bluuebunny/crossref_metadata_2025 huggingface dataset:
NON-ALCOHOLIC FATTY LIVER DISEASE: AN UPDATE ON DIAGNOSIS
Authors: Dumitrascu Dan L. , Neuman Manuela G.
Published: February 2018

Background and aim. The non-alcoholic fatty liver disease (NAFLD) and its sub-entity, the non-alcoholic steatohepatitis (NASH) represent a field of a tremendous progress in recent years. Clinicians need to remain updated with new data on pathogenesis and therapy. The present mini review aims to present some new scientific reports on the diagnosis of NAFLD and NASH for clinical practitioners.Methods. A systematic literature search of the main international databases was performed. We looked for seminal and innovative papers published in main international languages. A narrative review of the topic was consequently written.Results. This review describes new data on the diagnosis of NAFLD including NASH. Liver punction biopsy remains the gold standard. However many patients and clinicians prefer to use noninvasive methods. We present the serological tests and the imaging methods used to diagnose inflammation and fibrosis occurring in NAFLD and NASH.Conclusions. NAFLD-NASH are multifaceted entities that have to be diagnosed and treated by skilled and informed practitioners.
Antibiotic Prophylaxis for Children With Sickle Cell Anemia
Authors: Reeves Sarah L. , Tribble Alison C. , Madden Brian , Freed Gary L. , Dombkowski Kevin J.
Published: February 2018

BACKGROUND:

Children with sickle cell anemia (SCA) are at increased risk for invasive pneumococcal disease; antibiotic prophylaxis significantly reduces this risk. We calculated the proportion of children with SCA who received ≥300 days of antibiotic prophylaxis and identified predictors of such receipt.

METHODS:

Children aged 3 months to 5 years with SCA were identified by the presence of 3 or more Medicaid claims with a diagnosis of SCA within a calendar year (2005–2012) in Florida, Illinois, Louisiana, Michigan, South Carolina, and Texas. Receipt of antibiotics was identified through claims for filled prescriptions. The outcome, receipt of ≥300 days of antibiotics, was assessed annually by using varying classifications of antibiotics. By using logistic regression with generalized estimating equations, we estimated the odds of receiving ≥300 days of antibiotics, with potential predictors of age, sex, year, state, and health services use.

RESULTS:

A total of 2821 children contributed 5014 person-years. Overall, only 18% of children received ≥300 days of antibiotics. Each additional sickle cell disease-related outpatient visit (odds ratio = 1.01, 95% confidence interval: 1.01–1.02) and well-child visit (odds ratio = 1.08, 95% confidence interval: 1.02–1.13) was associated with incrementally increased odds of receiving ≥300 days of antibiotics.

CONCLUSIONS:

Despite national recommendations and proven lifesaving benefit, antibiotic prophylaxis rates are low among children with SCA. Numerous health care encounters may offer an opportunity for intervention; in addition, such interventions likely need to include social factors that may affect the ability for a child to receive and adhere to antibiotic prophylaxis.
Instagram addiction and the Big Five of personality: The mediating role of self-liking
Authors: Kircaburun Kagan , Griffiths Mark D.
Published: February 2018

Background and aims

Recent research has suggested that social networking site use can be addictive. Although extensive research has been carried out on potential addiction to social networking sites, such as Facebook, Twitter, YouTube, and Tinder, only one very small study has previously examined potential addiction to Instagram. Consequently, the objectives of this study were to examine the relationships between personality, self-liking, daily Internet use, and Instagram addiction, as well as exploring the mediating role of self-liking between personality and Instagram addiction using path analysis.

Methods

A total of 752 university students completed a self-report survey, including the Instagram Addiction Scale (IAS), the Big Five Inventory (BFI), and the Self-Liking Scale.

Results

Results indicated that agreeableness, conscientiousness, and self-liking were negatively associated with Instagram addiction, whereas daily Internet use was positively associated with Instagram addiction. The results also showed that self-liking partially mediated the relationship of Instagram addiction with agreeableness and fully mediated the relationship between Instagram addiction with conscientiousness.

Discussion and conclusions

This study contributes to the small body of literature that has examined the relationship between personality and social networking site addiction and is one of only two studies to examine the addictive use of Instagram and the underlying factors related to it.
Afield
Authors: Pearson Mike
Published: February 2018

Reflections on and approaches to interdisciplinary collaboration in archaeology, cultural geography and performance. With the outline of a potential methodology and proposals for practice that draw upon experiences of creative endeavours in the field and in which scholarly and artistic are combined; and with reference to a series of performative outcomes.
Entangled Concepts and Participatory Practices across Archaeology, Heritage and Art
Authors: Acheson Roberts Leah , Sterling Colin
Published: February 2018

This forum response questions the 'creative turn' in archaeology with specific reference to the work of the Archaeology/Heritage/Art Research Network - a loose constellation of academics, artists, events and activities which aims to interrogate the cross-fertilisation of these fields. Focusing on the historical example of the 'conversazione' as a model for participatory debate and practice across different disciplines, the paper argues for more grounded interactions between artists and archaeologists in the light of their increasing conceptual and methodological entanglement.
S. Zoreh Kermani, Pagan Family Values: Childhood and the Religious Imagination in Contemporary American Paganism (New York: New York University Press, 2013), 250 pp., $27 (pbk), ISBN: 978-1-4798-9460-4
Authors: Versteeg Peter G.A.
Published: February 2018

