bluuebunny/crossref_metadata_2025 huggingface dataset:
Tabagismo, consumo de álcool e atividade física: associações na síndrome coronariana aguda
Authors: Brunori Evelise Helena Fadini Reis , Cavalcante Agueda Maria Ruiz Zimmer , Lopes Camila Takao , Lopes Juliana de Lima , Barros Alba Lucia Bottura Leite de
Published: March 2017

Objetivo: Descrever a prevalência de tabagismo e consumo de álcool; identificar o nível de atividade física; os graus de dependência de nicotina e álcool e verificar a associação entre esses fatores de risco em indivíduos com síndrome coronariana aguda. Métodos: Estudo transversal com 150 pacientes com síndrome coronariana aguda. Para coleta de dados, foram utilizadas entrevistas, análise de prontuários e questionários validados sobre tabagismo, consumo de álcool e atividade física. Resultados: 58.7% eram fumantes (35,2% alta dependência), 42% consumiam álcool (65,1% baixo risco), 36,7% eram ativos. O tabagismo correlacionou-se significativamente ao consumo de álcool e a alta dependência de nicotina associou-se ao sedentarismo. Conclusão: Houve alta prevalência de tabagismo e consumo de álcool. Observou-se elevada dependência de nicotina e consumo de álcool de baixo risco. A maioria dos entrevistados era ativa. Houve correlação entre consumo de álcool e tabagismo, assim como associação da alta dependência de nicotina com sedentarismo.
Forty years of a psychiatric day hospital
Authors: Curral Rosário , Lopes Rui , Silveira Celeste , Norton Andreia , Domingues Isabel , Lopes Fernando , Ramos Elisabete , Roma-Torres António
Published: March 2017

INTRODUCTION: Day hospitals in psychiatry are a major alternative to inpatient care today, acting as key components of community and social psychiatry. Objective: To study trends in the use of psychiatric day hospitals over the last decades of the 20th century and the first decade of the 21st century, focusing on patient age, sex, and diagnostic group, using data from Centro Hospitalar São João, Porto, Portugal. METHODS: Data corresponding to years 1970 to 2009 were collected from patient files. Patients were classified into seven diagnostic groups considering their primary diagnoses only. RESULTS: Mean age upon admission rose from 32.7±12.1 years in the second half of the 1970s to 43.5±12.2 years in 2005-2009 (p for trend < 0.001). Most patients were female (63.2%), however their proportion decreased from nearly 70% in the 1970s to 60% in the first decade of the 21st century. In males, until the late 1980s, neurotic disorders (E) were the most common diagnosis, accounting for more than one third of admissions. In the subsequent years, this proportion decreased, and the number of admissions for schizophrenia (C) exceeded 50% in 2004- 2009. In females, until the late 1980s, affective disorders (D) and neurotic disorders (E), similarly distributed, accounted for most admissions. From the 1990s on, the proportion of neurotic disorders (E) substantially decreased, and affective disorders (D) came to represent more than 50% of all admissions. CONCLUSIONS: Mean age upon admission rose with time, as did the percentage of female admissions, even though the latter tendency weakened in the last 10 years assessed. There was also an increase in the proportion of patients with schizophrenia.
Psychometric properties of the revised conscientiousness dimension of Inventário Dimensional Clínico da Personalidade (IDCP)
Authors: Carvalho Lucas de Francisco , Souza Bruna Daniela Balbino de , Primi Ricardo
Published: March 2017

This study investigated the psychometric properties of the revised scale of conscientiousness of a clinical personality inventory (Inventário Dimensional Clínico da Personalidade, IDCP). One hundred and twenty participants (68 women; 56.7%) aged 18 to 53 years (mean = 22.58, standard deviation = 6.19) were recruited by convenience and answered the IDCP and the NEO Personality Inventory - Revised. The analysis of internal structure, association with external variables and reliability of the dimension under review confirmed its validity. The psychometric characteristics of the revised dimension seem to be more adequate than those of the original version and more focused on pathological functioning, which was expected and desirable.
Interromper o instante, interrogar o agora: poesia, política e pensamento em Alberto Pucheu
Authors: Ribeiro Gustavo Silveira
Published: March 2017

resumo A partir da leitura do mais recente livro de poemas de Alberto Pucheu, busca-se compreender como o autor propõe a construção de um espaço híbrido para a poesia, no qual se entrelaçam, por meio de um questionamento amplo dos sentidos do contemporâneo e de um trabalho de adensamento e amálgama de linguagem, a atividade poética, a reflexão política e a prospecção conceitual.
Reflexões quanto à literatura marginal brasileira: comparando Ferréz a sua tradição literária
Authors: Carneiro Vinícius Gonçalves
Published: March 2017

resumo A denominação “literatura marginal” vem se transformando na tradição literária brasileira ao longo das décadas, associando-se a uma gama de estilos, textos e autores. Nos últimos anos, está mais ligada a uma literatura produzida na periferia e que compreende como público setores da sociedade brasileira que nunca foram alvo do mercado editorial. Textualmente, caracteriza-se por apresentar vozes pouco presentes na nossa tradição literária. Todavia, o adjetivo “marginal” é ainda escorregadiço, associando-se a determinados autores e obras talvez mais pelo fato de o utilizarem em manifestos e entrevistas do que por existirem textos com características reconhecíveis como “marginais”. O presente estudo pretende aproximar-se de uma descrição dessa literatura ao se debruçar em publicações como Manual prático do ódio, de Ferréz. Trata-se, portanto, de uma proposta descritiva e comparativa cujo objetivo é traçar alguns elementos pertinentes à literatura conhecida como marginal, assim a diferenciando de outras marginalidades da nossa história literária.
Ferréz: más allá del documentalismo
Authors: Tennina Lucía
Published: March 2017

