Female sexual response: models, sexual dysfunctions and clinical approach

Introdução: A saúde sexual é uma importante variável e contribui para o bem-estar físico, emocional, mental e social de um indivíduo e para um relacionamento com um parceiro(a) no geral satisfatório. Todos temos o direito de viver a nossa sexualidade de uma forma livre, saudável e recompensadora. As disfunções sexuais são um problema comum nas mulheres e a sua definição tem vindo a evoluir, juntamente com estudos empíricos e novos modelos teóricos mais próximos da realidade feminina. Objetivo: Descrever os modelos teóricos que explicam a resposta sexual feminina; apresentar as definições clínicas das disfunções sexuais na mulher e discutir algumas abordagens clínicas para cada uma. Pretende também chamar a atenção para que estas questões sejam debatidas no consultório, devido ao impacto que podem ter na vida de uma mulher. Métodos: Esta revisão narrativa foi escrita tendo por base uma visão global da literatura pesquisada na base de dados MEDLINE, assim como na leitura de livros das áreas de Psiquiatria e Medicina Sexual. Discussão: Esta secção apresenta-se dividida em três grandes tópicos, que são o foco desta revisão narrativa: modelos da resposta sexual feminina, definições segundo a DSM-5 das disfunções sexuais na mulher e propostas de abordagem clínica. As características das disfunções sexuais, fatores de risco, diagnósticos diferenciais e o impacto na vida do casal é discutido, assim como a importância de uma avaliação holística da mulher com estas queixas. São também discutidas várias técnicas/terapias para a abordagem clínica, sem esquecer que a presença de co-morbilidades sexuais, nomeadamente várias disfunções, são frequentes na mesma mulher. Conclusão: Esta revisão narrativa pode dar um importante contributo na melhoria das competências de comunicação sobre o tema, não só a médicos generalistas/especialistas como também a pessoas sem formação médica que demostrem interesse. Fornece informação objetiva, fácil de ler e salienta a importância do tema para as mulheres. Espera-se que este trabalho estimule o diálogo entre colegas e outros profissionais de saúde e ainda que impulsione mais trabalhos de investigação.Background: Sexual health is an important variable and contributor to the physical, emotional, mental and social well-being of an individual, and to a satisfactory relationship in general. Everyone has the right to live their sexuality in a free, healthy and rewarding manner. Sexual dysfunctions are a common problem among women and their definitions have evolved together with empirical studies and new theoretical models closer to the female reality. Aim: To describe the theoretical models that explain the female sexual response, to present clinical definitions of women sexual dysfunctions and discuss several clinical approaches to each dysfunction. Also to draw attention to these questions in the medical office, due to the impact they might have in a woman's life. Methods: This narrative review was written based in an overview of the literature searched in MEDLINE and in reading area books. Discussion: This section presents the three major topics this narrative review focus on: models of female sexual response, DSM-5 definitions of women sexual dysfunctions and proposals for their clinical approach. The sexual dysfunctions' characteristics, risk factors, differential diagnosis and the impact in the couple's life is discussed, as well as the importance of a holistic evaluation of a woman with these complaints. There are also discussed several techniques to a clinical approach, without forgetting that sexual dysfunctional comorbidities in the same woman are frequent. Conclusion: This narrative review can be a valuable contributor in improving sexual communication skills of general/specialized physicians and even to ordinary people interested in the theme. It provides objective information, easy to read and stresses its relevance for women. It is hoped that this review stimulates dialogue amongst colleagues and more scientific research in the field

Equity valuation : Aena, SA

This dissertation presents the valuation of Aena SA, traded on Madrid Stock Exchange. Two methods were applied – Adjusted Present Value and Relative Valuation – and a sensitivity analysis was performed to challenge the values obtained. Through Adjusted Present Value methodology a share price of €121,4 per share was obtained. Thus, an Overweight recommendation applies. Relative valuation was considered only as a validation tool and, therefore, the recommendation was not based on its results. Lastly, a comparison was made between the results obtained on the dissertation and the ones reported by J.P. Morgan Cazenove investment bank on 25 June 2015, highlighting the major differences between the two.Esta dissertação apresenta a avaliação da Aena SA, listada na bolsa de Madrid. Dois métodos foram usados – Valor Presente Ajustado e Avaliação Relativa – e uma análise de sensibilidade foi elaborada para desafiar os resultados obtidos. Através do método do Valor Presente Ajustado, um preço por ação de €121,4 foi obtido. Assim sendo, uma recomendação de compra aplica-se. A Avaliação Relativa foi apenas considerada como ferramenta de validação e, assim sendo, a recomendação não foi baseada nos resultados nesta obtidos. Por último, uma comparação foi feita entre os resultados alcançados na dissertação e aqueles apresentados pelo banco de investimento J.P. Morgan Cazenove a 25 de Junho de 2015, destacando as diferenças entre as duas avaliações

