bluuebunny/crossref_metadata_2025 huggingface dataset:
Avaliação de método para classificação automatizada de pares em relacionamentos probabilísticos de bancos de dados
Authors: Duarte Daniela de Almeida Pereira , Corrêa Camila Soares Lima , Fayer Vívian Assis , Nogueira Mário Círio , Bustamante-Teixeira Maria Teresa
Published: November 2019

Resumo: O objetivo foi testar e avaliar a acurácia de um método para a seleção de escore em relacionamento probabilístico de banco de dados, de forma a viabilizar a automatização da identificação de pares verdadeiros dispensando a etapa de inspeção manual. Estudo de acurácia utilizando dados do Sistema de Informação do Câncer de Mama (SISMAMA) de Minas Gerais, Brasil, de 2009 e 2010. Após o processo de limpeza e padronização, foi realizado o relacionamento probabilístico dos bancos 2009 e 2010 utilizando 16 passos, sendo que cada passo foi inspecionado manualmente para se obter um padrão-ouro. Posteriormente, selecionaram-se amostras que foram inspecionadas e avaliadas para calcular a acurácia do método de seleção dos pares verdadeiros. Todos os passos e amostras com 200 e 300 pares apresentaram alta sensibilidade (recall) > 0,97, alto valor preditivo positivo (precision) > 0,95 e altas acurácia (> 0,97), medida F (> 0,96) e área sob a curva precision-recall (> 0,98). A amostra com 100 pares evidenciou altos valores para essas medidas, porém com escores mais baixos. Dos 16 passos avaliados, o uso de apenas três de forma combinada foi suficiente para identificar 99,24% dos pares verdadeiros no banco total. O método proposto permite automatizar o relacionamento das bases de dados, mantendo a acurácia do método. Facilita a utilização de relacionamento probabilístico no âmbito dos serviços de saúde, especialmente para a vigilância e gestão em saúde.
Dificuldades e facilidades do enfermeiro da Saúde da Família no processo de trabalho
Authors: Braghetto Gláucia Tamburú , Sousa Leandra Andréia de , Beretta Denise , Vendramini Silvia Helena Figueiredo
Published: November 2019

Resumo Introdução Os cuidados primários à saúde são discutidos internacionalmente desde 1978 com a Declaração de Alma-Ata. Quinze anos depois, nasceu no Brasil a Saúde da Família, em que se destaca o enfermeiro como um dos principais profissionais com atribuições no processo de trabalho que garante a prestação qualificada da assistência. Objetivo Analisar as dificuldades e as facilidades do processo de trabalho dos enfermeiros das Unidades Básicas de Estratégia Saúde da Família. Método Trata-se de um estudo de natureza descritiva, transversal e abordagem qualitativa, cujos dados foram obtidos a partir de entrevista semiestruturada. Os dados coletados em um período de três meses foram analisados por meio da análise temática. Resultados A análise revelou quatro núcleos de sentido relacionados à dificuldade: alta demanda espontânea, recursos humanos escassos, sobrecarga de atividades e educação permanente reduzida. Para as facilidades, foram identificados dois núcleos de sentido: formação holística e campo rico para pesquisas. Conclusão Os resultados forneceram subsídios para que os gestores de saúde implementem estratégias em prol do processo de trabalho dos enfermeiros, o que, consequentemente, refletirá em benefícios ao indivíduo, à família, à comunidade e a toda equipe de saúde.
Avaliação da solicitação de exames laboratoriais em um hospital universitário: consequências para a clínica e a gestão
Authors: Gomes André Felipe Maciel Moreno , Nunes Altacílio Aparecido
Published: November 2019

Resumo Introdução Os princípios estabelecidos pelo SUS fizeram com que o atual cenário da saúde pública ganhasse complexidade envolvendo o financiamento e o suporte para a sustentabilidade do sistema. Há relatos sobre o excesso no uso de recursos diagnósticos, muitas vezes desnecessários, com consequências para os pacientes e o orçamento dos serviços de saúde, sobretudo hospitais. Objetivo Avaliar os resultados qualitativos e quantitativos de exames laboratoriais solicitados nos ambulatórios de Cardiologia e Endocrinologia do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo. Método Foi realizado um estudo transversal com análise dos exames solicitados nos ambulatórios de Endocrinologia e Cardiologia entre julho/2012 e julho/2013. Resultados A quantidade de exames foi semelhante ao longo dos 12 meses, e a relação de exames/paciente foi maior no ambulatório de Cardiologia, com 10,36 exames, do que no ambulatório de Endocrinologia, com os 5,91 exames. Analisando os subelementos dos exames, os resultados foram próximos: em Cardiologia, a taxa média de elementos alterados foi de 20,79%, ao passo que, em Endocrinologia, o valor médio foi de 22,39%. Conclusão Entender o comportamento de médicos na solicitação dos exames laboratoriais em um hospital de grande porte pode estimular os líderes e os gestores a buscar propostas para melhorar o gerenciamento desses grandes centros de alta complexidade assistencial, buscando a eficiência e a qualidade na assistência e no ensino.
O fator econômico nas cartas de Graciliano Ramos: Vidas Secas e outras histórias
Authors: Schmitz Lygia Barbachan de Albuquerque
Published: November 2019

Resumo Se Vidas Secas é o romance de Graciliano Ramos que mais diretamente trata a questão da pobreza e de suas consequências mais gritantes e como o próprio autor declara ser ele uma espécie de Fabiano numa de suas cartas, propôs-se neste artigo perquirir o universo epistolar do escritor, a fim de perceber de que modo esse livro publicado em 1938 perpassa a narrativa de vida de Graciliano, num momento específico em que se dá a produção e tentativa de distribuição de alguns dos capítulos-contos que compõem o romance. A leitura das correspondências do autor, em especial aquelas endereçadas ao tradutor argentino Benjamín de Garay e à esposa Heloísa, não somente revelaram um homem com imensos problemas financeiros tentando sobreviver como escritor, mas sobretudo revelaram um escritor que transformou a falta em potência, encontrando, como Fabiano, nas palavras, a força necessária para ir adiante e sonhar, como Baleia, com um mundo diferente.
Insônia ou a pobreza não descansa
Authors: Vecchi Roberto , Cabral Éderson de Oliveira
Published: November 2019