resumen Este artículo apunta a pensar el lugar central que ocupa la producción de Ferréz entre las producciones de la literatura brasileña del presente a partir de la contemporaneidad de sus interrogantes. Sostenemos que en sus dos primeras novelas, Capão pecado (2000) y Manual prático do ódio (2003) lleva a cabo un proceso de desestabilización y reactualización de la distinción entre ficción y no ficción, por un lado, y una propuesta singular del estatuto de lo real, por otro.
Reflexões sobre políticas de livro e leitura de secretarias municipais de educação do Estado do Rio de Janeiro
Authors: Corsino Patrícia , Vilela Rafaela , Travassos Sônia
Published: March 2017

resumo Este artigo se propõe a analisar questões referentes à composição de acervos e à organização de bibliotecas de escolas das redes públicas municipais de ensino dos municípios do Estado do Rio de Janeiro. As análises apresentadas fazem parte dos resultados da pesquisa “Infância, linguagem e escola: a leitura literária em questão”, desenvolvida no PPGE-UFRJ, obtidos a partir das respostas ao questionário distribuído a 92 secretarias municipais de educação do Estado do Rio de Janeiro e respondido por 62 (67%). Para sustentar as análises sobre constituição de acervo, buscou-se interlocução com Britto (2011), Chartier (1996), Corsino (2010) e Paiva (2012). E para tecer considerações sobre biblioteca, o trabalho ancorou-se nos estudos de Campello (2010), Mollo e Nobrega (2010) e Perrotti (2004). Alguns resultados se destacaram: o importante lugar ocupado pelas secretarias municipais de educação na compra de acervos para as escolas públicas municipais, desde a creche; a opção pela compra de impressos e por livros de literatura infantil; e a biblioteca como espaço de livro e leitura prioritariamente nas escolas de ensino fundamental.
A literatura com a tesoura na mão: sobre Brandão, Burroughs e Gysin
Authors: Oliveira Joaquim Adelino Dantas de
Published: March 2017

resumo Zero, de Loyola Brandão, é um romance que desperta desconforto e estranhamento em seus leitores. A violência e o caos, tanto temáticos quanto estéticos, e o próprio procedimento de composição a partir de fragmentos e retalhos, são elementos que causam esse estranhamento. Nesse artigo, partimos da hipótese de que a voz experimental que rege o texto de Zero luta não somente contra a Ditadura Militar brasileira (seu contexto histórico), mas sim se insere numa esteira de obras que, histórica e perpetuamente, posicionam-se contra um discurso - ou qualquer discurso - de opressão. Nosso diálogo crítico se foca na composição estético-estrutural de Zero e nas suas consequências crítico-políticas. Portanto, optamos por trazer à tona a relação entre essa obra e a experimental e libertária técnica literária desenvolvida por Burroughs e Gysin, tentando enxergar, assim, Zero enquanto uma espécie de romance cut-up.
Representações da violência em A guerra dos bastardos, de Ana Paula Maia
Authors: Losada Soler Elena
Published: March 2017

resumo O romance A guerra dos bastardos, de Ana Paula Maia, apresenta um denso painel de violências ficcionais, e o fato da sua autoria feminina é relevante para a nossa análise. Encontramos nesse texto todas as formas referidas no triângulo de Johan Galtung: violências visíveis ou diretas e invisíveis ou estruturais e culturais, assim como diversas manifestações da violência simbólica tal como analisou Pierre Bourdieu. Essas violências são representadas com técnicas diversas: brutalismo, ironia, “gore” distanciamento etc. Este trabalho tem como fulcro a análise dessas formas de representação e, em especial, do tratamento literário dado à descrição da violência contra a mulher e da violência da mulher.
PERCUTANEOUS ENDOSCOPIC GASTROSTOMY WITH JEJUNAL EXTENSION PLUS PERCUTANEOUS ENDOSCOPIC GASTROSTOMY (PEG-J PLUS PEG) IN PATIENTS WITH GASTRIC/DUODENAL CANCER OUTLET OBSTRUCTION
Authors: FONSECA Jorge , SANTOS Carla Adriana
Published: March 2017

Background Stent palliation is the gold standard for gastric/duodenal cancer outlet obstruction. When stenting is impossible, feeding may be achieved through a gastrojejunostomy (PEG-J), but displacement of jejunal tube is frequent due to manipulation for feeding and drainage. Gastric outlet obstruction results on increased gastroesophageal reflux or extra-tube leakage. In order to reduce the jejunostomy tube manipulation and the gastric residuum, we created a second gastrostomy (PEG) dedicated to gastric drainage, reducing the PEG-J handling. Objective Our aim was evaluating of the usefulness of an added second gastrostomy in a PEG-J patient, for: 1. controlling symptomatic reflux and extra-tube leakage; 2. preventing jejunal tube dislocation. Methods We retrospectively evaluated patients were stent palliation of gastric/duodenal cancer outlet obstruction was not achieved, who were referred and underwent PEG-J. We selected four of these patients who needed a second PEG dedicated to gastric drainage, which was performed a few centimetres apart from the gastrojejunostomy. In order to achieve an efficient gastric drainage and provide the maximum comfort to the patient, the drainage PEG tube could be linked to an ileostomy bag. Results The four PEG-J cancer patients with longer survival developed symptoms associated with an important gastric residuum. After the drainage gastrostomy, symptoms subsided or vanished and there were no jejunal tube dislocations. Conclusions When stenting is not possible in patients with gastric/duodenal outlet obstruction due to cancer growing, feeding PEG-J plus drainage PEG may be an alternative, allowing duodenal/jejunal feeding and gastric drainage with minimal manipulation of the jejunal tube.
BIOSIMILARS IN INFLAMMATORY BOWEL DISEASES: an important moment for Brazilian gastroenterologists
Authors: TEIXEIRA Fábio Vieira , KOTZE Paulo Gustavo , DAMIÃO Aderson Omar Mourão Cintra , MISZPUTEN Sender Jankiel
Published: March 2017

