bluuebunny/crossref_metadata_2025 huggingface dataset:
CONTEMPORARY AND FUTURE POTENTIAL GEOGRAPHIC DISTRIBUTION OF Cedrela fissilis Vell. UNDER CLIMATE CHANGE SCENARIOS
Authors: Siqueira Silvane de Fátima , Higuchi Pedro , Silva Ana Carolina da
Published: November 2019

ABSTRACT The objective of the present work was to model the climate niche of Cedrela fissilis Vell. and to project the contemporary and future potential spatial distribution considering different climate change scenarios. Species occurrence data were obtained from the SpeciesLink and Global Biodiversity Information Facility (GBIF) databases. Altitude data, and 19 climate variables for both present and future conditions were obtained from the WorldClim database. The spatial prediction for the year 2070, considering an optimistic scenario (RCP 4.5) and a pessimistic one (RCP 8.5), was defined by Intergovernmental Panel on Climate Change (IPCC) regarding the concentration of greenhouse gases. The climate niche modeling was performed using the Maximum Entropy algorithm (MaxEnt). The results showed that C. fissilis has a wide geographic distribution, occurring in most South American countries. Its distribution showed a high correlation associated with the isothermal and precipitation variables in the humid month. In future scenarios, impacts on the climatic suitability of the areas in which the species occur, will not be spatially homogeneous. Indeed, reductions of about 47% (RCP4.5) and 63% (RCP8.5) are expected. It is recommended the creation and expansion of Conservation Units (CU) in areas that will remain climatically suitable for this species. The areas that will not have a favorable climate in the future should be considered strategic for genetic rescue and establishment of germplasm banks. Areas changing into a favorable climate should be considered as new areas of ecological and forestry interest.
Multicriterial evaluation in the definition of protected areas at the Piedade municipality, SP.
Authors: Sumida Simone Sayuri , Valente Roberta Averna
Published: November 2019

ABSTRACT The preservation in situ, through the establishment of legally protected areas, is one the approaches to mitigate environmental impact and protect biodiversity in the long term. The Piedade municipality shows a favorable set of conditions for consolidating protected areas (i.e. relatively low urbanization rates, the presence of forest remnants, and portions of relevant conservation units). In this context, the present study proposed the definition of priority areas for protection using Multicriteria Evaluation (MCE). The specific objectives were to identify the criteria and weights that are important for defining protected areas and to evaluate which method of MCE, whether the Weighted Linear Combination (WLC) or the Ordered Weighted Averaging (OWA) would be more appropriate. Using the Participatory Technique (PT), we defined criteria and weights. WLC and OWA made possible the identification of areas likely to become protected, but the first method produced more general and less flexible solutions. On the other hand, OWA provided a greater number of possible answers to the question of interest. Thus, showing the low-risk level, the OWA map was considered most suitable for the study proposal.
EVALUATION OF THE GROWTH AND SURVIVAL OF MANGROVE SEEDLINGS UNDER DIFFERENT LIGHT INTENSITIES: SIMULATING THE EFFECT OF MANGROVE DEFORESTATION
Authors: Silva Neilson Rocha da , Maia Rafaela Camargo
Published: November 2019

ABSTRACT Environmental factors, especially light, temperature, and edaphic conditions are of great importance for the establishment of plant communities. In areas degraded by deforestation, these factors can vary greatly, which may affect the recolonization of the typical populations in the altered area. This study evaluated the development of seedlings of pioneer mangrove species under different levels of shading in soil substrate degraded by deforestation, aiming to assess the effect of deforestation on the recolonization of mangrove forests, which may be of help in the production of seedlings and recovery of deforested areas. The study was conducted in the municipality of Acaraú in the state of Ceará, Brazil. The species Avicennia schaueriana Stapf and Leechm. ex Moldenke (1939) and Laguncularia racemosa C. F. Gaertn (1807) were used in the study, and the substrate was collected from an area impacted by deforestation. The propagules and seedlings were exposed to full sun and 30, 50 and 70% shading. The results revealed that the treatment at full sun had the lowest germination rate of 86.66% for L. racemosa. Seedlings of both species showed a significant difference and better quality between shading treatments and full sun. The height of the seedlings showed a correlation above -0.90 with ambient temperature. L. racemosa tested in full sun had a viable seedling reduction of 50% and A. schaueriana was superior. It is concluded that the natural regeneration of a mangrove area can be compromised under the conditions of total deforestation with high sun exposure and degraded soils. Human intervention in providing 50% shading is essential for the development of seedlings and regeneration of the area impacted by deforestation.
PROPERTIES OF PARTICLEBOARD PANELS MADE OF SUGARCANE PARTICLES WITH AND WITHOUT HEAT TREATMENT
Authors: Milagres Emerson Gomes , Barbosa Raiana Augusta Grandal Savino , Caiafa Karine Fernandes , Gomes Gabriel Soares Lopes , Castro Tatiana Aurora Condezo , Vital Benedito Rocha
Published: November 2019

