin® and a complex of antioxidant vitamins, the progression of preeclampsia was not observed and the pregnancy was prolonged until the viable period of the fetus.Thus, the authors of the study conclude that pregnant women with mild preeclampsia with a high risk of developing severe preeclampsia and eclampsia must be hospitalized for inpatient examination and treatment by introducing an amino acid (Tivortin®) and a complex of antioxidant vitamins.
Modern methods of diagnosis and treatment of vaginal dysbiosis caused by mushrooms of the genus Candida
Authors: Е. Н. Носенко  , Е. П. Головатюк
Published: December 2017

The article presents literature data on modern approaches to diagnosis and treatment of vaginal dysbiosis caused by fungi of the genus Candida and personal data on the effectiveness of vaginal dysbiosis treatment in women with recurrent miscarriage occurring in ART cycles by combined local therapy with sertaconazole and povidone-iodine.240 patients of reproductive age with habitual miscarriage of pregnancy after ART and 30 conditionally healthy fertile women were examined. The state of vaginal microbiota was studied using PCR and culture. It were carried out a species identification of the fungi of the genus Candida and their susceptibility to antimycotics.It has been established that among women with a recurrent miscarriage after cycles of ART that repeatedly receive antibacterial therapy in preparation in the ART cycles and after abortion, in the vaginal microbiota in 39.75% of cases Candida fungi are diagnosed in diagnostically significant quantities, including C. albicans registered in 75.79% of cases, and non-albicans – in 24.21%. Fungi of the genus Candida in diagnostically significant amounts in 92.63% of cases occurs against the background of aerobic, anaerobic or aerobic-anaerobic imbalance. In 87.36% of ART patients with recurrent miscarriage, the detection of fungi of the genus Candida in diagnostically significant amounts is not accompanied by clinical manifestations of the vaginal candidiasis, but proceeds according to the type of asymptomatic increased colonization by these yeasts.For the treatment of patients prescribed vaginal suppositories Zalain (sertaconazole 0.3 g) per night once, after 7 days – suppositories Betadine (povidone-iodine) at night once a day for 14 days. The culture and PCR studies after the end of treatment showed normalization of the urogenital microbiota and the absence of fungi of the genus Candida in diagnostically significant amounts in all patients.Thus, sertaconazole in combination with povidone iodine is a highly effective regimen of vaginal microbiota normalization in patients with ART with a recurrent miscarriage.
The experience of ulipristal acetate using in patients with uterine leiomyoma
Authors: Р. А. Сафонов  , И. Н. Сафонова
Published: December 2017

In the study of clinical experience of the use of ulipristal acetate (UPA) – a selective modulator of progesterone receptors – in women with symptomatic uterine leiomyoma, 65 women with a clinically significant tumor were treated. The drug was given to patients both as a drug monotherapy, and as a stage of complex treatment before surgery.The analysis of the effectiveness of therapy in terms of primary clinical results, the features of changes in the ultrasound pattern, as well as intraoperative features and the possibilities of restoring the reproductive function was held. Thus, with monotherapy was reduced the severity of clinical manifestations of abnormal metrorrhagia (in 63 of 65 women), was decreased the volume of nodes by 35.5 ± 9.8% on average, with a very slight decrease in their linear axial dimensions measured in perpendicular ultrasound sections (in an average of 10.13 ± 0.48%), as well as was tagged a reduction in 3D-PD indices of vascularization of the leiomyoma nodes and the degree of vascularization of nodes in ultrasound scanning in the color Doppler mapping mode. A persistent relapse-free effect of volume reduction and vascularization of the myoma node was noted during the first year of follow-up. Combined treatment in several cases had the effect of a «slippage» of the myomatous node with the transformation of the 2–3th type of growth into the 0–1 type, a significant decrease in intraoperative blood loss was noted in comparison with patients who had not received preoperative preparation of the UPA (120 ± 26 vs. 190 ± 33 ml, p <0.05), as well as facilitation of the surgical stage of node exudation provided that the pseudocapsule is correctly identified. The restoration of reproductive function in 6 patients with the possibility of urgent vaginal birth was noted.In the opinion of the authors of the article, to assess the effectiveness of preoperative preparation, it is inappropriate to do a control ultrasound study before the end of the 12-week course of the UPA. In addition, sonologists performing ultrasound monitoring of treatment should take into account the features of node measurement and specific changes in the endometrium associated with selective modulators of progesterone receptors. In general, the use of UPA opens up new opportunities and prospects for the management of patients with uterine leiomyoma in both monotherapy and multi-stage combined treatment.
Clinical efficacy of pregravid preparation in induced pregnancy on a background of thyroid gland pathology
Authors: Т. Г. Романенко  , О. І. Чайка
Published: December 2017

