RESUMO A geração de cenários sintéticos de vazões afluentes é particularmente importante em países como o Brasil, onde a geração de energia hidrelétrica desempenha um papel fundamental e é crucial lidar adequadamente com a incerteza da vazão futura. Este artigo apresenta um esforço colaborativo do setor elétrico brasileiro para aprimorar os modelos de geração de cenários de vazão, com foco em horizontes de até um ano. Cinco instituições propuseram metodologias diversas e a sua eficácia foi avaliada através de uma avaliação comparativa estruturada. Os resultados revelam os pontos fortes e as áreas de possíveis aprimoramentos em cada modelo. O modelo GHCen apresentou o melhor desempenho, destacando-se nas análises de curto prazo e de média móvel, enquanto o modelo PARX demonstrou desempenho superior em regiões específicas do Brasil. O PAR(p)-A, metodologia oficial no Brasil, foi o segundo melhor modelo na análise de médias móveis. Este artigo oferece informações valiosas para países que enfrentam desafios semelhantes de programação hidrotérmica e geração de cenários. Brasil futura ano estruturada destacandose destacando se móvel PARpA, PARpA PAR p A, PAR(p)-A móveis

ABSTRACT Synthetic streamflow scenario generation is particularly important in countries like Brazil, where hydroelectric power generation plays a key role and properly handling the uncertainty of future streamflow is crucial. This paper showcases a collaborative effort within the Brazilian electrical sector to enhance streamflow scenario models, focusing on horizons up to one year. Five institutions proposed diverse methodologies, and their effectiveness was evaluated using a comparative framework. The results reveal the strengths and areas for improvement in each model. GHCen emerged as the top performer, excelling in both short-term and moving average analyses, while the PARX model demonstrated superior performance in specific regions. The PAR(p)-A, which is the official methodology in Brazil, was the second-best model in the moving average analysis. This research offers valuable insights for countries facing similar hydrothermal scheduling and scenario generation challenges. Brazil crucial models year methodologies framework performer shortterm short term analyses regions PARpA, PARpA PAR p A, A PAR(p)-A secondbest second best analysis challenges

ABSTRACT. This study aimed to evaluate the productive performance and carcass characteristics of lambs fed diets with different types of carbohydrates associated with polyunsaturated fatty acids. Thirty castrated male lambs (20.5 ± 7.6 kg) were used, distributed in a randomized block design under three experimental diets: High proportion of non-fibrous carbohydrates (NFC) diet; High NFC diet + spineless cactus (high proportion of NFC and spineless cactus) and Low NFC diet (low proportion of NFC), in a 60 day experimental period. The variables of nutrient intake, performance, and carcass characteristics were evaluated. The animals fed the High NFC + spineless cactus diet presented a higher dry matter intake, organic matter, mineral matter, crude protein, and total carbohydrates intake (p <0.05). Carcass characteristics and weight of commercial cuts were improved in High NFC and High NFC + spineless cactus diets (p <0.05), on the other hand we observed a total fat weight reduction in animals fed with High NFC + spineless cactus. The results indicate that high levels of NFC positively influence animal performance, where the type of carbohydrate influences nutrient intake, also affecting carcass characteristics.

ABSTRACT Capnocytophaga canimorsus is a gram-negative rod that is part of the commensal microbiota of dogs’ and cats’ mouths. In this case, we report an 85-year-old man with COVID-19 who had his right arm bitten by a dog. His symptoms were impaired consciousness, agitation and aggressive behavior. Physical examination revealed neck stiffness and Brudzinski’s sign. The cerebrospinal fluid culture was compatible with Capnocytophaga canimorsus. He required intensive care and received a 14-day prescription of meropenem. After 40 days of hospitalization, the patient was fully recovered and was discharged. This case highlights the importance of physician and microbiologist be awareness of this disease, mainly in patients with neurological symptoms after a dog or cat bite.

