Abstract We intend to analyze the autobiographical discourse of three independent book publishers, women, in a position of creators of their publishing houses and of the catalog itself. Through the speech of Constanza Brunet (Marea Editorial - Argentina), Maria Mazarello (Mazza Edições - Brazil) and Paula Anacaona (Anacaona Edições - France), we intend to find the projections of the self and the idea of work as something intimate and inseparable from being human.

Resumen Tenemos la intención de analizar el discurso autobiográfico de tres editoras de libros independientes, mujeres, en la posición de creadores de sus editoriales y creadores de catálogos. A través de un discurso de Constanza Brunet (Editorial Marea - Argentina), Maria Mazarello (Mazza Edições - Brasil) y Paula Anacaona (Anacaona Edições - Francia), pretendemos encontrarnos como proyecciones del yo y la idea del trabajo como algo íntimo e inseparable de ser humano.

Resumo Pretendemos analisar o discurso autobiográfico de três editoras de livros independentes, mulheres, em uma posição de criadoras de suas casas editoriais e formadoras do próprio catálogo. Por meio do discurso de Constanza Brunet (Marea Editorial - Argentina), Maria Mazarello (Mazza Edições - Brasil) e Paula Anacaona (Anacaona Edições - França), pretendemos encontrar as projeções de si e a ideia do trabalho como algo íntimo e indissociável do ser humano.

Abstract: The production of textiles generates a large amount of liquid residues considered to be environmentally problematic and which, if discarded without due treatment, may cause eutrophication of water sources, the intoxication of living beings, and the blocking of light penetration. Some methods have been applied for the treatment of this type of waste, with the prominence of biological and physicochemical techniques. The combination of two or more techniques enhances the treatment’s efficiency. This work investigated the use of bacteria derived from the leachate produced by the textile industry itself, fed with vinasse, a by-product of the alcohol industry, with subsequent application of Fenton’s reaction. The biological method, optimized in terms of aeration and quantity of nutrients for the bacteria, combined with the physicochemical method optimized in terms of the amount of reagents, was efficient for the discoloration of the effluent in approximately 100 %, for toxicity reduction, for the degradation of organic matter in 80 %, and with acceptable acidity for disposal after only eight days of treatment. The method was considered of great efficiency and low application cost, without the production of hazardous waste.

Objective to understand the existential experience of children undergoing chemotherapy on the importance of playing. Methods qualitative research performed in the outpatient clinic of a teaching hospital with five children undergoing chemotherapy. Data were collected through the interviews and analyzed in the light of the Humanistic Nursing Theory. Results the discourses revealed the children’s understanding of their illness and their treatment, evidencing the deprivations experienced by them and the situation of emotional imbalance. Playing, according to the children’s reports, elicited positive feelings and represented a way for time to pass faster. Conclusion the chemotherapy treatment was considered ambiguous, being an unpleasant experience, but necessary for cure. The games in the outpatient chemotherapy service were a viable tool to deal with the discontent before the situation lived, provoking positive feelings such as happiness and satisfaction.

Objetivo investigar a prevalência de sífilis e seus fatores associados em mulheres egressas do sistema prisional. Métodos estudo transversal realizado com 56 mulheres cumprindo pena em regime aberto e semiaberto em Centro de Reeducação Feminina. Os dados foram coletados utilizando-se formulário contendo características sociodemográficas e práticas sexuais, bem como realizado teste rápido para sífilis. Procedeu-se análise descritiva, prevalência, teste qui-quadrado e teste exato de Fisher. Resultados a sífilis foi prevalente em 16,1% da amostra. Constatou-se maior prevalência em mulheres com mais de 35 anos (21,7%), cor branca (33,3%), casadas/união estável (21,4%), nível de escolaridade elevado (27,3%), evangélicas (33,3%), sem vida sexual ativa (20,0%), com múltiplos parceiros (16,7%), que relatavam usar preservativos com parceiros fixos (33,3%) e eventuais (28,0%), e que usavam drogas ilícitas (20,0%). Conclusão os achados apontam para importância da utilização de métodos de rastreio da infecção e evidenciam a necessidade de estratégias preventivas que considerem especificidades contextuais.

