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Reforma Administrativa das Freguesias Portuguesas 2013. Reflexões a partir do caso do Algarve
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Pereira, Margarida

; Domingues, Alexandre

; Teixeira, José Afonso

; Delgado Henriques, Cristina

CIDADES, Comunidades e Territórios

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dec 2023, N. 47 Pages 140 - 157

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo O artigo discute a reforma territorial das freguesias portuguesas em 2013 inserida no acordo de resgate do Fundo Monetário Internacional, Banco Central Europeu e Comissão Europeia (Troika) ao Estado português, na sequência da crise da dívida soberana. Tem como objetivos: (i) enquadrar a reforma das freguesias em Portugal nas tendências de reorganização ao nível local em países europeus nas últimas décadas; (ii) situar a agregação à escala nacional, integrando-a na Reforma da Administração Local do XIX Governo (2011-2015); (iii) analisar, a partir do Algarve, as mudanças no exercício das suas competências, na prestação de serviços à população e na relação com o município; (iv) discutir os resultados alcançados. A metodologia apoia-se na revisão da literatura sobre reformas territoriais locais em países europeus, na leitura crítica do processo nacional, estando a abordagem empírica alicerçada na perspetiva dos eleitos, a partir de entrevistas semiestruturadas a todos os presidentes das juntas das freguesias agregadas no Algarve. O processo de agregação top down aplicado no país desencadeou na região uma reação de partilha e colaboração entre freguesias, atenuando tensões e fraturas entre comunidades (mas, noutras situações, expondo cisões ou fraturas antigas). O novo mapa está assimilado, mas subsistem críticas e já ocorreram duas reversões.

Abstract This paper discusses the territorial reform in Portuguese parishes in 2013 following the bailout from the International Monetary Fund, the European Central Bank and the European Commission (Troika). The purpose of this paper is (i) to frame the reform of the parishes in Portugal in the trends of reorganization at the local level in European countries in recent decades; (ii) to situate the aggregation at the national scale, integrating it in the Reform of Local Administration of the XIX Government (2011-2015); (iii) to analyze, from the Algarve, the changes in the exercise of its powers, in the provision of services to the population and in the relationship with the municipality; (iv) to discuss the results achieved. The methodology is based on the literature review on local territorial reforms in European countries, on the critical reading of the national process, and the empirical approach is based on the perspective of the elected representatives, based on semi-structured interviews with all the mayors of the aggregated parish councils in the Algarve. The top-down aggregation process applied in the country triggered in the region a reaction of sharing and collaboration between parishes, reducing tensions and fractures between communities (but, in other situations, exposing old divisions or fractures). The new map is assimilated, but criticism remains and two reversals have already occurred.

https://doi.org/10.15847/cct.27923

Electrospun PHBV nanofiber containing Tea Tree Oil: physicochemical and antimicrobial activity
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Santos, Verônica Ribeiro dos

; Vera, Samara Domingues

; Cena, Gabrielle Lupeti de

; Silva, Adrielle de Paula

; Lemes, Ana Paula

; Conceição, Kátia da

; Tada, Dayane Batista

; Borges, Alexandre Luiz Souto

; Trichês, Eliandra de Sousa

Polímeros

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2023, Volume 33 N. 1 elocation e20230004

Abstract: En | Text: En | PDF: En

Abstract Aiming to produce an antimicrobial dressing for wound healing applications, in this work Tea Tree oil (TTO) was incorporated into PHBV nanofibers by absorption. It was observed increase in the nanofiber diameter due to 5% TTO absorption efficiency, which also led to a 54% decrease in the contact angle. The releasing assay indicates a 6.8% oil release in the first 24 h – being probably the oil deposited at the polymer surface – followed by a minimal release at 48 h. The set of antimicrobial assays performed suggests the incorporation of TTO optimized the antimicrobial activity of the polymer for E. coli and C. albicans, while against S. aureus no significant difference was observed. The MTT assay showed no cytotoxicity of PHBV, but the incubation of L929 fibroblast cells with PHBV-TTO reduced cell viability. Overall, the PHBV nanofibers containing TTO present great potential as an antimicrobial dressing.

https://doi.org/10.1590/0104-1428.20220088

Oral and oropharyngeal cancer: time from first symptoms to treatment initiation and associated factors
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COSTA, Adriana Aparecida Silva da

; CALDEIRA, Patrícia Carlos

; SOUSA, Alexandre Andrade

; TIBÚRCIO, Jacqueline Domingues

; BELLIGOLI, Leonardo de Queiroz Gomes

; SANTOS, Viviane Bigodeiro dos

; BRETAS, Pedro Messeder Caldeira

; NUNES, Louise Lanna

; PRADO NETO, Severino Correia do

; SILVA, Gustavo Waldolato

; SOARES, João Marcos Arantes

Brazilian Oral Research

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2023, Volume 37 elocation e054

