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ABSTRACT OBJETIVE To map the international literature on Permanent Health Education initiatives to care for people with obesity. METHODS In total, six databases were searched without any language or publication period restriction according to the Joana Briggs Institute manual for evidence synthesis and the Prisma extension for scoping reviews (Prisma-ScR). Articles were independently analyzed by four reviewers and data, by two authors, which were then analyzed and discussed with our research team. RESULTS After screening 8,780 titles/abstracts and 26 full texts, 10studies met our eligibility criteria. We extracted data on methodologies, themes, definitions of obesity, outcomes, and gaps. Most initiatives came from North American countries without free or universal health systems and lasted a short period of time (70%), had multidisciplinary teams (70%), and addressed sub-themes on obesity approaches (90%). Results included changes in participants’ understanding, attitude, and procedures (80%) and gaps which pointed to the sustainability of these changes (80%). CONCLUSION This review shows the scarce research in the area and a general design of poorly effective initiatives, with traditional teaching methodologies based on information transmission techniques, the understanding of obesity as a disease and a public health problem, punctual actions, disciplinary fragmentation alien to the daily work centrality, and failure to recognize problems and territory as knowledge triggers and to focus on health care networks, line of care, the integrality of care, and food and body cultures.

https://doi.org/10.11606/s1518-8787.2023057004244

Permanent health education in the context of obesity: a scoping review
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Magalhães, Carolina Gusmão

; Ceccim, Ricardo Burg

; Silva, Lígia Amparo Santos da

; Santos, Verena Macedo

; Pereira, Emile Miranda

; Santos, Ana Artur Francisco Mussa

; Xavier Júnior, Gesner Franscisco

; Martins, Poliana Cardoso

; Santana, Mônica Leila Portela de

Revista de Saúde Pública

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2023, Volume 57 elocation 5

Abstract: En | Text: En | PDF: En

https://doi.org/10.11606/s1518-8787.2023057004244

O refluxo gastroesofágico e a relação mãe e bebê: estudo de caso
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Zacara, Deborah Juliana dos Santos

; Miranda, Monica Carolina

; Barros, Izabella Paiva Monteiro de

Psicologia USP

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2023, Volume 34 elocation e210055

Abstract This article discusses affective aspects inherent to mother-child relations that may be associated with the onset and establishment of psychosomatic gastroesophageal reflux symptoms in infants up to 1 year old. A case study of a mother-child dyad was performed by conducting semi-structured interviews, applying the 1, 2 and 7MF cards of the Thematic Apperception Test and using naturalistic observation. Instruments were analyzed qualitatively and their results were integrated and linked to psychoanalytic theoretical framework. Results pointed to a certain egoic fragility and the need for social support for the mother compatible with the puerperium. It also discusses possible ways in which the maternal psyche functions. When overloaded with anxious affections, for example, it overdetermines psychofunctional symptoms in the baby which, in turn, affects how the mother positions herself in the exercise of good maternity, marking a relational interplay.

Resumen Este artículo discute aspectos afectivos inherentes a la relación madre-hijo que pueden estar asociados con la aparición y establecimiento de síntomas psicosomáticos del reflujo gastroesofágico en el bebé de hasta 1 año de edad. Para ello, se realiza un estudio de caso de una díada madre-hijo, con la aplicación de entrevistas semiestructuradas, con el uso de los tableros 1, 2 y 7MF del Test de Apercepción Temática y una observación naturalista. Los instrumentos se analizaron cualitativamente, y sus resultados se integraron y vincularon al marco teórico psicoanalítico. Los principales resultados apuntaban a una cierta fragilidad egoica y la necesidad de apoyo social de la madre, compatibles con el puerperio. Se discuten posibles formas de funcionamiento de la psique materna, por ejemplo, cuando se sobrecarga de afectos ansiosos, sobredeterminando síntomas psicofuncionales en el bebé que, a su vez, provocan efectos sobre cómo se siente la madre en el ejercicio de una maternaje suficiente buena, marcando una interacción relacional.

Résumé Cet article traite des aspects affectifs inhérents aux relations mère-enfant qui peuvent être associés à l’émergence et à l’installation de symptômes psychosomatiques de reflux gastro-œsophagien chez les nourrissons jusqu’à l’âge d’un an. Une étude de cas d’une dyade mère-enfant a été réalisée en menant des entretiens semi-structurés, en appliquant les planches 1, 2 et 7MF du Test d’Aperception Thématique et en utilisant l’observation naturaliste. Les instruments ont été analysés qualitativement et leurs résultats ont été intégrés et reliés au cadre théorique psychanalytique. Les résultats ont mis en évidence une certaine fragilité égoïque et le besoin d’un soutien social pour la mère compatible avec la puerpéralité. L’étude aborde également les modes de fonctionnement possibles de la psyché maternelle. Lorsque celle-ci est surchargée d’affections anxieuses, elle surdétermine des symptômes psychofonctionnels chez le bébé qui, à leur tour, affectent la façon dont la mère se positionne dans l’exercice d’une maternité suffisamment bonne, marquant une interaction relationnelle.

