Abstract Introduction Compensatory articulations are speech disorders due to the attempt of the individual with cleft palate/velopharyngeal dysfunction to generate intraoral pressure to produce high-pressure consonants. Speech therapy is the indicated intervention for their correction, and an intensive speech therapy meets the facilitating conditions for the correction of glottal stop articulation, which is the most common compensatory articulation. Objective To investigate the influence of an intensive speech therapy program (ISTP) to correct glottal stop articulation in the speech of individuals with cleft palate. Methods Speech recordings of 37 operated cleft palate participants of both genders (mean age = 19 years old) were rated by 3 experienced speech/language pathologists. Their task was to rate the presence and absence of glottal stops in the 6 Brazilian Portuguese occlusive consonants (p, b, t, d, k, g) distributed within several places in 6 sentences. Results Out of the 325 pretherapy target consonants rated with glottal stop, 197 (61%) remained with this error, and 128 (39%) no longer presented it. The comparison of the pre- and posttherapy results showed: a) a statical significance for the p1, p2, p3, p4, t1, k1, k2 and d6 consonants (McNemar test; p < 0.05); b) a statistical significance for the p consonant in relation to the k, b, d, g consonants and for the t consonant in relation to the b, d, and g consonants (chi-squared test; p < 0.05) in the comparison of the proportion improvement among the 6 occlusive consonants. Conclusion The ISTP influenced the correction of glottal stops in the speech of individuals with cleft palate.

ABSTRACT The tendency to be permissive in face of a discriminatory situation is called collusion. The present study aimed to define and characterize collusion, and identify the variables connected to it, considering the perspective of different identity groups. Participants were 31 individuals divided in seven focus groups. The analysis indicated four categories connected to collusion: a) Close Relations: valuable interactions through which individuals learn behavioral patterns that lead to permissiveness; b) Group Identity: social identities, and intergroup relations patterns; c) Situation: characteristics of the situation in which discrimination is observed; and d) Cost-Effective Balance: perception the individuals have regarding the impact of their actions on the context and the cost attached to it.

RESUMO A tendência das pessoas de serem permissivas diante de uma situação discriminatória é chamada colusão. O presente estudo teve como objetivo definir e caracterizar colusão e identificar as variáveis a ela associadas, a partir da perspectiva de diferentes grupos identitários. Os participantes foram 31 sujeitos divididos em sete grupos focais. A análise indicou quatro categorias ligadas à colusão: a) Relações Próximas: interações por meio das quais os indivíduos aprendem padrões de comportamento que levam à permissividade; b) Identidade Grupal: identidades sociais e padrões de relações intergrupais; c) Situação: características da situação em que se observa discriminação; e d) Relação Custo-benefício: percepção que os indivíduos têm sobre o impacto de suas ações no contexto e o custo que lhes está associado.

Resumo Introdução: Indivíduos com fissura palatina podem apresentar disfunção velofaríngea após a palatoplastia primária e necessitam de um secundário devido à insuficiência velofaríngea. Nesses casos, o obturador faríngeo pode ser usado temporariamente enquanto se aguarda uma cirurgia secundária. Objetivo: Investigar o resultado do tratamento da hipernasalidade com o uso de obturador faríngeo em pacientes com histórico de fissura palatina que apresentam insuficiência velofaríngea após a palatoplastia primária. Nossa hipótese é que o uso do obturador faríngeo seja uma abordagem eficaz para eliminar a hipernasalidade relacionada à insuficiência velofaríngea em pacientes com fissura palatina Método: Participaram do estudo 30 indivíduos falantes do Português Brasileiro (15 homens e 15 mulheres) com fissura palatina operada, de 6 a 14 anos de idade (média: 9 anos; DP = 1,87 anos). Todos os pacientes receberam obturador faríngeo para o tratamento da insuficiência velofaríngea, enquanto aguardavam vaga para a cirurgia secundária. A análise perceptivo-auditiva da fala, realizada nas condições com e sem obturador faríngeo, foi realizada por três ouvintes, quanto à presença e ausência da hipernasalidade. Resultados: 70% dos pacientes eliminaram a hipernasalidade de fala com o uso do obturador faríngeo, enquanto 30% não eliminaram. A comparação foi estatisticamente significante (p < 0,001). Conclusão: O uso temporário do obturador faríngeo é uma abordagem efetiva para eliminar a hipernasalidade decorrente da insuficiência velofaríngea.