RESUMO O ensino da Língua Brasileira de Sinais (Libras) nas escolas médicas é pouco difundido, e este cenário pode dificultar o atendimento de importante parcela da população: o paciente surdo. De acordo com o Instituto Brasileiro de Geografia e Estatística (IBGE), cerca de 24% da população brasileira tem algum tipo de deficiência, sendo parte de um grupo conhecido como vulneráveis. A surdez está entre as deficiências mais prevalentes, e no contexto do atendimento médico a dificuldade em atender integralmente o paciente surdo constitui um problema de saúde pública relevante, mas pouco abordado. O objetivo do presente estudo foi avaliar o conhecimento de Libras por médicos do Distrito Federal e sua percepção frente ao atendimento de pacientes surdos. Assim, foi realizado um estudo observacional transversal e descritivo com aplicação de questionários a 101 médicos escolhidos ao acaso, atuantes no Sistema Único de Saúde (SUS) no Distrito Federal. Foram entrevistados médicos de 24 especialidades, com idade média de 41 anos. Deles, 92,1% já atenderam um paciente surdo e 76,2% consideraram o conhecimento de Libras importante para sua prática médica, mas apenas um relatou conhecimento básico na lingua. Quanto ao sentimento do médico no atendimento, houve predomínio de incerteza e desconforto. Um número significativo de médicos já realizou atendimento de pacientes surdos em sua prática profissional no SUS, e a maioria considerou o conhecimento de Libras relevante, especialmente os médicos com menos de 55 anos de idade. Possivelmente, o sentimento de desconforto no atendimento decorre do predominante desconhecimento da língua pelos médicos e da conseguinte dificuldade durante o atendimento. Destaca-se a importância da implantação ou ampliação do estudo de Libras antes ou durante a formação médica e dos demais cursos da área de saúde. A conscientização dos profissionais de saúde perante o atendimento integral do paciente surdo é um passo fundamental na implementação efetiva do ensino de Libras de forma especializada no ensino superior, resultando em maior confiança e qualidade na relação médico-paciente.

ABSTRACT In medical schools, the teaching of Brazilian Sign Language (Libras) is limited and this scenario may result in difficulties when dealing with an important portion of the population: the deaf. According to the Brazilian Institute of Geography and Statistics (IBGE), nearly 24% of the Brazilian population has some kind of deficiency; belonging to what are known as vulnerable groups. Deafness is among the most prevalent deficiencies, and the medical practice being unable to attend a deaf patient is a public health problem that requires further discussion. The objective of the present study was to evaluate medical doctors’ knowledge of Libras and their perception of attending to a deaf patient. A crosssectional and descriptive study was designed and 101 medical doctors of the Brazilian Public Health System (Sistema Único de Saúde, SUS) were randomly chosen in the Federal District and answered a structured survey. We interviewed medical doctors with a mean age of 41 years from 24 different medical specialties. 92.1% of them had seen at least one deaf patient in their clinical practice. 76.2% of them considered the knowledge of Libras relevant to their practice, but only one declared basic knowledge of the language. Most of the medical doctors reported uncertainty and discomfort when attending a deaf patient. A significant number of doctors had already seen a deaf patient in their clinical practice, and most considered the knowledge of Libras important, especially those under the age of 55 years. The feeling of discomfort when dealing with a deaf patient possibly arises from not knowing Libras and being unable to communicate with the patient properly. We emphasize the importance of learning Libras before or during medical school and other health-related courses. Being aware that the deaf patient deserves full health assistance is fundamental, and it may improve specialized learning of Libras and consequently result in a better doctor-patient relationship.

