GRUPO DE ESCUTA E ACOLHIMENTO-GEA: UMA FERRAMENTA DE CUIDADO EM SAÚDE MENTAL NA ESTRATÉGIA DE SAÚDE DA FAMÍLIA-ESF

Esta pesquisa tem como objetivo compreender a dinâmica e características de um grupo (de apoio) em saúde mental, em razão de sua consolidação e relevância comunitária no campo da atenção básica no município de Parnaíba-PI. A metodologia empregada foi a de entrevista, enviada por correio eletrônico aos profissionais que atuam/atuaram no referido grupo. As seguintes questões foram abordadas: Caracterização dos participantes do estudo; Intervenções realizadas junto ao GEA; Relação com o serviço/equipe/usuários; Características principais do grupo; Impactos na saúde da comunidade; Autoavaliação. Os principais resultados encontrados foram: Grande diversidade de práticas individuais/grupais realizadas que vão desde dinâmicas ao uso racional de medicamentos; Vínculo fortalecido com os usuários, equipe, mas entraves com ACS/Médico; Fortalecimento de vínculos, compartilhamento de experiências, melhor acesso a serviços/medicações, entre outros; O maior impacto do grupo foi o fortalecimento da autonomia/empoderamento dos indivíduos/comunidade; Necessidade de estratégias de Educação Permanente em Saúde (EPS) e dificuldades/inseguranças na prática em saúde mental.Palavras-chave: Estratégia de saúde da família. Saúde mental. Grupo de apoio.AbstractThis research aims at the dynamics and characteristics of a (support) group in mental health, due to its consolidation and community relevance in the field of basic care in the municipality of Parnaíba-PI. A methodology used for an interview, sent by e-mail to the professionals who work / acted in that group. The following questions were addressed: Characterization of study participants; Interventions made with the GEA; Relationship with the service / team / users; Main characteristics of the group; Impacts on community health; Self-evaluation. The main results were: Great diversity of physical / group practices carried out since the dynamics of the use of medicines; Bond strengthened with users, staff, but barriers with ACS / Medical; Strengthening of links, sharing of experiences, better access to services / medications, among others; The greatest impact of the group on strengthening autonomy / empowerment of individuals / community; Need for Permanent Health Education strategies and difficulties / insecurities in the practice of mental health.Keywords: Family health Strategy. Mental health. Support group.ResumenEsta investigación tiene como objetivo comprender la dinámica y características de un grupo (de apoyo) en salud mental, en razón de su consolidación y relevancia comunitaria en el campo de la atención básica en el municipio de Parnaíba-PI. La metodología empleada fue la de entrevista, enviada por correo electrónico a los profesionales que actúan / actuaron en dicho grupo. Se abordaron las siguientes cuestiones: Caracterización de los participantes del estudio; Intervenciones realizadas ante el GEA; Relación con el servicio / equipo / usuarios; Características principales del grupo; Impactos en la salud de la comunidad; Autoevaluación. Los principales resultados encontrados fueron: Gran diversidad de prácticas individuales / grupales realizadas que van desde dinámicas al uso racional de medicamentos; Vínculo fortalecido con los usuarios, equipo, pero obstáculos con ACS / Médico; Fortalecimiento de vínculos, intercambio de experiencias, mejor acceso a servicios / medicamentos, entre otros; El mayor impacto del grupo fue el fortalecimiento de la autonomía / empoderamiento de los individuos / comunidad; Necesidad de estrategias de Educación Permanente en Salud (EPS) y dificultades / inseguridades en la práctica en salud mental.Palabras clave: Estrategia de Salud de la Familia. Salud mental. Grupo de Apoyo

Comparison of the Local Temperature, Lactate and Glucose After Three Different Strength Training Methods

International Journal of Exercise Science 14(4): 1408-1420, 2021. This study aimed to evaluate the local temperature, lactate, and blood glucose in three strength training methods. The study included 12 male subjects; (22.15 ± 5.77 years, 76.85 ± 9.15 kg, 1.72 ± 0.09 m), with minimum of 12 months of strength training experience, and all participated in the three training methods: the occlusion training (Kaatsu); the tension training (Tension); and the traditional training (Traditional). The Kaatsu training consisted in 3 sets of 10RM with occlusion device in both arms inflated to a 130% occlusion pressure. In addition, the tension method was performed with 30% of 1RM and the traditional training, consisted in 10 repetitions with 80% RM. Regarding the temperature variation, differences were observed between the Kaatsu and Traditional methods in relation to Tension (p = .049, ɳ2p = 0.187). While for blood glucose (p = .351, ɳ2p = 0.075) and lactate (p = .722, ɳ2p = 0.022) there were no differences between the methods. Regarding the temperature (°C) measured by thermography and asymmetry, the right side showed a decrease in the post-test, in relation to the pre-test, in all methods (p \u3c .05, ɳ2p \u3e 0.150). The left (p = .035, ɳ2p = 0.301) and right (p = .012, ɳ2p = 0.324) sides showed a decrease in temperature, in the post-test in relation to the pre-test, in the Kaatsu and traditional method. In asymmetry, the three methods showed an increase in the post-test in relation to the pre-test (p = .042, ɳ2p = 0.158). In conclusion, tension method seems to stimulate greater heat production than the other methods. This information can help coaches to choose among these training methods according to the desired physiological response

