bluuebunny/crossref_metadata_2025 huggingface dataset:
Neurodevelopmental and Academic Outcomes in Children With Orofacial Clefts: A Systematic Review
Authors: Gallagher Emily R. , Collett Brent R.
Published: June 2019

CONTEXT:

Children with orofacial clefts (OFCs) are reported to have worse neurodevelopmental outcomes than unaffected peers, although study methodologies and findings are highly variable and trends in outcomes by age remain unexplored.

OBJECTIVE:

To examine the strength of the evidence and explore trends in neurodevelopment by age.

DATA SOURCES:

A systematic review was conducted of studies published from January 1, 1980, through November 3, 2017.

STUDY SELECTION:

Studies were independently screened by the authors and included in the review if they met predetermined eligibility criteria: (1) children and/or youth (<25 years) with OFCs were studied, and (2) neurodevelopmental or academic outcomes were included.

DATA EXTRACTION:

The authors independently evaluated study quality and extracted outcome data.

RESULTS:

Thirty-one studies involving 10 143 patients with OFCs and 2 017 360 controls met eligibility criteria. Although the quality of the studies varied, patients with OFCs consistently performed worse than their peers on neurodevelopmental and academic measures. In infancy, differences were observed on multiple developmental outcomes (eg, cognition, motor skills, and language), and in later childhood and adolescence, differences were manifest on several indicators of academic achievement (eg, use of special education services, grades, and scores on standardized measures).

LIMITATIONS:

Heterogeneity in study designs, methods, and outcomes prevented statistical pooling and modeling for meta-analysis.

CONCLUSIONS:

Children with OFCs exhibit neurodevelopmental and academic deficits compared with their unaffected peers. Although the nature of these deficits changes with development, differences are observed from infancy through adolescence. Clinicians should monitor neurodevelopment in children with OFCs and support them appropriately.
Perception of the presence, impacts and control of the invasive species Sus scrofa in the local community living near the Itatiaia National Park, Brazil
Authors: Pereira Carina Zanco , Rosa Clarissa Alves , Zanzini Antônio Carlos
Published: June 2019

The wild pigs are considered as one of the 100 worse invasive species in the world and they are expanding their rage through Brazilian territory, leading to many social and environmental impacts. Our study’s aim was to estimate the perception of rural communities about the presence of wild pigs in the vicinity of the Itatiaia National Park (INP), Brazil, including the perceived impacts and the acceptance of management policies of the species. We conducted this study in nine rural communities around the INP, where we interviewed 210 inhabitant using structured questionnaires with ten closed dichotomous questions. The majority of respondents know about the existence of the wild pigs in the region and figure out their presence as undesirable and a threaten to the environment and crops, mainly corn, vegetable gardens and sugarcane. Most of respondents are favorable to control measures and eradication of the species, showing one common goal between local community and INP’s managers and an opportunity of effective management of the specie in the region. We reinforce the importance of programs of management of the wild pigs in the region that involves different social actors, including the managers of the INP, farmers and legal hunters properly certified by Brazilian legislation.
La entrevista en profundidad en el ámbito de la gestión pública
Authors: Sordini María Victoria
Published: June 2019

El objetivo de este escrito es reflexionar sobre las contingencias y las dificultades que se presentan en el trabajo de campo, además de contemplar las decisiones que intervienen en la construcción del conocimiento. A partir de revisar el camino recorrido en la investigación “Las políticas alimentarias en Argentina desde 1983 hasta el año 2001” se profundizará sobre las etapas del trabajo de campo y sobre la realización de entrevistas en profundidad a técnicos/as y profesionales que gestionaron e implementaron programas alimentarios. Uno de los principales obstáculos para trabajar sobre políticas públicas es la disponibilidad limitada e incompleta de información oficial; reconstruirla fue el nodo central de las decisiones en el proceso de investigación. Los registros, las notas y la reflexividad construyeron un mapa que se fue esclareciendo a medida que avanzó el trabajo de investigación. Entre los principales resultados se identificó que la voz de las personas entrevistadas en relación con las políticas sociales se configura según su participación o distanciamiento en la gestión gubernamental vigente, según los escenarios en los que se realizaron las entrevistas (lugar de trabajo, espacio público, casa particular) y el periodo histórico abordado en la conversación. El rol principal de la persona entrevistadora es escuchar tanto el discurso como el despliegue de las prácticas de las personas entrevistadas en la situación de entrevista; por ello, el registro sobre el contexto de la realización de la entrevista se tornó un dato en sí mismo para comprender la complejidad de las relaciones sociales que disputan poder y recursos en la gestión pública.
La tradición camaleónica en las prácticas festivas de una comunidad mixteca transnacional
Authors: Rieger Ivy Alana
Published: June 2019

¿En qué consiste la práctica de la “tradición” entre las comunidades indígenas? Este artículo está enfocado en un análisis etnográfico de las prácticas festivas de la comunidad mixteca transnacional de San Juan Mixtepec, Oaxaca, en México, a la luz del concepto antropológico de “tradición”. El artículo investiga las relaciones presentes entre la creación, el mantenimiento y la transformación en la práctica de las tradiciones, esto a través de un análisis que toma en cuenta algunas de las prácticas festivas de esta comunidad mixteca. Específicamente, el artículo plantea la tradición como un concepto “camaleónico” que reside en el espacio entre la permanencia y la transformación, dando una base histórica o conmemorativa a las experiencias y recuerdos de los participantes, al tiempo que sirve como contexto dinámico para la exploración de novedosas construcciones de identidades. Es así que, el artículo propone un nuevo modelo analítico para la investigación de las comunidades indígenas transnacionales, donde las tradiciones están vistas como un catalizador para la construcción de sentidos de pertenencia en un contexto etnográfico donde las experiencias cotidianas de las personas están marcadas, en muchos sentidos, por el movimiento.
Hoja de ruta para avanzar hacia una administración pública moderna en Cuba
Authors: Llanes Font Mariluz , Salvador Hernández Yudith , Escalona Avila Pedro , Aguilera Díaz Elizabeth
Published: June 2019

