bluuebunny/crossref_metadata_2025 huggingface dataset:
Surface water floods in Switzerland: what insurance claim records tell us about the damage in space and time
Authors: Bernet Daniel B. , Prasuhn Volker , Weingartner Rolf
Published: September 2017

Abstract. Surface water floods (SWFs) have received increasing attention in the recent years. Nevertheless, we still know relatively little about where, when and why such floods occur and cause damage, largely due to a lack of data but to some degree also because of terminological ambiguities. Therefore, in a preparatory step, we summarize related terms and identify the need for unequivocal terminology across disciplines and international boundaries in order to bring the science together. Thereafter, we introduce a large (n = 63 117), long (10–33 years) and representative (48 % of all Swiss buildings covered) data set of spatially explicit Swiss insurance flood claims. Based on registered flood damage to buildings, the main aims of this study are twofold: First, we introduce a method to differentiate damage caused by SWFs and fluvial floods based on the geographical location of each damaged object in relation to flood hazard maps and the hydrological network. Second, we analyze the data with respect to their spatial and temporal distributions aimed at quantitatively answering the fundamental questions of how relevant SWF damage really is, as well as where and when it occurs in space and time. This study reveals that SWFs are responsible for at least 45 % of the flood damage to buildings and 23 % of the associated direct tangible losses, whereas lower losses per claim are responsible for the lower loss share. The Swiss lowlands are affected more heavily by SWFs than the alpine regions. At the same time, the results show that the damage claims and associated losses are not evenly distributed within each region either. Damage caused by SWFs occurs by far most frequently in summer in almost all regions. The normalized SWF damage of all regions shows no significant upward trend between 1993 and 2013. We conclude that SWFs are in fact a highly relevant process in Switzerland that should receive similar attention like fluvial flood hazards. Moreover, as SWF damage almost always coincides with fluvial flood damage, we suggest considering SWFs, like fluvial floods, as integrated processes of our catchments.
Digital papillary adenocarcinoma of the ankle
Authors: Singh Avani , Kuncewitch Michael , Mansoori Parisa , Mothershed James T. , Levine Edward A.
Published: September 2017

Digital Papillary Adenocarcinoma (DPA) is a very rare neoplasm of sweat glands, with approximately 100 cases in the literature. We present a rare case of DPA of the ankle in a 66-year-old African American man. DPA has a high potential for metastases to the lung and lymph nodes, and initial treatment often entails wide excision or complete digital amputation. DPA typically presents as a painless lesion or mass of the distal digits of the hands or feet. With the limited available literature regarding this malignancy, there is no standard approach to treatment. Wide excisional margins with sentinel lymph node mapping and biopsy are based on extrapolation for other tumors. In the following report, we discuss a representative case and the current literature on the presentation, treatment and pathology of this rare neoplasm.
Reviewer Acknowledgements for Environment and Natural Resources Research, Vol. 7, No. 3
Authors: Lee Joan
Published: September 2017

Reviewer Acknowledgements for Environment and Natural Resources Research, Vol. 7, No. 3, 2017
Segment Information: What Do European Small and Mid-Caps Disclose?
Authors: Demerens Frederic , Delvaille Pascale , Le Manh Anne , Paré Jean-Louis
Published: September 2017

The adoption of the IFRS 8 accounting standard symbolises the IASB's dual commitment: an effort toward convergence and harmonisation with the American standard, but also an effort to optimise the standardisation process through an unprecedented study: a post-implementation review. Many studies have laid the groundwork for an implementation review of the standard, mostly focusing on large firms. However, intermediate-size companies – which are much more numerous – are also faced with the application of IFRS standards. In this context, our study aims to analyse the implementation of IFRS 8 by a sample of intermediate-size European listed companies. Our research questions mainly focus on issues of compliance with the standard and the comparability of segment information reported by intermediate-size European companies. Our findings reveal a lower level of compliance than that observed in previous studies on samples of multinationals. The intermediate-size European companies in our sample use fewer segments and provide less information per segment, without however neglecting voluntary disclosures. Some significant differences emerge between companies depending on their country of domicile and their economic sector.
The Contribution of Postgraduation–Lato Sensu–At Distance for Training Health Field Professionals: A Case Study at a Brazilian Federal University
Authors: Grossi Marcia Gorett Ribeiro , Silqueira Salete Maria de Fatima , Gomes Laryssa Cristina Castro , Silva Lívia De Cassia , Saleme Angela Maria Bissoli
Published: September 2017

This article aimed to verify the opinions of health professionals who are looking for distance learning courses offered by distance learning. In order to do so, a case study was carried out in 2017 at the Federal University of Minas Gerais (UFMG), specifically in a course offered in the distance modality by the Nursing School: “Specialization Course Pedagogical Training in Professional Education in the Health Area : Nursing “(CEFPEPE). The data collection instrument was a questionnaire made available online for the former students who had taken the offered course. The results show the nurses' concern about their permanent and continuous training to better serve the population. It was also realized that distance education contributes to health in Brazil, allowing professionals who are far from the metropolis and / or who do not have time to attend in-class course to undertake training. In addition, having access to new knowledge might improve the professional performance.
Innovation, Productivity and Environmental Performance of Technology Spillovers Effects: Evidence from European Patents within the Triad
Authors: Aldieri Luigi , Vinci Concetto Paolo
Published: September 2017