Abstract: En | Text: En | PDF: En

Abstract The aim of this study was to evaluate the time elapsed from first symptoms to the treatment of oral and oropharyngeal cancer (OOC) and to identify variables associated with treatment delay. This is an observational study with retrospective and prospective data collection. Patients with a diagnosis of OOC seen at the Head and Neck Surgery outpatient clinic of a Brazilian public hospital were included and followed up to treatment initiation. Participants answered a questionnaire for the collection of socioeconomic, demographic, cultural, and clinical information, as well as information about the time elapsed from first symptoms to the first appointment with a head and neck surgeon. Time to treatment was classified into four intervals: 1- first symptoms to first medical appointment; 2- first medical appointment to specialized medical care; 3- specialized medical care to preparation for treatment; and 4- preparation for treatment to treatment initiation. Bivariate statistics were computed. Out of 100 participants, nine died before treatment. Mean time to treatment was 217 days. Highest mean time was observed for interval 2 (94 days), followed by interval 1 (63 days), interval 4 (39 days), and interval 3 (21 days). At interval 1, a longer time was associated with severe alcohol consumption, severe smoking, and family history of cancer. At interval 2, the delay was associated with appointment with a general practitioner, clinical diagnosis of disease other than cancer, and antibiotic prescription. At interval 4, delay in treatment was associated with surgical treatment. Patients with OOC experience delays from symptom onset to treatment initiation. The longest interval was associated with professional delay, followed by patient delay in help-seeking.

https://doi.org/10.1590/1807-3107bor-2023.vol37.0054

3-D network routing of Brazil nut harvesting in tropical forests
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Lopes, Monique Sabioni

; Ribeiro, Carlos Antônio Alvares Soares

; Marcatti, Gustavo Eduardo

; Teixeira, Ana Paula Mendes

; Domingues, Getúlio Fonseca

; Mardeni, Vinícius Duarte Nader

; Santos, Alexandre Rosa dos

; Leite, Helio Garcia

CERNE

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2023, Volume 29 elocation e-103242

Abstract: En | Text: En | PDF: En

ABSTRACT Background: The aim of this research is to optimize the routing of Brazil nut harvesting in order to reduce labor costs and promote an equitable redistribution of placements among extractive interests. The study area was located in the Tahuamanu province, designated a Biosphere Reserve by UNESCO, in the Madre de Dios region of Peru. Planning for harvesting activities is vital to support sustainable use of the tropical forest by extractive communities, generating profit while minimizing adverse impacts on the forest. A location-allocation model was used to redistribute extraction placement areas, taking into account the number of trees and productivity for analysis. To optimize the order of nut load pickups at the placement areas, the vehicle routing problem (VRP) was used to minimize real distance and reduce traversal time. Results: The time taken to cover the route without delays was 08:46’, which is superior to the time taken to minimize the distance. However, the total delay time was 05:10’. Conclusion: Network analyses were effective in achieving the reallocation of placement areas and optimizing Brazil nut harvest routes.

https://doi.org/10.1590/01047760202329013242

Access of people with pulmonary tuberculosis to government programs: Primary Care professionals’ perceptions
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Lima, Hildegard Soares Barrozo de

; Sodré, Vitória Regina Domingues

; Souza, Cleide Aparecida Alves

; Cardoso, Mirian Domingos

; Gonçalves, Crhistinne Cavalheiro Maymone

; Nogueira, Laura Maria Vidal

; Rodrigues, Ivaneide Leal Ataíde

; Andrade, Erlon Gabriel Rego de

; Pereira, Alexandre Aguiar

; Motta, Maria Catarina Salvador da

; Souza, Maria Helena do Nascimento

; Zeitoune, Regina Célia Gollner

; Maciel, Ethel Leonor Noia

Revista Brasileira de Enfermagem

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2023, Volume 76 Suppl. 2 elocation e20220716

Abstract: En Es Pt | Text: En Es Pt | PDF: En | PDF: Es | PDF: Pt

ABSTRACT Objective: to analyze Primary Health Care professionals’ perceptions about the access of people with pulmonary tuberculosis to government social support and income transfer programs. Methods: multicenter/qualitative study, carried out in Family Health Units in four Brazilian capitals: Belém/Pará, Campo Grande/Mato Grosso do Sul, Recife/Pernambuco and Rio de Janeiro/Rio de Janeiro. Fifty-eight professionals participated (social workers, dentists, nurses, pharmacists, physicians and nursing technicians), who provided assistance to people with pulmonary tuberculosis. Individual interviews were conducted, and the content analysis technique was used. Results: among the participants, 45/77.6% were women and 33/56.9% were between 25 and 40 years old. Two thematic categories were organized, demonstrating the perceptions about the possibilities of access to government programs by people with pulmonary tuberculosis in vulnerable situations and the obstacles inherent to this context. Final considerations: it is necessary to move forward in improving patient access to social programs.

RESUMEN Objetivo: analizar las percepciones de los profesionales de la Atención Primaria de Salud sobre el acceso de las personas con tuberculosis pulmonar a los programas gubernamentales de apoyo social y transferencia de ingresos. Métodos: estudio multicéntrico/cualitativo, realizado en Unidades de Salud de la Familia en cuatro capitales brasileñas: Belém/Pará, Campo Grande/Mato Grosso do Sul, Recife/Pernambuco y Rio de Janeiro/Rio de Janeiro. Participaron 58 profesionales (trabajadores sociales, odontólogos, enfermeros, farmacéuticos, médicos y técnicos de enfermería) que brindaron asistencia a personas con tuberculosis pulmonar. Se realizaron entrevistas individuales y se utilizó la técnica de análisis de contenido. Resultados: entre los participantes, 45/77,6% eran mujeres y 33/56,9% tenían entre 25 y 40 años. Se organizaron dos categorías temáticas, demostrando las percepciones sobre las posibilidades de acceso a los programas gubernamentales por parte de las personas con tuberculosis pulmonar en situación de vulnerabilidad y los obstáculos inherentes a este contexto. Consideraciones finales: es necesario avanzar en mejorar el acceso de los pacientes a los programas sociales.