ABSTRACT The objective of this work was to determine the properties of particleboard panels made of “in natura” sugarcane bagasse particles, heated at 250 °C for 5 minutes. Various particle proportions were utilized to produce the panels and their properties were compared with that of a panel made of Pinus sp. The panels were produced with 8% tannin formaldehyde adhesive, and 0.5% paraffin emulsion, being pressed at 32 kgf.cm-2 for 10 minutes at 180 ° C. It was determined the basic density of the “in natura” and heat-treated particles, their chemical composition, as well as the compression ratio necessary to obtain panels with density equal to 0.75 g.cm-3. The basic density of the panels, hygroscopic equilibrium humidity, thickness swelling, linear expansion, water vapor adsorption, modulus of elasticity and rupture, perpendicular traction, screw pullout, and Janka hardness were determined. The basic densities of Pinus particles and sugarcane bagasse without and with heat treatment were 0.46, 0.27 and 0.30 g.cm-3, respectively. The average specific mass of the panels was 0.74 g.cm-3 with no significant difference between them. Generally, panels made of sugarcane particles were less hygroscopic and dimensionally more stable than panels made of Pinus particles. However, the perpendicular tensile strength, screw pullout and Janka hardness of these panels were higher than for the Pinus panels. The heat treatment of sugarcane bagasse particles resulted in better mechanical properties of perpendicular traction and Janka hardness. In general, the panels are within the limits set by ANSI A208.1. It is therefore possible to replace panels made of Pinus particles for the ones made of sugarcane bagasse, provided that at least 25% of the particles are heat treated for 5 minutes at 250 ° C.
Aplicação do Formalismo CTP em uma Ação com Operador Pseudo-Diferencial
Authors: Nascimento Leandro Oliveira do , Corrêa Alexsandro B.
Published: November 2019

Resumo O formalismo CTP (closed-time-path) é uma ferramenta matemática para calcular funções de Green em sistemas físicos. A principal vantagem desta técnica é a de que, ao contrário do formalismo de Feynman, o formalismo CTP pode ser aplicado em sistemas fora do equilíbrio. Por outro lado, em física da matéria condensada, alguns modelos não locais no espaço-tempo e de baixa dimensionalidade tem sido bastante discutidos na literatura científica, em particular, na descrição de materiais bidimensionais. Dentre estes, destacamos a Pseudo eletrodinâmica quântica que vem sendo aplicada com sucesso na descrição das interações eletrônicas no grafeno e metais de transição dicalcogenados. Neste trabalho introduzimos o formalismo CTP, usando uma discussão voltada para o cálculo de observáveis físicos. Destacamos o fato de que tal formalismo é muito útil quando o vácuo do passado distante é diferente do vácuo do futuro distante. Após essa breve revisão, fazemos uma aplicação original do formalismo CTP na ação da teoria Proca-Pseudo eletrodinâmica quântica em (0+1) dimensões, calculando as diversas funções de Green relevantes, dentre elas: A função de Green de Feynman; Função de Green Dyson; Função de Green de frequência positiva e; Função de Green de frequência negativa.
Multiple resistance to bacterial halo blight and bacterial leaf spot in Coffea spp.*
Authors: Rodrigues Lucas Mateus Rivero , Destéfano Suzete Aparecida Lanza , Almeida Irene Maria Gatti de , Beriam Luís Otávio Saggion , Braghini Masako Toma , Guerreiro Filho Oliveiro
Published: November 2019

ABSTRACT Breeding for genetic resistance is an important method of crop disease management, due to the numerous benefits and low cost of establishment. In this study, progenies of 11 Coffea species and 16 wild C. arabica accessions were tested for their response to Pseudomonas syringae pv. garcae, the causal agent of bacterial halo blight, a widespread disease in the main coffee-producing regions of Brazil and considered a limiting factor for cultivation in pathogen-favorable areas; and also to P. syringae pv. tabaci, causal agent of bacterial leaf spot, a highly aggressive disease recently detected in Brazil. Separate experiments for each disease were carried out in a greenhouse, with artificial pathogen inoculations and ideal moisture conditions for disease development. The results showed that C. canephora, C. congensis, C. eugenioides, C. stenophylla, and C. salvatrix progenies, the wild C. arabica accessions Dilla & Alghe and Palido Viridis, and cultivar IPR 102 contain satisfactory levels of simultaneous resistance against bacterial halo blight and bacterial leaf spot. These results are useful in breeding programs for durable resistance to multiple biotic agents, providing new combinations of resistance alleles by hybridization, as well as for phytopathological studies, to identify infraspecific variability of the pathogens.
Anthelmintic activity of plant aqueous extracts against Panagrellus redivivus in vitro
Authors: Lubian Cleonice , Martinha Danielle Dutra , Portz Roberto , Gonçalves Manoel Penachio , Holz Sabrina , Marcelino Wesler Luiz , Nogueira Ana Claudia Constantino , Thomé Renata Mori , Missio Vivian Carré , Cordeiro Juliano , Feroldi Lorraine Tomim
Published: November 2019

ABSTRACT Control of phytonematodes is very hard and requires a combination of techniques to succeed. Alternative control through plant extracts may result in the discovery of nematicide substances. Research aimed at evaluating the effect of 33 plants submitted to aqueous extraction against Panagrellus redivivus in vitro. Concentrations were prepared at 1.25, 2.5, 5, 10, and 20%. Monitoring happened at 0, 6, 12, 24 and 30 hours after preparation. Counting considered dead nematodes subtracted from alive ones. Juveniles were also counted, and extract efficiency was expressed in percentage of control or stimuli. Data were submitted to variance analysis. Significant results got with the Scott-Knott test (5%), and multiple linear regression analysis. Extracts were observed acting as controllers, but also as stimulators to nematode reproduction. The best controlling performance was set by Carica papaya (-66% at 20%; -33.7% at 10%), Euphorbia milii (-37% at 20%), Psychotria carthagenensis (-25.5% at 2.5%), Clusia variegate (-22% at 20%), and Zamioculcas zamiifolia (-21.5% at 20%). Stimulator extracts were Mentha villosa at 10% (+148%) and 2.5% (+131.5%), followed by Aloe vera (+123% at 5%), Schinus molle (+112.5% at 10%), Schefflera arboricola (+93.5% at 5%), C. variegate (+89% at 5%), and S. molle (+88% at 5%). Some extracts kept population stable throughout the experiment, presenting lower control indexes. Besides an additive effect, there was an individual influence of concentration or time on control.
THE EVOLUTION OF ENVIRONMENTAL GOVERNANCE MECHANISMS: AN INSTITUTIONAL FRAMEWORK APPLIED TO BIOFUELS
Authors: PEROSA BRUNO BENZAQUEN , AZEVEDO PAULO FURQUIM DE
Published: November 2019