The aim of this paper is that of investigating whether the integration process between environmental activities is important in the Spillovers flows analysis. For this reason, we explore the role of knowledge externalities for large international firms engaged both in environmental and in non-environmental activities. In particular, we develop a theoretical framework and an empirical analysis of the United States, Japan and Europe based upon a dataset composed of worldwide R&D-intensive firms. In order to deal with the firms’ unobserved heterogeneity and the weak exogeneity of the regressors, we implement the Generalized Method of Moments (GMM) method. The results show a differentiated impact of environmental spillovers on firms’ productivity and green performance, by suggesting some interesting policy implications in terms of actions to favor full sustainability of firms’ production.
Does Kenya’s Development-Induced Displacement, and Resettlement Policy Match International Standards? A Gap Analysis and Recommendations
Authors: Kamakia Antony Munene , Guoqing Shi , Zaman Mohammad
Published: September 2017

Multilateral Development Finance Institutions (DFIs) apply variable Development-induced displacement and resettlement (DIDR) policies for project investment-finance extended to client countries. However, developing countries, in essence, finance their development or investment projects separately, thus the need for a DIDR policy that matches international safeguard standards. Kenya has recently enacted far-reaching improvements in its DIDR framework informed by a long history of controversies surrounding DIDR and the colonial displacement and resettlement praxis. This paper traces the development of DIDR framework in Kenya and then develops a matrix to compare the framework with international safeguards extracted from the standards of six selected multilateral DFIs. It then analyses the gaps and prescribes measures to bridge the gaps towards the international standards. The major gaps noted are lack of solid income and livelihood restoration mechanisms and inadequate tracking, supervision and monitoring for DIDR. It has also presented a discussion on the need to fast-track attainment of the international standards, particularly in this period when Kenya is embarking on ‘Vision 2030’ development blueprint which hopes to spur Kenya to “High-Income Country” status by the year 2030. Multilateral DFIs are also piloting new Environmental and Social Frameworks (ESF) with the objective of assisting individual countries scale-up their DIDR policy. They can start by supporting Kenya to bridge the gaps as well as building human and technological capacity. Policy aspects indicated in this paper will enhance DIDR outcomes for Kenya.
Sensitivity-Based Reliability Analysis of MEMS Acceleration Switch
Authors: Kansal Prashank , Kasturi Pramod , Kim Nam H. , Jang Seung-gyo
Published: September 2017

MEMS acceleration switches have been used in many engineering applications. In this paper, the reliability of MEMS switch is evaluated under various uncertainties from materials and manufacturing process. First, the performance of MEMS switch is modeled using 1D mass-spring-damper-contact system. Different from conventional lumped element methods, the model includes the effect of geometric parameters as well as contact conditions. The parameters of 1D models are calibrated using a high-fidelity finite element model. For reliability assessment, four different methods are used in order to compare computational cost as well as accuracy in predicting reliability. It turned out that sensitivity-based reliability method has several benefits, such as computational time and identifying important parameters that contribute significantly to reliability. The sensitivity analysis showed that the cross-sectional height and the length of folded-beam contribute most significantly to the reliability of switch-on condition. After changing the length of the beam, the probability of failure was improved from 0.168 to 0.0003.
Determination of Innovation Indicators in Teaching-Learning Activities of Curricula and Their Application in Art University
Authors: Mousavi Setareh , Nili Mohammadreza , Nasr Ahmadreza , Masoud Mohammad
Published: September 2017

The present research mainly aims to determine the innovation indicators for teaching in Art University. Qualitative and quantitative methods have been used. The data were collected from semi-structured interviews and Self-made questionnaire. The findings reveal that the most important innovation indicators consist of: Competency-based Art education, Acquaintance with framework of appreciating the art works, Self-directed learning, Choice-based art education Attention to Aesthetics, Experimental leaning through Art Education, Developing Different Approaches to Making Art, Provides the excellent opportunities to learn personal and professional skills, Stress on the description, explanation, critical process cooperative exploration-based learning activities, application of new teaching methods and the application of innovation indicators for “teaching-learning activities” is less than medium.
Weed suppression and yield of thirteen spring wheat (Triticum aestivum L.) varieties grown in an organic system
Authors: Feledyn-Szewczyk Beata , Jończyk Krzysztof
Published: September 2017

The aim of this study was to determine the relationships between morphological features, canopy parameters, weed infestation, and grain yield of spring wheat varieties. The study was conducted in the period 2011–2013, on fields managed organically at the Experimental Station of The Institute of Soil Science and Plant Cultivation – State Research Institute, Osiny, Poland. Thirteen spring wheat varieties were sown in a randomized complete block design with four replications. Weed density and dry matter production were estimated as well biometric features of the wheat varieties at tillering (BBCH 22–24) and dough (BBCH 85–87) stages. The analyses of variance showed that the year had a stronger effect than varieties on the level of weed infestation. Pearson’s correlation analysis indicated that weed number was influenced by the height of wheat plants and their aboveground biomass at the tillering stage and additionally by number of tillers at the dough stage. A significant correlation (r = −0.328, siginfficant at p < 0.05) was shown between the number of weeds and wheat grain yield. Different morphological features and canopy parameters influenced the competitive abilities of the spring wheat varieties tested. A cluster analysis detected one set of varieties with the largest (‘Bombona’, ‘Brawura’, ‘Hewilla’, ‘Kandela’, ‘Katoda’, ‘Łagwa’, and ‘Żura’) and another with the smallest (‘Monsun’, ‘Ostka Smolicka’, and ‘Parabola’) competitive abilities against weeds. The main outcome of the research is information for farmers as to which varieties are highly competitive against weeds and also high yielding. Among the varieties with the highest competitiveness, Triticum aestivum ‘Żura’ was the highest yielder (3.82 t ha−1 on average), whereas ‘Bombona’ yielded only at an average level (3.03 t ha−1). The suppressive ability of spring wheat varieties against weeds and yield potential should be both taken into account in the selection of varieties suitable for an organic farming system where weed control is absent.
Association of vancomycin with lipid vesicles
Authors: Hu Xiaohui , Tam Kin Yip
Published: September 2017

