Resumo: Introdução: Para que se possa superar os modelos curriculares tradicionais nos cursos de enfermagem e medicina, uma das propostas tem sido organizar a formação a partir de currículo integrado e metodologias ativas de ensino-aprendizagem. A parceria ensino-serviço tem se mostrado uma estratégia importante para a implementação dessa organização currícular, estando sustentada nas propostas das Diretrizes Curriculares Nacionais. Dessa forma, torna-se importante compreender os processos envolvidos na constituição das parcerias com os serviços de saúde. Objetivo: analisar a construção da parceria ensino-serviço na Atenção Primária à Saúde em um município do Estado de São Paulo nos currículos de Enfermagem e Medicina na percepção dos gestores, preceptores e docentes. Método: pesquisa qualitativa realizada com gestores da academia e serviço, preceptores e docentes. Os dados foram coletados por meio de entrevistas semi- estruturada com onze gestores, oito docentes e nove preeptores do serviço. Utilizou-se a análise de conteúdo, modalidade temática no processamento dos dados. Resultados: identificou-se que a parceria ensino-serviço é essencial no currículo integrado na matriz dialógica de competência e há necessidade de pactuações entre os parceiros. Há desafios na construção das pactuações para que ocorra a formação e a participação dos profissionais como preceptores. Proposto o fortalecimento e consolidação da parceria por meio de documentos, gestão participativa, retomada de reuniões periódicas e Educação Permanente em Saúde entre a academia e o serviço. Conclusão: O processamento das entrevistas em cada segmento e entre os segmentos pesquisados (gestores, preceptores e docentes), oportunizou a compreensão dos olhares de forma articulada. A parceria é vista como importante para a formação no mundo do trabalho e os desafios a serem enfrentados para a sua consolidação envolvem a pactuação por meio de gestão participativa.

Abstract: Introduction: In order to overcome the traditional curricular models in Nursing and Medicine courses, one of the proposals has been to organize the training based on an integrated curriculum and active teaching-learning methodologies. The teaching-service partnership has proven to be an important strategy for the implementation of this curricular organization, being supported in the proposals of the National Curricular Guidelines. Thus, it is important to understand the processes involved in forming partnerships with health services. Objective: to analyze the construction of teaching- service partnership in Primary Health Care, in a city in the state of São Paulo, in Nursing and Medicine curricula from the perception of managers, preceptors and teachers. Method: qualitative research carried out with academy and service managers, preceptors and professors. The data were collected through semi-structured interviews with eleven managers, eight professors, and nine service preceptors. Content analysis, thematic modality was used in processing the data. Results: it was identified that teaching-service partnership is essential in integrated curriculum in the dialogical competence framework and there is a need for agreements between the partners. There are challenges in building the agreements for the training and participation of professionals as preceptors. It was proposed to strengthen and consolidate the partnership by means of documents, participative management, resumption of periodic meetings, and Permanent Education in Health between the academy and the service. Conclusion: The processing of the interviews in each segment and among the researched segments (managers, preceptors, and professors), provided the opportunity to understand the perspectives in an articulated manner. The partnership is understood as something important for training in the world of work and the challenges to be faced for its consolidation involve agreements by means of participative management.

Resumo Este trabalho objetivou analisar a tendência e a distribuição espacial da mortalidade de motociclistas em acidentes de transporte no estado de Alagoas. Trata-se de um estudo ecológico referente a todos os óbitos decorrentes de acidentes motociclísticos no estado no período 2001-2015. Os dados de mortalidade foram obtidos do Sistema de Informações sobre Mortalidade (SIM). As taxas de mortalidade foram calculadas e estratificadas por sexo. Para a análise de tendência, foi empregado o modelo de regressão por pontos de inflexão. Calculou-se a Variação Percentual Anual (VPA). Significância de 5%. Para a análise espacial, aplicou-se modelagem bayesiana empírica local, estatística de Moran e estatística de varredura espacial. Foram registrados 1.458 óbitos de motociclistas no período estudado, sendo 91,3% homens. Três comportamentos temporais foram observados nessa população: crescimento (2001-2005), padrão estacionário (2005-2013) e declínio a partir de 2013. As maiores taxas foram observadas no agreste e sertão. Cinco aglomerados espaciais foram evidenciados no que se refere à mortalidade geral e masculina, todos situados no agreste e sertão alagoanos. A modelagem mostrou redução da mortalidade a partir de 2013 e a análise espacial evidenciou que o problema é mais grave no interior do estado.