ABSTRACT. The productive capacity of soybeans is associated with the adaptation of the culture to the cultivation environment. Factors such as a high number of pods, the weight of a thousand grains, and grain number are essential factors in determining cultivars of high productive potential. The launching of new varieties associated with new technologies makes it necessary to know the performance of these varieties in different growing environments. This study aimed to analyze the agronomic performance of transgenic soybean cultivars under Cerrado conditions. The experimental design used completely randomized blocks; six of the twelve cultivars used RR1 technology and the remaining six used RR2BT. The cultivars were grown in five distinct locations in the southwest region of Goiás. The results demonstrated no increments in the grain yield of the RR1 or RR2BT technologies and the precocity of the cultivars also did not favor an increase in grain yield. The localities of Jataí and Rio Verde did not influence the cultivar cycle.

Resumo Objetivo Avaliar a associação entre fatores de risco sociais, obstétricos e psicológicos relacionados a repetição da gravidez em adolescentes. Métodos Estudo caso-controle realizado num Hospital Universitário de Campinas, Brasil, de 2015 a 2017. Foram selecionados três grupos: um grupo-caso de adolescentes com repetição de gravidez, e dois grupos controles, umde adolescentes primíparas e outro demulheres adultas com mais de umparto. Foram coletados dados referentes a aspectos sociodemográficos, história reprodutiva e obstétrica e fatores psicológicos. Resultados Foram incluídas 90 mulheres, 30 em cada grupo de estudo. Adolescentes comrepetição de gravidez apresentaram menor autoestima e mais uso inadequado de contraceptivos. Quando comparadas a adolescentes primíparas, tiveram menor nível escolar (razão de probabilidades [RP] 4.03 [1.37-11.8]), maior interrupção dos estudos (RP 16.3 [3.61-73.6]) e maior uso de drogas (RP 4.97[1.39-17.8]). A comparação entre adolescentes com repetição de gestação e mulheres adultas revelou maior risco para cor da pele não-branca (RP 6.2 [1.15-41.0]), uso de drogas (RP 17.5 [2.62-116.6]) e primeira relação sexual com menos de 15 anos 15y (RP 18.0 [2.82-115.0]). Além disso, as adolescentes com segunda gravidez apresentam menor autoestima, baixo uso de contracepção e maior suscetibilidade a gravidez não planejada. Conclusão Houve associação entre repetição de gravidez na adolescência e menor tempo de estudo, início precoce de atividade sexual, cor da pele não branca e maior uso de drogas.

Abstract Objective To evaluate the social, obstetric and psychological risk factors related to repeat pregnancy in teenagers. Methods A case control study conducted at Centro de Atenção à Saúde Integral da Mulher (Caism, in the Portuguese acronym), in Campinas, Brazil, from 2015 to 2017. Three groups were selected: a case-group of adolescents who had repeat pregnancy and two control-groups, one consisting of adolescents who had delivered at first time and another one of adult women with more than one deliveries. Participants were asked about habits, socio-demographics characteristics, reproductive and obstetric history and assessed psychological issues. Results Ninety women were enrolled, 30 in each study group. Adolescents with repeat pregnancy have lower self-esteem scores and more ineffective contraceptive use. When compared with teens at first delivery, they had less schooling level (odds ratio [OR] 4.03 [1.37-11.8]), more school abandon (OR 8.16 [2.36-28.2]) and drugs use (OR 4.97[1.39-17.8]). Non-white skin color (OR 6.2 [1.15-41.0]), drugs use (OR 17.5 [2.62-116.6]) and first sexual intercourse under 15y (OR 18.0[2.82-115.0]) were found as higher risk factors for repeat pregnancy when comparing adolescents and adults.Moreover, adolescents withmore than one gestation had lower self-esteem and greater susceptibility to unplanned pregnancy. Conclusion There was an association between repeat pregnancy among adolescents and lower education, early onset of sexual activity, non-white skin color, low use of contraception and increased use of drugs.

ABSTRACT Objective Evaluate the effect of Reiki on subjective well-being of people seeking this therapy. Methods Experimental study conducted with 60 subjects were allocated to intervention (Reiki) and control groups (induction concentration without energy manipulation). We used the Escala de Bem-Estar Subjetivo, which had the mean scores of its three dimensions - life satisfaction, positive affect and negative affect - compared between groups by submitting them to the Student's t test with level 5 % of statistical significance. Results After follow-up of 21 days and submitted to three therapeutic sessions, Reiki enhanced the positive affect scale (p = 0,01) of indivuduals without, however, influence negative affect dimensions and life satisfaction of subjective well-being. Conclusion Reiki enhances the positive effect of subjective well-being of people seeking this therapy.