ABSTRACT Post-fire response by vegetation may reflect the severity of the damage suffered, but we still know little about the species-specific nature of responses to fire or their predictors. Here, we evaluated 26 woody species before and after a fire event in an Cerrado sensu stricto area (typical Brazilian savanna-type) in order to evaluate mortality rates and the type of resprouting (epigeal, hypogeal or epigeal + hypogeal). We evaluated the relative importance of stem diameter, height, and bark thickness as predictors of the type of post-fire resprouting, using a sequential logistic regression model (SLRM). Mortality was 4 %, while epigeal resprouting was recorded in 57 % of the individuals, hypogeal resprouting was recorded in 24 %, and epigeal + hypogeal resprouting in 15 %. Our SLRM analysis indicated that bark thickness, followed by stem diameter, were the best predictors of the type of resprouting. There was a greater than 60 % probability that individuals with bark thicker than 1.6 cm resprouted only epigeally. Our results confirm the resistance (low mortality) and resilience (high resprouting capacity) of the woody vegetation of the Cerrado sensu stricto to fire, and that thick bark is an effective protection against fire damage.

Resumo A diferença de substrato pode causar respostas distintas sobre a dinâmica da comunidade vegetal. O objetivo deste trabalho foi comparar os parâmetros florístico, estruturais e de dinâmica da vegetação entre áreas queimadas de cerrado típico (CT) e cerrado rupestre (CR) (presença de afloramentos rochosos) ao longo do tempo. Foram estabelecidas 10 parcelas (20 m × 50 m) em cada local. Todos os indivíduos com diâmetro ≥ 3 cm a 30 cm de altura acima do solo foram identificados e mediu-se o diâmetro do caule tanto em 2009 quanto em 2012, depois de uma queima acidental em 2008. As mudanças nos parâmetros florísticos não foram significativas entre o CT e CR. Entretanto, foram encontradas diferenças (p < 0,05) principalmente com relação aos parâmetros estruturais e de dinâmica, como densidade (CT = 1.523; CR = 2.171 ind.ha-1), área basal (CT = 8,70; CR = 13,00 m2.ha-1), taxa de recrutamento (CT = 24,35; CR= 15,14% ano-1; p = 0,01), ganho (CT = 8,58; CR= 3,58% ano-1; p = 0,02) e perda em área basal (CT = 3,88; CR= 2,45% ano-1). Essas diferenças enfatizam a necessidade de avaliar de forma diferenciada essas fisionomias para criação de futuras estratégias de conservação.

Abstract Differences in substrates can provoke distinct responses in the dynamics of a plant community. We compared changes the floristic, structural and dynamic parameters of the woody vegetation between burned sites dominated by cerrado típico (CT) and cerrado rupestre (CR), which is characterized by the presence of rocky outcrops, over time. We set up 10 plots (20 m × 50 m) at each site. All individuals (diameter of ≥ 3 cm at 30 cm height above the ground) were identified in the two censuses (2009 and 2012) and measured (stem diameter), after an accidental fire in 2008. Changes in floristic parameters between the CT and CR were not significant. However, we found significant differences (p < 0.05) in structural and dynamic parameters, such as density (CT = 1,523; CR = 2,171 ind.ha-1), basal area (CT = 8.70; CR = 13.00 m2.ha-1), recruitment rates (CT = 24.35; CR = 15.14% year-1; p = 0.01), gain (CT = 8.58; CR= 3.58% year-1), and the loss rates of basal area (CT = 3.88; CR= 2.45% year-1). These differences emphasize the need for a differential evaluation of these sites for the development of effective conservation strategies.

