bluuebunny/crossref_metadata_2025 huggingface dataset:
Can Cold Water Immersion Enhance Recovery in Elite Olympic Weightlifters? An Individualized Perspective
Authors: Schimpchen Jan , Wagner Maximilian , Ferrauti Alexander , Kellmann Michael , Pfeiffer Mark , Meyer Tim
Published: August 2016

Schimpchen, J, Wagner, M, Ferrauti, A, Kellmann, M, Pfeiffer, M, and Meyer, T. Can cold water immersion enhance recovery in elite Olympic weightlifters? An individualized perspective. J Strength Cond Res 31(6): 1569–1576, 2017—We investigated whether cold water immersion (CWI) after intensive training sessions can enhance recovery in elite Olympic weightlifters, taking into account each athlete's individual response pattern. The entire German male Olympic weightlifting national team participated in the study (n = 7), ensuring collection of data from elite athletes only. Using a randomized cross-over design, the athletes went through 2 high-intensity training microcycles consisting of 5 training sessions that were either followed by a CWI or passive recovery. Barbell speed in a snatch pull movement, blood parameters, and subjective ratings of general fatigue and recovery were assessed throughout the study. Physical performance at 2 snatch pull intensities (85% one repetition maximum [1RM]: −0.15% vs. −0.22%, p = 0.94; 90% 1RM: −0.7% vs. +1.23%, p = 0.25) did not differ significantly (condition × time). Although questionnaires revealed a significant decline in the ratings of overall recovery (p < 0.001) and a significantly higher rating of overall stress (p = 0.03) over time, no significant differences between conditions (p = 0.14; p = 0.98) could be revealed. Similarly, neither of the analyzed blood parameters changed significantly between conditions over time (creatine kinase: p = 0.53; urea: p = 0.43; cortisol: p = 0.59; testosterone: p = 0.53; testosterone:cortisol ratio: p = 0.69). In general, CWI did not prove to be an effective tool to enhance recovery in elite Olympic weightlifters over a 3-day intensive training period. However, even though the group was rather homogeneous with regard to performance, there were considerable intersubject differences in their response to CWI. It seems that athletes are best advised on a case-by-case basis.
Hofbauer cells of M2a, M2b and M2c polarization may regulate feto-placental angiogenesis
Authors: Loegl J , Hiden U , Nussbaumer E , Schliefsteiner C , Cvitic S , Lang I , Wadsack C , Huppertz B , Desoye G
Published: August 2016

The human placenta comprises a special type of tissue macrophages, the Hofbauer cells (HBC), which exhibit M2 macrophage phenotype. Several subtypes of M2-polarized macrophages (M2a, M2b and M2c) exist in almost all tissues. Macrophage polarization depends on the way of macrophage activation and leads to the expression of specific cell surface markers and the acquisition of specific functions, including tissue remodeling and the promotion of angiogenesis. The placenta is a highly vascularized and rapidly growing organ, suggesting a role of HBC in feto-placental angiogenesis. We here aimed to characterize the specific polarization and phenotype of HBC and investigated the role of HBC in feto-placental angiogenesis. Therefore, HBC were isolated from third trimester placentas and their phenotype was determined by the presence of cell surface markers (FACS analysis) and secretion of cytokines (ELISA). HBC conditioned medium (CM) was analyzed for pro-angiogenic factors, and the effect of HBC CM on angiogenesis, proliferation and chemoattraction of isolated primary feto-placental endothelial cells (fpEC) was determined in vitro. Our results revealed that isolated HBC possess an M2 polarization, with M2a, M2b and M2c characteristics. HBC secreted the pro-angiogenic molecules VEGF and FGF2. Furthermore, HBC CM stimulated the in vitro angiogenesis of fpEC. However, compared with control medium, chemoattraction of fpEC toward HBC CM was reduced. Proliferation of fpEC was not affected by HBC CM. These findings demonstrate a paracrine regulation of feto-placental angiogenesis by HBC in vitro. Based on our collective results, we propose that the changes in HBC number or phenotype may affect feto-placental angiogenesis.
Development of the Cellular Immune System of Drosophila Requires the Membrane Attack Complex/Perforin-Like Protein Torso-Like
Authors: Forbes-Beadle Lauren , Crossman Tova , Johnson Travis K , Burke Richard , Warr Coral G , Whisstock James C
Published: August 2016

Pore-forming members of the membrane attack complex/perforin-like (MACPF) protein superfamily perform well-characterized roles as mammalian immune effectors. For example, complement component 9 and perforin function to directly form pores in the membrane of Gram-negative pathogens or virally infected/transformed cells, respectively. In contrast, the only known MACPF protein in Drosophila melanogaster, Torso-like, plays crucial roles during development in embryo patterning and larval growth. Here, we report that in addition to these functions, Torso-like plays an important role in Drosophila immunity. However, in contrast to a hypothesized effector function in, for example, elimination of Gram-negative pathogens, we find that torso-like null mutants instead show increased susceptibility to certain Gram-positive pathogens such as Staphylococcus aureus and Enterococcus faecalis. We further show that this deficit is due to a severely reduced number of circulating immune cells and, as a consequence, an impaired ability to phagocytose bacterial particles. Together these data suggest that Torso-like plays an important role in controlling the development of the Drosophila cellular immune system.
Nationwide Genomic Study in Denmark Reveals Remarkable Population Homogeneity
Authors: Athanasiadis Georgios , Cheng Jade Y , Vilhjálmsson Bjarni J , Jørgensen Frank G , Als Thomas D , Le Hellard Stephanie , Espeseth Thomas , Sullivan Patrick F , Hultman Christina M , Kjærgaard Peter C , Schierup Mikkel H , Mailund Thomas
Published: August 2016