Síndrome Coronariana Aguda como apresentação atípica do fenômeno de Roubo Subclávio

Roubo coronariano da subclávia (RCS) é um fenômeno raro que ocorre em pacientes submetidos a cirurgia de revascularização miocárdica com enxerto de artéria torácica interna esquerda (ATIE) e que causa estenose da artéria subclávia ipsilateral e proximal à origem da ATIE. Relatamos o caso de um paciente masculino de 65 anos que apresentou quadro atípico de síndrome do RCS, manifestando-se como síndrome coronariana aguda no pós-operatório de cirurgia vascular.Palavras-chave: Síndrome coronariana aguda; angioplastia; síndrome do roubo coronário-subclávi

Síndrome Coronariana Aguda como apresentação atípica do fenômeno de Roubo Subclávio

Roubo coronariano da subclávia (RCS) é um fenômeno raro que ocorre em pacientes submetidos a cirurgia de revascularização miocárdica com enxerto de artéria torácica interna esquerda (ATIE) e que causa estenose da artéria subclávia ipsilateral e proximal à origem da ATIE. Relatamos o caso de um paciente masculino de 65 anos que apresentou quadro atípico de síndrome do RCS, manifestando-se como síndrome coronariana aguda no pós-operatório de cirurgia vascular. Palavras-chave: Síndrome coronariana aguda; angioplastia; síndrome do roubo coronário-subclávi

Radiomic analysis of MRI to Predict Sustained Complete Response after Radiofrequency Ablation in Patients with Hepatocellular Carcinoma - A Pilot Study

OBJECTIVES: To investigate whether quantitative textural features, extracted from pretreatment MRI, can predict sustained complete response to radiofrequency ablation (RFA) in patients with hepatocellular carcinoma (HCC). METHODS: In this IRB-approved study, patients were selected from a maintained six-year database of consecutive patients who underwent both pretreatment MRI imaging with a probable or definitive imaging diagnosis of HCC (LI-RADS 4 or 5) and loco-regional treatment with RFA. An experienced radiologist manually segmented the hepatic nodules in MRI arterial and equilibrium phases to obtain the volume of interest (VOI) for extraction of 107 quantitative textural features, including shape and first- and second-order features. Statistical analysis was performed to evaluate associations between textural features and complete response. RESULTS: The study consisted of 34 patients with 51 treated hepatic nodules. Sustained complete response was achieved by 6 patients (4 with single nodule and 2 with multiple nodules). Of the 107 features from the arterial and equilibrium phases, 20 (18%) and 25 (23%) achieved AUC >0.7, respectively. The three best performing features were found in the equilibrium phase: Dependence Non-Uniformity Normalized and Dependence Variance (both GLDM class, with AUC of 0.78 and 0.76, respectively) and Maximum Probability (GLCM class, AUC of 0.76). CONCLUSIONS: This pilot study demonstrates that a radiomic analysis of pre-treatment MRI might be useful in identifying patients with HCC who are most likely to have a sustained complete response to RFA. Second-order features (GLDM and GLCM) extracted from equilibrium phase obtained highest discriminatory performance

Physiological and biochemical evaluation of different types of recovery in national level Paralympic powerlifting

publishedVersio

Data standardization of plant–pollinator interactions

Background: Animal pollination is an important ecosystem function and service, ensuring both the integrity of natural systems and human well-being. Although many knowledge shortfalls remain, some high-quality data sets on biological interactions are now available. The development and adoption of standards for biodiversity data and metadata has promoted great advances in biological data sharing and aggregation, supporting large-scale studies and science-based public policies. However, these standards are currently not suitable to fully support interaction data sharing. Results: Here we present a vocabulary of terms and a data model for sharing plant–pollinator interactions data based on the Darwin Core standard. The vocabulary introduces 48 new terms targeting several aspects of plant–pollinator interactions and can be used to capture information from different approaches and scales. Additionally, we provide solutions for data serialization using RDF, XML, and DwC-Archives and recommendations of existing controlled vocabularies for some of the terms. Our contribution supports open access to standardized data on plant–pollinator interactions. Conclusions: The adoption of the vocabulary would facilitate data sharing to support studies ranging from the spatial and temporal distribution of interactions to the taxonomic, phenological, functional, and phylogenetic aspects of plant–pollinator interactions. We expect to fill data and knowledge gaps, thus further enabling scientific research on the ecology and evolution of plant–pollinator communities, biodiversity conservation, ecosystem services, and the development of public policies. The proposed data model is flexible and can be adapted for sharing other types of interactions data by developing discipline-specific vocabularies of termsinfo:eu-repo/semantics/publishedVersio