Antibiotics play a pivotal role in modern medicine for the treatment of bacterial infection in patients. Membrane defines the boundary between single cell and its environment and is a main target for antibacterial agents. To better understand the mechanism of antibiotics action on microbes, we utilized liposome as membrane mimic model to study antibiotics interaction with bacterial membrane by variety of biophysical methods. Isothermal calorimetry and fluorescence photometry experiments were performed to examine interaction between antibiotics and liposome. We found that vancomycin, one of the most important antibiotics for the treatment of serious infections by gram-positive bacteria, binds to the liposome. The association between the drug and the liposome does not involve the tail part of the lipids. Moreover, the binding affinity increases along with the increment of liposome size. Of three major lipid components, phosphatidylglycerol is the preferential target for vancomycin binding. We also showed that vancomycin associates with vesicle derived from Staphylococcus aureus membrane in a similar manner as the binding to liposome. Our data suggested that vancomycin associates with bacterial membrane through direct interaction with lipid head groups with the extent of the association depending very much on specific type of lipids and curvature of local membrane structure.
ADME-Tox profiling of some water soluble chitosan derivatives
Authors: Isvoran Adriana , Ciorsac Alecu Aurel , Ostafe Vasile
Published: September 2017

Within this study we use a few computational tools for predicting absorption, distribution, metabolism, excretion and toxicity (ADME-Tox), pharmacokinetics profiles, toxic/adverse effects, carcinogenicity, cardiotoxicity and endocrine disruption of some of low molecular weight water soluble derivatives of chitosan that are used in wound healing. Investigated compounds do not possess drug-like properties, their pharmacokinetics profiles reveal poor gastrointestinal absorption and low skin penetration. Chitosan derivatives cannot pass the blood-brain barrier and they are not able to inhibit the enzymes of the cytochrome P450 that are involved in the metabolism of xenobiotics. They do not reflect carcinogenicity and cardiotoxicity and reveal only a low probability to be endocrine disruptors. The main side effects in humans of the investigated compounds are: weight loss, acidosis, gastrointestinal toxicity, respiratory failure. This information is especially important for professional exposure and accidental contamination with these compounds.
Using Montgomery curve arithmetic over F2p for point scalar multiplication on short Weierstrass curve over Fp with exactly one 2-torsion point and order not divisible by 4
Authors: Wroński Michał
Published: September 2017

Montgomery curves are well known because of their efficiency and side channel attacks vulnerability. In this article it is showed how Montgomery curve arithmetic may be used for point scalar multiplication on short Weierstrass curve ESW over Fp with exactly one 2-torsion point and #ESW (Fp) not divisible by 4. If P ∈ ESW (Fp) then also P ∈ ESW (Fp2). Because ESW (Fp2) has three 2-torsion points (because ESW (Fp) has one 2-torsion point) it is possible to use 2-isogenous Montgomery curve EM (Fp2) to the curve ESW (Fp2) for counting point scalar multiplication on ESW (Fp). However arithmetic in (Fp2) is much more complicated than arithmetic in Fp, in hardware implementations this method may be much more useful than standard methods, because it may be nearly 45% faster.
Development and Method Validation of Analysis of Urushiol in Sumac and Food Ingredients in Korea
Authors: Seo Dongwon , Kim Kijin , Choi Hee-Don , Yoo Miyoung , Ha Jaeho , Lee Kwang-Won
Published: September 2017

This study developed an analytical method to determine the urushiol content in sap and several foods. The full process for urushiol analysis consists of extraction, trimethylsilyl silylation, analysis, and identification via GC-MS, with each step optimized to attain the required accuracy and precision. Urushiol was separated from sap via liquid–liquid extraction and was derivatized via silylation. The components were analyzed using a polar capillary column and identified using GC-MS. The deviations of relative retention times and retention time windows were within 0.001 and 0.02 min, which satisfied the criteria of 0.06 and 0.03 min, respectively. The response of the urushiol standards tested was found to be linear in the investigated concentration range, with a correlation coefficient of 0.998. The LODs were between 1.74 and 2.67 μg/mL.
Reversing Frailty Levels in Primary Care Using the CARES Model
Authors: Theou Olga , Park Grace H. , Garm Antonina , Song Xiaowei , Clarke Barry , Rockwood Kenneth
Published: September 2017