Resumo Este trabalho visa analisar a relação entre literatura e pobreza, por meio de sua forma simbólica, no conto de Roniwalter Jatobá intitulado Insônia, presente em Contos Antológicos de Roniwalter Jatobá, organizado por Luis Ruffato. Para isso, trabalha-se com diversos conceitos que servem como aporte teórico e, posteriormente, como categorias críticas de análise. Neste estudo, etimologias, metáforas e conceitos de Giorgio Agamben, de Hans Blumenberg e de outros teóricos, que servem como figuras de pensamento, são implicados para refletir sobre a representação da pobreza, da miséria e do trabalho dentro da literatura e cultura brasileira.
Prazer, esse sou ele (a autobiografia poético-política de André Luiz Pinto)
Authors: Pucheu Alberto
Published: November 2019

Resumo De dentro do eclipsamento da política, a poesia vem se fazendo um lugar de combate contra as totalidades e seus totalitarismos. Parto de uma das principais linhas de força da poesia contemporânea: poemas em que escritos autobiográficos se colocam como políticos através de fraturas que nos fazem pensar feridas, a um só tempo, familiares e comunitárias, íntimas e públicas, atuais e históricas. Enquanto a poesia feita no Rio de Janeiro fora, até certo ponto, realizada predominantemente por moradores da Zona Sul, o local de proveniência do poeta André Luiz Pinto demarca uma intrusão política diferenciada, o subúrbio e o morro, que levam a uma repetição de uma urgência em seus poemas: “A adolescência não sabia/ que apesar da confusão entre prosa/ e poesia, isto não é a revolução. O que pesa/ é o salário que custeia a vida e a verdade é essa”.
Aproximações ao livro-álbum lírico contemporâneo português e brasileiro: uma análise comparada
Authors: Ramos Ana Margarida , Mattos Margareth
Published: November 2019

Resumo Pretende-se, com este estudo, analisar um conjunto de livros-álbum líricos contemporâneos, publicados em Portugal e no Brasil, com vista a identificar as características deste tipo de publicações e a refletir sobre as especificidades da relação texto-ilustração-suporte na criação de sugestões de leitura poético-líricas, procedendo à sua distinção em relação aos livros-álbum narrativos. Ao mesmo tempo, dá-se conta do estado da arte sobre o livro-álbum lírico, quer em termos de estudos e de investigação, quer em termos criativos, analisando o seu relevo no panorama editorial dos dois países.
Sertões, desertões, páramos: Rosa, Di Benedetto, Rulfo
Authors: Escallón Byron Vélez
Published: November 2019

Resumen Este artículo piensa alternativas de conversación latinoamericana a partir de las escrituras de Guimarães Rosa, Antonio Di Benedetto y Juan Rulfo. Específicamente, se abordan los modos en que Zama (1956), Pedro Páramo (1955) y “Páramo” (1968) portan y escriben la catástrofe en el marco de la Guerra Fría. Adicionalmente, se problematizan los protocolos de lectura que hasta el momento han permitido, o no, la aproximación entre los autores y textos estudiados.
Facebookland: the bizarro-linguistic world
Authors: Bors Monica , Ignat Anca
Published: November 2019

Abstract This article investigates the dynamics of contemporary Romanian, focusing on various linguistic structures typically used on social network sites, through which the specific content and interaction strategies are being deployed in virtual communities. The article is part of a larger project devoted to the study of linguistic impoverishment (affecting both the vocabulary and the grammatical structure of the language), social networks being only one of the areas where these “uglified” linguistic structures come from: the mass-media (both print and broadcast), advertising (outdoor, indoor, television commercials), Internet forums, corporate jargon, etc. The structures under scrutiny are mostly loan translations (i.e. calques) from English, false friends, hybrid constructions and, generally, lexical and grammatical oddities (sometimes even in the source language), which, nevertheless, due to frequent use, have entered the active vocabulary of a large category of speakers and are therefore becoming pervasive in everyday conversation. The proliferation of these ‘mongrel’ structures in common parlance is also the result of their migration, on the principle of communicating vessels, to other areas of interpersonal and public communication, that of advertising in particular. Moreover, their oddity and inappropriateness are now beginning to pass unnoticed, as more and more speakers are treating them as legitimate linguistic forms, which often end up being recorded in dictionaries. Our approach combines theoretical insights with practical solutions and the pragma-linguistic perspective with the translator’s corrective input.
Ideias no lugar: Senhora, de José de Alencar
Authors: Granja Lúcia , Lima Lilian Tigre
Published: November 2019

Resumo Este artigo estabelece um debate com “As ideias fora do lugar”, de Roberto Schwarz, partindo da análise do romance Senhora, de José de Alencar. São discutidas algumas implicações e consequências teórico-críticas do método dialético aplicado à análise da literatura, buscando-se matizar a leitura de que o romance de José de Alencar não teria sido capaz de explorar, em âmbito formal, as potencialidades estruturantes do conteúdo social representado. Por um diálogo com a rigidez do olhar macrossociológico, e elegendo o mesmo método comparativo com as soluções encontradas por Machado de Assis em Helena (1876), Memórias Póstumas de Brás Cubas (1881) e Dom Casmurro (1899), este artigo propõe que, em Senhora, as ideias não estão “fora do lugar”, mas ocupam o seu lugar, em uma estrutura socioeconômica em transição.
O homem (1887), de Aluísio Azevedo, como best-seller erótico
Authors: Mendes Leonardo , Camello Cleyciara Garcia
Published: November 2019

