Abstract Background: Falls in hospital settings are frequent adverse events, with medications contributing significantly. Objective: To analyze inpatient fall notifications and characterize fall risk with a focus on drug therapy by applying the Medication Fall Risk Score. Methodology: An observational, descriptive, and retrospective study was conducted in a Portuguese hospital center. The Medication Fall Risk Score was applied to a sample of 183 patient fall notifications in the first quarter of 2021. Results: The Medication Fall Risk Score identified 60.6% of patients with "yes" for high fall risk. Regarding fall risk assessment recorded in the notifications using another scale, 65.8% of patients were classified as "low risk" or "no risk." Of these, 53.9% were classified as "yes" for high risk using the Medication Fall Risk Score. Conclusion: The Medication Fall Risk Score may help to improve the detection of patients at "high risk" of falling, allowing safer medication practices for fall prevention.

Resumen Marco contextual: Las caídas en los hospitales son eventos adversos frecuentes y la medicación es un factor importante. Objetivo: Analizar las notificaciones de caída de pacientes hospitalizados y caracterizar el riesgo de caída centrándose en el tratamiento farmacológico, mediante la aplicación de la Medication Fall Risk Score. Metodología: Estudio observacional, descriptivo y retrospectivo realizado en un centro hospitalario portugués. Aplicada la Medication Fall Risk Score en una muestra de 183 notificaciones de caída ocurridas en el primer trimestre de 2021. Resultados: La Medication Fall Risk Score identificó al 60,6% de los pacientes con un "sí" para riesgo de caída elevado. En cuanto a la evaluación del riesgo de caída registrada en las notificaciones mediante otra escala, el 65,8% de los pacientes fueron clasificados como de “riesgo bajo" o "sin riesgo". De ellos, el 53,9% se clasificaron con un "sí" para riesgo elevado a través de la Medication Fall Risk Score. Conclusión: La Medication Fall Risk Score podría ayudar a mejorar la detección de pacientes con “riesgo elevado" de caída, lo que permitiría una gestión más segura de los medicamentos para prevenirla.

Resumo Enquadramento: As quedas em contexto hospitalar são eventos adversos frequentes, sendo os medicamentos um importante fator contribuinte. Objetivo: Analisar notificações de queda de doentes internados e caracterizar o risco de queda com foco na terapia farmacológica, através da aplicação da Medication Fall Risk Score. Metodologia: Estudo observacional, descritivo e retrospetivo realizado num centro hospitalar português. Aplicada a Medication Fall Risk Score, numa amostra de 183 notificações de queda ocorridas no primeiro trimestre de 2021. Resultados: A Medication Fall Risk Score identificou 60,6% dos doentes com “sim” para o alto risco de queda. Relativamente à avaliação de risco de queda registada nas notificações com recurso a outra escala, identificou-se que 65,8% dos doentes foram classificados como "baixo risco" ou "sem risco". Desses, 53,9% foram classificados com "sim” para o alto risco através da Medication Fall Risk Score. Conclusão: A Medication Fall Risk Score poderá contribuir para melhorar a deteção de doentes com “alto risco” de queda, permitindo uma gestão mais segura dos medicamentos para a prevenção das quedas.

Abstract Background: Phlebitis is a complication associated with peripheral intravenous catheters and an adverse event. Objective: To analyze peripheral intravenous catheter-associated phlebitis incidents associated and drug administration to adult inpatients and their consequences. Methodology: Quantitative, retrospective, descriptive, and cross-sectional study. Non-probabilistic convenience sampling technique was used, with 96 adult patients hospitalized in 2019 selected in the area of medicine at a Hospital Center in Lisbon. The type of phlebitis incident was characterized using the Visual Infusion Phlebitis scale adapted and translated to European Portuguese. Patient harm was categorized according to the International Classification for Patient Safety (ICPS). Results: Of the documented phlebitis incidents, 78% obtained a score 2 on the VIP PT-PT scale. According to the ICPS, 87.5% resulted in mild harm and 12.5% in moderate harm. Antibiotics were the most frequent therapeutic group. Conclusion: Phlebitis has an impact on patient safety. The importance of nursing care is reinforced, with a focus on surveillance and early detection of phlebitis to prevent complications.