The aim of study. To increase the efficiency of reproductive function restoration in women with infertility on the background of thyroid gland pathology, prevent miscarriage, reduce the incidence of gestational complications, improve perinatal outcomes and reduce neonatal morbidity.Study design. 221 women with infertility on the background of thyroid pathology were examined. Patients were divided into two clinical groups. The group I consisted of 92 women with induced pregnancies (IB) who received pregravid preparation: oral Ogestan® micronutrient complex (potassium iodide in a daily dose of 150 μg, folic acid 400 mg, vitamin D 5 μg, omega-3 fatty acids 200 mg docosahexaenoic acid, vitamin E 12 mg), micronized progesterone (Utrogestan®) 200 mg in the II phase of the menstrual cycle was intravaginal. Group II (129 women) with IB did not receive pregravid preparation.Results. In the group I 56 women (60.9%) became pregnant after induction of pregnancy, in the group II – 62 women (48.1%). The level of hormones in the serum showed the clinical effectiveness of pregravid preparation according to the method proposed by the authors. Thus, in pregnant women of group I low normal levels of TSH and high normal levels of free T4 were noted, which is a prognostically favorable index for the induction of ovulation. On the levels of progesterone and estradiol in pregnant women of group II, the stress of functioning of the mother-placenta-fetus system was noted, which led to a significantly high frequency of obstetric and perinatal complications. Analysis of the flow of pregnancy and childbirth in the group I showed a significantly lower frequency of a number of complications, which led to a significantly lower frequency of abdominal delivery (64.0%) and neonatal morbidity in the early neonatal period (14.8%).Conclusion. The inclusion of the Ogestan® complex in the schemes of pregravid preparation of women with infertility on the background of pathology of the thyroid gland is an effective way to replace the deficiency of the most important micronutrients and can be recommended for practical use.
Treatment of disorders in menopausal women with hyperproliferative processes of reproductive system
Authors: Л. І. Бутіна
Published: December 2017

Objective. Evaluate the effectiveness of treatment of disorders in menopausal women with hyperproliferative processes of reproductive system (HPPRS).Materials and methods. The treatment was performed in 36 women after hormone prevention (HP) of neurovegetative and psycho-emotional disorders in menopause (NVPDM) and in 31 women after naturally menopause aged 48 to 60 with the signs of HPPRS according to the data of ultrasound uterine and the results of histology investigations of mucosal scrapings from the uterus. The control group consisted of 35 healthy women of the same age category. The treatment was carried out by the appointment of elaborated complex of preparation, which included a combined homeopathic preparation, a preparation from the microalgae Spirulina platensis, pectin and an anxiolytic agent with the active substance mebicar. To assess the effectiveness of therapy, hormonal homeostasis was studied before and after treatment.Results of the study. In 31 women with menopausal HPPRS after naturally menopause the increase of FSH was observed in 1.4 times, estradiol – in 1.4 times, compared with healthy women. After HP use in 36 women the level of FSH decreased in 2.2 times, but the level of estrogens increased in 1.9 times, progesterone level increased in 1.4 times compared with healthy women. After treatment in women with naturally menopause the levels of FSH increased on 36%, estradiol – on 29%. In women after HP and treatment the level of estrogens decreased in 3.2 times, the level of FSH increased in 1.4 times but it level decreased on 35% compared with healthy women. But most of the symptoms of NVPDM in women of both subgroups disappeared.Conclusions: In women with HPPRS was observed a greater level of sex hormones than healthy ones, which is provided by the increased production of gonadotropic hormone and is accompanied by the development of NVPDM. The use of HP and treatment reduces the intensity of NVPDM on account of gonadotropins level reduction compared with healthy women.
CARACTERÍSTICAS E APLICAÇÕES DO GRAFENO E DO ÓXIDO DE GRAFENO E AS PRINCIPAIS ROTAS PARA SÍNTESE
Authors: Fonseca Camargos Juliana Sofia , Semmer Adriana De Oliveira , Da Silva Sidney Nicodemos
Published: December 2017