RESUMO Objetivo: analisar as percepções dos profissionais da Atenção Primária à Saúde sobre o acesso de pessoas com tuberculose pulmonar aos programas sociais governamentais de suporte e de transferência de renda. Métodos: estudo multicêntrico/qualitativo, realizado em Unidades de Saúde da Família de quatro capitais brasileiras: Belém/Pará, Campo Grande/Mato Grosso do Sul, Recife/Pernambuco e Rio de Janeiro/Rio de Janeiro. Participaram 58 profissionais (assistentes sociais, dentistas, enfermeiros, farmacêuticos, médicos e técnicos de enfermagem), que prestavam assistência às pessoas com tuberculose pulmonar. Foram realizadas entrevistas individuais, e utilizou-se a técnica de análise de conteúdo. Resultados: entre os participantes, 45/77,6% eram mulheres e 33/56,9% tinham entre 25 e 40 anos. Organizaram-se duas categorias temáticas, demonstrando as percepções acerca das possibilidades de acesso aos programas governamentais por pessoas com tuberculose pulmonar em situação de vulnerabilidade e os obstáculos inerentes a esse contexto. Considerações finais: é necessário avançar na melhoria do acesso dos doentes aos programas sociais.

https://doi.org/10.1590/0034-7167-2022-0716

Piotroski, Graham and Greenblatt: an Empirical Approach to Value Investing in the Brazilian Stock Market
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Domingues, Carlos Henrique Souza

; Aronne, Alexandre

; Pereira, Francisco

; Magalhães, Frank

BBR. Brazilian Business Review

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oct 2022, Volume 19 N. 5 Pages 475 - 491

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo Neste artigo, modelos de precificação de ativos multifatoriais são usados para avaliar e comparar o desempenho - por meio da análise do alfa de Jensen - de três carteiras de ações construídas de acordo com as estratégias de value investing propostas por Joseph Piotroski, Benjamin Graham e Joel Greenblatt. Para a construção das três carteiras, foram utilizados dados econômico-financeiros do período de janeiro de 2006 até dezembro de 2019 de uma amostra com 598 ações listadas na bolsa brasileira. Os parâmetros de um modelo de cinco fatores - uma versão estendida do modelo de quatro fatores de Carhart com a inclusão de um fator de iliquidez - são estimados para cada uma das três carteiras. Os resultados da regressão indicam que as três estratégias geraram alfa de Jensen positivo e estatisticamente significativo com a especificação de cinco fatores e outras variações. No entanto, os retornos excedentes estimados de acordo com as diversas especificações variam substancialmente. A especificação do Capital Asset Pricing Model (CAPM) parece subestimar o alfa de Jensen quando comparada a outras especificações que fornecem maior poder explicativo (R2Ajustado).

Abstract In this paper, multifactor asset pricing models are used to assess and compare the performance - through the analysis of Jensen’s alpha - of three equity portfolios constructed according to the value investing strategies proposed by Joseph Piotroski, Benjamin Graham, and Joel Greenblatt. Three portfolios are constructed according to the methodologies developed by each author, using financial and accounting data from a sample of 598 stocks traded in the Brazilian stock exchange during the period Jan/2006-Dec/2019. Parameters of a five-factor model - an extended version of Carhart’s four factor model with the inclusion of an illiquidity factor - are estimated for each of the three portfolios. Regression results indicate that the three strategies have generated positive and statistically significant Jensen’s alpha in the five-factor model setting and other variations. However, the excess returns estimated according to different specifications vary substantially. The Capital Asset Pricing Model specification seems to underestimate Jensen’s alpha when compared to other specifications that provide higher explanatory power (adjusted R2).

https://doi.org/10.15728/bbr.2022.19.5.1.en

High schistosomiasis-related mortality in Northeast Brazil: trends and spatial patterns
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Silva, Bárbara Morgana da

; Ferreira, Anderson Fuentes

; Silva, José Alexandre Menezes da

; Amorim, Rebeca Gomes de

; Domingues, Ana Lúcia Coutinho

; Pinheiro, Marta Cristhiany Cunha

; Bezerra, Fernando Schemelzer de Moares

; Heukelbach, Jorg

; Ramos Jr, Alberto Novaes

Revista da Sociedade Brasileira de Medicina Tropical

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2022, Volume 55 elocation e0431-2021

Abstract: En | Text: En | PDF: En

ABSTRACT Background: We analyzed the trends and spatial patterns of schistosomiasis-related mortality in Northeast Brazil in 2000-2019. Methods: A mixed population-based ecological study was conducted, using information on the underlying or associated causes of death. We used Joinpoint regression analysis to calculate the trends. The spatial analysis included rates, spatial moving averages, and standardized mortality rates. The spatial dependence analysis was based on Getis-Ord's G and Gi* indices (Gi star) and local Moran’s index to check for autocorrelation. Results: A total of 5,814,268 deaths were recorded, of which 9,276 (0.16%) were schistosomiasis-related; 51.0% (n=4,732, adjusted rate 0.90/100,000 inhabitants [95% confidence interval (CI) 0.88-0.93]) were males; 40.0% (n=3,715, adjusted rate 7.40/100.000 inhabitants [95%CI: 7.16-7.64]) were ≥70 years old; 54.8% (n=5,087, crude rate 0.80/100,000 inhabitants) were of mixed/Pardo-Brazilian ethnicity; and 77.9% (n=7,229, adjusted rate 0.86/100,000 inhabitants [95%CI: 0.84-0.88]) lived outside state capitals. The highest proportion of deaths was in the state of Pernambuco (53.9%, n=4,996, adjusted rate 2.72/100,000 inhabitants [95%CI: 2.64-2.79]). Increasing mortality rate was verified in the state of Sergipe. On the coast of the state of Rio Grande do Norte and Bahia, there was spatial dependence of spatio-temporal risk patterns with clusters. Throughout the study period, we found positive spatial autocorrelation and cluster formation. Conclusions: In Northeast Brazil, schistosomiasis persists with a high mortality rate, especially in the coastal region, with heterogeneous spatial and temporal patterns. To eliminate schistosomiasis by 2030, it is necessary to strengthen the financing and management of the unified health system (SUS).