Resumo Embora fosse respeitado nos círculos intelectuais desde o aparecimento de O mulato (1881), Aluísio Azevedo (1857-1913) só assinou contrato com a Livraria Garnier após a publicação de O homem (1887). Foi graças ao sucesso de vendas desse livro que o editor de Machado de Assis, um dos mais importantes da época, comprou os direitos de toda a ficção do autor e imprimiu a quarta edição da obra. O feito era resultado de uma forte campanha publicitária posta em curso por Aluísio Azevedo e sua rede de amigos da imprensa. Com foco nas vendas, eles apostaram no aspecto licencioso da obra para divulgá-la e alcançaram grande êxito. O Rio de Janeiro se viu escandalizado ao ler os devaneios eróticos da protagonista, descritos para tratar do tema da histeria feminina. Aluísio Azevedo sofreu ataques dos detratores da estética naturalista, que o acusaram de escrever “pornografia” disfarçada de ciência. Neste artigo, vamos contar a história de O homem como best-seller erótico do fim do século XIX.
COMPARISON BETWEEN DIFFERENT METHODS FOR MEASURING BODY FAT AFTER A WEIGHT LOSS PROGRAM
Authors: Benito Pedro Jose , Gómez-Candela Carmen , Cabañas María Dolores , Szendrei Barbara , Castro Eliane Aparecida
Published: November 2019

ABSTRACT Introduction Accurate and sensitive measurement of body composition is an important tool in the diagnosis and control of obesity. Objective To compare body fat changes measured by dual-energy X-ray absorptiometry (DXA), bioelectrical impedance analysis (BIA), and skinfolds (SK) in healthy overweight adults in order to evaluate whether all three methods can be used during a weight loss program (WLP). Methods Eighty-four men (n=36) and women (n=48), body mass index 25–29.9 kg/m2, aged between 18-50 years, non-smokers and sedentary, were randomly assigned to strength, endurance, combined strength plus endurance, or physical activity recommendations groups. All subjects followed a hypocaloric diet (25-30% decrease in energy intake in terms of the total daily energy expenditure). The intervention lasted 22 weeks. Results The highest correlation was obtained between DXA and SK when men and women were studied together (r=0.864, p<0.01). In women, significant differences were found between DXA and BIA in fat percentage (underestimation of BIA 2.4%, p<0.05). The underestimation was more determinant for both fat percentage and fat mass in men, 13.2% versus 10.2%, and 6.8 kg versus 4.2 kg between BIA and SK respectively (p<0.05). All the procedures obtained similar results (p>0.05) when changes in body fat caused by intervention were analyzed. However, considering results of the minimal difference compared to DXA, BIA showed the greatest sensitivity to detect changes in fat percentage and fat mass, while SK underestimated the changes, with a significantly lower percentage considered real (p=0.01). Conclusion The SK method seems to underestimate real changes, therefore DXA and BIA can serve as more effective tools to measure the change in fat percentage and fat mass during WLP. Level of evidence II, Diagnosis.
PREDICTIVE EQUATION FOR BLOOD FLOW RESTRICTION TRAINING
Authors: Cirilo-Sousa Maria do Socorro , Lemos Jiddu Bastos , Poderoso Rodrigo , Araújo Ravi Cirilo Targino de , Aniceto Rodrigo Ramalho , Pereira Piettra Moura Galvão , Araújo Joamira Pereira , Lucena Pedro Henriques Marques , Paz Carlos Renato , Araújo Júnior Adenilson Targino de
Published: November 2019

ABSTRACT Introduction No research has investigated predictive equations for application in blood flow restriction (BFR) training using a cuff with a circumference of 18 cm for the lower limbs, and including age and sex as predictor variables. Objectives To develop an equation to predict cuff pressure levels for use in BFR training for the lower limbs. Methods A total of 51 adults (age 23.23 ± 5.24 years) of both sexes (males, n= 32; females, n= 19) underwent a series of tests and anthropometric (body mass, height, body mass index – BMI, and thigh circumference – TC) and hemodynamic (brachial systolic – SBP – and diastolic – DBP – blood pressure) measurements. The arterial occlusion pressure (AOP) of the lower limbs was measured using a Doppler probe. Results The predictive equation was developed based on a hierarchical linear regression model consisting of six blocks, corresponding to TC (β = 0.380; p = 0.005), SBP (β = 0.091; p = 0.482), age (β = 0.320; p = 0.015), and sex (β = -0.207; p = 0.105), which explained 39.7% of the variation in arterial occlusion pressure. DBP and BMI were not associated with AOP. As a result, the predictive equation is as follows: AOP (mmHg) = 65.290 + 1.110 (TC in cm) + 0.178 (SBP in mmHg) + 1.153 (age in years) – 7.984 (sex, 1 – male and 2 – female), reporting values of r = 0.630, r2 = 0.397 and SEE = 15,289. Conclusion Cuff pressure for BFR training of the lower limbs may be selected based on TC, SBP, age and sex, and thigh circumference is considered the main predictor. Level of Evidence III, Non-consecutive studies, or studies without consistently applied reference standard.
IMPROVEMENT OF REACTION TIME AFTER A WORKPLACE PHYSICAL ACTIVITY INTERVENTION
Authors: Laux Rafael Cunha , Corazza Sara Teresinha
Published: November 2019

