bluuebunny/crossref_metadata_2025 huggingface dataset:
Hospital Costs and Charges of Discharge Delays in Children Hospitalized for Abuse and Neglect
Authors: Lee Michael , Bachim Angela , Smith Carolyn , Camp Elizabeth A. , Donaruma-Kwoh Marcella , Patel Binita
Published: October 2017

OBJECTIVES:

Hospitalizations for child maltreatment cases are longer and costlier than hospitalizations for medically similar nonabuse cases. Some discharges are delayed despite medical clearance because of a lack of safe disposition, increasing the cost of hospitalization. We aim to quantify the additional charges and costs of these delays.

METHODS:

A retrospective chart review evaluated the dates of medical clearance and clinical characteristics of child protection team inpatient consults from 2012 to 2014 at a 595-bed quaternary-care urban hospital. Charges and costs were compared between those with no delay, those with any delay, and those with a delay >1 day. We excluded children who were not admitted, in whom no abuse was suspected, or in whom sexual abuse was suspected absent extragenital injury.

RESULTS:

Thirty-six percent (134 of 375) of children hospitalized for abuse remained hospitalized after medical clearance and 20.5% (77 of 375) of children were delayed >1 day. Among those who were delayed, the mean number of days delayed was 4.37 (SD ±7.44). Mean charges after medical clearance were $13 647.53 (±$30 172.17), and mean costs after medical clearance were $6521.93 (±$13 975.34). Both charges and costs were markedly right-skewed. Median costs after medical clearance were $1553.64 (interquartile range, $26.10–$5244.20). Cumulatively, 586 total days of delay resulted in excess charges of $1.8 million.

CONCLUSIONS:

Continued hospitalization beyond medical clearance occurs often and represents a significant cost. Further study is needed to evaluate whether interventions can be targeted at children with characteristics correlated with prolonged discharge delays.
Possibility of identifying plant components of the diet of Harpalus rufipes (Coleoptera, Carabidae) by visual evaluation
Authors: Reshetniak D. Y. , Pakhomov O. Y. , Brygadyrenko V. V.
Published: September 2017

Harpalus rufipes (De Geer, 1774) is a trans-palearctic, polyzonal, habitat generalist species, which is usually the most numerous ground beetle species in agricultural ecosystems and forest plantations. In laboratory conditions, 50 H. rufipes imagoes were placed in separate containers, each individual being fed over several days with seeds of a single species of plant, the total number of plant species being ten. Then the content of the beetles’ intestine were analyzed using Lugol’s iodine stain for visualizing starch granules. Native agents of ground seeds of plants and also of seeds treated by a fermentative agent from a mammalian pancreas were used for control. Granules of starch from seeds of Triticum aestivum L., Hordeum vulgare L. and Secale cereale L. were only insignificantly broken down by enzymes in the intestines of H. rufipes. The starch granules of Avena sativa L., Panicum miliaceum L., Sorghum drummondii (Steud.) Millsp. and Chase, Fagopyrum esculentum Moench and Sinapis arvensis L. were also insignificantly affected in the beetles’ intestine compared to the agent affected by enzymes of vertebrate animals. Starch granules of Beta vulgaris L. seeds affected by the enzymes became deformed and fragmented. Sometimes only their fragments remained. Seeds with a high content of fats such as seeds of Juglans regia L. were digested poorly in the intestine of H. rufipes (drops of fat could be seen surrounding certain food particles, which obstructed their digestion). The results of microscopic study of the intestinal content of mixed phytophage ground beetles of agricultural environments will help in identifying mechanisms of regulation of trophic chains by polyphage species, and will help advance the study of gregarine infection rates among ground beetles.
Mechanism of changes of peripheral neuro-muscle endings of the tongues of rats with experimental streptozotocyn diabetes mellitus
Authors: Luchynskyi M. , Luchinskyi V. , Shcherba V. , Demkovych A. , Luchinska Y.
Published: September 2017

The paper presents the characteric of dynamics of morphological changes of neuromuscular endings of the tongues of rats with experimentally induced streptozotocin diabetes mellitus. The hysto-ultrastructural research showed pathomorphologic changes in the experimental diabetes mellitus at different time periods. Their regulations indicate the relation of neuromuscular endings and elements of muscular tissues. During experimental streptozotocin diabetes mellitus, there occured interconnected structural changes of muscle fibers, myelin nerve fibers and the microcirculatory channel of the tongue with damage to the neuromuscular endings. In the dynamics of the diabetic process, three phases were distinguished: the phase of reactive-dystrophic changes with maximum severity two weeks after the beginning of the experimental modeling of streptozotocin diabetes mellitus; the phase of destructive-dystrophic processes, which began after the fourth week from the beginning of the modeling experimental streptozotocin diabetes; degenerative-destructive phase, which developed after the sixth week of the experiment. The dynamics of changes in the neuromuscular endings are also related to the duration of diabetes mellitus, they occur in two stages: in the first stage (up to 4 weeks) reactive processes were observed , in the second (6–8 weeks) – dystrophic processes. The uneven degree of their manifestation is related to the reaction of the microcirculatory channel of neuromuscular endings and composition of the tongue muscles. The greatest sensitivity to hyperglycemia was observed in muscle fibers of the intermediate type.
Dietary energy source affecting fat deposition mechanism, muscle fiber metabolic, and overall meat quality
Authors: Al-Hijazeen M. , Al-Rabadi G.
Published: September 2017

