Strategic Management and Retention of Talent: Challenges in the Portuguese Army

Organizations are made up of people, their most important asset. The Armed Forces are no exception in this context, quite the opposite. Despite all the developments in military equipment, especially in the last century, the human component continues to be a determining factor in the overwhelming majority of the weapons systems. The investments that have been made to the military, in terms of academic, technical and operational training, have contributed to increasing their skills and abilities in a professional career that, today, is facing even more asymmetrical challenges. Different levels of motivation, different career aspirations linked to organizational constraints and different economic contexts, have led to an increasingly difficult strategic management of human resources in the military areas, such as the Portuguese Army. This article addresses the urgency of retaining talent in the Portuguese Army, at a time when this branch of the Portuguese Armed Forces is confronted with new assignments, missions and challenges

sectional study

Backgrounds: The aim of this study is identify the main morphological patterns of the pancreas in AIDS patients in use of Higly Active Antiretorviral Therapy (HAART). Methods: We conducted a cross sectional study in the year of 2010. The inclusion criteria were patients older than 18 years who died of AIDS with the use of HAART (2006–2009) and underwent to autopsy. They were compared with a group of 109 patients who died of AIDS in 1995 before the HAART therapy. All the autopsies were made in the Death Verification Service of São Paulo. Results: The HAART group presented pancreas abnormalities lighter than no HAART users. In the HAART group, histology shows: reduction of zymogen granules in the acinar cells (ZG) higher percentage of cases, “dysplasia-like” presents lower and pancreatic acinar atrophy, presents higher percentage of cases compared to no HAART group. The exocrine pancreas in treated patients was distinguished by the high level of atrophy, sharp reduction of zymogen granules and high level of apoptosis, reflecting degeneration and lower level of protein-caloric malnutrition. Conclusions: The islets of Langerhans in HAART group were increased in number and volume and with high level of nuclear dysplasia. The antiviral therapy and a longer survival resulted in a higher atrophy and reduction of enzymes, increasing the apoptosis and generated important changes in the pancreatic islets, probably resulting in clinical laboratory repercussion. We found no evidence of pancreatic histopathological lesions secondary to antiretroviral therapy

Assessment of different plasticizer – polyhydroxyalkanoate mixtures to obtain biodegradable polymeric films

The elaboration of films from biodegradable polymer polyhydroxybutyrate was studied with 4 main plasticizers at variable concentrations: polyethyleneglycol, lauric acid, glycerol and epoxidized soy bean oil. An evaluation of the state of the art in the properties of commercial PHB (polyhydroxybutyrate) and necessary additives was elaborated in order to establish the experimental design to develop a polymeric film. Also, the qualitative evaluation of overall brittleness showed a variability due the nature and concentration of plasticizer. The influence of plasticizers on polymeric films was evaluated with gas chromatography (GC/MS) and Infrared Spectroscopy. The measurements were made on samples from different stages of the process in order to evaluate PHA (polyhydrixyalkanoate) purity. Measurements from the gas chromatography studies show the purity of the inicial fermentation broth (59.87%) , after the extraction with SDS and sodium hypochlorite (65%) and in mixtures with PEG (58.15%). From a general perspective, polyethyleneglycol (PEG) lower the material frailness and does not modify the Infra Red Spetrum as well as the Crystallinity Index (CI) in comparison with a standard commercial sample (70%+

Natural-based antioxidant extracts as potential mitigators of fruit browning

Fruit enzymatic browning (EB) inhibition continues to be a challenge in the Food Industry. This physiological disorder results mainly from the oxidation of natural phenolic compounds by polyphenoloxidase (PPO) and peroxidase (POX) leading to the formation of brown pigments. EB can be controlled with the application of antioxidants, reducing/inhibiting the activity of these oxidative enzymes. In this study, strawberry tree (leaves and branches) and apple byproduct were the natural-based extracts (NES) selected, as potential tissue browning inhibitors, within a first screening of fifteen natural-based extracts with antioxidant properties. Phenolic profile, total phenolic content and antioxidant activity of the selected extracts were also performed as well as their depletion effect on the oxidative enzyme’s activity and browning inhibiton in fresh-cut pears. Strawberry tree extracts (leaves and branches) revealed higher total phenolic content (207.97 ± 0.01 mg GAE.gNES−1 and 104.07 ± 16.38 mg GAE.gNES−1, respectively), confirmed by the plethora of phenolic compounds identified by LC-ESI-UHR-QqTOF-HRMS and quantified by HPLC. This phytochemical composition was reflected in the low IC50 against PPO and POX obtained. Despite the lower phenolic content (6.76 ± 0.11 mg GAE.gNES−1) and antioxidant activity (IC50 = 45.59 ± 1.34 mg mL−1), apple byproduct extract showed potential in delaying browning. This study highlights the opportunity of byproducts and agricultural wastes extracts as novel anti-browning agents.info:eu-repo/semantics/publishedVersio