ABSTRACT Biosimilars are not generic drugs. These are more complex medications than small molecules, with identical chemical structures of monoclonal antibodies that lost their patency over time. Besides identical to the original product at the end, the process of achieving its final forms differs from the one used in the reference products. These differences in the formulation process can alter final outcomes such as safety and efficacy of the drugs. Recently, a biosimilar of Infliximab was approved in some countries, even to the management of inflammatory bowel diseases. However, this decision was based on studies performed in rheumatologic conditions such as rheumatoid arthritis and ankylosing spondylitis. Extrapolation of the indications from rheumatologic conditions was done for Crohn’s disease and ulcerative colitis based on these studies. In this article, the authors explain possible different mechanisms in the pathogenesis between rheumatologic conditions and inflammatory bowel diseases, that can lead to different actions of the medications in different diseases. The authors also alert the gastroenterological community for the problem of extrapolation of indications, and explain in full details the reasons for being care with the use of biosimilars in inflammatory bowel diseases without specific data from trials performed in this scenario.
Epidemiologia descritiva da raiva dos herbívoros notificados no estado do Paraná entre 1977 e 2012
Authors: Dognani Romerson , Pierre Elzira J. , Silva Maria do Carmo P. , Patrício Maria A.C. , Costa Silvano C. da , Prado Jair R. do , Lisbôa Júlio A.N.
Published: March 2017

RESUMO: Realizou-se estudo epidemiológico descritivo da raiva dos herbívoros no estado do Paraná entre os anos de 1977 e 2012. Os casos confirmados de raiva e o total de amostras de encéfalo encaminhadas para o diagnóstico foram distribuídos por espécie, por ano, por meses, por mesorregião geográfica e por municípios, aplicando-se o teste de Qui-quadrado para verificar se havia associação com esses fatores. Modelo probabilístico foi ajustado à série histórica para verificação de padrões cíclico ou sazonal. Comprovou-se que a raiva é uma doença endêmica no PR, com ocorrência variável entre os anos, sem padrão sazonal e com ciclicidade aparente a cada 18 anos, acometendo, sobretudo, bovinos (86,9%) e equídeos (11,3%). Verificou-se grande difusão no estado (47,6% dos municípios), e a maior expansão geográfica aconteceu na última década. As áreas de ocorrência maior foram as mesorregiões Centro Oriental e de Curitiba, seguidas por Norte Pioneiro e Oeste. O número de casos de raiva por município se correlacionou, ainda que fracamente, com o número de abrigos de Desmodus rotundus (r=0,469; p<0,0001). Sugere-se que a imunização anual de bovinos e equídeos passe a ser adotada nas áreas de maior ocorrência (mesorregiões Centro Oriental e de Curitiba) e encorajada nas de ocorrência intermediária (mesorregiões Norte Pioneiro e Oeste).
Diagnosis of streptococcal pharyngotonsillitis in children and adolescents: clinical picture limitations
Authors: Barbosa Júnior Aurelino Rocha , Oliveira Cláudia Di Lorenzo , Fontes Maria Jussara Fernandes , Lasmar Laura Maria de Lima Bezário Facury , Camargos Paulo Augusto Moreira
Published: March 2017

OBJECTIVE: To assess the utility of clinical features for diagnosis of streptococcal pharyngotonsillitis in pediatrics.METHODS: A total of 335 children aged 1-18 years old and presenting clinical manifestations of acute pharyngotonsillitis (APT) were subjected to clinical interviews, physical examinations, and throat swab specimen collection to perform cultures and latex particle agglutination tests (LPATs) for group A streptococcus (GAS) detection. Signs and symptoms of patients were compared to their throat cultures and LPATs results. A clinical score was designed based on the multivariate logistic regression analysis and also was compared to throat cultures and LPATs results. Positive throat cultures and/or LPATs results were used as a reference standard to establish definitive streptococcal APT diagnosis.RESULTS: 78 children (23.4%) showed positivity for GAS in at least one of the two diagnostic tests. Coryza absence (odds ratio [OR]=1.80; p=0.040), conjunctivitis absence (OR=2.47; p=0.029), pharyngeal erythema (OR=3.99; p=0.006), pharyngeal exudate (OR=2.02; p=0.011), and tonsillar swelling (OR=2.60; p=0.007) were significantly associated with streptococcal pharyngotonsilitis. The highest clinical score, characterized by coryza absense, pharyngeal exudate, and pharyngeal erythema had a 45.6% sensitivity, a 74.5% especificity, and a likelihood ratio of 1.79 for streptococcal pharyngotonsilitis.CONCLUSIONS: Clinical presentation should not be used to confirm streptococcal pharyngotonsilitis, because its performance as a diagnostic test is low. Thus, it is necessary to enhance laboratory test availability, especially of LPATs that allow an acurate and fast diagnosis of streptococcal pharyngotonsilitis.
Factors associated with low levels of lumbar strength in adolescents in Southern Brazil
Authors: Silva Diego Augusto Santos , Gonçalves Eliane Cristina de Andrade , Grigollo Leoberto Ricardo , Petroski Edio Luiz
Published: March 2017