ABSTRACT Introduction Work activities have been occupying an increasing amount of time in the daily lives of the population, making individuals less physically active. A job market strategy is to invest in physical exercise programs in the actual workplace to improve the physical and cognitive aspects of these employees. Objective To verify the effects of a workplace physical exercise program on the simple and choice reaction times of public university employees. Methods Twenty-six physically inactive male and female subjects with a mean age of 29.62 ± 6.47 years underwent a program consisting of thirty-six sessions with physical exercises in the workplace, held three times a week over twelve weeks. Simple reaction time (SRT) and choice reaction time (CRT) were assessed before and after the intervention, using the Vienna Test System®, and the results were presented in: I) reaction time, II) movement time; and (III) response time. Descriptive and inferential statistical analyses were conducted using the statistical program SPSS® (version 21.0 for Windows), with a significance level of 5%. Results When observing the SRT and CRT variables before and after the experiment, we noticed an improvement in reaction time, movement time and response time in the experimental group but not in the control group. Conclusion The workplace physical exercise program was able to reduce the SRT and CRT of the experimental group. Level of evidence I; randomized clinical trial.
EFFECTS OF CONTUSION AND EXHAUSTIVE EXERCISE ON MG53, PTRF IN SKELETAL MUSCLE OF RATS
Authors: Pan Tongbin , Tong Xinwei , Ye Leilei , Ji Mengjin , Jiao Jianjian
Published: November 2019

ABSTRACT Objectives To study the effects of contusion and exhaustive exercise on gene expression of MG53, PTRF, Pax7 and β-catenin in skeletal muscle of rats, and reveal the repair mechanism of skeletal muscle injury. Methods Forty-two male Wistar rats were randomly divided into 7 groups, with 6 rats in each group. All groups were euthanized at different time points after exhaustive exercise and contusion, respectively, while the control group was euthanized in resting state. The right gastrocnemius muscles were measured for mRNAs of MG53, PTRF, Pax7 and β-catenin by real time PCR. Results MG53 mRNA and PTRF mRNA of skeletal muscle in groups immediately after exhaustive exercise and after contusion increased significantly (p<0.05), while the two indices decreased constantly at 24 and 48 hours after injury with a similar change trend. Compared with the control group, Pax7 mRNA of skeletal muscle as a marker showed no significant difference in exhaustive exercise groups, but decreased at 48 hours after contusion (p<0.05). β-catenin mRNA of skeletal muscle down-regulated significantly over 24 hours after injury, then activated with an increased value at 48 hours after contusion (p<0.05). As a whole, the variations in the above indices in the contusion groups covered a wider range than in the exhaustive exercise groups. Conclusion The cytomembrane repair mechanism of MG53 and PTRF began immediately after the end of exhaustive exercise and contusion. Activation of Pax7 as the satellite cell marker took longer, and Wnt/β-catenin pathway showed first a decrease and then an increase resulting from the time-dependent gene expression during the repair of skeletal muscle injury. Level of evidence III, Therapeutic studies investigating the results of treatment.
ANALYSIS OF Y BALANCE TEST AND DORSIFLEXION LUNGE TEST IN PROFESSIONAL AND AMATEUR SOCCER PLAYERS
Authors: Xixirry Marcela Godoy , Riberto Marcelo , Manoel Lucas Sartori
Published: November 2019

ABSTRACT Introduction The ankle has the highest incidence of soccer injuries (17 to 20% of injuries), which can cause personal and professional losses for the athlete. Ankle stability is due to a number of mechanisms, such as muscle control between agonists and antagonists, proprioception, balance, and muscle strength. If there are changes in any of these mechanisms, there is an increased risk of ankle injuries. Objective The purpose of this study was to analyze the ankle function of amateur and professional soccer players in the preseason, using Y Balance Test (YBT) and Dorsiflexion Lunge Test (DLT), observing possible functional deficits in this sample, and subsequently analyzing the relationship of results between the functional tests in this population. Methods A total of 107 soccer players were assessed, of whom 36 were amateur and 71 professional athletes. The volunteers initially underwent history taking, followed by a 5-minute warm-up on a stationary bicycle then the YBT and DLT functional tests. Results There was no significant difference in the DLT between dominant and non-dominant limbs in amateur and professional athletes. There was also no significant difference in the YBT between dominant and non-dominant limbs of amateur athletes, but there was a significant difference between dominant and non-dominant limbs in professional athletes. There was no correlation between the tests when the dominant and non-dominant limbs of the sample were analyzed. Conclusion The weak relationship between the functional tests indicates that both tests are recommended for athletes in clinical practice, since they serve as tools to assess different functional deficits. Level of Evidence III - Case-control study.
WOMEN’S FEMORAL MASS CONTENT CORRELATES TO MUSCLE STRENGTH INDEPENDENTLY OF LEAN BODY MASS
Authors: Pimenta Luciana Duarte , Massini Danilo Alexandre , Santos Daniel Dos , Siqueira Leandro Oliveira Da Cruz , Sancassani Andrei , Santos Luiz Gustavo Almeida Dos , Guimarães Bianca Rosa , Neiva Cassiano Merussi , Pessôa Filho Dalton Muller
Published: November 2019