S. Zoreh Kermani, Pagan Family Values: Childhood and the Religious Imagination inContemporary American Paganism (New York: New York University Press, 2013), 250pp., $27 (pbk), ISBN: 978-1-4798-9460-4
ANÁLISE DO PROCESSO DE REESTRUTURAÇÃO DO SETOR ELÉTRICO BRASILEIRO
Authors: Guerra Lenin Cavalcanti Brito , Silva Sabrina Carla Alves
Published: February 2018

O presente artigo analisa o processo de reestruturação e a expansão do setor elétrico brasileiro entre os anos de 1995 a 2014, evidenciando os principais desafios para o crescimento continuado do setor elétrico nacional. Para tanto, utiliza como procedimento metodológico o método das narrativas para construção das relações entre os eventos ocorridos no período em análise, além disso se fará uso do método documental com utilização de dados secundários para construir a expansão do setor elétrico no que tange oferta e consumo. Em linhas gerais, foi observado que os principais desafios para o setor elétrico durante o período foi a questão regulatória que passou e continua em processo de ajustes e planejamento de longo prazo. Por fim pode-se concluir que os modelos implantados no processo de reestruturação do setor elétrico nacional alcançaram resultados significativos e de avanço ao segmento elétrico, todavia faz-se necessária continuidade do planejamento mudanças. Alguns pontos positivos contribuíram para o crescimento do setor elétrico, sobretudo a abertura para atuação privada, implantação dos ambientes de contratação regulada e contratação livre, além da implantação em longo prazo para minimizar as incertezas que ainda existem no setor e ampliar a expansão e segurança energética no país.
IMPORTÂNCIA DE INCUBADORAS DE EMPRESAS EM AMBIENTE ACADÊMICO: UM ESTUDO DO PERFIL EMPREENDEDOR DOS DISCENTES
Authors: Michely Renata Michely , Silva Leilton Cavalcanti da Silva Cavalcanti , Guidi Renata Lissa Soares da Silva Guidi Lissa
Published: February 2018

O empreendedorismo está em constante crescimento no Brasil, isto contribui consideravelmente para o desenvolvimento do país. Dessa forma, instituições de ensino e órgãos governamentais promovem ações para o desenvolvimento do perfil empreendedor dos indivíduos, com o intuito de promover uma prática empreendedora na atualidade e induzir práticas futuras. O presente trabalho tem por objetivo analisar o perfil empreendedor dos alunos do Instituto Federal de Educação, Ciência e Tecnologia do Rio Grande do Norte, campus São Gonçalo do Amarante, visando reforçar a necessidade de implantação de uma incubadora de empresas no campus. A pesquisa trata-se de um estudo de caso com abordagem quantitativa de caráter exploratório, realizado a partir de revisão da literatura. A pesquisa de campo será feita por meio de questionários estruturados, a fim de identificar o perfil empreendedor dos alunos dos cursos de Redes de computadores, Informática, Edificações e Logística do IFRN São Gonçalo do Amarante, nas modalidades de Ensino Médio Integrado, Subsequente e Graduação. A partir dos dados coletados, observou-se que a maior parte dos alunos apresentam o perfil empreendedor em desenvolvimento, o que salienta a importância da instalação da incubadora de empresas no campus IFRN/SGA.
Editorial
Authors: Nascimento Gerson Gomes do
Published: February 2018

Nesta edição da Geoconexões trazemos artigosrelacionados à questão da Ciência Geográfica e suarelação com o processo de ensino-aprendizagem.
A PRODUÇÃO DA ESTRUTURA FUNDIÁRIA URBANA NO LITORAL NORTE DE JOÃO PESSOA E SUA IMPORTÂNCIA PARA A COMPREENSÃO DA SEGREGAÇÃO SOCIOESPACIAL
Authors: Vasconcelos Filho João Manoel
Published: February 2018

O processo histórico da produção da estrutura fundiária urbana no litoralnorte de João Pessoa revela várias contradições. Nesse sentido, a discussãopreocupa-se em abordar a construção da renda fundiária urbana, suas relaçõescomplexas e as intermediações dos promotores imobiliários e o Estado. Numoutro momento, faz-se um levantamento no espaço-tempo da projeção destaestrutura fundiária salientando os atores e agentes participantes desse processo.O objetivo desse texto é não apenas abordar o modelo de projeção da estruturafundiária urbana na porção litorânea norte de João Pessoa, mas também discutirsobre as contradições reveladas a partir da aquisição da renda fundiária que aterra urbana passa a proporcionar para aqueles atores e agentes que participamde forma ativa do sistema produtivo. Sob este aspecto, discute-se também afalta de compromisso do Estado, bem como a segregação socioespacial, quetransforma a cidade em uma rara mercadoria destinada a poucos.
HISTOLOGICAL ANALYSIS AND PERFORMANCE OF SOUR PASSION FRUIT POPULATIONS UNDER DIFFERENT ROOTSTOCKS RESISTANT TO Fusarium spp
Authors: Ambrósio Moisés , Krause Willian , Silva Celice Alexandre , Lage Laís Alves , Cavalcante Natan Ramos , Silva Ivone Vieira da
Published: February 2018

