Urbanização extensiva e o processo de interiorização do estado de São Paulo: um enfoque contemporâneo

O propósito deste trabalho é discutir a formação, produção e organização do espaço urbano no estado de São Paulo a partir do processo de interiorização da indústria paulista no final dos anos 1970. O lócus da análise é a indústria, uma vez que no enfoque contemporâneo o processo de industrialização sempre esteve articulado com a produção da espacialidade urbana. Conciliando o método diferencial-estrutural (shift-share), a Análise de Componentes Principais (ACP) e a análise de cluster, foi possível evidenciar que tal processo teve como resultado o fenômeno de urbanização extensiva. Os resultados “fotográficos” apontam que houve uma extensão virtual das condições gerais do tecido urbano-industrial de forma que centralidades polarizadoras e regiões circunvizinhas apresentam vantagens locacionais e competitivas, formando, assim, aglomerações urbanas no território paulista, principalmente, nas regiões beneficiadas pelo processo de interiorização da indústria.

The Relative Age Effect on Anthropometry, Body Composition, Biological Maturation and Motor Performance in Young Brazilian Soccer Players

The present study aimed to investigate the influence of months of birth on anthropometry, body composition, biological maturation, and motor performance in young Brazilian soccer players. Young Brazilian soccer players from the Under-13 (n = 50; 13.6 ± 0.3 years), Under-15 (n = 50; 15.5 ± 0.4 years), and Under-17 categories (n = 46; 17.7 ± 0.3 years) took part in this study. Athletes were divided according to chronological age, 1st tertile (January to April); 2nd tertile (May to August); and 3rd tertile (September to December). Anthropometry, body composition, biological maturation, and motor performance variables were evaluated for all participants. There were no differences between the U-13, U-15, and U-17 categories regarding birth tertiles (p > 0.05). Differences between the ages and birth tertiles were observed for the stature, body mass, and lean body mass (p < 0.05). Moreover, differences were found in maturational status between the ages and birth tertiles (p < 0.05). In general, U-13 players showed lower values compared to U-15 and U-17 players in tests of motor performance. In addition, there was a difference in motor performance between the birth tertiles only for RSA variables. The months of birth influenced the stature, body mass, lean body mass, and repeated sprint ability in the U-13 and U-15 categories. Thus, care should be taken during the process of talent selection, as many young players could be underestimated due to their date of birth

Validation of the content of a serious game to support patient safety teaching

Objetivo: Validar el contenido del prototipo del Serious game dirigido a la enseñanza de la seguridad del paciente en enfermería. Método: Estudio metodológico de abordaje cuantitativo conforme referencial psicométrico. Los procedimientos de validación fueron realizados de septiembre a noviembre de 2018, a partir de dos conferencias Delphi. Se consideraron válidos los ítems que alcanzaron un coeficiente de validación de contenido de 0,80 y concordancia igual o superior al 80%. Resultados: 10 jueces participaron en la primera ronda Delphi, mientras que 6 participaron en la segunda. Al final de la segunda ronda Delphi, todos los ítems analizados alcanzaron valores superiores a 0,80 y 80%. Conclusión: El contenido desarrollado para el juego serio es válido para promover la enseñanza de la seguridad del paciente.Objetivo: Validar o conteúdo do protótipo do Serious game para o ensino da segurança do paciente na enfermagem. Método: Estudo metodológico de abordagem quantitativa conforme referencial psicométrico. Os procedimentos de validação foram realizados de setembro a novembro de 2018, a partir de duas conferências Delphi. Considerou-se validos os itens que atingiram coeficiente de validação de conteúdo igual ou maior a 0,80 e concordância igual ou maior a 80%. Resultados: Na primeira rodada Delphi participaram 10 juízes e na segunda seis. Ao final da segunda etapa Delphi o conteúdo analisado atingiu em todos os itens valores superiores a 0,80 e 80%. Conclusão: Evidenciou-se que o conteúdo desenvolvido para o serious game é valido para promoção do ensino da segurança do paciente.Objective: To validate the content of the prototype of a serious game targeted at teaching patient safety in nursing. Method: Methodological study with a quantitative approach, according to a psychometric reference. Validation procedures were carried out in November 2018, in two Delphi validations. The items that reached content validation coefficient of 0.80, or agreement equal or above 80%, were considered valid. Results: 10 judges participated in the first Delphi round, while 6 participated in the second. At the end of the second Delphi round, all items analyzed reached values above 0.80 and 80%. Conclusion: The content developed for the serious game is valid to promote the teaching of patient safet

Fibrosis of Peritoneal Membrane, Molecular Indicators of Aging and Frailty Unveil Vulnerable Patients in Long-Term Peritoneal Dialysis