BackgroundThe purpose of this manuscript was to evaluate the effectiveness of the Community Actions and Resources Empowering Seniors (CARES) model in measuring and mitigating frailty among community-dwelling older adults.MethodsThe CARES model is based on a goal-oriented multidisciplinary primary care plan which combines a comprehensive geriatric assessment (CGA) with health coaching. A total of 51 older adults (82 ± 7 years; 33 females) participated in the pilot phase of this initiative. Frailty was measured using the Clinical Frailty Scale (CFS) and the Frailty Index (FI-CGA) at baseline and at six-month follow-up.ResultsThe FI-CGA at follow-up (0.21 ± 0.08) was significantly lower than the FI-CGA at baseline (0.24 ± 0.08), suggesting an average reduction of 1.8 deficits. Sixty-one per cent of participants improved their FI-CGA and 38% improved CFS categories. Participants classified as vulnerable/frail at baseline were more responsive to the intervention compared to non-frail participants.ConclusionPilot data showed that it is feasible to assess frailty in primary care and that the CARES intervention might have a positive effect on frailty, a promising finding that requires further investigations. General practitioners who participate in the CARES model can now access their patients’ FI-CGA scores at point of service through their electronic medical records.
The H2O20 FREEWAT participated approach for the Follonica-Scarlino aquifer case study. A common space to generate shared knowledge on the value of water
Authors: Positano Pio , Nannucci Marco
Published: September 2017

The “Follonica-Scarlino Aquifer” case study is run within the H2020 FREEWAT project by Regione Toscana as partner of an international consortium. FREEWAT aims at promoting water resource management by simplifying the application of the Water Framework Directive and other EU water related Directives. The tool used to reach this target is an open source and public domain GIS integrated modeling environment for the simulation of water quantity and quality in surface water and groundwater. The case study area is located in a coastal plain in the Southern part of Tuscany (Italy) and the aquifer system is affected by various issues: in particular, the numerical model created through FREEWAT platform was used to study the problem of aquifer over-exploitation . The deficit in quantity of the water resource is mainly caused by the huge industrial and agricultural abstractions, but drinking water supply during the summer season is also notable. The participatory approach, included in the FREEWAT project, became of crucial importance to gather the huge amount of data about the aquifer system and to create a shared knowledge about water resource. It was carried out through seven focus groups and led the stakeholders to reach an agreement about the scenarios to be explored with FREEWAT software platform. Focus Group 1 to 3 were used to identify the case study objectives. Focus Groups 4 to 6 allowed to assess the water management issues and select the scenarios. The community chose two of the four scenarios that came out from the focus group meetings. Simulations corresponding to these two scenarios have shown, the effectiveness of the proposed technical solutions for achieving the objectives set out in the River Basin Management Plan of the Northern Apennines District. At the end of the focus group cycle, useful suggestions and feedbacks came from stakeholders, to set up a new kind of water management. Some experts working for local industries expressed their interest in using the FREEWAT open source platform as professional modeling tool.
Modelling the impact of rural land use scenarios on water management: a FREEWAT approach to the Bakumivka catchment case study, Ukraine
Authors: Grodzynskyi Mykhailo , Svidzinska Daria
Published: September 2017

The Bakumivka River’s catchment, Ukraine serves as a case study to the application of FREEWAT to the ground and surface water management. The main objective of the study is to find out the optimal spatial distribution of the water supplied to the farms by modifying the land cover pattern of the catchment. An integrated numerical model was developed to provide quantitative estimates of the water budget components. The model includes four model layers, representing the main hydrostratigraphic units, different types of boundary conditions assigned along the area’s boundaries, major components of the water balance introduced through source and sink layers. It was implemented through the FREEWAT software. Three water management scenarios were developed in order to compare different spatial patterns of land cover and distribution of water within the Bakumivka River’s basin. The scenarios represent continuum from market oriented pattern to environmentally sounding pattern of land cover. The objective of the modeling exercise is to obtain mass balances and maps representing three scenarios of water management. Each map shows distribution of the areas where the water balance is optimal, insufficient (dry) or excessive (wet) for vegetation (land cover) of particular type.The simulation shows that changing spatial land cover pattern is an effective measure to reduce water supply to the farms, however it does not prevent water logging in the areas adjacent to the flood plains and drying on summer stress periods in lands of sandyloam soils. Irrigation should be excluded in the areas with sandy and sandyloam soils. The flood plain with peat bogs despite the high water head in spring and late summer stress periods should be irrigated to prevent peat fires. The intrusion of eco-corridors to the land cover pattern in the catchment is positive from ecological perspective, but could prevent drainage causing water logging in the arable lands.
Francesco Penta, a 1899 boy
Authors: Argentieri Alessio
Published: September 2017

Not available.
Intrinsic disorder within AKAP79 fine-tunes anchored phosphatase activity toward substrates and drug sensitivity
Authors: Nygren Patrick J , Mehta Sohum , Schweppe Devin K , Langeberg Lorene K , Whiting Jennifer L , Weisbrod Chad R , Bruce James E , Zhang Jin , Veesler David , Scott John D
Published: September 2017