Resumen Marco contextual: La flebitis es una complicación asociada al uso de catéteres venosos periféricos clasificada como acontecimiento adverso. Objetivos: Analizar los incidentes de flebitis asociada al empleo de catéteres venosos periféricos y a la administración de fármacos en pacientes adultos hospitalizados y sus consecuencias. Metodología: Estudio cuantitativo, retrospectivo, descriptivo y transversal. Técnica de muestreo no probabilístico por conveniencia, se seleccionaron 96 pacientes adultos ingresados en 2019 en el área médica de un centro hospitalario de Lisboa. El grado de flebitis se evaluó mediante la escala Visual Infusion Phlebitis Score Portugués Portugal (VIP PT-PT), traducida y adaptada al portugués europeo. El daño se categorizó según la Clasificación Internacional sobre Seguridad del Paciente (CISD). Resultados: De los incidentes de flebitis documentados, el 78% se clasificó con una puntuación de 2 según la escala VIP PT-PT. Por la CISD, el 87,5% resultó en daño leve y el 12,5% en moderado. Los antibióticos fueron el grupo terapéutico más frecuente. Conclusión: La flebitis repercute en la seguridad del paciente. Se refuerza la importancia de los cuidados de enfermería centrados en la vigilancia y la detección precoz de la flebitis.

Resumo Enquadramento: A flebite é uma complicação associada à utilização de cateter venoso periférico, classificada como evento adverso. Objetivos: Analisar os incidentes de flebite associada ao cateter venoso periférico e aos medicamentos administrados em doentes adultos internados e as suas consequências. Metodologia: Estudo quantitativo, retrospetivo, descritivo e transversal. Técnica de amostragem não probabilística por conveniência sendo selecionados 96 doentes adultos internados em 2019, na área da medicina de um Centro Hospitalar em Lisboa. O grau de flebite foi avaliado pela escala Visual Infusion Phlebitis Score Português Portugal (VIP PT-PT) traduzida e adaptada para Português Europeu. O dano foi categorizado de acordo com a classificação internacional sobre segurança do doente (CISD). Resultados: Dos incidentes de flebite documentados, 78% classificados com score 2 pela escala VIP PT-PT. Pela CISD, 87,5% resultaram em dano ligeiro e 12,5% em moderado. Os antibióticos foram o grupo terapêutico mais frequente. Conclusão: A flebite tem impacto na segurança do doente. Reforça-se a importância dos cuidados de enfermagem com enfoque na vigilância e deteção precoce de flebite.

ABSTRACT Introduction: Congenital heart diseases (CHDs) constitute the most prevalent congenital pathology, and they are a consequence of structural and functional abnormalities during fetal development. The etiology of CHD involves the interaction of genetic and environmental factors. Fetal cardiac surgery aims at preventing natural pathways of CHD in utero, mitigating progression to more complex abnormalities. The goal of this review was to demonstrate the benefits and risks of fetal interventions in the two most prevalent CHDs, pulmonary stenosis and pulmonary atresia with an intact ventricular septum, but also critical aortic stenosis and hypoplastic left heart syndrome. Methods: Original and relevant articles were selected by meta-aggregation to perform a qualitative analysis of fetal cardiac interventions for pulmonary stenosis and critical aortic stenosis. The Joanna Briggs Institute’s Qualitative Assessment and Review Instrument (or JBI-QARI) was used for data quality appraisal. Results: Of 61 potential articles, 13 were selected, and nine were finally included. Discussion: The present review demonstrated that fetal cardiac surgery increases right ventricular growth and hemodynamic flow in pulmonary stenosis, whereas in critical aortic stenosis it enables growth of the left ventricle and increases left ventricular pressure. However, it has a high complication rate, along with considerable morbidity and mortality. Conclusion: The benefits of fetal cardiac surgery for pulmonary stenosis and critical aortic stenosis are well-described in the literature; however, there is a significant risk of complications which can be reduced by the surgeon’s technical expertise and well-structured hospital facilities.