Abstract Introduction: Individuals with cleft palate can present with velopharyngeal dysfunction after primary palatoplasty and require a secondary treatment due to insufficiency. In these cases, the pharyngeal bulb prosthesis can be used temporarily while awaiting secondary surgery. Objective: This study aimed to investigate the outcome of treatment of hypernasality with pharyngeal bulb prosthesis in patients with history of cleft palate presenting with velopharyngeal insufficiency after primary palatal surgery. We hypothesized that the use of the pharyngeal bulb prosthesis is an effective approach to eliminate hypernasality related to velopharyngeal insufficiency in patients with cleft palate. Methods: Thirty speakers of Brazilian Portuguese (15 males and 15 females) with operated cleft palate, ages ranging from 6 to 14 years (mean: 9 years; SD = 1.87 years), participated in the study. All patients were fitted with a pharyngeal bulb prosthesis to manage velopharyngeal insufficiency while they were awaiting corrective surgery to be scheduled. Auditory-perceptual analysis of speech recorded in the conditions with and without pharyngeal bulb prosthesis were obtained from three listeners who rated the presence or absence of hypernasality for this study. Results: Seventy percent of the patients eliminated hypernasality while employing the pharyngeal bulb prosthesis, while 30% still presented with hypernasality. The comparison was statistically significant (p < 0.001). Conclusion: The use of the pharyngeal bulb prosthesis is an effective approach to eliminate hypernasality related to velopharyngeal insufficiency.

RESUMO A má distribuição geográfica de águas em território nacional aliada ao seu desperdício, à poluição dos cursos d’água próximos aos centros urbanos e industriais e à eficiência inadequada de processos de tratamento convencionais faz com que o tratamento e o reúso de água sejam tópicos de crescente importância no Brasil. Um dos métodos de tratamento de água são os processos de separação por membranas, como a nanofiltração. No entanto, esses processos estão sujeitos ao fenômeno de incrustação, que provoca diminuição gradativa de sua eficiência. Sendo assim, o presente trabalho visou à avaliação de diferentes métodos de pré-tratamento de água para mitigação da formação de biofilme em membranas de nanofiltração. Os processos de adsorção em partículas de alumina e desinfecção por meio de carvão ativado impregnado com nanopartículas de prata foram aplicados em uma amostra de um corpo d’água superficial. As amostras com e sem pré-tratamento foram nanofiltradas e a propensão à incrustação de cada uma foi avaliada. As eficiências de remoção de compostos orgânicos dos adsorventes empregados separadamente e em conjunto e as análises de absorção UV/Vis, microscópio eletrônico de varredura e espectroscopia de energia dispersiva do carvão ativado impregnado com nanopartículas de prata mostraram que os materiais empregados no pré-tratamento puderam ser apropriadamente sintetizados. Foi possível também identificar os principais grupos funcionais dos biopolímeros presentes nos biofilmes formados ao longo do tempo. Por fim, pôde-se observar que a adsorção da matéria orgânica é mais eficiente para o controle da incrustação rápida, enquanto o efeito bactericida se destaca no controle a longo prazo.