Las personas autoras proponen como objetivo general analizar un conjunto de criterios que propicien el establecimiento del gobierno electrónico en Cuba, a partir de un instrumento que instituya el ámbito de planificación, ejecución y mejoras del gobierno electrónico para los diferentes actores involucrados. Se analizan los argumentos implícitos en los documentos del Partido Comunista y la Agenda 2030 del Desarrollo Sostenible que sustentan el establecimiento del gobierno electrónico. Se esboza de este sus características esenciales, el punto de partida en el contexto local y se describen los pasos que permitirán la implementación de forma coherente del gobierno electrónico para reducir la complejidad de la burocracia estatal, simplificar y mejorar la interacción entre la ciudadanía y los diferentes organismos públicos y avanzar hacia una administración pública más transparente, participativa, democrática y equitativa. En sus conclusiones se destaca que la finalidad esencial del gobierno electrónico es incrementar la calidad de los servicios y productos públicos que la administración pública suministre a la ciudadanía.
Ophelia roscoffensis Augener, 1910: a new polychaete record in Italian waters
Authors: Mancini Emanuele , Tiralongo Francesco , Ventura Daniele , Bonifazi Andrea
Published: June 2019

Ophelia roscoffensis Augener, 1910 is an opheliid worm identifiable by the number of anterior abranchiate chaetigers and the number of the gill pairs. Although it was already reported in the Mediterranean Sea, it has never been found in the Italian waters. This study represents the first record of Ophelia roscoffensis in the Italian waters. A total of 18 specimens were collected along the coast of Civitavecchia (Tyrrhenian Sea) in a Posidonia oceanica (L.) Delile bed at a depth of 7 m.
SIKLUS PEMANFAATAN ENERGI SUMBER DAYA PESISIR OLEH AKTIVITAS MANUSIA BERBASIS LOOP AUTOKATALITIK DI KOTA MAKASSAR
Authors: Amri Syahrial Nur , Arifin Taslim
Published: June 2019

Kota Makassar merupakan sebuah sistem sosial ekologi yang kompleks dengan berbagai proses metabolisme energi di dalamnya. Penelitian ini bertujuan menggambarkan pola pemanfaatan energi secara sederhana dalam kerangka konsep metabolisme sosial di Kota Makassar. Pendekatan yang digunakan adalah Autocatalytic Feedback Loop. Hasil penelitian menunjukkan bahwa penggunaan lahan dan peningkatan konsumsi energi mengalami peningkatan seiring meningkatnya jumlah penduduk dan limbah. Di sisi lain, ketersediaan sumber daya lokal atau produksi perikanan, pertanian, dan peternakan mengalami ketidakstabilan produksi. Untuk menstabilkan sistem, sebagai suatu sistem yang selalu berusaha menstabilkan diri, Kota Makassar menstabilkan proses sistem dengan melakukan input sumber daya dari luar.Title:  The Useful Cycles of The Coastal Resources Energy By Human Activities Base on Autocatalytic Loop in Makasar CityMakassar City is a complex social ecological system with the various processes of energy metabolism in it. This study aims to describe simply the pattern of energy utilization within the framework of the concept of social metabolism in Makassar. The approach used is Autocatalytic Feedback Loop. The results showed that land use and energy consumption increased as population and waste increased.On the other hand, the availability of local resources or the production of fisheries, agriculture, and livestock have production instability. To stabilize the system, as a system that always try to stabilize itself, Makassar City stabilizes the system process by inputting external resources.
Notas sobre redes, Estado e políticas públicas
Authors: Marques Eduardo Cesar Leão
Published: June 2019

Resumo: Esse artigo apresenta sucintamente e problematiza a utilização da análise de redes sociais como método para a investigação de políticas públicas. Amplamente disseminada a partir dos anos 1970, a análise de redes permite o estudo das políticas com a consideração simultânea dos vários atores que influenciam a produção de políticas. A matriz pluralista da literatura de policy networks, entretanto, a distancia das premissas da sociologia relacional e dificulta a utilização da perspectiva para casos como o brasileiro, marcado pela multiplicidade de atores estatais e societais conectados por diversos tipos de vínculo, com destaque para os informais. Essas particularidades podem ser solucionadas com a articulação de categorias desenvolvidas recentemente como tecido relacional do Estado e governança, desde que devidamente integradas à análise. O quadro conceitual resultante representa uma ferramenta poderosa para a compreensão da influência de padrões relacionais sobre a produção de políticas públicas.
Arranjos regionais de governança do Sistema Único de Saúde: diversidade de prestadores e desigualdade espacial na provisão de serviços
Authors: Lima Luciana Dias de , Albuquerque Mariana Vercesi de , Scatena João Henrique Gurtler , Melo Enirtes Caetano Prates de , Oliveira Evangelina Xavier Gouveia de , Carvalho Marilia Sá , Pereira Adelyne Maria Mendes , Oliveira Ricardo Antunes Dantas de , Martinelli Nereide Lucia , Oliveira Clarice Furtado de
Published: June 2019