Oxidative stress involving changes in Nrf2 and ER stress in early stages of Alzheimer's disease

AbstractOxidative stress and endoplasmic reticulum (ER) stress have been associated with Alzheimer's disease (AD) progression. In this study we analyzed whether oxidative stress involving changes in Nrf2 and ER stress may constitute early events in AD pathogenesis by using human peripheral blood cells and an AD transgenic mouse model at different disease stages. Increased oxidative stress and increased phosphorylated Nrf2 (p(Ser40)Nrf2) were observed in human peripheral blood mononuclear cells (PBMCs) isolated from individuals with mild cognitive impairment (MCI). Moreover, we observed impaired ER Ca2+ homeostasis and increased ER stress markers in PBMCs from MCI individuals and mild AD patients. Evidence of early oxidative stress defense mechanisms in AD was substantiated by increased p(Ser40)Nrf2 in 3month-old 3xTg-AD male mice PBMCs, and also with increased nuclear Nrf2 levels in brain cortex. However, SOD1 protein levels were decreased in human MCI PBMCs and in 3xTg-AD mice brain cortex; the latter further correlated with reduced SOD1 mRNA levels. Increased ER stress was also detected in the brain cortex of young female and old male 3xTg-AD mice. We demonstrate oxidative stress and early Nrf2 activation in AD human and mouse models, which fails to regulate some of its targets, leading to repressed expression of antioxidant defenses (e.g., SOD-1), and extending to ER stress. Results suggest markers of prodromal AD linked to oxidative stress associated with Nrf2 activation and ER stress that may be followed in human peripheral blood mononuclear cells

Fatores associados a desfechos desfavoráveis após trauma craniano leve pediátrico em um centro de referência da região norte de Minas Gerais

Study Design: Prospective cohort. Objective: To describe clinical and demographic characteristics of a sample of children with HI referred for acute care in a referral center of the north region of Minas Gerais, Brazil, and assess clinical and radiological markers associated with unfavorable outcomes. Methodology: All children between the ages 0 to 14 years referred with head injury from February to September 2011 were included in this study. Socio-demographic and clinical data were collected at the moment of the initial assessment under informed consent. The patients were also reassessed via telephone calls after 7 and 91 days. Results: A total of 77 patients were included in this study. The mean age was 3.9 years with a standard deviation of 3.76 years. Falls and bicycle collisions were the main mechanisms of trauma. The most relevant clinical marker associated with unfavorable outcomes at 7 days was the parental perception of unusual behavior (Odds Ratio = 11.33; 95% confidence interval: 1.38-93.13; p = 0.02). Computer tomography scan abnormalities were associated with both unfavorable outcomes at 7 days (p=0.03) and at 91 days (p=0.02). Conclusions: The peculiar aspects of head injuries in a Brazilian population were described in this study. It was also found that unusual behavior and abnormalities on CT scan are factors that predict unfavorable outcomes in children with mild HI in this population.Modelo do Estudo: Coorte prospectivo. Objetivo do Estudo: Descrever características clínicas e demográficas de uma amostra de crianças encaminhadas por traumatismo craniano em um centro de referência na região norte de Minas Gerais e avaliar marcadores clínicos e radiológicos associados a desfechos desfavoráveis. Metodologia: Foram incluídas neste estudo todas as crianças entre 0 e 14 anos atendidas com traumatismo craniano de fevereiro a setembro de 2011. Dados sócio demográficos e clínicos foram coletados no momento da avaliação inicial sob consentimento informado. Os pacientes também foram reavaliados por telefone após 7 e 91 dias. Resultados: Um total de 77 pacientes foi incluído neste estudo. A idade média foi de 3,9 anos, com desvio padrão de 3,76 anos. Quedas e colisões de bicicleta foram os principais mecanismos de trauma. O marcador clínico mais relevante associado a desfechos desfavoráveis com 7 dias foi a percepção pelos pais de comportamento anormal (Odds Ratio = 11,3; intervalo de confiança de 95%: 1,38-93,13; p = 0,02). Alterações na Tomografia Computadorizada foram associadas tanto a desfechos desfavoráveis após 7 dias (p=0,03) como após 91 dias (p=0,02). Conclusões: Os aspectos peculiares do traumatismo craniano em uma população brasileira são descritos neste estudo. Encontrou-se, ainda, que um comportamento anormal e alterações na TC são fatores que predizem desfechos desfavoráveis em crianças com traumatismo craniano leve nessa população

