ABSTRACT Wunderlich syndrome is a rare condition characterized by atraumatic spontaneous renal hemorrhage that can have serious associated complications, especially in chronic kidney disease and end-stage kidney disease patients due to their complexity. Diagnosis requires a high index of suspicion, since its classical presentation with Lenk’s triad is only seen in less than a quarter of patients. Early detection is of outmost importance because of this syndrome potential for causing hemodynamic instability and shock. Spontaneous renal hemorrhage has been reported much less frequently in peritoneal dialysis as compared to hemodialysis. To our knowledge, only 3 single-cases involving peritoneal dialysis patients were published since the year 2000. We describe an uncommon case report of a 68-year-old male undergoing continuous ambulatory peritoneal dialysis for 5 years and taking warfarin for permanent atrial fibrillation who developed Wunderlich syndrome presenting with Lenk’s triad. The patient was managed with percutaneous drainage of the renal hemorrhage and was able to continue peritoneal dialysis in the acute phase of disease. Unfortunately, he subsequently developed peritoneal membrane failure having to transition to hemodialysis 2.5 months after the WS episode. The authors will review literature on Wunderlich syndrome on end-stage kidney disease patients, discuss oral anticoagulation on peritoneal dialysis patients, maintenance of the technique, and finally, address the consequences of Wunderlich syndrome on peritoneal membrane diffusion capacity.

ABSTRACT Objective To Analyze and compare sustainable consumption habits in the clothing segment between Brazilians and Germans. Design/methodology/approach Descriptive, exploratory, and qualitative research. Interviews were conducted with 15 Germans and 15 Brazilians, aged between 20 and 32 years old, in order to identify consumption habits in the clothing segment, familiarity with the theme: sustainable consumption , and levels of personal awareness regarding their consumption behavior, applying the content analysis based on Bardin (2011) as a technique. Findings A significant difference between the two groups was found. While Germans presented greater knowledge on the subject, which was converted into embracing sustainable conduct in the clothing segment, Brazilians demonstrated to have a more superficial knowledge, besides presenting lower levels of awareness in their consumption and sustainable practices in the analyzed segment. Therefore, it concludes that Germans have greater access to information on the theme and more interest and familiarity with the subject. Consequently, it showed that it influences their consumption behavior, presenting habits towards environmental, social, and economic concerns in the clothing segment, habits that were not identified in the Brazilian sample group. Originality/value (mandatory) It contributes by providing an opportunity to comparatively analyze the habits and consumption of two distinct countries, helping entrepreneurs and managers to understand the market segments better and create more powerful strategies, focusing on the value perceived by the customer in the acts of consumption.

RESUMO Objetivo Analisar e comparar hábitos de consumo sustentável no segmento de vestuário entre brasileiros e alemães. Desenho/Metodologia/Abordagem Pesquisa descritiva, exploratória e qualitativa. Foram realizadas entrevistas com 15 alemães e 15 brasileiros, com idade entre 20 e 32 anos, a fim de identificar hábitos de consumo no segmento de vestuário, familiaridade com o tema consumo sustentável e níveis de consciência pessoal quanto aos seus hábitos de consumo empregando como técnica a análise de conteúdo baseado em Bardin (2011). Resultados Constatou-se uma diferença expressiva entre os dois grupos. Enquanto os alemães apresentaram maior conhecimento sobre o assunto, que se converteu na adoção de hábitos de consumo sustentável no segmento de vestuário, os brasileiros demonstraram ter um conhecimento mais superficial, além de apresentarem níveis menores de consciência de consumo e de práticas sustentáveis no segmento analisado. Conclui que os alemães têm maior acesso a informações sobre o tema e mais interesse e familiaridade com o assunto. Isso mostrou influenciar seus comportamentos de consumo, que apresentam hábitos no sentido de preocupação ambiental, social e econômica no segmento de vestuário, costumes esses não identificados no grupo amostral brasileiro. Originalidade/valor Contribui por oportunizar analisar comparativamente hábitos e de consumo de dois páises distintos, auxiliando empreendedores e gestores a conhecer melhor os segmentos de mercado e criar estratégias mais assertivas, atentando-se para o valor percebido pelo cliente nos atos de consumo.