Resumo O presente artigo problematiza aspectos afetivos inerentes à relação materno-filial que podem estar associados ao surgimento e estabelecimento de sintomas psicossomáticos de refluxo gastroesofágico no bebê de até 1 ano de idade. Para tanto, apresenta-se estudo de caso de uma díade mãe-bebê auxiliado por entrevista semiestruturada, aplicação das pranchas 1, 2 e 7MF do teste de apercepção temática e observação naturalista. Cada instrumento foi analisado qualitativamente e teve seus resultados integrados e articulados à teoria psicanalítica. Os principais resultados apontaram certa fragilidade egóica e necessidade de apoio social por parte da mãe, compatíveis com o período do puerpério. São discutidas possíveis maneiras de funcionamento do psiquismo materno, por exemplo, quando sobrecarregado com afetos ansiosos, há sobredeterminação de sintomas psicofuncionais no bebê, os quais, por sua vez, causam efeitos no modo como a mãe se posiciona no exercício da maternagem suficientemente boa, marcando um interjogo relacional.

https://doi.org/10.1590/0103-6564e210055

Baixa conscientização da vacina pós-transplante de fígado: análise e estratégia educacional
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Miranda, Mônica Noleto

; Ribeiro, Samuel Prado

; Chaves, Fernanda Correa

; Telles, Francisco Moreira da Costa e

; Gonzalez, Adriano Miziara

; Mota, Daniel de Oliveira

; Pimentel, Carolina Frade Magalhães Girardin

Acta Paulista de Enfermagem

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2023, Volume 36 elocation eAPE025834

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

Abstract Objective To evaluate patients’ and healthcare professionals’ knowledge about vaccination protocols in post-liver transplantation before and after applying an educational awareness strategy in this population. Methods Patients (n=124) underwent the educational intervention through access to a webpage containing educational videos and, for health professionals (n=111), through a symposium and access to information on the project’s virtual page. To analyze the effect of the intervention, qualitative analyses of knowledge were carried out using questionnaires before and after the interventions. Results Among patients, males were predominant (66.9%) and the mean age was 55.2 years old (SD + 15.9). 82.2% of patients visited a UBS to be vaccinated and 13.7% of them the CRIEs (Reference Center for Special Immunobiologicals). Only 46.7% received orientation about vaccines after liver transplantation. From the 111 questionnaires answered by health professionals, 46.5% did not check the vaccine portfolio, 61.3% referred patients to UBS and 38.7% to a CRIE. In the post-intervention analysis, 66.1% of patients watched educational videos about vaccination. Of these, 62.2% said they had improved their understanding about vaccines and 91.4% feel safer to vaccinate. After the educational intervention, 45 health professionals answered the questionnaire. 30.4% said they knew which vaccines to prescribe, and 67.4% recommended vaccines to patients’ relatives. Conclusion The proposed educational strategy applied in this study shown to increase awareness regarding the post-liver transplant immunization protocols. This may contribute to avoiding the potential risk of lack of information and failure to address vaccination by healthcare professionals.

Resumen Objetivo Evaluar los conocimientos de pacientes y profesionales de la salud sobre protocolos de vacunación tras un trasplante hepático, antes y después de aplicar una estrategia educativa de sensibilización en esta población. Métodos Los pacientes (n=124) fueron sometidos a la intervención educativa mediante el acceso a un sitio web con videos educativos, y los profesionales de la salud (n=11), mediante un simposio y el acceso a información en la página web del proyecto. Para analizar el efecto de la intervención, se realizaron análisis cualitativos de conocimiento con cuestionaros antes y después de la intervención. Resultados Entre los pacientes, el sexo masculino fue predominante (66,9 %) y la edad promedio fue 52,2 años (SD + 15,9). El 82,2 % de los pacientes fue a una Unidad Básica de Salud (UBS) para recibir la vacuna y el 13,7 % de ellos acudió a un Centro de Referencia para Inmunobiológicos Especiales (CRIE). Solo el 46,7 % recibió instrucciones sobre vacunación tras el trasplante hepático. De los 111 cuestionarios respondidos por profesionales de la salud, el 46,5 % no consultó el catálogo de vacunas, el 61,3 % derivó a los pacientes a una UBS y el 38,7 % a un CRIE. En el análisis posintervención, el 66,1 % de los pacientes miró los videos educativos sobre vacunación. De ellos, el 62,2 % mencionó haber mejorado su comprensión sobre vacunas y el 91,4 % se sintió más seguro para vacunarse. Después de la intervención educativa, 45 profesionales de la salud respondieron el cuestionario. El 30,4 % afirmó saber qué vacunas prescribir y el 67,4 % recomendó vacunas a familiares de los pacientes. Conclusión La estrategia educativa propuesta aplicada en este estudio demostró un aumento de conocimiento sobre los protocolos de inmunización tras un trasplante hepático. Esto pude ayudar a evitar el riesgo potencial de la falta de información y el no abordar el tema de la vacunación por parte de los profesionales de la salud.