ABSTRACT Introduction There is limited consensus regarding the recommendation of the most effective form of exercise for bone integrity, despite the fact that weight training exercise promotes an increase in muscle mass and strength as recurrent responses. However, strength variations in women do not depend on muscle mass development as they do in men, but strength enhancement has shown the potential to alter bone mineral content (BMC) for both sexes. Objective This study analyzed the potential of muscle strength, as well as that of whole-body and regional body composition, to associate femoral BMC in young women. Methods Fifteen female college students (aged 24.9 ± 7.2 years) were assessed for regional and whole-body composition using dual-energy X-ray absorptiometry (DXA). Maximum muscle strength was assessed by the one-repetition maximum (1RM) test in the following exercises: bench press (BP), lat pulldown (LP), knee flexion (KF), knee extension (KE) and 45° leg press (45LP). Linear regression analyzed BMC relationships with regional composition and 1RM values. Dispersion and error measures (R 2 aj and SEE), were tested, defining p ≤0.05. Results Among body composition variables, only total lean body mass was associated with femoral BMC values (R 2 aj = 0.37, SEE = 21.3 g). Regarding strength values, 1RM presented determination potential on femoral BMC in the CE exercise (R 2 aj = 0.46, SEE = 21.3 g). Conclusions Muscle strength aptitude in exercises for femoral regions is relevant to the femoral mineralization status, having associative potential that is similar to and independent of whole-body lean mass. Therefore, training routines to increase muscle strength in the femoral region are recommended. In addition, increasing muscle strength in different parts of the body may augment bone remodeling stimulus, since it can effectively alter total whole-body lean mass. Level of Evidence II; Development of diagnostic criteria in consecutive patients (with universally applied reference ‘‘gold’’ standard).
EFFECT OF THE AEROBIC COMPONENT OF COMBINED TRAINING ON THE BLOOD PRESSURE OF HYPERTENSIVE ELDERLY WOMEN
Authors: Leandro Magno Petrônio Galvão , Moura José Luiz Silva de , Barros Gustavo Willames Pimentel , Silva Filho Adilson Pereira da , Farias Aline Cavalcante de Oliveira , Carvalho Paulo Roberto Cavalcanti
Published: November 2019

ABSTRACT Introduction Aerobic (AT), strength (ST) and combined (CT) training are already well referenced as a method for the treatment and control of arterial hypertension (AH) inducing positive changes in blood pressure (BP) reduction, a phenomenon known as post-exercise hypotension (PEH). However, the correct order of combined training to promote PEH is still unclear. Objective To verify the effect of the order of the aerobic component in combined training on PEH among hypertensive elderly women. Methods Randomized clinical trial of 24 elderly hypertensive women allocated to three training groups: Group 1 - Aerobic + Strength Training (AT + ST), Group 2 - Strength + Aerobic Training (ST + AT) and Group 3 - Aerobic + Strength + Aerobic Training (AT + ST + AT). Participants underwent AT at 60% heart rate reserve intensity for 30 minutes and ST with four exercises in three sets of 12 repetitions at 60% of one-repetition maximum (1RM) also for 30 minutes. The training involved 24 sessions (three times a week).Systolic (SBP) and diastolic blood pressure (DBP) were measured in all groups at time points before and after each session, and the mean BP (MBP) was calculated. Results The variables analyzed did not differ significantly between groups in either the pre- or post-training period. MBP showed a significant reduction only in G1. However, G3 had a greater effect on all the variables analyzed. Conclusion Combined training with an aerobic component (G3) generated a significant post-exercise hypotensive effect over 24 sessions, and is indicated for elderly hypertensive women. Level of evidence II; Therapeutic studies.
CHRONIC RESPONSES OF PHYSICAL AND IMAGERY TRAINING ON PARKINSON’S DISEASE
Authors: Pondé Priscilla de Dio Santos , Krause Neto Walter , Rodrigues Dayane Nunes , Cristina Layane , Bastos Marta Ferreira , Sanches Iris Callado , Gama Eliane Florencio
Published: November 2019

ABSTRACT Introduction Physical and motor imagery training is known to induce positive results in the quality of life of patients with neurodegenerative diseases. However, it is not known which effects are achievable when both types of training are combined. Objective This study aimed to investigate the effects of a combination of physical and imagery training on neurotrophin levels, the perception of body dimensions and activities of daily living (ADL) in individuals with Parkinson’s disease (PD). Methods Over an 8-week period, thirteen subjects underwent one hour of aerobic training in combination with twice-weekly imagery training (MIT). The following parameters were measured: brain-derived neurotrophic factor (BDNF) serum levels, level of dependence for activities of daily living (ADLs – Basic [ABDL] and Instrumental [AIDL]), perception of body dimensions and hand laterality test. Results Physical training combined with MIT increased serum BDNF levels in a non-statistically significant manner by 128.08% (88.81 ± 111.83 pg/ml versus 202.56 ± 183.43 pg/ml, p= 0.068). Delta BDNF showed a mean variation of 218.05 ± 547.55% (ES = 1.04). Perception of body dimensions and hand recognition reaction time both improved, but not in a non-statistically significant manner. ADLs (9.52% in ABDLs and 17.76% in AIDLs) improved in a statistically significant manner. Conclusion Despite the small number of subjects, study limitations, and the fact that most results were non-statistically significant, the results obtained here indicate clinical improvement associated with the neurotrophic action of BDNF on the perception of body dimensions and the functional capacity of Parkinson’s disease subjects. Level of evidence II, Therapeutic studies–Investigation of treatment results.
TRANSCRANIAL DIRECT-CURRENT STIMULATION IN COMBINATION WITH EXERCISE: A SYSTEMATIC REVIEW
Authors: Silva Leonardo Vinicius Diniz Cavalcante da , Porto Flávia , Fregni Felipe , Gurgel Jonas Lírio
Published: November 2019

