82 research outputs found
Incidente de resolução de demandas repetitivas e recurso representativo de controvérsia: legitimidade do IRDR pelos precedentes
- Divulgação dos SUMÁRIOS das obras recentemente incorporadas ao acervo da Biblioteca Ministro Oscar Saraiva do STJ. Em respeito à Lei de Direitos Autorais, não disponibilizamos a obra na íntegra.- Localização na estante: 347.937(81) S237
Blood-Brain Barrier Disruption and Hemorrhagic Transformation in Acute Ischemic Stroke: Systematic Review and Meta-Analysis
Adaptabilidade e estabilidade de populações de milho-pipoca
The identification of higher stable cultivars makes the cultivar recommendation process safer. The objective of this work was to evaluate the adaptability and stability of eight popcorn populations for grain yield and popping expansion in two environments of the north area of the state of Paraná. The populations and the control (ZÉLIA) were evaluated in Londrina and Faxinal in two agricultural years using randomized block experimental design with three replications. For the variance analysis the parameters of grain yield and popping expansion were taken into account and the adaptability and stability were estimated based on the model proposed by Eberhart and Russel. The hibrid ZÉLIA and the populations UEL PAPA, UE PASHA, UEL PO, UEL PAMPGA, UEL PAPCB and UEL PAPYY performed the best grain yield results, 3,203.50, 3,733.41, 3,512.08, 3,176.25, 2,847.49, 2,764.75 and 2,421.66 kg ha-1 and popping expansion 27.68, 25.05, 27.41, 27.17, 27.64, 28.60 and 27.36, respectively, presenting previsible behavior for the cultivation with low risks in the studied area.A identificação de cultivares com maior estabilidade torna o processo de recomendação de cultivares mais seguro. O objetivo deste trabalho foi avaliar a adaptabilidade e estabilidade de oito populações de milho-pipoca quanto a produtividade e capacidade de expansão em dois locais no norte do Estado do Paraná. As populações e a testemunha (ZÉLIA) foram avaliadas em Londrina e Faxinal em dois anos agrícolas, utilizando delineamento experimental de blocos ao acaso com três repetições. Na análise de variância, consideraram-se os parâmetros de produtividade e capacidade de expansão e a adaptabilidade e estabilidade foram estimadas com base no modelo proposto por Eberhart e Russell. O híbrido ZÉLIA e as populações UEL PAPA, UE PASHA, UEL PO, UEL PAMPGA, UEL PAPCB e UEL PAPYY apresentaram os melhores resultados de produtividade, 3.203,50, 3.733,41, 3.512,08, 3.176,25, 2.847,49, 2.764,75 e 2.421,66 kg ha-1 e capacidade de expansão 27,68, 25,05, 27,41, 27,17, 27,64, 28,60 e 27,36, respectivamente, apresentando comportamento previsível para o cultivo com baixos riscos na região
WHATSAPP MESSENGER AS A REAL-TIME TOOL FOR A LONG-DISTANCE ACTIVITY OF A MULTIDISCIPLINARY
Introduction: Communication between doctors is traditionally conducted by written clinical charts. Mobile health is becoming an integral part of modern medical systems, improving accessibility and quality of medical care. Recent papers suggest that an increasing number of doctors are using in their clinical practice mobile tools to communicate clinical informations (1, 2). The aim of our study was to verify the adoption of WhatsApp Messenger in everyday clinical practice to obtain a real-time multidisciplinary collaboration among medical centers located in different areas of the city.
Materials and Methods: In January 2016 a WhatsApp Messenger group was created among 25 specialists: 9 urologists, 9 oncologists, 3 urology residents, 3 radiotherapists and 1 general practitioner. A general coordinator and a group coordinator for each specialty was monthly appointed. The participants were invited to interact within the group clinical cases of genitourinary tumors of particular complexity requiring a multidisciplinary approach. All the chats were registered. A preliminary analysis of the activity of the group was planned after the first 10 entered
patients. An evaluation questionnaire was sent after 6 months to evaluate the level of appreciation. The questionnaire was composed of a first section investigating the appreciation among the members of the group and a second section analyzing the impact in their everyday clinical practice of whatsapp multidisciplinary consultation.
Results: In 10 (91%) out of 11 patients the WhatsApp consultation was completed, one case was not of oncological interest. An average of 8 (range=2-13) specialists joined the chat for each patient. An average of 17.6 (range: 4-43) interventions for each clinical case was recorded. On the average, 27%, 54% and 19% of the interventions for each clinical case were provided by oncologists, urologists and radiotherapists respectively. In 9 (81.8%) cases a final agreement on the patient's management was reached. At the evaluation questionnaire in a scale 1-10, the average rating score of appreciation was 7.8 (range=4-10). Relevant suggestions to improve the Whatsapp Messenger consultation were obtained and will be considered for future application the ameliorate the tool.
Discussion: WhatsApp is a useful alternative and powerful complementary communication tool because of its capability to rapidly transfer large amount of clinical and radiological data. In our experience this new approach for multidisciplinary consultations improved collaboration among different specialist in different areas of the city through an easier and more informal change of opinions. In difficult and complex cases a rapid multidisciplinary approach allowed to offer the patient a personalized and tailored therapy management.
GSTU Foundation.