Abstract Objective Gastroschisis (GS) is a congenital anomaly in the abdominal wall with the intestinal loops exiting laterally to the umbilicus. The contact of the loops with Amniotic Fluid (AF) causes an inflammatory process in the exposed part, leading to an extended hospital stay and an increased risk of morbidity due to alterations related to intestinal motility. The authors aimed to evaluate the time of exposure to the AF in the experimental GS and to search for potential biomarkers of intestinal inflammation by measuring microRNAs. Methods Rat fetuses were divided into three groups: a) CONTROL, b) GS reared on day 18 (GS = 18), and c) GS reared on day 19.5 (GS = 19) (term = 22 days). On day 21.5, the fetuses were removed for biometric parameters and biochemical analyses: 1) Biometrics: Body and Intestinal Weight (BW, IW), and intestinal-body weight ratio (IW/BW); 2) Descriptive histopathology and 3) miR-143 quantification by real-time Polymerase Chain Reaction (PCR). Results BW was higher in CONTROL than GS 18 and G19 (p < 0.05). IW, IW/BW, intestinal water, and mRNA-143 were higher in GS 18 and GS 19 than in CONTROL, and GS 18 was higher than GS 19 (p < 0.05). The average of the inflammation score from the intestinal wall with mucosal inflammation and intra-epithelial lymphocytes shows worst in GS 18 and GS 19 vs. CONTROL (p < 0.05). Conclusions The tissue expression of mRNA-143 and the morphological changes in the intestine of GS worsened according to the time of exposure to AF, which could be a possible marker of fetal intestinal damage.

ABSTRACT Introduction: Congenital heart diseases (CHDs) constitute the most prevalent congenital pathology, and they are a consequence of structural and functional abnormalities during fetal development. The etiology of CHD involves the interaction of genetic and environmental factors. Fetal cardiac surgery aims at preventing natural pathways of CHD in utero, mitigating progression to more complex abnormalities. The goal of this review was to demonstrate the benefits and risks of fetal interventions in the two most prevalent CHDs, pulmonary stenosis and pulmonary atresia with an intact ventricular septum, but also critical aortic stenosis and hypoplastic left heart syndrome. Methods: Original and relevant articles were selected by meta-aggregation to perform a qualitative analysis of fetal cardiac interventions for pulmonary stenosis and critical aortic stenosis. The Joanna Briggs Institute’s Qualitative Assessment and Review Instrument (or JBI-QARI) was used for data quality appraisal. Results: Of 61 potential articles, 13 were selected, and nine were finally included. Discussion: The present review demonstrated that fetal cardiac surgery increases right ventricular growth and hemodynamic flow in pulmonary stenosis, whereas in critical aortic stenosis it enables growth of the left ventricle and increases left ventricular pressure. However, it has a high complication rate, along with considerable morbidity and mortality. Conclusion: The benefits of fetal cardiac surgery for pulmonary stenosis and critical aortic stenosis are well-described in the literature; however, there is a significant risk of complications which can be reduced by the surgeon’s technical expertise and well-structured hospital facilities.

Resumen Introducción: Se ha demostrado que la estimulación de la succión no nutritiva influye en el proceso de maduración de la succión nutritiva. Objetivo: Analizar el efecto de la maduración sobre el patrón de succión, mediado por el tiempo de experiencia. Métodos: Muestra compuesta por 34 recién nacidos con una edad gestacional promedio de 33.2 semanas y un tiempo de experiencia promedio de 14.7 días. Usamos el patrón de succión como modelo de moderación. La variable dependiente es el promedio de succiones y las variables independientes consideradas son la edad gestacional (maduración) y la duración de la experiencia (moderador). Resultados: Se encontró una relación positiva entre experiencia y patrón de succión, variable con el tiempo de práctica y más evidente después de las 32 semanas de edad gestacional. Conclusión: La evidencia estadística encontrada tiene relevancia clínica en el diseño de programas de intervención para estimular la succión de recién nacidos prematuros, y es de interés para los profesionales de la salud con intervención en el campo.

