Tourism in Azores Islands: Persistence in the Monthly Arrivals

This study analyses the persistence in the international monthly arrivals to the Azores Islands using a model based on fractional integration and seasonal autoregressions. The estimated fractional differencing parameter gives an indication of the long run evolution of the series. We use both aggregate data and disaggregate monthly data by location of origin and island destination. The results show that the aggregate series corresponding to the total number of arrivals is a nonstationary I(d) process with d above 1, and the most persistent ones are those travelling to Säo Miguel, especially from Holland, Finland, Norway, Germany, Denmark and the UK.Monthly arrivals; Seasonal fractional integration; Persistence; Azores Islands.

A Corte Interamericana de Direitos Humanos e a judicialização internacional da política doméstica

This paper explores specific features in the IHR Court that demonstrate international judicialization of domestic politics. We map no repetition measures in the Court’s rulings against South American States through qualitative research design, along with descriptive statistics. Then, we evaluate the difficulties to comply with these measures, as well as the possible impacts regarding States policies.O artigo explora elementos das sentenças da Corte IDH que evidenciem processos de judicialização internacional de políticas domésticas.  Por meio de um desenho de pesquisa qualitativo, associado a estatísticas descritivas, mapeamos medidas de não repetição em sentenças da Corte contra Estados Sul-Americanos, avaliamos dificuldades de cumprimento dessas medidas e apresentamos possíveis impactos nas políticas estatais

Redução do uso da Cannabis Sativa nas pessoas com deficiência motora em treino de basquete em cadeiras de rodas: ensaio clinico randomizado

Introdução: as pessoas com deficiências têm anormalidade de estrutura ou função anatômica, fisiológica ou psicológica. Sendo que nas lesões crônicas e deficiências permanentes aumenta as taxas de prevalência de alterações mentais ou comportamentais. O uso de cannabis sativa nos esportes tornou-se questão polêmica proeminente e debatida pelas autoridades governamentais e por movimentos esportivos que lutam contra o doping no esporte. Objetivos: analisar o uso de Cannabis Sativa  e aspectos saúde no Treino de Basquete em Cadeiras de Rodas (BCR) das Pessoas com Deficiência Motora (PCD-M). Métodos: estudo experimental tipo ensaio clínico randomizado. A amostra foi triada da população do sexo masculino PCD-M, em  idade igual e superior a 18 anos até 55 anos, residentes na Baixada Cuiabana-MT, Brasil, sendo  recrutadas por sorteio (n=100), e randomizadas para avaliação (n=48), alocados em dois braços sendo experimental (GE n=21) e controle (GC n=27).  A coleta foi realizada por entrevista estruturada e avaliação clínica incluindo os aspectos sociodemográficos, hábitos de estilo de vida, autorrelatos de álcool e drogas. O treino de basquete foi feito duas vezes da semana às 2º e 4º feiras das 19h as 21h com @ 2 horas de tempo de duração. Para análise de dados foi utilizada a teste quiquadrado e cálculo estimativo do efeito da intervenção, com significância em p<0.05 e 95% de intervalo e confiança. Resultados: A idade média foi de 35 (±8,8) anos.  O tempo de prevalência das deficiências por etiologia Poliomielite foram superiores a 20 anos.  Foram encontrados eventos de aspecto mental e comportamental com uso (Cannabis sativa, 25%); alterações no aspecto físico (úlcera de pressão=21%, infecção de urina=40%); previdência social pública (zero auxílio percapita, 10%). Houve  melhora e o Número Necessário para Tratamento com Ulcera Pressão (NTT 3,0 e p=0.03); e redução de usuários de Cannabis Sativa (NNT= 5,50 e p=0.02) neste ensaio clínico. Conclusão:  houve melhora dos aspectos da clínica pós intervenção no GE denotando redução do uso de Cannabis Sativa melhora da condição de saúde na PCD-M. Então, as técnicas de preleção com motivação de equipe, dinâmicas de grupo, a compreensão das regras antidoping nos campeonato de BCR corroborou no equilíbrio do comportamento mental reduzindo consumo de Cannabis Sativa. Assim programas de esportes coletivos para PCD-M podem contribuir no tratamento redução de consumo de Cannabis Sativa e ser estratégia de equilíbrio comportamental e de ressignificação da vida