Abstract The scope of this work was to analyze the trend and distribution of mortality among motorcyclists in traffic accidents in the State of Alagoas. It involved an ecological study relating to all deaths resulting from motorcycle accidents in the state in the period from 2001 to 2015. Mortality data were obtained from the Mortality Information System (MIS). Mortality rates were calculated and stratified by gender. The joinpoint regression model was used for trend analysis and the Annual Percentage Variation (APV) was calculated with a significance rate of 5%. For the spatial analysis, local empirical Bayesian modeling and Moran statistics and spatial scanning statistics were applied. There were 1,458 deaths of motorcyclists in the period studied, 91.3% of which were men. Three temporal behaviors were observed in this population group: growth (2001-2005), stationary pattern (2005-2013) and decline from 2013 onwards. The highest rates were observed in the ‘agreste’ and ‘sertão’ regions of the state of Alagoas. Five spatial clusters were revealed with relation to general and male mortality, all located in the ‘agreste’ and ‘sertão’ hinterlands of Alagoas. The modeling showed a reduction of mortality from 2013 onwards and the spatial analysis revealed that the problem is more acute in the interior of the state.

Resumo Este trabalho objetivou analisar a tendência e a distribuição espacial da mortalidade de motociclistas em acidentes de transporte no estado de Alagoas. Trata-se de um estudo ecológico referente a todos os óbitos decorrentes de acidentes motociclísticos no estado no período 2001-2015. Os dados de mortalidade foram obtidos do Sistema de Informações sobre Mortalidade (SIM). As taxas de mortalidade foram calculadas e estratificadas por sexo. Para a análise de tendência, foi empregado o modelo de regressão por pontos de inflexão. Calculou-se a Variação Percentual Anual (VPA). Significância de 5%. Para a análise espacial, aplicou-se modelagem bayesiana empírica local, estatística de Moran e estatística de varredura espacial. Foram registrados 1.458 óbitos de motociclistas no período estudado, sendo 91,3% homens. Três comportamentos temporais foram observados nessa população: crescimento (2001-2005), padrão estacionário (2005-2013) e declínio a partir de 2013. As maiores taxas foram observadas no agreste e sertão. Cinco aglomerados espaciais foram evidenciados no que se refere à mortalidade geral e masculina, todos situados no agreste e sertão alagoanos. A modelagem mostrou redução da mortalidade a partir de 2013 e a análise espacial evidenciou que o problema é mais grave no interior do estado.

Abstract The scope of this work was to analyze the trend and distribution of mortality among motorcyclists in traffic accidents in the State of Alagoas. It involved an ecological study relating to all deaths resulting from motorcycle accidents in the state in the period from 2001 to 2015. Mortality data were obtained from the Mortality Information System (MIS). Mortality rates were calculated and stratified by gender. The joinpoint regression model was used for trend analysis and the Annual Percentage Variation (APV) was calculated with a significance rate of 5%. For the spatial analysis, local empirical Bayesian modeling and Moran statistics and spatial scanning statistics were applied. There were 1,458 deaths of motorcyclists in the period studied, 91.3% of which were men. Three temporal behaviors were observed in this population group: growth (2001-2005), stationary pattern (2005-2013) and decline from 2013 onwards. The highest rates were observed in the ‘agreste’ and ‘sertão’ regions of the state of Alagoas. Five spatial clusters were revealed with relation to general and male mortality, all located in the ‘agreste’ and ‘sertão’ hinterlands of Alagoas. The modeling showed a reduction of mortality from 2013 onwards and the spatial analysis revealed that the problem is more acute in the interior of the state.