Resumo Introdução: A estimulação da sucção não nutritiva mostrou influenciar o processo de maturação da sucção nutritiva. Objetivo: Analisar o efeito da maturação sobre o padrão de sucção, mediado pelo tempo de experiência. Métodos: Amostra constituída por 34 recém-nascidos com idade gestacional média de 33,2 semanas e tempo médio de experiência de 14,7 dias. Utilizámos o padrão de sucção como modelo de moderação. A variável dependente é o número médio de sucções, e as variáveis independentes consideradas são a idade gestacional (maturação) e o tempo de experiência (moderador). Resultados: Foi encontrada uma relação positiva da experiência sobre o padrão de sucção, variável com o tempo de prática e mais evidente a partir das 32 semanas de idade gestacional. Conclusão: A evidência estatística encontrada tem relevância clínica na elaboração de programas de intervenção na estimulação da sucção dos recém-nascidos prematuros, e interessa a profissionais de saúde com intervenção no domínio.

Abstract Introduction: Stimulation of non-nutritive suction has been shown to influence the maturation process of nutritive suction. Objective: Analyze the effect of maturation on the suction pattern, mediated by the time of experience. Methods: Sample consisting of 34 newborns with an average gestational age of 33.2 weeks and an average experience time of 14.7 days. We used the suction pattern as a moderation model. The dependent variable is the average number of sucks, and the independent variables considered are gestational age (maturation) and length of experience (moderator). Results: A positive relationship between experience and suction pattern was found, variable with time of practice and more evident after 32 weeks of gestational age. Conclusion: The statistical evidence found has clinical relevance in the design of intervention programs to stimulate the sucking of premature newborns, and is of interest to health professionals with intervention in the field.

RESUMO No marco temporal de aniversário da RAE-Revista de Administração de Empresas, o objetivo deste artigo, que pode ser interpretado como uma manifesta, é discutir o papel das revistas acadêmicas em Administração para a inclusão e a diversidade. Entendemos que nos manifestarmos sobre o papel das revistas em processos de reparação histórica de desigualdades é também sobre nos reconectar com a crítica ao conceito e à prática da diversidade presentes no campo da Administração, e é justamente por esse debate que iniciamos a construção do nosso argumento, logo após a introdução. Ancorando-nos em referenciais teóricos sistematizados a partir das práticas e dos conhecimentos dos movimentos sociais (interseccionalidade, transversalidade e decolonialidade), apresentamos nossa manifesta por uma agenda de transformações para as práticas sobre diversidade no campo.

ABSTRACT In marking the anniversary of RAE-Revista de Administração de Empresas, the purpose of this article, which can be interpreted as a manifesta, is to discuss the role of academic journals in Management with regard to inclusion and diversity. We understand that when we talk about the role of journals in processes for repairing historical inequalities we are also talking about reconnecting with criticisms of the concept and practice of diversity that are found in the field of Management, and it is precisely with this debate that we begin to build our argument right after the introduction. Based on theoretical references that are systematized by the practices and knowledge of social movements (intersectionality, mainstreaming and “decoloniality”), we present our manifesta for an agenda of transformations for practices relating to diversity in the field.

RESUMEN En el marco temporal del aniversario de la RAE-Revista de Administração de Empresas, el objetivo de este artículo, que puede interpretarse como un manifiesta, es discutir el papel de las revistas académicas de Administración para la inclusión y la diversidad. Entendemos que manifestarnos sobre el papel de las revistas en procesos de reparación histórica de desigualdades es también reconectarnos con la crítica al concepto y a la práctica de la diversidad presente en el campo de la Administración, y es precisamente a través de ese debate que comenzamos la construcción de nuestro argumento, inmediatamente después de la introducción. Respaldándonos en marcos referenciales teóricos sistematizados a partir de las prácticas y de los conocimientos de los movimientos sociales (interseccionalidad, transversalidad y decolonialidad), presentamos nuestro manifiesta por una agenda de transformaciones para las prácticas sobre diversidad en el campo.

Resumo Este estudo teve como objetivo determinar os parâmetros da biologia reprodutiva de sete espécies comerciais no Sítio Ramsar da Baixada Maranhense, para apoiar medidas de manejo pesqueiro. As coletas foram realizadas entre 2012 e 2016, com um ano de coleta para cada espécie. Foram avaliados o período reprodutivo, a razão sexual, a relação peso-comprimento e a primeira maturidade sexual para sete espécies de importância comercial. A razão sexual mostrou que as fêmeas são predominantes para todas as espécies, exceto para Plagioscion squamossissimus. A relação peso-comprimento indicou um maior investimento em peso para Cichla monoculus e Hassar affinis, e um maior investimento em comprimento para Hoplias malabaricus, Plagioscion squamosissimus, Prochilodus lacustris, Pygocentrus nattereri e Schizodon dissimilis. A atividade reprodutiva das espécies foi predominante na estação chuvosa, mas C. monoculus, H. malabaricus e P. lacustris mostraram capacidade de se reproduzir nas duas estações. Como medidas de manejo para a região, sugere-se uma mudança do período de defeso, estabelecida pelo IBAMA, de 1 de dezembro a 30 de abril, para garantir a proteção de todas as espécies comerciais.