Resumo: Levando em consideração as interrelações dos diversos agentes do fenômeno do turismo, presenciamos o espaço marcado pelas multiterritorialidades, resultado da sobreposição de diferentes territórios no espaço, incluindo aqueles gerados por seus trabalhadores. Neste contexto, este artigo busca compreender a multiterritorialidade dos trabalhadores do turismo de Arraial do Cabo (RJ), especificamente dos trabalhadores da hotelaria, tendo em vista seus espaços de trabalho, lazer e moradia, e aspectos funcionais e simbólicos. A pesquisa de campo, de caráter qualitativo, consistiu na realização de entrevistas com auxílio de formulários semiestruturados, com base nas orientações teórico-metodológicas de Baptista (2014). A análise dos resultados nos permitiu observar que as mobilidades dos trabalhadores do turismo que moram em Arraial do Cabo se demonstram ainda restritas pelo nível da possibilidade (Lévy, 2001), uma vez que a oferta de lazer para esse grupo é escassa, limitando suas articulações e mobilidades, sendo enfraquecida em seu sentido simbólico.

Abstract: Considering the interrelations of the tourism phenomenon various agents, we recognize a space marked by multiterritorialities, which is resulted by the different territories superposition in space, including that worker's territories. In this context, this article seeks to understand the multiterritoriality of the Arraial do Cabo (RJ) tourism workers, specifically the hotel workers, taking account of their work, leisure, and housing spaces, and functional and symbolic aspects. The field research, configured as qualitative nature, consisted of interviews with the semi-structured forms support, based on Baptista's (2014) theoretical-methodological guidelines. The analysis of the results allowed us to observe that the mobilities of tourism workers who live in Arraial do Cabo are still restricted by the level of possibility (Lévy, 2001), since the offer of leisure for this group is scarce, limiting their articulations and mobility, also being weakened in its symbolic aspect.

Resumen: Teniendo en cuenta las interrelaciones de los distintos agentes del fenómeno del turismo, asistimos a un espacio marcado por la multiterritorialidad, resultado de la superposición de diferentes territorios en el espacio, incluyendo el generado por los trabajadores. En este contexto, o artículo busca entender la multiterritorialidad de los trabajadores del turismo de Arraial do Cabo (RJ), específicamente los trabajadores del hotel, en vista de sus espacios de trabajo, de ocio y de vivenda, incluyendo sus aspectos funcionales y simbólicos. La investigación de campo, de carácter cualitativo, consistió en la realización de entrevistas con apoyo de formas semiestructuradas, basadas en las directrices teórico-metodológicas de Baptista (2014). El análisis de los resultados permitió observar que las movilidades de los trabajadores do turismo que viven en Arraial do Cabo siguen siendo restringidas por el nivel de posibilidad (Lévy, 2001), ya que la oferta de ocio para este grupo es escasa, limitando sus articulaciones y movilidad, siendo debilitada en su sentido simbólico.

RESUMO A realidade virtual tem sido aplicada em vários domínios, inclusive na área da Psicologia. Os ambientes virtuais constituem um instrumento eficaz para induzir respostas emocionais, comportamentais e fisiológicas de forma coerente. Eles oferecem a capacidade de criar réplicas precisas e interativas de cenários e estímulos da vida real. Este estudo teve como objetivo comparar por sexo e tipo de jogo o efeito sobre os estados emocionais, a sensação de presença e condutância da pele. A amostra foi composta por 40 indivíduos (20 homens e 20 mulheres) com idades entre 19 e 29 anos (M = 22.35; DP = 2.56). Três questionários foram usados para coletar dados, um sociodemográfico, o POMS, o IPQ e um sensor para medir a condutância da pele. Com a realização do nosso estudo, verificámos que o único efeito estatísitico identificado foi entre os dois cenários de jogos virtuais ao nível da dimensão “Vigor”. Em relação à sensação de presença no mundo virtual, só identificámos um efeito significativo na variável “Realismo Experimentado”. Por fim, não foram encontradas diferenças quanto à condutância da pele em relação ao sexo e tipo de jogo.