1Sidhoum N, Dast S, Abdulshakoor A, Assaf N, Herlin C and Sinna R: WhatsApp: Improvement tool for surgical team communication. J Plast Reconstr Aesthet Surg 69: 1562-1563, 2016.
2 Gould G and Nilforooshan R: WhatsApp Doc? BMJ Innov 2(3): 109-110, 201
Open questions and research needs in the adoption of conservation agriculture in the mediterranean area
This article aims to provide a review of major challenges and research needs for the diffusion of conservation agriculture (CA) and the improvement of crop–soil–water conditions in Southern Europe and Northern Africa. A multidisciplinary study and a participatory approach are at the basis of an international project of research and innovation action, “Research-based participatory approaches for adopting conservation agriculture in the Mediterranean Area-CAMA”. It aims to understand the reasons and the research needs that limit a large CA diffusion in the Mediterranean countries. CAMA aims to provide significant advances to CA through multidisciplinary research at the field and farm scales (with main emphasis on smallholder), encompassing a socio-economic analysis of the reasons that obstacle the CA diffusion, legume crop improvement as a component of improved CA cropping systems, and a network of long-term experiments on CA and soil characteristic modification. Its results will be available to scientific and farming communities.This research received the financial funding by PRIMA (Grant Agreement n. 1912), a programme supported by the European Union, research project “Research-based participatory approaches for adopting Conservation Agriculture in the Mediterranean Area – CAMA”, coord. Dott. Michele Rinaldi. Special thanks to Fabrice Dentressangle, CAMA Project Officer and to “Italian PRIMA Secretariate” office
Aptidão cardiorrespiratória e comportamento da frequência cardíaca em situações semelhantes ao jogo em atletas profissionais de futsal
O futsal é uma modalidade intermitente de alta intensidade que requer treinamento por meio de atividades situacionais envolvendo os metabolismos aeróbio e anaeróbio. A frequência cardíaca (FC) pode ser considerada um grande indicador de fadiga pensando nas características do futsal e em sua relação com a aptidão cardiorrespiratória (ACR). O objetivo do presente estudo foi relacionar a ACR com o comportamento da FC em situações semelhantes às de jogo em atletas profissionais de futsal. Trata-se de um estudo transversal desenvolvido com 20 atletas (21,3 ± 5,8 anos) de uma equipe profissional de futsal (série ouro) do estado do Paraná. Foram realizadas medidas antropométricas, teste de ACR, análise da FC em jogo simulado e análise dos dados por meio de estatística descritiva e correlação parcial de Pearson. A análise estatística não encontrou diferença significativa entre FC e consumo máximo de oxigênio (VO2 max) (r=0,15). Em relação ao comportamento da FC no jogo simulado, não foram encontradas diferenças estatísticas em nenhuma zona percentual da FC entre as diferentes posições de jogo. Situações expressas durante uma partida de futsal demonstraram que a FC não está associada à ACR, uma vez que os jogadores que apresentam melhor ACR nem sempre conseguem manter valores de FC inferiores em quadra, além disso, fixos, alas e pivôs não apresentaram diferenças estatísticas em relação ao comportamento da FC durante o jogo
Determinação de Paraquate em maçãs do tipo Gala, Fuji, Argentina e Verde
Introduction: Brazil is one of the world leaders in consumption of agrochemicals, generating billions of reais/year and this fact is increasing. The herbicide Paraquat has a highly hydrophilic molecule and it is used in the control of weeds in many types of plantations. Objective: To determine the presence and content of Paraquat in apples using the following types from the national market: Gala, Fuji, Argentina and Verde, with or without peel and to analyze the residual Paraquat content according to the Brazilian and European legislation. Method: An adapted methodology (UV/VIS spectrophotometer) was used in apples’ types with or without peel. Results: Considering the studied types of apples, although Paraquat was present in all of them, only the Verde and Gala types would be approved by European regulations. Argentina type would be approved only by the limits stated by Anvisa and Fuji type would not be approved by none of the regulations. Conclusions: There is a need for constant inspection by analyzing the content of pesticides in food as well as legislation that establishes mandatory information about the type of agrochemical used and the corresponding residual limit allowed.Introdução: O Brasil é um dos líderes mundiais no consumo de agrotóxicos, gerando bilhões de reais por ano em valores crescentes. O herbicida Paraquate é uma molécula considerada altamente hidrofílica utilizada em plantações de milho, soja, batata, maçã, entre outros. Objetivo: Determinar a presença e o teor de Paraquate em maçãs do tipo Gala, Fuji, Argentina e Verde, em presença e ausência de casca e discutir seus limites aceitáveis nas legislações vigentes brasileira e europeia. Método: Determinar a quantidade de Paraquate por meio de metodologia adaptada utilizando um espectrofotômetro UV/VIS em amostras de maçãs já mencionadas com e sem casca. Resultados: Dos tipos estudados de maçãs considerando a fruta com a casca, embora o Paraquate estivesse presente em todas, somente os tipos Verde e Gala estariam aprovados pela regulamentação da Comissão Europeia, a Argentina seria aprovada pelos limites da Anvisa e a Fuji seria reprovada pelas duas regulamentações. Conclusões: Há a necessidade de constante fiscalização por meio da análise de teor de agrotóxicos em alimentos, bem como de novas legislações que estabeleçam a obrigatoriedade da informação do tipo de agrotóxico utilizado no produto e o limite residual permitido
Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis
BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London
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