Comparative study of patients knowledge on osteoarthritis treatment options to ACR guidelines

Portuguese population is growing older, according to national data in 2011 the aging index was 129. The number of elderly population is higher than the younger; average life expectancy is 79,2 years (1). Because knee Osteoarthritis increases with age, and according to WHO 80% of these subjects will have some degree of impairment and 25% will not be able to do their daily living activities (2), OA has a big impact on the sustainability of both health and social care as populations grow older. Our goal was to compare current guidelines of managing knee OA, to the degree of information each patient has about their treatment options.info:eu-repo/semantics/publishedVersio

Portraying urban change in Alfama (Lisbon): How local socio-spatial practices shape heritage

Alfama, a neighborhood whose history dates to Lisbon’s origins, held simultaneously the power and burden of representing the “old Lisbon.” It is recognized as a territory that was never part of the efforts to modernize the city but also through its inherent values. The latter derive exactly from the nostalgic images it projects and through which the city’s history is kept alive. As part of a city’s ecosystem and embroiling global phenomena, the neighborhood faces inevitable changes, affecting both the closely intertwined urban fabric and socio-cultural aspects to shape a landscape of tangible and intangible heritage. Based on a multidisciplinary and humanistic approach, the article portrays the urban change in the neighborhood through a spatial and ethnographic lens, along different scales and angles, contributing with a critical dimension to understanding urban development processes. We examine how Alfama has been dealing with political intentions steered by economic prosperity and global influences. Thus, we look at policies fostering urban regeneration and tourism development and describe impacts on the territory and responses where traces of the community’s resilience emerge. We further discuss how increased tourism led to a “touristification” scenario and implied local responses. Namely, the community has been activating specific mechanisms and leveraging certain socio-spatial features to cope with the process of change. Some examples highlight how the community is adapting practices of space and social interactions to take advantage of the new possibilities brought up by tourism, while defending its core socio-spatial networks, in a continuous process of heritage creationinfo:eu-repo/semantics/publishedVersio

Caracterização da estrutura de uma área de Floresta Ombrófila Mista sobre Latossolo Bruno em Gurapauva, Paraná, Brasil

Resumo

Características operacionais de um sistema de irrigação por Pivot Central.

Descrição do sistema de irrigação; Características operacionais do sistema da irrigação.bitstream/item/181083/1/FL-07347.pd

[Carotid atherosclerosis and white matter hypodensities: a controversial relationship]

INTRODUCTION: White matter hypodensities of presumed vascular origin, are recognized as an important cause of morbidity with established clinical and cognitive consequences. Nonetheless, many doubts remain on its physiopathology. Our goal is to clarify the potential role of carotid atherosclerosis and other vascular risk factors in the development of white matter hypodensities of presumed vascular origin. MATERIAL AND METHODS: We included patients that underwent CT brain scan and neurosonologic evaluation within a one-month period. Full assessment of vascular risks factors was performed. We seek to find independent associations between white matter hypodensities of presumed vascular origin, carotid intima-media thickness and vascular risk factors. RESULTS: 472 patients were included, mean age was 67.32 (SD: 14.75), 274 (58.1%) were male. The independent predictors of white matter hypodensities of presumed vascular origin were age (OR: 1.067, 95% IC: 1.049 - 1.086, p < 0.001) and hypertension (OR: 1.726, 95% IC: 1.097 - 2.715, p = 0.018). No association was found between IMT (OR: 2.613, 95% IC: 0.886 - 7.708, p = 0.082) or carotid artery stenosis (OR: 1.021, 95% IC: 0.785 - 1.328, p = 0.877) and white matter hypodensities of presumed vascular origin. DISCUSSION: Only age and hypertension proved to have an independent association with white matter hypodensities of presumed vascular origin. Carotid atherosclerosis, evaluated by IMT and the degree of carotid artery stenosis, showed no association with white matter hypodensities of presumed vascular origin. Since atherosclerosis is a systemic pathology, these results suggest that alternative mechanisms are responsible for the development of white matter hypodensities of presumed vascular origin. CONCLUSION: Age and hypertension seem to be the main factors in the development of white matter hypodensities of presumed vascular origin. No association was found between carotid atherosclerosis and white matter hypodensities of presumed vascular origin

Respostas morfofisiológica da dinâmica foliar de curauá (Ananas erectifolius L.B. Sm.) ao regime hídrico, sob cultivo em sistemas agroflorestais.

Dada as diferentes funções que a água sobre as exerce plantas e as diferentes condições aonde a planta vem sendo cultivada, o trabalho teve como objetivo avaliar respostas morfofisiológica da dinâmica foliar de curauá ao regime hídrico, sob cultivo em sistemas agroflorestais

Efeito de jenipapo sobre o crescimento micelial do agente causal da Sigatoka amarela da bananeira.

A Sigatoka amarela da bananeira, causada por Mycosphaerella musicola / Pseudocercospora musae, é um dos mais graves problemas da bananicultura brasileira, provocando severas perdas na produção. O manejo convencional da doença requer a aplicação de fungicidas, ação incompatível com as normas do sistema de produção orgânica. A busca de alternativas de controle que sejam passíveis de uso na produção orgânica de banana passou a ser uma ação necessária, para viabilização desse sistema. Assim, neste trabalho, o objetivo foi avaliar o efeito do suco de jenipapo (Genipa americana) sobre o crescimento de M. musicola em meio de cultura. O teste foi realizado mediante adição, ao meio de cultura BDA, do suco do genipapo em diferentes concentrações: testemunha (0%); 2%; 4%; B%; 16% e 32% de suco, em substituição ao volume de água. O fungo foi inoculado ao meio via suspensão de fragmentos de micélio, seguindo-se a incubação a 25°C e luz constante por 10 dias. Os resultados demonstraram que o produto paralisou totalmente o crescimento de M. musicola a partir da concentração de 16%, demonstrando alto potencial para utilização no controle da Sigatoka amarela