ABSTRACT Virtual reality has been applied in several domains, including in the area of Psychology. Virtual environments are an effective tool to induce emotional, behavioral, and physiological responses coherently. They offer the ability to create accurate, interactive replicas of real-life scenarios and stimuli. This study aimed to compare, by sex and type of game, the effect on emotional states, the sensation of presence, and skin conductance. The sample consisted of 40 individuals (20 men and 20 women) aged between 19 and 29 years (M = 22.35; SD = 2.56). Three questionnaires were used to collect data, sociodemographics, POMS, IPQ, and a sensor to measure skin conductance. We found that the only statistical effect identified was between the two virtual game scenarios at the “Vigor” dimension level to realize our study. Regarding the sensation of presence in the virtual world, we only identified a significant effect on the “Experienced Realism” variable. Finally, no differences were found regarding skin conductance concerning sex and type of game.

Resumo Este artigo debate as dicotomias entre mobilidades físicas e imagéticas ocorridas na pandemia da COVID-19, considerando as restrições de fluxos de turistas contidos nas barreiras sanitárias e das comunicações turísticas que, ao mesmo tempo que alertam para a necessidade de restrição ao turismo, promovem seus atrativos na perspectiva de retomada da atividade. Para tal, fez-se uma análise de contexto a partir dos conteúdos (tipologia, representação e discurso/interpretação) presentes nos materiais difundidos pela imprensa e pelos órgãos locais das Rotas Turísticas Costa do Sol/Região dos Lagos e São Paulo/Litoral Norte. Os conteúdos empíricos são expostos como exemplos, pois a essência do trabalho está nas dinâmicas e processos das mobilidades que os caracterizam e transmutam. Os resultados corroboram o argumento que as dimensões física e imagética do turismo ilustram dois elementos principais para se (re)pensar o conceito e as práticas mobilidades turísticas. Assim, as contribuições deste trabalho se colocam em duas vertentes: primeiro, no campo teórico-metodológico das mobilidades, ao ampliar a discussão sobre turismo para além da mobilidade física de corpos, orientados pelo Paradigma das Novas Mobilidades; segundo, coloca em discussão vertentes contraditórias sobre as práticas turísticas no presente, podendo orientar a gestão da atividade em função dos desdobramentos da pandemia.

Abstract This article discusses the dichotomies of physical and visual mobilities emerged during the COVID19 pandemic, drawing on the analysis of the tourist flows restrictions contained in health barriers and tourist communications, which, while alerting to the need to restrict tourism, promote its attractions in the perspective of a tourism recovery. For that, a context analysis was made from images (typology, representation and discourse/interpretation) circulated in press and DMOs of the Costa do Sol/Região dos Lagos and São Paulo/Litoral Norte Tourism Routes. The empirical contents are brought as examples, since the essence of this study lies in the dynamics and processes of the mobilities that characterize and transmute them. The findings corroborate the argument that physical and imaginative dimensions of tourism might become crucial to rethink the notion of tourism mobilities. Thus, the contribution of this paper is twofold: first, in the theoretical-methodological field of mobilities as it broadens the discussion on tourism beyond the physical mobility of the bodies, building upon New Mobilities Paradigm; second, it highlights contradictory dimensions on tourism practices nowadays, and may guide future management of tourism activities according to the unfolding of the pandemic.

Resumen En este artículo se analizan las dicotomías entre movilidades físicas e imaginarias que ocurrieron en la pandemia, considerando las restricciones al flujo de turistas contenidas en barreras sanitarias y comunicaciones turísticas que, al mismo tiempo que alertan sobre la necesidad de restringir el turismo, promocionan sus atractivos en la perspectiva de recuperación de la actividad. Para ello, se realizó un análisis de contexto a partir de los contenidos (tipología, representación y discurso / interpretación) presentes en los materiales difundidos por la prensa y por los organismos locales de las Rutas Turísticas Costa do Sol/Região dos Lagos y São Paulo/Litoral Norte. Los contenidos empíricos se presentan como ejemplos, porque la esencia del trabajo está en las dinámicas y procesos de las movilidades que las caracterizan y transmutan. Los resultados corroboran el argumento de que las dimensiones física e imaginaria del turismo pueden ser dos elementos principales para (re) pensar la noción de movilidad turística. Así, los aportes a este trabajo se dividen en dos vertientes: primero, en el campo teórico-metodológico de la movilidad, ampliando la discusión sobre el turismo más allá de la movilidad física de los cuerpos, guiados por el Paradigma de las Nuevas Movilidades; en segundo lugar, cuestiona aspectos contradictorios de las prácticas turísticas en la actualidad, pudiendo orientar la gestión de la actividad según las consecuencias de la pandemia.