ABSTRACT The present study aimed to describe histological traits of the graft welding process and evaluate the effect of rootstocks on the physical and chemical traits and the productivity of sour passion fruit populations. The experiment was arranged in a randomized block design, in a 4x2 + 4 factorial scheme (cultivars / canopy x rootstocks), three replicates and nine plants per plot. Commercial cultivars and populations and Passiflora alata and P. nitida rootstocks, in addition to ungrafted plants were used as canopy. Cleft grafting was the grafting type adopted. Traits analyzed such as productivity and physical and chemical quality of fruits were submitted to analysis of variance and compared by the Tukey test. The canopy morphology was evaluated according to descriptors of the Ministry of Agriculture, Livestock and Supply. Grafting was carried out for each graft/rootstock combination for histological analysis. Sections were obtained by freehand cuts, stained and mounted on semi-permanent slides, examined under optical microscope and photomicrographed. Rootstocks affected the early cultivation and reduced productivity and number of fruits of passion fruit populations. Grafting did not affect the quality of fruits or the canopy morphology. Considering the complete culture cycle, P. alata species is able to be used as rootstock. The anatomical study demonstrates the occurrence of better compatibility in the connection of P. edulis tissues on P. alata, compared to grafting on P. nitida.
ETHEPHON AND CALCIUM CHLORIDE, A COMBINATION THAT IMPROVES SKIN COLOR OF ‘RUBI’ TABLE GRAPE
Authors: Scavroni Joseane , Ferreira Leonardo Cesar , Ferrarese Maria de Lourdes Lucio , Ono Elizabeth Orika , Rodrigues João Domingos
Published: February 2018

ABSTRACT ‘Rubi’ table grape has wide acceptance of the consumer market due to its affordable price and attractive color as a function of the accumulation of anthocyanins. However, environmental conditions do not always favor the suitable accumulation of these pigments, resulting in commercial devaluation and nutritional depreciation of fruits. Thus, the present study aimed to investigate the effect of application of different ethephon concentrations, associated or not with CaCl2 application, on the skin color and quality of ‘Rubi’ grape berries. First, specific traits of berries treated with 0, 200, 400, 600, 800 mg L-1 ethephon associated with 1.5% CaCl2 solution were evaluated and pH, titratable acidity (TA), soluble solids (SS), berry firmness, total and reducing soluble sugars, and anthocyanin and flavonol levels were analyzed. This first stage of evaluation revealed no changes in total sugar levels, firmness, SS, TA, SS/TA ratio, and flavonol levels, while changes were detected regarding reducing sugar and anthocyanin levels. Thus, in the second stage, the following variables were evaluated: SS, TA, reducing sugar levels, anthocyanin levels, phenylalanine ammonia lyase (PAL) and glutathione S-transferase (GST) activity of ‘Rubi’ grape berries treated with 0, 200, 400, 600, 800 mg L-1 ethephon, associated or not with 1.5% CaCl2 solution. The results of the present study indicate that ethephon associated with CaCl2 can contribute to improve the post-harvest quality of ‘Rubi’ grape, since this association increased the accumulation of anthocyanins due to the higher activity of PAL and GST, related to biosynthesis and storage of antocyanins, respectively, and increased the levels of reducing sugars (at low ethephon concentrations), not changing other quality aspects. Therefore, a single ethephon application from 200 mg L-1 associated with the application of 1.5% CaCl2 at the final ripening stage, when bunches present from 30 to 50% skin color coverage, was sufficient to produce satisfactory results regarding skin color improvement of ‘Rubi’ grape berries.
Glucose level evaluation in monopedicled rectus abdominis myocutaneous flap after venous occlusion: experimental study in rats
Authors: BERLIM GUSTAVO LEVACOV , OLIVEIRA ANTÔNIO CARLOS PINTO , PORTINHO CIRO PAZ , MORELLO EMERSON , LINHARES CAROLINA BARBI , COLLARES MARCUS VINICIUS MARTINS
Published: February 2018

ABSTRACT Objective: to validate an experimental model for the measurement of glycemic levels in surgical flaps with the use of common glucometers, and to analyze the diagnostic criteria for hypoperfusion of such flaps. Methods: we performed vertical myocutaneous rectus abdominis flaps with upper pedicles bilaterally in 20 male Wistar rats, divided into two groups: with and without venous occlusion of the pedicle. We measured glucose levels in the flaps and in the systemic circulation with standard glucometers. We tested the accuracy of alternative diagnostic criteria for the detection of hypoperfusion. Results: from 15 minutes of venous occlusion on, there was a significant reduction in glucose levels measured in the congested flap (p<0.001). Using a minimum difference of 20mg/dl in the glycemic levels between the flap and systemic blood, 30 minutes after occlusion, as a diagnostic criterion, the sensitivity was 100% (95% CI 83.99-100%) and specificity of 90% (95% CI 69.90-97.21%) for the diagnosis of flap congestion. Conclusion: It is possible to measure glucose levels in vertical myocutaneous rectus abdominis flaps of Wistar rats, perfused or congested, using a common glucometer. The diagnostic criteria that compare the glucose levels in the flaps with the systemic ones were more accurate in the evaluation of tissue perfusion.
Scrotal reconstruction with superomedial fasciocutaneous thigh flap
Authors: MELLO DANIEL FRANCISCO , HELENE JÚNIOR AMERICO
Published: February 2018