O estudo analisa os arranjos regionais de governança do Sistema Único de Saúde (SUS), segundo esfera jurídica dos prestadores e distribuição espacial da produção de serviços de média e alta complexidade no Brasil. Tais arranjos expressam o modo como a reforma do Estado e do sistema de saúde promoveram a redistribuição de funções entre entes governamentais e privados no território. Realizou-se estudo exploratório com base em dados secundários de abrangência nacional, do biênio 2015-2016. Por meio da análise de agrupamentos baseada na composição dos percentuais da produção dos principais prestadores, foram classificadas 438 regiões de saúde. Na assistência de média complexidade, predominou o prestador público municipal (ambulatorial) e o prestador privado filantrópico (hospitalar). Na alta complexidade, predominou o prestador filantrópico e lucrativo (ambulatorial e hospitalar). A produção de média complexidade foi registrada em todas as regiões de saúde, porém, em 12 estados, mais da metade dela está concentrada em apenas uma região de saúde. A produção de alta complexidade é concentrada nas regiões das capitais estaduais. Os arranjos de governança podem ser mais ou menos diversos e desiguais, se considerados os diferentes segmentos e níveis de concentração regional da produção de média e alta complexidade. O estudo sugere que a convergência entre descentralização e mercantilização favoreceu o reescalonamento da função de prestação de serviços, com ampliação da escala de atuação de prestadores privados e fortalecimento dos municípios polos. As características dos arranjos de governança desafiam a regionalização do SUS orientada pelas necessidades coletivas das populações.
Protein concentrates obtained from pig by-products using pH-shifting technique: a preliminary study
Authors: Costa Claudine Garcia Chaves da , Paula Marielle Maria de Oliveira , Massingue Armando Abel , Torres Filho Robledo de Almeida , Ramos Eduardo Mendes , Carneiro João de Deus de Souza
Published: June 2019

ABSTRACT: This study aimed to investigate the extraction and characterization of protein concentrates from pig by-products (heart, liver and kidneys) using the pH-shifting technique. From the solubility profiles (pH 2 to 12), the protein extraction was performed at alkaline pH (10.0 to 11.5), obtaining two fractions: soluble (SC) and insoluble (IC). Higher protein content (71 to 77%) and extractability (214 to 459 mg/g) were observed in heart and liver concentrates; whereas, for water holding capacity (WHC) the highest values (4.20 to 4.54 g water/g protein) were for the heart (SC) and kidney (SC and IC) concentrates. All concentrates had high emulsion stability and higher WHC than commercial protein extenders (whey and soybean). The concentrates obtained from the soluble fraction were redder (higher a* values and lower h values) and darker (lower L* values) than insoluble fraction, especially heart and liver concentrates. Use of concentrates in sausage production slightly altered the color chroma (C*) of samples. It was concluded that the pig by-products protein concentrates had great potential of use as extenders in sausage production.
Características de mulheres vítimas de violência sexual e abandono de seguimento de tratamento ambulatorial
Authors: Sousa Tânia Cássia Cintra de , Coelho Amanda Santos Fernandes , Mattos Diego Vieira de , Valadares Janaina Guimarães , Lima Maíra Ribeiro Gomes de , Costa Priscila Sousa , Sousa Maria Augusta Alves
Published: June 2019

Resumo Introdução A violência sexual afeta vários segmentos da sociedade e requer ação urgente. As mulheres são as principais vítimas desta injúria, que pode gerar inúmeras implicações. Assim, o papel dos serviços de saúde é essencial para o enfrentamento deste problema e garantia de maior adesão ao tratamento ambulatorial. Objetivo Objetivou-se analisar as características de mulheres vítimas de violência sexual e abandono de seguimento de tratamento ambulatorial. Método Estudo descritivo, analítico retrospectivo, quantitativo, de 161 prontuários de mulheres atendidas em um serviço de referência de violência sexual em Goiânia- G0, em 2015. Resultados A maioria das mulheres eram adultas (65,8%), residentes em Goiânia (55,3%), empregadas (50,3%), concluintes do ensino médio (30,4%), solteiras (55,3%), pardas (44,1%), heterossexuais (74,5%), sem deficiência (85,1%). Verificou- se uma associação entre o abandono de seguimento ambulatorial com o recebimento de profilaxia DSTs (p<0,001), imunoglobulina para hepatite B (p=0,002), contracepção de emergência (p=0,010), início do esquema de antirretrovirais (p=0,003) e abandono do seguimento após a primeira consulta (p <0,001). Houve significância entre vítimas gestantes e a conclusão do tratamento (p <0,001). Conclusão Conclui-se que, ao se conhecer os fatores relacionados à não adesão ao seguimento ambulatorial, novas estratégias poderão ser desenvolvidas pelos serviços especializados.
ECONOMIC PERFORMANCE OF LOBLOLLY PINE STANDS IN SOUTHERN BRAZIL AS A RESULT OF DIFFERENT CROWN THINNING INTENSITIES1
Authors: Dobner Jr Mário , Quadros Dagoberto Stein de
Published: June 2019