OBJECTIVE: To determine the prevalence and factors associated with low levels of lumbar strength in adolescents.METHOD: This was a cross-sectional study involving 601 adolescents, aged 14 to 17 years, enrolled in public schools in the western region of Santa Catarina State - Southern Brazil. Lumbar strength was analyzed by the lumbar extension test developed by the Canadian Society of Exercise Physiology, which proposes different cutoffs for boys and girls. Independent variables were sex, age, socioeconomic status, dietary habits, alcohol consumption, physical activity, and aerobic fitness. For data analysis, univariate and multivariate logistic regression were used, with significance level of 5%.RESULTS: The prevalence of low levels of lumbar strength was 27.3%. The population subgroups most likely to present low levels of lumbar strength were females (OR: 1.54, 95% CI : 1.06 to 2.23), adolescents with low levels of aerobic fitness (OR: 2.10, 95% CI: 1.41 to 3.11) and the overweight (OR: 2.28, 95% CI: 1.35 to 3.81).CONCLUSION: Almost one-third of the studied students have low levels of lumbar strength. Interventions in the school population should be taken with special attention to female adolescents, those with low levels of aerobic fitness, and those with overweight, as these population subgroups were most likely to demostrate low levels of lumbar strength.
Carotid intima-media thickness in spondyloarthritis patients
Authors: Skare Thelma Larocca , Verceze Guilherme Cortez , Oliveira André Augusto de , Perreto Sonia
Published: March 2017

CONTEXT AND OBJECTIVE Accelerated atherosclerosis has become a major problem in rheumatic inflammatory disease. The aim here was to analyze carotid intima-media thickness (IMT) in spondyloarthritis (SpA) patients and correlate this with clinical parameters and inflammatory markers. DESIGN AND SETTING Cross-sectional analytical study at Rheumatology Outpatient Clinic, Evangelical University Hospital, Curitiba. METHODS IMTs (measured using Doppler ultrasonography) of 36 SpA patients were compared with controls. The IMT in SpA patients was associated with inflammatory markers, like erythrocyte sedimentation rate (ESR), C-reactive protein (CRP) and Bath Ankylosing Spondylitis Disease Activity Index (BASDAI); and with clinical parameters, like axial or peripheral involvement, dactylitis, HLA B27, uveitis occurrence, Bath Ankylosing Spondylitis Functional Index (BASFI) and lipid profile. RESULTS The mean IMT in SpA patients was 0.72 ± 0.21 mm; in controls, 0.57 ± 0.13 mm (P = 0.0007). There were no associations with ESR, CRP, BASDAI or clinical data. In univariate analysis, greater IMT was seen in patients with longer disease duration (P = 0.014; Pearson R = 0.40; 95% confidence interval, CI = 0.06 to 0.65); higher triglycerides (P = 0.02; Spearman R = 0.37; 95% CI = 0.03 to 0.64); and older age (P = 0.0014; Pearson R 0.51; 95% CI = 0.21 to 0.72). CONCLUSION SpA patients have a higher degree of subclinical atherosclerosis than in controls, thus supporting clinical evidence of increased cardiovascular risk in rheumatic patients.
Acute splenic sequestration in a pregnant woman with homozygous sickle-cell anemia
Authors: Maia Carolina Bastos , Nomura Roseli Mieko Yamamoto , Igai Ana Maria Kondo , Fonseca Guilherme Hencklain , Gualandro Sandra Menosi , Zugaib Marcelo
Published: March 2017

CONTEXT Homozygous (SS) sickle-cell anemia complicated by acute splenic sequestration in adults is a rare event, and it has never been reported during pregnancy. CASE REPORT A 25-year-old woman with homozygous (SS) sickle-cell disease was hospitalized at 32 weeks' of gestation presenting weakness, abdominal pain, fever and hemoglobin of 2.4 g/dl. Abnormal fetal heart rate was detected by means of cardiotocography, and 5 units of packed red cells were transfused. Cesarean was performed at 37 weeks. Both mother and baby were discharged in a good general condition. CONCLUSION This case report demonstrates the importance of immediate blood transfusion for treatment of fetal distress in cases of splenic sequestration during pregnancy. This treatment is essential for avoiding maternal and fetal complications.
Fatores de caracterização da educação não formal: uma revisão da literatura
Authors: Marques Joana Brás Varanda , Freitas Denise de
Published: March 2017

Resumo O presente artigo relata os resultados de uma investigação de caráter documental, na área da educação não formal. A educação não formal é uma área em expansão, à qual tem sido dada crescente atenção e importância. No entanto, é um setor do conhecimento, em geral, mal definido e ambíguo, no sentido em que os termos empregados são polissêmicos e não há consenso sobre seus usos e definições. Assim, com o objetivo de clarificar as definições das diferentes tipologias educativas, incluindo a educação não formal, perguntamos: que características têm estas tipificações educativas? Que critérios ou fatores são utilizados na literatura para defini-las? Com vista a responder a estas questões de pesquisa, realizamos uma revisão da literatura, analisando 28 documentos, entre literatura nacional e internacional, valendo-nos de técnicas de análise documental e análise de conteúdo. Apuramos que, na maioria da literatura nacional, a terminologia educação formal – não formal – informal é a mais utilizada. Confirmamos a dificuldade em se definir e estabelecer fronteiras entre as diferentes tipologias educativas e sublinhamos que as definições das mesmas envolvem um número elevado de fatores de diferentes naturezas. Investigamos 21 fatores usados nas caracterizações das diferentes tipologias educativas, divididos por quatro dimensões de análise: estrutura, processos, propósitos e conteúdos. Apuramos que, apesar da diversidade de fatores utilizados nas definições, há um núcleo adotado com mais frequência, associado principalmente a características estruturais, como localização, grau de planejamento ou duração da aprendizagem.
O ensino de didática e a atuação do professor formador na visão de licenciandos de educação artística
Authors: Cruz Giseli Barreto da , Magalhães Priscila Andrade
Published: March 2017