RESUMO Objetivo Avaliar o efeito do Reiki no bem-estar subjetivo de pessoas que buscam essa terapia. Métodos Estudo experimental conduzido com 60 indivíduos que foram alocados em grupos de intervenção (Reiki) e de controle (indução de concentração sem manipulação energética). Utilizou-se a Escala de Bem-Estar Subjetivo, que teve as médias dos escores de suas três dimensões - satisfação com a vida, afeto positivo e afeto negativo - comparadas entre os grupos, submetendo-as ao teste t de Student com nível de 5% de significância estatística. Resultados Após seguimento de 21 dias e submissão a três sessões terapêuticas, o Reiki potencializou a dimensão afeto positivo (p = 0,01) dos indivíduos sem, no entanto, influenciar as dimensões afeto negativo e satisfação com a vida do bem-estar subjetivo. Conclusão O Reiki potencializa o afeto positivo do bem-estar subjetivo de pessoas que buscam essa terapia.

RESUMEN Objetivo Evaluar el efecto del Reiki en el bienestar subjetivo de las personas que buscan esta terapia. Métodos Estudio experimental llevado a cabo con 60 individuos que fueron asignados a los grupos de intervención (Reiki) y control (concentración de inducción sin manipulación de la energía). Se utilizó la Escala de Bienestar Subjetivo, que tenían las puntuaciones medias de sus tres dimensiones-satisfacción con la vida, afecto positivo y afecto negativo- comparadas entre los grupos sometiéndolas a la prueba de la t de Student con un nivel 5% de significación estadística. Resultados Después de un seguimiento de 21 días y sometido a tres sesiones terapéuticas, Reiki aumentó la escala de afecto positivo (p = 0,01) de los individuos sin influir, sin embargo, en las dimensiones afecto negativo y satisfacción con la vida del bienestar subjetivo. Conclusión El Reiki aumenta el efecto positivo de bienestar subjetivo de las personas que buscan esta terapia.

SUMMARY Prader-Willi syndrome (PWS) is a genetic disorder frequently characterized by obesity, growth hormone deficiency, genital abnormalities, and hypogonadotropic hypogonadism. Incomplete or delayed pubertal development as well as premature adrenarche are usually found in PWS, whereas central precocious puberty (CPP) is very rare. This study aimed to report the clinical and biochemical follow-up of a PWS boy with CPP and to discuss the management of pubertal growth. By the age of 6, he had obesity, short stature, and many clinical criteria of PWS diagnosis, which was confirmed by DNA methylation test. Therapy with recombinant human growth hormone (rhGH) replacement (0.15 IU/kg/day) was started. Later, he presented psychomotor agitation, aggressive behavior, and increased testicular volume. Laboratory analyses were consistent with the diagnosis of CPP (gonadorelin-stimulated LH peak 15.8 IU/L, testosterone 54.7 ng/dL). The patient was then treated with gonadotropin-releasing hormone analog (GnRHa). Hypothalamic dysfunctions have been implicated in hormonal disturbances related to pubertal development, but no morphologic abnormalities were detected in the present case. Additional methylation analysis (MS-MLPA) of the chromosome 15q11 locus confirmed PWS diagnosis. We presented the fifth case of CPP in a genetically-confirmed PWS male. Combined therapy with GnRHa and rhGH may be beneficial in this rare condition of precocious pubertal development in PWS.

OBJETIVO: Analisar os métodos mais comuns de medida da altura patelar e o impacto da experiência do observador na correlação com os outros avaliadores utilizando a radiografia digital. MÉTODOS: Sessenta radiografias digitais do joelho na incidência em perfil foram analisadas por quatro observadores, sendo um médico residente do segundo ano de ortopedia (R2), um médico residente do terceiro ano de ortopedia (R3), um ortopedista especialista em joelho (EJ) e um radiologista especialista na área musculoesquelética (ER). Os índices estudados foram: Insall-Salvati (IS), Blackburne-Peel (BP), Caton-Deschamps (CD) e Insall-Salvati modificado (ISM). Foi calculada a concordância interobservadores por meio do coeficiente de concordância Kappa (κ). RESULTADOS: Os maiores coeficientes de correlação foram obtidos com o método de IS seguido pelo método de CD. A pior correlação foi observada no método de ISM. A maior concordância interobservadores foi obtida entre o ortopedista especialista em joelho e o radiologista especializado na área musculoesquelética nos quatro métodos de aferição utilizados. CONCLUSÃO: Utilizando a radiografia digital, os índices de Insall-Salvati e Caton-Deschamps apresentaram maior concordância interobservadores, sendo esta também influenciada positivamente pela experiência do observador.