A study was conducted to investigate the effect of two dietary energy sources, soy bean oil, and sucrose on regulatory mechanisms of meat preservation. Twenty one day-old Hubbard commercial broilers were randomly allocated into two dietary treatment groups with six replicates per treatment, and four broilers per replicate. All birds were coded for the influence of energy source: fat based diet (FD), and sugar based diet (SD). Formulated grower diets were isonitrogenous and isocaloric. The chickens were slaughtered and then boneless, skinless ground chicken tight meat was prepared. Both raw and cooked meats were analyzed for lipid and protein oxidation, and sensory panel evaluation. In addition, meat from the small muscles of the raw thigh was used to evaluate other meat quality characteristics. Proximate analyses showed no significant differences between both dietary treatments on protein, ash and moisture percentage values. Meat samples of the group that was fed FD showed higher significant values of both TBARS and total carbonyl at day 7 of storage time. However, samples of the second group (Fed SD) showed lower values of both ultimate pH and water separation % using raw thigh meat. The effect of FD treatment on the meat composition appeared clearly especially on fat percentage content. In addition, meat samples obtained from chickens fed SD showed better significant values of the overall acceptability attribute. According to the current findings, sucrose could be an excellent alternative to oil in dietary broilers which improved the meat preservation bio-system, and post-mortem storage stability.
Radio monitoring of plant products and soils of Polesia, Zhytomyr region, during the long-term period after the disaster at the Chornobyl Nuclear Power Plant
Authors: Romanchuk L. D. , Fedonuk T. P. , Khant G. O.
Published: September 2017

The article highlights the consequences of the Chernobyl disaster. Northern Polesia has been and still remains the most polluted area. Full scale and limited economic activity is carried out on part of the contaminated territories. The zone of radioactive contamination includes half of the territory of this region, one third of the agricultural land and almost the same amount of the arable land. 9 districts, 734 towns and villages are located within the zone of radioactive contamination. In the long-term period after the disaster the situation in contaminated areas has improved and become predictable due to natural processes of recovery and implementation of countermeasures based on results of monitoring. However, until today regions of Ukrainian Polesia continue to produce agricultural products which do not meet the requirements of government regulations concerning the content of radionuclides in food and appear to present a threat to consumers. To assess the accumulation of 137Cs in plant products, we investigated the activity of these radionuclides in potatoes, vegetables, root crops and grains, and calculated the ratios of its transition from the ground to the products, which helped evaluate the intensity and amount of accumulation of radionuclides during the completion of the half-life period of 137Cs and evaluate the radiological situation in the northern regions of Polesia. The density of soil contamination with 137Cs and its specific activity in plant products grown on private plots were studied in three different districts of Zhytomyr region: Narodychi, Korosten and Ovruch. Analysis of the density of soil pollution with the 137Cs isotopes in the Northern part of Zhytomyr region in the post-disaster period shows that even 30 years after the tragedy, significant areas of arable land under certain conditions remain potentially dangerous on account of contaminated plant products. The specific activity of 137Cs in plant products grown on private plots was studied in residential places where soil contamination was detected. In particular, the list of studied crops included: potato tubers, white cabbage, fresh tomatoes, table beets, carrots, onions, beans, oat grains, corn grains. The most critical were populated areas located in zone II – village Vystupovychi of Ovruch district, village Loznytsia and village Khrystynivka of Narodychi district. In these settlements an excess of DR-2006 in plant products was noted despite the fact that an excess over the maximum permissible level of density of soil pollution was not observed. In decreasing order by the amount of CT 137Cs, we ranked crops as follows: beans > table beets > carrots > potato tubers > corn grains ˃ oats grains > white cabbage > onions > fresh tomatoes. For the population living on radioactively contaminated territories, plant products grown on private plots have been and still remain the main source of 137Cs radionuclides entering the body.
THE PHENOTYPE AND METABOLISM RELATIONSHIP OF BLOOD NEUTROPHILS IN PATIENTS WITH WIDESPREAD PURULENT PERITONITIS IN THE POSTOPERATIVE PERIOD DYNAMICS
Authors: Savchenko A. A. , Borisov A. G. , Kudryavcev I. V. , Gvozdev I. I. , Moshev A. V. , Cherdancev D. V. , Pervova O. V.
Published: September 2017

The aim of the study was to examine the relationship of the phenotype and metabolism of neutrophils in patients with widespread purulent peritonitis (WPP) in the dynamics of the postoperative period. The study involved 27 patients with acute surgical diseases and injuries of abdominal organs complicated by WPP. Blood sampling was performed prior to surgery (pre-operative period) and at 7, 14 and 24 day post-operative period. As controls 67 respect healthy people were examined. Research blood neutrophilic granulocytes phenotype was performed by f low cytometry using a direct immunof luorescence whole peripheral blood. The levels of surface receptor expression was assessed by the mean f luorescence intensity. The NADand NADP-dependent dehydrogenases activity in the blood neutrophils studied using bioluminescence method. It was found that in patients with WPP in the preoperative period in the peripheral blood increased content of CD62L+-, HLA-DR+and CD64+-neutrophils. High levels of CD62L+-cells stored within 24 postoperative days, whereas the amount of HLA-DR+and CD64+-neutrophils on 24 postoperative day is reduced to the level of controls. The dynamics of changes in the content of CD64+-cells in the peripheral blood of patients with WPP corresponds to the expression level of CD64-receptor on the membrane of neutrophilic granulocytes. The metabolism of blood neutrophils in patients with WPP in the preand postoperative period is characterized by high intensity of the substrate stream on the citric acid cycle, low activity of NADP-dependent glutamate dehydrogenase and aerobic reaction of lactate dehydrogenase. In the preoperative period and within 14 days of the postoperative period in neutrophil granulocytes of the patients revealed high activity of anaerobic lactate dehydrogenase reaction characterized by increased activity of anaerobic glycolysis. In the late postoperative period the intensity of anaerobic energy in the neutrophils of patients with WPP was reduced to the control level. The final stage of post-operative treatment the metabolism in the blood neutrophils of patients with WPP is also characterized by the activation of the pentose phosphate cycle, low activity of malate-aspartate shunt mitochondria and high intensity of the substrate interaction between citric acid cycle and reactions of amino acid metabolism. Using correlation analysis set dysregulation between phenotype and the system of intracellular metabolism of neutrophils which can be determined by the migration of activated cells in the inf lammatory focus as well as changes in the activity of intracellular enzymes under different regulatory factors and including postoperative therapy methods peritonitis.
COMPARISON OF INFLUENZA A(H1N1)pdm09 GENOMES OBTAINED FROM DIFFERENT TYPES OF VIRUS-CONTAINING MATERIAL
Authors: Fadeev A. V. , Zhilinskaya I. N.
Published: September 2017