Resumo Objetivo Avaliar o conhecimento de pacientes e profissionais de saúde sobre os protocolos de vacinação no pós-transplante hepático antes e após a aplicação de uma estratégia educativa de conscientização nessa população. Métodos Os pacientes (n=124) foram submetidos à intervenção educativa através do acesso a uma página web com vídeos educativos e, para os profissionais de saúde (n=111), através de um simpósio e acesso à informação na página virtual do projeto. Para analisar o efeito da intervenção, análises qualitativas de conhecimento foram realizadas por meio de questionários antes e depois das intervenções. Resultados Entre os pacientes, predominou o sexo masculino (66,9%) e a média de idade foi de 55,2 anos (DP + 15,9). 82,2% dos pacientes procuraram uma UBS para serem vacinados e 13,7% deles, os CRIEs (Centro de Referência para Imunobiológicos Especiais). Apenas 46,7% receberam orientações sobre vacinas após o transplante hepático. Dos 111 questionários respondidos pelos profissionais de saúde, 46,5% não consultaram a carteira de vacinas, 61,3% encaminharam os pacientes para UBS e 38,7%, para um CRIE. Na análise pós-intervenção, 66,1% dos pacientes assistiram a vídeos educativos sobre vacinação. Destes, 62,2% disseram ter melhorado seu entendimento sobre as vacinas e 91,4% se sentem mais seguros para vacinar. Após a intervenção educativa, 45 profissionais de saúde responderam ao questionário. 30,4% afirmaram saber quais vacinas prescrever e 67,4% indicaram vacinas para familiares de pacientes. Conclusão A estratégia educacional proposta aplicada neste estudo mostrou aumentar a conscientização sobre os protocolos de imunização pós-transplante hepático. Isso pode contribuir para evitar o risco potencial de falta de informação e não abordagem da vacinação pelos profissionais de saúde.

https://doi.org/10.37689/acta-ape/2023ao025834

Aptitud clínica en el abordaje diagnóstico del niño con anemia: cuestionario a médicos de primer contacto
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Rodríguez-Miranda, Samantha Carolina

; Cruz-de la Cruz, Carlos de la

; Chávez-Caraza, Karla Lorena

; Carrizales-Torres, Lilia Edith

; Tarín-Arzaga, Luz

; Rangel-Flores, Mónica

; González-Llano, Óscar

Revista mexicana de pediatría

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dec 2022, Volume 89 N. 6 Pages 227 - 233

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

Abstract: Introduction: anemia is a worldwide public health problem. There are few studies that explore the knowledge that primary care physicians have about the diagnostic process in children and adolescents with anemia. Objective: to determine the level of clinical aptitude that the first-contact physician has regarding the diagnostic process of the pediatric patient in whom anemia is suspected. Material and methods: cross-sectional study. A seven-question questionnaire (developed by Delphi consensus) was applied to evaluate theoretical and practical concepts about the diagnostic process when anemia is suspected. The questionnaire was distributed electronically to general practitioners, family doctors, and pediatricians in the metropolitan area of Monterrey, Nuevo León, Mexico. Results: 154 doctors were included, 68 were pediatricians (44.2%), 51 family doctors (33.1%) and 35 general practitioners (22.7%). Of the total, 53.9% (n = 83) worked in a public institution. The median of correct answers was 5 (IQR 4-6). The highest proportion of correct answers was in anemia etiology (62.3%), followed by laboratory studies (48.1%), and initial clinical approach (14.9%). Compared to the other two groups, pediatricians obtained a higher percentage of correct answers. Conclusions: first-contact physicians have deficiencies in their clinical aptitude for the approach to pediatric patients with suspected anemia.

Resumen: Introducción: la anemia es un problema de salud pública a nivel mundial. Existen pocos estudios que exploran el conocimiento que los médicos de primer contacto tienen sobre el proceso diagnóstico en niños y adolescentes con anemia. Objetivo: determinar el grado de la aptitud clínica que tiene el médico de primer contacto sobre el proceso diagnóstico del paciente pediátrico en quien se sospecha de anemia. Material y métodos: se realizó un estudio transversal y descriptivo, en el cual se aplicó un cuestionario, desarrollado por consenso Delphi, con siete preguntas para evaluar conceptos teóricos y prácticos sobre el proceso diagnóstico cuando se sospecha de anemia. El cuestionario se distribuyó por medio electrónico a médicos generales, familiares y pediatras del área metropolitana de Monterrey, Nuevo León, México. Resultados: se incluyeron 154 médicos, 68 eran pediatras (44.2%), 51 médicos familiares (33.1%) y 35 médicos generales (22.7%). El 53.9% (n = 83) laboraba en institución pública. La mediana de respuestas correctas fue de 5 (RIC 4-6). Sobre la etiología de la anemia hubo el mejor desempeño (62.3%), seguido de estudios de laboratorio (48.1%) y de abordaje inicial (14.9%). En comparación a los otros dos grupos, los pediatras obtuvieron mayor porcentaje de respuestas correctas. Conclusiones: existen deficiencias en la aptitud clínica de los médicos de primer contacto para el abordaje del paciente pediátrico con sospecha de anemia.

https://doi.org/10.35366/111687

SPECIAL ARTICLE COVID-19: Safety for the Rhinologist in the Age of COVID-19: Mask Use, Nasal Corticosteroids, Saline Irrigation, and Endoscopic Procedures - Literature Review
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Kosugi, Eduardo Macoto