Procedimentos para implantar equipes

Dissertação (mestrado) - Universidade Federal de Santa Catarina, Centro Tecnológico. Programa de Pós-Graduação em Engenharia de Produção.No cenário mundial dos negócios, na transformação da Era Industrial para a Era do Conhecimento, os ativos intangíveis são fundamentais para assegurar o sucesso competitivo das organizações. As equipes se tornaram uma importante estratégia de negócios neste ambiente competitivo. Este estudo foi desenvolvido para averiguar se são as equipes a base de apoio às organizações. Propõem-se procedimentos para a implantação e o desenvolvimento de equipes que permita uma melhoria no desempenho organizacional. Identificaram-se os fundamentos conceituais e metodológicos do desenvolvimento de equipes, enfatizando a importância das mesmas num ambiente de mudanças, suas vantagens e sua viabilidade, abordando desde a formação de equipe ao seu desenvolvimento, a relevância da liderança, como agendar reuniões eficazes, a importância de estabelecer as metas e a missão da equipe, como estimular a criatividade dos membros, maneiras de premiá-las e o reconhecimento oferecido pela organização. A pesquisa apresenta uma dimensão exploratória, tendo sido desenvolvido uma aplicação. Os procedimentos foram testados em uma agência do Banco do Brasil, durante quatro meses, incluindo relatos da evolução dos membros da equipe, suas dificuldades e os seus momentos de sucesso. O desafio foi lançado aos funcionários que informalmente prontificaram a se reunirem para tratarem de estratégia de vendas da agência. Para medir o desempenho da equipe foi utilizada a Gestão de Desenvolvimento Profissional e adotado como referencial teórico o Balanced Scorecard, de Norton e Kaplan, analisando individualmente todos os funcionários, avaliando a evolução dos membros da equipe em relação aos demais funcionários daquela agência e sua vinculação com o alcance dos objetivos da organização. A pesquisa permitiu concluir, dentre outros aspectos, que as equipes bem implantadas e desenvolvidas são a base de apoio às organizações

Seasonal availability of floral resources and ambient temperature shape stingless bee foraging behavior (Scaptotrigona aff. depilis)

International audienceAbstractThe foraging success of a bee species is related to a combination of climatic factors and resource availability. Here, we analyzed how food storage by the stingless bee Scaptotrigona aff. depilis relates to the seasonal variation in floral resources availability in a tropical environment with two well-defined seasons. We found a positive relationship between the amount of food stored and resource availability, suggesting that colonies intensify food collection in the season with higher food availability (rainy season). This ensures the perennial state of stingless bee colonies during the dry season (food scarcity and lower ambient temperatures). Bees collected pollen from at least 60 plant species, but food pots were dominated by just nine plants. Additionally, S. aff depilis attempted to unevenly use the plant species for food storage in the rainy season, which indicates that the colonies maximize their food intake as soon as resources are available

Pollen Collected and Foraging Activities of Frieseomelitta varia (Lepeletier) (Hymenoptera: Apidae) in an Urban Landscape

Cities provide resources for animal species that live within them or inhabit their surroundings. This has motivated an increase in ecological studies of urban areas, including the interactions between plants and pollinators. From March 2010 to February 2011, the flowering plants present in the study area, located at the Universidade de São Paulo, Ribeirão Preto, were sampled to evaluate how floral sources were distributed throughout the year. Concurrently, worker bees with pollen loads were collected from four colonies of Frieseomelitta varia (Lepeletier, 1836) to identify the sources used by bees. Despite an increase in plant species abundance in July, plants were in bloom year-round and consequently, the production and supply of floral resources were continuous. The workers collected resources from 77 plant species, but only three were extensively exploited. Delonix regia (Leguminosae), Poincianella pluviosa (Leguminosae) and Ceiba speciosa (Malvaceae) accounted for 42% of total pollen grains quantified during the year, showing that F. varia intensify pollen collection at few sources at spatiotemporal scale. This study emphasizes the importance of native urban flora to maintain F. varia and other bee species. The list of plants presented in this study can be used in the design and planning of urban areas

DIAGNÓSTICO DA ARBORIZAÇÃO URBANA DO MUNICÍPIO DE OURO VERDE DO OESTE, PARANÁ

Antigamente a vegetação urbana era utilizada apenas para embelezamento das cidades, porém na atualidade, devido às questões ambientais e melhoria na qualidade de vida proporcionada pela vegetação, a mesma é tida como necessária para o equilíbrio entre a vida urbana e o meio ambiente, observando, portanto, a necessidade de toda e qualquer cidade possuir um plano de gestão destinado à arborização urbana. O presente trabalho teve como objetivo analisar os aspectos qualitativos e quantitativos da arborização urbana no município de Ouro Verde do Oeste/PR. Foram catalogadas 1249 árvores, dentre elas, a espécie Caesalpinia peltophoroides foi a de maior ocorrência, com 614 indivíduos, seguido pelo Ligustrum lucidum com 107 indivíduos. Mais de 50% das espécies da arborização foi classificada como nativa e apenas 30 indivíduos não foram identificados. No cálculo de índice de área verde observou se um déficit de unidades arbóreas, entretanto quando comparado com outros munícipios Ouro Verde do Oeste apresenta melhores resultados tendo aproximadamente 6,01m² hab-1. Dessa forma, este estudo poderá auxiliar o poder público municipal na elaboração de um plano de arborização e readequação das condições da arborização, o que em suma estará beneficiando toda população ouroverdense