https://doi.org/10.1590/0037-8682-0431-2021

COVID-19 and isolation: Risks and implications in the scenario of new variants
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Dias, Viviane Maria de Carvalho Hessel

; Oliveira, Alexandre Ferreira

; Marinho, Ana Karolina Barreto Berselli

; Santos Ferreira, Carlos Eduardo dos

; Domingues, Carlos Eduardo Ferreira

; Fortaleza, Carlos Magno Castelo Branco

; Vidal, Claudia Fernanda de Lacerda

; Carrilho, Claudia Maria Dantas de Maio

; Pinheiro, Debora Otero Britto Passos

; de Assis, Denise Brandão

; Medeiros, Eduardo Alexandrino

; Morejón, Karen Mirna Loro

; Weissmann, Leonardo

; Michelin, Lessandra

; Carneiro, Marcelo

; Nogueira, Maria Dolores Santos da Purificação

; de Oliveira, Priscila Rosalba Domingos

; Buralli, Rafael Junqueira

; Stucchi, Raquel Silveira Bello

; Lins, Rodrigo Schrage

; Costa, Silvia Figueiredo

; Chebabo, Alberto

Brazilian Journal of Infectious Diseases

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2022, Volume 26 N. 5 elocation 102703

Abstract: En | Text: En | PDF: En

Abstract With the emergence of new variants of SARS-CoV-2, questions about transmissibility, vaccine efficacy, and impact on mortality are important to support decision-making in public health measures. Modifications related to transmissibility combined with the fact that much of the population has already been partially exposed to infection and/or vaccination, have stimulated recommendations to reduce the isolation period for COVID-19. However, these new guidelines have raised questions about their effectiveness in reducing contamination and minimizing impact in work environments. Therefore, a collaborative task force was developed to review the subject in a non-systematic manner, answering questions about SARS-CoV-2 variants, COVID-19 vaccines, isolation/quarantine periods, testing to end the isolation period, and the use of masks as mitigation procedures. Overall, COVID-19 vaccines are effective in preventing severe illness and death but are less effective in preventing infection in the case of the Omicron variant. Any strategy that is adopted to reduce the isolation period should take into consideration the epidemiological situation of the geographical region, individual clinical characteristics, and mask for source control. The use of tests for isolation withdrawal should be evaluated with caution, due to results depending on various conditions and may not be reliable.

https://doi.org/10.1016/j.bjid.2022.102703

No trilho da ‘viagem filosófica’ de Alexandre Rodrigues Ferreira: uma breve história das suas coleções e sua disseminação
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Domingues, Ângela Maria Vieira

Boletim do Museu Paraense Emílio Goeldi. Ciências Humanas

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2021, Volume 16 N. 3 elocation e20200109

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo A ‘viagem filosófica’ de Alexandre Rodrigues Ferreira é, de longe, a mais intensa e profusamente estudada pela comunidade acadêmica portuguesa e brasileira. Este artigo pretende fazer um ponto de situação em relação à história das coleções e ao modo como este valioso patrimônio foi considerado ao longo do tempo; e destacar como, ainda hoje, continua a ser um espólio importante e válido para as mais diversas áreas científicas. Nesse sentido, proponho, em primeiro lugar, fazer um ponto de situação sobre a origem da coleção documental, considerando os textos e os registros visuais (desenhos, mapas, espécimes naturais, herbários, materiais tridimensionais) e os seus múltiplos destinos; seguidamente, procuro entender como se processou a disseminação deste espólio e de que forma é que a comunidade acadêmica e a sociedade puderam gradualmente aceder aos textos e à iconografia, nomeadamente através de publicações, exposições, plataformas digitais; e, finalmente, pretendo destacar a riqueza dum conjunto documental que continua a permitir leituras múltiplas e olhares renovados não apenas a historiadores, mas também a cientistas das mais diversas áreas. Conjuntamente, eles têm um papel notável na preservação e na disseminação dum patrimônio que, por tanto tempo, ficou oculto, quase esquecido.

Abstract Alexandre Rodrigues Ferreira's ‘philosophical voyage’ is by far the most intense and profusely studied voyage by the Portuguese and Brazilian academic community. This article intends to take stock in relation to the history of the collection and the ways in which this valuable heritage was considered over time; and to highlight how, even today, it remains an important and valid collection for the most diverse scientific areas. Therefore, I propose, firstly, to make a situation report on the origins of this collection, considering texts and visual records (drawings, maps, natural specimens, herbariums, three-dimensional materials) and their multiple destinations; then, to understand how this heritage was disseminated and how the academic community and the society were gradually able to access texts and iconography, namely through publications, exhibitions, digital platforms; and, finally, to highlight the richness of a documentary set that continues to allow multiple readings and renewed views not only for historians, but also for scientists from the most diverse areas. Together, they play a notable role in the preservation and dissemination of a heritage that, for so long, was hidden, almost forgotten.

https://doi.org/10.1590/2178-2547-bgoeldi-2020-0109 116 downloads

10.