Resumo Este artigo decorre de um estudo com 52 estudantes de um curso de licenciatura em educação artística, que teve por objetivo analisar a aprendizagem da docência construída no contexto das disciplinas de didática, considerando o que se ensina, como se ensina e a influência do professor formador a partir do que ele próprio faz para ensinar. A opção por investigar esse curso se justifica porque a sua estrutura curricular, na instituição de ensino superior (IES) pesquisada, ainda se ancora na didática de cunho tecnicista, desafiando os formadores de professores que trabalham com a formação em didática na perspectiva crítica. Para a obtenção dos dados, foi utilizado um questionário, aplicado aos estudantes, conjugado com a realização de grupo de discussão. Teoricamente, a pesquisa se desenvolveu a partir da compreensão de que o ato de ensinar envolve a ação especializada do professor para promover a aprendizagem de seus alunos. Porque a ação é especializada, aquele que a realiza necessita mobilizar saberes específicos, reconhecidos academicamente como base de conhecimento profissional docente. As análises evidenciam que o objeto da didática é nuclear no ensino, mas a abordagem de metodologias sem resvalar para a perspectiva tecnicista ainda é o principal desafio do formador; o estágio é reconhecido como potente espaço/tempo de formação em didática; e a influência do formador no processo de constituição profissional docente é relevada.
Midterm results of endovascular treatment of iliac artery lesions: analysis of 59 cases
Authors: Bez Leonardo Ghizoni
Published: March 2017

BACKGROUND: Endovascular treatment of peripheral arterial occlusive disease has become increasingly frequent in the past few years. Because it is a less invasive procedure, lower morbidity and mortality rates are associated with this form of treatment. OBJECTIVES: To describe the endovascular procedures performed in iliac arteries for the treatment of peripheral arterial occlusive disease. METHODS: This retrospective study assesses 59 cases of iliac artery angioplasty performed according to a specific protocol from January 2004 to February 2010. RESULTS: Mean age of patients was 62 years (minimum: 42, maximum: 89). Thirty seven were male (62.72%) and 22 female (37.28%). The main indications for treatment were moderate to severe intermittent claudication in 30 cases (50.84%) and rest pain or trophic lesions (critical ischemia) in 29 cases (49.15%). Postoperative follow-up included ankle-brachial index measurements and a duplex ultrasound at 30 days, 3 months, 6 months, 12 months, and every 6 months thereafter. Minimum follow-up time was 3 months, and maximum, 72 months (6 years), with primary and secondary patency rates of 91.37 and 94.82%, respectively. CONCLUSIONS: The results of this case series, combined with literature review results, allow to conclude that the endovascular approach is an effective and safe option to treat peripheral arterial occlusive disease in iliac arteries.
Small saphenous vein: where does reflux go?
Authors: Rossi Guillermo Gustavo , Belczak Cleusa Ema Quilici , Rossi Carolina
Published: March 2017

BACKGROUND: The anatomy of small saphenous vein (SSV) is very variable because of its complex embryological origin. SSV incompetence often causes reflux that goes to the perforating veins, sometimes not respecting the anatomical course. OBJECTIVE: To analyze differences in reflux direction and reentry in the SSV. METHODS: In this prospective, observational study, 60 lower limbs with SSV incompetence of 43 patients were assessed using a color Doppler ultrasound protocol. RESULTS: Reentry variations were grouped into four types and subtypes. Percentage results were: Type A, perforating veins on the medial side = 25/60 cases (41.66%); subtypes: Cockett, Sherman, paratibial and vertex; Type B, lateral malleolus and perforating veins on the lateral side (fibular 17-26 cm) = 15/60 cases (25%); subtypes: fibular and malleolus; Type C, two branches = 19/60 cases (31.66%); subtypes: gastrocnemius and Cockett, gastrocnemius and malleolus, and/or fibular, Cockett and malleolus, Cockett-vertex and fibular; Type D, reflux in the superficial system = 1/60 cases (1.66%). CONCLUSION: On most of the lower limbs assessed, reflux did not follow the classical anatomic course. Our findings demonstrated a high degree of variation in reflux/reentry, but no SSV anatomical variations. Reflux seems to, either look for the most accessible anatomical connection for reentry or be originated in the distal area and then reach the SSV.
Giant renal artery pseudoaneurysm 18 months after blunt trauma
Authors: Melo Rodrigo Andrade Vaz de , Pires Marcio Jose de Magalhaes , Silva Leandro Moreno Silveira Da , Segovia Angelica Baptista
Published: March 2017

Renal artery pseudoaneurysms are uncommon vascular lesions that require a high degree of suspicion because they are usually difficult to diagnose. Posttraumatic renal artery pseudoaneurysms should be treated because spontaneous resolution is extremely unusual, and the risk of aneurysm rupture is high. We describe the case of a patient who presented with a pulsatile mass in the right upper quadrant and recurrent abdominal pain 18 months after blunt trauma. Arteriography and multislice computed tomography angiography revealed a pseudoaneurysm measuring 22 cm in the right renal artery. The patient was successfully treated with conventional open surgery.
Chronic venous disease as a clinical manifestation of tibial osteochondroma
Authors: Lima Marcelo Fernandes , Lima Ilidio Almeida , Oliveira Sergio Luiz Bizerra , Lima Vanessa Heinrich Barbosa de Oliveira , Rocha Carlos Alexandre de Souza
Published: March 2017