; Villa, Jonatas Figueiredo

; Ramos, Henrique Faria

; Luz-Matsumoto, Gabriela Ricci

; Serrano, Thiago Luis Infanger

; Campos, Carlos Augusto Correia de

; Barreto, Carolina Cincurá

; Lima, Clara Mônica

; Fornazieri, Marco Aurélio

; Piltcher, Otavio

; Lessa, Marcus Miranda

; Romano, Fabrizio Ricci

International Archives of Otorhinolaryngology

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mar 2022, Volume 26 N. 1 Pages 137 - 147

Abstract: En | Text: En | PDF: En

Abstract Introduction Coronavirus disease 2019 (COVID-19) has claimed millions of lives. Adequate protection of the professionals involved in patient care is essential in the battle against this disease. However, there is much uncertainty involving safety-relarted topics that are of particular interest to the rhinologist in the context of COVID-19. Objective To evaluate the current evidence regarding three safety-related topics: mask and respirator use, performance of nasal endoscopic procedures, and use of topical nasal and intranasal medications (saline irrigation and nasal corticosteroids). Methods A literature review was performed on the PubMed, Scopus, and Cochrane databases, with standardized search queries for each of the three topics of interest. Results In total, 13 articles on mask use, 6 articles on the safety of nasal corticosteroids, 6 articles on the safety of nasal endoscopic procedures, and 1 article on nasal irrigation with saline solution were included in the final analysis. Conclusion N95 respirators are essential for the adequate protection of otolaryngologists. If reuse is necessary, physical methods of sterilization must be employed. No evidence was found to contraindicate the use of nasal corticosteroids, whether acute (in the management of sinonasal inflammatory conditions) or continued (in patients who use them chronically). Nasal irrigation with saline solution apparently does not increase the risk in the context of COVID-19. Nasal endoscopic procedures should only be performed after testing the patient for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), and the surgical team must wear full personal protective equipment to prevent aerosol exposure.

https://doi.org/10.1055/s-0041-1740988

Recomendaciones para el uso de la hormona de crecimiento humana recombinante en pacientes pediátricos de talla baja en Colombia
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Pinzón Serrano, Estefanía

; López, Vladimir González

; Toro-Ramos, Martin

; Oliver, Jesús Argente

; Garzón, Liliana Barrero

; Duarte, Fredy Mendivelso

; González, Nancy Yomayusa

; Salazar, Camila Céspedes

; Escobar, Oscar

; Ventura, Paola Duran

; Patiño, Angélica González

; Rodríguez, Sandra Roa

; Linares, Juan Llano

; Rivera, Juan López

; Saldarriaga, Johana Correa

; Espejo, Jennyfer Monroy

; VelásquezRodríguez, Ana

; Gaviria, Natalia Mejía

; Ramírez, Claudia Heredia

; Izquierdo, Adriana Lema

; Zuccardi, María Urueña

; Ochoa, Nayive Gil

; Barrera, Carolina Rojas

; Campos, Diana Bareño

; Hernández, Mónica Fernández

; Zapata, Liliana Mejía

; Ronderos, Catalina Forero

; Flechas, Paola Pedraza

; Rhoades, Audrey Matallana

; Mosquera, Mario Angulo

; Cárdenas, María Suarez

; Villa, Alvaro Arango

; Pereira, Marcela Fama

; Osorio, Samantha Muñoz

; Espitia, Martha Páez

; Miranda, Ángelo López

; Rodríguez, Johanna Vargas

; Amaya, Diego Ruíz

; Gaona, Luis Laverde

; Torres, Giovana Manrique

; Tobón, Andrea Castro

; Acosta, Dora Romero

; Gutiérrez, Ana Castillo

; Gómez, Olga Gómez

; Padilla, Eduardo Low

; Peña, Juan Acevedo

Revista Colombiana de Nefrología

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jun 2020, Volume 7 N. 1 Pages 149 - 177

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

resumen está disponible en el texto completo

Abstract In Colombia there are no guidelines for diagnosis and management of patients with short stature and for the use of recombinant human growth hormone, mainly caused by the diversity of training centers in pediatric endocrinology. In response to this situation, the Asociación Colegio Colombiana de Endocrinología Pediátrica leds the first colombian short stature expert committee in order to standardize the use of human recombinant growth hormone. This work had the participation and endorsement of a consortium of clinical experts representing the Sociedad Colombiana de Pediatría, Secretaría Distrital de Salud de Bogotá- Subred Integrada de Servicios de Salud Suroccidente, Fundación Universitaria Sanitas, Universidad de los Andes and some public and private health institutions in the country, in addition to the participation of methodological experts from the Instituto Global de Excelencia Clínica Keralty. By reviewing the literature and with the best available evidence, we proposed to unify definitions, a diagnostic algorithm, biochemical and dynamic tests with their reference parameters, a description of the considerations about growth hormone use among the indications approved by regulatory agency for medications and food in Colombia and finally a proposal for an informed consent and a medication fact sheet available for parents and patients.

https://doi.org/10.22265/acnef.7.1.375 1793 downloads

Temporal discounting and attention-deficit/hyperactivity disorder in childhood: reasons for devising different tasks
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Utsumi, Daniel Augusto

; Miranda, Mônica Carolina

Trends in Psychiatry and Psychotherapy

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sep 2018, Volume 40 N. 3 Pages 248 - 252

