Abstract Paper aims The aim of this study was to propose a hybrid approach to develop and prioritize the indicators which should be used to monitor the development of plastering supply chains while using lean manufacturing practices. Originality This approach proposed the integration of a Balanced Scorecard (BSC) - a multi-perspective tool for performance evaluation and strategic planning, and FITradeoff for the ranking problematic – a multicriteria method that features a robust axiomatic structure and uses partial information. Research method The results showed that the approach provided a set of indicators to assist the company’s manager to monitor and improve the company's competitiveness and sustainability. Main findings The results showed that the approach was able to provide a set of KPIs to assist the company’s manager to monitor and improve the plastering company management in terms of competitiveness and sustainability. Implications for theory and practice The results allowed evaluation of important issues for the strategic, economic, and environmental stability in complex business environments.

ABSTRACT OBJECTIVE To identify and evaluate the effects of community-based interventions on the sedentary behavior (SB) of Latin American children and adolescents. METHODS A systematic review on community-based trials to reduce and/or control SB in Latin American countries (Prospero: CRD42017072157). Five databases (PubMed, Web of Science, Scopus, SciELO and Lilacs) and a reference lists were searched. RESULTS Ten intervention studies met the eligibility criteria and composed the descriptive synthesis. These studies were conducted in Brazil (n=5), Mexico (n=3), Ecuador (n=1) and Colombia (n=1). Most interventions were implemented in schools (n=8) by educational components, such as meetings, lessons, and seminars, on health-related subjects (n=6). Only two studies adopted specific strategies to reduce/control SB; others focused on increasing physical activity and/or improving diet. Only one study used an accelerometer to measure SB. Seven studies investigated recreational screen time. Eight studies showed statistically significant effects on SB reduction (80%). CONCLUSIONS Latin America community-based interventions reduced children and adolescents’ SB. Further studies should: define SB as a primary outcome and implement strategies to reduce such behaviour; focus in different SBs and settings, other than recreational screen time or at-home sitting time; and use objective tools together with questionnaires to measure sedentary behaviour in.

ABSTRACT OBJECTIVE To identify and evaluate the effects of community-based interventions on the sedentary behavior (SB) of Latin American children and adolescents. METHODS A systematic review on community-based trials to reduce and/or control SB in Latin American countries (Prospero: CRD42017072157). Five databases (PubMed, Web of Science, Scopus, SciELO and Lilacs) and a reference lists were searched. RESULTS Ten intervention studies met the eligibility criteria and composed the descriptive synthesis. These studies were conducted in Brazil (n=5), Mexico (n=3), Ecuador (n=1) and Colombia (n=1). Most interventions were implemented in schools (n=8) by educational components, such as meetings, lessons, and seminars, on health-related subjects (n=6). Only two studies adopted specific strategies to reduce/control SB; others focused on increasing physical activity and/or improving diet. Only one study used an accelerometer to measure SB. Seven studies investigated recreational screen time. Eight studies showed statistically significant effects on SB reduction (80%). CONCLUSIONS Latin America community-based interventions reduced children and adolescents’ SB. Further studies should: define SB as a primary outcome and implement strategies to reduce such behaviour; focus in different SBs and settings, other than recreational screen time or at-home sitting time; and use objective tools together with questionnaires to measure sedentary behaviour in.

This study aimed to investigate the risk and protection factors for women who access health services for the realization of preventive screening for cervical cancer. Quantitative study conducted with 51 women in Teresina-PI, Brazil, in August 2013. The semi-structured form caught the variables of interest and the data were analyzed by the SPSS. Of the women, 72.5% were aged 25-39 years, 66.7% were married, and 55.0% accessed the service for prevention. With regard to the risk factors, 41.2% were overweight, 19.6% obese, and 72.5% were sedentary. Regarding the access to health services, 78.5% sought care in the past year. The cervical cancer screening program should be discussed in the sociocultural context, which will promote understanding and adherence to the recommendations of take the exam periodically. For this purpose, we recommend conducting immediate and effective measures to improve the viability of public policies for women's health.