This paper describes results of comparison of genetic sequences of inf luenza viruses obtained from clinical samples (nasopharyngeal swabs) and viruses isolated on MDCK cells and in developing chick embryos. The obtained data shows that 1–2x fold passaging of inf luenza viruses in MDCK cells does not lead to additional mutations in the genome of the inf luenza virus, and the genetic material of this virus is identical to the genetic material from the clinical sample. When passaging viruses in chick embryos within 1–2 passages, the genetic material of the virus differs from the genetic material from the clinical sample, because of mutations in the receptor region of hemagglutinin, leading to aminoacid substitution Q223R. The mutation Q223R changes the receptor specificity of hemagglutinin from human-type receptors (α-2.6-sialic acids) to avian receptors (α-2.3-sialic acids). The data obtained coincide with the data of Japanese researchers who showed that a similar substitution in the hemagglutinin gene was detected in Japanese strains of inf luenza virus subtype A (H1N1) pdm09, passaged in chick embryos for 1–2 passages. With their further passaging in chick embryos, the number of acquired mutations in the surface proteins of these viruses increases. Thus, we have shown that for the genetic analysis of epidemic-relevant strains of inf luenza viruses for routine epidemiological surveillance tasks, the use of direct sequencing of clinical samples containing the genetic material of viruses makes it possible to obtain the most reliable data, to increase their efficiency, since it saves time normally spent on virus isolation procedure. If preliminary isolation of viruses is necessary, for example, if it is not possible to carry out full genome amplification from a clinical sample (low content of the material, presence of polymerase chain reaction inhibitors), virus isolation on MDCK cells with a minimal amount of passage is optimal, which is used in practice of epidemiological surveillance.
Adaptabilidade e danos potenciais de Rhizoctonia oryzae-sativae ao milho
Authors: Vicentini Samara Nunes Campos , Santos Danilo Augusto Pereira dos , Castroagudín Vanina Lilián , Dorigan Adriano Francis , Ceresini Paulo Cezar
Published: September 2017

RESUMO Espécies do gênero Rhizoctonia estão associadas ao complexo de manchas da bainha do arroz, sendo que R. oryzae-sativae, em particular, causa a mancha agregada da bainha. Neste estudo objetivou-se determinar o potencial adaptativo de duas populações de Rhizoctonia oryzae-sativae à cultura do milho, uma das culturas comerciais amplamente cultivadas no estado de São Paulo e que pode ser utilizada em rotação com o arroz irrigado. Não há relatos da doença em milho no Brasil. Foram inoculados, em plantas de milho, isolados de duas populações de R. oryzae-sativae e determinou-se componentes de evolucionabilidade ou do potencial adaptativo de uma população (i.e., medidas de resposta à seleção) como os coeficientes de variância genotípica (IG), variância ambiental (IE) e a herdabilidade (h2) para os níveis de agressividade da doença. Comparou-se também a diferenciação fenotípica por caracteres quantitativos (QST) e a diferenciação genética neutra (baseada em dados de microssatélites) nas duas populações (FST). Experimentos similares usando plantas de arroz inoculadas com as duas populações do patógeno foram conduzidos como controle. Os isolados das populações de R. oryzae-sativae foram patogênicos e apresentaram variação na agressividade ao milho, com predominância de baixa herdabilidade para este atributo. Os valores estimados de QST não diferiram significativamente de FST indicando que a neutralidade teve importante papel na adaptação regional de populações do patógeno.
Associação de Fungos com Sementes de Espécies Florestais Nativas
Authors: Carmo Ana Lídia Moura do , Mazaratto Edson José , Eckstein Bárbara , Santos Álvaro Figueredo dos
Published: September 2017

RESUMO No Brasil, ainda há poucas pesquisas sobre os microrganismos associados às sementes florestais. O objetivo desse trabalho foi detectar fungos associados às sementes de seis espécies florestais nativas: açoita-cavalo (Luehea divaricata), araçá amarelo (Psidium cattleyanum), corticeira (Erythrina falcata), rabo-de-bugio (Lonchocarpus sp.), vassoura-vermelha (Dodonea viscosa) e pau-jacaré (Piptadenia gonoacantha). Foram identificados oito gêneros de fungos potencialmente patogênicos: Cladosporyum sp., Fusarium sp., Pestalotiopsis sp., Phomopsis sp., Coletotrichum sp., Alternaria sp., Phoma sp. e Botrytis sp. e fungos saprófitas: Aspergillus sp., Penicillium sp., Rhizopus sp., Epicoccum sp., Torula sp., Trichoderma sp., Gliocladium sp., Chaetomium sp. e Trichothecium sp. Os resultados evidenciam a diversidade de fungos associados às sementes florestais nativas, incluindo vários potencialmente fitopatogênicos.
FRACASSO ESTATAL E SOBERANIA: A CONSTRUÇÃO DISCURSIVA DOS ESTADOS FALIDOS NA POLÍTICA EXTERNA ESTADUNIDENSE
Authors: Mendes Cristiano , Gomes Aureo de Toledo
Published: September 2017