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

Resumo Introdução: O desconto do futuro (DF) é um processo no qual uma determinada recompensa é vista como menos valiosa à medida que sua entrega é postergada. Existem dois tipos principais de tarefas de DF, hipotéticas e reais, sendo que ambas usam recompensas monetárias. Nos últimos anos, no entanto, variantes dessas tarefas têm sido adaptadas para avaliar grupos clínicos de crianças que apresentam comportamento impulsivo, como no caso do transtorno de déficit de atenção/hiperatividade (TDAH). Objetivo: Revisar e discutir os estudos realizados nos últimos 10 anos sobre o uso de tarefas de DF na avaliação de pacientes pediátricos com TDAH. Método: Para esta revisão de literatura, os artigos foram selecionados de forma não sistemática nas bases de dados PubMed, MEDLINE e SciELO, de forma a incluir estudos experimentais sobre o uso de ao menos um paradigma de DF para a avaliação e distinção de grupos com e sem TDAH. Resultados: Dos estudos avaliados, 76,19% utilizaram tarefas hipotéticas, seguidas de tarefas reais (28,57%) e, finalmente, de tarefas com diferentes tipos de recompensa, como brinquedos ou atividades recompensadoras (14,28%). Conclusões: Embora avaliadas em poucos estudos, tarefas reais e alternativas parecem ser eficazes na diferenciação de grupos clínicos e adequadas para investigação de funções executivas quentes na infância.

Abstract Introduction: Temporal discounting (TD) describes how a certain reward is seen as less valuable the more its delivery is postponed. There are two main types of TD tasks, hypothetical and real, both of which use monetary rewards. Over the last few years, however, variants of these tasks have been adjusted to assess clinical groups of children showing impulsivity as found in attention-deficit/hyperactivity disorder (ADHD). Objective: To review and discuss studies conducted over the last 10 years on the use of TD tasks in the assessment of pediatric patients with ADHD. Method: For this literature review, articles were non-systematically selected from PubMed, MEDLINE and SciELO databases to include experimental studies on the use of at least one TD paradigm to assess and distinguish ADHD and non-ADHD groups. Results: Of the studies assessed, 76.19% used hypothetical tasks, followed by real tasks (28.57%), and, finally, tasks using different types of reward, such as toys or rewarding activities (14.28%). Conclusions: Although assessed in few studies, real and alternative tasks appeared to be effective in differentiating clinical groups and suitable for investigating hot executive functions in childhood.

https://doi.org/10.1590/2237-6089-2017-0094 1519 downloads

Efecto de la agriculturización sobre la calidad biológica del suelo
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Serri, Dannae Lilia

; Boccolini, Mónica

; Oberto, Rodigo

; Chavarría, Diego

; Bustos, Natalia

; Vettorello, Cecilia

; Apezteguía, Hernán

; Miranda, Julio

; Alvarez, Carolina

; Galarza, Calos

; Chiófalo, Sergio

; Manrique, Marcela

; Sueldo, Romina

; Fernandez Belmonte, María Cecilia

; Mattalia, Laura

; Cholaky, Carmen

; Vargas Gil, Silvina

Ciencia del suelo

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aug 2018, Volume 36 N. 2 Pages 92 - 104

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

In the Pampas region of Argentina, the simplification of agroecosystems has caused the decrease of ecosystem services, resulting in the loss of resources, and affecting soil quality. Our objective was to evaluate the effect of agriculturization in different environments (sub-humid and semi-arid) of the Pampean region, by means of biological indicators and soil organic carbon. During 2013, 2014 and 2015, sites in Río Cuarto, Rafael García, Manfredi and Marcos Juárez of the province of Córdoba, and Villa Mercedes corresponding to the province of San Luis were evaluated. At each location, soil sampling was carried out at a reference site and in different crop sequences. The parameters evaluated were microbial biomass carbon (CBM), microbial respiration (RM), metabolic coefficient (qCO2), enzymatic activities of fluorescein diacetate hydrolysis (FDA), acid phosphatase (FA) and dehydrogenase (DHG), total organic carbon (COT) soil and microbial coefficient (qMic). The obtained results expressed that the most significant indicators were CBM and COT, together with the enzymes FDA and FA since they registered significant differences between treatments at most sites. In general, these indicators allowed differentiating pristine soils from those with anthropic use. In turn, the differences between soil quality indexes were significant and higher for natural situations, with no differences between crop sequences.

En la región Pampeana Argentina, la simplificación de los agroecosistemas ha ocasionado la disminución de los servicios ecosistémicos, resultando en la pérdida de recursos, y afectando la calidad del suelo. Nuestro objetivo fue evaluar el efecto de la agriculturización en diferentes ambientes (subhúmedos y semiáridos) de la región Pampeana, mediante indicadores biológicos y el carbono orgánico edáfico. Durante 2013, 2014 y 2015, se evaluaron sitios correspondientes a las localidades de Río Cuarto, Rafael García, Manfredi y Marcos Juárez de la provincia de Córdoba, y un sitio en Villa Mercedes provincia de San Luis. En cada localidad se realizó un muestreo de suelo en un sitio de referencia y en diferentes secuencias de cultivos. Los parámetros evaluados fueron carbono de biomasa microbiana (CBM), respiración microbiana (RM), coeficiente metabólico (qCO2), actividades enzimáticas de hidrólisis del diacetato de fluoresceína (FDA), fosfatasa ácida (FA) y deshidrogenasa (DHG), carbono orgánico total (COT) del suelo y coeficiente microbiano (qMic). Los resultados obtenidos expresaron que las variables más relevantes para actuar como indicadores de calidad de suelo fueron CBM y COT, junto a las enzimas FDA y FA, ya que registraron en la mayoría de los sitios diferencias significativas entre tratamientos. En general esos indicadores permitieron diferenciar los suelos de monte nativo respecto de los de uso antrópico. A su vez, los valores obtenidos mediante la aplicación del índice de calidad de suelos fueron significativamente mayores en las situaciones naturales, sin observarse diferencias entre las secuencias de cultivos.