Abstract The purpose of this study is to determine the parameters of the reproductive biology of seven commercial species at the Ramsar Site of the Baixada Maranhense to support fisheries management measures. The collections were carried out between 2012 and 2016. The reproductive period, sex ratio, weight-length relationship and first sexual maturity were evaluated for seven species of commercial importance. The sex ratio showed that females are predominant for all species, except for Plagioscion squamossissimus. The weight-length relationship indicated a greater investment in weight for Cichla monoculus and Hassar affinis, and a greater investment in length for Hoplias malabaricus, Plagioscion squamosissimus, Prochilodus lacustris, Pygocentrus nattereri, and Schizodon dissimilis. The reproductive activity of the species was predominant in the rainy season, but C. monoculus, H. malabaricus and P. lacustris showed the ability to reproduce in both seasons. As management measures for the region, it is suggested a change in the closed fishing season established by IBAMA, from December 1 to April 30, to ensure the protection of all commercial species in this study.

Resumo Políticas públicas com recorte de gênero, iniciadas no Brasil na década de 1980, ganharam maior centralidade com a criação da Secretaria de Políticas para as Mulheres (SPM) no Governo Federal, em 2003. Isso não significa, contudo, que exista uma agenda de pesquisa consolidada sobre gênero e política pública no país. O objetivo deste estudo foi entender como essas temáticas têm sido incorporadas, de modo articulado, por pesquisas acadêmicas no Brasil. Para tanto, foram analisados 349 artigos científicos disponíveis nos sistemas de indexação SciELO e SPELL entre 1983 e 2015. A partir da pesquisa, mapeou-se um conjunto heterogêneo de estudos, classificado e analisado segundo uma tipologia elaborada com base nos padrões de incorporação das temáticas gênero e política pública. Na análise de cada tipo, investigaram-se ainda: distribuição de autoria; áreas do conhecimento e periódicos de publicação; temas e segmentos populacionais abordados; e abordagem metodológica empregada. Argumenta-se que não há, no Brasil, um campo de estudos sobre gênero e política pública, mas pontos de convergência entre os estudos de gênero e os de política pública. Com este artigo, espera-se contribuir para o desenvolvimento de pesquisas que articulem os dois campos e subsidiar, por meio da metodologia desenvolvida, estudos com outro recorte temporal e em outras bases bibliográficas.

Abstract Public policy for gender equality arose in Brazil in the 1980s. It has gained relevance since 2003, due to the institutionalization of the Secretariat of Policies for Women. However, it does not mean that there is a consolidated research agenda on gender and public policy themes in the country. This article aims to investigate how those themes have been incorporated, in an articulated manner, by academic research in Brazil. To do this, 349 articles available on the SCIELO and SPELL platforms between 1983 and 2015 were analyzed. From this analysis, a heterogeneous set of studies was identified, classified according to a typology built from the standards of incorporation of gender and public policy issues. Each type analysis took also into consideration: distribution of authorship; knowledge areas and the journals where the articles were published; themes and the population segments studied; and methodological approaches applied. It is argued that there is not a constituted research field on that subject, but rather points of convergence between the gender studies and the public policy field. This study aims to contribute to the development of a research agenda which articulates those two fields, and to assist other research based on different periods and data sources, through the methodology developed.