Resumo Este artigo interroga o conceito de Estado falido conforme apresentado pela política externa dos Estados Unidos (EUA). O argumento desenvolve três pontos principais. Primeiramente, a ideia de fracasso estatal repousa sobre a compreensão de que países fracassam por não executarem no presente o que se espera de Estados soberanos. Em segundo lugar, as reconstruções dos Estados assentam-se sobre a ideia de que, em algum momento do passado, conseguiram exercer minimamente as funções consideradas essenciais a qualquer Estado e podem ser recolocados numa trajetória de progresso. Finalmente, a ingerência externa estadunidense não derivaria apenas da percepção de uma situação atípica: a premissa de decidir sobre a exceção seria uma das facetas da afirmação da identidade de Estado soberano dos EUA.
ESCRITORAS EM EXÍLIO DE LÍNGUA: NOTAS DE UMA CORRESPONDÊNCIA
Authors: Deângeli Maria Angélica , Oliveira Gabriela
Published: September 2017

RESUMO O objetivo deste trabalho é o de investigar o papel da língua francesa na obra Lettres parisiennes: histoires d’exil (1986), da canadense Nancy Huston e da argelina Leïla Sebbar. Trata-se de analisar em que medida o exílio apresenta-se como condição de escrita para as autoras e, também, de que maneira esse movimento geográfico e cultural dá lugar a um questionamento sobre a língua, o lugar da mulher na sociedade, a oposição centro versus margem. Nesse projeto de correspondência, que durou cerca de três anos, Huston e Sebbar traçam um retrato de si mesmas, abordando temas como o cotidiano, a infância, os amores, a paixão pelos livros, e perscrutam os laços do passado, mais precisamente, as complexas relações que se tecem entre a língua do pai e a língua da mãe, o país natal e a terra do outro, enfim, o próprio e o estrangeiro. São esses rastros, apenas perceptíveis na escrita, que procuramos interrogar em nosso trabalho.
MAPEANDO A TRADUÇÃO AUDIOVISUAL ACESSÍVEL NO BRASIL
Authors: Spolidorio Samira
Published: September 2017

RESUMO Termos como ‘acessibilidade midiática’ e ‘tradução audiovisual acessível’ vem se tornando cada vez mais comuns tanto na área acadêmica quanto na sociedade em geral. Essa popularização deve-se ao aumento significativo da legislação nacional e internacional visando à inclusão das pessoas com deficiências em todas as esferas sociais e, em especial, no que concerne ao âmbito cultural (NAVES et al., 2016). Com essa crescente produção legal, profissional e acadêmica, o Brasil apresenta um sólido e variado portfólio sobre o assunto que não deixa a desejar mesmo quando em comparação com países desenvolvidos. Porém, devido a barreiras linguísticas, nem sempre esse conteúdo recebe o destaque e reconhecimento internacional merecido. Para tentar facilitar a divulgação desse conteúdo, a Plataforma de Acessibilidade Midiática (MAP - Media Accessibility Platform) é uma poderosa ferramenta que visa centralizar informações variadas, desde cursos de formação e notícias até publicações e legislação específica, em um único ambiente digital de livre acesso na internet (GRECO et al., 2016). Infelizmente, até o momento, pouca informação sobre a produção brasileira no assunto foi inserida na plataforma. Então, é interesse desse artigo divulgar não só a MAP em si e destacar a importância de inserir a maior quantidade de dados sobre a produção brasileira sobre tradução audiovisual e acessibilidade midiática em âmbito internacional, mas também apresentar projeto de pesquisa “MAPeando a acessibilidade audiovisual no Brasil e alimentando a plataforma global de acessibilidade midiática (MAP)” do grupo de pesquisa “Tradução Audiovisual: quebrando barreiras linguísticas e de acessibilidade” da Universidade Metodista de Piracicaba (UNIMEP) que, atualmente, dedica-se a esse propósito.
INTERCULTURALIDADE, LETRAMENTO E ALTERNÂNCIA COMO FUNDAMENTOS PARA A EDUCAÇÃO INDÍGENA
Authors: Lisbôa Flávia Marinho
Published: September 2017