Percepção do Estudante de Medicina sobre a Inserção da Radiologia no Ensino de Graduação com Uso de Metodologias Ativas
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Silva, Alexandre Ferreira da

; Domingues, Robson José de Souza

; Kietzer, Kátia Simone

; Freitas, Jofre Jacob da Silva

Revista Brasileira de Educação Médica

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jun 2019, Volume 43 N. 2 Pages 95 - 105

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO A radiologia no curso de graduação em Medicina alcançou nova dimensão não só como instrumento de diagnóstico complementar, mas também por sua utilização como ferramenta de ensino, integrada ao estudo da anatomia e patologia, entre outros assuntos. Embora os conhecimentos da radiologia sejam bastante utilizados no ensino da medicina através de metodologias ativas, ainda são escassos os trabalhos relatando a experiência de como o aluno percebe a importância desse conhecimento. Objetivo Estudar a percepção de alunos de medicina sobre a inserção da radiologia no ensino de graduação com uso de metodologias ativas. Método Estudo qualitativo, realizado com estudantes de medicina matriculados no terceiro e quinto semestres, cuja amostra constituiu-se de 12 alunos de uma população de 100 alunos de uma universidade pública estadual. Os dados foram obtidos através de entrevistas, com a aplicação de um questionário semiestruturado com questões abertas sobre o ensino da radiologia, suas implicações e aplicações em medicina, características positivas e negativas, no processo de aprendizagem através do uso de metodologias ativas. Os dados foram analisados separadamente, agrupados por categorização e submetidos à análise temática por dois pesquisadores, antes da reflexão conjunta, havendo ainda a descrição do ambiente e também a triangulação dos resultados. Resultados Foram identificados conteúdos latentes e semânticos, recorrentes, singulares e controversos. Os temas recorrentes identificados como fundamentos de uma estratégia vantajosa para o ensino do radiodiagnóstico na graduação médica foram: necessidade de introdução precoce da radiologia por conta de sua transversalidade e seu papel na atividade de ensino em serviço; ensino sistemático dos princípios biofísicos e vocabulário para facilitar o estudo; o papel do exame complementar no contexto do problema na tutoria e o desenvolvimento de material didático de conteúdo integrado com abordagem morfofuncional. Aspectos singulares como a dificuldade para estudo que envolva conhecimento de língua estrangeira e o uso de redes sociais, e controvérsias identificadas, a respeito do papel do professor no processo de ensino e aprendizagem, bem como, em relação ao significado do aprendizado da radiologia na graduação em medicina, também foram considerados elementos construtivos de uma abordagem moderna, já que o ensino da radiologia vive um momento de reformulação. Conclusão Observou-se que na percepção dos estudantes entrevistados, o componente curricular morfofuncional, frequentemente utilizado no ensino baseado em problemas poderá ser usado para abordar a radiologia e diagnóstico por imagem numa visão multidimensional, contextualizada e interdisciplinar que vá além do papel de método de exame complementar, integrado a outros saberes de forma significativa, especialmente anatomia e patologia, facilitando a aprendizagem tanto da radiologia quanto dos demais assuntos envolvidos na temática abordada em cada módulo de estudo.

ABSTRACT Radiology in medical school has taken on a new dimension in terms of its usefulness, not only as a complementary diagnostic instrument but also as a teaching tool integrated into the study of anatomy and pathology, among other subjects. Although knowledge of radiology is widely used in medical teaching, through active methodologies, there is a lack of studies reporting experiences of how students view the importance of this knowledge. Aim To study the perceptions of medical students on the inclusion of radiology in undergraduate education, through the use of active methodologies. Method A qualitative study, conducted with students enrolled in the third and fifth semesters. The sample comprised 12 subjects chosen from a population of 100 students at a public state university. Data were obtained from interviews using a semi-structured questionnaire with open questions about radiology teaching, its implications and applications in medicine, and positive and negative characteristics of the learning process using active methodologies. Data were analyzed separately, grouped by categorization, and submitted to thematic analysis by two researchers, before being reflected on jointly. There was also description of the environment and triangulation of the results. Results Latent, semantic, recurrent, unique, and controversial contents were identified. The recurrent themes in the interviews, identified as forming the basis of an advantageous strategy for radiodiagnostic teaching in undergraduate medical education, were as follows: (a) the need of an early introduction to radiology, due to its transversality and its importance to teaching; (b) a systematic study of the biophysical principles and vocabulary used in the field, to facilitate its study; (c) the role of complementary exams in the context of tutoring problems and (d) the development of teaching materials that use integrated content with a morphofunctional approach. Unique aspects, such as study difficulties related to knowledge of a foreign language and the use of social networks, and controversies regarding the teachers’ role in the process and what it means to learn radiology in medical school were also considered elements that can be used as part of a modern approach, with radiology education currently being in a process of change. Conclusion It was concluded, according to the perceptions of the students interviewed, that the morphofunctional curricular component often used in problem-based teaching might be used to teach radiology and imaging diagnosis, within a multidimensional, contextualized, and transdisciplinary perspective. This goes beyond its role as a means of providing complementary exams, significantly integrating other sources of knowledge (especially anatomy and pathology) and facilitating the learning of both radiology and related subjects addressed in each study module.

https://doi.org/10.1590/1981-52712015v43n2rb20180126 2197 downloads

11.