OBJECTIVE: To analyze the most common methods for measuring patellar height and the impact of observer experience in correlations with the other observers using digital radiography. METHODS: Sixty digital radiographs of the knee in lateral view were analyzed by four observers: a physician in the second year of medical residence in orthopedics (R2); a physician in the third year of medical residence in orthopedics (R3); an orthopedic surgeon who was a specialist in knee surgery (SK); and a radiologist who was a specialist in musculoskeletal radiology (SR). The indices used were: Insall-Salvati (IS), Blackburne-Peel (BP), Caton-Deschamps (CD) and modified Insall-Salvati (ISM). The interobserver agreement was calculated using the kappa coefficient (k). RESULTS: The highest correlation coefficients were found when using the IS method followed by the CD method. The worst correlation was observed in the ISM method. The highest interobserver agreement was found between the orthopedic surgeon specializing in knee surgery and the radiologist specializing in musculoskeletal radiology, for the four measurement methods used. CONCLUSION: Using digital radiography, the Insall-Salvati and Caton-Deschamps indexes presented the highest interobserver agreement, and this was also positively influenced by the observer's level of experience.

O estudo identificou, sob o prisma da adequabilidade, qual o melhor modelo de periodização do treinamento esportivo (PTE). Foram considerados dois indicadores: a estrutura da periodização e a forma de modulação da carga. Foi utilizada a metanálise como ferramenta metodológica. 103 citações foram levantadas numa pesquisa sistemática, em bases de dados. A avaliação pelos critérios estabelecidos indicou cinco modelos de PTE passíveis de estudo. A análise estatística, empregando o tamanho efeito (TE), gerou um Índice de Adequabilidade (IADEQ) e a classificação dos modelos em: Muito Bom - Matveev (IADEQ = 3,44; TE = 1,13); Bom - Verkhoshansky (IADEQ = 2,88; TE = 0,57), Bompa (IADEQ = 2,66; TE = 0,34) e Regular - ATR (IADEQ = 1,96; TE = -0,37), Forteza (IADEQ = 2,25; TE = -0,07).

The aim of this study was to identify using the adequability pattern method, which model of periodization suite better to sport training observed at bibliographic research. It utilized as indicators the structure of periodization and the modulation pattern of workload. The methodological tool of this study was meta-analysis. Were appraised 103 citations. Analysis of the collected material, assessed through the statistic tool size-effect (TE made it possible to established an Adequability Index (IADEQ) and then, categorize the models as : Very Good - Matveev (IADEQ = 3,44; TE = 1,13); Good - Verkhoshansky (IADEQ = 2,88; TE = 0,57), Bompa (IADEQ = 2,66; TE = 0,34) e Regular - ATR (IADEQ = 1,96; TE = -0,37), Forteza (IADEQ = 2,25; TE = -0,07).

El estudio identificó, bajo prisma de la adaptabilidad, cual es lo mejor modelo de periodización del entrenamiento deportivo (PTE). Fueron considerados dos indicadores: la estructura de la periodización y la forma de modulación de la carga. Fue utilizada la metanálisis como herramienta metodológica. 103 citaciones habían sido levantadas. La evaluación por los criterios establecidos indicó cinco modelos de PTE pasibles de estudio. El análisis estadístico, empleando el tamaño efecto (TE), generó un Índice de Adaptabilidad (IADEQ, y la clasificación de los modelos en: Muy Bueno - Matveev (IADEQ = 3,44; TE = 1,13); Bueno - Verkhoshansky (IADEQ = 2,88; TE = 0,57), Bompa (IADEQ = 2,66; TE = 0,34) y Regular - ATR (IADEQ = 1,96; TE = -0,37), Forteza (IADEQ = 2,25; TE = -0,07).