Denmark has played a substantial role in the history of Northern Europe. Through a nationwide scientific outreach initiative, we collected genetic and anthropometrical data from ∼800 high school students and used them to elucidate the genetic makeup of the Danish population, as well as to assess polygenic predictions of phenotypic traits in adolescents. We observed remarkable homogeneity across different geographic regions, although we could still detect weak signals of genetic structure reflecting the history of the country. Denmark presented genomic affinity with primarily neighboring countries with overall resemblance of decreasing weight from Britain, Sweden, Norway, Germany, and France. A Polish admixture signal was detected in Zealand and Funen, and our date estimates coincided with historical evidence of Wend settlements in the south of Denmark. We also observed considerably diverse demographic histories among Scandinavian countries, with Denmark having the smallest current effective population size compared to Norway and Sweden. Finally, we found that polygenic prediction of self-reported adolescent height in the population was remarkably accurate (R2 = 0.639 ± 0.015). The high homogeneity of the Danish population could render population structure a lesser concern for the upcoming large-scale gene-mapping studies in the country.
Prematurity and Genetic Testing for Neonatal Diabetes
Authors: Besser Rachel E.J. , Flanagan Sarah E. , Mackay Deborah G.J. , Temple I.K. , Shepherd Maggie H. , Shields Beverley M. , Ellard Sian , Hattersley Andrew T.
Published: August 2016

BACKGROUND:

Hyperglycemia in premature infants is usually thought to reflect inadequate pancreatic development rather than monogenic neonatal diabetes. No studies, to our knowledge, have investigated the prevalence of monogenic forms of diabetes in preterm infants.

METHODS:

We studied 750 patients with diabetes diagnosed before 6 months of age. We compared the genetic etiology and clinical characteristics of 146 preterm patients born <37 weeks and compared them with 604 born ≥37 weeks.

RESULTS:

A genetic etiology was found in 97/146 (66%) preterm infants compared with 501/604 (83%) born ≥37weeks, P < .0001. Chromosome 6q24 imprinting abnormalities (27% vs 12%, P = .0001) and GATA6 mutations (9% vs 2%, P = .003) occurred more commonly in preterm than term infants while mutations in KCNJ11 were less common (21 vs 34%, P = .008). Preterm patients with an identified mutation were diagnosed later than those without an identified mutation (median [interquartile range] 35 [34 to 36] weeks vs 31 [28 to 36] weeks, P < .0001). No difference was seen in other clinical characteristics of preterm patients with and without an identified mutation including age of presentation, birth weight, and time to referral.

CONCLUSIONS:

Patients with neonatal diabetes due to a monogenic etiology can be born preterm, especially those with 6q24 abnormalities or GATA6 mutations. A genetic etiology is more likely in patients with less severe prematurity (>32 weeks). Prematurity should not prevent referral for genetic testing as 37% have a potassium channel mutation and as a result can get improved control by replacing insulin with sulphonylurea therapy.
Effect of Activation Mode on Flexural Strength and Elasticity Modulus of Dual Cure Resin Cements
Authors: Guimaraes DDS, MSc, PhD Isadora , Murillo DDS, MSc Fabian , De Goes DDS, MSc, PhD Mario
Published: August 2016

Objective: This study evaluated the effect of the activation mode on flexural strength and elasticity modulus of four dual cure resin-based cements.  Methods: Two self-adhesive resin cements (Clearfil SA Cement (CSA) and  RelyX U100 (U)) and two conventional resin cements (Clearfil Esthetic Cement (CE)and RelyX ARC (ARC)) were used to produce a total of 45 bar specimens (7x2x2 mm) using three different activation modes (n=15): Direct light-cure (D), Indirect light-cure using a 2mm composite resin barrier (I) and Self-cure (S). Three-point flexural tests were performed after 24 hours water storage at 37° C, using a universal testing machine (Instron) at a cross-speed of 0.5 mm/min until fracture. Flexural strength (MPa) and elasticity modulus values were subjected to ANOVA and Tukey’s Test (=0.05). Results: Data revealed that light polymerized groups presented statistically higher flexural strength (CSA/D=113.63 ± 19.65; CSA/I=80.66 ± 23.74; U/D=101.33 ± 9.8; U/I=94.96 ± 36.9; CE/D=219.08 ± 39.94; CE/I=226.42 ± 34.59; ARC/D=150.03 ± 26.15; ARC/I=111.78 ± 14.28) and also  elasticity modulus values (CSA/D = 2.9 ± 0.6; CSA/I = 1.5 ± 0.4; U/D = 2.9 ± 0.5; U/I = 2.6 ± 1.4; CE/D = 6.5 ± 1.3; CE/I = 5.8 ± 1.0; ARC/D = 4.2 ± 0.93; ARC/I = 2.5 ± 0.5) compared to self-cured groups (flexural strength: CSA/S=65.81 ± 21.84; U/S=53.62 ± 28.73; CE/S=129.02 ± 51.67; ARC/S=77.98 ±19.61 and elasticity modulus: CSA/S = 1.4 ± 0.5; U/S = 1.2 ± 0.7; CE/S = 2.2 ± 1.5; ARC/S = 1.0 ± 0.5). The usage of a composite resin barrier only affected the mechanical properties of ARC and CSA. Conventional resin cements presented higher flexural strength values than the self-adhesive cements. CE presented the highest values compared to all other cements. No statistical difference was observed between self-adhesive cements. Conclusion: Light-curing of resin luting cements produced higher flexural strength for all tested materials. Similar mechanical behavior was observed for the tested self-adhesive cements.
POLYMERIC MATERIALS FOR SOLAR ENERGY UTILIZATION: A COMPARATIVE EXPERIMENTAL STUDY AND ENVIRONMENTAL ASPECTS
Authors: Doroshenko Alexander , Shestopalov Kostyantyn , Mladionov Ivan , Goncharenko Vladimir , Koltun Paul
Published: August 2016