The QualiRede intervention: improving the performance of care continuum in HIV, congenital syphilis, and hepatitis C in health regions
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Nemes, Maria Ines Battistella

; Castanheira, Elen Rose Lodeiro

; Alves, Ana Maroso

; Adania, Carolina Simone Souza

; Loch, Ana Paula

; Monroe, Aline Aparecida

; Souza, Rosa Alencar

; Gianna, Maria Clara

; Caminada, Sirlene

; Farias, Norma Suely de Oliveira

; Sousa, Paula de Oliveira e

; Domingues, Carmen Silva Bruniera

; Silva, Mariliza Henrique da

; Cervantes, Vilma

; Yamashiro, Juliana

; Caraciolo, Joselita Maria de Magalhães

; Silva, Fabiano Lima da

; Nemes Filho, Alexandre

; Jesus, Gabriel Lima de

; Helena, Ernani Tiaraju de Santa

; Albiero, José Francisco Gontan

; Lima, Marcela Soares Silveira

; Bellenzani, Renata

; Kehrig, Ruth Terezinha

; Vale, Felipe Campos do

; Nunes, Luceime Olivia

; Mendonça, Carolina Siqueira

; Zarili, Thais Fernanda Tortorelli

; Vilela, Mara Cristina

; Dantas, Jean Carlos de Oliveira

; Paula, Ivone de

; Tayra, Ângela

; Coelho, Débora Moraes

; Santos, Glauber Palha dos

; Quevedo, Dulce Castro

; Silva, Marcia Aparecida da

; Silva, Iraci Batista da

; Nasser, Mariana Arantes

; Andrade, Marta Campagnoni

; Santos, Maria Altenfelder

; Mercuri, Juliana

; Trindade, Katia Valeska

; Neves, Maria Aparecida Teixeira das

; Toledo, Renata Villanueva Alves de

; Almeida, Maria Cecília Rossi de

; Lima, Iraty Nunes

Revista Brasileira de Epidemiologia

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2019, Volume 22 Suppl. 1 elocation e190010

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO Introdução: Modelos de cuidado contínuo baseiam recentes estratégias em HIV, infecções sexualmente transmissíveis e hepatite C (HCV). Métodos: Desenvolveram-se modelos de contínuo do cuidado em HIV, HCV e sífilis congênita incluindo todas as etapas da atenção, desde a promoção e a prevenção até o controle clínico/cura. O modelo baseou a intervenção QualiRede, desenvolvida em parceria entre universidade e Sistema Único de Saúde (SUS), direcionada a gestores e demais profissionais de 6 regiões de saúde prioritárias em São Paulo e Santa Catarina. Selecionaram-se indicadores para cada etapa do contínuo do cuidado, provenientes dos sistemas de informação do SUS e dos questionários de avaliação de processo Qualiaids e QualiAB. Os indicadores formaram a base técnica de duas oficinas com profissionais e gestores de cada região: a primeira para identificar problemas e formar um Grupo Técnico Regional; e a segunda para construir planos de ação e metas a fim de melhorar o desempenho regional. Resultados: Os indicadores estão disponíveis no website www.qualirede.org. As oficinas ocorreram em quatro regiões de São Paulo (Alto Tietê, Baixada Santista, Grande ABC e Registro) e uma região de Santa Catarina (Foz do Rio Itajaí), resultando em planos regionais em São Paulo, mas não em Santa Catarina. Observou-se domínio limitado dos novos protocolos para HIV e HCV e uso incipiente de indicadores na rotina dos serviços. Conclusão: Melhorar o desempenho do contínuo do cuidado exige apropriação dos indicadores de desempenho e coordenação integrada dos fluxos de atenção em todos os níveis de gestão.

ABSTRACT Introduction: Care continuum models have supported recent strategies against sexually transmitted diseases, such as HIV and Hepatitis C (HCV). Methods: HIV, HCV, and congenital syphilis care continuum models were developed, including all stages of care, from promotion/prevention to clinical control/cure. The models supported the intervention QualiRede, developed by a University-Brazilian National Health System (SUS) partnership focused on managers and other professionals from six priority health regions in São Paulo and Santa Catarina. Indicators were selected for each stage of the care continuum from the SUS information systems and from the Qualiaids and QualiAB facility’s process evaluation questionnaires. The indicators acted as the technical basis of two workshops with professionals and managers in each region: the first one to identify problems and to create a Regional Technical Group; and the second one to design action plans for improving regional performance. Results: The indicators are available at www.qualirede.org. The workshops took place in the regions of Alto Tietê, Baixada Santista, Grande ABC, and Registro (São Paulo) and of Foz do Rio Itajaí (Santa Catarina), which resulted in regional action plans in São Paulo, but not in Santa Catarina. A lack of awareness was observed regarding the new HIV and HCV protocols, as well as an incipient use of indicators in routine practices. Conclusion: Improving the performance of the care continuum requires appropriation of performance indicators and coordination of care flows at local, regional, and state levels of management.

https://doi.org/10.1590/1980-549720190010.supl.1

12.