Abstract This article proposes an analytical tool to assess the evolution of environmental governance mechanisms. The institutional path of certification systems is driven by three pre-existing variables that interact to determine the evolution of environmental governance: public regulations, industry competition and organisation, and legitimation mechanisms. Competition among certification systems results in the convergence of public and private environmental regulations, which tend to move towards the median demand for sustainability standards. This framework is later applied to the still incipient sector of biofuels, seeking to predict the certification schemes that have better chances to prevail. As an important normative implication, the efficacy of environmental governance depends on compliance costs for producers and, consequently, hinges on prevailing public regulations. These regulations must be designed not only by accounting for their direct effects but also by considering their indirect effects on the development of private certification systems.
PAYMENT FOR ENVIRONMENTAL SERVICES: GUIDELINES FOR IDENTIFYING PRIORITY AREAS FOCUSING ON BIODIVERSITY*
Authors: PICHARILLO CAROLINE , RANIERI VICTOR EDUARDO LIMA
Published: November 2019

Abstract The economic tool of Payment for Environmental Services (PES) has been considered as an alternative for the conservation of the biodiversity and ecosystem services in private lands. To guide decision makers in implementing PES schemes, this paper aimed to identify in the scientific literature the important elements to prioritize areas in the implementation of PES-biodiversity schemes. It is claimed that the elements extracted from PES-biodiversity schemes must be used as a reference to guide the implementation of other PES schemes based on the recovery and maintenance of natural areas (e.g. water, carbon, environmental aesthetics conditions). Thus, the sustainability of PES schemes can be guaranteed over time.
TRADITIONAL POPULATION AND TOURISM: TAUS AS A TOOL FOR DISPUTE MANAGEMENT?
Authors: Marcondes Daniella , Raimundo Sidnei
Published: November 2019

Abstract The reproduction of real estate capital, generated through tourist facilities and secondary residences, is one of the main modes of production in the coastal region, causing, at times, conflicts with the interests of remnant traditional populations. This article aims to analyse the concession of the Term of Authorization for Sustainable Use (TAUS) - a land policy instrument for ownership regularization developed based on the recognition of the traditional populations’ right to housing and the management of their socioeconomic practices - to Caicara Traditional Communities, situated along Praia de Castelhanos, in Ilhabela (SP). The work was carried out by a descriptive and exploratory study, complemented by secondary data and by participant observation. It is understood that issuing the TAUS offers the caicara the power of decision and the possibility of participation; however, by its uniqueness on tourist desired territories, it appears inconsistent especially regarding the practical aspects of territorial management and disputes of these communities with external stakeholders.
ANTARCTICA AND ABNJ IN THE ANTHROPOCENE: CHALLENGES TO THE SUSTAINABLE MANAGEMENT OF MARINE GENETIC RESOURCES?
Authors: BARROS-PLATIAU ANA FLÁVIA , GONÇALVES LEANDRA REGINA
Published: November 2019

Abstract The Anthropocene epoch brings new technology-related challenges for the sustainable management of biodiversity, including the access to marine genetic resources. Although separated in two multilateral agendas, Antarctica and the area beyond national jurisdiction are comparable cases, since the regulation of bioprospecting activities has been under negotiation for decades, inside and outside the UN. From an interdisciplinary approach in international relations, legal and environmental science literature, three challenges are discussed: the socio-ecological complex system, the institutional responses and the UN 2030 Agenda (sustainable development goals). The main finding is that the UN 2030 Agenda needs to include companies (global players) in order to improve the effectiveness of the future regulations.
Efeito de uma intervenção sobre atividade física moderada a vigorosa e comportamento sedentário no tempo escolar de adolescentes
Authors: Costa Bruno Gonçalves Galdino da , Silva Kelly Samara da , Silveira Pablo Magno da , Berria Juliane , Machado André Ribeiro , Petroski Edio Luiz
Published: November 2019