RESUMO CONTEXTO: A síndrome do intestino irritável é uma desordem gastrointestinal crônica e funcional que pode causar dor abdominal e alteração do hábito intestinal, afetando o estado nutricional e a qualidade de vida. Sua prevalência é alta, acomete cerca de 10% a 15% da população geral em países desenvolvidos, sendo mais prevalente em mulheres do que em homens na proporção 2:1. OBJETIVO: O objetivo deste estudo foi comparar o perfil de adiposidade corporal, os hábitos de vida e a qualidade de vida de indivíduos portadores da síndrome do intestino irritável com um grupo controle saudável. MÉTODOS: Estudo caso-controle com 70 mulheres, 34 com a síndrome do intestino irritável e 36 saudáveis. Foi aplicado o Irritable Bowel Syndrome Quality of Life Questionnaire para avaliação da qualidade de vida. A adiposidade corporal foi avaliada a partir do índice de massa corporal, circunferência da cintura e relação cintura-quadril. Foi investigado o auto-relato de sintomas gastrointestinais de alimentos considerados problemáticos para portadores da síndrome do intestino irritável e a presença de comorbidades típicas. A análise do estilo de vida incluiu a prática de atividade física, alcoolismo, tabagismo, sonolência diurna e exclusão de alimentos. Para análise estatística foi utilizado o programa IBM SPSS, com o nível de significância de 5%. RESULTADOS: Houve maior acúmulo de adiposidade central e periférica no grupo caso em comparação ao grupo controle (P<0,05). Os casos apresentaram maior chance de desenvolver comorbidades associadas à síndrome do intestino irritável (P<0,05). Cerca de 80% dos pacientes com a síndrome do intestino irritável excluíram algum alimento da dieta (P<0,01) e o total de alimentos problemáticos pode variar de 7 a 21 alimentos (P<0,01). Grupo caso apresentou pior qualidade de vida para o escore geral e para todos os domínios avaliados (P<0,05). CONCLUSÃO: Em comparação aos controles, as mulheres portadoras da síndrome do intestino irritável apresentaram maior adiposidade corporal, maior frequência de comorbidades, maior restrição ao consumo de alimentos considerados problemáticos e pior qualidade de vida.

ABSTRACT BACKGROUND: Irritable bowel syndrome is a functional and chronic gastrointestinal disorder that may cause abdominal pain and altered bowel habits, affecting the nutritional status and quality of life of its carriers. Its prevalence is high, affecting about 10% to 15% of the general population in developed countries, being more prevalent in women than in men in the proportion 2:1. OBJECTIVE: The aim of our study was to compare the profile of body adiposity, life habits, and the quality of life of women with irritable bowel syndrome with a healthy control group. METHODS: Case-control study on 70 women, 34 with irritable bowel syndrome and 36 healthy. We applied the “Irritable Bowel Syndrome Quality of Life Questionnaire”to assess quality of life. Body adiposity was assessed from body mass index, waist circumference, and waist-to-hip ratio. We investigated the self-reporting of gastrointestinal symptoms with food deemed as problematic for carriers of irritable bowel syndrome and the presence of typical comorbidities. Assessment of life habits included: practice of physical activities, alcoholism, smoking, daytime sleepiness, and exclusion of foods from the feeding routine. For statistical analysis we used the IBM SPSS program, with a significance level at 5%. RESULTS: There was higher volume of central and general adiposity in the case group compared with the control group (P<0.05). Cases presented a higher chance of developing IBS-related comorbidities (P<0.05). About of 80% of patients with irritable bowel syndrome have excluded some food from the diet (P<0.01) and the total amount of troublesome foods varied from 7 to 21 (P<0.01). The case group featured worse quality of life compared with the control (P<0.05). CONCLUSION: Compared to the control group, women with irritable bowel syndrome showed greater body adiposity, higher frequency of comorbidities, greater restriction on the consumption of problematic foods and worse quality of life.

ABSTRACT Dengue is a viral disease, caused by an arbovirus of the genus Flavivirus. In Brazil, its incidence rate is high with a broad clinical spectrum. This report discusses a rare case of dengue associated with cutaneous leukocytoclastic vasculitis and pericardial effusion with eminence of cardiac tamponade in a previously healthy patient with no comorbidities. The serology for dengue was positive and the histopathological analysis of the cutaneous lesions confirmed the diagnosis of leukocytoclastic vasculitis. After receiving treatment, the patient’s condition greatly improved.

