bluuebunny/crossref_metadata_2025 huggingface dataset:
Dilatatív cardiomyopathia immunadszorpciós kezelése. Az első magyarországi eset kapcsán
Authors: Soltész Pál , Vass Melinda , Diószegi Ágnes , Mányiné Siket Ivetta , Garai Ildikó , Kun Csaba , Bene Orsolya , Kertész Attila , Édes István
Published: March 2018

Abstract:

Dilated cardiomyopathy is the main cause of heart transplantation. The etiology is unknown in almost half of the cases. Many cardiac specific antibodies have been identified till now which can cause decreased cardiac function, ventricular tachycardia or sudden heart death. The prognosis of DCM is poor despite the development of medical treatment. Immunoadsorption is hopeful since, with the removal of antibodies, cardiac function and NYHA class can improve and LVAD/heart transplantation-free survival can be prolonged. At the University of Debrecen, Faculty of Medicine, Department of Internal Medicine, Division of Angiology, Intensive Care and Therapeutic Apheresis Unit we performed the first immunoadsorption. Our patient was a 43-year-old man with idiopathic dilated cardiomyopathy, NYHA class IV, a heart transplantation candidate, whose cardiac specific antibody, type IgG was indentified by Western blot. Before the treatment he had ejection fraction of 18%. Discussing with his cardiologists we decided for immunoadsorption therapy. We performed 5 cycles on consecutive days in Intensive Care Unit. After 1 month we detected improvement in exercise capacity. We detected improvement in isovolemic contraction (from 465 mmHg/s to 575 mmHg/s), increased stroke volume (from 49 ml to 66 ml). After 3 months we repeated SPECT investigation which showed improvement in ejection fraction, from 18% to 32%. Orv Hetil. 2018; 159(13): 532–536.
Comparing doctor–elderly patient communication between traditional Chinese medicine and Western medicine encounters: Data from China
Authors: Jin Ying , Tay Dennis
Published: March 2018

Effective doctor–patient communication has been
widely endorsed as pivotal for optimal medical care and the building of a positive and lasting relationship between caregivers and patients. While the literature suggests that traditional Chinese medicine (TCM) doctors have better interpersonal skills than Western medicine (WM) doctors, and that the doctor–patient relationship in TCM is more lasting, a comparison of specific communication behaviors in both encounters has not yet been carried out. This paper examines the similarities and differences in communication behaviors between these two types of consultations in relation to doctor–elderly patient communication. Forty-five consultations were included for analysis using the Roter Interaction Analysis System (RIAS). Significant differences were found in communication behaviors at the level of lifestyle and psychosocial exchanges, type of questions, non-medical small talk, and emotional disclosure. The study’s limitations and implications are discussed.
‘We are the barriers’: Danish general practitioners’ interpretations of why the existential and spiritual dimensions are neglected in patient care
Authors: Assing Hvidt Elisabeth , Søndergaard Jens , Hansen Dorte Gilså , Gulbrandsen Pål , Ammentorp Jette , Timmermann Connie , Hvidt Niels Christian
Published: March 2018

Although it is broadly recognized that health problems often involve existential and spiritual dimensions, recent research shows that these aspects of illness are rarely attended to by health professionals. Studies explain this in terms of barriers to communication, but health professionals’ firsthand experiences and interpretations have so far been largely unexplored. Drawing on the theoretical traditions of phenomenology and hermeneutics, the present study presents Danish general practitioners’ (GPs’) experiences and interpretations of why the existential and spiritual dimensions are marginalized in patient care. We conducted seven focus groups, constituting a total sample of 31 GPs. Based on the analytic strategy of Interpretative Phenomenological Analysis (IPA), our analysis revealed that the GPs experienced and interpreted individual barriers as created and fostered within dominant biomedical and secular cultures that are characterized as ‘solution focused’ and ‘faith frightened’. Many GPs further understand themselves as barriers, because they are enculturated into these dominating cultures. We discuss these findings through theoretical concepts such as ‘secondary socialization’, ‘system colonization’ and ‘secularization’, and suggest interventions that might challenge current practice culture.
Acid and Temperature Treatments Result in Increased Germination of Seeds of Three Fescue Species
Authors: STANISAVLJEVIC Rade S. , VUCKOVIC Savo M. , SIMIC Aleksandar S. , MARKOVIC Jordan P. , LAKIC Zelijco P. , TERZIC Dragan V. , DOKIC Dragoslav J.
Published: March 2018

Efficient germination of fescue seeds is essential for successful establishment of meadows and pastures. This research was conducted toÂ ascertain the effects of various acid and temperature treatments on seed germination in three fescue species: Festuca rubra, F. ovina, and F.Â pratensis. Seeds from different cultivars, populations, or lots were exposed either to four concentrations of sulfuric acid at three differentÂ time intervals (12 treatments) or six different temperatures at three different time intervals (18 treatments). Despite all belonging to theÂ genus Festuca, the seed from different species responded differently to the treatments. The three optimum treatments for F. rubra seedÂ involved soaking in a 75% solution of sulfuric acid for 20 minutes (improved the germination rate by 19%), soaking in a 50% solutionÂ of sulfuric acid for 30 minutes (improved the germination rate by 18%) and exposure to either 60Â°C or 70Â°C for 90 minutes (improvedÂ the germination rate by 17%). For F. ovina seed, optimal treatments included soaking seeds for either 10 or 20 minutes in a 50% sulfuricÂ acid solution (both treatments improved germination rates by 13%) or exposing seeds for 30 minutes in a 25% sulfuric acid solution andÂ 80Â°C for 60 minutes (improved germination rate by 12%). Two optimal treatments were identified for F. pratensis seed. Whereas theÂ first involved soaking the seeds in a 75% sulfuric acid solution for 30 minutes (improved germination rates by 22%), the second involvedÂ either exposing the seeds to 90Â°C for 90 or 60 minutes, or exposing the seeds to 80Â°C for 90 minutes (improved germination rate by 21%).Â Our findings indicate that if fescue seed is to be sown during the autumn (two to three months after seed collecting), treating it with acidÂ and temperature can significantly enhance its germination.
Effect of Soaking, Cooking, Germination and Fermentation Processing on Proximate Analysis and Mineral Content of Three White Sorghum Varieties (Sorghum bicolor L. Moench)
Authors: El-BELTAGI Hossam Saad , ABD EL-SALAM Samiha M. , OMRAN Azza A.
Published: March 2018