RESUMO O presente artigo reflete acerca do ensino bilíngue para alunos indígenas em contexto multicultural, apresentando uma proposta como resultado de um levantamento bibliográfico em busca de fundamentos que possam subsidiar a elaboração de modelos de ensino bilíngue para indígenas nas regiões sul e sudeste do Pará. Com isso, chegamos à proposição de que a tríade composta pela Interculturalidade, Letramento e Alternância pode fundamentar a construção de modelos de ensino na conjuntura recortada. Partimos das perspectivas teóricas da Linguística Aplicada (LA), área que estabelece um corte epistemológico com a Linguística no sentido de encaminhar suas teorias, metodologias e análises por proposições próprias. Esse corte é o que tem subsidiado estudos como os que consideram o ensino bilíngue, em prol de comunidades subalternizadas. Cientes de que para cada comunidade é preciso pensar um modelo de ensino bilíngue específico, considerando as especificidades do povo em questão (seus etnoconhecimentos, seus tempos, seus projetos de sociedade, sua cultura etc.), tomamos o cuidado aqui de esclarecer que não temos a pretensão de apresentar uma fórmula, mas elementos que possam inspirar construções em torno do ensino bilíngue em contextos com alunos indígenas. Chegamos a esses três elementos (Interculturalidade, Letramento e Alternância) norteados pela premissa de que o ensino bilíngue deve servir para que os sujeitos do campo possam circular nos espaços legitimados e transformar as estruturas de dominação e poder. Esse ensino deve servir para que os sujeitos originários não dependam do Outro para escrever sua história e para que possam lutar por equidade epistêmica. Assim, este trabalho reforça o entendimento maior de que trabalhar com língua exige um exercício interdisciplinar, possibilitando assim uma reflexão mais ampla sobre um objeto tão complexo, constituinte e constitutivo dos sujeitos.
Liderança e gestão da qualidade – um estudo correlacional entre estilos de liderança e princípios da gestão da qualidade
Authors: Barbosa Flávia Monize , Gambi Lillian do Nascimento , Gerolamo Mateus Cecilio
Published: September 2017

Resumo: A gestão da qualidade tem se constituído em um dos tópicos de discussão mais importantes em gestão moderna. Dentre o levantamento de fatores críticos para o sucesso de programas de gestão de qualidade, a liderança apresenta-se como um dos fatores mais citados. No entanto, embora a relação entre gestão de qualidade e liderança seja clara, é possível perceber que há ainda diversas lacunas de pesquisa a serem exploradas. Desse modo, o objetivo do presente estudo foi explorar a relação entre gestão da qualidade e liderança, utilizando-se, para tanto, do modelo de liderança transformacional-transacional e do modelo Competing Values Framework. A relação entre os estilos de liderança e princípios de gestão da qualidade foi explorada com análise de correlação de Pearson. Foram obtidos coeficientes de correlação positivos tanto para os perfis de liderança tanto transformacional quanto transacional e perfis de liderança do Competing Values Framework, de modo que alguns desses perfis destacaram-se, apresentando coeficientes de correlação maiores. A principal contribuição do trabalho foi realizar uma exploração inicial sobre a relação entre estilos de liderança e princípios da qualidade, apontando tendências e abrindo caminho para que novos estudos possam estender esse conhecimento. Discute-se a importância de, em estudos futuros, estabelecer as mesmas correlações para diferentes amostras de respondentes e empregar, além de princípios, práticas e ferramentas de gestão da qualidade.
ANÁLISE ETOLÓGICA RELACIONADA AO PROCEDIMENTO DE DESGASTAR OU NÃO DENTES DE LACTENTES SUÍNOS
Authors: Ricci Gisele Dela , Costa Osmar Antonio Dalla , Trindade Neto Messias Alves da , Titto Cristiane Gonçalves
Published: September 2017

Resumo O objetivo deste estudo foi avaliar o comportamento de leitões e porcas, frente ao tratamento de desgaste ou não de dentes do lactente. Foram utilizadas 67 matrizes suínas e 827 leitões. O experimento foi realizado em três locais e a obtenção de dados comportamentais foi a partir de etograma, na forma dirigida. As observações dos leitões foram realizadas de dez em dez minutos, durante quatro horas, três vezes por semana. Os dados foram analisados em delineamento inteiramente ao acaso com medidas repetidas no tempo. Utilizou-se o modelo misto com o efeito fixo de tratamento, turno, período e suas interações; e o efeito aleatório de lote utilizando o procedimento MIXED do SAS (2008). Foram testadas 15 estruturas de variância e covariância, escolhendo-se a que apresentou menor valor para o Critério de Informação de Akaike (AIC). Não foram encontrados efeitos significativos para o comportamento agonístico, estereotipado, lúdico e exploratório em relação aos tratamentos assim como para todo o período avaliado (P>0,05). Efeitos significativos foram identificados no comportamento de mamar, comparando-se os tratamentos (P≤0,05). Não foram encontrados efeitos significativos para o comportamento alimentar das matrizes (P>0,05). Comer diferiu de beber, para o período avaliado (P≤0,05). Com este estudo, conclui-se que o procedimento de desgaste ou permanência dos dentes de leitões pode influenciar em comportamentos importantes, como o de mamar, responsável pelo eficiente ganho de peso. O desgaste dos dentes pode ser desnecessário diante dos ferimentos causados, em decorrência do manejo errôneo desta pratica. Contudo, há necessidade de mais estudos direcionados a este tema, buscando maiores elucidações.
ANALYSIS OF THE PATTERN AND MECHANISM OF ELBOW INJURIES RELATED TO ARMBAR-TYPE ARMLOCKS IN JIU-JITSU FIGHTERS
Authors: ALMEIDA THIAGO BERNARDO CARVALHO DE , DOBASHI EIFFEL TSUYOSHI , NISHIMI ALEXANDRE YUKIO , ALMEIDA JUNIOR EDUARDO BERNARDO DE , PASCARELLI LUCIANO , RODRIGUES LUCIANO MILLER REIS
Published: September 2017