RESUMO: Introdução: Este estudo objetivou avaliar o efeito de uma intervenção sobre o engajamento em atividade física (AF) e comportamento sedentário (CS) no período escolar, em aulas de educação física (EF) e nos recreios em estudantes do sexto ao nono ano de escolas públicas de Florianópolis, Santa Catarina. Métodos: Duas escolas foram alocadas em grupo experimental e controle. Os participantes utilizaram acelerômetros no período escolar e o tempo em AF e CS foram estimados no período escolar, aulas de EF e recreios antes e após a intervenção. A intervenção foi composta de quatro componentes: mudanças nas aulas de EF, com formação dos professores; disponibilização de materiais esportivos no recreio; sessões educativas no formato de aulas; e distribuição de folders e cartazes com informações sobre os desfechos da intervenção. Foram empregadas análises de covariância para medidas repetidas comparando a linha de base e pós-intervenção e para amostras independentes, comparando o grupo controle com o grupo intervenção. Resultados: Observou-se uma baixa proporção de AF na escola na linha de base e um elevado volume de CS. O grupo intervenção diminuiu a AF em aulas de EF, enquanto o grupo controle aumentou em todos os períodos. O grupo intervenção também acumulou mais o CS no período escolar e em aulas de EF após a intervenção, enquanto o controle diminuiu o CS no período escolar. Conclusão: A intervenção proposta não foi efetiva em aumentar a AF e diminuir o CS. Fatores ambientais e de organização escolar podem ter impactado os resultados e devem ser considerados no planejamento de intervenções.
A systematic review of economic evaluations of the use of memantine alone or combined with donepezil for moderate to severe Alzheimer’s disease
Authors: Oliveira Ione Ayala Gualandi de , Caetano Rosângela , Steffen Ricardo Ewback , Biz Aline Navega
Published: November 2019

Abstract Objective: To synthesize the available evidence and state of the art of economic evaluations which evaluate the use of memantine, whether alone or combined with donepezil, for moderate to severe Alzheimer’s disease (AD), focusing on the analytical decision models built. Method: The electronic databases MEDLINE, EMBASE, NHS EED, CEA Registry and LILACS were searched for references. After duplicates were removed, two independent reviewers evaluated the titles and abstracts and subsequently the full texts. The Drummond M. tool was used to evaluate the quality of the studies. Results: After the application of the eligibility criteria, twelve complete economic evaluations were included. One evaluation was a clinical trial, two involved simulations and nine used Markov models. The main outcome measure adopted was dominated by cost per quality adjusted life year (QALY). The use of memantine was considered cost-effective and dominant in eight studies; while in a single study, its use was dominated when compared to donepezil for moderate AD. Sensitivity analyzes were systematically performed, with robust results. The quality assessment indicated that the methodological quality of the studies was good. Conclusion: Although there is some controversy regarding the benefits derived from the use of memantine, whether combined or not with donepezil, the evidence collected suggests that it is cost-effective in the countries where the studies were performed. However, local economic studies need to be performed, given the significant variability derived from the different parameters adopted in the evaluations.
Depressive symptoms in older adults in basic health care
Authors: Abrantes Gesualdo Gonçalves de , Souza Geovana Gomes , Cunha Nilza Maria , Rocha Hélder Novais Barreto da , Silva Antonia Oliveira , Vasconcelos Selene Cordeiro
Published: November 2019

Abstract Objective: To identify depressive symptoms in older adults treated in primary care. Method: A descriptive-exploratory cross-sectional quantitative study was conducted with 260 older adults registered with Family Health Units in João Pessoa, Paraíba, Brazil. A sociodemographic instrument and the Geriatric Abridged Depression Scale (GDS-15) were applied. Descriptive analysis summarized the variables through percentages and number of participants. Results: There was a prevalence of older adults aged 60-70 years (n=154; 59.2%), who were female (n=186; 71.5%) and had a low educational level (n=89; 34.2%). The GDS-15 revealed that 195 (75.0%) of the older adults had no depressive symptoms. It was observed that 219 (84.2%) older adults were satisfied with their lives, 198 (76.1%) felt happy most of the time, 194 (74.6%) were in a good mood most of the time, 236 (90.8%) reported feeling hope in their lives and 248 (95.4%) mentioned feeling that it was wonderful to be alive. In addition, 135 (51.9%) older adults preferred to go out rather than stay at home, 180 (69.2%) felt full of energy, and 226 (86.9%) considered themselves useful people, although 112 older adults (43.0%) had interrupted many of their activities and 141 (54.2%) feared that something bad would happen. Conclusion: Primary Health Care is responsible for the screening of depressive symptoms in older adults to implement actions to protect and promote the health of this population. It is a guiding strategy of the care process, aimed at stimulating active aging and autonomy, as well as the prevention of health problems. This study contributes to reflections on the importance of public policies and good practices in the care of older adults.
SERVIÇOS FARMACÊUTICOS CLÍNICOS NA ATENÇÃO PRIMÁRIA À SAÚDE DO BRASIL
Authors: Barros Débora Santos Lula , Silva Dayde Lane Mendonça , Leite Silvana Nair
Published: November 2019

Resumo O farmacêutico executa importante papel no cuidado ao usuário da atenção primária, ao proporcionar ações emancipadoras de autocuidado, educação em saúde, promoção da saúde e do uso racional de medicamentos. Nesse contexto, este estudo, por meio de uma revisão integrativa da literatura, objetivou analisar os tipos e os benefícios dos serviços farmacêuticos clínicos desenvolvidos na atenção primária à saúde do Brasil. Foram recrutados, no SciELO e no PubMed/MEDLINE, artigos que tratavam dos serviços farmacêuticos clínicos desenvolvidos na atenção primária no Brasil publicados nos idiomas português, inglês ou espanhol no período de 2007 a 2017. O seguimento farmacoterapêutico é o serviço mais estudado, enquanto a dispensação e a orientação são as atividades realizadas com maior frequência pelos farmacêuticos da atenção primária. Já na esteira dos benefícios, a literatura demonstra a coexistência, a importância e a multidimensionalidade dos serviços farmacêuticos clínicos na promoção da saúde e do uso racional de medicamentos pela comunidade adstrita.
Glyphosate commercial formulation effects on preoptic area and hypothalamus of Cardinal Neon Paracheirodon axelrodi (Characiformes: Characidae)
Authors: Riaño-Quintero Camilo , Gómez-Ramírez Edwin , Hurtado-Giraldo Hernán
Published: November 2019