Abstract Background Malnutrition can affect the clinical course of hospitalized patients, increasing hospital stay, infections, mortality, and hospital costs. Among heart disease patients, the malnutrition prevalence ranges from 25 to 51.9%. Objective To assess the prevalence of malnutrition and its association with clinical complications in cardiac patients admitted to a cardiology hospital. Method Retrospective cohort study with patients evaluated within 48 hours of admission to the ward of a referral center for cardiology in Porto Alegre, Brazil. Patients were aged 18 years or older. Malnutrition was assessed by Subjective Global Assessment. Length of hospital stay, transfer to the intensive care unit (ICU), hospital discharge and in-hospital death were collected from medical records. Statistical analysis was performed using the SPSS 22.0 program. Comparisons between groups with and without malnutrition were made by unpaired Student's t-test and chi-square test with adjusted residuals, and multivariate Poisson regression used for analysis of outcomes. The significance level considered was 5%. Results We evaluated 130 patients aged 63 ± 13 years, 63% were male, and the most frequent cause of hospitalization was angina (25%). The prevalence of malnutrition was 27% and, after statistical adjustment for age, malnutrition was positively associated with ICU transfer and length of hospital stay longer than seven days. Conclusion The prevalence of malnutrition found in this sample was 27% and this nutritional diagnosis was positively associated with ICU transfer and length of hospital stay longer than seven days. (Int J Cardiovasc Sci. 2020; [online].ahead print, PP.0-0)

Resumen Esta investigación se llevó a cabo para evaluar los efectos de los extractos de Rheedia longifolia (Clusiaceae), Garcinia xanthochymus (Clusiaceae), Plumbago scandens (Plumbaginaceae) Hovenia dulcis (Rhamnaceae), Malpighia glabra (Malpighiaceae), Euphorbia tirucalli (Euphorbiaceae) y Nerium adelfa (Apocynaceae) sobre la tasa incubación de los huevos de Dermacentor (Anocentor) nitens y Ripicephalus sanguineus (Acari: Ixodidae) en concentraciones de 1.000 ppm. Los extractos de R. longifolia, H. dulcis, M. glabra y E. tirucalli retrasaron significativamente la incubación de los huevos de R. sanguineus en tres días, pero los grupos tratados con los extractos de G. xanthochymus y P. scandens eclosionaron después de 14 días. Para las garrapatas D. (A.) nitens, los extractos de H. dulcis y N. adelfa retrasaron la eclosión de los huevos durante tres días, sin embargo, la acción de los extractos de R. longifolia, G. xanthochymus, P. scandens y E. tirucalli causó un retraso mayor de siete días. Para los dos tipos de garrapatas, los huevos del grupo control tardaron un día para eclosionar. Los extractos H. dulcis y M. glabra fueron eficaces in vitro en huevos de R. sanguineus (89 %) y D. (A.) nitens (100 %) y se pueden considerar como candidatos potenciales para el control biológico de estas garrapatas.

Abstract This investigation was carried out to evaluate the effects of the plant extracts of Rheedia longifolia (Clusiaceae), Garcinia xanthochymus (Clusiaceae), Plumbago scandens (Plumbaginaceae), Hovenia dulcis (Rhamnaceae), Malpighia glabra (Malpighiaceae), Euphorbia tirucalli (Euphorbiaceae) and Nerium adelfa (Apocynaceae) on eggs of Dermacentor (Anocentor) nitens and Ripicephalus sanguineus (Acari: Ixodidae) at concentrations of 1,000 ppm. The extracts had a significant effect on the hatching rate of eggs. The extracts of R. longifolia, H. dulcis, M. glabra and E. tirucalli delayed the hatching of R. sanguineus eggs by three days; however, the group treated with the extracts of G. xanthochymus and P. scandens did not hatch until day fourteen. For the tick D. (A.) nitens, extracts of H. dulcis and N. oleander delayed egg hatching by three days; however, the action of extracts from R. longifolia, G. xanthochymus, P. scandens and E. tirucalli caused a delay of seven days. For the control groups of both species, eggs hatched in one day. H. dulcis and M. glabra were effective in vitro on eggs of R. sanguineus and D. (A.) nitens (89 and 100 %, respectively), and can be considered to be potential candidates for the biocontrol of those ticks.