ABSTRACT Objective: The objective of this study was to analyze elbow injuries and their probable mechanism in Jiu-Jitsu fighters resulting from the armbar-type armlock. Methods: We evaluated 5 high-performance Jiu-Jitsu fighters from the Gracie Elite gym who were injured during a tournament. All were healthy males with a mean age of 28.8 years. The right arm was involved in three patients (60%). The athletes were followed for approximately 4.6 months, and pain was present in all cases. Clinical examination of the elbow was performed immediately after the injury and when magnetic resonance imaging (MRI) was performed. The radiography showed no changes. Clinical examination detected specific tender points on the medial and anterior topography of the elbows, but no ligamentous instability of the elbow was seen during dynamic testing. Results: The main MRI findings were injury to the common flexor tendon and the ulnar collateral ligament, bone contusion of the distal humerus and olecranon, and joint effusion. Conclusion: The main pattern of injury indicated by the MRI in the athletes was injury to the medial elbow complex. The primary mechanism that determined the injury was most likely elbow hyperextension applied with the forearm in neutral position of forearm. Level of Evidence IV, Case Series.
ORTHOPEDIC INJURIES IN SOCCER - AN ANALYSIS OF A PROFESSIONAL CHAMPIONSHIP TOURNAMENT IN BRAZIL
Authors: SOUZA RAFAEL FONSECA RODRIGUES DE , MAININE SERGIO , SOUZA FABIANO FONSECA RODRIGUES DE , ZANON ENRICO MONTORSI , NISHIMI ALEXANDRE YUKIO , DOBASHI EIFFEL TSUYOSHI , FERNANDES FÁBIO ARAÚJO
Published: September 2017

ABSTRACT Objective: To analyze the incidence of orthopedic injuries which occurred during a professional soccer championship in São Paulo, Brazil in 2010. Methods: This assessment collected data from the pre-season until the final stage of the championship. Results: We analyzed 227 professional players from eight of the top teams in this championship. Data were obtained for 71.02% of all games. The athletes were all male with a mean age of 23.1 years; the average number of injuries was 1.6 per athlete, with muscle injuries and sprains resulting from indirect origin predominating in the legs. Conclusion: Injuries were more frequent in forwards and outside backs, and players generally returned to play within one week of treatment. Level of Evidence III, Study of Non Consecutive Patients; Without Consistently Applied Reference “Gold” Standard.
Overcoming male factor infertility with intracytoplasmic sperm injection
Authors: Borges Jr. Edson , Zanetti Bianca Ferrarini , Braga Daniela Paes de Almeida Ferreira , Setti Amanda Souza , Figueira Rita de Cássia Sávio , Nardi Aguinaldo César , Iaconelli Jr. Assumpto
Published: September 2017

Summary Objective: To evaluate the effect of male factor infertility on intracytoplasmic sperm injection (ICSI) outcomes compared with a control group presenting isolated tubal factor. Method: This retrospective study included 743 couples undergoing ICSI as a result of isolated male factor and a control group consisting of 179 couples undergoing ICSI as a result of isolated tubal factor, performed in a private university- -affiliated in vitro fertilization center, between January/2010 and December/2016. Patients were divided into two groups according to maternal age: women ≤35 years old and >35 years old. The effects of infertility causes on laboratorial and clinical ICSI outcomes were evaluated using Student's t-test and (2 test. Results: No differences in controlled ovarian stimulation outcomes were observed between male factor cycles and tubal factor cycles in the two age groups. Implantation (male factor 35.5% vs. tubal factor 32.0%, p=0.340), pregnancy (male factor 46.9% vs. tubal factor 40.9%, p=0.184) and miscarriage (male factor 10.3% vs. tubal factor 10.6%, p=0.572) rates were similar between the infertility groups, irrespective of female age. Considering maternal age, the cancelation rate was higher in older women (>35 years old) undergoing ICSI as a result of male factor infertility (17.4% vs. 8.9%, p=0.013). Conclusion: Our results showed that there is no difference in the outcomes of pregnancy between couples with male or tubal factor infertility, which indicates that ICSI surpasses the worse specific outcomes associated with male factor.
Is a safety guidewire needed for retrograde ureteroscopy?
Authors: Molina Junior Wilson Rica , Pessoa Rodrigo R. , Silva Rodrigo Donalísio da , Gustafson Diedra , Nogueira Leticia , Meller Alex
Published: September 2017

Summary Introduction: It is generally advised to have a safety guidewire (SGW) present during ureteroscopy (URS) to manage possible complications. However, it increases the strenght needed to insert and retract the endoscope during the procedure, and, currently, there is a lack of solid data supporting the need for SGW in all procedures. We reviewed the literature about SGW utilization during URS. Method: A review of the literature was conducted through April 2017 using PubMed, Ovid, and The Cochrane Library databases to identify relevant studies. The primary outcome was to report stone-free rates, feasibility, contraindications to and complications of performing intrarenal retrograde flexible and semi-rigid URS without the use of a SGW. Results: Six studies were identified and selected for this review, and overall they included 1,886 patients where either semi-rigid or flexible URS was performed without the use of a SGW for the treatment of urinary calculi disease. Only one study reported stone-free rates with or without SGW at 77.1 and 85.9%, respectively (p=0.001). None of the studies showed increased rates of complications in the absence of SGW and one of them showed more post-endoscopic ureteral stenosis whenever SGW was routinely used. All studies recommended utilization of SGW in complicated cases, such as ureteral stones associated with significant edema, ureteral stricture, abnormal anatomy or difficult visualization. Conclusion: Our review showed a lack of relevant data supporting the use of SGW during retrograde URS. A well-designed prospective randomized trial is in order.
Abortion, sexual abuse and medical control: the Argentinian Supreme Court decision on F., A.L.
Authors: Monte María Eugenia
Published: September 2017