Scaffolding the calcium/calmodulin-dependent phosphatase 2B (PP2B, calcineurin) focuses and insulates termination of local second messenger responses. Conformational flexibility in regions of intrinsic disorder within A-kinase anchoring protein 79 (AKAP79) delineates PP2B access to phosphoproteins. Structural analysis by negative-stain electron microscopy (EM) reveals an ensemble of dormant AKAP79-PP2B configurations varying in particle length from 160 to 240 Å. A short-linear interaction motif between residues 337–343 of AKAP79 is the sole PP2B-anchoring determinant sustaining these diverse topologies. Activation with Ca2+/calmodulin engages additional interactive surfaces and condenses these conformational variants into a uniform population with mean length 178 ± 17 Å. This includes a Leu-Lys-Ile-Pro sequence (residues 125–128 of AKAP79) that occupies a binding pocket on PP2B utilized by the immunosuppressive drug cyclosporin. Live-cell imaging with fluorescent activity-sensors infers that this region fine-tunes calcium responsiveness and drug sensitivity of the anchored phosphatase.
The relationship between sustained attention and aerobic fitness in a group of young adults
Authors: Ciria Luis F. , Perakakis Pandelis , Luque-Casado Antonio , Morato Cristina , Sanabria Daniel
Published: September 2017

Background

A growing set of studies has shown a positive relationship between aerobic fitness and a broad array of cognitive functions. However, few studies have focused on sustained attention, which has been considered a fundamental cognitive process that underlies most everyday activities. The purpose of this study was to investigate the role of aerobic fitness as a key factor in sustained attention capacities in young adults.

Methods

Forty-four young adults (18–23 years) were divided into two groups as a function of the level of aerobic fitness (high-fit and low-fit). Participants completed the Psychomotor Vigilance Task (PVT) and an oddball task where they had to detect infrequent targets presented among frequent non-targets.

Results

The analysis of variance (ANOVA) showed faster responses for the high-fit group than for the low-fit group in the PVT, replicating previous accounts. In the oddball task, the high-fit group maintained their accuracy (ACC) rate of target detection over time, while the low-fit group suffered a significant decline of response ACC throughout the task.

Discussion

Importantly, the results show that the greater sustained attention capacity of high-fit young adults is not specific to a reaction time (RT) sustained attention task like the PVT, but it is also evident in an ACC oddball task. In sum, the present findings point to the important role of aerobic fitness on sustained attention capacities in young adults.
Acidentes Ofídicos nas Mesorregiões do Estado de Santa Catarina
Authors: Coser Annelise , Wolff Indyanara , De Quadros Rosiléia Marinho , Marques Sandra Marcia Tietz
Published: September 2017

Introdução: O ofidismo representa significativo problema de saúde pública no Brasil pela frequência, morbidade e mortalidade em consequência das atividades tóxicas decorrentes da inoculação do veneno. Objetivo: Relatar a ocorrência e descrever a epidemiologia dos acidentes por serpentes, no estado de Santa Catarina, no período de 2007 a 2013. Metodologia: As informações sobre os acidentes ofídicos foram obtidas pela análise das notificações registradas no Sistema Nacional de Agravos de Notificação (SINAN), no período de 2007 a agosto de 2013. Foram coletadas informações sobre os municípios de ocorrência dos acidentes, os gêneros das serpentes envolvidas nos acidentes, mesorregiões do estado, faixa etária, gênero, localização anatômica, sazonalidade e evolução dos casos em relação à gravidade. Resultados: Foram registrados 5.318 casos de acidentes ofídicos, com 80,52% dos acidentes por serpentes do gênero Bothrops. A mesorregião do Vale do Itajaí foi que teve maior número de registros de ofidismo, a faixa etária mais acometida com leve predomínio foi entre 20 a 39 anos (33,41%) com maior frequência no sexo masculino (76%). Em relação à sazonalidade, os meses de outubro a abril apontaram para o maior número de ocorrências. A maioria dos casos evoluiu para a cura (96,9%). Conclusão: Faz-se necessário que a vigilância epidemiológica realize campanhas para reduzir os acidentes por serpentes peçonhentas, bem como melhorar o acesso aos serviços de saúde.

 

 
Síndrome de Prader-Willi: relato de caso
Authors: Penha Pammella Costa , Retondaro Barbosa Fernanda Coutinho
Published: September 2017

Introdução: A síndrome de Prader-Willi é um tipo de desordem cromossômica que pode afetar de forma aleatória qualquer grupo étnico independentemente do sexo, comumente de forma não hereditária. É associada na maioria dos casos à deleção da porção proximal do braço longo do cromossomo 15 (15q11-13) herdado paternalmente, além de dissomia uniparental materna e imprinting genômico. É uma doença rara, atingindo aproximadamente 1 para cada 15 mil nascimentos, constituindo uma das causas genéticas mais comuns de obesidade mórbida. Objetivo: Relatar e discutir a evolução de um caso da Síndrome de Prader-Willi. Metodologia: A pesquisa foi realizada através de estudo de caso de um portador da Síndrome de Prader-Willi a partir de entrevistas concedidas pela genitora e fundamentado em dados da literatura científica. Conclusão: O diagnóstico precoce da doença e o acompanhamento de uma equipe multidisciplinar de profissionais da área de saúde são essenciais para melhora da assistência e qualidade de vida dos portadores e sua família.
Analysis by means of cone-beam computed tomography, bone density and X-ray beam attenuation of rabbit mandibles subjected to low-level laser therapy during distraction osteogenesis
Authors: Cenci Rodrigo , Silveira Vinicius , Mayer Luciano , De Oliveira Helena , Moraes João , Gerhardt de Oliveira Marília
Published: September 2017