ABSTRACT The poor geographical distribution of water in the national territory combined with its waste, the pollution of watercourses close to urban and industrial centers, and the inadequate efficiency of conventional treatment processes make the treatment and reuse of water topics of increasing importance in Brazil. One of the advanced water treatment methods is membrane separation processes, such as nanofiltration. However, these processes are subject to fouling phenomenon, which causes a gradual decrease in the efficiency of the process. Therefore, the present work aims to evaluate different methods of pretreatment of water to mitigate the formation of biofilm in nanofiltration membranes. The adsorption processes on alumina particles and disinfection through activated carbon impregnated with silver nanoparticles were applied to a sample of a surface water body. Samples with and without pretreatment were nanofiltered and the propensity to fouling was evaluated. The efficiency of the adsorbents, used both separately and together, in removing organic compounds and the UV/Vis, scanning electron microscope, and Energy-dispersive X-ray spectroscopy analyses of the activated carbon impregnated with silver nanoparticles showed that the materials used in the pre-treatment were properly synthesized. It was also possible to identify the main functional groups of the biopolymers present in biofilms formed over time. Finally, it was observed that the adsorption of organic matter is more efficient for the control of rapid fouling while the bactericidal effect stands out in the long-term fouling control.

Abstract: Technological advances in bathymetric equipment, positioning capacity, data processing, as well as the development of new ways of obtaining depth and other ways of exploring the submerged bottom, have been noticed in recent years. It is known that acoustic remote sensing is the most widely used technique for depth measurement. Survey systems can be embedded on various platforms and also provide different accuracies. Coupled to these systems are also Global Navigation Satellite System (GNSS), auxiliary sensors and speed profilers, improving the accuracy of the data obtained. Alternatively to the use of echo sounders, optical sensing (active and passive sensors) or satellite radar altimetry can be used to estimate depth. Thus, this study aims to present an overview of bathymetric survey methodologies, as well as the evolution of the use of sounding platforms, systems and sensors and various existing technologies. In addition, the main uncertainties involved and the advantages and disadvantages of the available solutions are also evidenced, providing the reader the ability to choose the most appropriate technique.

Abstract: The use of acoustic systems for mapping submerged areas is the most accurate way. However, echosounders are expensive and, in addition, the equipment requires a great deal of experience on the part of the specialist. From another perspective, orbital and aerial images (acquired by RPA’s- Remotely Piloted Aircraft) can offer bathymetric maps of larger locations that are difficult to access at a low operating cost. Therefore, the present study’s main objective was to evaluate the utility of RGB images obtained with RPA’s in water reservoirs. Thus, Artificial Neural Networks were used for depth training and prediction. Subsequently, it compared to the bathymetric data from the same pond in question, raised from acoustic sensors, quantifying the vertical uncertainty through three estimators. Regarding the statistical analysis, the RMSE and Ф estimators showed better reliability. The 300-point sample showed the best quality in processing. The results showed that the methodology could improve the management of water resources. The method allows reduced execution time and lowers cost, especially for using only the green, red and blue channels, easily found in most cameras coupled to RPA’s.

ABSTRACT Purpose: to investigate the effectiveness of a pharyngeal bulb prosthesis to eliminate hypernasality in patients with operated cleft palate presenting with diagnosis of hypodynamic velopharynx. Methods: twenty patients with cleft palate, ages 11-40 years, presenting hypodynamic velopharynx participated in the study. Patients had their speech audio recorded twice, with and without prosthesis, simultaneously with nasometry. Three speech-pathologists rated the presence and absence of hypernasality. Perceptual and nasometric data without and with prosthesis were compared, using the McNemar Test (p<0.05). Results: three (15%) patients presented hypernasality without prosthesis and normal resonance with prosthesis, 3 (15%), normal resonance without prosthesis and hypernasality with prosthesis, 9 (45%), hypernasality without and with prosthesis, and 5 (25%), normal resonance in both conditions. Nasometry (≤27% cut off): 1 (5%), presented scores >27% without prosthesis and <27% with prosthesis, 2 (10%), scores <27% without prosthesis and >27% with prosthesis, 17 (85%), scores >27% in both conditions, and 1(5%), scores <27% in both conditions. The comparisons between the results were not significant (p=1.000). Conclusion: the pharyngeal bulb prosthesis alone is insufficient to eliminate hypernasality of patients presented with hypodynamic velopharynx. To this purpose, the combination between the prosthesis and speech therapy is required.