ABSTRACT In Colombia the use of glyphosate commercial formulations (Roundup™) for spraying have left deleterious effects on animals and humans. Much of this spraying takes place at the Orinoco basin, habitat of one of the most exported ornamental fish in Colombia, Cardinal neon. To evaluate the effect of Roundup Activo™ four experimental treatments were carried out with 0 mg/L (T1), 0.1 mg/L (T2), 1 mg/L (T3) and 5 mg/L (T4) during 30 days of exposure. The fishes were processed for high-resolution optical microscopy. The main finding of Roundup Activo™ exposure was an increase in mast cells number in brain blood vessels and some neuronal nuclei of the preoptic and posterior diencephalic areas, including hypothalamus. A correlation between concentrations and mast cells number was observed, with the largest mast cells number in T4 treatment. Mast cells presence is a stress benchmark, suggesting the beginning of allergic, inflammatory and apoptotic events. Presence of mast cells in these brain areas may lead to alterations on reproduction, visual and olfactory information integration among other processes. These alterations may result in diminished survival, affecting the conservation of this species in its natural habitat.
Food resource partitioning among species of Astyanax (Characiformes: Characidae) in the Lower Iguaçu River and tributaries, Brazil
Authors: Pini Suelen F. R. , Abelha Milza C. F. , Kashiwaqui Elaine A. L. , Delariva Rosilene L. , Makrakis Sergio , Makrakis Maristela C.
Published: November 2019

ABSTRACT Resource partitioning allows for interspecific coexistence and is frequently reported for similar species. Here, we predicted the existence of resource partitioning among species of Astyanax that co-occur in the Low Iguaçu River and tributaries in Brazil. A total of 848 stomachs of five species of Astyanax were analyzed. Algae, terrestrial plant and fruit/seed were the most consumed resources. Astyanax bifasciatus and A. dissimilis had predominantly herbivorous diets, A. gymnodontus and A. lacustris were omnivorous, and A. minor was mainly algivorous. Permutational analysis of variance showed the species had different diets, and similarity percentage analysis indicated that fruit/seed and terrestrial plant contributed the most to this differentiation. A paired comparison indicated that the trophic breadth of A. gymnodontus differed from that of other species. The food overlap was low for 55% of Astyanax pairs. These results showed alignment with the niche theory, in which differentiation in the use of food resources facilitates the coexistence of species and minimizes competition. These adjustments to coexistence become relevant in the context of endemic species in a highly isolated basin under intense threat (dams, species introduction, deforestation, and pollution) as is the case for the Iguaçu River basin.
Satisfaction attributes related to safety and quality perceived in the experience of hospitalized patients
Authors: Costa Diovane Ghignatti da , Moura Gisela Maria Schebella Souto de , Moraes Mariana Goes , Santos José Luís Guedes dos , Magalhães Ana Maria Müller de
Published: November 2019

Abstract Objective: To unveil patient satisfaction attributes related to safety and quality of care. Methods: Qualitative study carried out in a public university hospital in the south region of Brazil. Data were collected in November 2018 through 24 interviews with patients/families from 12 clinical and surgical hospitalization units. Thematic analysis was carried out. Results: The satisfaction attributes were categorized in terms of structure, process, and care outcome, and they were related to: access to the service, amount of personnel, environment, interaction with the health team, staff’s technical competence, perception of safety with the presence of a relative, assistance patterns present in the care, and change in the health status of the patients. Conclusions: It was verified that the structural aspects were relevant in the patient’s experience, besides the relationship established with the health team in the care process, and the technical assistance standards perceived in the staff’s work.
Care handover to chronic conditions to regionalized planning
Authors: Pena Kamila da Silva , Rollo Rosane Machado , Reuter Camila Luana Oliveira , Santos Vilma Constancia Fioravante dos , Riquinho Deise Lisboa , Ramos Adriana Roese
Published: November 2019

Abstract Objective: To analyze the possibilities of the transition from care to the problem of chronic illness due to the need of regionalized municipal planning. Method: An exploratory qualitative study was carried out in one of the Health Regions of Rio Grande do Sul, together with the Primary Health Care Coordinators. Results: The final thematic categories that emerged from the results were: “The relationship between municipalities of the Health Region and health planning”, Organizational flow of care of users with chronic diseases”, and “Managing care in the health system: meeting the demands of chronically sick users”. Conclusions: The scenario under study demonstrates the persistence of barriers that affect health care for NCDs, such as the scarcity of investments, lack of planning and disarticulation of communication among municipalities. These conditions reflect on the path of the user among the health services, weakening the transition process of care.
A EXPOSIÇÃO MACHADO DE ASSIS
Authors: DIEGO MARCELO
Published: November 2019

Resumo Em agosto de 1939, Mário de Andrade publicou em O Estado de S. Paulo um artigo sobre a exposição comemorativa do centenário de nascimento de Machado de Assis, organizada pelo Instituto Nacional do Livro, que teve lugar na Biblioteca Nacional. No artigo, ele descreve a exposição, comenta o lugar privilegiado de Machado de Assis no quadro da literatura brasileira, discute o papel do intelectual, a importância da vida literária, a função das instituições culturais e o percurso formativo e de consagração da figura do escritor.
LITERATURA BRASILEIRA E DISJUNÇÃO: CEGUEIRA SOCIAL EM "EVOLUÇÃO", DE MACHADO DE ASSIS
Authors: BUENO LUÍS
Published: November 2019