ABSTRACT Introduction Transcranial direct-current stimulation (tDCS) is a noninvasive technique that allows the modulation of cortical excitability and can produce changes in neuronal plasticity. The application of tDCS has recently been associated with physical activity. Objectives To verify the effect of Transcranial Direct-Current Stimulation (tDCS) in combination with physical exercise, characterizing methodological aspects of the technique. Methods In the database search, studies with animals, other neuromodulation techniques and opinion and review articles were excluded. Publications up to 2016 were selected and the methodological quality of the articles was verified through the PEDro scale. Results The majority of studies (86%) used tDCS on the motor cortex area, with anodal current and the allocation of monocephalic electrodes (46.5%). The prevalent current intensity was 2mA (72%), with duration of 20min (55.8%). The profile of the research participants was predominantly of subjects aged up to 60 years (72.1%). The outcomes were favorable for the use of anodal tDCS in combination with physical exercise. Conclusion Transcranial Direct-Current Stimulation is a promising technique when used in combination with aerobic and anaerobic exercises; however, it is necessary to investigate concurrent exercise. Level of Evidence II; Therapeutic Studies Investigating the Results of Treatment (systematic review of Level II studies or Level I studies with inconsistent results).
FATIGUE AND MUSCLE FUNCTION IN PROSTATE CANCER SURVIVORS RECEIVING DIFFERENT TREATMENT REGIMENS
Authors: Chaves Sandro Nobre , Lima Filipe Dinato de , Bottaro Martim , Mota Márcio Rabelo , Oliveira Ricardo Jacó de
Published: November 2019

ABSTRACT Introduction Prostate cancer is the most prevalent neoplastic disease in men. After diagnosis, different treatment regimens are proposed based on the stage of the cancer. These treatments affect physical and muscle function, quality of life, and prognosis differently. Objectives To assess fatigue, muscle strength, muscle thickness, and muscle quality in prostate cancer survivors undergoing androgen deprivation therapy (ADT). Methods Ten ADT patients, eight non-ADT patients and 18 healthy control subjects were enrolled in this study. Perceived fatigue was assessed through the 20-item Multidimensional Fatigue Inventory. Muscle thickness and quality (e.g., echo intensity) were assessed through B-mode ultrasound. Muscle strength and work capacity were assessed using an isokinetic dynamometer. The groups were compared with one-way ANOVA and Bonferroni adjustment. Results Muscle thickness, peak torque, and work capacity were lower in ADT than in the control group (CON) (p = 0.021; p = 0.005; p <0.001, respectively). ADT showed greater echo intensity than CON (p = 0.005) and N-ADT (p = 0.046). There were no differences between N-ADT and CON in terms of muscle thickness, peak torque, work capacity, and echo intensity (p >0.05). General fatigue was greater in both ADT (p = 0.030) and N-ADT (p = 0.047) compared to CON. Physical fatigue was greater in ADT than CON (p = 0.006). Conclusion ADT patients showed lower levels of muscle function and greater levels of perceived fatigue than healthy control subjects. It appears that muscle function remains lower in ADT patients, even several years after treatment initiation, although this does not apply to non-ADT patients. Level of evidence II; Diagnostic Studies - Investigating a Diagnostic Test.
Roadkilled mammals in the northern Amazon region and comparisons with roadways in other regions of Brazil
Authors: Caires Heloisa S. , Souza Cleide R. , Lobato Débora N. C. , Fernandes Marília N. S. , Damasceno Júnio S.
Published: November 2019

ABSTRACT Roadways and road traffic modify landscapes, posing a threat to the conservation of species in different biomes. The aim of the present study was to analyze roadkill records of wild mammals and to compare the results to findings from 37 other studies conducted in Brazil, to evaluate the richness and diversity of threatened species in different eco-regions of the country. This study was conducted between June 2007 and June 2008, along 60 km of the inter-state highway BR-364, which connects the municipalities of Ouro Preto d’Oeste and Presidente Médici in the state of Rondônia (northern Brazil). Two hundred twenty roadkills were recorded involving 13 species of mammals. Cingualata, Pilosa and Carnivora were the most represented orders. The most represented were the generalist species Dasypus novemcinctus (56.7%), Tamandua tetradactyla (10.5%), and Cerdocyon thous (8.2%), reflecting the adaptability of these species to habitat changes and presence of humans. The number of roadkilled individuals and species indicated no significant differences between the dry and rainy seasons. The findings indicate a high index of roadkills (3.38 individuals/km/year) and moderate number of run over species (0.20 species/km/year) in the region in comparison to records from other roadways in Brazil, with 46% species having an endangered status. Roadways in the eco-regions of the Cerrado (Brazilian savanna) accounted a significantly larger proportion of endangered species (mean: 52%) in comparison to the Pampa (lowlands of southern Brazil; 24%), but the differences in comparison to roadways in Amazonia (37%) and the Atlantic Forest (31%) were non-significant. The present findings underscore the need for emergency measures to minimize the impact of roadkills on mammals. Moreover, priority should be given to more impacted roadways and more threaten eco-regions.
A mata ripária influencia a composição e estrutura da comunidade zooplanctônica de poças temporárias?
Authors: Medeiros Íttalo L. S. , Santos Felipe A. dos , El-Deir Ana C. A. , Melo Júnior Mauro de
Published: November 2019

RESUMO Poças temporárias são importantes ampliadores da biodiversidade local, sobretudo em áreas florestadas estacionais. Alterações na cobertura vegetal ao longo das margens desses corpos hídricos podem alterar a composição e estrutura da sua comunidade zooplanctônica. Nesse sentindo, testamos a hipótese de que a presença de mata ripária altera a estrutura da comunidade zooplanctônica encontrada em poças temporárias. Foram filtrados até 10 litros de água, em malha de 20 µm, em poças com (CM) e sem mata ripária (SM), e coletados dados de clorofila-α e as variáveis limnológicas. Todos os espécimes foram identificados com microscópio óptico em câmara de Sedgewick-Rafter. Os dados foram tratados quanto à composição e estrutura da comunidade (riqueza, frequência, abundância relativa e biomassa), sendo realizadas análises de diversidade (Série de Hill), de correspondência canônica (ACC) e de espécies indicadoras (IndVal). Diferenças significativas foram observadas entre as variáveis limnológicas nas duas condições, principalmente nos parâmetros de turbidez, sólidos totais dissolvidos e clorofila-α, as quais mostraram maior influência sobre a estrutura da comunidade. Embora a diversidade e biomassa de rotíferos tenham sido superiores nas poças SM, a riqueza e a biomassa de cladóceros foi superior nas poças CM. A análise de espécies indicadoras demonstrou que alguns rotíferos e microcrustáceos, como Ceriodaphinia cornuta G. O. Sars, 1885, Notodiaptomus cearenses Wright, 1936 e Ostracoda morf.2 são indicativos de poças CM, enquanto outras espécies indicam ambientes com maior turbidez (poças CM), por exemplo Polyarthra vulgaris Carlin, 1943 e Diaphanosoma spinulosum Herbst, 1975. Os resultados sugerem uma diferenciação expressiva entre os ambientes com e sem vegetação ripária, mostrando sua importância na estrutura da comunidade, reforçando a necessidade de medidas protetivas para ambientes temporários, visto que são essenciais para a manutenção da biodiversidade local.
Nutritionists and the comprehensive care of overweight individuals in primary care
Authors: MOURA Ana Luisa Souza de Paiva , RECINE Elisabetta
Published: November 2019