The changes in chemical composition, amylose and minerals content after soaking, cooking, germination and fermentation of threewhite sorghum varieties, named â€˜Doradoâ€™, â€˜Shandaweel-6â€™, and â€˜Giza-15â€™ were investigated. The chemical composition concluded includingcrude protein, oils, crude fiber and ash. Crude protein content ranged from 10.62 to 12.46% in raw sorghum. â€˜Shandaweel-6â€™ was thehighest variety in crude protein content (12.46%). â€˜Doradoâ€™ was the highest variety in oils and ash (3.91 and 1.45%). â€˜Shandaweel-6â€™ wasthe highest variety in crude fiber (1.85%). Amylose content ranged from 18.30 to 20.18% in raw sorghum. Amylose was higher in â€˜Giza-15â€™ than other varieties. Minerals content i.e., Zn, Fe, Ca, K, Na, Mg, Mn and Cu were investigated. Results indicated that raw â€˜Doradoâ€™was the highest variety in K, Mg, Ca, Fe and Mn (264.53, 137.14, 33.09, 7.65 and 1.98 mg/100g). While, â€˜Shandaweel-6â€™ was the highestvariety in Zn and Cu (5.02 and 0.84 mg/100 g). Finally â€˜Giza-15â€™ was the highest variety in P and Na (381.37 and 119.29 mg/100 g).After treatments chemical composition, amylose and minerals were decreased. Processing techniques reduce the levels of antinutritionalorganic factors, which including phytates, phenols, tannins and enzyme inhibitors by releasing exogenous and endogenous enzymes suchas phytase enzyme formed during processing.
Reactive Oxygen Species, Lipid Peroxidation and Antioxidative Defense Mechanism
Authors: EL-BELTAGI Hossam S. , MOHAMED Heba I.
Published: March 2018

Lipid peroxidation can be defined as the oxidative deterioration of lipids containing any number of carbon-carbon double bonds. Lipid peroxidation is a well-established mechanism of cellular injury in both plants and animals, and is used as an indicator of oxidative stress in cells and tissues. Lipid peroxides are unstable and decompose to form a complex series of compounds including reactive carbonyl compounds. The oxidation of linoleates and cholesterol is discussed in some detail. Analytical methods for studying lipid peroxidation were mentioned. Various kinds of antioxidants with different functions inhibit lipid peroxidation and the deleterious effects caused by the lipid peroxidation products.
Can the CERAD neuropsychological battery be used to assess cognitive impairment in Parkinson's disease?
Authors: Camargo Carlos Henrique Ferreira , Bronzini Augusto , Tolentino Eduardo de Souza , Medyk Camila , Schultz-Pereira Gustavo Leopold
Published: March 2018

ABSTRACT The Consortium to Establish a Registry for Alzheimer's Disease (CERAD) neuropsychological battery was created to assess cognitive impairment in Alzheimer's disease (AD) but it is widely-used for various dementias. The aim of this study was to analyze the efficacy of using the CERAD battery in the assessment of patients with Parkinson's disease. Forty-nine patients with Parkinson's disease were divided into two groups (one with dementia and one without) using the Movement Disorder Society criteria for Parkinson's disease dementia. Cognitive deficits were assessed with the Clinical Dementia Rating Scale as the gold standard, and the CERAD. The ROC curve for the CERAD battery had an area under the curve = 0.989 (95% CI = 0.967 – 1, p<0.0001). Among the CERAD subtests, verbal fluency had the worst accuracy, and word list learning had the best accuracy. Despite the limits of this study, the CERAD battery can be efficient for assessment of cognitive deficits in Parkinson's disease patients.
Migraine improvement correlates with posterior cingulate cortical thickness reduction
Authors: Amaral Vanise C. G. , Tukamoto Gustavo , Kubo Tadeu , Luiz Ronir Raggio , Gasparetto Emerson , Vincent Maurice B.
Published: March 2018

ABSTRACT Objective The main goal of this study was to correlate migraine improvement, after prophylactic therapy, with cortical thickness changes. Methods Cortical thickness maps were obtained with magnetic resonance imaging (MRI) from 19 patients with migraine before (first scan) and after (second scan) prophylactic treatment, and these were compared with controls using the FreeSurfer MRI tool. Cortical changes were correlated with the headache index (HI). Results Anincrease incortical thickness was found in the right cuneus and precuneus, somatosensory and superior parietal cortices in both patient scans, compared with the controls. No changes were observed in the left hemisphere. Following correction for multiple comparisons, no areas changed from the first to the second scan. Regression analysis showed a significant negative correlation between the HI improvement and cortical thickness changes in the left posterior cingulate, a region involved with nociception and, possibly, the development of chronic pain. Conclusion There were changes in cortical thickness in patients with migraine relative to controls in areas involved with vision and pain processing. Left posterior cingulate cortical changes correlated with headache frequency and intensity.
Normative values of the Brief Repeatable Battery of Neuropsychological Tests in a Brazilian population sample: discrete and regression–based norms
Authors: Damasceno Alfredo , Amaral Juliana Machado Santiago dos Santos , Barreira Amilton Antunes , Becker Jefferson , Callegaro Dagoberto , Campanholo Kenia Repiso , Damasceno Luciana Azevedo , Diniz Denise Sisterolli , Fragoso Yara Dadalti , Franco Paula S , Finkelsztejn Alessandro , Jorge Frederico M H , Lana–Peixoto Marco Aurélio , Matta Andre Palma da Cunha , Mendonça Andréia Costa Rabelo , Noal Janaína , Paes Renata Alves , Papais–Alvarenga Regina Maria , Pereira Adriana Gutterres , Spedo Carina Tellaroli , Damasceno Benito Pereira
Published: March 2018