RESUMO Os objetivos deste estudo foram os seguintes: a) observar o efeito de termorretificação sobre a durabilidade natural da madeira de Eucalyptus tereticornis e Corymbia citriodora após ataque de fungos causadores de podridão-branca (Trametes versicolor eGanoderma applanatum); b) avaliar parâmetros colorimétricos após a submissão das madeiras a tratamentos térmicos e aos fungos T. versicolor e G. applanatum. Para realização do estudo, corpos de prova de ambas as espécies foram submetidos aos tratamentos: T1 - testemunha; T2 - autoclave (120 °C) a 1,5 kgf/cm2 durante 1 h; T3 - estufa laboratorial (180 °C) por 4 h; e T4 - térmico combinado [120 °C (1 h) + 180 °C (4 h)]. Posteriormente, os corpos de prova foram submetidos ao apodrecimento acelerado, sendo expostos às duas espécies de fungos por 16 semanas. Após esse período, foram avaliadas a perda de massa e as variáveis colorimétricas, através dos parâmetros L*, a*, b*, C* e hº antes e depois do ataque pelos fungos. De acordo com os resultados, E. tereticornis e C. citriodora foram classificados como altamente resistentes a fungos apodrecedores, exceto no tratamento testemunha de C. citriodora submetido ao ataque de G. applanatum, o qual foi classificado como resistente. Com os tratamentos T3 e T4, a perda de massa foi reduzida em ambas as espécies de madeira. As maiores mudanças nos parâmetros colorimétricos ocorreram devido ao tratamento térmico e à pouca variação observada com o ataque dos fungos apodrecedores. Houve redução da variável claridade (L*) e queda das matrizes vermelho (a*) e amarelo (b*), razão por que o tratamento térmico mostrou-se como alternativa para proteção e escurecimento da madeira de eucalipto, tornando-a mais próxima de padrões de coloração de madeiras nobres.

ABSTRACT The objectives of this study were: a) to observe the effect of heat treatment on natural durability of Eucalyptus tereticornis and Corymbia citriodora wood to attack of white rot fungi (Trametes versicolor and Ganoderma applanatum); b) to evaluate colorimetric parameters after the submission of the woods to heat treatments andT. versicolor and G. applanatum fungi. To start the study, samples of both specie were submitted to the treatments: T1 - control; T2 - autoclave (120 °C) at 1,5 kgf/cm2 for 1 h; T3 - oven (180 °C) for 4 hours; and T4 - thermal combined [120 °C (1 h) + 180 °C (4 h)]. Subsequently, the samples were subjected to accelerated decay, being exposed to both species of fungi for 16 weeks. After this period, the mass loss and the colorimetric variables through the parameters L*, a*, b*, C* and hº were evaluated before and after the fungal attack. According to the results, E. tereticornis and C. citriodora were classified as highly resistant to decay fungi, except for the control treatment of C. citriodora subject to the attack ofG. applanatum, which was classified as resistant. T3and T4 treatments reduced the mass loss for both wood species. The biggest changes in colorimetric parameters occur due to heat treatment and minimum variation was observed with the attack of decay fungi. There was a reduction in the variable lightness (L*) and red (a*) and yellow (b*) matrix, thereby the heat treatment could be an alternative to protection and darkening of eucalyptus wood approximating these to hardwood patterns.

Resumo Dentre os diferentes fatores etiológicos, a endometrite fúngica representa uma causa frequente de infertilidade na égua. Nesse sentido, dois experimentos foram realizados para avaliar a sensibilidade do Dermatobac®, sistema originalmente desenvolvido para o isolamento de fungos de interesse em Medicina Humana. No Experimento 1, cepas padrão de Candida (n=4) e Aspergyllus (n=1) foram semeadas assepticamente e em duplicata no sistema Dermatobac®, acompanhando-se o crescimento fúngico a cada 24 horas por 7 dias. Para o Experimento 2, foram selecionadas 34 éguas, submetidas à colheita de material uterino para o plaqueamento em Dermatobac® e realização de esfregaços para pesquisa direta de fungos (Controle). No Experimento 1, foi possível a observação macroscópica de todas as cepas de Candida e Aspergyllus a partir de 24 horas do início do cultivo microbiológico. No Experimento 2, foi constatada a presença de leveduras nas lâminas citológicas de cinco animais (14,71%), resultados também confirmados na semeadura em Dermatobac® (sensibilidade de 100%). Foram observados cinco casos falso-positivos caracterizados pelo crescimento microbiológico em sistema Dermatobac® não confirmados através da citologia endometrial, resultados que determinaram a especificidade de 85%. No entanto, todos os casos falso-positivos foram atribuídos a microrganismos contaminantes que apresentaram morfologia diferenciada e tempo de crescimento superior (P<0,05) ao apresentado pelos principais agentes etiológicos das endometrites fúngicas equinas. Conclui-se que o sistema Dermatobac® é eficiente para o diagnóstico macroscópico da endometrite fúngica em equinos, gerando informações visuais a partir de 24 horas de cultivo.

