A atuação da enfermagem na criação do lactário no hospital Jesús (1935-1938)

El presente estudio tiene como objeto la implantación del servicio de lactario en el Hospital Jesús y tiene por delimitación temporal el periodo de 1935-1938, que se justifica por la primera gestión del Servicio de Enfermería del Hospital Jesús, actual Hospital Municipal Jesús. La alimentación del niño merece cuidados especiales, principalmente en el primer año de vida. Objetivos: describir las políticas de alimentación en el Distrito Federal y analizar las circunstancias para la implantación del servicio de lactario en el hospital. Metodología: estudio con abordaje histórico social basado en el análisis documental, donde fueron utilizadas fuentes primarias y secundarias. Fuentes primarias: documentos escritos localizados en las dependencias del Hospital. Fuentes secundarias están constituidas de libros, disertaciones y trabajos referentes al desarrollo histórico del lactario. En el periodo abordado era necesaria la instalación de innumerables servicios dietéticos debidamente aparejados. Había la necesidad de un programa social y filantrópico, que rellenara las lagunas existentes en la protección al niño y fuera también órgano consultivo de los poderes públicos federales, estaduales y municipales. Fueron organizadas instituciones para asistencia a las madres y sus hijos. Juntamente a esta iniciativa, hubo mayor actuación del Estado en cuanto a la inspección médica de las escuelas y a la legislación del trabajo, para las madres y niños. Conclusión: A través de los documentos encontrados, se pudo observar con este estudio, la relevancia de la influencia del Servicio de Enfermería en la implantación del servicio de lactario del Hospital Jesús, teniendo en cuenta que el equipo responsable de la apertura, organización y manutención del lactario en la referida institución se constituyó en su mayoría de enfermeros, que actuaron desde la apertura del Hospital dando orientaciones en cuanto a la alimentación de los lactantes, que allí eran llevados en búsqueda de asistencia.O presente estudo tem como objeto a implantação do serviço de lactário no Hospital Jesus e tem por delimitação temporal o período de 1935-1938, que se justifica pela primeira gestão do Serviço de Enfermagem neste Hospital, atual Hospital Municipal Jesus. A alimentação da criança merecia cuidados especiais, principalmente no primeiro ano de vida. Era elevado o numero de moléstias advindas da alimentação incorreta. Objetivos: descrever as políticas de alimentação no Distrito Federal e analisar as circunstâncias para implantação do serviço de lactário no hospital. Metodologia: estudo com abordagem histórico social embasado na análise documental, onde foram utilizadas fontes primárias e secundárias. Fontes primárias: documentos escritos, localizados nas dependências do Hospital. Fontes secundárias constituídas por livros, dissertações e trabalhos referentes ao desenvolvimento histórico do lactário. No período abordado era necessária a instalação de inúmeros serviços dietéticos. Existia necessidade de um programa social e filantrópico, que preenchesse as lacunas existentes na proteção à criança e fosse também órgão consultivo dos poderes públicos federais, estaduais e municipais. Foram organizadas instituições para assistência às mães e seus filhos. Juntamente com essa iniciativa, começou a existir maior atuação do Estado quanto, à inspeção médica das escolas e à legislação do trabalho, para mães e crianças. Essa conduta estabelecia uma divisão do trabalho, com uma predominância da ação privada no campo da assistência social. Conclusão: Por meio dos documentos encontrados, foi possível observar com este estudo, a relevância da influência do Serviço de Enfermagem na implantação do serviço de lactário do Hospital Jesus, tendo em vista que a equipe responsável pela abertura, organização e manutenção do lactário na referida instituição foi formada em sua maioria por enfermeiros, que atuaram desde a abertura do Hospital dando orientações no que se refere a alimentação dos lactentes, que ali eram levados em busca de assistência

Antigenic and molecular characterization of eight samples of Aujeszky's disease virus isolated in the state of Rio Grande do Sul, Brazil, in 2003