Evaluation of a protocol for fMRI assessment associated with augmented reality rehabilitation of stroke subjects.

New technologies for rehabilitation involving Augmented Reality (AR) as a complement to conventional therapy have appeared in recent years. An earlier study for shoulder rehabilitation using the AR NeuroR computer system showed improved clinical outcomes for stroke patients. This study aims to analyze a proposed protocol to measure possible changes in functional brain connectivity associated with the use of the NeuroR system in the context of shoulder motor rehabilitation of post-stroke subjects. A pilot study was conducted with a poststroke patient, using resting-state functional magnetic resonance imaging (RS-fMRI). RS-fMRI signals were acquired pre and post use of the NeuroR system (pre-test and post-test), integrated into the patient?s rehabilitation program. Functional connectivity analysis of RS-fMRI was performed using the motor area as seed. he maximum connectivity value in the pre-test occurred in the ipsilesional parietal region while the maximum in the post-test was located in the ipsilesional frontal region. It was observed that the regions strongly associated with motor activity had higher connectivity values at post-test compared to pre-test. The proposed protocol is suitable and safe for verifying if functional brain connectivity was changed after the rehabilitation program with NeuroR training, indicating a possible neuroplasticity effect. Tests with a larger number of patients are still necessary

Schizophrenia and work: aspects related to job acquisition in a follow-up study

Objective: Work is considered one of the main forms of social organizationhowever, few individuals with schizophrenia find work opportunities. The purpose of this study was to evaluate the relationship between schizophrenia symptoms and job acquisition. Method: Fifty-three individuals diagnosed with schizophrenia from an outpatient treatment facility were included in an 18-month follow-up study. After enrollment, they participated in a prevocational training group. At the end of training (baseline) and 18 months later, sociodemographic, clinical data and occupational history were collected. Positive and negative symptoms (Positive and Negative Syndrome Scale - PANSS), depression (Calgary Depression Scale), disease severity (Clinical Global Impression - CGI), functionality (Global Assessment of Functioning - GAF), personal and social performance (Personal and Social Performance - PSP) and cognitive functions (Measurement and Treatment Research to Improve Cognition in Schizophrenia - MATRICS battery) were applied at baseline and at the end of the study. Results: Those with some previous work experience (n = 19) presented lower scores on the PANSS, Calgary, GAF, CGI and PSP scales (p < 0.05) than those who did not work. Among those who worked, there was a slight worsening in positive symptoms (positive PANSS). Conclusions: Individuals with less severe symptoms were more able to find employment. Positive symptom changes do not seem to affect participation at workhowever, this calls for discussion about the importance of employment support.Programa de Esquizofrenia (PROESQ)Centro de Atencao Integrada a Saude Mental (CAISM)Fundacao de Amparo a Pesquisa do Estado de Sao Paulo (FAPESP) [2011/50740-5]Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior (CAPES)FAPESPConselho Nacional de Desenvolvimento Cientifico e Tecnologico (CNPq)CAPESUniv Fed Sao Paulo UNIFESP, Dept Psiquiatria, Sao Paulo, SP, BrazilUniv Fed Sao Carlos UFSCar, Dept Med, Sao Carlos, SP, BrazilUniv Fed Sao Carlos, Dept Terapia Ocupac, Sao Carlos, SP, BrazilFac Ciencias Med Santa Casa Sao Paulo, Dept Psiquiatria, Sao Paulo, SP, BrazilUniv Fed Sao Paulo UNIFESP, Dept Psiquiatria, Sao Paulo, SP, BrazilFAPESP [2011/50740-5]Web of Scienc

Is semantic verbal fluency impairment explained by executive function deficits in schizophrenia?