Abstract In Argentina, during the 2000s but increasingly since 2005 up to 2016, women and feminist´s organizations and lawyers disputed over the abortion juridical regulation at Courts facing conservative resistances. These disputes could be located in a broader process of judicialization of the socio-political conflict over abortion. The Argentinian Supreme Court took a decision over one of these judicial processes on March 13th, 2012, F., A.L. This paper analyses the Argentinian Supreme Court decision on F., A.L. regarding non-punishable abortion boundaries, medical and judicial practices and, specifically, sexual abuse and medical control. It also analyses its material effects on a subsequent struggle and judgment in the province of Córdoba.
Direito ao aborto, gênero e a pesquisa jurídica em direitos fundamentais
Authors: Azevedo André Freire
Published: September 2017

Resumo A partir de um retrato da situação atual do abortamento inseguro e de uma breve reconstrução das lutas feministas pela descriminalização do aborto no Brasil, o trabalho discute o papel do constitucionalismo democrático no reconhecimento de novos sujeitos de direitos sexuais e reprodutivos. Recorremos ao fundamento político-filosófico dos direitos sexuais e reprodutivos para apontar que sua regulamentação jurídica só tem validade se os “sujeitos de direitos” construídos e pressupostos por sua regulamentação não se prestarem à violação dos postulados fundamentais do constitucionalismo democrático. Tal violação ocorre quando as relações de inclusão e exclusão estabelecidas por seus contornos hipotéticos se prestam a negar reconhecimento institucional à plena dignidade de experiências identitárias dissidentes. Propomos a utilização da teoria de Rosenfeld em pesquisas sobre direito ao aborto sob a perspectiva do Direito Constitucional. Esta teoria permite ver como os discursos sobre direitos criam e enunciam seus sujeitos com marcas de gênero, e podem servir tanto à ampliação das liberdades como de formas de subordinação.
Identidad sexual y pertenencia eclesial. Derroteros de visibilidad en trayectorias de gays católicos
Authors: Leal Lucas Edgardo
Published: September 2017

Resumen Instrumentos como la Ley de Educación Sexual Integral (2006), la Ley de Matrimonio Igualitario (2010) y la Ley de Identidad de Género (2012) colocan a Argentina a la vanguardia legislativa en el reconocimiento de derechos sexuales y ciudadanía plena de personas no heterosexuales y favorecen cambios significativos en relación a la visibilidad y la sociabilidad de colectivos LGTB. Sin embargo, tal camino de reconocimiento estatal no ha sido acompañado por la jerarquía de la Iglesia Católica Romana, cuyos discursos y prácticas continúan estigmatizando la diversidad sexual. No obstante, numerosos católicos que se auto-perciben como parte de esa diversidad mantienen su vínculo institucional con la Iglesia. ¿Cómo conjugan estos sujetos su sexualidad y su pertenencia eclesial? ¿Qué tensiones surgen y qué negociaciones realizan con relación a ellas? ¿Cómo tramitan su visibilidad en ese contexto institucional? Este artículo explora estas cuestiones en relatos biográficos de dos miembros de comunidades eclesiales católicas que al ser entrevistados se auto-identificaron como gays.
Hans Ulrich Gumbrecht Leitor de Martin Heidegger: concepção de produção de presença
Authors: Silva Wellington Amâncio da
Published: September 2017

Resumo: O trabalho apresenta alguns pontos do pensamento filosófico de Gumbrecht sobre a presença, a partir do Dasein de Heidegger, especialmente, com relação às possibilidades e condições da linguagem relativamente a esta presentificação. Desse logos, propõe-se uma crítica introdutória aos conceitos de coisa, de sujeito e de objeto, de visão cartesiana do mundo, demonstrando, a partir da análise de parte da obra do autor, as possibilidades de tangibilidade por meio da linguagem e o que isso representa diante dos paradigmas vigentes das ciências.
Brazilian norms and effects of age and education on the Hayling and Trail Making Tests
Authors: Zimmermann Nicolle , Cardoso Caroline de Oliveira , Kristensen Christian Haag , Fonseca Rochele Paz
Published: September 2017

Abstract Objectives To describe normative data for the Hayling Test and the Trail Making Test (TMT) in a sample of Brazilian adults, and to investigate the effects of age and education on test performance. Method A total of 313 (TMT) and 364 (Hayling) individuals with age ranges of 19-39, 40-59, and 60-75 years, and with at least 5 years of formal education, participated in this study. The tests were administered as part of a large battery of a normative project. Individuals were evaluated individually in silent, ventilated rooms at a university clinic. Instrument protocols were scored by trained research assistants and double-checked to ensure data reliability. Results There were major effects of age on the TMT (Time B, Errors B, B-A) and on the Hayling Test (Errors B/15, B/45), and major effects of education on the TMT (Time B, Errors B, B-A) and on the Hayling Test (Time A, Errors B/15, B/45). Interaction effects were found in Time B and B-A for the Hayling Test and in Time A for the TMT. Conclusions Age and education were critical for performance on both verbal and non-verbal executive functions.
Literatura e espetáculo religioso em um conto de Marcelino Freire
Authors: Martins Geraldo Vicente , Bulhões Ricardo Magalhães
Published: September 2017

resumo Este artigo tem por objetivo apresentar uma possibilidade de leitura do conto “Irmãos”, de Marcelino Freire, na qual se considera a articulação entre reflexões a respeito da visibilidade dos sujeitos trazida pela televisão e o conceito de figura, advindo da semiótica discursiva. Para a consecução desse objetivo, elegeu-se como tópico central a contraposição entre o protagonista do conto de Freire, um escritor, e seu duplo, pastor evangélico que apresenta um programa televisivo, considerando-se a problemática inerente a uma perspectiva do profano frente a uma do sagrado. A análise das figuras constantes em fragmentos centrais da narrativa, sustentadas nas reflexões sobre certa indústria do espetáculo, aqui concretizada no poder televisivo, demonstrou a pertinência de nossa proposta, confirmando a validade desse discurso ambíguo que se configura ao longo do texto analisado.
Fatores associados à pressão de língua em pacientes pós-acidente vascular cerebral
Authors: Oliveira Grazielle Duarte de , Valentim Amanda Freitas , Vicente Laélia Cristina Caseiro , Motta Andréa Rodrigues
Published: September 2017