ABSTRACT Objective: to describe the use of a superomedial fasciocutaneous thigh flap for scrotal reconstruction in open areas secondary to the surgical treatment of perineal necrotizing fasciitis (Fournier’s gangrene). Methods: retrospective analysis of cases treated at the Plastic Surgery Service of Santa Casa de Misericórdia, São Paulo, from 2009 to 2015. Results: fifteen patients underwent scrotal reconstruction using the proposed flap. The mean age was 48.9 years (28 to 66). Skin loss estimates in the scrotal region ranged from 60 to 100%. Definitive reconstruction was performed on average 30.6 days (22 to 44) after the initial surgical treatment. The mean surgical time was 76 minutes (65 to 90) to obtain the flaps, bilateral in all cases. Flap size ranged from 10cm to 13cm in the longitudinal direction and 8cm to 10cm in the cross-sectional direction. The complication rate was 26.6% (four cases), related to the occurrence of segmental and partial dehiscence. Conclusion: the superomedial fasciocutaneous flap of thigh is a reliable and versatile option for the reconstruction of open areas in the scrotal region, showing adequate esthetic and functional results.
Intragastric balloons in high-risk obese patients in a Brazilian center: initial experience
Authors: BORGES ALANA COSTA , ALMEIDA PAULO CÉSAR , FURLANI STELLA M. T. , CURY MARCELO DE SOUSA , GAUR SHANTANU
Published: February 2018

ABSTRACT Objective: to assess the short-term efficacy, tolerance and complications in high-risk morbidly obese patients treated with an intragastric balloon as a bridge for surgery. Methods: we conducted a post-hoc analysis study in a Brazilian teaching hospital from 2010 to 2014, with 23 adult patients with a BMI of 48kg/m2, who received a single intragastric air or liquid balloon. We defined efficacy as 10% excess weight loss, and complications, as adverse events consequent to the intragastric balloon diagnosed after the initial accommodative period. We expressed the anthropometric results as means ± standard deviation, comparing the groups with paired T / Student’s T tests, when appropriate, with p<0.05 considered statistically significant. Results: the balloons were effective in 91.3% of the patients, remained in situ for an average of 5.5 months and most of them (65.2%) were air-filled, with a mean excess weight loss of 23.7kg±9.7 (excess weight loss 21.7%±8.9) and mean BMI reduction of 8.3kg/m2±3.3. Complications (17.3%) included abdominal discomfort, balloon deflation and late intolerance, without severe cases. Most of the participants (82.7%) did not experience adverse effects. We removed the intragastric balloons in time, without intercurrences, and 52.2% of these patients underwent bariatric surgery within one month. Conclusion: in our center, intragastric balloons can be successfully used as an initial weight loss procedure, with good tolerance and acceptable complications rates.
Damage control surgery: are we losing control over indications?
Authors: PIMENTEL SILVÂNIA KLUG , RUCINSKI TULIO , MESKAU MELINA PAULA DE ARAÚJO , CAVASSIN GUILHERME PASQUINI , KOHL NATHAN HARMUCH
Published: February 2018

ABSTRACT Objective: to analyze the surgeons’ subjective indications for damage control surgery, correlating with objective data about the patients’ physiological state at the time the surgery was chosen. Methods: we carried out a prospective study between January 2016 and February 2017, with 46 trauma victims who were submitted to damage control surgery. After each surgery, we applied a questionnaire to the attending surgeon, addressing the motivations for choosing the procedure. We collected data in the medical records to assess hemodynamic conditions, systolic blood pressure and heart rate on arrival at the emergency room (grade III or IV shock on arrival at the emergency room would partially justify the choice). We considered elevation of serum lactate level, prolonged prothrombin time and blood pH below 7.2 as laboratory indicators of worse prognosis, objectively corroborating the subjective choice of the procedure. Results: the main indications for damage control surgery were hemodynamic instability (47.8%) and high complexity lesions (30.4%). Hemodynamic and laboratory changes corroborated the choice in 65.2% of patients, regardless of the time; 23.9% presented hemodynamic changes compatible with degree III and IV shock, but without laboratory alterations; 4.3% had only laboratory abnormalities and 6.5% had no alterations at all. Conclusion: in the majority of cases, there was early indication for damage control surgery, based mainly on hemodynamic status and severity of lesions, and in 65.2%, the decision was compatible with alterations in objective hemodynamic and laboratory data.
User satisfaction with public and private dental services for different age groups in Brazil
Authors: Macarevich Aline , Pilotto Luciane Maria , Hilgert Juliana Balbinot , Celeste Roger Keller
Published: February 2018

Abstract: This article aimed to describe the levels of user satisfaction in different age groups and to study the association between user satisfaction and different types of dental services in a representative sample of Brazilians. This study is based on the Brazilian Oral Health Survey, which evaluated the dental health of adolescents, adults and older adults in 177 Brazilian cities. The outcome variable was user satisfaction, related to the last dental visit, evaluated in a five-level Likert-type scale. The main exposure variable was the type of dental service (public service, private service, health plan or insurance). The independent variables were DMFT (decay, missing and filled teeth); pain intensity in the past six months; reason for the last dental visit; perceived need for treatment; frequency of use of dental services; sex; equivalent income; and educational level. An ordered logistic regression analysis was performed separately for each age group. Few participants evaluated the services as bad or very bad (4.3% of adolescents, 6.1% of adults and 4.1% of older adults). In the crude model, the use of public services was associated with lower satisfaction than the use of private services and health plans between all groups. However, after adjusting by covariates, this association remained only in adolescents, who showed lower satisfaction with the public service compared to the private service and health plans. In general, Brazilians are satisfied with dental services, but, among adolescents, the use of public services was associated with lower satisfaction. Public services may be focused on issues related to children, adults and older adults, and not to the adolescent audience, which has specific demands.
O avanço do capital na saúde: um olhar crítico às Organizações Sociais de Saúde
Authors: Travagin Letícia Bona
Published: February 2018