Full-scale metal solar collectors and solar collectors fabricated from polymeric materials are studied in present research. Honeycomb multichannel plates made from polycarbonate were chosen to create a polymeric solar collector. Polymeric collector is 67.8% lighter than metal solar collector. It was experimentally shown that the efficiency of a polymeric collector is 7–14% lower than a traditional collector. An ecologically based Life Cycle Assessment showed the advantages of the application of polymeric materials in the construction of solar collectors.
ANTICIPATED COSTEFFECTIVE EFFECT FROM APPLICATION OF THE EJECTOR HEAT EXCHANGER FOR CONDENSATION OF LIGHT FRACTION HYDROCARBON ON THE PETROLEUM STORAGE DEPOT
Authors: Butovskyi I. , Kogut V. , Zhikhareva N. , Khmelniuk M.
Published: August 2016

Loss control of oil products is the one of the relevant paths of saving of the fuel and energy resources play a crucial role in development of economics. Now a great many of different procedures of a choice of means of reduction of oil losses and petrol from evaporation are known. However the one part from them did not allow for value of these means and expenditures for them maintenance, another – did not allow for diversity of implementation of means of reduction of losses, third – uses outdated, now, the criterion. In the conditions of petroleum storage depots, as a rule, usage of ejector systems of trapping of light fraction are more preferential, than other hardware’s of reduction of losses. The positive effect from application of an ejector heat exchanger for preventing of losses of petroleum products are calculate.
COMPLEX QUALITY CRITERION OF CONTROL OF THE INTELLECTUAL SERVICES PROVISION IN NGN
Authors: Kniazieva N. O. , Shestopalov S. V.
Published: August 2016

The paper is dedicated to intellectual services provision control quality comparison by the intellectual superstructures with centralized and decentralized control principles in NGN. The necessity of three parties interests consideration, namely: service providers, network equipment suppliers and network users is pointed out. The method of complex quality criterion formation is proposed.
rDNA mapping, heterochromatin characterization and AT/GC content of Agapanthus africanus (L.) Hoffmanns (Agapanthaceae)
Authors: REIS ARYANE C. , FRANCO ANA LUIZA , CAMPOS VICTÓRIA R. , SOUZA FLÁVIA R. , ZORZATTO CRISTIANE , VICCINI LYDERSON F. , SOUSA SAULO M.
Published: August 2016

ABSTRACT Agapanthus (Agapanthaceae) has 10 species described. However, most taxonomists differ respect to this number because the great phenotypic plasticity of the species. The cytogenetic has been an important tool to aid the plant taxon identification, and to date, all taxa of Agapanthus L'Héritier studied cytologically, presented 2n = 30. Although the species possess large chromosomes, the group is karyologically little explored. This work aimed to increase the cytogenetic knowledge of Agapanthus africanus (L.) Hoffmanns by utilization of chromosome banding techniques with DAPI / CMA3 and Fluorescent in situ Hybridization (FISH). In addition, flow cytometry was used for determination of DNA content and the percentage of AT / GC nitrogenous bases. Plants studied showed 2n = 30 chromosomes, ranging from 4.34 - 8.55 µm, with the karyotype formulae (KF) = 10m + 5sm. Through FISH, one 45S rDNA signal was observed proximally to centromere of the chromosome 7, while for 5S rDNA sites we observed one signal proximally to centromere of chromosome 9. The 2C DNA content estimated for the species was 2C = 24.4 with 59% of AT and 41% of GC. Our data allowed important upgrade for biology and cytotaxonomy of Agapanthus africanus (L.) Hoffmanns.
Azadirachtin on Oligonychus yothersi in yerba mate Ilex paraguariensis
Authors: Alves Luis Francisco Angeli , Martins Claudecir Castilho , Mamprim Ana Paula , Botton Marcos
Published: August 2016

ABSTRACT: The red mite Oligonychus yothersi is one of the main pests of yerba mate in Brazil The damage this mite causes leads to leaf drop and decreased production. There are no registered acaricides for use in yerba mate; thus, laboratory and field experiments were performed to evaluate the effect of azadirachtin (Azamax(r), 250mL 100L-1) for the control of the red mite in yerba mate. In the laboratory, azadirachtin was applied to yerba mate leaf disks before (residual contact) and after (direct contact) infestation with 15 newly emerged red mite adult females. The effect of azadirachtin on mite behavior was evaluated in arenas with treated and untreated yerba mate leaves, and the number of mites in both areas was recorded. Ovicidal action was evaluated by applying azadirachtin to eggs and recording egg hatching. In the field, two applications of the product were performed (1L spray liquid plant-1) with a 7-day interval. The numbers of living mites were evaluated at 7, 14 and 21 days following the first application on randomly collected leaves. It was observed 86.6 and 91.4% of mortality following 24h of residual and direct contact, respectively. Repellent (62% of individuals leaving the treated area) and ovicidal (98.9% decrease in egg hatching) effects were also observed. The mite population in the yerba mate crop field had decreased by 59.6% at 14 days after the first application of azadirachtin. The results show the potential of azadirachtin for the control of O. yothersi in yerba mate in Brazil.
REHABILITATION IN PALLIATIVE CARE
Authors: Minosso Jéssica Sponton Moura , Souza Luciene Jacinto de , Oliveira Maria Amélia de Campos
Published: August 2016