Objective: Most countries fail to treat individuals with psychopathologies. Investigating treatment barriers and reasons for dropout are key elements to overcoming this scenario. Methods: A representative sample of 2,942 urban-dwelling adults was interviewed face-to-face within a cross-sectional, stratified, multistage probability survey of the general population. Psychiatric diagnosis, severity level, use of services, reasons for not seeking treatment, and treatment dropout were investigated. Results: Only 23% of individuals with a psychopathology of any severity level in the last 12 months received treatment. Low perceived need for treatment (56%) was the most common reason for not seeking treatment. The most visited settings were psychiatric, other mental health care, and general medical care. Among those with a perceived need for treatment (44%), psychological barriers were the most common reason for not seeking it. Treatment dropout was more prevalent among those who visited a general medical care setting. Among individuals still in treatment, human services and psychiatric care were the most common types. Female sex was associated with structural barriers (OR = 2.1). Disorder severity was negatively associated with need barriers (OR = 0.4), and positively associated with structural barriers (OR = 2.5) and psychological barriers (OR = 2.5). Conclusion: Despite the need for treatment and better services, psychological barriers were the major reason for not seeking treatment. Apart from providing more specialists, investing in awareness, de-stigmatization, and information is the ultimate strategy for improving psychiatric care.

ABSTRACT BACKGROUND: Cardiovascular risk factors can mediate the association between depression and cardiovascular diseases. OBJECTIVE: To evaluate cardiovascular risk factors in adult individuals with and without histories of major depression in the metropolitan region of São Paulo, Brazil. DESIGN AND SETTING: Cross-sectional study in São Paulo (SP), Brazil. METHODS: This study evaluated 423 individuals without any lifetime diagnosis of major depression and 203 individuals with a previous diagnosis of major depression (n = 626). The participants underwent a psychiatric evaluation using a structured clinical interview (SCID-1), an anthropometric evaluation and a clinical evaluation that included blood pressure measurement and assessment of fasting blood glucose, lipid profile and physical activity levels. RESULTS: Individuals with histories of major depression were more likely to be female (P < 0.0001). Individuals with lifetime diagnoses of major depression were more likely to be current smokers (odds ratio, OR 1.61; 95% confidence interval, CI 1.01-2.59) and to have diabetes (OR 1.79; 95% CI 1.01-3.21); and less likely to be obese (OR 0.58; 95% CI 0.35-0.94). CONCLUSION: Individuals with major depression had higher odds of presenting tobacco smoking and diabetes, and lower odds of being obese. Healthcare professionals need to be aware of this, so as to increase the rates of diagnosis and treatment in this population.

ABSTRACT The production of Nile tilapia (Oreochromis niloticus) has good technological development; however, today, it is still necessary to make it more efficient. One way to increase efficiency is to prevent disease and improve the food conversion factor. Since previous investigations of tilapia microbiota detected a high proportion of organisms belonging to the order Actinomycetes, this study was to isolate, identify, and describe the species of bacteria microbiota belonging to the cultured Nile tilapia. These were done with Nile tilapia grown in a warm sub-humid climate during spring and summer seasons. The biopsy of different organs was performed for bacteriological culture and 16S rRNA sequencing analysis. From the 180 tissue samples, 49 isolates of the order Actinomycetes were obtained, representing ten species from seven genera: Microbacterium, Brevibacterium, Cellulomonas, Corynebacterium, Kocuria, Actinomyces, and Micrococcus. In spring, Microbacterium dominated, accounting for 74% of the total population. In the summer, lower diversity was observed, with 39% represented by Microbacterium. 16S rRNA sequencing analysis enabled the classification of Actinomyces neuii and Microbacterium lacticum as Kocuria varians and Agromyces indicus; the classification of Microbacterium imperiale as Rhodococcus and Micrococcus luteus was confirmed. No sequences of K. varians have been reported in fish. Microbacterium dextranoliticum showed high similarity to environmental samples. Here is the first study that analyzes the bacteria population in tilapia at the genetic level with an ecosystem approach, present in healthy cultured tilapia, indicating their beneficial associations with the host, making them candidates as probiotics, among other possible functions, applicable in tilapia cultivation.

