Alfabetismo funcional en salud en personas hipertensas en la atención primaria

Objetivo: avaliar a relação entre alfabetismo funcional em saúde inadequado e controle inadequado da pressão arterial em pessoas idosas hipertensas na Atenção Primária. Método: estudo transversal com amostra calculada em 392. Foi usado instrumento SAHLPA-18 para alfabetismo funcional em saúde; aferida a pressão arterial; coletados dados sociodemográficos e clínicos. Utilizou-se regressão logística hierárquica. Resultados: pressão arterial inadequada(alta) e alfabetismo funcional em saúde inadequado(baixo) estavam presentes em 41,6% e 54,6% das pessoas, respectivamente. Fatores associados com pressão arterial inadequada foram: alfabetismo funcional em saúde inadequado, cor parda-negra, sobrepeso-obesidade, tempo de diagnóstico da hipertensão, não adesão a exercício/dieta, não adesão a tratamento medicamentoso. O nível de escolaridade não teve associação com pressão arterial inadequada. Conclusão: pessoas idosas hipertensas com alfabetismo funcional em saúde inadequado apresentaram mais chance de ter pressão arterial inadequada. Assim, profissionais de saúde precisam valorizar o alfabetismo funcional em saúde como possível componente para controlar a pressão arterial.Objective: to assess the relationship between inadequate functional health literacy and inadequate blood pressure control in older people with hypertension in Primary Health Care. Method: a cross-sectional study with sample calculated at 392. SAHLPA-18 tool was used for functional health literacy; blood pressure was measured; sociodemographic and clinical data were collected. Hierarchical logistic regression was used. Results: (high) inadequate blood pressure and (low) functional inadequate health literacy were present in 41.6% and 54.6% of the people, respectively. Factors associated with inadequate blood pressure were: inadequate functional health literacy, black-brown skin color, overweight-obesity, hypertension diagnosis time, non-adherence to exercise/diet, drug treatment. Schooling had no association with inadequate blood pressure Conclusion: hypertensive elderly people with inadequate health literacy were more likely to have inadequate blood pressure. Thus, health professionals need to value functional health literacy as a possible component to control blood pressure.Objetivo: evaluar la relación entre alfabetismo funcional en salud inadecuada y control inadecuado de la presión arterial en personas ancianas hipertensas em la Atención Primaria de Salud. Método: estudio transversal com muestra calculada en 392. Se utilizó instrumento SAHLPA-18 para alfabetismo funcional en salud; a la presión arterial; recogidos datos sociodemográficos y clínicos. Se utilizo La regresión logística jerárquica. Resultados: La presión arterial inadecuada (alta) y el alfabetismo funcional en salud inadecuada (bajo) estaban presentes en el 41,6% y el 54,6% de las personas, respectivamente. Los factores asociados com la presión arterial inadecuada fueron: alfabetismo funcional en salud inadecuada, color parda-negra, sobrepeso-obesidad, tiempo de diagnóstico de la hipertensión, no adhesión a ejercicio/dieta, no adhesión al tratamiento medicamentoso. El nivel de escolaridad no tuvo asociación con la presión arterial inadecuada. Conclusión: las personas mayores hipertensas con alfabetismo funcional em salud inadecuada presentaron más posibilidades de tener presión arterial inadecuada. Así, los profesionales de La salud necesitan valorizar el alfabetismo funcional en salud como posible componente para controlar la presión arterial

Internet- and App-Based Stress Intervention for Distance-Learning Students With Depressive Symptoms: Protocol of a Randomized Controlled Trial

Background: Mental disorders are highly prevalent among university students. Distance-learning students are particularly burdened and have limited access to conventional university health services. Interventions for stress are sought after in distance learners and may help increase treatment coverage. Internet-based interventions have been shown to be effective in preventing and treating depression, but it remains unclear if interventions directed at academic stress also have this potential.Aim: The trial presented here investigates the effectiveness of an Internet- and App-based stress intervention in distance-learning students with elevated levels of depression.Methods: A sample of N = 200 students of a large German distance university with elevated levels of depression [Center for Epidemiological Studies’ Depression Scale (CES-D) ≥ 16] will be randomly assigned to either an Internet- and App-based stress management intervention group (IG) or a control group (CG) receiving an Internet-based psychoeducational program for academic stress. The IG consists of eight Internet-based sessions promoting stress management skills using cognitive–behavioral and problem-solving techniques. A mobile App will be employed to facilitate training transfer. Self-report data will be assessed at baseline (T0), post-treatment (T1; 7 weeks), and 3-month follow-up (T2). Potential moderators will be assessed at baseline. The primary outcome is depression (CES-D) post-treatment. Secondary outcomes include mental health outcomes, modifiable risk and protective factors, and academic outcomes. Data will be analyzed on an intention-to-treat principle along with sensitivity analyses to assess the robustness of findings. Additional health economic analyses will be conducted.Discussion: Results will provide the basis to assess the acceptance and effectiveness of Internet-delivered stress interventions in distance-learning students with symptoms of depression.Ethics and dissemination: The study has been reviewed and approved by the University of Erlangen-Nuremberg ethics committee (Erlangen, Germany; 33_17 Bc). Results of the study will be disseminated through peer-reviewed publications.Trial Registration:German Clinical Trial Registration (DRKS), identifier DRKS0001180