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10.

Neupsilin-Inf em um Modelo de Avaliação Neuropsicológica Breve para Centros de Saúde
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Miranda, Monica Carolina

; Sinnes, Elaine Girão

; Zanini, Gislaine de Almeida Valverde

; Baumgartner, Bruna

; Salles, Jerusa Fumagalli de

; Fonseca, Rochele Paz

; Bueno, Orlando F. Amodeo

Psico-USF

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mar 2018, Volume 23 N. 1 Pages 95 - 108

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

Resumo Este estudo teve como objetivo analisar o uso do NEUPSILIN-Inf num modelo de avaliação neuropsicológica breve em crianças atendidas em um serviço assistencial. As etapas seguidas no modelo de avaliação neuropsicológica breve são: sala de espera, grupo de crianças e avaliação neuropsicológica individual. A análise da aplicabilidade do NEUPSILIN-Inf na detecção de déficits cognitivos foi realizada comparando o desempenho de 171 crianças com possíveis transtornos do neurodesenvolvimento a 358 crianças da amostra de normatização, tendo a média marginal do escore ajustado pela idade. Em todas as tarefas do NEUPSILIN-Inf, o grupo clínico mostrou desempenho inferior. O conjunto de dados do modelo de avaliação pode gerar hipóteses diagnósticas, como deficiência intelectual, possíveis quadros de transtornos da aprendizagem ou específicos de linguagem. Frente à alta escassez de atendimento público para crianças com possíveis transtornos do neurodesenvolvimento, este pode ser um modelo economicamente eficiente para centros de saúde em diversas regiões do Brasil.

Abstract This study aimed to analyze the use of NEUPSILIN-Inf in a model of brief neuropsychological assessment for children attending a helthcare service. The steps followed in the brief neuropsychological assessment model are waiting room, children’s group, and individual assessment. The analysis of this model’s efficacy in detecting cognitive deficits through NEUPSILIN-Inf was conducted by comparing the performance of 171 children with possible developmental disorders to 358 children from the normative sample of NEUPSILIN-Inf. The clinical group showed lower performance in all NEUPSILIN-Inf’s tasks. The set of data derived from the evaluation model can underlie diagnostic hypotheses, such as intellectual disabilities, learning disorders or specific language impairment. Taking into account the restrictive public care for children with possible developmental disorders, this model can be considered a cost-effective possibility to be accomplished by health centers in different Brazilian regions.

Resumen Este estudio tuvo como objetivo analizar el uso de NEUPSILIN-Inf como un modelo de evaluación neuropsicológica breve para niños, atendidos en un servicio de asistencia pública. Las etapas seguidas para evaluación neuropsicológica breve fueron: sala de espera, grupo de niños, evaluación neuropsicológica individual. El análisis de aplicabilidad NEUPSILIN-Inf para detectar déficits cognitivos, fue realizado comparando el rendimiento de 171 niños con posibles trastornos de neuro-desarrollo y 358 niños de la muestra de normalización, obteniendo la media marginal del resultado, ajustado por la edad. En todas las tareas del NEUPSILIN-Inf, el grupo clínico tuvo un rendimiento inferior. El conjunto de datos del modelo de evaluación puede generar hipótesis diagnósticas, como deficiencia intelectual, posibles trastornos de aprendizaje o específicos de lenguaje. Ante la escasez de atendimiento público para niños con posibles trastornos de neurodesarrollo, este modelo puede ser eficiente desde el punto de vista económico en centros de salud en varias regiones de Brasil.

https://doi.org/10.1590/1413-82712018230109 9437 downloads

11.

Antimicrobial wound dressing films containing essential oils and oleoresins of pepper encapsulated in sodium alginate films
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Rosa, Jessica Miranda

; Bonato, Letícia Bicudo

; Mancuso, Carolina Bragine

; Martinelli, Laira

; Okura, Mônica Hitomi

; Malpass, Geoffroy Roger Pointer

; Granato, Ana Claudia

Ciência Rural

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2018, Volume 48 N. 3 elocation e20170740

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

RESUMO: Os curativos medicamentosos são importantes barreiras para se evitar contaminação e ainda, quando contém aditivos antimicrobianos, servem como tratamento para ferimentos infectados. Existem vários tipos de materiais polissacarídicos que servem como matrizes para curativos medicamentosos, dentre eles, destaca-se o alginato de sódio. Para a preparação dos filmes estudados neste trabalho, utilizou-se alginato de sódio e incorporou-se óleos essenciais/oleoresinas (OE/OL) de seis pimentas utilizadas na culinária, em três diferentes concentrações. A maioria dos filmes preparados apresentou melhor dispersão dos OE/OL na concentração intermediária destes. Todos os filmes estudados neste trabalho apresentam solubilidade em água, em uma certa extensão. A atividade antibacteriana dos filmes preparados mostra resultados significantes contra Escherichia coli, Staphylococcus aureus e Bacillus Cereus, mostrando que os filmes estudados podem ser uma nova alternativa como curativos medicamentos.