ABSTRACT: The objective of this study was to describe the activities and effects of functional rehabilitation in patients receiving palliative care. It is an integrative review, in which LILACS, BDENF, Coleciona SUS (Brazil) and PUBMED were used, 20 articles were selected, subsequently characterized as having designs of medium and low impact, more than half ranked with evidence levels II, III and IV and with samples not always consistent with the research designs. However, the results revealed the potential of rehabilitation to improve the functional status, quality of life and symptoms like pain and anxiety in this population, through interventions that are many times undervalued in palliative care. The conclusion is that rehabilitation is a feasible strategy to combat functional decline and improve the quality of life of patients in palliative care.
HEALTH MANAGEMENT: THE USE OF INFORMATION SYSTEMS AND KNOWLEDGE SHARING FOR THE DECISION MAKING PROCESS
Authors: Pinheiro Alba Lúcia Santos , Andrade Kerlly Taynara Santos , Silva Dejeane de Oliveira , Zacharias Fabiana Costa Machado , Gomide Mariana Figueiredo Souza , Pinto Ione Carvalho
Published: August 2016

ABSTRACT: This study aimed to analyze the use of Health Information Systems in the decision-making process by the management from cities located in Southern Bahia, Brazil. A qualitative approach was employed; subjects were 16 secretaries of health. Data were collected through interviews and subject to the content analysis technique; Knowledge Management was used as the theoretical framework. The managers are still beginners in the use of Health Information Systems; several actors are involved in the decision; there is low qualification in Health Information Systems; managements implement innovation, even if incipiently; difficulties happen when a new system is established and because of internet access. It was concluded that Health Information Systems' use to support knowledge production has not reached yet its full potential; it is suggested that management should promote the strengthening of the information culture and should seek to construct knowledge based on the expertise of different actors for the decision.
Anemia em crianças e mulheres indígenas no Brasil: revisão sistemática
Authors: Lício Juliana Souza Andrade , Fávaro Thatiana Regina , Chaves Célia Regina Moutinho de Miranda
Published: August 2016

Resumo A anemia ferropriva pode ser considerada a mais importante carência nutricional no Brasil. O objetivo deste artigo foi realizar uma revisão sistemática da literatura sobre anemia em mulheres e crianças indígena no Brasil, com vistas a reunir informações relevantes sobre os fatores associados, assim como a frequência do agravo nesta população. Realizou-se busca nas bases bibliográficas Pubmed, Scopus e Lilacs, além do Portal de Teses em Saúde Pública da BVS. Foram selecionados 17 estudos. As prevalências de anemia encontradas variaram de 23,1% a 74,6%; 42,9% a 92,3% e de 29,6% a 84% para crianças na idade seis a 119 meses, de seis a 23 meses e de seis a 59 meses, respectivamente. Os dois estudos que foram realizados especificamente com mulheres em idade fértil encontraram taxas de 67% nas Suruí e de 16,1% entre as Xukuru do Ororubá. A maioria dos autores relaciona a maior prevalência da anemia às condições sanitárias impróprias, às dietas insuficientes em ferro e micronutrientes essenciais e à falta de acesso aos serviços básicos de saúde. Houve um perceptível aumento substancial das pesquisas ao longo dos últimos vinte anos, cujos achados evidenciam a importância de se resolver o problema da anemia entre os povos indígenas investigados.
Direito à saúde da população em situação de rua: reflexões sobre a problemática
Authors: Paiva Irismar Karla Sarmento de , Lira Cindy Damaris Gomes , Justino Jéssica Micaele Rebouças , Miranda Moêmia Gomes de Oliveira , Saraiva Ana Karinne de Moura
Published: August 2016

Resumo No atual cenário do neoliberalismo, percebe-se uma fragilização dos vínculos empregatícios e familiares, o que contribui para o fenômeno da exclusão social e dá visibilidade à População em Situação de Rua - PSR. A PSR desafia a universalidade, a equidade e a integralidade do Sistema Único de Saúde - SUS, encontra-se à margem da rede de atenção à saúde e é alvo de políticas focalizadoras. Esse debate transformou-se em objeto deste estudo de revisão integrativa das publicações nacionais dos bancos de dados Literatura Latino-Americana e do Caribe em Ciências da Saúde - Lilacs e Base de Dados de Enfermagem - BDENF, com objetivo de levantar o que existe na literatura acerca da caracterização da PSR, suas necessidades e as políticas desenvolvidas para atendê-la. O estudo revelou que a discussão sobre a PSR é tímida na produção do conhecimento, principalmente, quanto à compreensão dos determinantes sociais do seu processo saúde/doença. As políticas sociais voltadas para essa população são, em sua maioria, compensatórias e assistencialistas, de modo que não possibilitam a materialização do direito à saúde. Diante disso, torna-se necessária a construção de políticas sociais coerentes com as necessidades sociais da PSR.
Significados da alimentação escolar segundo alunos atendidos pelo Programa Nacional de Alimentação Escolar
Authors: Paiva Janaína Braga de , Freitas Maria do Carmo Soares de , Santos Ligia Amparo da Silva
Published: August 2016

Resumo Partindo dos estudos da socioantropologia da alimentação em articulação com os conceitos norteadores das Políticas Públicas de Segurança Alimentar e Nutricional desenvolvidas no Brasil, o presente trabalho objetivou analisar enunciados de escolares sobre a alimentação escolar oferecida no âmbito do Programa Nacional de Alimentação Escolar (PNAE). Os dados foram produzidos através de exercício etnográfico desenvolvido nos cenários de execução do Programa em um município do semiárido da Bahia, bem como através da produção de redações e realização de grupos focais com adolescentes do ensino fundamental. Foi marcante para o presente estudo o espaço-tempo do recreio, trazendo à tona a relação entre o corpo e o comer. Partindo-se do conjunto das narrativas foram observados diferentes significados associados aos alimentos servidos institucionalmente. O estudo contribuiu para elucidar aspectos relacionados à comensalidade na tríade casa-rua-escola e ao direito à alimentação escolar. Possibilitou ainda ampliar a compreensão sobre hábitos alimentares de escolares inseridos no PNAE.
Envejecer en casa con teleasistencia en España. Un análisis del discurso
Authors: Aceros Juan C. , Cavalcante Maria Tereza Leal , Domènech Miquel
Published: August 2016