Abstract Among different etiologic factors, fungal endometritis is a common cause of decreased mare’s fertility. Two experiments were conducted to evaluate the sensitivity of Dermatobac®, a microculture system originally developed for the isolation of fungi that concerns Human Medicine. In Experiment 1, standard (ATCC) strains of Candida (n=4) and Aspergyllus (n=1) were grown and visually analyzed daily for 7 days. For Experiment 2, 34 mares were selected and subjected to material harvesting for completion of uterine cytology as well as seeding with Dermatobac®. After 24h of cultivation, the macroscopic observation of all Candida and Aspergyllus strains (Experiment 1) was possible. In Experiment 2, five animals showed presence of yeast on cytologic slides (14.71%), results also confirmed sowing in Dermatobac® system (100% sensitivity). Five false positive cases were observed, characterized by microbiological growth in Dermatobac® but not confirmed by endometrial cytology, determining specificity of 85%. However, the results did not compromise the efficiency of Dermatobac® system given all contaminants presented differentiated morphology and higher growing time (P<0.05) when compared to the major etiological agents of equine fungal endometritis. The Dermatobac® system proved to be efficient for the macroscopic diagnosis of fungal endometritis in horses, showing conclusive information only after 24 hours of culture.

ABSTRACTFire can change the species composition, diversity, and structure of savanna vegetation, thus altering growth and mortality rates. Such changes in the woody vegetation of burned savanna forest were evaluated over four years in comparison to unburned savanna forest. All woody plants with a diameter at breast height > 10 cm were measured in 100 permanent plots. Six months later, 38 of these plots were burned. Three and a half years later, all surviving individuals were re-sampled. Species richness, diversity, and the number of individuals did not change in the burned plots, although they had significantly higher (p < 0.05) increases in basal area and mortality rates (5.1% year-1) than the unburned plots (3.0% year-1).Tachigali vulgarishad the greatest post-fire increase in basal area (53%). The results indicate that fire alters the dynamics and structure of the savanna forest, excluding the less fire-tolerant species and smaller individuals (? 15cm). Tachigali vulgaris is a key species for the recovery of savanna forest biomass due to its considerable post-fire gains in basal area, at least over the short term due to its short life cycle. It follows that frequent burning of savanna forest would result in a marked change in the species composition and structure of its woody vegetation.

Hypercalcemia is found frequently in patients with cancer. Besides the etiology related to the malignancy, other causes should be considered in the differential diagnostic, as primary hyperparathyroidism, granulomatous diseases and the use of thiazide diuretics. We present a case report of a severe hypercalcemia due to a rare association and review the relevant literature. A female patient, 57 years old, sent to the Endocrinology Service of Hospital das Clínicas da Universidade do Paraná (SEMPR) in order to investigate severe hypercalcemia with frequent need of hospitalization. The patient was in chemotherapy treatment for recurrence of clear cell renal cancer. During the investigation she presented high level of parathyroid hormone (PTH) and parathyroid scintigraphy suggestive of hyperplasia/ adenoma of parathyroid, histopathological diagnosis was confirmed after parathyroidectomy. After surgery the patient presented undetectable levels of PTH. However, she continued with progressive increase of serum calcium, with no signs of bone metastases or change in vitamin D metabolism. The investigation showed high levels of PTH-related protein (PTHrP), leading us to the diagnosis of hypercalcemia of malignancy. The patient presented severe hypercalcemia due to the rare association of primary hyperparathyroidism and humoral hypercalcemia of malignancy due to secretion of PTHrP by tumor cells. The presence of isolated primary hyperparathyroidism, as a cause of hypercalcemia in cancer patients, has been described in approximately 5-10% of the patients. However, the association of primary hyperparathyroidism and humoral hypercalcemia of malignancy (which means with concomitant elevation of PTH and PTHrP) is rare, only three cases have been described in the literature. Arch Endocrinol Metab. 2015;59(1):84-8