ABSTRACT Objective This study sought to highlight the different types of challenges for the integral care of overweight individuals in primary care based on the perception of nutritionists. Methods This is a qualitative study with primary care professionals from the Federal District, Brazil. Semi-structured interviews were conducted to understand the perceptions regarding the organization of integral care. The analysis of the data was based on the theoretical framework Theoretical Domains Framework. Results Challenges related to 10 of the 12 different domains proposed by the theoretical framework were identifi ed. These challenges are related to the capability, opportunity and motivation of workers to act to offer moreeffective care. Conclusion The different nature of the barriers identifi ed were overlapped, which reveal the need for professional qualifi cation along with the consolidation of an appropriate care model for chronic noncommunicable diseases such as obesity.
Malnutrition and cardiovascular risk in haemodialysis patients with chronic kidney disease
Authors: ANDRADE Iziane da Silva , CUNHA Carla de Magalhães , BRITO Beatriz Passos de , FRANÇA Fabiana Chagas Oliveira de , OLIVEIRA Lucivalda Pereira Magalhães de
Published: November 2019

ABSTRACT Objective To verify the association between nutritional status and traditional and non-traditional cardiovascular risk factors in haemodialysis patients. Methods A cross-sectional study with 132 patients over 18 years of age on haemodialysis to evaluate nutritional status through Subjective Global Assessment. Information on traditional and non-traditional cardiovascular disease risk factors were obtained using a structured questionnaire; the Framingham score was also used to assess cardiovascular risk. Data analysis was performed using the Chi-square Test or Fischer Exact Test and a Log-binomial Regression Model. Results Malnutrition affected 31.1% of patients. Among them, a higher percentage of smokers (p=0.016), former smokers (p=0.034) and diabetes Mellitus patients (p=0.001) were detected. Malnutrition was found to be 4.53 times more prevalent in diabetic individuals (95%CI: 1.99-10.27) and 2.26 times more prevalent among former smokers (95%CI: 1.04-4.95). Malnourished individuals exhibited a 4.03 times prevalence of moderate to severe cardiovascular risk. Conclusion A high prevalence of malnutrition and of other risk factors for cardiovascular disease were observed. Such factors included diabetes Mellitus, smoking and former smoker conditions and were associated with malnutrition. Inaddition, it was found that malnourished individuals were more likely to develop cardiovascular disease within 10 years.
Trends in smoking prevalence in all Brazilian capitals between 2006 and 2017
Authors: Malta Deborah Carvalho , Silva Alanna Gomes da , Machado Ísis Eloah , Sá Ana Carolina Micheletti Gomide Nogueira De , Santos Filipe Malta dos , Prates Elton Junio Sady , Cristo Elier Broche
Published: November 2019

ABSTRACT Objective: To evaluate the trends in smoking prevalence in all Brazilian capitals between 2006 and 2017. Methods: This was a study of temporal trends in smoking, based on information from the Telephone-based System for the Surveillance of Risk and Protective Factors for Chronic Diseases. The trends in smoking prevalence were stratified by gender, age, level of education, and capital of residence. We used linear regression analysis with a significance level of 5%. Results: From 2006 to 2017, the overall prevalence of smoking in the Brazilian capitals declined from 19.3% to 13.2% among men and from 12.4% to 7.5% among women (p < 0.05 for both). Despite the overall decline in the prevalence of smoking in all of the capitals, the rate of decline was lower in the more recent years. There was also a reduction in the prevalence of former smoking (22.2% in 2006 to 20.3% in 2017). In contrast, there was an upward trend in the prevalence of former smoking among individuals with a lower level of education (from 27.9% in 2006 to 30.0% in 2017). In 2017, the prevalence of smoking among men was highest in the cities of Curitiba, São Paulo, and Porto Alegre, whereas it was highest among women in the cities of Curitiba, São Paulo, and Florianópolis. Conclusions: There have been improvements in smoking prevalence in Brazil. Annual monitoring of smoking prevalence can assist in the battle against chronic noncommunicable diseases.
Lentes de gelatina
Authors: Gonçalves Maria Helena , Araujo Luis E. E. de , Rodrigues Varlei
Published: November 2019

Resumo Neste trabalho apresentamos um aparato de baixo custo, lúdico e de fácil acesso para experimentação na área de óptica geométrica. A simplicidade da montagem e a facilidade do manuseio favorecem a aplicação deste projeto, que se propõe a construir lentes esféricas com gelatina comestível. Com o auxilio de gabaritos de papel, feitos no formato desejado, foi possível cortar a gelatina de modo que ela ficasse no formato de uma lente esférica. Utilizando esses materiais, medimos o índice de refração da gelatina a partir da Lei de Snell e medimos a distância focal de uma lente convergente. Também foi possível realizar uma simulação do funcionamento do cristalino presente no olho humano. Ao esticar e comprimir a lente de gelatina é possível observar a alteração da posição do seu foco, ilustrando o mecanismo de acomodação que ocorre em nossos olhos.
Proposal for an instrument for the admission of the elderly to long-term care facilities: elaboration and validation
Authors: Corrêa Eloá Sanches Martins , Arrabaça Maria Paula Pizzaia , Yamaguchi Mirian Ueda , Bernuci Marcelo Picinin
Published: November 2019