ABSTRACT Objective Cognitive dysfunction is common in multiple sclerosis. The Brief Repeatable Battery of Neuropsychological Tests (BRB–N) was developed to assess cognitive functions most–frequently impaired in multiple sclerosis. However, normative values are lacking in Brazil. Therefore, we aimed to provide continuous and discrete normative values for the BRB–N in a Brazilian population sample. Methods We recruited 285 healthy individuals from the community at 10 Brazilian sites and applied the BRB–N version A in 237 participants and version B in 48 participants. Continuous norms were calculated with multiple–regression analysis. Results Mean raw scores and the 5th percentile for each neuropsychological measure are provided, stratified by age and educational level. Healthy participants' raw scores were converted to scaled scores, which were regressed on age, sex and education, yielding equations that can be used to calculate predicted scores. Conclusion Our normative data allow a more widespread use of the BRB–N in clinical practice and research.
Is phrenic nerve conduction affected in patients with difficult-to-treat asthma?
Authors: Maranhão Analúcia Abreu , Rodrigues Marcia Maria Jardim , Carvalho Sonia Regina da Silva , Caetano Marcelo Ribeiro , Compagnoni Inaê Mattoso , Carnio Tatiane Katia , Ribeiro Débora
Published: March 2018

ABSTRACT Objective The aim of this study was to obtain data on phrenic neuroconduction and electromyography of the diaphragm muscle in difficult-to-treat asthmatic patients and compare the results to those obtained in controls. Methods The study consisted of 20 difficult-to-treat asthmatic patients compared with 27 controls. Spirometry, maximal inspiratory and expiratory pressure, chest X-ray, phrenic neuroconduction and diaphragm electromyography data were obtained. Results The phrenic compound motor action potential area was reduced, compared with controls, and all the patients had normal diaphragm electromyography. Conclusion It is possible that a reduced phrenic compound motor action potential area, without electromyography abnormalities, could be related to diaphragm muscle fiber abnormalities due to overload activity.
Definition and diagnosis of small fiber neuropathy: consensus from the Peripheral Neuropathy Scientific Department of the Brazilian Academy of Neurology
Authors: Gondim Francisco de Assis Aquino , Barreira Amilton Antunes , Claudino Rinaldo , Cruz Márcia Waddington , Cunha Francisco Marcos Bezerra da , Freitas Marcos Raimundo Gomes de , França Jr Marcondes Cavalcante , Gonçalves Marcus Vinícius Magno , Marques Jr Wilson , Nascimento Osvaldo José Moreira , Oliveira Acary Souza Bulle , Pereira Raquel Campos , Pupe Camila , Rotta Francisco Tellechea , Schestatsky Pedro
Published: March 2018

ABSTRACT The aim of this study was to describe the results of a Brazilian Consensus on Small Fiber Neuropathy (SFN). Fifteen neurologists (members of the Brazilian Academy of Neurology) reviewed a preliminary draft. Eleven panelists got together in the city of Fortaleza to discuss and finish the text for the manuscript submission. Small fiber neuropathy can be defined as a subtype of neuropathy characterized by selective involvement of unmyelinated or thinly myelinated sensory fibers. Its clinical picture includes both negative and positive manifestations: sensory (pain/dysesthesias/pruritus) or combined sensory and autonomic complaints, associated with an almost entirely normal neurological examination. Standard electromyography is normal. A growing list of medical conditions is associated with SFN. The classification of SFN may also serve as a useful terminology to uncover minor discrepancies in the normal values from different neurophysiology laboratories. Several techniques may disclose sensory and/or autonomic impairment. Further studies are necessary to refine these techniques and develop specific therapies.
Caracterização fitoquímica do óleo de soja adicionado de extrato de Portulaca oleracea L.
Authors: Jorge Neuza , Pietro Taísa Attuy , Luzia Débora Maria Moreno , Veronezi Carolina Médici
Published: March 2018