RESUMO Eugenia dysenterica DC. (cagaiteira) destaca-se entre as espécies nativas do Cerrado por produzir frutos de sabor agradável, os quais podem ser consumidos tanto in natura quanto processados na forma de doces, compotas e geleias. Apesar do potencial econômico, é uma planta pouco explorada, principalmente devido à baixa durabilidade dos frutos. Assim, este trabalho teve como objetivo avaliar o efeito da embalagem e da temperatura sobre a conservação pós-colheita de frutos de E. dysenterica. Para isto, os frutos de cagaita foram coletados no estádio verde-maduro, ainda ligados à planta-mãe, e levados ao Laboratório de Botânica da Universidade Federal da Bahia, onde foram selecionados quanto à integridade física, ausência de danos mecânicos epatogênicos. Após lavagem em água corrente, os frutos foram secos e acondicionados em bandejas de poliestireno expandido, cobertas por filme de policloreto de vinila (PVC) de 10 micras, perfurados e sem perfuração, e em bandejas sem revestimento de PVC. A perfuração foi realizada visando a maior circulação de ar dentro das embalagens. Em seguida, foram armazenados em duas temperaturas, 5 e 25ºC. Para a avaliação da durabilidade dos frutos, foram realizadas avaliações diárias das características físicas e químicas, incluindo coloração, firmeza, pH, perda de massa, altura e diâmetro. O metabolismo de carboidratos também foi avaliado por meio da quantificação dos açúcares solúveis. Os frutos da cagaita apresentaram durabilidade de 5 dias, independentemente dos tratamentos utilizados, sendo que os submetidos à refrigeração apresentaram sintomas de injúria por frio, alteração da coloração e firmeza (25%), redução de pH e do consumo de carboidratos. Já em frutos mantidos a 25ºC, houve amarelecimento completo, perda de firmeza, aumento do pH e maior consumo de carboidratos. Verificou-se que o uso de embalagens, praticamente, não promoveu efeitos benéficos significativos. Desta forma, concluiu-se que o armazenamento dos frutos em temperatura de 25 e 5ºC não é aconselhável, sendo que esta última causa injúrias, e os frutos, por serem climatéricos, têm vida de prateleira curta.

ABSTRACT Eugenia dysenterica DC. (cagaiteira) stands for being one of the native species from Cerrado that produces fruit of pleasant taste, which can be consumed both in natura and processed as sweets, jams and jellies. Despite its economic potential, it is a little explored plant due to the low durability of the fruits. So, this study aimed at evaluating the effect of packing and temperature upon the post harvest conservation of E. dysenterica fruits. In order to achieve it, the fruits of cagaita were collected in the mature green stage and still linked to the stock plant and taken to the Botanical Laboratory of the Federal University of Bahia, where they were selected according to their physical integrity, lack of mechanical and pathogenic damages. After being washed in running water, the fruits were dried and packed in trays made of expanded polystyrene and covered by perforated and non-perforated polyvinyl chloride film (PVC) of 10 microns and in trays without PVC. After that, they were stored in two temperatures, 5º and 25º. Drilling was carried for increased air circulation inside the package. In order to evaluate the durability of the fruits, daily evaluations of physical and chemical characteristics were taken, including pH, weight loss, height, diameter, hardness and coloring. The carbohydrate metabolism was also evaluated through the quantification of soluble sugars. The fruits of cagaita showed durability of 5 days, independent from the treatments used. The ones which were submitted to refrigeration showed symptoms of damage by cold, alteration of coloring and hardness (25%), reduction of both pH and carbohydrates consumption. On the other hand, the fruits which were kept in 25ºC suffered total yellowing, loss of hardness, increase of pH and higher carbohydrate consumption. It has been verified that the use of packing has practically not promoted significant beneficial effects. Thus, it can be concluded that the storage of the fruits in a temperature of 25 and 5ºC are not advisable, and the last causes damages and, for being climacteric, the fruits have short shelf life.