Osteochondromas are the most common type of benign tumor of the skeleton. They most frequently affect the distal extremity of the femur, with the tibia being the second most commonly affected long bone. Vascular complications of these lesions are rare, but pseudoaneurysm formation is the most frequently reported of them. In this case report, we describe a case of compression of the popliteal neurovascular bundle by a tibial osteochondroma in a diabetic patient who had been admitted to hospital to treat an infected lesion on his left foot and complained of edema and paresthesia of the left lower limb.
Endovascular treatment of external iliac vein stenosis caused by graft compression after kidney transplantation
Authors: Sousa Willamax Oliveira de , Silva Francisco Henrique Peixoto da , Aquino Filho Roberto Jamacaru , Paz Danilo Rocha
Published: March 2017

A 57-year old patient presented with approximately 80% stenosis of the left external iliac vein due to compression by the renal graft after kidney transplantation. The initial clinical manifestation of this vascular complication was progressive edema of the left lower limb, starting in the foot during the immediate postoperative period and reaching the thigh. Renal function also deteriorated during the first four months after transplantation. Venous Doppler ultrasound findings were suggestive of a diagnosis of extrinsic compression by the kidney graft and so phlebography was ordered, confirming stenosis of the left external iliac vein. The patient was initially treated with balloon angioplasty, but there was still residual stenosis so a stent was inserted, eliminating the stenosis. The edema reduced over time and the patient's renal function improved. While vascular complications are rare, and potentially severe, events, success rates are good if treatment is started early.
Effect of sodium gluconate on clay tolerance of polycarboxylate superplasticiser
Authors: Tan Hongbo , Guo Yulin , Ma Baoguo , Gu Benqing , Zou Fubing
Published: March 2017

Sodium gluconate (SG), a commonly used retarder, is usually employed to improve the dispersion and dispersion retention of polycarboxylate superplasticiser (PCE) in real concrete. However, whether SG can improve the rapid loss of fluidity resulting from montmorillonite (Mt) in poor aggregates has not been confirmed until now. The objective of this study is to investigate the effect of SG on clay tolerance of PCE. Fluidity loss of cement–Mt paste was tested to assess the clay tolerance. The adsorption behaviour of additives and the reaction between additives and Mt were studied to propose a dispersion model. The results show that SG cannot be intercalated into Mt, and it can alter the dosage of PCE added to reach the same initial fluidity level, thereby altering the amount of PCE in solution, which can affect the intercalation of S-PCE (PCE adsorbed on the surface of cement particles) rather than directly hinder the intercalation. This effect is decided by the dosage of SG: more than 0·20 wt% of SG can enhance the clay tolerance of PCE, whereas less than 0·20 wt% of SG may weaken it. The result provides good experience for the improvement in clay tolerance of PCE in real engineering practice.
Predicting the rheology of self-consolidating concrete under hot weather
Authors: Al-Khatib Mohammed I. , Al-Martini Samer
Published: March 2017

The flow behaviour of self-consolidating concrete (SCC) incorporating several types of supplementary materials was investigated under hot weather conditions (25–40°C) and prolonged mixing (up to 110 min). Experiments were conducted outdoors during the summer of 2014 in Abu Dhabi. The slump flow and rheological properties of SCC incorporating various types of supplementary cementitious materials (SCMs) were examined under such types of harsh environmental conditions. A portable concrete rheometer (BT2) was used to measure the rheological properties of the investigated SCC mixtures. In this study, the neural network technique was employed to predict the rheological properties of SCC under hot weather conditions and prolonged mixing. The ambient temperature, mixing time and SCMs were the network input parameters. The relative viscosity, relative yield stress and slump flow were the output parameters. The optimum network architecture was selected based on Akaike information criterion and mean absolute percentage error. Furthermore, a parametric study was conducted to investigate the sensitivity of the input variables to the developed artificial neural network (ANN) models using the Garson equation. The results showed that the developed ANN models were capable of predicting the rheological properties and slump flow of SCC as a function of temperature and mixing time.
Reliability and validity of the Antioch Child Hygiene Scale: A scale development study
Authors: Turhan Ebru , Inandi Tacettin
Published: March 2017

Introduction: Personal hygiene is one of the most important determinants of health. A scale of personal hygiene is a useful tool to evaluate effects of health care interventions. The aim of this study was to develop a new, reliable, and valid measurement scale which can be used to evaluate the hygiene status of children, as well as the effects of the interventions.Methods: A total of 248 students and their parents, from Hatay Province in Turkey, participated in this school-based, cross-sectional study. An item pool was created for the Antioch Child Hygiene Scale (ACHS). Same questions were asked both for children (ACHS-C) and parents (ACHS-P) Data were collected in September 2013. Face validity, Cronbach's alpha, split-half, test-retest, factor analysis, and parallel form reliability were determined for the ACHS.Results: Twelve items that showed a weak correlation were removed from the ACHS. The mean score (standard deviation) was 159.4 ± 9.2 for ACHS-C and 152.2 ± 16.9 for ACHS-P. Cronbach's alpha for ACHS-C was 0.82 in the first test and 0.87 in the retest. Cronbach's alpha for ACHS-P was 0.91 in the first test and 0.94 in the retest. Split-half correlation was 0.59 for ACHS-C and 0.75 for ACHS-P. Correlation between pre-test and post-test scores was 0.54 for ACHS-C and 0.64 for ACHS-P (p < 0.001). In the principle component analysis, (Eigen value was taken greater than 1), 20 components for ACHS-C and 13 components for ACHS-P were extracted. Conclusions: Although both ACHS forms (i.e., ACHS-C and ACHS-P) were reliable in assessing the hygiene status of children, the reliability was higher for ACHS-P. In addition, validity should be improved in both forms of the ACHS. Nevertheless, both scales can be used to assess the hygiene status in school children.
Vacuum extraction of the fetus: the version and controversy
Authors: Medvedevа Irina N , Svyatchenko Ksenia S , Barbashova Yulia Y
Published: March 2017