ABSTRACT: Medicated wound dressings are important barriers to avoid contamination and, when they contain antimicrobial additives, can be used as treatment for infected wounds. There are several types of polysaccharide materials that serve as matrices for medicated wound dressings, among them, sodium alginate. For the preparation of the films studied in this paper, sodium alginate was employed in combination with essential oils/oleoresins (EO/OL) of six peppers that are commonly used in cooking. The EO/OL were incorporated at three different concentrations (low, intermediate and high). Most of the films prepared had better dispersion of the EO/OL at the intermediate concentration. All films studied in this research were dissolved in water at different rates. The antibacterial activity of the prepared films showed significant results against Escherichia coli, Staphylococcus aureus and Bacillus cereus, and demonstrated that the films studied may be a new alternative for medicated wound dressings.

https://doi.org/10.1590/0103-8478cr20170740 2395 downloads

12.

Antimicrobial activity and chemical constituents of essential oils and oleoresins extracted from eight pepper species
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Martinelli, Laira

; Rosa, Jessica Miranda

; Ferreira, Carolina dos Santos Bragine

; Nascimento, Gustavo Marcelo da Luz

; Freitas, Mateus Silveira

; Pizato, Luiz Carlos

; Santos, Wanderson de Oliveira

; Pires, Ricardo Francisco

; Okura, Mônica Hitomi

; Malpass, Geoffroy Roger Pointer

; Granato, Ana Claudia

Ciência Rural

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2017, Volume 47 N. 5 elocation e20160899

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

RESUMO: Os óleos essenciais são os compostos mais importantes produzidos durante o metabolismo secundário de plantas aromáticas. No caso das pimentas, é possível afirmar que os óleos essenciais são a “impressão digital do sabor” de cada espécie. No presente artigo, oito espécies de pimenta foram estudadas a fim de extrair seus óleos essenciais e oleoresinas, testar a sua atividade antibacteriana e antifúngica, bem como, identificar os compostos presentes nas amostras mais ativas. Os resultados obtidos mostram que dois óleos essenciais (Pimenta dioica e Schinus terebinthifolius) e três oleoresinas (Schinus terebinthifolius e Piper nigrum branco e preto) apresentaram atividade antimicrobiana significativa. Esses óleos essenciais e oleoresinas bioativos mostram-se interessantes para a utilização em processos biotecnológicos empregados na indústria alimentar, farmacêutica e outras indústrias.

ABSTRACT: Essential oils are the most important compounds produced during secondary metabolism in aromatic plants. Essential oils are volatile, have characteristic odor and are used as defensive agents by plants. In pepper, it is possible to say that essential oils are the “flavor fingerprint” of each species. In the present article, eight species of pepper were studied in order to extract their essential oils and oleoresins, test their antibacterial and antifungal activities and also to identify the compounds present in the most bioactive samples. Results demonstrated that two essential oils [Pimenta dioica (L.) Merr. and Schinus terebinthifolius] and three oleoresins (Schinus terebinthifolius and Piper nigrum white and black) recorded significant antimicrobial activity. These active essential oils and oleoresins are interesting for use in biotechnological processes employed in food, pharmaceutical and other industries.

https://doi.org/10.1590/0103-8478cr20160899 20400 downloads

13.

Group cognitive behavioral therapy for children and adolescents with ADHD
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Coelho, Luzia Flavia

; Barbosa, Deise Lima Fernandes

; Rizzutti, Sueli

; Bueno, Orlando Francisco Amodeo

; Miranda, Monica Carolina

Psicologia: Reflexão e Crítica

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2017, Volume 30 elocation 11

Abstract: En | Text: En | PDF: En

Abstract The present study analyzed the use of group CBT protocol to treat ADHD by comparing two types of treatment, unimodal (medication only) and multimodal (medication combined with CBT), in terms of their effects on cognitive and behavioral domains, social skills, and type of treatment effect by ADHD subtype. Participants were 60 children with ADHD, subtypes inattentive and combined, aged 7 to 14, 48 boys. Combined treatment included 20 CBT sessions while all children were given Ritalin LA® 20 mg. Cognitive and behavioral outcome measures showed no differences between treatment groups. On social skills, multimodal showed more improvement in frequency indicators on empathy, assertiveness, and self-control subscales and in the difficulty on assertiveness and self-control subscales. Using a group CBT protocol for multimodal ADHD treatment may improve patient adherence and ADHD peripheral symptoms.

https://doi.org/10.1186/s41155-017-0063-y 4125 downloads

14.