RESUMO Este trabalho teve como principais objetivos medir o teor de compostos fenólicos totais e a atividade antioxidante do extrato de Portulaca oleracea L., além de avaliar a estabilidade oxidativa e a retenção dos compostos fitoquímicos presentes no óleo de soja adicionado de antioxidantes sintéticos (TBHQ e BHT) e naturais (Extrato de Portulaca oleracea L.). Os tratamentos: óleo de soja (OS), óleo de soja adicionado de 100 mg/kg TBHQ (TBHQ), óleo de soja adicionado de 100 mg/kg BHT (BHT) e óleo de soja adicionado de 100 mg/kg extrato (Extrato) foram submetidos à termoxidação a 180 oC, por cinco horas. O extrato apresentou 99,5 mg EAG/100 g de compostos fenólicos totais e 84,6%, 35,5% e 1,8 µM Trolox/100 g de atividade antioxidante para DPPH, sistema β-caroteno/ácido linoleico e FRAP, respectivamente. A estabilidade oxidativa do tratamento Extrato foi inferior à do TBHQ, que apresentou o maior período de indução (7,6 h). Após aquecimento, os tratamentos TBHQ e Extrato apresentaram maior capacidade de retenção de tocoferóis e fitosteróis, atingindo valores acima de 88 e 87%, respectivamente. Percentagens similares de ácidos graxos poli-insaturados foram encontradas nos tratamentos OS e Extrato. O extrato de beldroega na concentração 100 mg/kg foi capaz de reduzir as alterações sofridas pelo óleo de soja após aquecimento e pode ser utilizado como substituto natural de antioxidantes sintéticos.
Isotonic regression analysis of Guzerá cattle growth curves
Authors: Rodrigues Adriano , Chaves Lucas Monteiro , Silva Fabyano Fonseca , Garcia Idalmo Pereira , Duarte Darlene Ana Souza , Ventura Henrique Torres
Published: March 2018

ABSTRACT The objective of this study was to apply data transformation via isotonic regression in growth curves studies of Guzerá cattle whose data presented disturbances characterized by decreased body weight in certain age groups. Weight-age data were collected on newly weaned Guzerá males according to the methodology of weight gain tests (WGT) defined by the Brazilian Association of Zebu Breeders (ABCZ). The Logistic, Von Bertalanffy and Gompertz models were fitted to weight-age data using the generalized least squares method for non-linear regression models through the Gauss-Newton algorithm. The proposed transformation based on isotonic regression theory proved to be efficient; and the Logistic model was the best to describe the growth of animals, with a high percentage of convergence (100%) and goodness of fit assessed by the mean squared error (MSE) and the coefficient of determination (R2).
Risk factors with the occurrence of parasites and coliform in vegetables from an agroindustry
Authors: Soto Francisco Rafael Martins , Cruz Jéssica Vilela da , Lima Laine Rodrigues , Duarte Iolanda Cristina Silveira , Gazzinelli Sandro Eugênio Pereira , Azevedo Sérgio Santos de
Published: March 2018

ABSTRACT In this study, we evaluated the risk factors associated with the occurrence of total coliforms, thermotolerant coliforms, and intestinal parasite eggs in vegetables from an agroindustry in the city of Ibiúna - SP, Brazil. A questionnaire with 17 questions was applied to 24 producers to carry out a diagnosis of the risk factors and their posterior association or not with total coliforms, thermotolerant coliforms, and intestinal parasite eggs. The questions addressed mainly the production system, fertilizer used, source of the water used for irrigation, sanitization of the vegetables, and form of transport. For the investigation of total coliforms, thermotolerant coliforms, and intestinal parasite eggs, the samples were processed at the microbiology and parasitology laboratory of the Federal Institute of São Paulo, São Roque Campus. The results revealed that total coliforms were found in 100% of the investigated samples and thermotolerant coliforms were detected in 95.83% of the samples. There was a significant statistical association for the risk factor use of reservoir water, where there was release of wastewater and absence of sanitization of the vegetables at the moment of harvest in relation to the presence of thermotolerant coliforms. Intestinal parasite eggs were found in 33.33% of the samples.
“A gente tem acesso de favores, né?”. A percepção de pessoas em situação de rua sobre os direitos humanos à água e ao esgotamento sanitário
Authors: Neves-Silva Priscila , Martins Giselle Isabele , Heller Léo
Published: March 2018

Resumo: Os direitos humanos à água e ao esgotamento sanitário (DHAES) afirmam que todos os seres humanos têm direito ao acesso seguro à água e ao esgotamento sanitário de forma não discriminatória. No entanto, populações vulneráveis têm esses direitos frequentemente violados, repercutindo em sua saúde e qualidade de vida, e agravando a exclusão social, como é o caso das pessoas em situação de rua. Em Belo Horizonte, Minas Gerais, Brasil, existiam 1.827 pessoas nessa condição em 2013. Este artigo apresenta a avaliação das condições e da percepção dessa população sobre o acesso à água e ao esgotamento sanitário e seus direitos nessa área. Observou-se que o acesso, tanto à água quanto ao esgotamento sanitário, é precário e que os conteúdos normativos e os princípios dos direitos humanos são potencialmente violados. Como conclusão, observa-se que esse grupo sofre violações dos DHAES e que estas estão associadas com a violação de outros direitos, como o direito à cidade, à moradia e à saúde. Essas violações têm repercussões negativas na vida econômica e social desse grupo populacional, aumentando a discriminação e a exclusão. O estudo chama a atenção para a importância de estimular a participação social desse grupo nos processos de tomada de decisão sobre a gestão da água e do esgotamento sanitário, no marco dos DHAES, em sua capacidade de ser instrumento de transformação social, gerando empoderamento, promovendo saúde, dignidade e cidadania.
O conceito de vulnerabilidade e seus sentidos para as políticas públicas de saúde e assistência social
Authors: Carmo Michelly Eustáquia do , Guizardi Francini Lube
Published: March 2018

Conceitos de vulnerabilidade são capazes de influenciar práticas sociais e produção de cidadania nos campos da saúde e assistência social? Este artigo de reflexão crítica discute essa questão por meio da abordagem compreensiva-interpretativa da hermenêutica-dialética e pelo método de revisão da literatura produzida nas duas últimas décadas sobre o tema. Não há vasta produção teórica que contemple a temática. Contudo, mesmo conceitualmente impreciso, o termo vulnerabilidade amplia a compreensão dos múltiplos fatores que fragilizam os sujeitos no exercício de sua cidadania. As ações profissionais no âmbito das políticas de saúde e assistência social e o imaginário social são forjados pela incorporação de conceitos que podem tanto reduzir quanto reforçar vulnerabilidades.
Modelo não linear de localização de instalações de serviços de saúde com indicador de acessibilidade incorporado
Authors: Cirino Silviana , Gonçalves Louis Augusto , Gonçalves Mirian Buss , Cursi Eduardo Souza de
Published: March 2018