Se objetivó investigar los factores de riesgo y de protección de mujeres que acceden al servicio de salud para realización del examen preventivo de cáncer de cuello uterino. Estudio cuantitativo, realizado con 51 mujeres en Teresina, Piauí. Formulario semiestructurado captó las variables de interés siendo los datos analizados por el SPSS. De las mujeres, 72,5% tenían 25 a 39 años, 66,7% eran casadas y 55,0% accedieron al servicio para la prevención. En relación a los factores de riesgo, 41,2% presentaban sobrepeso, 19,6% obesidad, y 72,5% eran sedentarias. En cuanto al acceso al servicio de salud, 78,5% procuraron el servicio en el último año. Se concluye que el programa de rastreo del cáncer de útero sea abordado en el contexto sociocultural, lo que favorecerá la comprensión y adhesión a las recomendaciones de realizar el examen periódicamente. Por esto, se recomienda realizar medidas inmediatas y eficaces para mejorar la viabilidad de la salud de las mujeres de las políticas públicas.

Objetivou-se investigar os fatores de risco e de proteção de mulheres que acessam o serviço de saúde para realização do exame preventivo de câncer de colo uterino. Estudo quantitativo, realizado com 51 mulheres, em Teresina-PI, Brasil, em agosto de 2013. O formulário semiestruturado captou as variáveis de interesse, e os dados foram analisados pelo SPSS. Das mulheres, 72,5% tinham 25 a 39 anos; 66,7% casadas; e 55,0% acessaram o serviço para prevenção. Quanto aos fatores de risco, 41,2% apresentavam sobrepeso; 19,6% obesidade; e 72,5% eram sedentárias. Sobre o acesso ao serviço de saúde, 78,5% procuraram no último ano. O programa de rastreamento do câncer de útero deve ser abordado no contexto sociocultural, o que irá favorecer a compreensão e adesão às recomendações para realização do exame periodicamente. Recomenda-se a realização de medidas prioritárias e eficazes para melhor viabilização de políticas públicas de saúde da mulher.

OBJETIVO: Conhecer a opinião dos alunos do internato do Curso de Medicina da Universidade de Brasília sobre os cursos preparatórios para a residência médica. MÉTODOS: Aplicação de questionário padronizado aos alunos do primeiro ano do internato RESULTADOS: Participaram do estudo 67 dos 74 alunos (90,5%) dos dois primeiros semestres do internato. Dentre eles, 57 (85,1%) estão matriculados ou pretendem matricular-se em cursos preparatórios. Apenas 28,4% (19 alunos) acreditam que a participação nestes cursos atrapalhe as atividades do internato. A participação nos cursos preparatórios é considerada crucial para a aprovação nas provas de residência médica por 36 entrevistados (53,7%). Quando questionados quanto ao fator mais importante para a aprovação na prova de residência, 91,0% afirmaram ser o período de estudo teórico. Já quando o enfoque do estudo é a formação profissional, 92,5% reconheceram serem mais importantes as atividades desenvolvidas durante o internato. CONCLUSÃO: A maior parte dos alunos entrevistados considera que a participação em cursos preparatórios é importante para a aprovação nas provas para ingresso nos programas de residência médica e que esta participação não atrapalha as atividades do internato.

OBJECTIVE: To know the opinion of Medical interns, University of Brasilia on the preparatory courses for medical residency. METHODS: Application of a standardized questionnaire to students if the first year of internship. RESULTS: Sixty-seven of the 74 students (90.5%) of the first two semesters of internship participated. Among them, 57 (85.1%) are enrolled or intend to enroll in preparatory courses. Only 28.4% (19 students) believe that participation in these courses disrupt the activities of the internship. Participation in preparatory courses is considered crucial to the approval in the residency exams for 36 respondents (53.7%). When asked about the most important factor for the approval in the exams, 91.0% claimed to be the period of theoretical study. But when the focus of the study is professional training, 92.5% acknowledged the activities during the internship as the most important. CONCLUSION: Most students interviewed consider that participation in preparatory courses is important to be approved in the residency programs' admission exams and that this participation does not hinder the activities of the internship.

In the current study, we evaluated the mechanism of action of miltefosine, which is the first effective and safe oral treatment for visceral leishmaniasis, in Leishmania amazonensis promastigotes. Miltefosine induced a process of programmed cell death, which was determined by the externalization of phosphatidylserine, the incorporation of propidium iodide, cell-cycle arrest at the sub-G0/G1 phase and DNA fragmentation into oligonucleosome-sized fragments. Despite the intrinsic variation that is detected in Leishmania spp, our results indicate that miltefosine causes apoptosis-like death in L. amazonensis promastigote cells using a similar process that is observed in Leishmania donovani.