ABSTRACT Approximately 1.6 million hectares of southern Brazil are cultivated with pines, and mainly with the loblolly pine (Pinus taeda L.). More than one third of the stands belong to independent log producers, whose aim is to maximize their economic results. In this study, a thinning experiment was evaluated over a production period of 30 years. The stands evaluated were submitted to three different crown thinning intensities, with an unthinned stand used as a control. The aim of the study was to evaluate economic criteria regarding realistic discount rates and production periods varying between 16-30 years. For the circumstances that were evaluated, 'extreme' and early release from competition of pruned loblolly pine trees lead to the best economic performance (land expectation value = ~36,000 US$ ha-1, i = 3% yr-1). Stands subjected to crown thinnings, independently of intensity, produced three times the economic output of unthinned and unpruned stands. Although the optimal harvest ages, according to the internal rate of return, are between 18-22 years for thinned and unthinned stands, from a long-term perspective (land expectation value) and for the current relationship between log price and size, the optimal economic performance requires that production periods are extended (to 24-26 years) from those currently practised in southern Brazil (15-20 years).
Geração de soluções exatas em Relatividade Geral através do Método de Kerr-Schild
Authors: Ribeiro Eduardo V. S. , Cuadros-Melgar Bertha , Cardoso Flavia R.
Published: June 2019

Resumo Neste trabalho, apresentamos o método de Kerr-Schild para obter novas soluções das equações de campo de Einstein a partir de uma solução de fundo conhecida. São mostradas algumas das propriedades e uma introdução histórica do método, além da apresentação de alguns exemplos de sua aplicação.
O equilíbrio e a estrutura estelar em uma abordagem simples: a Seqüência Principal
Authors: Bandecchi M. , Bretones P.S. , Horvath J.E.
Published: June 2019

Resumo As condições simultâneas de equilíbrio Virial e equilíbrio hidrostático determinam a existência de soluções para os modelos estelares mais simples. Utilizando estes dois conceitos mostramos que é possível caracterizar a estrutura estelar sem recorrer à integração de equações diferenciais, ao menos para obter as propriedades globais. Além disso, discutimos como é que as estrelas geram energia, enfatizando o papel fundamental do decaimento fraco do próton que controla suas vidas e as impede que explodam em frações de segundo, colocando a teoria das interações fracas em um contexto muito mais visível e integrado para o estudante e seus professores. Pela sua abrangência e simplicidade, esta abordagem é particularmente adequada para apresentar estes temas no Ensino Médio.
Práticas experimentais de Física a distância: Desenvolvimento de uma aplicação com Arduino para a realização do Experimento de Millikan remotamente
Authors: Barros Tiago R. , Dias Wandearley S.
Published: June 2019

Resumo Apresentamos a elaboração de um sistema que permite o acesso remoto e controle didático de um experimento de física através da internet. Mais especificamente, descrevemos um sistema de instrumentação remota para determinação do valor da carga elementar através do método de Millikan. O sistema é constituído de elementos físicos (hardware) e lógicos (software) integrados à uma plataforma Arduino para o controle e interfaceamento com o computador. A avaliação do protótipo foi realizada em dois testes, envolvendo um professor da rede pública de ensino médio e 14 alunos também da rede pública de ensino médio. Os resultados quantitativos e qualitativos apontam para a viabilidade de implementação do recurso didático.
O Experimento de Hardy: a mais simples prova da violação do realismo local EPR
Authors: Fassarella Lucio S.
Published: June 2019

Resumo O Experimento de Hardy constitui um tipo de experimento físico pelo qual podemos demonstrar e verificar a validade experimental do Teorema de Bell, o qual afirma que a Mecânica Quântica não é uma teoria física realista local. Aqui, revisitamos a reformulação dada por N.D. Mermin em 1994 da proposta original de L. Hardy apresentada em 1992, definindo conceitos básicos, indicando realizações experimentais e discutindo tópicos relacionados.
Riscos microbiológicos de fórmulas para lactentes
Authors: Rodrigues Vivian Cristina da Cruz , de Oliveira Isabela Pereira , Bezerra Rosângela Maria Neves , Antunes Adriane Elisabete Costa
Published: June 2019

Resumo O objetivo desse trabalho foi discorrer sobre os principais perigos biológicos encontrados em fórmulas infantis a partir dos relatos da literatura, especialmente de registros de surtos. Este estudo é de cunho exploratório por meio de revisão bibliográfica, sendo utilizados como fontes de dados sites de busca científica. Dentre os principais micro-organismos causadores de doenças ligadas à ingestão de fórmulas infantis estão o Cronobacter sakazakii e a Salmonella enterica, porém outras bactérias, como Clostridium botulinum, Klebsiella pneumoniae, Staphylococcus aureus e Bacillus cereus, podem ser responsáveis por contaminações destas fórmulas. Visto que lactentes apresentam os sistemas imunológico e metabólico ainda em desenvolvimento, estes representam um público mais vulnerável a contaminantes, fazendo-se fundamental o oferecimento de alimentos seguros desde o processamento na indústria até a administração nas residências e unidades hospitalares.
Analysis of the referral system to the public endodontics service in a city within the metropolitan area of Belo Horizonte, Minas Gerais, Brazil
Authors: MELLO Valéria Maria Barbosa Moreira de , OLIVEIRA JÚNIOR Marcos de , WERNECK Marcos Azeredo Furquim , MATTOS Flávio de Freitas
Published: June 2019