Resumen Las políticas públicas con perspectiva de género, que empezaron en Brasil en la década de 1980, se volvieron más relevantes desde 2003 con la creación, en el Gobierno Federal, de la Secretaría de Políticas para las Mujeres. Sin embargo, esto no significa que exista en el país una agenda consolidada de investigación acerca de los temas de género y política pública. El objetivo de este estudio es conocer cómo la articulación de estos dos temas ha sido incorporada por la investigación académica en Brasil. Para ello, se analizaron 349 artículos científicos publicados en SCIELO y SPELL entre 1983 y 2015. Se encontró un conjunto heterogéneo de estudios, clasificados y analizados según una tipología elaborada que siguió patrones identificados de incorporación de las temáticas de género y política pública. En el análisis de cada tipología, se investigaron también: distribución de la autoría; áreas de conocimiento y publicaciones; temas y segmentos poblacionales abordados; y enfoques metodológicos empleados. Se concluye que en Brasil no hay un campo de investigación sobre género y política pública, sino puntos convergentes entre dos campos distintos, el de estudios de género y el de política pública. Con este estudio se espera contribuir con la definición de agendas de investigación que vinculen los dos campos y, a través de la metodología propuesta, apoyar otras investigaciones períodos de tiempo y bases bibliográficas diferentes a los aquí estudiados.

Abstract AIMS The aim of this study was to verify how European countries manage the type of game variants and their frequency during different age groups of youth competition. METHODS Data were collected from the official rules of youth football championships. To identify countries homogenous groups according to their game variants, Two Step Cluster Analysis procedure was used while a nonparametric Kruskal-Wallis test was used to compare the game variants distribution in each Cluster. In order to correlate the game variants with age groups, a Chi-Square independence test and a Spearman ordinal correlation coefficient were used. RESULTS The results showed there were five clusters with significant differences in their game variants distribution (X2 kw (4) = 22.149; p<0.001; n = 30) and a significant correlation between age group and game variant (χ2(63) = 477.724; p<0.001; n = 30). Specifically, the most used game variants in each age group were the five-a-side (F5) in Under-8; the nine-a-side (F9) in Under-12; the seven-a-side (F7) in Under-9 and Under10; and the eleven-a-side (F11) in and above Under-13. CONCLUSION These results may contribute to understand the different country perspectives about the competitive game variants of youth football within the European space and its relation with diverse learning philosophies and pathways.

In the American continent, honeybee envenomation is a public health problem due to the high incidence and severity of the cases. Despite its medical importance, there is a lack of epidemiological studies on this topic in Brazil, especially referring to the Northeastern states. The present study has aimed to describe the epidemiological features of honeybee envenomation cases in the state of the Ceará, Northeastern Brazil, from 2007 to 2013. Data were collected from the Injury Notification Information System database of the Health Department of Ceará. A total of 1,307 cases were analyzed. Cases were shown to be distributed in all the months of the studied years, reaching higher frequencies in August. The majority of cases occurred in urban areas and involved men aged between 20 and 29 years. Victims were mainly stung on the head and torso, and they received medical assistance predominantly within 3 hours after being stung. Local manifestations were more frequent than systemic ones. Most cases were classified as mild and progressed to cure. The high number of honeybee sting cases shows that Ceará may be an important risk area for such injuries. Moreover, the current study provides data for the development of strategies to promote control and prevention of bee stings in this area.

This report is a retrospective study of the epidemiology of scorpion sting cases recorded from 2007 to 2013 in the State of Ceará, Northeastern Brazil. Data were collected from the Injury Notification Information System database of the Health Department of Ceará. A total of 11,134 cases were studied and distributed across all the months of the studied period and they occurred mainly in urban areas. Victims were predominantly 20-29 years-old women. Most victims were bitten on the hand; and received medical assistance within 1-3 hours after being bitten. Cases were mostly classified as mild and progressed to cure. Scorpion envenomation in Ceará is an environmental public health problem that needs to be monitored and controlled throughout the year.

"Uma análise das intenções de usuários em recomedar serviços de centros de atividade fisica." O objetivo deste estudo foi examinar como as experiências de usuários de centros de atividade física interferem nas intenções em recomendar serviços. Depois de gerar itens e validar o conteúdo, aplicou-se um pré-teste, o questionário final foi aplicado a sócios de cinco clubes de fitness (n=1.750). O questionário incluiu atributos da qualidade do serviço, acessibilidade, bem-estar na vida, bem-estar no clube e intenção de recomendar. O modelo de equações estruturais mostrou que apenas os atributos da qualidade do serviço e bem-estar no clube têm um efeito positivo sobre as intenções de recomendar. O bem-estar na vida tem um efeito negativo sobre as intenções para recomendar, enquanto que a acessibilidade não mostra nenhum efeito preditivo. Estas conclusões sugerem a necessidade de criar um ambiente agradável nos clubes e de oferecer um serviço personalizado para os objetivos dos sócios, a fim de melhorar o bem-estar no clube e contribuir para a intenção de recomendar o ginásio.