The QualiRede intervention: improving the performance of care continuum in HIV, congenital syphilis, and hepatitis C in health regions
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Nemes, Maria Ines Battistella

; Castanheira, Elen Rose Lodeiro

; Alves, Ana Maroso

; Adania, Carolina Simone Souza

; Loch, Ana Paula

; Monroe, Aline Aparecida

; Souza, Rosa Alencar

; Gianna, Maria Clara

; Caminada, Sirlene

; Farias, Norma Suely de Oliveira

; Sousa, Paula de Oliveira e

; Domingues, Carmen Silva Bruniera

; Silva, Mariliza Henrique da

; Cervantes, Vilma

; Yamashiro, Juliana

; Caraciolo, Joselita Maria de Magalhães

; Silva, Fabiano Lima da

; Nemes Filho, Alexandre

; Jesus, Gabriel Lima de

; Helena, Ernani Tiaraju de Santa

; Albiero, José Francisco Gontan

; Lima, Marcela Soares Silveira

; Bellenzani, Renata

; Kehrig, Ruth Terezinha

; Vale, Felipe Campos do

; Nunes, Luceime Olivia

; Mendonça, Carolina Siqueira

; Zarili, Thais Fernanda Tortorelli

; Vilela, Mara Cristina

; Dantas, Jean Carlos de Oliveira

; Paula, Ivone de

; Tayra, Ângela

; Coelho, Débora Moraes

; Santos, Glauber Palha dos

; Quevedo, Dulce Castro

; Silva, Marcia Aparecida da

; Silva, Iraci Batista da

; Nasser, Mariana Arantes

; Andrade, Marta Campagnoni

; Santos, Maria Altenfelder

; Mercuri, Juliana

; Trindade, Katia Valeska

; Neves, Maria Aparecida Teixeira das

; Toledo, Renata Villanueva Alves de

; Almeida, Maria Cecília Rossi de

; Lima, Iraty Nunes

Revista Brasileira de Epidemiologia

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2019, Volume 22 Suppl. 1 elocation e190010

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

https://doi.org/10.1590/1980-549720190010.supl.1 2475 downloads

13.

EARLY PRUNING OF EUCALYPTUS PLANTS USING GLUFOSINATE AMMONIUM
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Krenchinski, Fábio Henrique

; Costa, Renato Nunes

; Bevilaqua, Natalia da Cunha

; Galon, João Alexandre

; Oliveira, Johnny Angelo de

; Carbonari, Caio Antonio

; Velini, Edivaldo Domingues

CERNE

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sep 2018, Volume 24 N. 3 Pages 162 - 168

Abstract: En | Text: En | PDF: En

ABSTRACT Eucalyptus stands out in the Brazilian silvicultural sector as the most planted tree species for commercial purposes thus, practices that facilitate management and improve wood quality are increasingly required. Although artificial mechanical pruning has been used for this crop, the use of herbicides for pruning can be more practical, rapid and have lower costs. Thus, the objective of this work was to evaluate the use of glufosinate ammonium in the chemical pruning of eucalyptus plants. Eucalyptus seedlings were transplanted into 10-L pots filled with soil and substrate and subjected to the treatments (mechanical pruning, chemical pruning, and no pruning) 90 days after transplanting. Lateral branches were cut with pruning shears for the mechanical pruning. Glufosinate ammonium (500 g a.i. ha-1) was applied to the sides of the plants for the chemical pruning, simulating a field-planting row (3.5 x 2.0 meters), using a CO2-pressurized sprayer; the untreated branches were covered with plastic bags to avoid receiving the herbicide. The percentage of artificial pruning used was 60% of the vertical height of the eucalyptus plants. Glufosinate, glutamate, and ammonia contents, electron transport rate, percentage of pruning, plant height, number of leaves, and dry matter mass of the plants were evaluated. The application of glufosinate ammonium defoliate the treated branches and did not affect significantly the parts of the plants that did not receive the herbicide regarding the evaluated compounds, and growth of the plants, denoting that glufosinate ammonium can be used for chemical pruning of eucalyptus plants.

https://doi.org/10.1590/01047760201824032565 885 downloads

14.

Reconstrução de parede torácica com retalhos musculocutâneos e fasciocutâneos em pacientes com câncer de mama localmente avançado e metastático
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ABDALA JUNIOR, JOEL

; DUTRA, ALEXANDRE KATALINIC

; DOMINGUES, MAURICIO CASTELO

; YOSHIMATSU, EDUARDO KOITI

Revista Brasileira de Cirurgia Plástica

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2018, Volume 33 N. 4 Pages 469 - 477

Abstract: En Pt | Text: En Pt | PDF: En | PDF: Pt

ABSTRACT Introduction: Breast cancer is the most common cancer among women worldwide. Locally advanced breast cancer is characterized by clinical stage IIIb or IV and accounts for 20-25% of all cases. Defects are reconstructed using myocutaneous and fasciocutaneous flaps, primarily from the latissimus dorsi and rectus abdominis muscles. The objective is to evaluate the results of thoracic wall reconstructions in cases of locally advanced breast cancer using fasciocutaneous and myocutaneous flaps. Methods: This was a retrospective, observational, and descriptive single-center study. Variables studied included defect size and flap dimensions, myocutaneous flap type, presence of cutaneous and visceral metastasis, postoperative evolution, and complications. Results: We selected 11 patients with a mean age of 49 years; the left side was the most commonly affected. The most common tumor type was invasive ductal carcinoma. The flaps were made of latissimus dorsi VY (LDVY) in two patients, latissimus dorsi associated with thoracoabdominal flaps (LDVYTA) in two, vertical rectus abdominus myocutaneous flap (VRAM) in four, and thoracoabdominal flaps (TA) in three. The mean defect area was 421.72 cm2, while the mean flap area was 451 cm2. The most frequent complication was partial dehiscence (seven patients). Six patients achieved lethal exit. VRAM flaps presented more complications. The mean survival for VRAM was 25.5 months, LDVY was 17 months, TA was 17 months, LDVYTA was 20.5 months. Conclusion: Myocutaneous and fasciocutaneous flaps are effective for chest wall reconstruction after locally advanced breast cancer resection.