ABSTRACT Objective: Health services evaluation uses both general service monitoring indicators and evaluation research, with the aims of studying service performance and its enhancement through problem solving. This study aimed at analyzing the referral system between primary health care and the secondary level care in endodontics of the Dental Specialties Center in the city of Contagem, Minas Gerais, to seek enhancement of the existing referral protocol. Methods: Secondary data were collected from the municipal data systems as well as from services files, regarding all patients who were attended between 2009 and 2014. Results: Mean time between first appointment and treatment conclusion was 3.12 months. There was higher frequency of individuals from the administrative regions of cities with higher populations and more availability of primary health care units. Similar proportions of single and non-single rooted teeth were treated. High proportions of teeth reached the endodontics service of Dental Specialties Center without possible treatment. Conclusion: Data were generated to provide renovation of the service referral protocol.
Methods for qualitative and quantitative analysis of pain and quality of life validated in Brazil: systematic review
Authors: MASULO Leandro Júnio , MARTINS Marcela Lopes Silva , COSTA Davidson Ribeiro , NICOLAU Renata Amadei
Published: June 2019

ABSTRACT Objective: The need to quantify pain and quality of life (QoL) is essential for professionals considering their therapeutic approach. The goal of this review is to identify the methods to perform qualitative and quantitative analysis of pain and QoL validated in Brazil. Methods: Review by the LILACS, SciELO, MedLine and Google Scholar databases with the descriptors: methods, qualitative analysis, quantitative analysis, pain and quality of life. Inclusion criteria: articles published in Portuguese and in English in the period from 1996 to 2015. Exclusion criteria: incomplete texts, articles that did not address the subject of study and duplicate articles in the databases. Results: After applying the eligibility criteria, 27 articles were selected for reading, being that one article was excluded by presenting irrelevant result and another was excluded by duplication. From the 25 articles, one was published in 2015, three in 2014, one in 2013, three in 2012, five in 2011, two in 2010, three in 2009, four in 2008, two in 2004 and one in 1996. In relation to the studies, nine were clinical trials, 10 systematic reviews, five cross-sectional studies and one essay. Conclusion The most frequently methods applied are the VAS and the McGill’s Questionnaire, considering the multidimensional pain assessment. The most commonly used questionnaire to evaluate QoL is the SF-36. There is great difficulty to classify methods for assessing pain and QoL (qualitative or quantitative methods), since many authors report the same method when addressing the two interfaces.
Experience of radiotherapy in head and neck
Authors: MACEDO Dhiancarlo Rocha , ANJOS Anna Claúdia Yokoyama dos
Published: June 2019

Abstract Objective: The aim of this manuscript was to understand and describe the experience of radiotherapy on the perspective of a woman with oral cancer. Methods: This is a qualitative, exploratory, descriptive study, with theoretical reference of medical anthropology and instrumental case study methodology. Data collection was performed in the oncology sector of a public university hospital in the Southeast region of Brazil, State of Minas Gerais, Brazil and at the participant’s residence, during from March to August, 2016. The case selected was of a female patient, diagnosed with Spinocellular Carcinoma in oral cavity, submitted to radiotherapy. Five semi-structured interviews and participant observation were performed and audio-taped. Results: Three thematic units are presented: the radiotherapy trajectory, family support and refuge in God and the importance of the multiprofessional team. The adverse reactions such as odynophagia, dysgeugia and weight loss were the ones that stood out the most, being causes of the social isolation of the participant, nonetheless the patient showed optimism and hope, despite the social isolation. Conclusion: The qualitative methodology allowed the whole trajectory of radiotherapy follow-up which made it possible to understand the treatment experience from the perspective of the participant. Despite the adverse reactions, no negative experience with radiotherapy was found. New studies using the qualitative methodology are suggested with groups presenting similar characteristics of the participant, thus providing a better understanding of the topic addressed, as well as the identification and adoption of strategies that aim at improving care and the quality of life of this population, as well.
Oral health actions in the primary health care network of northeastern brazil in relation to oral cancer
Authors: RODRIGUES Larycia Vicente , RIBEIRO Isabella Lima Arrais , PROTASIO Ane Polline Lacerda , VALENÇA Ana Maria Gondim , LIMA NETO Eufrásio de Andrade
Published: June 2019

ABSTRACT Objective: To describe oral health actions against oral cancer promoted by Primary Health Care Teams in northeastern Brazil. Methods: This is a descriptive and inferential study based on data related to detection, referral, registration, follow-up and documents related to these actions in the External Evaluation of the 1st and 2nd Program for Improving Access and Quality of Primary Care Cycles. Results: Overall, 5,599 and 7,700 teams were evaluated, respectively, in the first and second cycles, with the highest and lowest concentrations in the states of Bahia / Maranhão and Bahia / Sergipe. In all, 58.9% / 79.7% Health Teams conducted campaigns to detect oral lesions and referred suspected cases of oral cancer, and 43.9% / 23% of them recorded and followed suspicious / confirmed cases and only 20.7% / 16.2% had documents proving these records in the respective cycles. There was statistical significance in the comparisons of actions and the evaluation cycles (p ? 0.01). Conclusion: Health teams in northeastern Brazil need to improve actions related to detection, referral, registration, follow-up and verification of oral health documents related to oral cancer.
Dental care to the oncological patient in terminality
Authors: SOUTO Karina da Costa Lima , SANTOS Diego Belmiro do Nascimento , CAVALCANTI Ully Dias Nascimento Távora
Published: June 2019