The objective of this investigation was to understand the process of being an adolescent and mother through drawing story technique. This study is based on the theoretical and methodological assumptions of Social Representation. It was developed in a public maternity hospital in the municipality of Fortaleza-CE in the period between September 2006 and January 2007 with 25 adolescent in puerperium through the technique of drawing-story as theme, that converged in three dimensions: physical-organic, psychological-affective and psychosocial. In the physical-organic dimension the youngster's anatomical fragility and biological immaturity to conceive a child was cited. Motherhood anchored in the psychological-affective element is characterized by conflictual relationship between lack of affection and rejection and happiness and satisfaction on the child's presence. In the psychosocial dimension, the mother is associated with conducts considered important for the social and cognitive development of children.

El objeto del presente estudio ha sido entender cómo es ser madre adolescente a partir de la técnica del dibujo-cuento. Se trata de un estudio basado en los presupuestos teóricos y metodológicos de las Representaciones Sociales que se llevó a cabo en la maternidad de un hospital público del municipio de Fortaleza-CE entre septiembre de 2006 y enero de 2007. Se realizó con 25 parturientas adolescentes a través de la técnica del dibujo-cuento como tema en tres dimensiones: físico orgánica, psicoafectiva y psicosocial. En la dimensión físico orgánica fue citada la fragilidad anatómica e inmadurez biológica del cuerpo de la joven para concebir al hijo. La maternidad anclada en la dimensión psicoafectiva se caracterizó por la relación conflictiva entre la ambivalencia de la carencia afectiva y el rechazo y felicidad y satisfacción por la presencia del hijo. En la dimensión psicosocial la madre estaba asociada a conductas consideradas importantes para el desarrollo social y cognitivo del niño.

Objetivou-se com esta pesquisa apreender o processo de adolescer e ser mãe na adolescência com base na técnica do desenho-estória, fundamentada nos pressupostos teóricos e metodológicos das Representações Sociais. Este estudo foi desenvolvido em um hospital-maternidade público do município de Fortaleza-CE, no período de setembro de 2006 a janeiro de 2007, com 25 puérperas adolescentes, por meio da técnica do desenho-estória como tema, o que convergiu em três dimensões: físico-orgânica, psicoafetiva e psicossocial. Na dimensão físico-orgânica, foram citadas a fragilidade anatômica e a imaturidade biológica do corpo da jovem para conceber o filho. A maternidade ancorada na dimensão psicoafetiva caracteriza-se pela relação conflituosa entre a ambivalência de carência afetiva e rejeição, bem como pela felicidade e pela satisfação quanto à presença do filho. Na dimensão psicossocial, a mãe está associada às condutas consideradas importantes para o desenvolvimento social e cognitivo da criança.

We studied the altitudinal distribution of 426 bird species in the Serra dos Órgãos, a mountainous region in southeastern Brazil. Thirty-four localities were visited between 1991 and 2009. Our study revealed a decline in bird species richness with elevation, although a smaller number of species was recorded at lower altitudes (below 300 m) possibly due to local extinctions caused by the intense human occupation of the region. A less diverse avifauna was found above 2,000 m, with only one species (Caprimulgus longirostris) recorded exclusively in this altitudinal range. Most endemic species were found between 300 and 1,200 m, but the endemism was more significant at higher altitudes. Nearly half of the birds found above 1,400 m were endemic species. Most of the threatened species from the state of Rio de Janeiro recorded in our study were found below 1,200 m, but no significant difference was found between the proportions of threatened species among different altitudinal ranges. Species of seventeen genera have exhibited some replacement (sometimes with partial overlap) along altitudinal gradients.

The objective was to apprehend the social representations of adolescents in the post partum period about being a mother in adolescence. This study was based on the Theory of Social Representation of Moscovici, and was developed in a public maternity hospital in the municipality of Fortaleza-CE with 25 adolescents in the post partum period, through semi-structured interviews. The construction of social representations about motherhood in adolescence shows contradictory opinions. The most visible contradictions are: being a mother and being a mother in adolescence, in which the first shall be designed as a virtue, while the second is stereotyped as prison, through the difficulties faced in developing the motherhood role. The conclusion is that the maternity in adolescence shows the importance of educational programs on sexual health, focusing on the intersectoriality between schools, health services and society to develop mechanisms to identify and intervene with the teenagers at high risk for early motherhood .