No presente artigo foi feita uma revisão bibliográfica a respeito das principais rotas de síntese do grafeno e os principais métodos de caracterização utilizados. O grafeno é um material bidimensional formado por átomos de carbono que se organizam em uma estrutura hexagonal. As rotas de síntese de grafeno podem ser divididas em dois tipos: bottom-up e top-down. A primeira parte de átomos simples de carbono para a formação da estrutura hexagonal e a segunda parte da grafita, material formado camadas de átomos de carbono ligados entre si formando hexágonos, e esfolia essas camadas afim de se obter apenas uma, que é o grafeno. As principais técnicas de caracterização utilizadas para a caracterização são Difração de raio X (DRX), Microscopia eletrônica de varredura (MEV), Microscopia eletrônica de transmissão (MET) e espectroscopia RAMAN, sendo que a última é a mais determinante.
Reformas e o momento de transição no Brasil
Authors: Strapazzon Carlos Luiz
Published: December 2017

Há uma singular relação entre a durabilidade das sociedades, o sucesso dos governos e o desenho das instituições públicas. Sociedades de todos os tipos se empenham para conhecer suas necessidades e limitações. Também desenham instituições para estabilizar os meios de realizar seus fins mais importantes. De tempos em tempos, porém, toda sociedade tem a sensação de finitude e de esgotamento de seu modelo e de seus meios. Esses são “momentos constitucionais” decisivos. Nas repúblicas democráticas esses momentos são particularmente conflitivos e aflitivos.
Editorial
Authors: Silva Lindomar da , Bergue Sandro , Midlej Suylan
Published: December 2017

Editorial
APRESENTAÇÃO
Authors: MOURA MARIANA BROGLIA DE , CORRáŠA HELIDACY MARIA MUNIZ
Published: December 2017

Boa leitura!
INFORMAÇÕES EDITORIAIS
Authors: Cavalcante Anissa Ayala
Published: December 2017

Quantitativo de textos publicados neste volume (V. 14, N. 24).
Anisakiasis no es problema de salud pública
Authors: Maguiña Vargas Ciro
Published: December 2017

.
Queratosis seborreica
Authors: Mendez Mathey Vanessa E.
Published: December 2017

.
Síndrome de Miller Fisher en un niño de 12 años
Authors: Samaniego–Lozano Cynthia L. , Juárez Tania , Espinoza Iván O. , Vila Judith , Guillén-Pinto Daniel
Published: December 2017

El Síndrome de Miller Fisher (SMF) es una variante del Síndrome de Guillain Barré (SGB), caracterizado por la tríada clínica de oftalmoplejía, ataxia y areflexia. Se presenta el caso de un niño de 12  años de edad, examinado con un tiempo de enfermedad de 4 días y con una variedad de síntomas que incluían ptosis palpebral, somnolencia, marcha tambaleante y debilidad muscular, asociados a  antecedente de infección respiratoria de vías altas. El examen clínico demostró paresia del III, IV, y VI nervios craneales de ambos ojos, arreflexia y debilidad distal en extremidades. Se instaló tratamiento con Inmunoglobulina intravenosa que condujo a una evolución clínica satisfactoria.
Single Crystal Growth and Superconducting Properties of Antimony Substituted NdO0.7F0.3BiS2
Authors: Demura Satoshi , Otsuki Satoshi , Fujisawa Yuita , Sakata Hideaki
Published: December 2017

Antimony (Sb) Substitution less than 10 % is examined on a single crystal of a layered superconductor NdO0.7F0.3BiS2. Superconducting transition temperature of the substituted samples decreases with increasing Sb concentration. A lattice constant along the c axis showed a large decrease compared with that along the a axis. Since in-plane chemical pressure monotonically decreases with increasing Sb concentration, the suppression of the superconductivity is well described in terms of the decrease in in-plane chemical pressure.
Social Impact Bonds as a Funding Method for Health and Social Programs: Potential Areas of Concern
Authors: Katz Amy S. , Brisbois Benjamin , Zerger Suzanne , Hwang Stephen W.
Published: December 2017

Social Impact Bonds (SIBs) represent a new way to finance social service and health promotion programs whereby different types of investors provide an upfront investment of capital. If a given program meets predetermined criteria for a successful outcome, the government pays back investors with interest. Introduced in the United Kingdom in 2010, SIBs have since been implemented in the United States and across Europe, with some uptake in other jurisdictions.

We identify and explore selected areas of concern related to SIBs, drawing from literature examining market-based reforms to health and social services and the evolution of the SIB funding mechanism. These areas of concern include increased costs to governments, restricted program scope, fragmented policymaking, undermining of public-sector service provision, mischaracterization of the root causes of social problems, and entrenchment of systemically produced vulnerabilities.