Objectives: To assess by means of cone-beam computed tomography (CBCT) the relative bone density of newly formed bone in rabbit mandibles treated with low-level laser therapy (LLLT) during distraction osteogenesis (DO). Methods: Seven rabbits underwent surgical osteotomy and immediate installation of a distractor on the mandible (right side). DO was performed for 10 days, and LLLT (aluminum-gallium-arsenide [AlGaAs] infrared laser, λ 830 nm, 40 mW) was applied during distractor activation (days 4-10). Three rabbits were euthanized at the end of the activation period (day 10, group A), and four at the end of the maturation period (day 20, group B). Quality and quantity of newly formed bone in the distracted area were measured on grayscale images using adjacente untreated areas as controls. Two CBCT images were acquired for each animal (before and after removal of soft tissue) to evaluate the influence of the soft tissue on X-ray beam attenuation. Results: Mean grayscale values in the distracted area were higher in group B rabbits (140.47 vs. 102.55 in group A), indicating greater bone maturation in a short period. Absence of soft tissues during CBCT scanning was associated with higher grayscale values, indicative of less X-ray beam attenuation. Conclusions: It is possible to measure differences in bone density in areas subjected to DO on CBCT scans, providing an objective assessment useful for monitoring bone quality during the repair process.

 
Avaliação nutricional de crianças hospitalizadas em um hospital privado de Salvador, Bahia
Authors: Ribeiro Isabela Tavares , Silva Luciana Rodrigues , Mendes Carlos Maurício Cardeal , Coelho Clara Barroso , Mattos Angela Peixoto de , Santos Gilton Marques dos
Published: September 2017

Avaliação nutricional de crianças e adolescentes hospitalizados é pouco relatada na literatura médica. Objetivo: Avaliar perfil nutricional de crianças e adolescentes admitidas na emergência pediátrica de um hospital particular, Salvador, Bahia. Metodologia: Trata-se de estudo de corte transversal com coleta retrospectiva de dados. Foram avaliados Índices de Massa Corporal de 320 pacientes na admissão, entre fevereiro de 2012 e abril de 2013. Foi utilizada a curva de crescimento Idade X Índice de Massa Corporal (z-score). Dividiram-se quatro grupos, segundo critérios de faixa etária. O Grupo A correspondeu a crianças com menos de 1 ano, Grupo B, 1 a 5 anos, Grupo C, 6 a 10 anos, e Grupo D, com crianças acima de 10 anos. Resultados: O Grupo A incluiu 101 crianças (31,56%), das quais 49 (48,51%) apresentaram peso adequado para a idade, e 52 (51,49%) apresentaram peso inadequado para idade. Grupo B ficou representado por 136 crianças (42,50%), sendo 74 (54,41%) delas com peso adequado, e 62 (45,59%) com peso inadequado. Já o Grupo C foi composto de 50 crianças (15,63%), incluindo 24 (48,00%) com peso adequado, e 26 (52,00%) com peso inadequado. O Grupo D englobou 33 crianças e adolescentes (10,31%), dos quais 21 (63,64%) apresentaram peso adequado, 12 (36,36%) apresentaram peso inadequado. Conclusões: As faixas etárias incluídas nos grupos A e B responderam juntas, por 74,06% dos pacientes que procuraram a referida emergência pediátrica. Os grupos A e C possuem maior proporção de crianças com peso inadequado no momento da admissão na referida emergência pediátrica.
Análise do conhecimento sobre radiações ionizantes e qualidade do equipamento de proteção individual em um hospital público
Authors: De Medeiros Caroline , Dorow Patricia Fernanda , Brandão Cristiane Pereira , Ribeiro Mariana Rosa
Published: September 2017

Introdução: a prática médica do diagnóstico por imagem requer controle de qualidade e proteção radiológica para assegurar segurança dos trabalhadores e usuários ocupacionalmente expostos. Apesar dos benefícios gerados pelo uso das radiações ionizantes no diagnóstico médico a interação da radiação com a matéria biológica pode produzir efeitos nocivos. Objetivo: avaliar o conhecimento sobre radiação ionizante dos trabalhadores das técnicas radiológicas em um hospital público. Metodologia: foi realizada uma pesquisa empírica, quantitativa, exploratória, que utilizou nove questionários para a coleta dos dados. O projeto de pesquisa foi aprovado no CEP sob o parecer sob nº 524.226 no dia 06/02/2014. Os dados foram coletados junto a nove técnicos/tecnólogos em radiologia que trabalham no hospital pesquisado, utilizando-se entrevista semiestruturada e analisados mediante estatística descritiva. Resultados: a deficiência de saberes sobre legislação e uso de equipamentos de proteção individual foram as variáveis mais citadas pelos trabalhadores. Considera-se que o reconhecimento no trabalho inicia com ações que privilegiem a segurança ocupacional, de modo a prevenir agravos. Conclusão: os achados sugerem que treinamentos sistemáticos poderiam ajudar no esclarecimento e promover a saúde do trabalhador. 
Detection of bacterial samples on the aquatic ecosystems adjacent to Saquarema Lagoon – Rio de Janeiro
Authors: Nogueira Barbara Araujo , Olivella Julianna Giordano Botelho , Gil Adriana Costa , Meirelles-Pereira Frederico , Gonçalves Verônica Dias , Andrade Arnaldo Feitosa Braga de , Bello Alexandre Ribeiro , Pereira José Augusto Adler
Published: September 2017