A Patient Perception as a Nursing Care in Emergency Sector

The work process by nurses in the emergency sector is comprised of two complementary dimensions, managing and caring. Therefore,the aim of this study was Know the perception of patients to the support of the nursing assistance in Emergency sector. This is a field research, exploratory, descriptive qualitative approach. The survey was conducted in Dr. Luiz Milton Arêa Leão Hospital - Satélite, located in the city of Teresina - PI, Brazil, which caters exclusively by the Unified Health System, and reference in its coverage area.We interviewed thirteen (13) patients who remained in observation in the emergency sector in that hospital. For this study was used as a criterion for inclusion of service users who entered the emergency sector in the periodMarch-April 2014 and who remained in the sector at the time of the interview.  A pilot test was conducted with the instrument to validate and suitability for the target audience, which is excluded from the sample. Ethical aspects were respected, as provided for in Resolution 466/2012 of the National Health Council, Brazil (2013). In this sense, we observed through the reports of the participants carrying out a qualified nursing care, where it identified a good conduct of professionals to provide the necessary assistance. A nursing care and systematic termination  during the stay of patients in hospital was evidenced. It is perceived  that there is a satisfaction from patients and the care of thenursing team, which is performed through actions inherent to these professionals, such as goodwill, the act of providing a welcoming atmosphere, with technical scientific background, and ability in dealing with conflict situations and ethical

Attenuation of capsaicin-induced acute and visceral nociceptive pain by α- and β-amyrin, a triterpene mixture isolated from Protium heptaphyllum resin

Abstract The triterpene mixture, a-and h-amyrin, isolated from Protium heptaphyllum resin was evaluated on capsaicinevoked nociception in mice. Orally administered a-and h-amyrin (3 to 100 mg/kg) significantly suppressed the nociceptive behaviors-evoked by either subplantar (1.6 Ag) or intracolonic (149 Ag) application of capsaicin. The antinociception produced by a-and h-amyrin against subplantar capsaicin-induced paw-licking behavior was neither potentiated nor attenuated by ruthenium red (1.5 mg/kg, s.c.), a non-specific antagonist of vanilloid receptor (TRPV1), but was greatly abolished in animals pretreated with naloxone (2 mg/kg, s.c.), suggesting an opioid mechanism. However, participation of a 2 -adrenoceptor involvement was unlikely since yohimbine (2 mg/ kg, i.p.) pretreatment failed to block the antinociceptive effect of a-and h-amyrin in the experimental model of visceral nociception evoked by intracolonic capsaicin. The triterpene mixture (3 to 30 mg/kg, p.o.) neither altered significantly the pentobarbital sleeping time, nor impaired the ambulation or motor coordination in open-field and rota-rod tests, respectively, indicating the absence of sedative or motor abnormality that could account for its antinociception. Nevertheless, a-and h-amyrin could significantly block the capsaicin (10 mg/kg, s.c.)-induce

Walking and postural balance in adults with severe short stature due to isolated GH deficiency

Objectives: Walking and postural balance are extremely important to obtain food and to work. Both are critical for quality of life and ability to survive. While walking reflects musculoskeletal and cardiopulmonary systems, postural balance depends on body size, muscle tone, visual, vestibular and nervous systems. Since GH and IGF-I act on all these systems, we decided to study those parameters in a cohort of individuals with severe short stature due to untreated isolated GH deficiency (IGHD) caused by a mutation in the GHRH receptor gene. These IGHD subjects, despite reduction in muscle mass, are very active and have normal longevity. Methods: In a cross-sectional study, we assessed walking (by a 6-min walk test), postural balance (by force platform) and fall risk (by the 'Timed Up and Go' test) in 31 IGHD and 40 matched health controls. Results: The percentage of the walked distance measured in relation to the predicted one was similar in groups, but higher in IGHD, when corrected by the leg length. Absolute postural balance data showed similar velocity of unipodal support in the two groups, and better values, with open and closed eyes and unipodal support, in IGHD, but these differences became non-significant when corrected for height and lower-limb length. The time in 'Timed Up and Go' test was higher in IGHD cohort, but still below the cut-off value for fall risk. Conclusion: IGHD subjects exhibit satisfactory walking and postural balance, without increase in fall risk