RESUMO O objetivo deste artigo foi oferecer uma visão crítica à gestão da saúde pública via Organizações Sociais, entendendo-as como parte do processo de desestruturação da proteção social em um contexto de reforço ao capital. O texto considera a interação entre Estado e capital, as críticas internacional e nacional aos Estados sociais e, sobretudo, uma série de problemas intrínsecos às Organizações Sociais. Metodologicamente, vale-se de revisão e organização de literatura relevante e de textos legislativos. Conclui-se que este mecanismo de gestão consiste em privatização da saúde pública, favorecendo a expansão do setor privado de saúde, em detrimento do sistema público.
Aposentadoria no contexto de Reforma Previdenciária: análise descritiva em uma instituição de ensino superior
Authors: Godinho Marluce Rodrigues , Ferreira Aldo Pacheco
Published: February 2018

RESUMO Visando a analisar o perfil sociodemográfico, de trabalho e saúde dos aposentados de uma universidade pública, foi realizado um estudo de coorte através de análise retrospectiva de dados dos aposentados. A maioria aposentou-se por idade ou tempo de serviço e apresentava boas condições de trabalho, saúde e boa capacidade para o trabalho. As condições favoráveis para a manutenção da vida ativa no trabalho desses indivíduos podem servir como exemplo para outras categorias profissionais no País. Sugere-se, então, pensar na Reforma Previdenciária junto a ações de prevenção de doenças e promoção da saúde, para prevenir o adoecimento, a perda da capacidade para o trabalho e as aposentadorias precoces.
Qualidade de Vida e carga psicofisiológica de trabalhadores da produção cerâmica do Extremo Sul Catarinense
Authors: Teodoro Daniela Leandro , Longen Willians Cassiano
Published: February 2018

RESUMO Na região Sul do estado de Santa Catarina concentram-se as maiores empresas de cerâmica do País. O objetivo do estudo foi diagnosticar a carga psicofisiológica e a Qualidade de Vida desses trabalhadores. Trata-se de um estudo transversal com 189 trabalhadores da produção. Utilizou-se o NASA-TLX e o WHOQOL-bref. A carga cognitiva total foi alta para a grande maioria. A Qualidade de Vida mostrou-se regular para 60,8%. O domínio meio ambiente mostrou-se o mais desfavorável. Ao conhecer as condicionantes de trabalho, o estímulo para a implementação de ações de promoção da saúde e prevenção de agravos, tendo o trabalhador como ator de sua condição de vida e trabalho, torna-se mais palpável.
Sobre o cuidar e o ser cuidado na atenção domiciliar
Authors: Pozzoli Sandra Maria Luciano , Cecílio Luiz Carlos de Oliveira
Published: February 2018

RESUMO O objetivo deste artigo é evidenciar experiências do cuidar e ser cuidado e apresentar a visão de cuidadores familiares sobre um Serviço de Atenção Domiciliar. É um estudo de caso que aplica a cartografia como ethos no campo de pesquisa para captar as experiências durante as visitas domiciliares e entrevistas com cinco cuidadoras. Para análise da dimensão empírica, foram eleitos Planos de Corte e, dentro destes, Planos de Visibilidade para exercício da reflexividade. A alteridade vivida pelos cuidadores e a sobrecarga de responsabilidades são algumas expressões captadas no campo de pesquisa que indicam a necessidade de associar serviços de saúde a serviços de apoio sociais.
O cuidado a Pessoas em Situação de Rua pela Rede de Atenção Psicossocial da Sé
Authors: Wijk Lívia Bustamante van , Mângia Elisabete Ferreira
Published: February 2018

RESUMO Este estudo qualitativo teve como objetivos conhecer as ações dirigidas às Pessoas em Situação de Rua que apresentam transtorno mental, desenvolvidas por dois serviços da Rede de Atenção Psicossocial da Sé; identificar obstáculos e pontos de força presentes no cotidiano de trabalho; e conhecer a opinião dos usuários sobre o cuidado recebido. A maioria das ações oferecidas pelos serviços encontra-se alinhada às diretrizes das políticas públicas, considera as características da população e busca responder às suas necessidades. O vínculo entre profissionais e usuários foi compreendido como essencial, mas há sobrecarga e risco de adoecimento dos profissionais.
Grupos de ouvidores de vozes: estratégias e enfrentamentos
Authors: Kantorski Luciane Prado , Antonacci Milena Hohmann , Andrade Ana Paula Müller de , Cardano Mario , Minelli Massimiliano
Published: February 2018

RESUMO O objetivo deste artigo é discutir as estratégias utilizadas por diferentes grupos de pessoas que ouvem vozes, para o enfrentamento de tal experiência. Trata-se de um estudo etnográfico realizado junto a grupos italianos de ouvidores de vozes. Os dados, que foram obtidos no período entre outubro de 2014 e janeiro de 2016, através da observação participante, com registros em diários de campo, demonstram que estratégias de enfrentamento em espaço grupal, tais como o diálogo com as vozes, a busca de informação e a escrita sobre as mesmas são importantes para a superação das dificuldades decorrentes dessa vivência e estimulam o protagonismo daqueles que as ouvem.
O controle social no Sistema Único de Saúde: um olhar crítico à Resolução nº 453/2012
Authors: Lima Dartel Ferrari de , Lima Lohran Anguera
Published: February 2018

RESUMO O ensaio reflete sobre a Resolução nº 453/12, do Ministério da Saúde e do Conselho Nacional de Saúde, que aprovaram diretrizes instituindo, reformulando e reestruturando o funcionamento dos Conselhos de Saúde para o enfrentamento de sua legitimação institucional e estruturação, para que a sociedade sinta a presença permanente da possibilidade de se envolver nos assuntos de saúde pública, sem custos pessoais ou financeiros, sem demoras e sem timidez. São discutidos criticamente pontos capazes de potencializar conflitos de entendimento das normas e dos prejuízos à autonomia e à garantia da abrangência do controle social nas políticas públicas de saúde.
Cuidado, integralidade e atenção primária: articulação essencial para refletir sobre o setor saúde no Brasil
Authors: Carnut Leonardo
Published: February 2018