Pseudorabies or Aujeszky's disease (AD), caused by pseudorabies virus (PRV) is a major concern in swine production. In the state of Rio Grande do Sul, Brazil, AD was only detected in 1954, in cattle. In 2003 two outbreaks of encephalitis occurred on the northern region of the state, close to the border with the state of Santa Catarina. Pseudorabies virus (PRV) was isolated from distinct farms within the region and subjected to antigenic and genomic analyses. These isolates were compared with prototype strains NIA-3 and NP. Antigenic characterization with a panel of monoclonal antibodies (Mabs) directed to viral glycoproteins (gB, gC, gD and gE-,) was performed by an imunoperoxidase monolayer assay (IPMA) on infected cell monolayers. Genomic characterization was carried out by restriction enzyme analysis (REA) of the whole DNA viral genome with Bam HI. The antigenic profile of the eight isolates from Rio Grande do Sul as well as strains NIA-3 and NP were similar. REA analysis revealed that all isolates from Rio Grande do Sul displayed a genomic type II arrangement, a genotype often found in other outbreaks of AD previously reported in other Brazilian states. The results obtained suggest that the eight isolates examined here were similar

Impact of a Tutored Theoretical-Practical Training to Develop Undergraduate Students’ Skills for the Detection of Caries Lesions: Study Protocol for a Multicenter Controlled Randomized Study

Background: Tutored laboratorial activities could be a manner of improving the competency development of students. However, its impact over conventional theoretical classes has not yet been tested. Additionally, different university contexts could influence this issue and should be explored. Objective: To assess the impact of a tutored theoretical-practical training for teaching undergraduate students to detect caries lesions as compared with theoretical teaching activities. The impact of these teaching/learning activities will be assessed in terms of efficacy, cost/benefit, retention of knowledge/acquired competences, and student acceptability. Methods: Sixteen centers (7 centers from Brazil and 9 centers from other countries throughout the world) are involved in the inclusion of subjects for this protocol. A randomized controlled study with parallel groups will be conducted. One group (control) will be exposed to a 60- to 90-minute conventional theoretical class and the other group (test) will be exposed to the same theoretical class and also a 90-minute laboratory class, including exercises and discussions based on the evaluation of a pool of images and extracted teeth. The mentioned outcomes will be evaluated immediately after the teaching activities and also in medium- and long-term analyses. To compare the long-term outcomes, students who enrolled in the university before the participating students will be interviewed for data collection and these data will be used as a control and compared with the trained group. This stage will be a nonrandomized phase of this study, nested in the main study. Appropriate statistical analysis will be performed according to the aims of this study. Variables related to the centers will also be analyzed and used to model adjustment as possible sources of variability among results. Results: This ongoing study is funded by a Brazilian national funding agency (CNPq- 400736/2014-4). We expect that the tutored theoretical-practical training will improve the undergraduate students’ performance in the detection of caries lesions and subsequent treatment decisions, mainly in terms of long-term retention of knowledge. Our hypothesis is that tutored theoretical-practical training is a more cost-effective option for teaching undergraduate students to detect caries lesions. Conclusions: If our hypothesis is confirmed, the use of laboratory training in conjunction with theoretical classes could be used as an educational strategy in Cariology to improve the development of undergraduate students’ skills in the detection of caries lesions and clinical decision-making

Post-natal parental care in a Cretaceous diapsid from northeastern China

Post-natal parental care seems to have evolved numerous times in vertebrates. Among extant amniotes, it is present in crocodilians, birds, and mammals. However, evidence of this behavior is extremely rare in the fossil record and is only reported for two types of dinosaurs, and a varanopid ‘pelycosaur’. Here we report new evidence for post-natal parental care in Philydrosaurus, a choristodere, from the Yixian Formation of western Liaoning Province, China. We review the fossil record of reproduction in choristoderes, and this represents the oldest record of post-natal parental care in diapsids to our knowledge

NEOTROPICAL XENARTHRANS: a data set of occurrence of xenarthran species in the Neotropics