Development of an innovative method for evaluating a network of collective defensive interactions in football

Social network analysis (SNA) has been increasingly applied to performance analytics in team sports, seeking to better understand the dynamic properties of competitive interactions. Despite considerable potential to analyze individual (micro) and team (macro) behavioral patterns of play, there are important limitations that can undermine the potential applicability of SNA. One important limitation in existing research is the lack of network analyses of defensive interactions, curtailing understanding of the functionality and adaptability of teams during competitive performance. This study developed an innovative network method for assessing interactions between players in defensive phases of play in football. The networking method was evaluated using a small-sided and conditioned game (SSCG; GK+7v7+GK) of 20 min duration (two halves of 10 min each, interspersed by 5 min intervals of active recovery). The method traced interactions between groups of three players (effective defensive triangulations) as network nodes, weighted according to the number of passes performed by the attacking players. Results showed how this social network analysis method may provide researchers, coaches and performance analysts with relevant information regarding the functional properties of teams in the defensive phase of the game. For instance, coaches and performance analysts can evaluate the geometry of a team’s defense, with players engaged in effective triangular-shaped positioning, that allowed them to provide defensive cover and balance, to protect the goal and recover ball possession

Reuma.pt/vasculitis - the Portuguese vasculitis registry

BACKGROUND: The vasculitides are a group of rare diseases with different manifestations and outcomes. New therapeutic options have led to the need for long-term registries. The Rheumatic Diseases Portuguese Register, Reuma.pt, is a web-based electronic clinical record, created in 2008, which currently includes specific modules for 12 diseases and > 20,000 patients registered from 79 rheumatology centres. On October 2014, a dedicated module for vasculitis was created as part of the European Vasculitis Society collaborative network, enabling prospective collection and central storage of encrypted data from patients with this condition. All Portuguese rheumatology centres were invited to participate. Data regarding demographics, diagnosis, classification criteria, assessment tools, and treatment were collected. We aim to describe the structure of Reuma.pt/vasculitis and characterize the patients registered since its development. RESULTS: A total of 687 patients, with 1945 visits, from 13 centres were registered; mean age was 53.4 ± 19.3 years at last visit and 68.7% were females. The most common diagnoses were Behçet's disease (BD) (42.5%) and giant cell arteritis (GCA) (17.8%). Patients with BD met the International Study Group criteria and the International Criteria for BD in 85.3 and 97.2% of cases, respectively. Within the most common small- and medium-vessel vasculitides registered, median [interquartile range] Birmingham Vasculitis Activity Score (BVAS) at first visit was highest in patients with ANCA-associated vasculitis (AAV) (17.0 [12.0]); there were no differences in the proportion of patients with AAV or polyarteritis nodosa who relapsed (BVAS≥1) or had a major relapse (≥1 major BVAS item) during prospective assessment (p = 1.00, p = 0.479). Biologic treatment was prescribed in 0.8% of patients with GCA, 26.7% of patients with AAV, and 7.6% of patients with BD. There were 34 (4.9%) deaths reported. CONCLUSIONS: Reuma.pt/vasculitis is a bespoke web-based registry adapted for routine care of patients with this form of rare and complex diseases, allowing an efficient data-repository at a national level with the potential to link with other international databases. It facilitates research, trials recruitment, service planning and benchmarking.publishersversionpublishe

Pervasive gaps in Amazonian ecological research

Biodiversity loss is one of the main challenges of our time,1,2 and attempts to address it require a clear un derstanding of how ecological communities respond to environmental change across time and space.3,4 While the increasing availability of global databases on ecological communities has advanced our knowledge of biodiversity sensitivity to environmental changes,5–7 vast areas of the tropics remain understudied.8–11 In the American tropics, Amazonia stands out as the world’s most diverse rainforest and the primary source of Neotropical biodiversity,12 but it remains among the least known forests in America and is often underrepre sented in biodiversity databases.13–15 To worsen this situation, human-induced modifications16,17 may elim inate pieces of the Amazon’s biodiversity puzzle before we can use them to understand how ecological com munities are responding. To increase generalization and applicability of biodiversity knowledge,18,19 it is thus crucial to reduce biases in ecological research, particularly in regions projected to face the most pronounced environmental changes. We integrate ecological community metadata of 7,694 sampling sites for multiple or ganism groups in a machine learning model framework to map the research probability across the Brazilian Amazonia, while identifying the region’s vulnerability to environmental change. 15%–18% of the most ne glected areas in ecological research are expected to experience severe climate or land use changes by 2050. This means that unless we take immediate action, we will not be able to establish their current status, much less monitor how it is changing and what is being lostinfo:eu-repo/semantics/publishedVersio