Introduction: Saquarema Lagoon (RJ) has a high ecological and economic value owing to its multiple uses. The population’s constant growth increases the amount of sewage containing bacteria and antimicrobial drugs that are discharged to the environment. Objectives: to detect Gram negative bacilli able to colonize or infect humans and animals and determine their antimicrobial resistance profiles. Methodology:samples were collected in the city centre in April 2010 and at Jaconé (Lagoon’s most preserved site) in February 2011. The total and thermo tolerant coliforms were determined and the isolation of samples was made using agar media containing  32cg/ mL of cephalotin. All samples were tested for antimicrobial susceptibility (AST) and on 16 samples, plasmid DNA was extracted. Results: different Gram negative bacteria were detected, such as: Enterobacter spp, Citrobacter freundii, Klebsiella pneumoniae and Pseudomonas aeruginosa. The coliform results showed that the water quality is proper for Human recreation. AST results demonstrated the existence of bacteria resistant to antimicrobial drugs frequently used in the community. It was possible to detected high molecular weight plasmids and nine samples (56,25%) showed at least one plasmid DNA electrophoresis band. Conclusions: there were not detected resistant samples to antimicrobial drugs normally used in hospital settings, which may possibly refute the idea of a contamination by nosocomial and/or veterinary sewage discharge.
Aspectos clínicos relevantes de pacientes com acidente vascular cerebral na emergência hospitalar: implicações para o serviço público de saúde
Authors: Trevisan Cláudia Morais , Marcon Carline Letícia Volpato , Cavalheiro Bibiana Reis , Melo Luciana Protásio de , Campos Tania Fernandes
Published: September 2017

Objetivo: avaliar os aspectos clínicos relevantes dos pacientes com AVC na emergência hospitalar e suas implicações para o serviço público de saúde do Brasil. Metodologia: participaram do estudo 40 pacientes, que sofreram AVC e foram atendidos em um hospital de Emergência de Santa Maria-RS. Os pacientes foram avaliados com um instrumento de base epidemiológica (Step 1), junto com a Escala Modificada de Rankin (dependência funcional nas atividades de vida diária). Os dados foram analisados pelo Qui quadrado. Resultados: não foi encontrada diferença significativa na frequência de casos de AVC de acordo com o sexo, porém encontrou-se quanto à idade, maior frequência na faixa etária de 50 a 69 anos (50%), e escolaridade, 40% dos indivíduos com o fundamental incompleto. O AVC isquêmico foi o mais frequente (47,5%) e a hipertensão arterial foi o fator de risco mais comum (47,5%). A maioria dos pacientes não tomava medicação antes do AVC (31,8%), contudo os anti-hipertensivos foram os medicamentos mais administrados no hospital (27,3%). Na avaliação funcional, foi encontrada maior frequência de incapacidade grave (54,4%). A maioria dos casos avaliados tinha sofrido o primeiro AVC, no entanto foram feitos registros de pacientes que tiveram até 4 episódios (p= 0,001). Dos pacientes atendidos, 77,5% eram provenientes de Santa Maria e 22,5% eram de outras cidades do Estado. Conclusão: os pacientes com AVC na chegada ao hospital mostraram-se gravemente comprometidos com altos níveis de incapacidade e dependência, o que implica na necessidade de normatização do atendimento dos pacientes com AVC nos serviços públicos de saúde. 
Reabilitação oral em paciente atópico: relato de caso
Authors: Nogueira Fernanda Luiza Alves , Calvário Marco Antônio Ferreira , Fernandes José Aloísio
Published: September 2017

Objetivo: descrever o caso de uma paciente atópica com doença periodontal, relatar uma possível relação entre sua atopia e periodontite, além de enfatizar a importância do trabalho reabilitador, através de implantes e próteses, para restaurar não só estética e função, mas também sua saúde. Metodologia: é apresentado o caso clínico de uma paciente com doença atópica submetida a tratamento periodontal, protético, e cirúrgico com extrações múltiplas e colocação de implantes osseointegráveis. Este caso é analisado em comparação com situações semelhantes na literatura. Foram usados o termo de consentimento livre e esclarecido e o termo de confidencialidade para garantir os direitos e sigilo da identidade da paciente. Resultados: após todos os tratamentos, a paciente apresentou melhora da condições orais, com remissão da sintomatologia patológica, e sistêmica, com melhora nos níveis sanguíneos dos marcadores da inflamação, esses comprovados através de análise comparativa de exames laboratoriais realizados antes e após os procedimentos. Conclusão: conclui-se que o tratamento reabilitador deve levar em consideração todas as condições sistêmicas do paciente a fim de garantir sua saúde. Neste relato de caso, não foi possível afirmar se existe uma relação direta entre atopia e doença periodontal sendo necessária realização de trabalhos investigativos de caráter epidemiológico, por meio de pesquisas bem controladas para elucidar tal questão.
Estudos genéticos sobre a Fibrose Cística no Brasil: uma revisão sistemática
Authors: Mota Laís Ribeiro , Souza Edna Lúcia , Rocha Pedro Henrique Silva Andrade , Vieira Mônica Jacobina Fonseca , Dos Santos Jéssica Fernandes , Lage Vivian Marina Gomes Barbosa , De Lima Renata Lúcia Leite Ferreira
Published: September 2017