Actuality. Although in the developed countries of the surgical vaginal delivery by a vacuum extraction of the fetus the widespread introduction, this method is not sufficiently popular in our country, due to the unfounded opinion of the highest injury to the mother and fetus. However, due to the improvement of models and the obvious advantages of simplicity and ease of use, the application of this operation becomes reality.Aim. The assessment of the surgical vaginal delivery by a vacuum extraction of the fetus on the shape of parturient women and newborns.Materials and methods. Made a retrospective analysis of the outcome of the 192 vaginal operative deliveries by using a single use vacuum system KIWI according to the labor histories and stories of newborns for 2014-2015 in regional perinatal center, Kursk. We studied the anamnestic data and the results of monitoring the pregnancy, childbirth, postpartum and newborn state. The calculations were made using the package of standard programs.Results. In the majority of cases the postpartum period was uneventful, the cases of severe obstetric injury was not revealed. 80.21% of the children were recovered in a satisfactiry condition, although acute fetal hypoxia was observed in 90.1% of cases, suggesting the efficacy of using the vacuum extraction. Clinically significant lesions, such as subgaleal hematoma, skull fracture are not registered.Conclusions. Analyzing the consequences of this method, we can confidently say that the operation of vacuum extraction with timely and correct use of a technical execution has no negative impact on the organisms of mother and child and is justified by positive outcomes in emergency situations.
Morphological characteristics of uterine fibroids among women of reproductive age
Authors: Safarova Saodat M
Published: March 2017

The article deals with modern views on etiopathogenesis of uterine fibroids. Increased knowledge of the markers of proliferation and their study will help to predict the course of the disease and thus to develop the optimum tactics of the further treatment of the early stages. Much attention is paid to the study of markers that characterize apoptosis. By immunohistochemistry in tissue fibroids 15 patients studied protein expression Ki-67 and Bcl-2. Analyzed values of the correlation expression of the proteins according to the clinical and morphological features of the tumor. It showed a reduction in the proliferation marker Ki-67, and increased expression of apoptotic Bcl-2 inhibitor.Background. Presented by changes in the nature of proliferation and apoptotic activity in myoma nodes among women of reproductive age who underwent conservative myomectomy.The aim of the research was to study the performance of protein antibody Ki-67 proliferation and apoptosis inhibitor of Bcl-2 in women with uterine myoma.Material and methods. Surveyed 15 women with uterine fibroids who underwent conservative myomectomy. Inclusion criteria were: the reproductive age, uterine fibroids the size of which does not exceed the 12-week pregnancy. Exclusion criteria were the size of fibroids greater than 12 weeks of pregnancy, acute inflammatory diseases of the pelvic organs, severe somatic diseases, cancer of the reproductive organs. It was carried out histological and immunohistochemical study of remote myoma node. We examined by immunohistochemistry proliferation protein monoclonal antibody Ki-67 (Clone MIB-1, 1 : 150, Dako), inhibitor of apoptosis Bcl-2 (NCL-bcl-2-486). (Novocastra). Evaluation of the expression of markers studied conducted qualitative and quantitative methods in computer image analysis system “Morphology 5.0” (Video Test, Russia). Statistical processing of the results was performed using statistical analysis packages (STATGRAPHICS v. 6.0).Results. Age of women surveyed averaged 33,4 ± 4,1 years. Histological study of benign tumors of the uterus body showed the presence of degenerative changes, necrosis and inflammatory infiltration in every fourth case of the material.Conclusions. Immunogistohimichesoe study of uterine leiomyomas body revealed a significant increase in the expression of apoptosis inhibitor of Bcl-2 and reducing the proliferation marker Ki-receptor expression in all 67 tested samples, which is consistent with a histological study of the absence of mitotic activity in leiomyomas.
Effect of Herbagreen Nano-Particles on Biochemical and Technological Parameters of Cereals (Wheat and Corn)
Authors: Prifti Doloreza , Maçi Ardian
Published: March 2017

This research study intended to provide evidence and proof of the positive effects, that applying of the Bio-Fertilizer Herbagreen produced through nanotechnology has on the agriculture in Albania. There are no doubts that nanotechnology is one of the most relevant innovations not only in agriculture, but also in other scientific fields such as biotechnology, medicine etc. Herbagreen nano-particles are able to directly penetrate plants after being applied, thus becoming immediately part of the plants lifecycle and metabolism. This is due to the new nano- and micro-dimensions of the grinded particles after being treated through TMAC (Tribo-Mechanical Activation of Calcite). This technology does not interfere with the mineral initial composition. It simply grinds the mineral particles in nano-dimensions and by so doing increases sensibly their contact surface. This makes these particles “magically” influence the yield quantity and quality in the treated plants. Based on the experiments performed during two consecutive years on the selected crops of corn and wheat, it was noticed that in addition to a yield increase in the plots treated with this nanotechnology, there was also an increase in the gluten values in wheat, while regarding the percentage values of proteins and lipids it was noted that the values of the treated plots with Herbagreen had the same values of the plots treated with the maximal dosage of chemical fertilizers. It was also concluded, that using of the Herbagreen fertilizers can avoid or reduce the soil and waters contamination caused by only traditional mineral fertilizers use. The financial costs for the treatment can be reduced as well.
Ethnomedicine used for Asthma by tribes of Papikondalu forest, Andhra Pradesh, India
Authors: S. S. Durga Prasad, L. Mutyala Naidu O. Aniel Kumar, K. Mallikarjuna,
Published: March 2017