We argue that it is essential to consider the long-term, aggregate, and contextualized effects of SIBs in order to evaluate their potential to contribute to public health. We conclude that such evaluations must explore the assumptions underlying the “common sense” arguments often used in support of SIBs.
Sustained Reduction in Chlamydia Infections Following a School-Based Screening: Detroit, 2010–2015
Authors: Dunville Richard , Peterson Amy , Liddon Nicole , Roach Mary , Coleman Kenneth , Dittus Patricia
Published: December 2017

We describe school-based screening events in four Detroit, Michigan public high schools. To examine trends, we analyzed Chlamydia trachomatis data from 2010 to 2015. Prevalence of C. trachomatis decreased significantly (P < .01): from 10.24% to 6.27%. Future school-based screening events may bring about similar results if the program is instituted in a high-prevalence area and can achieve high student participation.
Completion of Requirements in Iowa’s Medicaid Expansion Premium Disincentive Program, 2014–2015
Authors: Wright Brad , Askelson Natoshia M. , Ahrens Monica , Momany Elizabeth , Bentler Suzanne , Damiano Peter
Published: December 2017

Objectives. To evaluate rates of member compliance with Iowa’s Medicaid expansion premium disincentive program.

Methods. We used 2014 to 2015 Iowa Medicaid data to construct rolling 12-month cohorts of Wellness Plan and Marketplace Choice members (Iowa’s 2 Medicaid expansion waiver programs for individuals ≤ 100% and 101%–138% of the federal poverty level, respectively), calculated completion rates for required activities (i.e., wellness examinations and health risk assessments), and identified factors associated with program compliance.

Results. Overall, 18.5% of Wellness Plan and 12.5% of Marketplace Choice members completed both activities (P < .001). From 2014 to 2015, completion rates for both activities decreased for Wellness Plan members but increased for Marketplace Choice members. Members who were younger, male, or non-White were less likely to complete required activities.

Conclusions. Approximately 81% of Wellness Plan members and 87% of Marketplace Choice members failed to comply with program requirements and should have been subject to paying premiums the following year or face disenrollment. Disparities in completion rates may exacerbate disparities in insurance coverage and health outcomes.

Public Health Implications. As states consider establishing Medicaid premium disincentive programs, they should anticipate challenges to successful implementation.
The Petroleum Engineer's Professional Responsibility
Authors: Hickman T. S. , Mistrot G. A. , Wines G. B.
Published: December 2017

Introduction

Proposed changes in registration procedures by some states could threaten the professional status of petroleum engineers. Whether or not they are aware of it, all petroleum engineers are allowed to practice their profession at the discretion of the various states. As a discipline, petroleum engineering has little public image and exerts almost no influence on the regulatory bodies that control its destiny. The problem is not with the "system," but with petroleum engineers' not recognizing their professional responsibilities, including registration.

Most petroleum engineers are not registered. They work under industrial exemptions and take the registration procedure for granted. Even registered engineers tend to view it as a requirement to be met without relating their status as a professional to their responsibility to the public's health, safety, and welfare. . Our society has become increasingly consumer-oriented and environmentally conscious; the resulting changes are affecting engineering registration. Periodically, industrial exemptions come under question. Petroleum engineering is particularly vulnerable to these changes, since it lacks a well-defined professional image and large numbers of registrants.

The practice of engineering is not a natural or constitutional right; each state has the authority to determine who is qualified to practice as an engineer. If most petroleum engineers are content to earn a pay check and achieve passable competency in a limited area with little regard for the broader aspects of professionalism, we may lack sufficient credibility as a discipline to control our destiny.
Os Impactos do Programa Alfabetização na Idade Certa – PAIC, na Alfabetização das Crianças de Jaguaribe – CE
Authors: Alves Moreira Maria Efigênia , Ribeiro da Silva José Ronaldo , Oliveira Barros Ileane , Vieira de Lima Luiza Maria
Published: December 2017