Resumo Este trabalho apresenta uma proposta geral de abordagem da história literária brasileira centrada na ideia de disjunção e procura demonstrar sua validade por meio da leitura de um conto de Machado de Assis, "Evolução".
PONTO DE INTERROGAÇÃO: PSEUDÔNIMO DESCONHECIDO E TEXTO INÉDITO DE MACHADO DE ASSIS
Authors: BORSATO FERNANDO
Published: November 2019

Resumo Ao longo de sua vida literária, Machado de Assis utilizou muitas e variadas formas para assinar seus textos. Aqui, incluímos um pseudônimo até então desconhecido no conjunto de assinaturas do escritor. Trata-se de um ponto de interrogação ("?"), sinal com o qual subscreveu um texto esquecido nas folhas do Correio da Tarde e ainda inédito, que publicamos ao final do artigo. Tal atribuição será feita a partir de uma autorreferência contida no conhecido texto "O folhetinista", da série "Aquarelas", assinado com a forma "M-as".
HEMOLYTIC UREMIC SYNDROME ASSOCIATED WITH STREPTOCOCCUS PNEUMONIAE IN PEDIATRICS: A CASE SERIES
Authors: Guerra Oscar Javier León , Rodríguez Ricardo Saul Galeano , Camacho William Javier Morales , Ortiz Jessica Estefanía Plata , Camacho María Alejandra Morales
Published: November 2019

ABSTRACT Objective: To describe a case series of four (4) patients with hemolytic uremic syndrome due to Streptococcus pneumoniae in a level four complexity institution in the city of Bogotá, D.C., Colombia. Cases description: We describe cases of four patients who presented respiratory symptoms and fever. All four patients were in regular conditions on hospital admission, after which they required intensive care and ventilatory support. Upon admission, three cases showed evidence of pleuropulmonary complication. Penicillin-sensitive Streptococcus pneumoniae was isolated in all cases. All patients presented anemia, severe thrombocytopenia, schistocytes on peripheral blood smear, and hyperazotemia. They required blood transfusion and renal replacement therapy during their hospitalization. The patients were diagnosed with hemolytic uremic syndrome due to S. pneumoniae. Three of the four patients had a progressive recovery of the renal function and were discharged after an average of 36 days of hospital stay. The remaining patient had two amputations in the extremities due to thrombotic vascular complications and was discharged after 99 days of hospital stay, requiring hemodialysis every other day. Comments: Hemolytic uremic syndrome due to Streptococcus pneumoniae is a rare but severe complication of invasive pneumococcal disease. Complicated pneumonia is the main condition associated with this entity. It is noteworthy the short period in which these cases were presented, considering the low annual incidence of the disease.
SYSTEMATIC REVIEW OF PHYSICAL ACTIVITY AND SEDENTARY BEHAVIOR INDICATORS IN SOUTH-AMERICAN PRESCHOOL CHILDREN
Authors: Guerra Paulo Henrique , Barbosa Filho Valter Cordeiro , Almeida Angélica , Silva Letícia de Souza , Pinto Marcelo Tedesco Vidal , Leonel Renan Martinelli , Ribeiro Evelyn Helena Corgosinho , Florindo Alex Antonio
Published: November 2019

ABSTRACT Objective: To summarize indicators and describe in detail the methods used to physical activity and sedentary behavior measurement in South American preschool children. Data source: In 2017, we searched for articles on researches carried out in South American countries, which presented physical activity and/or sedentary behavior indicators in children aged two to six years. These searches were conducted in Spanish, English, and Portuguese in four electronic databases (LILACS, PubMed, SciELO, and Web of Science), Google Scholar, and in reference lists. Data summary: Out of 416 articles initially assessed, 13 composed the descriptive summary. Samples from Argentina, Brazil, and Chile were included. Three articles provided accelerometer-based estimates of moderate physical activity: 32, 70.1, and 71.3 minutes per day. The mean total sedentary behavior was 468.3 and 562.9 minutes per day and, considering the cut-off point of 2 hours per day of screen time, we found the following prevalence rates: 39.4, 40.3, and 100%. The studies adopted a wide number of instruments and strategies to evaluate those behaviors. Conclusions: Although the summary has pointed to high exposure to sedentary behavior in preschool children, with particular focus on screen time, it is essential to broaden the discussion and approximate the methods used to assess physical activity and sedentary behavior, making the evidence more comparable and strong, so as to elaborate preventive strategies and actions.
CHILDREN’S USE OF INTERACTIVE MEDIA IN EARLY CHILDHOOD - AN EPIDEMIOLOGICAL STUDY
Authors: Guedes Sabrina da Conceição , Morais Rosane Luzia de Souza , Santos Lívia Rodrigues , Leite Hércules Ribeiro , Nobre Juliana Nogueira Pontes , Santos Juliana Nunes
Published: November 2019