Se objetivó aprehender las representaciones sociales de parturientas adolescentes sobre ser madre en la adolescencia. Se trata de un estudio fundamentado en la Teoría de las Representaciones Sociales de Moscovici, desarrollado en un hospital-maternidad público del municipio de Fortaleza-CE con 25 parturientas adolescentes a través de entrevista semiestructurada. La construcción de las representaciones sociales sobre la maternidad en la adolescencia revela la edificación de opiniones contradictorias. Las contradicciones más visibles fueron: ser madre y ser madre en la adolescencia, en que la primera pasa a ser concebida como una virtud, mientras que la segunda estereotipada como prisión a través de las dificultades enfrentadas en el desarrollo del rol. Se concluye que la maternidad en la adolescencia revela la importancia de programas educativos sobre la salud sexual, con enfoque en la intersectorialidad entre las escuelas, los servicios de salud y la sociedad para desarrollar mecanismos que identifiquen e intervengan junto a las adolescentes con alto riesgo de maternidad precoz.

Objetivou-se apreender as representações sociais de puérperas adolescentes sobre ser mãe na adolescência. Trata de estudo fundamentado na Teoria das Representações Sociais de Moscovici, desenvolvido em um hospital-maternidade público do município de Fortaleza-CE com 25 puérperas adolescentes através de entrevista semiestruturada. A construção das representações sociais sobre a maternidade na adolescência revela a edificação de opiniões contraditórias. As contradições mais visíveis foram: ser mãe e ser mãe na adolescência, em que a primeira passa a ser concebida como uma virtude, enquanto a segunda estereotipada como prisão através das dificuldades enfrentadas no desenvolvimento do papel. Conclui-se que a maternidade na adolescência revela a importância de programas educativos sobre a saúde sexual, com enfoque na intersetorialidade entre as escolas, os serviços de saúde e a sociedade para desenvolver mecanismos que identifiquem e intervenham junto às adolescentes com alto risco para a maternidade precoce.

Purpose: The purpose of this paper is to show that gap arthroplasty improve mouth opening when treating TMJ ankylosis. Patients and methods: Eight patients with TMJ ankylosis were treated by gap arthroplasty. The patients were evaluated by at least twenty-four months (minimum 24 and maximum 48 months). Results: Of the eight patients (eleven joints), five (62.5%) had unilateral involvement and three patients (37.5%) had bilateral involvement. The mean age was 20 years ± 9 (range 3 to 30 years). The mean maximal incisal opening (MIO) in the preoperative period was 9.25 ± 6.41 mm and in the postoperative period it was 29.88± 4.16 mm. The complication of temporary facial nerve paresis was encountered in two patients (25%). No recurrence was observed in our series. Conclusions: Trauma was the major cause of tempomandibular joint ankylosis in our sample. Gap arthroplasty showed good results when treating TMJ ankylosis.

Objetivo: El propósito de este trabajo es mostrar que la artroplastia simple mejora la apertura bucal al tratar la anquilosis temporomandibular. Pacientes y métodos: Fueron tratados ocho pacientes con anquilosis de la articulación temporomandibular por medio de artroplastia simple. Los pacientes fueron evaluados en el postoperatorio por un periodo por lo menos de veinticuatro meses (mínimo 24 y máximo 48 meses). Resultados: De los ocho pacientes (once articulaciones), cinco (62,5%) presentaron afectación unilateral y tres pacientes (37.5%) afectación bilateral de la ATM. La edad media fue de 20 años ± 9 (rango de 3 a 30 años). La máxima apertura bucal en el período preoperatorio fue de 9,25 ± 6,41 mm, mientras en el período postoperatorio fue de 29,88 ± 4,16 mm (p = 0.011). Se observó parálisis del nervio facial en dos pacientes (25%) la cual fue de carácter temporal. No se observó ninguna recurrencia en nuestra serie. Conclusiones: El trauma fue la mayor causa de la anquilosis tempomandibular en nuestra muestra. La artroplastia simple mostró buenos resultados para el tratamiento de la anquilosis de la ATM.