RESUMO Introdução: Câncer de mama localmente avançado é caracterizado pelos estádios clínicos IIIb ou IV e representam de 20 a 25% de todos os casos. A reconstrução dos defeitos é feita com retalhos musculocutâneos e fasciocutâneos, sendo os mais utilizados o latíssimo do dorso e o reto abdominal. O objetivo é avaliar resultados das reconstruções de parede torácica em câncer de mama localmente avançados com retalhos musculocutâneos e fasciocutâneos. Métodos: Estudo retrospectivo, observacional descritivo, em único centro. Variáveis estudadas: dimensões do defeito e do retalho, tipo de retalho utilizado para a reconstrução, metástases cutâneas e viscerais, evolução pós-operatória e complicações. Resultados: 11 pacientes, com média de idade de 49 anos, com o lado esquerdo mais acometido. O tipo tumoral mais encontrado foi o carcinoma ductal invasivo. Os retalhos realizados foram: 2 latíssimos do dorso com desenho VY (LDVY), 2 latíssimos do dorso associados a retalho toracoabdominal (LDVYTA), 4 verticais do músculo reto do abdome (VRAM) e 3 toracoabdominais (TA). A área média dos defeitos foi 421,72cm2 e a área média dos retalhos utilizados foi de 451cm2. A complicação mais frequente foi deiscência parcial da ferida operatória, presente em 7 pacientes. Da amostra, 6 pacientes atingiram êxito letal. VRAM foi o retalho que apresentou mais complicações. A sobrevida média para VRAM foi de 25,5 meses, para LDVY de 17 meses, TA de 17 meses e LDVYTA de 20,5 meses. Conclusão: Os retalhos musculocutâneos e fasciocutâneos são eficazes para a reconstrução da parede torácica após a ressecção de neoplasias mamárias localmente avançadas.

https://doi.org/10.5935/2177-1235.2018rbcp0167

15.

APPLICATION OF CHEMICAL RIPENERS MIXTURES THE TECHNOLOGICAL QUALITY AND AGRICULTURAL PRODUCTIVITY OF SUGARCANE
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VIANA, RONALDO DA SILVA

; VELINI, EDIVALDO DOMINGUES

; LISBOA, LUCAS APARECIDO MANZANI

; ASSUMPÇÃO, ANA CAROLINA NUNES DOMINGUES

; FIGUEIREDO, PAULO ALEXANDRE MONTEIRO

Revista Caatinga

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sep 2017, Volume 30 N. 3 Pages 541 - 550

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO O objetivo deste trabalho foi avaliar a aplicação das misturas de maturadores químicos na qualidade tecnológica e produtividade agrícola da cana-de-açúcar . Foi utilizado o delineamento experimental em blocos casualizados arranjados em parcelas sub-subdivididas com 4 blocos, sendo as parcelas principais constituídas pelas variedades de cana-de-açúcar: SP803280 e SP801842. As subparcelas consistiram da aplicação dos seguintes produtos com suas respectivas misturas: controle - ausência de maturador; sulfometurom metil + glifosato; etefon + glifosato; glifosato e compostos de radicais carboxílicos orgânicos + glifosato. As sub-subparcelas foram constituídas de épocas de avaliação: 0; 15 e 30 dias após as aplicações dos produtos. As amostras de cada parcela foram colhidas manualmente e encaminhadas ao laboratório para determinação dos sólidos solúveis Brix (% caldo); teor de sacarose no caldo - Pol (% caldo); Açúcares redutores (AR%); Açúcares redutores totais (ART%); Fibra (%); Pureza (%); Umidade (%) e Açúcar total recuperável ATR (kg t-1). As parcelas foram totalmente colhidas e os colmos despontados para pesagem e para a determinação das características: Rendimento de colmos por hectare (TCH) e Rendimento de açúcar por hectare (TAH). A variedade SP803280 destacou-se como mais responsiva ao uso das misturas de maturadores químicos. Para as características tecnológicas, a mistura sulfometurom metil (0,02 kg ha-1) + glifosato (0,15 L ha-1) apresentou os melhores resultados a partir dos 15 dias após a sua aplicação. As misturas de maturadores químicos não proporcionaram aumentos de produtividade de colmos e açúcar por área.

ABSTRACT The objective of this work was to evaluate the effect of applying mixtures of chemical ripeners on the technological quality and agricultural productivity of sugarcane. The experimental design consisted of randomized blocks arranged in split- split-plots with four blocks, the main plots being constituted by sugarcane varieties SP803280 and SP801842. The subplots consisted of the application of the following products with their respective mixtures: control - absence of ripener; Sulfometrom methyl + glyphosate; ethephon + glyphosate; glyphosate and compounds of organic carboxylic radicals + glyphosate. The sub-subplots were composed of evaluation times: 0; 15 and 30 days after applying the products. Samples from each plot were collected manually and sent to the laboratory for the determination of soluble Brix solids (% broth); Sucrose content in the broth - Pol (% broth); Reducing sugars (RS%); Total reducing sugars (TRS%); Fiber (%); Purity (%); Humidity (%) and Total recoverable sugar TRS (kg t-1). The plots were fully harvested and the stems were taken for weighing and for characteristics determination: Yield per hectare (TCH) and Yield of sugar per hectare (TAH). The SP803280 variety was more responsive to the use of mixtures of chemical ripeners. For the technological characteristics, sulfometurom methyl (0.02 kg ha-1) + glyphosate (0.15 L ha-1) presented the best results from 15 days after application. Mixtures of chemical ripeners did not increase the yields of stalks and sugar per area.

https://doi.org/10.1590/1983-21252017v30n301rc 1883 downloads

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