Prevenção e remediação das dificuldades de aprendizagem: adaptação do modelo de resposta à intervenção em uma amostra brasileira
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ALMEIDA, ROSELAINE PONTES DE

; PIZA, CAROLINA JULIEN MATTAR DE TOLEDO

; CARDOSO, THIAGO DA SILVA GUSMÃO

; MIRANDA, MÔNICA CAROLINA

Revista Brasileira de Educação

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sep 2016, Volume 21 N. 66 Pages 611 - 630

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

RESUMO O objetivo deste estudo foi adaptar e colocar em prática no contexto brasileiro um dos modelos mais aceitos de prevenção e remediação das dificuldades de aprendizagem, a resposta à intervenção (RTI). A pesquisa foi realizada em duas etapas: i) adaptação e implementação da camada 1, intervenção coletiva instrucional, na qual participaram duas professoras de primeiro ano do ensino fundamental que aplicaram a RTI em sala de aula; ii) desenvolvimento e implementação da camada 2, intervenção no grupo-alvo que permaneceu com desempenho abaixo da média no estudo 1. Participaram dez crianças e a intervenção ocorreu três vezes por semana, com duração de cerca de quarenta minutos cada. Todas as atividades tiveram como foco estratégias pedagógicas e interventivas baseadas nas habilidades cognitivas relacionadas à leitura. Os resultados do presente estudo mostram que esse pode ser um modelo adequado ao contexto brasileiro, sendo uma alternativa para avaliar e intervir nas necessidades dos alunos.

ABSTRACT The aim of this study was to adapt and implement a prevention and remediation model of learning disabilities, the Response to Intervention model (RTI), in a Brazilian context. The research was conducted in two stages: i) the adaptation and implementation of tier 1, with a collective instructional intervention, undertaken by two elementary 1st year teachers, who implemented the RTI in their classroom; ii) development and implementation of tier 2, with the intervention target group that remained with a below average performance in stage 1 of the present study. A total of ten children participated and the intervention took place in forty minutes sessions, three times a week. All activities focused on teaching strategies and on underpinning cognitive skills related to reading. Results indicated that the RTI model is appropriate for the Brazilian context, acting as an alternative form of assesment and intervention for the student's needs.

RESUMEN El objetivo de este estudio fue adaptar y poner en práctica al contexto brasileño uno de los modelos de mayor aceptación de prevención y remedios a las dificultades de aprendizaje: la respuesta a la intervención (RTI). La investigación se realizó en dos etapas: i) adaptación y aplicación de la capa 1, intervención colectiva de instrucción, en la que participaron dos maestras del 1º de primaria, que aplicaron la RTI en el aula; ii) desarrollo e aplicación de la capa 2, intervención en el grupo blanco, que permaneció con desempeño por abajo del promedio en el estudio 1. Participaron diez niños, y la intervención ocurrió tres veces a la semana, con una duración de cerca de cuarenta minutos cada una. Todas las actividades se han centrado en estrategias pedagógicas y de intervención basadas en las habilidades cognitivas relacionadas con la lectura. Los resultados de este estudio muestran que ese puede ser un modelo apropiado al contexto brasileño, siendo una alternativa para evaluar e intervenir en las necesidades de los alumnos.

https://doi.org/10.1590/S1413-24782016216632 8008 downloads

15.

Versões Alternativas do Subteste Memória Lógica da WMS-R: Análise de Desempenho de uma Amostra Saudável da Cidade de São Paulo
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Martins, Marjorie R.

; Bolognani, Silvia Adriana Prado

; Pompéia, Sabine

; Bueno, Orlando F. A.

; Miranda, Mônica Carolina

Psicologia: Reflexão e Crítica

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sep 2015, Volume 28 N. 3 Pages 444 - 453

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

O teste Memória Lógica da Wechsler Memory Scale - Revised (WMS-R) é amplamente utilizado na prática clínica como instrumento de avaliação da memória verbal. O objetivo deste estudo foi analisar as propriedades psicométricas iniciais de versões alternativas das histórias traduzidas e livremente adaptadas da WMS-R empregadas no Brasil: três histórias equiparáveis à história Ana Soares e três à de Roberto Mota. A amostra foi constituída de 655 universitários, com idades entre 18 e 35 anos. Foi solicitada a recordação livre imediata e tardia (após 30 min) de cada história, original e alternativas. A análise de equivalência entre a recordação imediata e tardia das histórias alternativas e originais mostrou que cinco histórias foram memorizadas de forma equiparável às histórias originais se aplicadas individualmente. A recordação de três pares dessas histórias alternativas também foi equivalente à recordação do par original. Uma análise utilizando a Teoria de Resposta ao Item apontou os itens com melhor índice discriminativo. Assim, propõe-se histórias alternativas às do WMS-R que poderão ser usadas em estudos de normatização.

The Logical Memory test of the Wechsler Memory Scale - Revised (WMS-R) is widely used in clinical practice as a tool for verbal memory assessment. The aim of this study was to examine the initial psychometric properties of alternative versions of the stories translated and freely adapted from WMS -R used in Brazil: three stories comparable to Ana Soares' and three to Roberto Mota's stories. The sample consisted of 655 adults aged between 18 and 35 years. Immediate and delayed free recall of each original and alternative story was requested. The analysis of equivalence between the recall of alternative and original stories showed that five stories proved equivalent to the original stories, if applied individually. Recall of three pairs of these alternative stories was also equivalent to that of the original pair. An analysis using Item Response Theory (IRT) showed the items with best discriminative index. Therefore, the alternative stories proposed here can be used in normalization studies.

https://doi.org/10.1590/1678-7153.201528303 10609 downloads

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