Resumen El cuidado de las personas mayores está dando un giro hacia modalidades de atención comunitaria y domiciliaria. La teleasistencia es una de dichas modalidades. Este artículo se propone explorar los significados que las personas mayores asocian a la experiencia de permanecer en el hogar a edades avanzadas con ayuda de la teleasistencia. Se utiliza el análisis del discurso para examinar un conjunto de grupos de discusión con y de entrevistas a usuarios de teleasistencia de diferentes ciudades de Cataluña (España). Como resultado se presentan tres repertorios interpretativos denominados: “envejecimiento en casa”, “envejecimiento normal” y “envejecimiento inseguro”. Para cada uno se examina la forma como describen la permanencia de las personas mayores en sus hogares, así como el papel que la teleasistencia juega en dicha experiencia.
Possíveis novos determinantes da qualidade de vida de pacientes com câncer de tireoide tratado: um estudo qualitativo
Authors: Germano Carla Maria Ramos , Bonato Débora , Maion Victor Hugo , Avó Lucimar Retto da Silva de , Melo Débora Gusmão , Fontanella Bruno José Barcellos
Published: August 2016

Resumo Objetivou-se uma abordagem qualitativa de fatores que determinariam a qualidade de vida de pacientes com carcinoma papilífero de tireoide tratados. Foram feitas 16 entrevistas em profundidade com indivíduos de 18 a 45 anos sobre suas representações e experiências com esta enfermidade, seguidas por análise de conteúdo de enunciados. Os resultados contêm aspectos já previstos em questionários estruturados sobre qualidade de vida, mas outros estão parcialmente presumidos nesses questionários (manejo do conceito de etiologia da doença, a inserção “forçada” dos pacientes no universo conceitual médico, o medo do prognóstico e as mudanças “positivas” no estilo de vida). A interpretação desses resultados beneficiou-se de elaborações teóricas de desenvolvimento recente: as angústias sobre a experiência da doença parecem configurar-se, para os participantes, como um “risco moderno”, no contexto de uma “sociedade de riscos”. O desenvolvimento de questionários estruturados de qualidade de vida requer constantes estudos qualitativos que captem mudanças nos aspectos subjetivos do construto, dada a dinamicidade dos significados histórico-culturais e psicológicos do processo saúde-doença, constantemente influenciados por inovações tecnológicas e sucessivas interpretações epidemiológicas.
É como uma família: significados atribuídos a grupos de educação em saúde sobre diabetes por profissionais da saúde
Authors: Melo Lucas Pereira de
Published: August 2016

Resumo O artigo analisa os significados que os profissionais de saúde atribuem aos grupos de educação em saúde para pessoas com diabetes tipo 2. Este estudo etnográfico foi desenvolvido com cinco profissionais de uma Equipe de Saúde da Família Ampliada que atuavam em cinco grupos de educação em saúde sobre diabetes. Para coligir as informações, utilizaram-se observação participante e entrevistas semiestruturadas. Os dados foram analisados por meio da técnica de codificação temática. Emergiram três categorias: (1) é uma forma de educá-los: os grupos como espaço educativo e de acompanhamento clínico; (2) eles sabem que eu vou estar lá: os grupos como recurso para acessar o sistema de saúde; e (3) serve como um grupo de autoajuda: afinal, é um grupo para o quê? Concluiu-se que os grupos estudados eram um híbrido de terapia e apoio que, no devir de seus arranjos, possibilitavam aos informantes (quiçá, para os pacientes) construírem outros significados para as normatizações da política de saúde e o dilema da cronicidade. Tal hibridização permitia a criação de saídas próprias às particularidades do trabalho em saúde num contexto de “vida total”.
Saúde e nutrição das crianças assistidas em creches públicas do município de Campina Grande, Paraíba
Authors: Pedraza Dixis Figueroa
Published: August 2016

Resumo Introdução A situação de saúde e de nutrição das crianças brasileiras ainda é preocupante. Objetivou-se caracterizar o perfil nutricional e de morbidade das crianças assistidas em creches públicas do município de Campina Grande, na Paraíba. Métodos Estudo descritivo de prevalência em amostra probabilística de 299 crianças. Foram contempladas informações sobre as crianças a respeito das condições sociodemográficas (idade, sexo, zona de residência, benefício de programa social); nutricionais (peso ao nascer, estatura/idade, peso/estatura, peso/idade, estado nutricional de micronutrientes); de segurança alimentar e nutricional familiar; de saúde (problemas de saúde nos últimos 15 dias, sinais de processos infecciosos subclínicos, eosinofilia, parasitismo). Resultados As maiores prevalências de desvios antropométricos foram de baixa estatura (7%) e de sobrepeso (8,3%). A insegurança alimentar foi constatada em 68,9% das famílias. Quarenta e seis crianças (17%) foram diagnosticadas com anemia, e 36 (13,3%), com deficiência de zinco. As crianças apresentaram altas frequências de problemas de saúde nos últimos 15 dias reportados pela mãe (68,6%), eosinofilia (65,5%), parasitismo (82,7%) e poliparasitismo (46,4%). Conclusão Mostra-se a manutenção de doenças infecciosas e de carências nutricionais entre crianças assistidas em creches em um período de predomínio da transição epidemiológica. A insegurança alimentar destaca-se na situação alimentar e nutricional, com importantes prevalências de baixa estatura e sobrepeso.
Dental students’ reports of occupational exposures to potentially infectious biological material in a Brazilian School of Dentistry
Authors: Pinelli Camila , Neri Sabrina do Nascimento , Loffredo Leonor de Castro Monteiro
Published: August 2016