ABSTRACT Objective: To describe the prevalence of interactive media (tablets and smartphones) use by children aged two to four years old, as well as to characterize this use, and investigate habits, practices, parents’ participation and opinion about their child’s interactive media use. Methods: A cross-sectional study with 244 parents or legal guardians of children enrolled in daycare centers in a small Brazilian municipality was conducted. A questionnaire based on interactive media use and related habits were applied, and economic level was assessed. Children were divided into three different groups according to media use: Group 1 did not use (n=81); Group 2 uses up to 45 min/day (n=83) and Group 3 uses more than 45 min/day (n=80). Then, they were compared with regard to the sociodemographic variables and media use by the Chi-square test and Student’s t-test. Results: The prevalence of interactive media use was 67.2%, with a mean time of use of 69.2 minutes/day (confidence interval of 95% - 95%CI 57.1-81.2). The activities most performed were watching videos (55%), listening to music (33%) and playing games (28%). Most parents reported allowing media use in order to stimulate their child’s development (58.4%), accompanying them during use (75.2%), and limiting media time (86.4%). Conclusions: We observed high interactive media use prevalence. The predominant way of using these devices was marked by parent-child participation. Most parents reported believing in the benefits of interactive media. Passive activities were more frequent, with restricted time of use.
OVERWEIGHT IN ADOLESCENTS: FOOD INSECURITY AND MULTIFACTORIALITY IN SEMIARID REGIONS OF PERNAMBUCO
Authors: Santos Natália Fernandes dos , Lira Pedro Israel Cabral de , Tavares Fernanda Cristina de Lima Pinto , Leal Vanessa de Sá , Oliveira Juliana Souza , Pessoa Jussara Tavares , Cabral Poliana Coelho , Costa Emília Chagas
Published: November 2019

ABSTRACT Objective: To investigate context of overweight adolescents from the semiarid and rural areas of Pernambuco, considering the multifactorial nature of the determinants of being overweight, and the food and nutritional insecurity conditions of the region. Methods: A population based cross-sectional study was conducted from September to October 2015. The nutritional status of adolescents was assessed by body mass index (BMI) and classified by the BMI/Age indicator, according to sex. To analyze the factors associated with being overweight, the variables were grouped into: socioeconomic, demographic, environmental, lifestyle, psychological, biological and food and nutritional security. Poisson regression was used to verify the association between being overweight and independent variables. Results: The prevalence of excessive weight found was 20.1%, namely: 13.4% overweight and 6.7% obese. After adjusting for the confounding variables, the variables: occupancy situation (rented house), alcohol consumption, food security and light food insecurity, body perception (overweight and obese) and age range (10 to 14 years), were associated with being overweight. High food and nutritional insecurity was identified in 80.4% of the population. The moderate and severe forms were more frequent, and precarious social conditions were still prevalent in the region. Conclusions: The prevalence of being overweight was high, exceeding the expected for a population with better living conditions. The determinants of being overweight were: alcohol consumption, occupancy situation, self-perceived weight, age and food security/mild food insecurity.
NEONATAL PAIN: CHARACTERIZATION OF THE PHYSIOTHERAPIST’S PERCEPTION IN THE NEONATAL INTENSIVE CARE UNIT
Authors: Gimenez Isabelle Leandro , Arakaki Vanessa da Silva Neves Moreira , Correa Raquel Miranda , Santos Rosana Silva dos , Peres Rodrigo Tosta , Sant’Anna Clemax Couto , Ferreira Halina Cidrini
Published: November 2019

ABSTRACT Objective: To describe the perception of physiotherapists in neonatal units regarding pain, the use of measurement scales and strategies that minimize pain. Methods: Interviews were conducted with physiotherapists in hospitals with neonatal units between 2013 and 2015 in Rio de Janeiro. The questions concerned the knowledge of the feeling of pain, from its recognition to its care or treatment. The description of the results was done by comparing public and private hospitals (Fisher’’s Exact exact Testtest), considering p<0.05 as significant. Results: 27 hospitals were visited. All the professionals interviewed (n=27) stated that the newborns feel pain, with facial expression being the most cited and known sign for pain. 26% of physiotherapists believe that newborns experience pain at the same magnitude as adults. Among the scales, the Neonatal Infant Pain Scale (NIPS) was the most well known, but only 37% of the units had routine pain assessment protocols. IV cannulation and blood collection were the most mentioned procedures as a cause of pain and there was no difference between public and private hospitals. Conclusions: There is a gap in the knowledge about neonatal pain and how to evaluate it among the participating physiotherapists, with no systematization of care routines involving this assessment.
HOSPITAL ADMISSIONS OF ADOLESCENTS IN SERGIPE, FROM 2002 TO 2012
Authors: Guimarães Nynemberg Menezes , Oliveira Eleonora Ramos de , Bohland Anna Klara
Published: November 2019

ABSTRACT Objective: To describe hospital admissions of adolescents living in Sergipe, Northeast Brazil, from 2002 to 2012. Methods: Descriptive study, based on data collected from the Hospital Information System of the Unified Health System. Hospital admissions were divided into four groups of causes: by pregnancy, childbirth and puerperium; by external causes; by primary care conditions; and other causes. Numbers, percentages and coefficients were used in the analysis and compared by year, sex, age (from 10 to 14 and from 15 to 19 years), and the average annual cost of hospitalizations for each group of causes. Results: In the period studied, there were 149,850 hospital admissions of adolescents, 58.4% for pregnancy, childbirth and puerperium, 9.3% for primary care conditions, 8.3% for external causes and 24.0% for other causes. All coefficients decreased from 2002 to 2012 by 39.7%. Primary care conditions had the most significant reduction (143.1%), followed by external causes (60.1%). As for age groups, the coefficients for external causes in the age group of 15 to -19 years, and for pregnancy, childbirth and puerperium, in the age range of 10 to 14 years, are noteworthy because they remained stable in the period. There was an increase in the average cost of all admissions (234.7%), especially for external causes. Conclusions: Health actions to reduce hospital admission due to conditions sensitive to primary care should be given more attention, as well as those related to external causes and pregnancy, among adolescents living in Sergipe, Northeastern Brazil.
FACTORS ASSOCIATED WITH INADEQUATE MILK CONSUMPTION AMONG ADOLESCENTS: NATIONAL SCHOOL HEALTH SURVEY - PENSE 2012
Authors: Silva Janiquelli Barbosa , Elias Bianca Caroline , Mais Laís Amaral , Warkentin Sarah , Konstantyner Tulio , Oliveira Fernanda Luisa Ceragioli
Published: November 2019