Este trabalho propõe uma abordagem diferenciada para a localização de unidades prestadoras de serviço público. Diferentemente de métodos que se atêm unicamente à eficiência locacional para a distribuição de unidades prestadoras de serviços públicos, apresenta-se um modelo não linear que incorpora um indicador de acessibilidade em seu bojo, que permite rejeitar soluções cuja acessibilidade esteja fora de parâmetros mínimos arbitrados como aceitáveis. O método visa a minimizar o tempo total gasto pela população de uma região para alcançar uma rede de prestação de serviços públicos, todavia, controla a amplitude entre a região com maior e menor acessibilidade à rede de prestação de serviços. A solução que se obtém não é tão eficiente, quando comparada a outros modelos como p-medianas, no tocante ao custo total despendido pela população como um todo para ter acesso ao sistema, entretanto, busca evitar que áreas mais afastadas tenham dificuldades amplificadas em virtude da desproporção de tempos de viagem necessários. O modelo foi testado em uma região da rede hospitalar do Estado de Santa Catarina, Brasil, e os resultados mostram que a incorporação do indicador aponta para uma melhoria em relação à conjuntura atual da distribuição de unidades hospitalares. O uso da metodologia sugerida pode ser útil, como uma ferramenta que contribui com subsídios, para a elaboração de um planejamento que permita uma alocação equilibrada de recursos, quando da instalação de unidades prestadoras de serviços à população.
Frugivoria por morcegos filostomídeos (Chiroptera, Phyllostomidae) em dois remanescentes urbanos de cerrado em Campo Grande, Mato Grosso do Sul
Authors: Torres Jaire M. , Anjos Elaine A. C. dos , Ferreira Cláudia M. M.
Published: March 2018

RESUMO Os morcegos filostomídeos são potenciais dispersores de sementes, devido ao seu hábito de forrageio e grande mobilidade, sendo os principais responsáveis pela regeneração de florestas neotropicais. No Mato Grosso do Sul as pesquisas com dieta de morcegos se concentram na região do Pantanal, com poucos trabalhos focados na porção de Cerrado, e somente um em área urbana. O objetivo deste estudo foi analisar a dieta de filostomídeos frugívoros em dois remanescentes urbanos de Cerrado em Campo Grande, Mato Grosso do Sul, avaliando-se se a formulação da dieta das espécies é baseada em preferências alimentares específicas ou não. Os morcegos foram capturados em duas unidades de conservação (a Estação Ecológica Dahma e o Parque Estadual do Prosa) por 12 noites em cada área, usando-se seis redes-de-neblina, que permaneceram abertas durante seis horas a partir do ocaso. Após a captura, cada morcego foi mantido em saco de algodão individual por uma hora para coleta das fezes. As amostras fecais foram armazenadas individualmente em frasco hermético e imersas em glicerina, sendo posteriormente analisadas em laboratório. Todas as sementes encontradas nas amostras foram identificadas. Foram capturados 250 morcegos, distribuídos em dez espécies, oito gêneros e duas famílias. Os filostomídeos constituíram 93,2% das capturas (n=233). As espécies mais frequentes foram Carollia perspicillata (Linnaeus, 1758) (27,6%) e Artibeus lituratus (Olfers, 1818) (27,2%). Foram encontradas sementes em 46 amostras fecais de sete espécies de morcegos filostomídeos. A maioria das sementes encontradas era da família Piperaceae (69,6% das amostras), sendo um recurso-chave consumido por quase todas as espécies de filostomídeos. Os frugívoros auxiliam na manutenção de unidades de conservação, pois promovem a auto-renovação, sendo a frugivoria um processo importante em remanescentes florestais. O consumo exclusivo de espécies pioneiras é um indício do papel de morcegos na manutenção destes remanescentes urbanos de Cerrado.
Riqueza de galhas de insetos em áreas de Caatinga com diferentes graus de antropização do estado da Bahia, Brasil
Authors: Brito Gilda P. , Costa Elaine C. , Carvalho-Fernandes Sheila P. , Santos-Silva Juliana
Published: March 2018

RESUMO O conhecimento sobre galhas de insetos da Caatinga ainda é fragmentado, com grande parte do esforço científico concentrado em alguns poucos pontos nos estados de Pernambuco e Bahia. Este estudo teve como objetivo verificar a ocorrência de galhas entomógenas e realizar sua caracterização morfológica em áreas de Caatinga de Ibiassucê, Estado da Bahia, com diferentes intensidades de ação antrópica. Foram selecionadas três áreas com base nos seus diferentes graus de antropização. Em cada área amostrada foram estabelecidas quatro parcelas aleatórias de 10 m2 cada, com 10 m de distância entre si, perfazendo um total de 12 parcelas nos ambientes. Foram registrados 20 morfotipos de galhas distribuídos em nove espécies vegetais pertencentes a oito famílias. A maior riqueza de galhas foi encontrada nas áreas intermediárias (n=8), seguida das áreas antropizadas (n=7) e preservadas (n=5). Galhas globoides, marrons, com apenas uma câmara, glabras e disseminadas separadamente foram as mais frequentes. Lepidoptera, Coleoptera e Diptera (Cecidomyiidae) foram as ordens galhadoras. Os resultados aqui apresentados demonstram a importância desse tipo estudo e evidenciam a necessidade da realização de inventários de galhas em áreas pouco ou não amostradas da Caatinga.
Uma experiência do uso de narrativas na formação de estudantes de Medicina
Authors: Claro Lenita Barreto Lorena , Mendes Anna Alice Amorim
Published: March 2018