The present study analyzed the influence of edaphic variables on the floristic compositions and structures of the arboreal and shrub vegetation of typical cerrado (TC) and rocky outcrop cerrado (RC) communities in the Serra Negra mountain range in Piranhas Municipality, Goiás State, Brazil. Ten 20×50m plots were established in each community, and all individuals with minimum diameters ³5cm measured at 30cm above soil level were sampled. Composite soil samples were collected at 0-20cm depths in each plot for physical and chemical analyses. The proportions of above-ground rock cover work also estimated in each RC plot. A total of 2,009 individuals (83 species, 69 genera, and 34 families) were recorded. Qualea parviflora was the only species consistently among the 10 most structurally important taxa in both communities, and was considered a generalist species. The observed and estimated species richnesses were greater in RC than in TC, although plant basal areas and heights did not differ between them. There were positive correlations between rock cover×plant density and rock cover×basal areas. TWINSPAN and PCA analysis separated the TC and RC plots, and three RC habitat specialist species (Wunderlichia mirabilis, Norantea guianensis, and Tibouchina papyrus) were identified. Soil variables were found to have greater effects on the species compositions of the TC and RC sites than the geographic distances between sampling plots. According to CCA analysis, the exclusive (or more abundant species) of each community were correlated with soil variables, and these variables therefore determined the selection of some species and influenced the differentiation of the vegetation structures of the communities studied.

Comparou-se a riqueza, a composição florística e a estrutura da vegetação lenhosa entre um hectare de cerrado rupestre (CR) e um de cerrado típico (CT) no leste Mato-grossense. A riqueza registrada (CT = 79 e CR = 71) e estimada pelo método de bootstrap (CT = 86,7 ± 2,3 e CR = 75,8 ± 1,8) foi maior no CT, mas o índice de diversidade foi igual entre as duas fisionomias (3,58 no CT e 3,56 no CR; teste t de Hutcheson = t2;0,05 = 0,43, p > 0,05). Apesar da elevada similaridade florística (Sørensen = 0,75 e Morisita = 0,73), a análise de ordenação (DCA) separou as parcelas do CT e do CR, indicando a seleção de espécies nas duas fisionomias. Foram registradas altas porcentagens de indivíduos mortos no CT (28,1%) e no CR (17,3%), devido à ocorrência de uma queimada quatro meses antes da amostragem da vegetação. A área basal por parcela foi maior no CR, enquanto as densidades por parcela, as alturas e os diâmetros medianos dos indivíduos, não diferiram entre as duas fisionomias, sugerindo que o solo raso e o afloramento rochoso no CR não limitaram o estabelecimento e o desenvolvimento da flora lenhosa.

In this work, the vegetation richness, floristic composition and the structure of woody plants of 1 hectare of rocky cerrado ("cerrado rupestre") (CR) and 1 hectare of typical cerrado (CT), in eastern Mato Grosso, were compared. The observed (CT = 79 and CR = 71) and the estimated richness (CT = 86.7 ± 2.3 and CR = 75.8 ± 1.8), using bootstrap analysis, were higher in the CT, but the diversity index was the same for both physiognomies (3.58 in CT and 3.56 in CR; Hutcheson t test = t2;0.05 = 0.43, p > 0.05). Despite high floristic similarity (Sørensen = 0.75 and Morisita = 0.73), the ordination analysis (DCA) separated the CT and CR plots, which indicated species selection in both physiognomies. A percentage of dead individuals in CT (28.1%) and CR (17.3%), due to fires four months before sampling took place, was also found. The CR basal area per plot was higher, and densities per plot, heights and mean diameters of individuals did not differ between both physiognomies, which suggests that the shallow soil and rocky outcrop of CR have not limited the establishment and development of the woody flora.