Abstract Introduction Occupational exposures to contaminated biological material in dental teaching settings can place students at higher risk of bloodborne infections. Methods This cross sectional study was conducted using a self-administered questionnaire culturally adapted to Portuguese language, Brazil. In total, 173 undergraduate dental students agreed to participate in the study, answered the questionnaire, and filled in the details about their own occupational exposures. The association of these factors was analyzed by the chi-square test or Fisher's exact test using Stata® software. Results High prevalence of occupational exposures (40%) was observed among the participants, and 52% of the accidents were not reported to the clinical instructor. The most frequent type of accident was related to “puncture/cut/abrasion” (56%). Significant correlation was observed between number of exposures and academic year (p=0.002), age (p=0.012), gender (p=0.010), and between number of injuries in the last 6 months and academic year (p=0.003). No significant correlation was observed between number of exposures and dominant hand, use of protective eyewear or Hepatitis B vaccination status (p>0.05). Conclusion Additional teaching strategies need to be developed to motivate adherence to occupational post-exposure protocols regarding biological material, improving the notification of the occupational exposures that occur among dental students.
El cuerpo rehen de si mismo. Aspectos fenomenológicos de la anorexia mental
Authors: Jonckheere Paul
Published: August 2016

El análisis fenomenólogico de la anorexia mental muestra que este proceso puede desarrollarse en el seno diversas estructuras. Así siendo se describe: la estructura antagonista en la cual madre-hija se oponen; la forma feminista donde la anorexia se presenta como una particular forma de rechazo no sólo a la inigualdad física – fundamentalmente de “inigualdad radical de los sexos” – sino también de rechazo a la condición de la existencia femenina vivida como injusta; la estructura ascética, de rebelión contra el ser-en-elmundo actual; la forma sacrificial; la forma existencial etc. El eidos, en el sentido de Husserl, de la anorexia mental, común a las diferentes formas clínicas residiría en tomar a su propio cuerpo como rehén. La paciente emprende una lucha porfiada no sólo contra la hybris paternal, contra la ansiedad materna sino también contra los esfuerzos de los terapeutas. Asimismo se presentan modalidades ligeras y fugaces. Pero hay veces que es el hecho mismo de la existencia lo que provoca la rebelión: incapaz de sustraerse a la doble violencia, la violencia de los otros y aquella de la existencia, en casos graves la paciente mantiene su cuerpo como rehén para oponerse a esta vida con la cual no quiere construir su historia.
Psiquiatria e neurociências: como “redescobrir“ o cérebro sem eclipsar o sujeito
Authors: Serpa Jr. Octavio Domont de
Published: August 2016

O autor se propõe a discutir as possibilidades de apropriação, pela psiquiatria clínica, do conhecimento produzido pelas neurociências, criticando o reducionismo eliminativista e propondo que os princípios que marcam a especificidade da experiência clínica devem ordenar esta apropriação. São analisadas as contribuições de Edelman e Damasio como possibilidades de uma interlocução fecunda.
Good practices in collecting umbilical cord and placental blood
Authors: Lopes Lauren Auer , Bernardino Elizabeth , Crozeta Karla , Guimarães Paulo Ricardo Bittencourt
Published: August 2016

Abstract Objective: to identify the factors related to the quality of umbilical cord and placental blood specimens, and define best practices for their collection in a government bank of umbilical cord and placental blood. Method: this was a descriptive study, quantitative approach, performed at a government umbilical cord and placental blood bank, in two steps: 1) verification of the obstetric, neonatal and operational factors, using a specific tool for gathering data as non-participant observers; 2) definition of best practices by grouping non-conformities observed before, during and after blood collection. The data was analyzed using descriptive statistics and the following statistical software: Statistica(r) and R(r). Results: while there was a correlation with obstetrical and neonatal factors, there was a larger correlation with operational factors, resulting in the need to adjust the professional practices of the nursing staff and obstetrical team involved in collecting this type of blood. Based on these non-conformities we defined best practices for nurses before, during and after blood collection. Conclusion: the best practices defined in this study are an important management tool for the work of nurses in obtaining blood specimens of high cell quality.
Adaptation of the Balanced Scorecard: Case Study in a Fuel Distribution Company
Authors: Evangelista de Barros Omar José , Wanderley Cláudio de Araújo
Published: August 2016

ABSTRACT This study aims to analyze and explain the adaptation of the balanced scorecard (BSC), through the theoretical model by Ansari, Fiss and Zajac (2010), in a fuel distribution company (nicknamed Oil Company), which is characterized in this article as a late adopter. By doing so, we place the adaptation process at the heart of our research on the diffusion of management accounting practices. The results showed that the BSC adopted in the Oil Company is compatible with other technologies observed in the organization. Regarding the cultural aspect, there was low adaptation of the practice to the organizational culture; however, no political misfits were observed. Due to this low cultural fit between the BSC and the Oil Company, in the latter the BSC has high fidelity and low extension in relation to the model observed in the extant literature. The article builds on the theoretical and empirical evidence that a specific adaptation pattern depends on the fit between the technical, cultural, and political characteristics of the practice implemented and the characteristics of the company. This is a distinctive aspect of our study, as it seeks to explain variations in the organizational practices by analyzing their consistency with the needs, objectives, and structure of the adopting company, especially considering the cultural and political aspects involved in the adaptation process.
Literatura infantil e pedagogia: tendências e enfoques na produção acadêmica contemporânea
Authors: Kirchof Edgar Roberto Roberto , Bonin Iara Tatiana
Published: August 2016