The goal of this study was to examine what experiences members have with fitness centers that influence their intentions for recommendation. After item generation and content validity, as well as a pilot test, a survey was conducted among members of five different clubs (n=1750). The questionnaire included measures of service quality attributes, accessibility, well-being in life, well-being in a club, and intentions to recommend a fitness center. Results using a structural equation model provide evidence that only service quality attributes and well-being in a club have positive effect on intentions of users to recommend it. Well-being in life has a negative effect on the intentions for recommendation, while accessibility shows no predictive effect. These findings suggest implications for the management of a club, such as the need to create a pleasant environment and to provide a personalized service directed towards the members' goals in order to improve well-being in a club and contribute to increase the intentions to recommend the fitness centers to others.

"Un análisis a las intenciones de los socios para recomendar gimnasios." El objetivo de este estudio fue examinar los antecedentes de las intenciones de los socios para recomendar su gimnasio. Después de generar ítems y validar el contenido, se aplicó un pre-test, el cuestionario final fue aplicado a socios de cinco clubes de fitness (n=1.750). El cuestionario incluyó atributos de la cualidad del servicio, accesibilidad, bienestar en la vida, bienestar en el club e intención de recomendar. El modelo de ecuaciones estructurales mostró que solo los atributos de la cualidad del servicio y bienestar en el club tiene un efecto positivo sobre las intenciones de recomendar. El bienestar en la vida tiene un efecto negativo sobre las intenciones para recomendar, mientras que la accesibilidad no muestra ningún efecto predictivo. Estas conclusiones sugieren la necesidad de crear un ambiente agradable en los clubes y de ofrecer un servicio personalizado para los objetivos de los socios, con el fin de mejorar el bienestar en el club y contribuir a la intención de recomendar el gimnasio.

Lower airway infection is a major cause of morbidity and mortality in patients with cystic fibrosis. It is currently unknown if the infection of the upper airway can cause exacerbation of lower respiratory tract infection. This study aimed to determine the microbiological profile of the anterior paranasal sinuses outflow tract (middle meatus) of cystic fibrosis outpatients. The microbiological profile was defined using endoscopically directed middle meatal cultures. Paired middle meatal and sputum specimens were collected from 56 outpatients for aerobic cultures. A semi-quantitative leukocyte count of the middle meatal samples was performed. The median age of patients was nine years (3-20 years). Staphylococcus aureus (37%), Staphylococcuscoagulase-negative (25%), Neisseriac (14%), Pseudomonas aeruginosa (11%), andStreptococcus pneumoniae (7%) were the most prevalent microorganisms in the middle meatal cultures. Using the middle meatal leukocyte count, 16 out of 54 patients (29.6%) presented sinus infection. The most frequently identified pathogens in patients with sinus infections wereStaphylococcus aureus (10 patients), Pseudomonas aeruginosa (4 patients), andStreptococcus pneumoniae (3 patients). Agreement of paired middle meatal and sputum cultures was significantly higher among patients with infection in middle meatal (69%). The most common middle meatal pathogens were the typical cystic fibrosis spectrum. This suggests the potential for participating in post-nasal lower airway seeding.

The purpose of this article is to identify and analyze social representations of femininity and masculinity, as reported by women business executives in Brazil. For that, the research resorted to semi-structured interviews of sixty-four executives from seven Brazilian cities. As a technique for data analysis, this research utilized the theoretical and conceptual basis of French discourse analysis. When gender issues become related to the specific qualities of being a woman and a business executive - or to the interfaces that gender may establish with an individual's work - contradictions may emerge from the construction of a particular thematic. Also, positive and negative aspects of being a female executive exist, namely: (a) representations of an executive; (b) feminine competency and incompetency; (c) dilemmas regarding sensitivity; (d) conflicts involving seduction power; (e) omissions, prejudice and violence suffered by women at work; and (f) motherhood.