Objective: To investigate if verbal fluency impairment in schizophrenia reflects executive function deficits or results from degraded semantic store or inefficient search and retrieval strategies. Method: Two groups were compared: 141 individuals with schizophrenia and 119 healthy age and education-matched controls. Both groups performed semantic and phonetic verbal fluency tasks. Performance was evaluated using three scores, based on 1) number of words generated2) number of clustered/ related wordsand 3) switching score. A fourth performance score based on the number of clusters was also measured. Results: Individuals with schizophrenia produced fewer words than controls. After controlling for the total number of words produced, a difference was observed between the groups in the number of cluster-related words generated in the semantic task. In both groups, the number of words generated in the semantic task was higher than that generated in the phonemic task, although a significant group vs. fluency type interaction showed that subjects with schizophrenia had disproportionate semantic fluency impairment. Working memory was positively associated with increased production of words within clusters and inversely correlated with switching. Conclusion: Semantic fluency impairment may be attributed to an inability (resulting from reduced cognitive control) to distinguish target signal from competing noise and to maintain cues for production of memory probes.Fundacao de Amparo e Pesquisa do Estado de Sao Paulo (FAPESP)Univ Fed Sao Paulo, Dept Psiquiatria, Programa Esquizofrenia PROESQ, Sao Paulo, SP, BrazilUniv Fed Sao Paulo, Dept Psiquiatria, LINC, Sao Paulo, SP, BrazilCtr Univ FIEO UNIFIEO, Dept Psicol Educ, Ave Franz Voegeli 300,Bloco Prata,Sala 10, BR-06020190 Osasco, SP, BrazilBrown Univ, Dept Cognit & Linguist Sci, Providence, RI 02912 USAUniv Mackenzie, Programa Posgrad Disturbios Desenvolvimento, Sao Paulo, SP, BrazilUniv Fed Sao Paulo, Dept Psiquiatria, Programa Esquizofrenia PROESQ, Sao Paulo, SP, BrazilUniv Fed Sao Paulo, Dept Psiquiatria, LINC, Sao Paulo, SP, BrazilFAPESP: 2011/50740-5FAPESP: 2007/58630-9Web of Scienc

Portuguese multidisciplinary recommendations for non-pharmacological and non-surgical interventions in patients with rheumatoid arthritis

BACKGROUND: Patients with rheumatoid arthritis (RA) report significant levels of disease impact, which are improved, but not fully abrogated by immunosuppressive therapy, even when remission is achieved. This imposes the need for adjuvant interventions targeting the uncontrolled domains of disease impact. Non-pharmacological interventions are widely used for this purpose, but they have not been the object of professional recommendations or guidelines. OBJECTIVE: To propose multidisciplinary recommendations to inform clinical care providers regarding the employment of non-pharmacological and non-surgical interventions in the management of patients with RA. METHODS: The EULAR standardized operating procedures for the development of recommendations were followed. First, a systematic literature review was performed. Then, a multidisciplinary Technical Expert Panel (TEP) met to develop and discuss the recommendations and research agenda. For each developed recommendation i) the level of evidence and grade of recommendation were determined, and ii) the level of agreement among TEP members was set. A recommendation was adopted if approved by ≥75% of the TEP members, and the level of agreement was considered high when ≥8. All relevant national societies were included in this construction process to attain their endorsement. RESULTS: Based on evidence and expert opinion, the TEP developed and agreed on five overarching principles and 12 recommendations for non-pharmacological and non-surgical interventions in patients with RA. The mean level of agreement between the TEP members ranged between 8.5 and 9.9. The recommendations include a broad spectrum of intervention areas, such as exercise, hydrokinesiotherapy, psychological interventions, orthoses, education, general management of comorbidities, among others; and they set the requirements for their application. CONCLUSIONS: These recommendations are based on the consensus judgment of clinical experts from a wide range of disciplines and patients' representatives from Portugal. Given the evidence for effectiveness, feasibility and safety, non-pharmacological and non-surgical interventions should be an integral part of standard care for people with RA. It is hoped that these recommendations should be widely implemented in clinical practice. The target audience for these recommendations includes all health professionals involved in the care of patients with RA. The target patient population includes adult Portuguese people with RA.publishersversionpublishe