INTRODUCTION: Nephrogenic diabetes insipidus is characterized by a lack of response in the distal nephron to the antidiuretic hormone arginine vasopressin. Manifestations include polyuria, polydipsia, hyposthenuria, recurrent episodes of dehydration and fever and growth failure. Most cases are caused by mutations in the AVPR2 gene. The mutant receptors are trapped intracellularly. METHOD: We studied five boys using clinical, laboratory and molecular data. The mean age at diagnosis was 14.6 months (range 6 to 24) and 12.2 years (7.8 to 19) after the follow-up period. The mean period of follow-up was 132.2 ± 50.9 months. RESULTS: The geometric means of the z-scores of weight and stature were -4.5 and -3.6, respectively, at diagnosis. At the last medical appointment, the z-scores of weight and stature were -0.3 and -0.9, respectively. Three patients were diagnosed with ureterohydronephrosis and exhibited increased post-void urine volume. Mutations in the AVPR2 gene were found in all patients, and the carrier status was confirmed in four of five cases. Two unrelated children presented identical mutations (S167L) in arginine vasopressin R2. Two of the patients had a mutation that has already been described in other Brazilian families (R337X), and one patient showed a de novo mutation (Y128D) in arginine vasopressin R2, since his mother's molecular analysis was normal. The recurrence risk for this family was significantly reduced. CONCLUSION: This study reports the clinical and laboratory characterization of Nephrogenic diabetes insipidus and reiterates the importance of the genetic basis that underlies the disease diagnosis and genetic counseling.

As parasitoses provocadas por protozoários ou helmintos patogênicos afetam mais de dois bilhões de pessoas no mundo. Considerando os problemas gerados por infecções parasitárias e a necessidade do uso correto dos medicamentos prescritos, o objetivo deste trabalho foi detectar a freqüência de infecção por enteroparasitos e o uso de agentes quimioterápicos em crianças moradoras na periferia de Porto Alegre, RS, Brasil. Foram analisadas noventa e seis crianças em idade pré-escolar, que realizaram o exame parasitológico de fezes e que fizeram uso de antiparasitários. A eficácia do tratamento foi avaliada pelo exame parasitológico repetido seis meses após o tratamento. O mesmo teste diagnóstico foi utilizado para avaliar a cura que foi definida como a ausência de ovos e cistos nas fezes. Das crianças estudadas, 79 (82,3%) estavam infectadas com um ou mais parasitas, os mais prevalentes foram Ascaris lumbricoides, Trichuris trichiura e Giardia lamblia. Os antiparasitários mais utilizados foram mebendazol (86% das prescrições) e metronidazol (30,3%) de acordo com a prevalência da infecção. A porcentagem de cura das 79 crianças estudadas após 6 meses do tratamento foi 65,3% para A. lumbricoides e 66,1% para T. trichiura. Este estudo sugere que um programa de educação continuada voltado para a prevenção e tratamento das infecções parasitárias tem se mostrado uma ferramenta útil na erradicação destas patologias.

Parasitic infections caused by intestinal protozoan and helminths affect more than two billion people worldwide and chemotherapy is the most commonly used therapeutic procedure. Considering the problems created by parasitic infections and the incorrect use of drugs, the aim of this work was to detect the frequency of enteroparasites infection and to estimate the use of chemotherapeutic agents in children living in the periphery of the city of Porto Alegre, RS, Brazil. Ninety-six preschool age children, who had parasitological exams and who used antiparasitic drugs, were analyzed. The efficacy of treatment was evaluated by stool examination repeated six months after treatment. The same diagnostic test was used to evaluate parasitological cure, which was defined as absence of eggs and cysts in the stool. From these children, 79 (82.3%) were contaminated by some species of parasite, the most prevalent were Ascaris lumbricoides, Trichuris trichiura and Giardia lamblia. The most commonly used drugs were mebendazole (86% of prescriptions) and metronidazole (30.3%). The cure rate in the 79 children, examined 6 months after treatment, was 65.3% for A. lumbricoides and 66.1% for T. trichiura. This study suggests that a continuous education program regarding the prevention and treatment of parasitic infections is an essential tool for their eradication.