A list of land plants of Parque Nacional do Caparaó, Brazil, highlights the presence of sampling gaps within this protected area

Brazilian protected areas are essential for plant conservation in the Atlantic Forest domain, one of the 36 global biodiversity hotspots. A major challenge for improving conservation actions is to know the plant richness, protected by these areas. Online databases offer an accessible way to build plant species lists and to provide relevant information about biodiversity. A list of land plants of “Parque Nacional do Caparaó” (PNC) was previously built using online databases and published on the website "Catálogo de Plantas das Unidades de Conservação do Brasil." Here, we provide and discuss additional information about plant species richness, endemism and conservation in the PNC that could not be included in the List. We documented 1,791 species of land plants as occurring in PNC, of which 63 are cited as threatened (CR, EN or VU) by the Brazilian National Red List, seven as data deficient (DD) and five as priorities for conservation. Fifity-one species were possible new ocurrences for ES and MG states

Geography and ecology shape the phylogenetic composition of Amazonian tree communities

Aim: Amazonia hosts more tree species from numerous evolutionary lineages, both young and ancient, than any other biogeographic region. Previous studies have shown that tree lineages colonized multiple edaphic environments and dispersed widely across Amazonia, leading to a hypothesis, which we test, that lineages should not be strongly associated with either geographic regions or edaphic forest types. Location: Amazonia. Taxon: Angiosperms (Magnoliids; Monocots; Eudicots). Methods: Data for the abundance of 5082 tree species in 1989 plots were combined with a mega-phylogeny. We applied evolutionary ordination to assess how phylogenetic composition varies across Amazonia. We used variation partitioning and Moran\u27s eigenvector maps (MEM) to test and quantify the separate and joint contributions of spatial and environmental variables to explain the phylogenetic composition of plots. We tested the indicator value of lineages for geographic regions and edaphic forest types and mapped associations onto the phylogeny. Results: In the terra firme and várzea forest types, the phylogenetic composition varies by geographic region, but the igapó and white-sand forest types retain a unique evolutionary signature regardless of region. Overall, we find that soil chemistry, climate and topography explain 24% of the variation in phylogenetic composition, with 79% of that variation being spatially structured (R$^{2}$ = 19% overall for combined spatial/environmental effects). The phylogenetic composition also shows substantial spatial patterns not related to the environmental variables we quantified (R$^{2}$ = 28%). A greater number of lineages were significant indicators of geographic regions than forest types. Main Conclusion: Numerous tree lineages, including some ancient ones (>66 Ma), show strong associations with geographic regions and edaphic forest types of Amazonia. This shows that specialization in specific edaphic environments has played a long-standing role in the evolutionary assembly of Amazonian forests. Furthermore, many lineages, even those that have dispersed across Amazonia, dominate within a specific region, likely because of phylogenetically conserved niches for environmental conditions that are prevalent within regions

Geographic patterns of tree dispersal modes in Amazonia and their ecological correlates

Aim: To investigate the geographic patterns and ecological correlates in the geographic distribution of the most common tree dispersal modes in Amazonia (endozoochory, synzoochory, anemochory and hydrochory). We examined if the proportional abundance of these dispersal modes could be explained by the availability of dispersal agents (disperser-availability hypothesis) and/or the availability of resources for constructing zoochorous fruits (resource-availability hypothesis). Time period: Tree-inventory plots established between 1934 and 2019. Major taxa studied: Trees with a diameter at breast height (DBH) ≥ 9.55 cm. Location: Amazonia, here defined as the lowland rain forests of the Amazon River basin and the Guiana Shield. Methods: We assigned dispersal modes to a total of 5433 species and morphospecies within 1877 tree-inventory plots across terra-firme, seasonally flooded, and permanently flooded forests. We investigated geographic patterns in the proportional abundance of dispersal modes. We performed an abundance-weighted mean pairwise distance (MPD) test and fit generalized linear models (GLMs) to explain the geographic distribution of dispersal modes. Results: Anemochory was significantly, positively associated with mean annual wind speed, and hydrochory was significantly higher in flooded forests. Dispersal modes did not consistently show significant associations with the availability of resources for constructing zoochorous fruits. A lower dissimilarity in dispersal modes, resulting from a higher dominance of endozoochory, occurred in terra-firme forests (excluding podzols) compared to flooded forests. Main conclusions: The disperser-availability hypothesis was well supported for abiotic dispersal modes (anemochory and hydrochory). The availability of resources for constructing zoochorous fruits seems an unlikely explanation for the distribution of dispersal modes in Amazonia. The association between frugivores and the proportional abundance of zoochory requires further research, as tree recruitment not only depends on dispersal vectors but also on conditions that favour or limit seedling recruitment across forest types