Resumo O objetivo deste artigo é apresentar uma revisão do campo de estudos que articula literatura infantil e pedagogia, com base na análise de 69 artigos publicados em três revistas que focalizam a literatura infantil no Brasil: Leitura: Teoria & Prática; Tigre Albino; Revista Emília. As análises buscam evidenciar as principais questões levantadas, nesses periódicos, no que tange às dimensões pedagógicas da literatura infantil. Antes dos resultados das análises, contudo, o artigo apresenta uma breve retrospectiva histórica das principais questões envolvendo literatura infantil e pedagogia. Os resultados das análises permitiram concluir que a maior parte dos artigos enfatiza a importância da literatura para a formação do sujeito, trazendo propostas e sugestões para que sejam salvaguardadas as dimensões lúdica e artístico-literária da literatura infantil na escola e em outros espaços de formação.
Biometry and germination of Balfourodendron riedelianum Eng. Eng.
Authors: Gomes Daniele Rodrigues , Araujo Maristela Machado , Nunes Ubirajara Rossi , Aimi Suelen Carpenedo
Published: August 2016

Abstract This study investigated the biometry, pre-germination treatments and substrates for the germination of diaspores of Balfourodendron riedelianum. The diaspores were characterized during germination according to their length, width, thickness, thousand kernel weight (TKW) and water content. Dormancy overcoming was tested by diaspore scarifying with sandpaper, sulfuric acid immersion, water and water at 100 °C; together with the control (untreated), they were associated to different substrates (including paper (EP), sand (EA) and vermiculite (EV). Germination tests were conducted in a germination chamber at 25 °C. The physiological quality of seeds was performed through the first count, germination and germination speed index (GSI). Biometric data were analyzed in frequency classes and the pre-germination treatment by analysis of variance. Diaspores are on average 18.59 mm long; 9.03 mm wide and 9.38 mm thick. The treatment of immersion in cold water for 48 hours and the substrate vermiculite (EV) were effective to overcome dormancy and recommended for germination tests.
Cell changes during the re-induction of desiccation tolerance in germinated seeds of Sesbania virgata (Cav.) Pers.
Authors: Masetto Tathiana Elisa , Fraiz Ana Carla Resende , Faria José Márcio Rocha
Published: August 2016

Abstract During germination, orthodox seeds lose their ability to tolerate desiccation resembling recalcitrant seeds. This research aimed to investigate the cell changes during the re-induction of the desiccation tolerance (DT) in Sesbania virgata germinated seeds with 1, 3 and 5 mm long radicles. To re-establish DT, germinated seeds were incubated for 72 h in polyethylene glycol (PEG, -2.04 MPa) before dehydration in silica gel (at 10% moisture content) followed by rehydration. Cell viability was assessed through TUNEL test in dry radicles and transmission electron microscopy in both fresh and dry radicles. The positive-TUNEL confirmed the DNA degradation, through the green fluorescence of the cell nuclei from 5 mm radicle length and the ultra structural evaluations detected loss of cellular content integrity in 3 and 5 mm cell radicles that did not survive dehydration to 10%.
Dorsalgias e incapacidades funcionais relacionadas ao trabalho: registros do sistema de informação de agravos de notificação (SINAN/DATASUS)
Authors: Santos Kionna Oliveira Bernardes , Almeida Milena Maria Cordeiro de , Gazerdin Daniela Dias da Silva
Published: August 2016

Resumo Introdução: dorsalgias e incapacidades são problemas de saúde do trabalhador com repercussões econômicas e sociais. Objetivo: descrever os casos notificados de dorsalgia e de incapacidade funcional no Brasil. Métodos: estudo de casuística das dorsalgias relacionadas ao trabalho registradas como Distúrbios Osteomusculares Relacionados ao Trabalho (DORT) no Sistema de Informação de Agravos de Notificação (SINAN), Ministério da Saúde, no Brasil, de 2007 a 2012. Calcularam-se as frequências das variáveis sociodemográficas e ocupacionais e os coeficientes de incidência (CI) para as dorsalgias e incapacidades permanentes. Resultados: foram registrados 8.172 casos de dorsalgias no período. O CI da dorsalgia foi 1,1 por 100.000 trabalhadores em 2007 e 1,9 por 100.000 em 2012 e o da incapacidade funcional relacionada ao trabalho foi 0,12 por 100.000 em 2007 e 0,10 por 100.000 em 2012. Trabalhadores de bens e serviços industriais e trabalhadores de serviços/vendedores de loja apresentaram os maiores percentuais para dorsalgias (54,4% e 20,7%) e incapacidade funcional permanente (54,7% e 16,3%). Conclusões: O aumento das notificações das dorsalgias ocupacionais e a redução das incapacidades funcionais representam um avanço em relação ao reconhecimento, diagnóstico, notificação e atenção ao problema, mas continuam representando um desafio para a atenção à saúde dos trabalhadores.
Partner notification for sexually transmitted infections and perception of notified partners
Authors: Cavalcante Elani Graça Ferreira , Miranda Mahara Coelho Crisostomo , Carvalho Ana Zaiz Flores Hormain Teixeira de , Lima Ivana Cristina Vieira de , Galvão Marli Teresinha Gimeniz
Published: August 2016

Abstract OBJECTIVE Learn the perceptions of patients with sexually transmitted infections and sexual partners who are notified of the infection. METHOD A descriptive and qualitative study, based on the collective subject discourse technique, was conducted in four healthcare centers of reference in Fortaleza, Ceará, from March to July 2014. The sample comprised 21 subjects (11 index patients and 10 notified partners). RESULTS The index patients reported complicity, concern about the partner's health and revelation of diagnosis aiming to preserve the relationship. The partners showed antagonistic perceptions: tranquility-betrayal, fear of death, of incurability and the diagnosis, especially of HIV. The reasons for coming to a healthcare center were: fear of being sick, attenuation of guilt of infection transmission, need for diagnosis, early start of treatment. CONCLUSION Fear of losing trust, insecurities when dealing with a sexual infection and being responsible or co-responsible for the transmission were the predominant feelings. Various types of partner notification were reported (verbal, telephone, notification card), according to individual convenience. This study suggests the use of alternative methods of notification and an integrated system of notification.
Hyaluronic acid covers in burn treatment: a systematic review
Authors: Dalmedico Michel Marcos , Meier Marineli Joaquim , Felix Jorge Vinícius Cestari , Pott Franciele Soares , Petz Francislene de Fátima Cordeiro , Santos Michelle Caroline
Published: August 2016