Este artigo tem como objetivo analisar os impactos do Programa Alfabetização na Idade Certa – PAIC, na alfabetização das crianças do município de Jaguaribe-CE, considerando o ano de 2007, quando ainda não existia o Programa, até o ano de 2014. O Programa Alfabetização na Idade Certa – PAIC tornou-se uma política pública no Estado do Ceará com resultados positivos comprovados, através de avaliações externas, e inspirou o Pacto Nacional de Alfabetização na Idade Certa – PNAIC. O referido trabalho foi uma pesquisa qualitativa e quantitativa, em que a metodologia utilizada foi a pesquisa bibliográfica e documental, como o Regime de colaboração para a garantia do direito à aprendizagem, elaborado pela Secretaria da Educação do Estado e utilizado como fonte para a compreensão do funcionamento do Programa e coleta de dados estatísticos de alfabetização, o que possibilitou a comparação de resultados. Sobre a alfabetização em Jaguaribe, foi realizado um levantamento estatístico sobre o processo de avaliação externa a partir de 2007, sendo possível perceber os avanços na alfabetização. O trabalho consistiu em apresentar e discutir a situação da alfabetização das crianças do Estado e principalmente de Jaguaribe, antes e depois do PAIC. Para tanto, foi apresentado o contexto de surgimento do Programa, seus objetivos, sua estruturação e estratégias de implementação nos municípios cearenses. A análise do processo de alfabetização ao longo desses anos mencionados mostrou que o processo de alfabetização não é um ato isolado.
Efeito de Diferentes Doses de Compostos Orgânicos e Fertilizantes NPK no Desenvolvimento e Produtividade de Cebola
Authors: Oliveira Costa de Carvalho Elaine , De Lima Antônio Anicete , Siqueira Silva Junior Ary Eike , Da Cunha Codognoto Luciane , Peron Dal Sasso Anthonioni , Santos Ferreira de Oliveira Darllan Junior Luiz
Published: December 2017

Este trabalho foi conduzido em condições de campo, com o objetivo de avaliar o desenvolvimento e a produtividade da cebola cv. Crioulasubmetida a diferentes doses de composto orgânico e níveis de adubação NPK.As mudas foram transplantadas em canteiros, com delineamento experimental em blocos casualizados, fatorial 4x2, sendo o primeiro tratamento constituído de doses de composto orgânico (0, 3, 6 e 9 L m-2) e o segundo, de níveis de fertilizantes minerais (N-5 e N-9, correspondentes a 50% e 90%, respectivamente, da recomendação da adubação de N, P2O5 e K2O), com quatro repetições. A colheita ocorreu 131 dias após a semeadura e a produtividade máxima de bulbos comercializáveis foi de 4,77 kg m-2.O número de plantas que não bulbificaram diminuiu com o aumento das doses composto em até 43,5%, quando foi aplicado o tratamentoN-9 e de 15,4% para N-5, da dose de NPK recomendada para a cebola.Doses crescentes de compostos orgânicos aumentaram a produção de bulbos podres, correspondendo a 21,43% para N-5 na dose de 9,0 L m-2 e em 18,12% para N-9 na dose estimada de 4,7 L m-2. Não houve efeito dos tratamentos na produção de bulbos com diâmetro inferior a 35 mm, média de 0,59 kg m-2, no estande final e no número de plantas com doenças foliares. A cv. Crioula pode ser recomendada para plantio, nas condições desse experimento de clima tropical úmidoe solos de baixa fertilidade, desde que sejam feitas as devidas correções e adubações preconizadas para a cultura.
Efeito da Expectativa com Relação às Informações sobre Néctar e Suco Tropical de Caju na Aceitação do Consumidor
Authors: Rebouças Marina Cabral , Da Penha Maria Flávia Azevedo , Cavalcante Carlos Eliardo Barros , Morais Ana Cristina Da Silva
Published: December 2017

A expectativa que o consumidor tem sobre um produto pode ser gerada por atributos externos e não sensoriais como informações sobre o produto. Portanto, a rotulagem pode exercer um grande impacto sobre a aceitação dos alimentos. O objetivo deste trabalho foi verificar a percepção do consumidor em relação a diferentes bebidas de frutas através da avaliação da influência das informações na aceitação dos consumidores. Somente o néctar de caju de marca comercial foi utilizado como amostra para a avaliação da expectativa do consumidor em relação às definições de néctar e suco tropical de caju adoçado. O processo foi realizado em três fases, às cegas, de expectativa e informada, utilizando-se o teste de escala hedônica para avaliar a aceitação dos consumidores em relação às amostras. A expectativa gerada em relação às informações sobre néctar de caju foi confirmada pelas características sensoriais do produto, sem alteração da aceitação. Os resultados individuais mostraram que as informações fornecidas causaram um conflito na percepção do suco e néctar pelo consumidor. Conclui-se que a falta de informação sobre a composição das diferentes bebidas de frutas disponíveis no mercado podem resultar numa percepção equivocada pelo consumidor. Desta forma, medidas que divulguem a legislação relacionada às bebidas de frutas podem ajudar os consumidores a fazer escolhas mais conscientes baseadas nas características reais dos produtos.
A Divulgação do Desempenho dos Alunos do Colégio Militar de Salvador em Olimpíadas Científicas Nacionais como Forma de Reforçar sua Imagem Institucional
Authors: Giacomini Alexandre , Lüdke Everton
Published: December 2017