The present study represents the information about the treatment of asthma disease by the tribes of Papikondalu forest, Andhra Pradesh, India. A total of 17 medicinal plant species belonging to 17 genera and 14 families were recorded. The documented medicinal plants were labeled alphabetically with their voucher specimen number, family name, vernacular names, parts used and mode of administration. The documented of these medicinal plants against asthma reveals that these ethnic people are still dependent on local vegetation for their life care. Thus, this type of ethnomedicinal study appears to be useful for the research on medicinal plants for the betterment of mankind.
Flavonoids and isoenzymes as chemotaxonomic markers in Cleome L.(Cleomaceae Bercht. & J.Presl)
Authors: Kasem W. T. , Fatahy S
Published: March 2017

These studies were conducted on the twoflavonoid compounds of quercetin and kaempferol in addition electrophoretic studies of esterase and peroxidase isoenzymes by SDS-polyacrylamide gel electrophoresisfor five CleomeL. species. Extraction of these flavonoids was carried out using  90% ethanol and 85% methanol. Identification  and quantification of quercetin and kaempferol was done using thin Layer chromatography (TLC) and further augmented using high performance liquid chromatography (HPLC) and then isolated,purified and identified using melting point (M.P.) and infrared spectroscopy (IR).eightquercetinand seven kaempferol compounds are isolated and  identified with different percentages. Electrophoretic patterns of two isoenzymes ofesterases (Est)  and peroxidases (Prx) considered a good taxonomicmarker techniques. A total 45 esterase and peroxidase bands obtained scanning the gels. The highest combined esterase and peroxidase bands (13 bands) are found in C.scaposa DCwhereasthe lowest seven bands are recorded in C. paradoxa B.BR.35 obtained data of two flavonoid compounds and two isoenzymeswere subjected to numerical analysis which separated the studied species into two groups, the first has C.gynandra. and C. viscosa L., the second group included three species of C. scaposa DC, C. brachycarpa . and C. paradoxa.
SOLIVA ANTHEMIFOLIA (JUSS.) R.BR. (ASTERACEAE) : A NEW GENERIC RECORD TO THE FLORA OF CHHATTISGARH
Authors: Shukla Sandeep
Published: March 2017

The present paper highlights the occurrence of Soliva anthemifolia (Juss.) R.Br. as a new generic record to the flora of Chhattisgarh collected from Pendra village of Bilaspur district. Notes on its morphological characters, habit and habitat are provided in the article.
Plant growth-promoting properties of cultivable endophytic root nodule bacterial isolates from Acacia mangium Willd
Authors: Syafikah Ismail Fatin , Malahubban Masnindah , Hailmi Sajili Mohammad , Fitri Ab. Aziz Zakry
Published: March 2017

The present study was conducted to isolate and characterize endophytic bacteria isolated from root nodules of Acacia mangium Willd and subsequently tested for plant growth promotion. A total of five bacterial isolates were successfully isolated and subjected to morphological and biochemical examination. The present study found that all isolates had almost similar morphologically but differed in growth rate. All isolates were negative on N-free and IAA tests, though positive on P solubilisation test. The present study demonstrated that the inoculation with isolate FSI3 had significantly improved (p<0.05) root and shoot dry weight of winged bean seedlings as compared to uninoculated control. However, the inoculation did not significantly alter (p>0.05) root and shoot length of winged bean seedlings. The present study suggests that the stimulatory effect by isolate FSI3 may be associated with P-solubilizing ability. A further test on isolate FSI3 is considered essential in future to uncover the several other possible plant growth-promoting mechanisms. 
Melatonin Reduces Angiogenesis in Serous Papillary Ovarian Carcinoma of Ethanol-Preferring Rats
Authors: Chuffa Luiz Gustavo De Almeida , Zonta Yohan Ricci , Martinez Marcelo , Camargo Isabel Cristina Cherici , Domeniconi Raquel Fantin , Lupi Junior Luiz Antonio , Pinheiro Patricia Fernanda Felipe , Reiter Russel J. , Martinez Francisco Eduardo
Published: March 2017

Angiogenesis is a hallmark of ovarian cancer (OC) it promotes rapid cell growth and the associated metastasis. Identifying new bioactive compounds to target angiogenesis may provide valuable paradigms as therapeutic strategies. Melatonin is a well-characterized indoleamine that possesses important anti-angiogenic properties in a set of aggressive solid tumors. Herein, we evaluated the role of melatonin therapy on the angiogenic signaling pathway in OC of an ethanol-preferring rat model that mimics the same pathophysiological conditions occurring in women. OC was chemically induced with a single injection of 7,12-dimethylbenz(a)anthracene (DMBA) under the ovarian bursa. After the rats developed serous papillary OC, half of the animals received i.p. injections of melatonin (200 µg/100 g body weight/day) for 60 days. Serum levels of melatonin were higher following therapy, and the expression of its receptor MT1R was significantly increased in OC-bearing rats, regardless of ethanol intake. TGFB1, a transforming growth factor-beta1, was reduced only after melatonin treatment. Importantly, vascular endothelial growth factor (VEGF) was severely reduced after melatonin therapy in animals given or not given ethanol. Conversely, the levels of VEGF receptor 1 (VEGFR1) was diminished after ethanol consumption, regardless of melatonin therapy, and VEGFR2 was only reduced following melatonin. Hypoxia-inducible factor (HIF)-1α was augmented with ethanol consumption, and notably, melatonin significantly reduced their levels. Collectively, our results suggest that melatonin attenuates angiogenesis in OC of an animal model of ethanol consumption; this provides a possible complementary therapeutic opportunity for concurrent OC chemotherapy.