The goal of this research was to evaluate the biodegradation of diesel by a microbial consortium collected in a region close to distributors of fuel. The experiments were monitored by SPME-GC-FID and SPME-GC-MS. The consortium showed a high potential for production of biosurfactants, presenting an emulsification index of 53%. The consortium degraded completely n-alkanes, while dimethylnaphtalene, hepthyl-cyclohexane and 2,6,10-trimethyl-undecane were partially degraded and pristane was not degraded. From this consortium five strains were isolated and identified as Acinetobacter baumannii. Based on this initial investigation this consortium appears to be effective for bioremediation in Porto Velho - RO region.

Tucker-3 model offers several advantages for analysis of environmental data but its interpretation is still challenging. A Tucker-3 model was applied to a biodegradation experiment involving a large number of overlapped chromatographic peaks and a temporal variation. The Tucker-3 model allowed the data to be decomposed in two processes: evaporation and biodegradation. The results suggest that linear hydrocarbons were those biodegraded first and demonstrate that the data analysis can be simplified by interpreting the elements of the core array. The approach discussed in this work can be applied in similar problems involving multi-way data in other areas of chemistry.

Eletrodos de pasta de carbono modificados foram preparados pela inclusão de flavinas adsorvidas sobre a sílica gel modificada com óxido de zircônio (Si:Zr:flavina). O comportamento eletroquímico de riboflavina, FMN e FAD imobilizadas foi investigado. O potencial formal, Eº´, para as flavinas neste eletrodo foi encontrado como sendo -0,46 V vs. SCE, que é comparável com os valores obtidos para estas espécies em solução. Além disso, os valores de Eº´ permaneceram dependentes do pH com certa independência para riboflavina entre pH 4 e 5. A composição do eletrólito de suporte não afetou o Eº´ com exceção de Ca2+, mas em sistemas tampões e especialmente em fosfato foram verificadas velocidades satisfatórias de transferência de elétrons. As diferenças observadas no comportamento eletroquímico e espectro de absorção UV-visível entre as flavinas imobilizadas foram discutidas em termos de diferentes tipos de interação.

Modified carbon paste electrodes were prepared by the adsorption of flavin on a silica gel modified with zirconium oxide (Si:Zr:flavin). The electrochemical behavior of immobilized riboflavin, FMN and FAD was investigated. The formal potentials, Eº´, for the flavins in these electrodes were found to be -0.46 V vs. SCE, this being similar to their values obtained in solution. Their Eº´ values remained pH dependent with certain invariance for riboflavin between 4 and 5. The composition of the supporting electrolyte did not affect the Eº´ with exception of Ca2+, but in buffer systems and especially in phosphate a good rate of electron transfer was observed. The differences verified in the electrochemical behavior and UV-visible absorption spectra among the immobilized flavins are discussed in terms of different kinds of interaction.

Toxicity and uptake of heavy metals of sewage sludge by beans (Phaseolus vulgaris L.) were evaluated in green house experiments. Treatments consisted of 1,0 ; 2,0 and 5,0% (m/m) of dry sewage sludge, collected from Londrina (Bom Retiro and ETE-Sul) and Curitiba (ETE-Belém and RALF). Bean ( variety IAPAR 57) was sown three times at 0, 120 and 240 days after the treatments have been applied. Contents of Cd, Cr, Co, Cu, Ni, and Pb in bean tissues cultivated with 5,0% (m/m) of all sewage sludge were similar to the control and Ba contents were reduced by increasing the quantity of sewage sludge in the soil. The Zn content in tissue bean incresed from 86 mg kg-1 of control to 462 mg kg-1 by applying 5% (m/m) of sewage sludge in soil, but plant beans did not show toxicity symptons. The addition of 5% (m/m) of sewage sludge increased Mn content in plants, from 193 mg kg-1 of control to 1.960 mg kg-1, showing toxity in bean leaves when the contents were more than 500 mg kg-1. The addition of sewage sludges in soils increased only available Zn carbonate and Cu organic species.