RESUMO Introdução A prática clínica fonoaudiológica no ambiente hospitalar mostra que existe alta prevalência de disfagia em pacientes pós-acidente vascular cerebral. Objetivo Verificar se o tempo de ocorrência e o tipo do acidente vascular cerebral, o hemicorpo acometido por hemiplegia, a gravidade do deficit neurológico, a presença e o grau de disfagia interferem na pressão de língua de pacientes internados pós-acidente vascular cerebral. Métodos Estudo realizado com 31 pacientes. Foi aplicado protocolo da avaliação da disfagia, prova de mobilidade lingual e mediu-se a pressão de língua com o Iowa Oral Performance Instrument (IOPI). Foram realizadas três medidas da pressão anterior e três da pressão posterior. Os dados foram analisados por meio de estatística apropriada, com nível de significância de 5%. Resultados Apenas a presença de disfagia se mostrou associada estatisticamente à pressão de língua, sendo que os pacientes pós-acidente vascular cerebral disfágicos apresentaram pressão anterior e posterior média e máxima da língua menor que aqueles sem a presença de disfagia. O tempo de ocorrência do acidente vascular cerebral, o tipo e o hemicorpo acometido e a gravidade do deficit neurológico não apresentaram associação com a pressão lingual. Dentre os 15 participantes que apresentaram a dificuldade de deglutição, 14 (93,3%) foram classificados com disfagia leve e um (6,7%) com disfagia moderada. Conclusão Verificou-se que a disfagia, ainda que de grau leve, foi o fator preponderante para diminuição da pressão de língua em pacientes que sofreram acidente vascular cerebral.
EVALUATION OF HUMAN LEUKOCYTE ANTIGEN CLASS I AND II ANTIGENS IN HELICOBACTER PYLORI-POSITIVE PEDIATRIC PATIENTS WITH ACTIVE GASTRITIS AND DUODENAL ULCER
Authors: GÖNEN Sevim , SARI Sinan , KANDUR Yaşar , DALGIÇ Buket , SÖYLEMEZOĞLU Oğuz
Published: September 2017

ABSTRACT BACKGROUND: As being the first bacteria determined to be carcinogenic, Helicobacter pylori (H. pylori) is a pathogen localized in the stomach in more than half of the world population. Some earlier studies have found a relation between tissue histocompatibility antigens and gastric cancers depending on the regions. OBJECTIVE: The present study aimed to determine the distribution of human leukocyte antigen (HLA) class I and class II antigens in H. pylori-positive pediatric patients with active gastritis and duodenal ulcer, excluding cancer cases, in our center. METHODS: The study included 40 patients diagnosed with H. pylori-positive active gastritis and duodenal ulcer and 100 controls consisting of healthy donor candidates. The HLA class I and class II antigens were studied in the isolated DNA samples using the polymerase chain reaction sequence-specific oligonucleotide probes. RESULTS: The frequency of HLA-B*51 antigen was significantly higher in the patient group than in the control group (40% vs 17%; P=0.003). There was no difference between the two groups in terms of the frequencies of HLA-A, HLA-C, HLA-DR, and HLA-DQ antigens. CONCLUSION: It was determined that HLA-B*51 plays a critical role in H. pylori infection.
PSYCHOMETRIC PROPERTY OF FATIGUE SEVERITY SCALE AND CORRELATION WITH DEPRESSION AND QUALITY OF LIFE IN CIRRHOTICS
Authors: ROSSI Danusa , GALANT Lucas Homercher , MARRONI Claudio Augusto
Published: September 2017

ABSTRACT BACKGROUND: Fatigue is a common complaint in cirrhotic patients and may be considered a debilitating symptom with negative impact on quality of life. Research on its etiology and treatment has been hampered by the lack of relevant and reproducible measures of fatigue. OBJECTIVE: To evaluate the psychometric properties of the Fatigue Severity Scale (FSS) in cirrhotic patients and to correlate with depressive symptomatology and quality of life. METHODS: Cross-sectional study with a convenience sample of 106 cirrhotic patients, aged between 18 and 70 years, both genders, literate, pre and post liver transplantation in outpatient follow-up. Internal consistency, reproducibility, discriminant validity, criterion validity, construct validity, responsiveness criterion, depressive symptomatology and quality of life were evaluated through questionnaires between January and October 2015. RESULTS: The mean age was 54.75±9.9 years, 65.1% male and 32.1% of the sample had cirrhosis due to hepatitis C virus. The mean FSS score was 4.74±1.64. Cronbach’s alpha was 0.93, and the Intraclass Correlation Coefficient was 0.905 (95% CI: 0.813-0.952). For discriminant validity, FSS differentiated scores from different groups (P=0.009) and presented a correlation with the Modified Fatigue Impact Scale (r=0.606, P=0.002). FSS correlated significantly and positively with depressive symptomatology and correlated negatively with the SF-36 domains for construct validity. For responsiveness, no significant changes were observed in the fatigue scores in the pre and post-liver transplantation periods (P=0.327). CONCLUSION: FSS showed good psychometric performance in the evaluation of fatigue in patients with cirrhosis. Fatigue presented a strong correlation with depressive symptomatology and quality of life.