RESUMO Este artigo descreve os elementos teórico-conceituais sobre cuidado, integralidade e Atenção Primária à Saúde, articulando-os e ressaltando a essencialidade destas ideias na estruturação do sistema de saúde no Brasil. Optou-se pelo formato ensaístico segundo os argumentos de Meneghetti e Adorno. Foram apresentados os conceitos de cuidado, integralidade e atenção primária, assim como algumas críticas de ordem teórico-prática. Foi demonstrada a existência de um fio condutor que os une, tornando-os um eixo estrutural do Sistema Único de Saúde, assim como os principais limites e possibilidades dessa articulação. Por fim, lançou-se uma brevíssima sugestão sobre o tema em tempos de crise econômico-política.
O processo de trabalho dos serviços de saúde frente a desastre de incêndio em casa noturna
Authors: Wagner Cristiane , Soares Mariane Pergher , Skrebsky Bruna , Unfer Beatriz , Ferreira Taísa Gomes
Published: February 2018

RESUMO Este estudo qualitativo objetivou identificar e descrever a organização dos serviços de saúde e as estratégias de cuidado disponibilizadas às pessoas atingidas por um incêndio em uma casa noturna em Santa Maria (RS). Foram realizadas entrevistas semiestruturadas com trabalhadores de diferentes serviços de saúde no município. Identificaram-se fragilidades nos processos de referência e contrarreferência, comunicação e gestão, situações que existiam e se evidenciaram diante do cenário apresentado, dificultando a constituição de uma linha de cuidado. Pontos positivos foram observados, como a atuação do serviço de saúde mental e o estímulo à atuação multiprofissional, objetivando a integralidade do cuidado prestado às vítimas.
Quorum sensing in Enterococcus faecium, Enterococcus faecalis and Bacillus cereus strains isolated from ricotta processing
Authors: Fernandes Meg da Silva , Esper Luciana Maria Ramires , Kabuki Dirce Yorika , Kuaye Arnaldo Yoshiteru
Published: February 2018

ABSTRACT: The quorum sensing phenomenon is a process of intra- and inter-species microbial communication involving the production and detection of extracellular signaling molecules. The autoinducer AI-2 has been proposed to serve as a ‘universal signal’ for interspecies communication. This study aimed to evaluate the capability of Enterococcus faecium, Enterococcus faecalis, and Bacillus cereus strains isolated from ricotta processing to produce quorum sensing signalling molecules (AI-2). The strains were evaluated for the presence of the luxS gene using the polymerase chain reaction. AI-2 quorum sensing signalling molecules were measured in relative light units (RLUs) using a luminometer. A total of 74% of E. faecium, 91% of E. faecalis, and 95% of B. cereus isolates were positive for luxS gene. In addition, the induced bioluminescence in Vibrio harveyi BB170 was observed in all strains, indicating the presence of the AI-2 autoinducer.
The sensitivity of sunflower (Helianthus annuus L.) plants to UV-B radiation is altered by nitrogen status
Authors: Cechin Inês , Gonzalez Gisely Cristina , Corniani Natália , Fumis Terezinha de Fátima
Published: February 2018

ABSTRACT: Interaction effects between nitrogen and UV-B radiation were studied in sunflower (Helianthus annuus L. variety IAC-Iarama) plants grown in a greenhouse under natural photoperiod conditions. Plants were irradiated with 0.8W m-2 (control) or 8.0W m-2 (+UV-B) of UV-B radiation for 7h per day. The plants were grown in pots containing vermiculite and watered with 70% of full strength nitrogen-free Long Ashton solution, containing either low (42.3ppm) or high (282ppm) nitrogen as ammonium nitrate. High nitrogen increased dry matter of stem, leaves and shoot, photosynthetic pigments and photosynthesis (A) without any alteration in stomatal conductance (gs) nor transpiration (E) while it reduced the intercellular CO2 (Ci) concentration, and malondialdehyde (MDA) content. High UV-B radiation had negative effects on dry matter production, A, gs and E with the effects more marked under high nitrogen, whereas it increased Ci under high nitrogen. Activity of PG-POD was reduced by high UV-B radiation under low nitrogen but it was not changed under high nitrogen. The UV-B radiation increased the MDA content independently of nitrogen level. Results indicate that the effects of UV-B radiation on sunflower plants are dependent of nitrogen supply with high nitrogen making their physiological processes more sensitive to UV-B radiation.
Effect of warm-up intensity on horse-rider dyad’s performance in jumping
Authors: Stachurska Anna , Janczarek Iwona , Wilk Izabela , Jaworska Katarzyna , Pluta Michał , Kolstrung Ryszard
Published: February 2018