Resumo O objetivo deste estudo foi investigar os significados atribuídos à aposentadoria por trabalhadores ativos. Para isto, foi construída e aplicada a Escala de Significado da Aposentadoria, numa amostra de 275 trabalhadores ativos (53,5% mulheres) com idades entre 22 e 67 anos. Os resultados revelam o significado ambíguo do fenômeno da aposentadoria: há uma ideia positiva, de liberdade; mas, por outro lado, os trabalhadores relatam angústia e insegurança relacionadas à aposentadoria. Entre as variáveis estudadas, é especialmente relevante o impacto da proximidade da aposentadoria na percepção do fenômeno, que revelou influência sobre três dos quatro fatores identificados. Esta investigação tem implicações para programas e políticas de preparação para a aposentadoria que visam promover a saúde e o bem-estar dos trabalhadores.

Abstract The aim of this study was to investigate the meanings attributed to retirement by active workers. For this purpose, the Retirement Meaning Scale was constructed and administered to 275 active workers (53.5% women) aged 22 to 67 years. The results reveal an ambiguous meaning attribution to the phenomenon: on one hand, there is a positive idea of freedom; on the other hand, the workers report experiences of anguish and insecurity related to retirement. Among the variables investigated, the proximity to retirement was especially relevant to the perception of the phenomenon, which influenced three of the four factors identified. This study has implications for policies and programs that aim to promote healthy experiences in retirement.

OBJECTIVES: To report the prevalence and factors associated with the use of benzodiazepines in the general population and those with a mental health condition in the metropolitan area of São Paulo, Brazil. METHODS: 5,037 individuals from the Sao Paulo Megacity Mental Health Survey data were interviewed using the Composite International Diagnostic Interview, designed to generate DSM-IV diagnoses. Additionally, participants were asked if they had taken any medication in the previous 12 months for the treatment of any mental health condition. RESULTS: The prevalence of benzodiazepine use ranged from 3.6% in the general population to 7.8% among subjects with a mental health condition. Benzodiazepine use was more prevalent in subjects that had been diagnosed with a mood disorder as opposed to an anxiety disorder (14.7% vs. 8.1%, respectively). Subjects that had been diagnosed with a panic disorder (33.7%) or bipolar I/II (23.3%) reported the highest use. Individuals aged ≥50 years (11.1%), those with two or more disorders (11.2%), those with moderate or severe disorders (10%), and those that used psychiatric services (29.8%) also reported higher use. CONCLUSION: These findings give an overview of the use of benzodiazepines in the general population, which will be useful in the public health domain. Benzodiazepine use was higher in those with a mental health condition, with people that had a mood disorder being the most vulnerable. Furthermore, females and the elderly had high benzodiazepine use, so careful management in these groups is required.

Abstract The profitability of dairy farms is closely linked to reproductive performance. Identifying risk factors that compromise this performance is vital to implementing strategies to improve productivity. An analysis was done of the effects on reproductive performance of artificial insemination (AI) use, herd size and high seroprevalence of reproductive infectious diseases. Data on reproductive events were collected from 52 farms (10-100 cows; 959 lactations) over 18 mo (births 2011-2012). Neosporosis, bovine infectious rhinotracheitis (IBR) and bovine viral diarrhea (BVD) seroprevalences were documented at each farm. Multiple logistic regression analyses were applied to determine the degree of association (odds ratio, OR) between potential risk factors and reproductive variables. Herds of 33 or more cows (OR= 1.5) and high neosporosis seroprevalence (OR= 2.3) were risk factors for assisted calving. High IBR and BVD seroprevalences (OR= 1.3 and 1.9, respectively) were risk factors for days to first service over 70 d in milk (DFS>70). Artificial insemination was a common risk factor for DFS>70 (OR= 2.4) and days open over 110 days in milk (OR= 1.3). Herds of 33 or more cows was a risk factor for non- pregnant cows at first service (OR= 1.7). Artificial insemination, herds of 33 or more cows and high neosporosis, IBR and BVD seroprevalences are factors associated with reproductive performance in small-scale dairy farms in various geographical regions in Mexico.