Descreve-se uma experiência didática de utilização da abordagem narrativa com estudantes do terceiro ano do curso médico da Universidade Federal Fluminense. A análise de suas narrativas revelou temas como admiração pelos pacientes por sua coragem e generosidade; inibição inicial de abordá-los e receio de incomodá-los; facilidade progressiva para a comunicação; dificuldades em lidar com seu sofrimento e com a expressão de suas emoções; compreensão de seus problemas, pontos de vista e experiências; e estabelecimento de relações de amizade e cumplicidade com os pacientes. A proposta pedagógica mostrou-se capaz de ampliar a compreensão dos estudantes sobre o processo de adoecimento e a experiência da hospitalização, aprofundar o vínculo estudante-paciente, facilitar o autoconhecimento, reflexão, desenvolvimento de habilidades empáticas e de comunicação e da capacidade de identificar e compreender e lidar com as emoções do outro e com suas próprias emoções.
From expectation to experience: humanizing childbirth in the Brazilian National Health System
Authors: Teixeirense Marília Mendes de Souza , Santos Sara León Spesny Dos
Published: March 2018

During the past 15 years Brazil has increased efforts to humanize maternal care within the Brazilian National Health System (SUS). Humanization efforts come along with de-medicalization of birth even if quality care and reduction of inequalities are still pressing matters in the country. For this qualitative study we interviewed ten women regarding their experiences of pregnancy and childbirth. The study took place in Brasília (DF) and women narrated their birth experiences at local hospitals or a birth center. Women were mostly satisfied with their attention during childbirth, specifically those giving birth at the birth center, in contrast to women giving birth at local hospitals. However, the humanization movement, essentializing women's bodies can also reproduce normative discourses that shape a sense of self-blame and disappointment if the ‘ideal birth is not achieved.
Percepção dos profissionais sobre a coordenação entre níveis de atenção à saúde em dois municípios pernambucanos de grande porte
Authors: Jesus Renata Patrícia Freitas Soares de , Santo Antônio Carlos Gomes do Espírito , Mendes Marina Ferreira de Medeiros , Samico Isabella Chagas
Published: March 2018

Objetivou-se conhecer a percepção de profissionais de saúde sobre a coordenação da atenção entre níveis assistenciais em dois municípios do estado de Pernambuco, Brasil. Pesquisa qualitativa foi realizada por meio de entrevistas em profundidade, com 51 profissionais de atenção básica (AB) e especializada (AE) quanto à coordenação da gestão clínica e fatores que a influenciam. Os resultados mostraram que, embora se observe compreensão insuficiente do termo Coordenação da atenção entre níveis, há reconhecimento da importância e do esforço em investir nesse processo. A insuficiência de comunicação entre AB e AE é vista como causa e consequência de problemas que dificultam a coordenação da gestão clínica nas dimensões do seguimento, acessibilidade e coerência da atenção. Não se observaram iniciativas de aproximação entre profissionais da AB e AE, no sentido de promover conhecimento mútuo, fortalecer a qualificação profissional e o manejo conjunto dos casos.
Molecular phylogeny and biogeographic history of the Neotropical tribe Glandulocaudini (Characiformes: Characidae: Stevardiinae)
Authors: Camelier Priscila , Menezes Naércio Aquino , Costa-Silva Guilherme José , Oliveira Claudio
Published: March 2018

ABSTRACT Although former studies on systematics and biogeography represent a progress on the knowledge of the tribe Glandulocaudini, none was grounded on molecular evidence. Thus, the first hypothesis of relationships for the tribe based on a multilocus analysis is presented, including all genera and most of the valid species. DNA sequences of Glandulocauda caerulea and Mimagoniates sylvicola were analyzed for the first time. A molecular clock analysis was used to estimate the origin of the Glandulocaudini and the approximate timing of cladogenetic events within the group. Glandulocaudini was recovered as monophyletic. No hypothesis recovered Glandulocauda as monophyletic, since G. melanopleura is sister to Lophiobrycon weitzmani while G. caerulea is closely related to Mimagoniates. The relationships within the latter genus were resolved. The molecular clock results indicate the origin of the Glandulocaudini during the Miocene with diversification in the group occurring from Neogene to Pleistocene. These results corroborated the hypothesis that its origin took place on the Brazilian crystalline shield with the subsequent occupation of the Atlantic Coastal drainages. Apparently, Pleistocene sea-level fluctuations might have shaped the distribution pattern of some species in Glandulocaudini.
Direito ao desenvolvimento no estado de crise: A efetividade da igualdade de gênero em xeque
Authors: Muniz Veyzon Campos
Published: March 2018

Resumo O presente artigo tem por objetivo pensar o direito ao desenvolvimento no estado de crise, partindo da premissa de que o aludido direito humano sofre um déficit de efetividade quando se depara com tais contextos e voltando olhar para um componente bastante sensível de sua constituição: a igualdade de gênero. Na primeira parte, expõe-se a necessidade de uma afirmação não retórica do direito ao desenvolvimento. Segue-se explorando a igualdade de gênero como objetivo de desenvolvimento sustentável (ODS) e asseverando-se a importância da adoção de políticas públicas para a sua implementação, mesmo quando da vigência de medidas de contingenciamento. Passa-se, oportunamente, a se refletir sobre inquietações geradas pelo nivelamento e pela ignorância das desigualdades de gênero, a partir da análise de situações concretas em Portugal e no Brasil. Por conseguinte, ponderam-se perspectivas sobre o tema e posiciona-se no sentido de que o esvaziamento do direito ao desenvolvimento, a partir da violação à garantia de igualdade entre homens e mulheres, sob a premissa de se superar uma crise econômico-financeira é catalisador de crises sociopolíticas.
Educação popular e ensino superior em Paulo Freire
Authors: Beisiegel Celso de Rui
Published: March 2018