ABSTRACT End-stage cancer patients present many oral manifestations that need the support of a dentist, who included in the multidisciplinary team, must make the necessary adjustments in order to maintain the quality of life of these patients relieving their pain and suffering. Based on a literature review, the research searched articles published between June 2000 and February 2019, in the following databases: Pubmed, Scielo, Lilacs, Wiley Online Libary. The following inclusion criteria was used: articles published in Portuguese or English which included the keywords: dental care, critical care, palliative care, terminally ill. The aim of this paper is to present the importance of dental care to patients with cancer in palliative care. In conclusion, it was possible to verify that Dentistry in the hospital environment is of paramount importance, and should be based on empathy and communication, seeking to create the necessary bonds for the development of an effective and individualized treatment plan, discussion of cases in an integrated way and demonstrating the importance of higher education institutions in the training of future professionals. This paper aims to be contributory in order to increase the discussion about palliative care in Dentistry, besides providing subsidies to future studies that will deepen in this essential and still unexplored subject.
Hypnosis in the control of pain and anxiety in Pediatric Dentistry: a literature review
Authors: SANTOS Susana Aguiar , GLEISER Rogério , ARDENGHI Thiago Machado
Published: June 2019

ABSTRACT This study is a literature review on the physical and mental influence of hypnosis in pediatric patient in controlling anxiety and pain. The objective was to gather the evidence found in the analysis of articles, research and systematic reviews, in the period from 1994 to 2018. For a descriptive review were selected Internet portals as Medicine®, Pubmed, Capes, using keywords like: “hypnosis”, “pediatric dentistry”, “fear”, “anesthesia”, “anxiety”, “children”, “pain”. Descriptively and concisely, they presented relevant findings regarding associations between hypnosis and dentistry and their applications in controlling anxiety and pain. It was concluded that hypnosis could increase the cooperation of the child patient and decrease the resistance during painful dental procedures. Despite the promising results observed, hypnosis in pediatric dentistry is still seldom used. This may be due to lack of knowledge about the procedure and the absence of formal education, indicating the importance of including Hypnosis in the healthcare professionals’ curriculum and their practices.
Factors associated with gingival bleeding in adolescents
Authors: PEDROSA Bruna Rafaele Vieira , DEAMA Nathalia Seimi , GOÉS Paulo Sávio Angeiras , FILGUEIRAS Leonardo Vilar
Published: June 2019

ABSTRACT Objective: Describe the relationship between gingival bleeding and risk factors (behavioral and psychosocial) in adolescents aged 14 to 19 years in the city of São Lourenço da Mata, Brazil. Methods: An observational, cross-sectional study was conducted with 1154 adolescents aged 14 to 19 years randomly selected from public schools located in the city of São Lourenço da Mata in the state of Pernambuco, Brazil. Socio-demographic (sex, age and race), behavioral (oral hygiene, smoking, alcohol use and leisure activities) and psychosocial (self-esteem and self-perception) data were collected through self-administered questionnaires. The presence/absence of gingival bleeding was determined using the Community Periodontal Index (CPI). The data were submitted to descriptive statistics and Pearson’s chi-square test was used to determine associations between risk factors and gingival bleeding, with the significance level set at 5% (p < 0.05). Results: The response rate was 80% of 1418 adolescents initially proposed to compose the sample and the prevalence of bleeding was 50.3%. No associations were found between gingival bleeding and socio-demographic, behavioral or self-esteem factors. Regarding self-perception, a significant association was found between positive attitudes of satisfaction with one’s physical appearance and gingival bleeding (p < 0.05). Conclusion: Gingival bleeding was found in most adolescents, but did not exert an influence on the satisfaction these individuals have regarding their physical appearance.
CPP-ACP complexe as an alternative to treatment of incisor molar hypomineralization: case report
Authors: CARDOSO Micaela , MOREIRA Kelly Maria Silva , CARDOSO Andréia Alves , RONTANI Regina Maria Puppin
Published: June 2019

ABSTRACT The objective of this study was to report the clinical treatment of a child with Incisor Molar Hipomineralization. A 5-year-old Brazilian child, male gender, was diagnosed with Molar Incisor Hypomineralization, reporting high teeth sensitivity. After anamnesis and clinical examination, treatment was conducted with three weekly applications of fluoride varnish containing 5% CPP-ACP complex. Also, it was advice to the patient for using a toothpaste containing fluoride and CPP-ACP (MI Paste Plus). After that, molars with great tooth structure loss were restored with resin modified glass ionomer cement. Prior to the first topical application of varnish with CPP-ACP and fluoride toothpaste containing CPP-ACP, a sensitivity test was conducted using thermal stimulus and facial pain scale. It was observed relative sensitivity decrease between sessions, reporting no sensitivity at the last session before the restoration. The treatment of Molar Incisor Hypomineralization teeth with CPP-ACP complex associated with fluoride varnish can be an alternative to reduce sensivity.
O que se ensina quando se ensina literatura? Considerações sobre a constituição de um objeto
Authors: Jover-Faleiros Rita
Published: June 2019

Resumo A partir da pergunta “o que se ensina quando se ensina literatura?”, refletimos sobre a complexidade da relação entre os diferentes atores responsáveis pela constituição desse objeto de ensino e as forças em tensionamento entre os diferentes campos em comunicação para a constituição desse objeto, notadamente os estudos literários e a didática, que acabam por produzir clivagens nos modelos de ensino de literatura em vigor hoje no Brasil. A partir de uma síntese de diagnósticos sobre a temática, identificamos nas propostas de círculos de leitura entre pares (Hébert, 2010) uma abordagem do literário em contexto escolar que nos parece articular os saberes dos diferentes campos constitutivos de uma didática do texto literário.
Apoio matricial como estratégia para o fortalecimento da saúde do trabalhador na atenção básica
Authors: Lazarino Márcia da Silva Anunciação , Silva Thais Lacerda e , Dias Elizabeth Costa
Published: June 2019