ABSTRACT Objective: To identify the prevalence and factors associated with inadequate milk consumption among adolescents. Methods: This was a cross-sectional study based on secondary data from the National School Health Survey (2012), a Brazilian survey carried out using a self-administered questionnaire in a representative sample of 9th-grade students from public and private schools. The frequency of milk intake and its association with socio-demographic characteristics, food consumption and physical activity were estimated. A descriptive and inferential analysis of factors associated with inadequate milk consumption (no consumption at least one of the seven days of the week) was performed. A multiple logistic model was adjusted to control confounders. Results: The sample included 108,828 adolescents and inadequate milk consumption ocurred in 58.9%. The final model included nine variables independently associated with inadequate milk intake: breakfast frequency less than 4 days per week (odds ratio [OR]=2.40; p<0.001), unprocessed or minimally processed foods intake less than 5 days per week (OR=1.93; p<0.001), living in the northeast region (OR=1.39; p<0.001), less maternal schooling (OR=1.35; p<0.001), physical inactivity (OR=1.33; p<0.001), attending public school (OR=1.26; p<0.001), not being white (OR=1.14; p<0.001), being older than 14 years old (OR=1.13; p<0.001) and having a habit of eating meals while watching TV or studying (OR=1.04; p=0.036). Conclusions: Inadequate milk consumption is prevalent among Brazilian adolescents. The identification of associated factors suggests the need to develop nutritional guidance strategies for the prevention of diseases that result from low calcium intake.
DIABETIC KETOACIDOSIS AS THE INITIAL PRESENTATION OF TYPE 1 DIABETES IN CHILDREN AND ADOLESCENTS: EPIDEMIOLOGICAL STUDY IN SOUTHERN BRAZIL
Authors: Souza Leonardo Calil Vicente Franco de , Kraemer Gabriela de Carvalho , Koliski Adriana , Carreiro José Eduardo , Cat Mônica Nunes Lima , Lacerda Luiz De , França Suzana Nesi
Published: November 2019

ABSTRACT Objective: To analyze the variables associated with the presence of diabetic ketoacidosis in type 1 diabetes mellitus (T1DM) diagnosis and its impact on the progression of the disease. Methods: We reviewed the records of 274 children and adolescents under 15 years, followed in a Pediatric Endocrinology clinic of a university hospital in Curitiba-PR. They had their first appointment between January 2005 and April 2015. Results: Most patients received their T1DM diagnosis during a diabetic ketoacidosis episode. The associated factors were: lower age and greater number of visits to a physician’s office prior to diagnosis; diabetic ketoacidosis was less frequent in patients who had siblings with T1DM and those diagnosed at the first appointment. Nausea and vomiting, abdominal pain, tachydyspnea, and altered level of consciousness were more common in the diabetic ketoacidosis group. There was no association with socioeconomic status, duration of symptoms before diagnosis, and length of the honeymoon period. Conclusions: Prospective studies are necessary to better define the impact of these factors on diagnosis and disease control. Campaigns to raise awareness among health professionals and the general population are essential to promote early diagnosis and proper treatment of diabetes mellitus in children and adolescents.
EMOTIONAL REPERCUSSIONS AND QUALITY OF LIFE IN CHILDREN AND ADOLESCENTS UNDERGOING HEMODIALYSIS OR AFTER KIDNEY TRANSPLANTATION
Authors: Rotella Ana Amélia Fayer , Nascimento Rosemeire Aparecida do , Camargo Maria Fernanda Carvalho de , Nogueira Paulo Cesar Koch
Published: November 2019

ABSTRACT Objective: To investigate the emotional repercussions and quality of life (QOL) associated with end-stage kidney disease (ESKD) in children and adolescents undergoing hemodialysis or a kidney transplant (TX). Methods: We conducted a quantitative-qualitative study. 48 children and adolescents with ESKD were interviewed; half of them underwent hemodialysis treatment, and the other half had a kidney transplantation. Their respective 48 caregivers also participated in the study. The questionnaire involved both the Pediatric Quality of Life Inventory and a thematic story-drawing tool. An analysis of the QOL questionnaire’s results was done by comparing the sum of points between groups and the theme-based story-drawing consisted of interpreting the data contained in the material using Freudian and Lacanian theories. Results: In the QOL questionnaires, the total score was higher in the transplanted patients and in their caregivers, suggesting a perception of better QOL after kidney transplantation. In the specific aspects of the questionnaire, physical capacity was considered superior by children who underwent transplants and their caregivers. There were no differences between the groups in the emotional, social and school aspects. However, the caregivers of the patients who had a transplant perceived a significant difference in QOL in the school aspect. In the thematic story-drawings, emotional suffering in the two analyzed groups was evidenced regardless of the treatment. Conclusions: Despite the questionnaire results suggesting that transplantation does improve some aspects of QOL, there were no differences observed between kidney replacement therapies regarding the emotional repercussion of chronic kidney disease.