O presente estudo tem como principal objetivo incrementar a divulgação institucional dos resultados dos alunos obtidos em olimpíadas científicas nacionais de modo a reforçar a imagem do Colégio Militar de Salvador (CMS). Quanto aos aspectos metodológicos, o trabalho pode ser apresentado, quanto ao método e à forma, com viés de um estudo que associou as pesquisas do tipo qualitativa e quantitativa; quanto aos objetivos, como uma pesquisa exploratória e descritiva (ou de campo); e quanto aos procedimentos adotados na coleta de dados, como um estudo de caso. Os instrumentos utilizados na coleta de dados foram: questionário, entrevistas abertas e análise documental. A metodologia de análise dos dados para a parte qualitativa foi a análise textual discursiva, já para parte quantitativa foi a que requereu o uso de recursos e de técnicas estatísticas. A pesquisa foi desenvolvida de abril a agosto de 2015 no CMS, na cidade de Salvador (BA), com a participação de professores e alunos do ensino médio. Os excelentes resultados dos alunos do CMS verificados, nos anos de 2012 a 2014, em olimpíadas científicas nacionais comprovam sua excelência educacional. Quanto aos meios de comunicação utilizados para divulgar os resultados dos alunos do CMS em olimpíadas científicas nacionais, observou-se que eles se limitaram aos informativos e ao site do colégio. Além disso, os meios de divulgação usados atingem quase que exclusivamente pais, professores e alunos.
Theatralische Immanenz: Der deus ex machina nach dem Tod Gottes
Authors: Rokem Freddie
Published: December 2017

Das Auftreten übernatürlicher Geschöpfe auf der Theaterbühne, die in den Verlauf der Handlung intervenieren – wie der deus ex machina – ist mit dem „Tod Gottes“ nicht zu einem Ende gekommen. Es kann von zwei Perspektiven betrachtet werden: zuerst als ein meta-theatralisches Instrument, durch welches das theatralische Medium selbstreflexiv, manchmal sogar spielerisch, seine eigenen Bedingungen und Grenzen erforscht, als integraler Aspekt des theatralischen Apparates, oder seines Dispositivs; und zweitens von einer philosophischen oder theologischen Perspektive, wobei es die Frage aufwirft, warum es weiterhin als eine machtvolle Metapher dient – nicht nur für eine offene Zukünftigkeit, durch die utopische Begriffe kritisch reflektiert und neu figuriert werden, sondern auch für ideologische, soziale und persönliche Konflikte, wobei es oftmals sogar starke Elemente von Exzess, Gewalt und Grausamkeit impliziert. Der Artikel diskutiert diese theoretischen Fragen und erläutert sie anhand von Beispielen aus der Dreigroschenoper von Bertolt Brecht und Elisabeth Hauptmann.
Dialektik der Rastlosigkeit
Authors: Steinweg Marcus
Published: December 2017

In dem Abschnitt von „Aktive Passivität“ (2014), der „Ästhetik des Nichtwissens“ betitelt ist, folgt Martin Seel Adornos Formulierung einer „bestimmten Unbestimmtheit“, um eine „Feier des Ungewissen“ als das „Telos jeder ästhetischen Wahrnehmung“ zu proklamieren (Seel 2014, 102ff). Zweifellos trifft es zu, dass Unbestimmtheit und Nichtwissen, ebenso wie die ästhetische Reflexion, Anteil an der Erfahrung eines Kunstwerkes haben. Adornos Formulierung begrenzt die Dimensionen des Gewissen und des Ungewissen, des Gewussten und des Nichtwissens, des Bestimmten und des Unbestimmten. Alles hängt davon ab, den Charakter dieser Begrenzung zu erfassen. Es lässt sich von einer Dialektik sprechen, insofern als diese eine negative Dialektik bleibt, welche die finale Synthese verweigert – eine Dialektik der Rastlosigkeit.