Abstract OBJECTIVE To evaluate the effectiveness of hyaluronic acid in the healing of partial thickness burns. METHOD Systematic review of randomized controlled trials on the use of hyaluronic acid for the topical treatment of skin burns, based on recommendations of the Cochrane Handbook for Systematic Reviews of Interventions. RESULTS Two randomized controlled trials that analyzed 143 patients with partial thickness burns and/or deep partial thickness burns were selected. They compared the application of hyaluronic acid 0.2% associated to silver sulfadiazine 1% 5g/cm2 versus silver sulfadiazine 1% 5g/cm2 alone for the outcome of complete healing. CONCLUSION This review emphasizes the need for new well-designed randomized controlled trials to establish the therapeutic relevance of hyaluronic acid with respect to the healing of burns of partial thickness or deep partial thickness.
UNASUL: a dimensão política do novo regionalismo sul-americano
Authors: Nery Tiago
Published: August 2016

Na primeira década do século XXI, a ascensão de forças progressistas possibilitou a adoção de políticas externas mais autônomas pelos países da América do Sul. A hegemonia neoliberal e os modelos homogêneos de integração dos anos 1990 foram sucedidos por tipos heterogêneos de regionalismo. Entre as novas organizações, a Unasul constitui um fórum de coordenação política que envolve a cooperação em diferentes áreas. Trata-se da vertente política do novo regionalismo sul-americano. Em seu interior, convivem governos com distintos signos ideológicos, que participam de diferentes mecanismos integrativos. A Unasul representa o coroamento de um processo de afirmação de uma identidade sul-americana possível contra a histórica pulverização da região. O novo organismo pode converter-se em um mínimo denominador comum regional. Além disso, a Unasul projeta geopoliticamente a América do Sul e contribui para a construção de um novo polo no sistema internacional.
ENERGÍA DE BAJA INTENSIDAD: gobiernos, mercados e instituciones en el regionalismo energético de América del Sur
Authors: Palestini Stefano
Published: August 2016

A pesar de haber sido considerada un área prioritaria de cooperación, el regionalismo energético sudamericano muestra signos de estancamiento, evidenciados por las infructuosas negociaciones de un Tratado Energético Sudamericano. Este artículo explica la paradoja de por qué, no obstante la voluntad política, las favorables condiciones estructurales para la integración, y la creación de instituciones regionales ad hoc, el regionalismo energético no consiguió pasar de las declaraciones intergubernamentales a la implementación de políticas. Se argumenta que ninguna de las instituciones creadas ha sido capaz de mediar la divergencia entre mercados y entre preferencias gubernamentales. Se requiere por tanto de un nuevo consenso que replantee la necesidad y la capacidad de la región para llevar adelante la agenda de integración energética. A un nivel más general, el caso del sector energético brinda lecciones importantes acerca de los desafíos futuros que enfrenta la cooperación regional en materia de políticas públicas en Sudamérica.
O BANCO NACIONAL DE DESENVOLVIMENTO ECONÔMICO E SOCIAL (BNDES) E A EXPANSÃO DE EMPRESAS BRASILEIRAS DE CONSTRUÇÃO CIVIL PARA A AMÉRICA DO SUL
Authors: Kraychete Elsa Sousa
Published: August 2016

Este artigo apresenta os contratos de créditos concedidos pelo Banco Nacional de Desenvolvimento Econômico e Social, entre 2004 e 2015, orientados para apoiar a exportação de serviços de engenharia para países da América do Sul, discriminados por empresa, país, obra realizada e valor do contrato. A análise dos dados é acompanhada da historicização das mudanças institucionais por que passa o Banco nas últimas décadas. A conclusão é que a concessão de créditos a empresas brasileiras de construção civil para a realização de obras no exterior é resultado de amplo movimento que contempla: exigências de sintonia entre os processos de valorização dos capitais e o modo de regulação diante das amplas modificações que o capitalismo passou em período recente; ações governamentais orientadas pela decisão de intensificar as relações Sul-Sul, especialmente em relação aos países da porção Sul do continente americano; e estratégias empresariais que visam a ampliação dos espaços de atuação.
LA RELACIÓN ENTRE TRATADOS DE INVERSIÓN Y CONVENIOS DE DOBLE TRIBUTACIÓN: el caso chileno
Authors: Lazo Rodrigo Polanco , Villanueva Felipe Yáñez
Published: August 2016

El presente artículo examina las relaciones entre los tratados de inversión y los tratados de doble tributación, considerando que, en la actual evolución de ambos tipos de acuerdos, sus disposiciones pueden presentar superposiciones en aspectos tales como estándares de protección, transparencia, trato nacional, cláusula de la nación más favorecida, expropiación y transferencias de capital. Tomando el ejemplo de los tratados suscritos por Chile, en este trabajo se examinan las consecuencias de las trasposiciones de ambos acuerdos, desde el punto de vista de sus mecanismos de solución de controversias, como en lo referido a los conflictos de jerarquía normativa entre esos dos tipos de tratados. Asimismo, se efectúa un análisis sobre iniciativas de tipo multilateral que afectan a ambas categorías de acuerdos como el Base Erosion and Profit Shifting (BEPS).