Resistências dos profissionais da atenção psicossocial em álcool/drogas à abordagem de redução de danos

Objective: to analyse the resistance opposed by mental health professionals on alcohol and other drugs to the effective implementation of harm reduction in psychosocial care devices. Methods: this qualitative and exploratory study was carried out with ten participants from August to December 2012, through semi-structured interviews, and adopted the hermeneutic-dialectic as analytical technique. The Ethics Committee in Research (CAEE No 0005.0.196.000-11) approved the project. Results: service professionals, based on the traditional psychiatry attitudes, have identified resistance to harm reduction approach. Final considerations: harm reduction faces resistance in the course of its operation by crossing concepts aligned to the previous paradigm, which still stand in institutional practices

Lung Ultrasound (LUS) in COVID-19 Pneumonia: Usefulness in Two Atypical Cases

Clinical experience and scientific articles have shown that patients infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) can be paucisymptomatic or asymptomatic at the time of diagnosis. In this paper, we will discuss two paucisymptomatic patients with blood tests suggestive for SARS-CoV-2 infection but with repeated negative nasopharyngeal swabs and without typical features of COVID-19 pneumonia on chest high-resolution computed tomography. In these cases, lung ultrasound helped to raise clinical suspicion of COVID-19 pneumonia and facilitate diagnosis

Avaliação da satisfação da equipe de profissionais de um serviço de atenção psicossocial especializado em álcool e outras drogas

O presente artigo apresenta um estudo transversal, descritivo e de abordagem qualitativa acerca de uma avaliação de natureza participativa realizada em um serviço de atenção psicossocial especializado em álcool e outras drogas, que objetivou avaliar a satisfação da equipe de profissionais do serviço, empregando referencial teórico-metodológico da avaliação de quarta geração adaptado. Os dados empíricos foram coletados por meio de observação, entrevistas individuais com a aplicação do método do círculo hermenêutico-dialético e de entrevistas grupais. Os dados foram analisados pela técnica de comparação constante. As construções que emergiram no processo de avaliação participativa foram categorizadas em três núcleos temáticos: clínica, gestão e ensino. Os fatores que convergiram para a promoção da satisfação dos profissionais envolveram aspectos da prática assistencial empreendida no serviço. Por outro lado, fatores relacionados à própria assistência, além de outros atinentes à gestão do serviço e à educação permanente, conjugaram-se de modo a desfavorecer a satisfação dos profissionais

Spatial segregation and connectivity in young and adult stages of Megaleporinus obtusidens inferred from otolith elemental signatures: Implications for management

Boga Megaleporinus obtusidens is a teleost fish of economical and sport importance from Río de la Plata Basin (South America). Otolith core and edge elemental ratios (Ba:Ca, Cu:Ca, Li:Ca, Mg:Ca, Mn:Ca, Pb:Ca, Rb:Ca and Sr:Ca) were compared among three sampling areas from the Río de la Plata Basin (Paraná and Uruguay Rivers and Río de la Plata Estuary) to evaluate the applicability of the fingerprint to study segregation and connectivity in young and adult stages. Several ratios were significantly different among sites for otolith core and edge (p < 0.05). PERMANOVA (p < 0.05) and quadratic discriminant function analysis (classification rates: 86.8% and 82.5% for otolith core and edge, respectively) were found to be highly effective in detecting differences in otolith core and edge fingerprints between sampling sites suggesting the existence of spatial segregation in young and adult life stages, respectively. The presence of relatively isolated groups may require the need to manage the stocks separately.Fil: Avigliano, Esteban. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Unidad Ejecutora de Investigaciones en Producción Animal. Universidad de Buenos Aires. Facultad de Ciencias Veterinarias. Unidad Ejecutora de Investigaciones en Producción Animal; ArgentinaFil: Pisonero, Jorge. Universidad de Oviedo; EspañaFil: Domanico, Alejandro. Provincia de Buenos Aires. Gobernación. Comisión de Investigaciones Científicas; ArgentinaFil: Silva, Natalia Andrea. Universidad Nacional del Nordeste. Facultad de Ciencias Veterinarias. Instituto de Ictiología del Nordeste; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Sánchez, Sebastián. Universidad Nacional del Nordeste. Facultad de Ciencias Veterinarias. Instituto de Ictiología del Nordeste; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Volpedo, Alejandra. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Unidad Ejecutora de Investigaciones en Producción Animal. Universidad de Buenos Aires. Facultad de Ciencias Veterinarias. Unidad Ejecutora de Investigaciones en Producción Animal; Argentin

Percutaneous real-time sonoelastography as a non-invasive tool for the characterization of solid focal liver lesions: A prospective study

Background: Real-time sonoelastography is currently used for the characterization of superficial solid lesions such as thyroid and breast masses. This study evaluates the usefulness of percutaneous sonoelastography for the characterization of solid focal liver lesions. Methods: 30 out of 43 patients with 38 known liver lesions were included in a prospective, diagnostic study. Qualitative analysis (pattern of deformation, elasticity type of liver tumour) and semi-quantitative measurements (strain ratio, hardness percentage, histogram) were evaluated. Sensitivity, specificity, positive and negative predictive values were calculated and the area under the receiver operating characteristics curve was constructed. Results: Patterns A and C-D are specific of benign lesions and metastases respectively. The patterns for haemangiomas, focal nodular hyperplasia and metastases were significantly different to each other in terms of strain ratio, hardness percentage and histogram (p &lt; 0.05). A statistically significant difference (p &lt; 0.001) was observed between the median values of the 3 measured parameters for benign (1.02; 12%; 47) and malignant lesions (1.66; 65%; 20.5) respectively. The area under the receiver operating characteristics curve values for strain ratio, hardness percentage and histogram were 0.88, 0.89, and 0.86 respectively for cut-off values of 1.2, 45, and 30. Conclusions: By percutaneous sonoelastography it is possible to differentiate benign versus malignant focal liver lesions, metastases in particular, with good diagnostic performance

Beavers are not alone: parasitic assessment of released Eurasian beavers in Central Italy

The Eurasian beaver Castor fiber L., 1758, absent in Italy for over 500 years, has established reproductive populations in Central Italy since 2019, most likely following unauthorized releases. Besides positive effects on local biodiversity, beavers may host a plethora of infective agents, including parasites. Therefore, an assessment of parasitic load of released beavers is pivotal to predict potential risks for other species and human health, following beaver releases. Microscopical and molecular analyses on collected beaver feces confirmed the presence of Giardia duodenalis, Trichuris spp., and Travassosius rufus, a species of nematode recorded in Italy for the first time. The necropsy carried out on a road-killed adult female beaver provided us the first records for Italy of the beaver beetle Platypsyllus castoris, and of the ectoparasite "fur mites," belonging to the genus Schizocarpus. The bacterium Bordetella bronchiseptica was isolated for the first time from the bronchi of C. fiber, and it may represent a threat to wild and domestic animals and human health. The dipteran species Chrysomya albiceps was also recorded for the first time on a beaver; this blowfly can cause myiasis in livestock and humans. Although the acquired data represent a first assessment for Italy, the high number of pathogens found in these few samples should be evaluated in terms of disease risk analysis