ABSTRACT: The aim of this study was to determine whether there is a correlation between the intensity of warm-up and scores of horse-rider dyads in jumping competitions, and which factors affect the warm-up regime. Three international competitions of 120, 130, and 135cm obstacle height, completed by 82 competitors, were studied. Warm-up intensity was measured by the time spent in the schooling area, number of practice jumping efforts, and coefficient of practice obstacle height. Out of the official final scores in the competitions, penalty points in the round and converted final placings were used as outcome measures. The data were analyzed with Spearman’s correlation, multifactorial analysis of variance, and Tukey’s test. The rider’s sex, part of the world that the riders came from, horse’s sex, age, and competitive level (obstacle height) were considered. Results showed that more jumps and higher obstacles during warm-up decrease the horse-rider dyad’s performance in jumping competition, whereas the duration of the total warm-up time does not affect the score. Female riders warm up horses longer but jump lower fences than male riders. Riders do not differentiate the warm-up regime with regard to the horse’s sex, whereas they considered the horse’s age. The warm-up intensity does not increase proportionally to the competitive level.
ESTUDO COMPARATIVO DAS ATITUDES AVALIATIVAS DE OSCAR WILDE NA CARTA DE PROFUNDIS E SUA TRADUÇÃO PARA O PORTUGUÊS BRASILEIRO
Authors: Maciel Tamyres Fernanda Silva , Sebastião Rodrigues-Júnior Adail
Published: February 2018

RESUMO Este artigo constitui-se de uma investigação acerca dos recursos avaliativos (MARTIN; ROSE, 2003; MARTIN; ROSE, 2007; MARTIN; WHITE, 2005; MUNDAY, 2012; RODRIGUES-JÚNIOR, 2016) utilizados por Oscar Wilde em seu manuscrito De Profundis e sua tradução para o português brasileiro. A carta, escrita num contexto expecífico da vida de Wilde, quando fora aprisionado por cometer atos considerados criminosos pela sociedade da época, apresenta diversas manifestações linguísticas de cunho avaliativo. Os objetivos do trabalho foram verificar como as escolhas lexicais que exprimem afeto, julgamento e apreciação aparecem nos textos de partida e traduzido (doravante TP e TT), contribuir com as análises tradutológicas por meio de uma abordagem de base sistêmico-funcional acerca das atitudes avaliativas presentes no TP e TT e investigar a presença do sujeito social Oscar Wilde em sua carta De Profundis. Os procedimentos metodológicos utilizados foram a comparação das ocorrências de atitude avaliativa por meio de marcações das mudanças em equivalência (CATFORD, 1965; RODRIGUES-JÚNIOR; OLIVEIRA, 2015), análises dessas mudanças e as reflexões quantitativas acerca das mudanças encontradas no corpus. Foi possível identificar três tipos de mudanças no que se refere às construções linguísticas de Avaliatividade: as que não modificam os significados semânticos presentes no TP, as que modificam esses significados e as omissões. Este estudo propiciou o desenvolvimento de uma nova categoria de mudança em equivalência no âmbito das atitudes avaliativas: é o que chamamos de Mudanças Atitudinais.
Decolorization of textile industry wastewater in solid state fermentation with Peach-Palm (Bactris gasipaes) residue
Authors: Chicatto J. A. , Rainert K. T. , Gonçalves M. J. , Helm C. V. , Altmajer-Vaz D. , Tavares L. B. B.
Published: February 2018

Abstract In this work we have assessed the decolorization of textile effluents throughout their treatment in a solid-state fermentation (SSF) system. SSF assays were conducted with peach-palm (Bactris gasipaes) residue using the white rot fungus Ganoderma lucidum EF 31. The influence of the dye concentration and of the amounts of peach-palm residue and liquid phase on both the discoloration efficiency and enzyme production was studied. According to our results, independently of experimental conditions employed, laccase was the main ligninolytic enzyme produced by G. lucidum. The highest laccase activity was obtained at very low effluent concentrations, suggesting the existence of an inhibitory effect of higher concentrations on fungal metabolism. The highest percentage of color removal was reached when 10 grams of peach palm residue was moistened with 60 mL of the final effluent. In control tests carried out with the synthetic dye Remazol Brilliant Blue R (RBBR) decolorization efficiencies about 20% higher than that achieved with the industrial effluent were achieved. The adsorption of RBBR on peach-palm residue was also investigated. Equilibrium tests showed that the adsorption of this dye followed both Langmuir and Freundlich isotherms. Hence, our experimental results indicate that peach-palm residue is suitable substrate for both laccase production and color removal in industrial effluents.
Abiotic factors drives floristic variations of fern’s metacommunity in an Atlantic Forest remnant
Authors: Costa L. E. N. , Farias R. P. , Santiago A. C. P. , Silva I. A. A. , Barros I. C. L.
Published: February 2018

Abstract We analyzed floristic variations in fern’s metacommunity at the local scale and their relationship with abiotic factors in an Atlantic Forest remnant of northeastern Brazil. Floristic and environmental variations were accessed on ten plots of 10 × 20 m. We performed cluster analyses, based on Bray-Curtis dissimilarity index to establish the floristic relationship. The influence of abiotic factors: luminosity, temperature, relative air humidity and relative soil moisture was evaluated from a redundancy analysis. We found 24 species belonging to 20 genera and 12 families. The fern’s flora showed high floristic heterogeneity (>75% for most of the plot’s associations). The fern’s metacommunity was structured along an abiotic gradient modulated by temperature, luminosity, and relative soil moisture.
Two divergent paths: compression vs. non-compression in deep venous thrombosis and post thrombotic syndrome
Authors: Da Matta Eduardo Simões
Published: February 2018