Resumen La rentabilidad de los establos lecheros está fuertemente asociada con el desempeño reproductivo. Por lo tanto, la identificación de factores de riesgo que comprometen este desempeño es primordial para implementar estrategias que mejoren la productividad. En este estudio, se probaron los efectos del uso de inseminación artificial (IA), hatos grandes y seroprevalencia alta de enfermedades infecciosas reproductivas sobre el desempeño reproductivo. Se incluyeron al estudio 52 establos (10-100 vacas; 959 lactaciones) registrando eventos reproductivos durante 18 meses (partos 2011-2012). Las seroprevalencias de neosporosis, rinotraqueitis infecciosa bovina (IBR) y diarrea viral bovina (BVD) se registraron en cada establo. Se utilizaron análisis de regresión logística múltiples para determinar el grado de asociación (razón de momios, OR) entre factores potenciales de riesgo y variables reproductivas. Establos ≥33 vacas y seroprevalencia alta de neosporosis fueron factores de riesgo para Asistencia al Parto (OR 1.5 y 2.3, respectivamente). Seroprevalencias altas de IBR y BVD fueron factores de riesgo para Días a Primer Servicio>70 Días en Leche (DPS>70, OR 1.3 y 1.9, respectivamente). La IA fue un factor de riesgo común para DPS>70 y Días Abiertos>110 Días en Leche (OR 2.4 y 1.3, respectivamente). Establos ≥33 vacas fue un factor de riesgo para Vacas No Gestantes al Primer Servicio (OR 1.7). En conclusión, la IA, establos ≥33 vacas y seroprevalencias altas de neosporosis, IBR y BVD son factores asociados al desempeño reproductivo en establos de producción de leche a pequeña escala en varias regiones geográficas de México.

The aim of this study was to review emerging evidence of novel treatments for anxiety disorders. We searched PubMed and EMBASE for evidence-based therapeutic alternatives for anxiety disorders in adults, covering the past five years. Eligible articles were systematic reviews (with or without meta-analysis), which evaluated treatment effectiveness of either nonbiological or biological interventions for anxiety disorders. Retrieved articles were summarized as an overview. We assessed methods, quality of evidence, and risk of bias of the articles. Nineteen systematic reviews provided information on almost 88 thousand participants, distributed across 811 clinical trials. Regarding the interventions, 11 reviews investigated psychological or nonbiological treatments; 5, pharmacological or biological; and 3, more than one type of active intervention. Computer-delivered psychological interventions were helpful for treating anxiety of low-to-moderate intensity, but the therapist-oriented approaches had greater results. Recommendations for regular exercise, mindfulness, yoga, and safety behaviors were applicable to anxiety. Transcranial magnetic stimulation, medication augmentation, and new pharmacological agents (vortioxetine) presented inconclusive benefits in patients with anxiety disorders who presented partial responses or refractoriness to standard treatment. New treatment options for anxiety disorders should only be provided to the community after a thorough examination of their efficacy.

Objective: Childhood adversities (CAs) comprise a group of negative experiences individuals may suffer in their lifetimes. The goal of the present study was to investigate the cluster discrimination of CAs through psychometric determination of the common attributes of such experiences for men and women. Methods: Parental mental illness, substance misuse, criminality, death, divorce, other parental loss, family violence, physical abuse, sexual abuse, neglect, physical illness, and economic adversity were assessed in a general-population sample (n=5,037). Exploratory and confirmatory factor analysis determined gender-related dimensions of CA. The contribution of each individual adversity was explored through Rasch analysis. Results: Adversities were reported by 53.6% of the sample. A three-factor model of CA dimensions fit the data better for men, and a two-factor model for women. For both genders, the dimension of family maladjustment – encompassing physical abuse, neglect, parental mental disorders, and family violence – was the core cluster of CAs. Women endorsed more CAs than men. Rasch analysis found that sexual abuse, physical illness, parental criminal behavior, parental divorce, and economic adversity were difficult to report in face-to-face interviews. Conclusion: CAs embrace sensitive personal information, clustering of which differed by gender. Acknowledging CAs may have an impact on medical and psychiatric outcomes in adulthood.