Xenarthrans – anteaters, sloths, and armadillos – have essential functions for ecosystem maintenance, such as insect control and nutrient cycling, playing key roles as ecosystem engineers. Because of habitat loss and fragmentation, hunting pressure, and conflicts with 24 domestic dogs, these species have been threatened locally, regionally, or even across their full distribution ranges. The Neotropics harbor 21 species of armadillos, ten anteaters, and six sloths. Our dataset includes the families Chlamyphoridae (13), Dasypodidae (7), Myrmecophagidae (3), Bradypodidae (4), and Megalonychidae (2). We have no occurrence data on Dasypus pilosus (Dasypodidae). Regarding Cyclopedidae, until recently, only one species was recognized, but new genetic studies have revealed that the group is represented by seven species. In this data-paper, we compiled a total of 42,528 records of 31 species, represented by occurrence and quantitative data, totaling 24,847 unique georeferenced records. The geographic range is from the south of the USA, Mexico, and Caribbean countries at the northern portion of the Neotropics, to its austral distribution in Argentina, Paraguay, Chile, and Uruguay. Regarding anteaters, Myrmecophaga tridactyla has the most records (n=5,941), and Cyclopes sp. has the fewest (n=240). The armadillo species with the most data is Dasypus novemcinctus (n=11,588), and the least recorded for Calyptophractus retusus (n=33). With regards to sloth species, Bradypus variegatus has the most records (n=962), and Bradypus pygmaeus has the fewest (n=12). Our main objective with Neotropical Xenarthrans is to make occurrence and quantitative data available to facilitate more ecological research, particularly if we integrate the xenarthran data with other datasets of Neotropical Series which will become available very soon (i.e. Neotropical Carnivores, Neotropical Invasive Mammals, and Neotropical Hunters and Dogs). Therefore, studies on trophic cascades, hunting pressure, habitat loss, fragmentation effects, species invasion, and climate change effects will be possible with the Neotropical Xenarthrans dataset

Risk profiles and one-year outcomes of patients with newly diagnosed atrial fibrillation in India: Insights from the GARFIELD-AF Registry.

BACKGROUND: The Global Anticoagulant Registry in the FIELD-Atrial Fibrillation (GARFIELD-AF) is an ongoing prospective noninterventional registry, which is providing important information on the baseline characteristics, treatment patterns, and 1-year outcomes in patients with newly diagnosed non-valvular atrial fibrillation (NVAF). This report describes data from Indian patients recruited in this registry. METHODS AND RESULTS: A total of 52,014 patients with newly diagnosed AF were enrolled globally; of these, 1388 patients were recruited from 26 sites within India (2012-2016). In India, the mean age was 65.8 years at diagnosis of NVAF. Hypertension was the most prevalent risk factor for AF, present in 68.5% of patients from India and in 76.3% of patients globally (P < 0.001). Diabetes and coronary artery disease (CAD) were prevalent in 36.2% and 28.1% of patients as compared with global prevalence of 22.2% and 21.6%, respectively (P < 0.001 for both). Antiplatelet therapy was the most common antithrombotic treatment in India. With increasing stroke risk, however, patients were more likely to receive oral anticoagulant therapy [mainly vitamin K antagonist (VKA)], but average international normalized ratio (INR) was lower among Indian patients [median INR value 1.6 (interquartile range {IQR}: 1.3-2.3) versus 2.3 (IQR 1.8-2.8) (P < 0.001)]. Compared with other countries, patients from India had markedly higher rates of all-cause mortality [7.68 per 100 person-years (95% confidence interval 6.32-9.35) vs 4.34 (4.16-4.53), P < 0.0001], while rates of stroke/systemic embolism and major bleeding were lower after 1 year of follow-up. CONCLUSION: Compared to previously published registries from India, the GARFIELD-AF registry describes clinical profiles and outcomes in Indian patients with AF of a different etiology. The registry data show that compared to the rest of the world, Indian AF patients are younger in age and have more diabetes and CAD. Patients with a higher stroke risk are more likely to receive anticoagulation therapy with VKA but are underdosed compared with the global average in the GARFIELD-AF. CLINICAL TRIAL REGISTRATION-URL: http://www.clinicaltrials.gov. Unique identifier: NCT01090362