Funding: Sociedade Portuguesa de Nefrologia (SPN) SPN funded a project and Ana Rita Martins, MD, Nephrology fellow, for a residence at Jiménez Díaz Foundation University Hospital, Madrid under the scope of novel serum biomarkers of CKD. iNOVA4Health research program (UIDP/04462/2020) is also acknowledged to support J.M.Peritoneal membrane status, clinical data and aging-related molecules were investigated as predictors of long-term peritoneal dialysis (PD) outcomes. A 5-year prospective study was conducted with the following endpoints: (a) PD failure and time until PD failure, (b) major cardiovascular event (MACE) and time until MACE. A total of 58 incident patients with peritoneal biopsy at study baseline were included. Peritoneal membrane histomorphology and aging-related indicators were assessed before the start of PD and investigated as predictors of study endpoints. Fibrosis of the peritoneal membrane was associated with MACE occurrence and earlier MACE, but not with the patient or membrane survival. Serum α-Klotho bellow 742 pg/mL was related to the submesothelial thickness of the peritoneal membrane. This cutoff stratified the patients according to the risk of MACE and time until MACE. Uremic levels of galectin-3 were associated with PD failure and time until PD failure. This work unveils peritoneal membrane fibrosis as a window to the vulnerability of the cardiovascular system, whose mechanisms and links to biological aging need to be better investigated. Galectin-3 and α-Klotho are putative tools to tailor patient management in this home-based renal replacement therapy.publishersversionpublishe

A utilização do inventário de kolb como estratégia de diagnóstico e planejamento de metodologias ativaspara otimizar o processo de ensino aprendizagem/ The use of the kolb inventory as a diagnostic strategy and planning of active methodologies to optimize the teaching learning process

As características inerentes ao educando, o espaço didático construídoe as condições de aprendizagem devem ser constantemente observados para a frequente adequação e melhora dos processos cognitivos.  O presente trabalho utilizou a aplicação do teste de Kolb e entrevista, como estratégia de entendimento para a pergunta: como meu aluno melhor aprende? Em nossos resultados observamos que a maior parte de nossos alunos relaciona oêxito no processo de aprendizagem com aplicações práticas. Isso contrasta com a metodologia que mais frequentemente é utilizada, ou seja, a centrada no professor. Os dados apresentados serviram para a elaboração e aplicação de metodologias ativas

Correlations between Risk Factors for Breast Cancer and Genetic Instability in Cancer Patients- A Clinical Perspective Study

This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.Molecular epidemiological studies have identified several risk factors linking to the genes and external factors in the pathogenesis of breast cancer. In this sense, genetic instability caused by DNA damage and DNA repair inefficiencies are important molecular events for the diagnosis and prognosis of therapies. Therefore, the objective of this study was to analyze correlation between sociocultural, occupational, and lifestyle risk factors with levels of genetic instability in non-neoplastic cells of breast cancer patients. Total 150 individuals were included in the study that included 50 breast cancer patients submitted to chemotherapy (QT), 50 breast cancer patients submitted to radiotherapy (RT), and 50 healthy women without any cancer. Cytogenetic biomarkers for apoptosis and DNA damage were evaluated in samples of buccal epithelial and peripheral blood cells through micronuclei and comet assay tests. Elder age patients (61–80 years) had higher levels of apoptosis (catriolysis by karyolysis) and DNA damage at the diagnosis (baseline damage) with increased cell damage during QT and especially during RT. We also reported the increased frequencies of cytogenetic biomarkers in patients who were exposed to ionizing radiation as well as for alcoholism and smoking. QT and RT induced high levels of fragmentation (karyorrhexis) and nuclear dissolution (karyolysis) and DNA damage. Correlations were observed between age and karyorrhexis at diagnosis; smoking and karyolysis during RT; and radiation and karyolysis during QT. These correlations indicate that risk factors may also influence the genetic instability in non-neoplastic cells caused to the patients during cancer therapies

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

Práticas Educomunicativas

Esta publicação pretende divulgar as práticas educomunicativas realizadas em diferentes regiões do país e que estão sendo implantadas por nossos associados. O e-book Práticas Educomunicativas, que visa oferecer um material de uso prático que possa servir de apoio pedagógico em diferentes contextos, escolar ou de ações junto a instituições, apresenta 20 artigos de profissionais e pesquisadores que implementam ações que inter-relacionam comunicação e educação no contexto da educação apontando as experiências e processos de educomunicação e valorizando desta forma, o trabalho realizado por cada educomunicador oferecendo, ao leitor, um material de uso prático que possa servir de apoio pedagógico em diferentes contextos