Enriquecimento proteico dos resíduos da jaca por fermentação semissólida / Protein enrichment of jackfruit residues by semi-solid fermentation

A jaca, fruta da Artocarpus heterophyllus Lam., é formada por gomos que contêm uma semente revestida por uma polpa comestível, que constitui em média 28% da massa total do fruto, sendo o restante quase sempre descartado. Estudos de aproveitamentos alternativos com intenção de incrementar o uso industrial da jaca promovendo a sustentabilidade alimentar e agrícola são necessários, valorizando a produção e seu consumo. Dessa forma, estudou-se o enriquecimento proteico dos resíduos de jaca (casca, eixo central, pívide) através da fermentação semissólida, utilizando a Saccharomyces cerevisiae, avaliando a influência da concentração de levedura e resíduos, adotando-se um planejamento experimental. A fermentação ocorreu em estufa de circulação de ar a 35 °C, sistema de batelada, durante 72 h. A fermentação semissólida utilizando 100% de casca de jaca e 3% de concentração de levedura proporcionou maior aumento proteico. Após 72h de processo, o teor máximo de proteína bruta e de aumento proteico alcançados foram de 13 e 100%, respectivamente. O suplemento proteico obtido através da fermentação de resíduos da jaca, utilizando levedura como inóculo, pode ser utilizado como uma alternativa na alimentação de ruminantes

Importância da Atuação da Equipe Multiprofissional na Humanização da Assistência na UTI

OBJECTIVE: To elucidate the role of the multidisciplinary health team in the humanization of care in Intensive Care Units. METHOD: The present study consists of a review of the integrative literature, using the PICO strategy, where "p" population: Multiprofessional health team, "I" interest: Evaluation of the performance of the multiprofessional team in relation to humanization in the Intensive Care Unit o "C" and "O" Context: Performance of the multiprofessional team in the humanization of the ICU. The filter used for the searches was with the descriptors; (Patient Care Team) AND (Humanization of care) AND (Intensive Care Unit). RESULTS: The final sample consisted of 6 studies that resulted in two topics for discussion: training and professional performance in care with a focus on the disease and feelings experienced in the ICU. CONCLUSION: It was possible to conclude that there is a need for further studies focused on the theme and that mention strategies for its implementation.  OBJETIVO: Elucidar a atuação da equipe multiprofissional de saúde na Humanização da assistência em Unidades de Terapia Intensiva. MÉTODO: O presente trabalho consiste em uma revisão de literatura integrativa, utilizada a estratégia PICO, sendo “p” população: Equipe multiprofissional de saúde,“I” interesse: Avaliação da atuação da equipe multiprofissional em relação a humanização em Unidade de Terapia Intensiva o “C” e “O” Contexto: Atuação da equipe multiprofissional na humanização da UTI. O filtro utilizado para as buscas foi com os descritores; (Equipe de assistência ao paciente) AND (Humanização da assistência) AND (Unidade de terapia intensiva). RESULTADOS: A amostra final foi constituída por 6 estudos que resultaram em dois tópicos para discussão: formação e atuação profissional no cuidado como foco na doença e sentimentos vivenciados na UTI.  CONCLUSÃO: Foi possível concluir que necessitam mais estudos voltados para temática e que mencionem estratégias para sua implementação

Interactions lake-atmosphere: The ALEX 2014 field campaign and numerical simulations