Introdução: a Fibrose Cística (FC) é a doença genética mais comum e letal em caucasianos. O Brasil apresenta grande diversidade étnica entre as cinco regiões geográficas, o que leva a uma incidência variável da FC entre os diferentes Estados. Objetivo: verificar a distribuição dos estudos acerca do perfil de mutações FC em diferentes regiões do Brasil. Metodologia: foi realizada uma revisão sistemática da literatura nas bases de dados (PubMed, LILACS, SciELO e Capes), nos idiomas português e inglês de 1990 a 2014. Resultados: após a aplicação dos critérios de seleção, restaram 60 artigos elegíveis para análise. Foi observado um desequilíbrio de distribuição dos estudos acerca da FC nas cinco regiões do Brasil. As regiões Sudeste e Sul foram as que mais apresentaram trabalhos relacionados ao estudo de mutações genéticas e da doença. Conclusão: alto grau de miscigenação da população brasileira e a grande variabilidade de mutações já descritas impõe o conhecimento do perfil mutacional de cada região do país, tendo em vista a heterogeneidade clínica apresentada pelos pacientes. 

 

 
Estudo da infecção por Mycobacterium bovis em caprinos leiteiros no semi-árido do estado da Bahia e aspectos zootécnicos associados
Authors: Da Silva Luciana Teixeira , Bacelar de Carvalho Filipe Ramon , Cerqueira Robson Bahia
Published: September 2017

Introdução: a tuberculose provocada pelo Mycobacterium bovis tem sido motivo de diversos estudos em rebanhos destinados à produção leiteira em nosso país, principalmente devido ao caráter zoonótico desta enfermidade. Com o incremento da caprinocultura leiteira como fonte de renda para a agricultura familiar, a possibilidade da introdução ou manutenção da tuberculose nestes rebanhos é um fator relevante para a manutenção da sanidade dos rebanhos baianos. Objetivo: efetuar o estudo da infecção por M. bovis em caprinos destinados à produção de leite em um dos polos de produção do estado. Metodologia: foram tuberculinizados, através da utilização do Teste Cervical Comparativo (TCC), 300 fêmeas caprinas mestiças destinadas à produção leiteira, com idade entre 01 e 06 anos. Resultados: a leitura dos resultados, segundo padrões determinados por Lopes (2013) determinaram 280 animais negativos e 20 animais inconclusivos, não sendo obtido nenhum resultado positivo entre os animais testados. A aplicação do questionário educativo sanitário identificou fatores de risco para manifestação da enfermidade em caprinos: criação conjunto entre diferentes espécies; a falta de testes de tuberculinização nos bovinos das propriedades. Conclusão: com base no questionário educativo-sanitário aplicado, pode-se concluir que alguns fatores refletem como risco à introdução do agente no rebanho, como a criação conjunta de caprinos e bovinos e a não realização de testes nos bovinos da propriedade, evidenciando também a necessidade de ações de educação sanitária aos produtores, por parte dos órgãos oficiais responsáveis.
Incidência de necrólise epidérmica tóxica em pacientes admitidos no setor de clínica médica, de um hospital terciário, na cidade de Salvador-Bahia
Authors: Guimarães Juciane Rocha , Ventura Ramsés De Freitas , Cerdeira Ana Karina Lima Alves , Guimarães Isabel Cristina Britto
Published: September 2017

Introdução: a necrólise epidérmica tóxica se caracteriza como uma lesão cutânea rara, relacionada à reação pelo uso de fármacos, acometendo acima de 30% da extensão do corpo. Os sintomas mais comuns são hiperemia dolorosa, podendo estar associada à formação de vesículas. O diagnóstico é clínico e o tratamento se inicia com a imediata suspensão dos fármacos suspeitos e com reposição de líquidos e sais, terapêutica similar a de queimados. Objetivo: conhecer a incidência de necrólise epidérmica tóxica em pacientes admitidos no setor de Clínica Médica, de um hospital terciário, na cidade de Salvador-Bahia. Metodologia: o método utilizado corresponde ao desenho de coorte retrospectiva, onde a obtenção de informações ocorreu mediante a revisão de prontuários dos pacientes admitidos no período de abril de 2013 a abril de 2015. Resultados: foram avaliados 480 prontuários, no entanto, apenas um caso foi encontrado no período proposto. Dada a importância desse achado, o caso encontrado foi relatado, incluindo aspectos clínicos e dados sobre diagnóstico, tratamento e evolução do paciente. Conclusão: com base nos resultados obtidos, observou-se que, possivelmente, a reação cutânea desenvolvida pelo paciente tenha sido desencadeada pelo uso da Dapsona, usada como tratamento poliquimioterápico para a hanseníase, juntamente com a Rifampicina. Todavia, o tratamento medicamentoso a base de analgésicos, corticoides, antifúngicos, cristaloides, e o aporte calórico e proteico da dieta via sonda nasoenteral, associado ao tratamento das lesões cutâneas com cobertura de prata nanocristalina, proporcionaram regressão importante das lesões e resultaram em menor tempo de internamento e de custos hospitalares.

 