Resumo Introdução: a garantia da atenção integral à saúde do trabalhador requer a incorporação sistemática de ações na atenção básica, sendo o apoio matricial uma estratégia potente para sua viabilização. Objetivo: descrever e analisar as práticas de apoio matricial desenvolvidas por um Centro de Referência em Saúde do Trabalhador (Cerest) junto à rede de serviços de atenção básica, com vistas à incorporação de ações de saúde do trabalhador. Métodos: estudo de natureza descritiva. Realizou-se entrevista semiestruturada com 41 profissionais que participaram do processo de matriciamento. Os dados foram analisados segundo a técnica de análise de conteúdo. Resultados: o apoio matricial possibilitou a ampliação de práticas que reconhecem o usuário enquanto trabalhador e o trabalho como determinante do processo saúde-doença. Com o aumento da resolutividade dos casos e maior articulação entre os profissionais do Cerest e da rede de atenção básica, houve redução dos encaminhamentos aos Cerest. Os desafios identificados incluem a necessidade de qualificar apoiadores e o enfrentamento da sobrecarga de trabalho e da ênfase nas ações assistenciais que ocorrem em detrimento das de vigilância, dificultando a integralidade do cuidado. Conclusão: o apoio matricial pode operar como estratégia potente de fortalecimento da saúde do trabalhador no Sistema Único de Saúde (SUS).
Educação e Saúde em disputa: movimentos anti-igualitários e políticas públicas
Authors: Miskolci Richard , Pereira Pedro Paulo Gomes
Published: June 2019

No Brasil da última década, os direitos sexuais e reprodutivos tornaram-se um dos principais eixos de disputa de políticas públicas educacionais e de saúde. Neste texto, mostraremos como, no campo da educação, propostas de inclusão de uma perspectiva igualitária sobre homens e mulheres e abordagens antidiscriminatórias no ensino fundamental e médio passaram a ser combatidas como “ideologia de gênero”, enquanto o ensino superior passou a ser atacado, entre outras razões, pela adoção de ações afirmativas. No campo da saúde, reconstituímos como os princípios da igualdade, equidade e integralidade do Sistema Único de Saúde (SUS) têm sido tensionados quando sua atuação envolve diferenças de gênero, sexualidade e étnico-raciais. Em ambos os campos, grupos políticos contra o avanço dos direitos sexuais e reprodutivos colocam em ação uma agenda anti-igualitária que aprofunda também desigualdades de classe e étnico-raciais.
Heliotropium pakistanicum sp. Nov. (Boraginaceae) from Pakistan
Authors: SHAHEEN H. , POTTER D. , QASEEM M.F. , QURESHI R.
Published: June 2019

ABSTRACT: Heliotropium pakistanicum Shaheen sp. nov., has been described as new species to science. This taxon has been collected from Thal Desert, Punjab province, Pakistan. This species is closely associated with H. cabulicum Bunge. However, It differs from H. cabulicum in its leaf shape, inflorescence and glabrous corolla tube and bulbose base hairs. Taxonomic details of Heliotropium pakistanicum have been provided in this article.
Remediation of Soils Contaminated by Pesticides Using Physicochemical Processes: a Brief Review
Authors: BALDISSARELLI D.P. , VARGAS G.D.L.P. , KORF E.P. , GALON L. , KAUFMANN C. , SANTOS J.B.
Published: June 2019

ABSTRACT: After years of pesticide application, often indiscriminately, damage has been caused to the environment, as well as to agronomic crops grown in contaminated areas. In water treatment, techniques based on physical and/or physicochemical processes are used, being formed secondary oxidizing agents responsible for the mineralization of contaminants present in the herbicides, thus causing the degradation process. However, few studies have demonstrated the effectiveness of these techniques in soils. The aim of this study was to review the existing studies, presenting the main techniques used for remediation of soils contaminated with pesticides. Emphasis was placed on electrokinetics, advanced oxidative processes, soil washing, chemical or solvent extraction, and combinations of these methods. According to the results of several studies, the combination of techniques, such as electrokinetics and soil washing processes, allows achieving a high efficiency when it is applied for the degradation of agricultural contaminants. The combination of electrolysis with other methods, such as the Fenton’s reagent, ultrasound irradiation, and UV light, also present satisfactory results in removing pesticides in soil treatment. However, Fenton technology used alone is the most promising of the assessed techniques since it can be used for the remediation of several contaminants, especially pesticides, not harming the environment and allowing soil recovery.
Urochloa brizantha Interference in the Phaseolus vulgaris Radicular System Fertilized with Phosphorus
Authors: FREITAS A.F. , MACIEL J.C. , SILVA M.M. , SANTOS J.B.
Published: June 2019