The ALqueva hydro-meteorological EXperiment, ALEX 2014, was an integrated field campaign with measurements of chemical, physical and biological parameters in water and air at different experimental sites in the region of the Alqueva reservoir, a 250 km2 man made lake, in the southeast of Portugal. The Field campaign took place from June 1 to September 30, 2014 and comprises an Intensive Observation Period (IOP) of three days (22 to 24 July). During the four months, the over water fluxes of momentum, heat and mass (H2O and CO2) were obtained with an integrated Open-Path CO2 /H2O Gas Analyser and 3D Sonic Anemometer, mounted on a floating platform, where radiative fluxes were also measured, as well as the water temperature profile. Eight near surface weather stations were operating in the area and air quality, atmospheric electrical field (Potential Gradient) and radon (222Rn) concentration were continuous monitored. Along this period, in situ measurements, water samples and biological elements were monthly collected from three fixed platforms placed in the lacustrine zone and from selected sites in the margins. During the IOP, radiosondes were launched every tree hours, allowing a characterization of the atmospheric boundary layer and its evolution. In 10 occasions Geigersondes were coupled to the radiosondes in order to obtain the atmospheric ionization profile. The boundary layer was characterized with a Ceilometer and the vertical distribution of O3 and NO2 were obtained from a Spectrometer. A GPS network of 15 GNSS stations was installed in order to map the water vapour. The sky brightnesson the nights of July 24 and 25, was measured using a Sky Quality Meter. The lake-atmosphere interactions and its impact in the boundary layer structure and in the local circulations are studied using data collected during the ALEX 2014 POI together with results from numerical simulations performed with the non-hydrostatic Meso-NH french model

Colorectal cancer incidences in Lynch syndrome: a comparison of results from the prospective lynch syndrome database and the international mismatch repair consortium

Objective To compare colorectal cancer (CRC) incidences in carriers of pathogenic variants of the MMR genes in the PLSD and IMRC cohorts, of which only the former included mandatory colonoscopy surveillance for all participants. Methods CRC incidences were calculated in an intervention group comprising a cohort of confirmed carriers of pathogenic or likely pathogenic variants in mismatch repair genes (path_MMR) followed prospectively by the Prospective Lynch Syndrome Database (PLSD). All had colonoscopy surveillance, with polypectomy when polyps were identified. Comparison was made with a retrospective cohort reported by the International Mismatch Repair Consortium (IMRC). This comprised confirmed and inferred path_MMR carriers who were first- or second-degree relatives of Lynch syndrome probands. Results In the PLSD, 8,153 subjects had follow-up colonoscopy surveillance for a total of 67,604 years and 578 carriers had CRC diagnosed. Average cumulative incidences of CRC in path_MLH1 carriers at 70 years of age were 52% in males and 41% in females; for path_MSH2 50% and 39%; for path_MSH6 13% and 17% and for path_PMS2 11% and 8%. In contrast, in the IMRC cohort, corresponding cumulative incidences were 40% and 27%; 34% and 23%; 16% and 8% and 7% and 6%. Comparing just the European carriers in the two series gave similar findings. Numbers in the PLSD series did not allow comparisons of carriers from other continents separately. Cumulative incidences at 25 years were < 1% in all retrospective groups. Conclusions Prospectively observed CRC incidences (PLSD) in path_MLH1 and path_MSH2 carriers undergoing colonoscopy surveillance and polypectomy were higher than in the retrospective (IMRC) series, and were not reduced in path_MSH6 carriers. These findings were the opposite to those expected. CRC point incidence before 50 years of age was reduced in path_PMS2 carriers subjected to colonoscopy, but not significantly so

Planta de hidrotratamento de gasóleos diesel S10

Trabalho de Conclusão de Curso (graduação)—Universidade de Brasília, Instituto de Química, 2019.O projeto em questão consiste numa planta de dessulfurização de gasóleo obtido por destilação atmosférica de petróleo. A planta foi projetada com o intuito de ser anexada a uma refinaria já operante, com foco em atender a legislação ambiental, reduzindo o teor de compostos sulfurados a 10 ppm e nitrogenados a 200 ppm. A planta consiste resumidamente em três partes: uma unidade de dessulfurização a partir do hidrotratamento de Gasóleo com reciclo de gás rico em Hidrogênio, uma unidade de reaproveitamento de gás rico em gás Hidrogênio e outra unidade de destilação do gasóleo (stripping), a fim de separá-lo dos componentes leves que estavam a ele misturados

Robust Passive Coherent Location via Nonlinearly Constrained Least Squares

This paper addresses the problem of target location by means of a passive radar. Existing approaches based on time difference-of-arrival (TDOA) measurements, namely spherical interpolation and spherical intersection, are revisited for the case of single transmitter and multiple receivers. The mathematical formulations of these state-of-the-art approaches do not take into account possible TDOA estimation errors, which degrade the target location performance. We extend those formulations by incorporating a nonlinear constraint into the underlying least squares problem, thus conferring robustness to the location technique against TDOA estimation errors, as corroborated by extensive numerical experiments