Resumo O artigo retoma e desenvolve reflexões a propósito de questões examinadas durante seminário internacional sobre a Educação Superior em Paulo Freire. Propõe o estudo do tema no âmbito de uma reflexão mais abrangente sobre as articulações da educação popular e do ensino das elites durante o longo período recoberto pela práxis do educador no Brasil e no exterior.
Çok Amaçlı Kapasite Kısıtlı Araç Rotalama Problemi Çözümünde Bir Karınca Kolonisi Optimizasyon Algoritması Yaklaşımı
Authors: PALA Osman , AKSARAYLI Mehmet
Published: March 2018

Ulaşım ve lojistik sektöründe araç rotalama problemi çok yönlü ele alınması gereken önemli bir konudur. Çalışmanın amacı, ulaştırma sektöründe sahip olduğu servis araçlarıyla oteller ile havalimanı arası yolcu taşımacılığı yapan ve hala faaliyette bulunan bir firmanın toplam tur sürelerini ve bir yolcunun ortalama ulaşımda geçirdiği süreyi minimize etmektir. Araçlarda bulunan yolcu taşıma sınırlamaları nedeniyle problem Çok Amaçlı Kapasite Kısıtlı Araç Rotalama problemi olarak ele alınmıştır. Problemin çözümünde sezgisel bir yöntem olan Karınca Kolonisi Optimizasyonu Algoritması kullanılmıştır. Çözüm sonuçlarına göre turların süresi ve müşterilerin ortalama ulaşımda geçirdikleri süre açısından önerilen modelin her iki parametre açısından da önemli iyileştirmeler sağladığı gözlenmiştir.
Sürdürülebilir ve Yenilenebilir Enerji Santrallerinin Bulanık TODIM Yöntemiyle Değerlendirilmesi
Authors: Tolga A. Çağrı , Turgut Zeynep K.
Published: March 2018

Sürdürülebilir ve yenilenebilir enerji kaynakları, fosil enerji kaynaklarının azalmasına ve enerji üretiminden kaynaklanan ciddi çevresel problemlerin oluşmasına karşı etkili bir çözümdür. Türkiye coğrafi özellikleri bakımından zengin yenilenebilir enerji potansiyeline sahiptir. Bu bağlamda kendi enerji ihtiyacının karşılanmasında yenilenebilir enerji kaynaklarının payının artmasına önem vermektedir. Bunun için bu alanda teşvik çalışmaları yapılmakta ve yatırımcılar ekonomik olarak desteklenmektedir. Buradan hareketle, bu çalışmada alternatifler arasından en iyi performans gösteren sürdürülebilir ve yenilenebilir enerji çeşidini bulmak ve bu sayede enerji yatırımlarına referans kaynağı olmak amaçlanmıştır. Dört enerji santral alternatifi değerlendirilmiştir; bunlar güneş, rüzgar, hidroelektrik ve LFG (çöp gazı) santralleridir. Alternatifler değerlendirildiğinde göz önünde bulundurulması gereken birçok önemli kriter bulunmaktadır ve bu problem çeşidi için çok ölçütlü karar verme (ÇÖKV) sistemlerinin uygulanması yerinde bir yaklaşımdır. Bunun üzerine teknik, ekonomik ve çevresel açıdan toplam 22 değerlendirme kriteri belirlenmiştir ve yöntem olarak TODIM tekniği uygulanmıştır. TODIM beklenti teorisine dayanan bir ÇÖKV tekniğidir ve diğer yöntemlerden en önemli farkı karar verme mekanizmasında risk faktörünü ele almasıdır. Ayrıca çalışmada belirsiz, muğlak ve müphem durumlara karşı çözüm için bulanık kümeler sisteme entegre edilmiştir. Elde edilen sonuçlar değerlendirilmiş ve çalışmanın sonunda duyarlılık analizine yer verilmiştir.
Инфантилизация пожилых людей в повседневном взаимодействии: к постановке проблемы
Authors: Микляева Анастасия Владимировна
Published: March 2018

Анастасия Владимировна Микляева – д. п.н., доцент, профессор кафедры психологии человека Российского государственного педагогического университета им. А. И. Герцена, Санкт-Петербург, Россия, Электронная почта: a.miklyaeva@gmail.com

В контексте проблемы трансформации отношения к старости и распространения идеологии продуктивного старения пристального внимания заслуживают факторы, препятствующие формированию представлений о старости как об активном и продуктивном периоде жизни. В статье предлагается обсуждение одного из таких препятствий – инфантилизации пожилых людей. Инфантилизация понимается как модель взаимодействия, основанная на негативных геронтостереотипах, представляющая собой обращение с пожилым человеком как с ребенком. Геронтостереотипы содержат представления о том, что в пожилом возрасте человек теряет многие возможности, становясь «похожим на ребенка», что является основанием для инфантилизирующего отношения к пожилым людям во взаимодействии с ними и восприятия такого взаимодействия как нормативного и закономерного. В статье представлены результаты исследования инфантилизации пожилых людей в повседневном взаимодействии. Показано, что инфантилизирующие воздействия чаще всего фиксируются пожилыми людьми во внутрисемейном взаимодействии (со стороны представителей младших поколений семьи – детей и внуков). В основе такого отношения к пожилым людям лежит представление об их неспособности принимать самостоятельные решения, осуществлять продуктивную деятельность и нести ответственность. Инфантилизирующее отношение к себе испытывают, прежде всего, те пожилые, социальная активность которых ограничена пределами семьи: не работающие, не имеющие супруга или супруги и проживающие с детьми и внуками. На основе анализа полученных результатов формулируется вывод о том, что распространенность практики инфантилизирующих отношений к пожилым людям в сфере семейных отношений обусловлена доминированием медицинского дискурса старости и старения в противовес идее «успешного старения». Также обнаружена гендерная асимметрия инфантилизирующего отношения к пожилым людям, связанная с феноменом «двойных стандартов старения». Обсуждение негативных последствий инфантилизации пожилых людей может стать первым шагом на пути преодоления этого явления.
TOUCHDOWN PCR v1
Authors: Durigan Mauricio
Published: March 2018