Abstract Use of compression therapy to reduce the incidence of postthrombotic syndrome among patients with deep venous thrombosis is a controversial subject and there is no consensus on use of elastic versus inelastic compression, or on the levels and duration of compression. Inelastic devices with a higher static stiffness index, combine relatively small and comfortable pressure at rest with pressure while standing strong enough to restore the “valve mechanism” generated by plantar flexion and dorsiflexion of the foot. Since the static stiffness index is dependent on the rigidity of the compression system and the muscle strength within the bandaged area, improvement of muscle mass with muscle-strengthening programs and endurance training should be encouraged. Therefore, in the acute phase of deep venous thrombosis events, anticoagulation combined with inelastic compression therapy can reduce the extension of the thrombus. Notwithstanding, prospective studies evaluating the effectiveness of inelastic therapy in deep venous thrombosis and post-thrombotic syndrome are needed.
Real-world experience with a Paclitaxel-Coated Balloon for the treatment of atherosclerotic infrainguinal arteries: 12-month interim results of the BIOLUX P-III registry first year of enrolment
Authors: Brodmann Marianne , Zeller Thomas , Christensen Johnny , Binkert Christoph , Spak Lubomir , Schröder Henrik , Righini Paolo , Nano Giovanni , Tepe Gunnar
Published: February 2018

Abstract Background Endovascular management of atherosclerotic infrainguinal arteries recently shifted towards drug eluting devices, designed to locally prevent the restenosis process. Numerous clinical studies report an advantage of drug coated balloons over uncoated balloon angioplasty in treating lower extremity peripheral artery disease. However, as coating and balloon platforms are different, each device requires dedicated clinical evaluations. Objective The aim of the study is to further investigate the safety and effectiveness of a Paclitaxel-Coated Balloon for the treatment of atherosclerotic infrainguinal arteries in a real-world setting. Methods 203 patients out of a final sample of 882 were enrolled in this prospective multicenter, observational, all-comers registry during the first 12 months. The primary endpoints were major adverse events (defined as procedure or device related death within 30 days post index procedure, clinically-driven target lesion revascularization or major target limb amputation) at 6 months and freedom from clinically-driven target lesion revascularization at 12 months. Both endpoints were adjudicated by a Clinical Events Committee. Results Mean patient age was 70.2±10.4 years (60.1% male). 47.3% of the patients were diabetic and 67.5% had a history of smoking. Severe claudication was reported in 37.4% and 40% had critical limb ischemia. 257 lesions, including 13.2% in the infrapopliteal territory, were treated with Passeo-18 Lux (mean lesion length 75.1 mm±69.4, 20% occlusions, 76.3% calcified). At 6 months, the rate of major adverse events was 5.5% (95%CI 3.1-9.7). Freedom from clinically-driven target lesion revascularization at 12 months was 93.2% (95%CI 89.1-95.8). All causes mortality was 6.5% (95%CI 3.8-11.0) and overall amputation rate was 4.2% (95%CI 2.1-8.3) at 12 months. Conclusion In a real-world environment, the BIOLUX P-III registry preliminary results confirm the safety and efficacy of the Paclitaxel-Coated Passeo-18 Lux balloon as a stand-alone treatment option for atherosclerotic infrainguinal arteries.
Método das Relações de Recorrência aplicado no problema do elétron em campo magnético constante e uniforme
Authors: Saraiva Bispo Luciana Caroline , Silva Nunes Maria Eugênia
Published: February 2018

Resumo Nesse trabalho utilizamos o Método das Relações de Recorrência (MRR) para estudar o comportamento de um elétron na presença de um campo magnético uniforme aplicado ao longo do eixo z de um sistema de referência estabelecido. Encontramos que as funções de autocorrelação temporais nas direções x e y, respectivamente Cx(t) e Cy(t), oscilam periodicamente no tempo, enquanto na direção z, a função de autocorrelação temporal, Cz(t), tem valor constante e igual a um, corroborando o resultado esperado de que o spin do elétron precessa em torno da direção de aplicação do campo magnético uniforme e independente do tempo.
Human polyomavirus infection: Cytological and molecular diagnosis
Authors: Assis Patricia Gioia de , Carvalho Maria da Glória da Costa
Published: February 2018

Summary Few studies directly compare urinary cytology with molecular methods for detecting BK and JC polyomaviruses. Reactivation of BKV infection is the main risk factor for the development of nephropathy in immunocompromised individuals. The limitation of the cytological method can be attributed to the stage where the infected cell does not have specific and sufficient morphological characteristics for a conclusive diagnosis and can be easily interpreted as degenerative alteration. Moreover, morphologically, it is not possible to differentiate the two types of viruses. Polymerase chain reaction (PCR), not only is a sensitive method, but also allows differentiation of viral types without quantification, and therefore is not indicative of nephropathy. According to the American Society of Nephrology, real-time PCR would be the gold standard to indicate nephropathy because it allows quantifying the number of viral copies.
Discriminação de gênero em grandes empresas no Brasil
Authors: Proni Thaíssa Tamarindo da Rocha Weishaupt , Proni Marcelo Weishaupt
Published: February 2018

Resumo: O problema da discriminação de gênero no trabalho também se manifesta em grandes empresas. Em geral, os homens recebem salários maiores que as mulheres, mesmo que exerçam a mesma função. É mais difícil para as mulheres alcançar posição hierárquica elevada por causa do “teto de vidro”. O combate à discriminação de gênero - propiciado pela evolução da legislação trabalhista e por políticas públicas - é essencial para valorizar a força de trabalho feminina, mas não é capaz de eliminar as diferenças em termos de ascensão na carreira e de remuneração entre homens e mulheres, mesmo em empresas líderes de mercado. As iniciativas de promoção da equidade de gênero no mundo corporativo, contempladas em programas de responsabilidade social empresarial, produzem avanços lentos e requerem uma mudança da cultura organizacional.