ABSTRACT: Interference between root systems occurs below the ground surface long before the competition between plants is expressed in the shoot. Nutrients stand out for being limited in the soil, requiring supplementation, especially phosphorus. Thus, this study aimed at estimating, from sowing, visual characteristics in the root systems of bean plants from the Carioca variety (Phaseolus vulgaris) when in competition with brachiaria (Urochloa brizantha), considering also the application of phosphorus P2O5. A factorial design with six treatments was used resulting from the combination of three cultivation schemes (beans in isolated crops or in competition with one or two brachiaria plants), and the application or not of phosphate fertilizer (90 kg ha-1 of P2O5), in a completely randomized design with four replications. After the sowing of the species, the visualization results were taken at every 12 hours, by means of the photographic record of the development of the root system in rhizotrons. Greater growth and greater total area of the root system were observed in bean monocultures and when competing with one brachiaria plant in the presence of phosphate fertilization. In contrast, the bean plant in the container with two brachiaria plants invested its resources in greater length and total area of the root system when in the absence of the fertilizer. It can be stated that there is evidence of interference starting three days after the sowing of the species.
Biomass Accumulation, Photosynthetic Pigments, Osmotic Adjustments and Antioxidant Activities of Leymus chinensis in Response to BA, BR, and GA
Authors: XUE-FENG Z. , JUN L.V. , SHAHID M. , ANJUM S.A. , NA-JIA L. , XIU-JUAN H. , YU X. , XIAO W. , SAN-GEN W.
Published: June 2019

ABSTRACT: Abiotic stresses and poor biomass accumulation are chief constraints to accomplish potential yield in Leymus chinensis. An experiment was conducted to improve biomass and correlation of biomass accumulating attributes with photosynthetic pigments, osmotic substances and antioxidants under foliar application of different plant growth substances. The experiment was conducted at inner Mongolia Xilinguole, China, using a Randomized Complete Block Design and 5 replications. The treatments consisted of water (control); BA5 = application of BA (6-benzylaminopurine) at 5 mg L-1; BA25 = application of BA at 25 mg L-1; BA50 = application of BA at 50 mg L-1; BR0.02 = application of BR (brassinosteroid) at 0.02 g L-1; BR0.2 = application of BR at 0.2 mg L 1; BR2 = application of BR at 2 mg L-1; GA10 = application of GA (gibberellic acid) at 10 mg L-1; GA50 = application of GA at 50 mg L-1 and GA100 = application of GA at 100 mg L-1. Application of all plant growth substances significantly improved biomass, osmotic adjustments, photosynthetic pigments and antioxidant activities compared to control. However, the most promising results were found with 0.2 mg L-1 BR. The highest chlorophyll a/b, glutathione and ascorbate peroxidase activities were recorded with 25 mg L-1 BA. Conclusively, 25 mg L-1 BA, 0.2 mg L-1 BR and 10 mg L-1 GA exhibited more promising results than other concentrations for the evaluated attributes.
Intoxication of Mesotrione in Corn Inoculated with Azospirillum brasilense and with Application of Plant Growth Regulators
Authors: BULEGON L.G. , GUIMARÃES V.F. , BATTISTUS A.G. , COSTA N.V.
Published: June 2019

ABSTRACT: The objective of this study was to evaluate the effect of intoxication by mesotrione herbicide on the initial development and yield of maize after seed inoculation or foliar spray application with Azospirillum brasilense and application of plant regulators. Therefore, three experiments were performed: one under greenhouse conditions and two under field conditions, in different locations. In all experiments, a randomized block design was used with a 2 x 4 factorial arrangement, representing presence (192 g ha-1) or absence of mesotrione and four treatments corresponding to the control; seed inoculation with A. brasilense; foliar spray application of A. brasilense; foliar spay application of auxin + gibberellin + cytokine (AX + GA + CK), and foliar spay applications with mesotrione were carried out at the V3 stage of the crop. The results from the greenhouse experiment, with mesotrione application, were intoxication of 7.12%, which reduced total chlorophyll content by 10.15% and carotenoid content by 75.86%, leading to reductions in gas exchange and chlorophyll a fluorescence, and increased activity of antioxidative enzymes. Under field conditions, the treatments did not reduce the effects of intoxication during the initial development of maize crop and did not increase crop yield. It was concluded that the use of A. brasilense and plant regulators did not protect maize against mesotrione intoxication in the initial development, nor did it increase yield.
Efficiency of Isolated and Associated Herbicides to Control Glyphosate-Resistant Sourgrass
Authors: CASSOL M. , MATTIUZZI M.D. , ALBRECHT A.J.P. , ALBRECHT L.P. , BACCIN L.C. , SOUZA C.N.Z
Published: June 2019

ABSTRACT: Sourgrass is one of the weeds of great economic importance in Brazil due to its difficulty of control and conditions that allow its emergence and development throughout the year. Thus, this study aimed to evaluate the effectiveness of clethodim and haloxyfop applied alone or mixed with glyphosate and other herbicides to control glyphosate-resistant sourgrass at different stages of development. For this, three experiments were conducted in the field: in experiment 1, the herbicides were applied in sourgrass plants with 6 to 8 tillers; and in experiments 2 and 3, when plants were at full flowering, with up to 18 tillers. After treatment application, visual evaluations were performed at 14, 21, 28, 35, 42, 49, and 56 days after application (DAA) in experiment 1 and at 7, 14, 21, 28, and 35 DAA in experiments 2 and 3. Also in experiment 3, the shoot of remaining plants was collected in the last control evaluation to measure the dry matter. In experiment 1, the treatment glyphosate + clethodim presented a satisfactory control close to 90%, but after 35 DAA, sourgrass plants started showing significant resprouts, decreasing the control. In experiments 2 and 3, treatments showed no control above 90% and the herbicides clethodim and haloxyfop had similar final control when in mixture with glyphosate. Therefore, the isolated herbicide application at the tested doses was not sufficient for efficient control of sourgrass at more advanced stages of development.