Abstract Objective: To elaborate and validate an instrument for the admission of the elderly to long-term care facilities. Method: A methodological study was performed, divided into two phases, the first of which was the elaboration of the instrument based on a literature review of research published in journals indexed in SciELO and in databases such as Medline, LILACS, IBECS, Embase and books related to gerontology, defining theoretical dimensionality through relevant information to support individualized and integral care for the elderly. The second phase of the study involved validation by nine experts from a multidisciplinary field. Six criteria were used to validate the construct, for which the experts chose one of the following options: adequate, inadequate or requires greater adequacy and also, when necessary, added suggestions. The decision to maintain, reformulate or exclude items was based on the Percentage of Consensus (PC) among the experts, for which consensus of more than 80% was adopted as the value of statistical significance. Results: The scientific evidence base for the construction of the instrument consisted of anamnesis and physical examination domains, segmented in ten and four sections, respectively. Half of the sections achieved a score above that proposed, four of which received a maximum consensus score in all criteria. Conclusion: The instrument was developed and proved to be consistent for applicability by different professionals in the area, with the aim of promoting geriatric care focused on the health of the institutionalized patient.
Quality of life of elderly quilombolas in the Brazilian northeast
Authors: Sardinha Ana Hélia de Lima , Aragão Francisca Bruna Arruda , Silva Cleidson Morais , Rodrigues Zulimar Márita Ribeiro , Reis Andréa Dias , Varga István van Deursen
Published: November 2019

Abstract Objective: To evaluate the quality of life (QoL) of elderly quilombolas (residents of quilombo settlements first established by escaped slaves) in mixed urban and rural residential developments (agrovilas) in Alcântara, Maranhão, Brazil. Method: An observational, cross-sectional and descriptive study was performed. The sample consisted of 129 elderly people of both genders, aged 60 years or older and living in northeastern Brazil. The sample was allocated into three groups, distributed according to geographic space. Quality of life was assessed using the WHOQoL-Bref instrument and a sociodemographic questionnaire was applied. The comparison between groups was carried out using the Anova test (one-way) and subsequently the Bonferroni Post-Hoc test. The correlation was obtained by the Pearson test, p<0.05. Results: Elderly quilombolas had a mean age of 69.7 years (±7.9) and were predominantly men with low income and schooling. Quality of life had higher scores in the social domain (values) and lower in the environmental domain (values). Quality of life as measured by the psychological domain was higher in group I than in groups II (p=0.012) and III (p=0.002). The facets of QoL correlated with facets of health for group I (r=0.357; p=0.032) and III (r=0.461; p<0.001). Conclusion: The situation of the quilombola population surveyed is considered vulnerable and psychological factors influence QoL.
APOIO MATRICIAL COMO ESTRATÉGIA DE ORDENAÇÃO DO CUIDADO EM SAÚDE MENTAL
Authors: Lima Marlene Costa , Gonçalves Tonantzin Ribeiro
Published: November 2019

Resumo O estudo do tipo qualitativo e transversal, com o objetivo de analisar a perspectiva dos profissionais dos centros de atenção psicossocial acerca do apoio matricial como estratégia de cuidado psicossocial em saúde mental. Foram utilizadas dez entrevistas semiestruturadas com profissionais de serviços de saúde mental do município de Imperatriz, Maranhão. Depreendeu-se que esses profissionais compreendem o apoio matricial como ferramenta indispensável para a organização do cuidado psicossocial, mas este ainda é utilizado de modo incipiente no seu cotidiano de trabalho ante os desafios relativos à: coexistência do modelo psicossocial com o biomédico; falta de condições de trabalho; falta de educação continuada e permanente da rede de atenção; burocratização e verticalização das ações da gestão; e motivação para o trabalho entre as equipes. Algumas vivências exitosas de apoio matricial para esses trabalhadores resultaram da cogestão dos processos de trabalho entre profissionais e usuários. Recomenda-se que haja um claro direcionamento do trabalho por parte da gestão, com a definição de uma equipe de matriciadores e um planejamento para sua realização, construindo processos de trabalho que favoreçam tal prática.
Social representation regarding the use of alcoholic beverages by adolescents
Authors: YAMAUCHI Luciane Maya , ANDRADE André Luiz Monezi , PINHEIRO Bruno de Oliveira , ENUMO Sônia Regina Fiorim , MICHELI Denise de
Published: November 2019

Abstract This study evaluated the Social Representations regarding the use of alcoholic beverages by adolescents (N = 386; Mage = 15.6; SD = 1.94) based on the Theory of Social Representations. The following instruments were used: sociodemographic questionnaire, Drug Use Screening Inventory and Word Evocation Questionnaire. The Social Representations was evaluated from prototypical and similarity reviews, based on the Social Representation Theory and on the Central Nucleus Theory, and the other data were analyzed based on descriptive and inferential tests. The results indicated that 45.0% of the adolescents had consumed alcoholic beverages during the month before data collection, 24.5% of them with a certain regularity (more than three times a month). With regard to Social Representations it was observed that the words “beer” and “party” were the most evoked (p < 0.05). Alcohol consumption by adolescents was considered an acceptable social behavior as it is associated with positive thinking and with socializing characteristics among peers (p < 0.01).