This is the protocol for the touchdown PCR assay
Preparation of Denaturing Polyacrylamide Gels and Silver Staining v1
Authors: Durigan Mauricio
Published: March 2018

This is the protocol for thepreparation of denaturing polyacrylamide gels and silver staining
Human rhinovirus screening real-time RT-PCR ("modified Lu assay") v1
Authors: M Mackay Ian
Published: March 2018

This is an excellent rhinovirus screening assay which I have used on thousands of sample extracts mostly originating fromacutely ill paediatric patients, spanning well over a decade's worth of collection dates. I have not confirmedthat it can detectevery single genotype but I do know that it detects many from each of the threeRV species (Human rhinovirus A, Human rhinovirus Band Human rhinovirus C) as well as at least some Human enterovirus genotypes. The assay does pick up some enteroviruses due to their genetic similarities inthe5'UTR target region. These can be discriminatedusing subgenomic sequencing (see VP42 typing assay protocol), or simply described as "respiratory enteroviruses" since there is no specific-specific vaccine ortreatment available anyway. The assay was created and firstdescribed in 2008 by Xiaoyan Lu and colleagues attheUS CDC [Ref 1]. In collaboration with Lu et al., we published a small update that included Lu's modified forward primer design. We routinely use it with this primer (hence the 'mod' text added to the primer name) but without the expensive special base, as outlined in Step 1.
Human rhinovirus screening conventional RT-PCR ("Gama assay") v1
Authors: M Mackay Ian
Published: March 2018

This is a very handy, previously published [Ref 1 and 2], rhinovirus (RV) screening assay which I and many others have used on many sample extracts, mostly originating fromacutely ill paediatric patients, spanning well over a decade's worth of collection dates. I have not confirmedthat it can detectevery single RV genotype but I do know that it detectsmanyfrom each of the threeRV species (Human rhinovirus A,Human rhinovirus BandHuman rhinovirus C) as well as at least someHuman enterovirus(EV) genotypes. The assay picks up EVs due to the shared genetic similarities inthe5'UTR target region. EVs can be discriminatedusing subgenomic sequencing (see VP42 typing assay protocol), or simply described as "respiratory EVs" since there is no specific-specific vaccine ortreatment available anyway. This is a handy backup subgenomic sequencing assay for use primarily when the VP42 protocol fails to amplifya product for sequencing. It is worth noting that these primers spana target region that can produce confusing results. Recombination withinthe 5' end of the genome of somemembers of the genusEnterovirus can lead to 5'UTR sequences generated by RV-C genotypes that appear to be RV-As.
Impression formation protocol for stereotype concentration, expression, and suppression tasks v1
Authors: Calvini Guglielmo , A. Wyer Natalie
Published: March 2018

Steps and instructions to investigate post-thought control effectsin person impression formation with conditions of stereotype concentration, expression, and suppression.
SUBJEK PERANAKAN TIONGHOA YANG AMBIGU DALAM DRAMA KARINA-ADINDA (1913) KARYA LAUW GIOK LAN
Authors: Susanto Dwi
Published: March 2018

Karina-Adinda (1913) karya Lauw Giok Lan menampilkan pembelaan pada wacana kolonial dan sekaligus membela pribumi atau tradisi lokal. Hal ini menunjukkan bahwa ada sikap yang ambigu peranakan Tionghoa dalam merespon wacana kolonial, lokalitas dan meneguhkan identitas ketionghoannya. Dari hal itu, masalah utama adalah respon subjek dalam menghadapi wacana kolonial melalui strategi ambiguitas.  Konsep atau teori dan metode penelitian yang digunakan adalah pascakolonial. Hasil yang diperoleh adalah gagasan ambiguitas digunakan sebagai strategi perlawanan pada wacana kolonial dan sekaligus meneguhkan identitas ketionghoaan yang kembali pada tradisi. Selain itu, strategi itu juga mengembangkan gagasan nasionalisme kebangsaan yang didasarkan atas gagasan nasionalisme budaya, yakni bangsa dan kebudayaan Timur.Kata kunci: peranakan Tionghoa; ambiguitas; identitasKarina-Adinda (1913) by Lauw Giok Lan presents discourses in favour of colonialism but at the same time also indicates support of local people and traditions. This illustrates the Chinese descent’s ambiguity in responding to discourses surrounding colonialism, locality and their Chinese identity. The main issue appears to lie in the subject’s response towards colonial discourses by displaying ambiguity strategy. In revealing this ambiguity, postcolonial theory and method have been employed in this research. The analysis revealed that ambiguity strategy was in fact used as a way of resisting towards colonial hegemony and empowering Chinese identity that is based on tradition. Additionally, the strategy developed culture-based nationalism that centres on the ideas of nationhood and the Eastern cultures.Keywords: Chinese-Indonesian; ambiguity; identity