Relationship between anemia and oral cancer : a case-control study

The aim of this study was to investigate the occurrence, type and severity of anemia at the time of diagnosis of oral cancer, and its potential association with the degree of tumor cell differentiation. This case-control study used 366 medical records of patients treated at two referral centers for oral cancer diagnosis, specifically: cases (n=70) with a histopathological diagnosis of oral squamous cell carcinoma (OSCC) of the oral cavity, and controls (n=296) with benign oral lesions. Sociodemographic, behavioral, and clinical variables of both groups, as well as complete blood count values, were analyzed by descriptive statistics and crude/adjusted logistic regression. Anemia was detected in 15.7% of the cases and 11.8% of the controls. The presence of anemia had an OR=1.64 (odds ratio) (95%CI 0.54–5.00) for OSCC, with no significantly statistical association. Normocytic anemia was the most prevalent form of anemia when oral cancer was diagnosed (91.4% of the controls and 72.7% of the cases), and moderate to severely low hemoglobin levels were associated with OSCC diagnosis (OR 6.49; 95%CI 1.18–35.24), albeit data on hematological examinations were missing

Evaluation of Aquaporins 1 and 5 Expression in Rat Parotid Glands After Volumetric Modulated Arc Radiotherapy and Use of Low-Level Laser Therapy at Different Times

Introduction: This experimental study investigated the mRNA expression of aquaporins (AQPs) 1 and 5 in the parotid glands of rats irradiated with volumetric modulated arc therapy (VMAT) and subjected to low-level laser therapy (LLLT) at different time points.Methods: The sample consisted of 30 Wistar rats (Rattus norvegicus) divided into the following groups: control, LLLT alone (LG), radiotherapy alone (RG), and experimental groups that received LLLT at 24 hours (early experimental group [EEG], n=12) and 120 hours (late experimental group [LEG], n=12) after radiotherapy. VMAT was delivered at a single dose (12 Gy) and LLLT was performed with an aluminium-gallium-arsenide diode laser (660 nm, 100 mW), spot area of 0.0028 cm2, energy of 2 J/cm2 applied to 3 spots in the region corresponding to the right parotid gland, for 10 consecutive days. The right parotid gland was resected and prepared for RNA extraction. The gene expression of AQPs was evaluated by quantitative polymerase chain reaction (qPCR) using specific TaqMan probes, with the HPRT gene as an internal control.Results: The lowest AQP1 gene expression was 0.83 (0.27) with the use of LLLT 24 hours after radiotherapy (EEG), and the highest was 1.56 (0.80) with the use of LLLT alone (LG). Likewise, the lowest AQP5 gene expression was found in the EEG (mean = 0.88; SD = 0.49) and the highest in the LG (mean = 1.29; SD = 0.33).Conclusion: The use of LLLT after radiotherapy may contribute to the maintenance and an increase of these proteins, even when used at a later time point after radiotherapy

Utilização do Instagram® como estratégia para disseminação de conhecimento acerca da ciência dos alimentos

As mídias sociais podem ser utilizadas como ferramenta de divulgação de informações. Esse trabalho relata as atividades realizadas pelo projeto de extensão “Farmalimentos”, utilizando o Instagram® como meio de divulgação de conteúdo científico na área de ciência dos alimentos, no intuito de combater as desinformações disseminadas pela sociedade. O projeto é composto por discentes e docentes do curso de Farmácia da Universidade Federal do Rio de Janeiro (UFRJ). Os temas dos posts foram definidos em conjunto, elaborados pelos discentes, sob supervisão dos docentes orientadores. Durante o período de 12 de novembro de 2019 a 02 de setembro de 2021, ocorreram 31 publicações na conta @farmalimentos. Os quadros “Você sabia?”, “Mito ou verdade?” e “Fraudes alimentares” tiveram alcance de 974, 775 e 754 contas, respectivamente. Esperamos ter contribuído para a formação dos estudantes e divulgação de informações fidedignas para população, de forma a auxiliar na escolha por alimentos mais saudáveis e seguros

Care coordination in PMAQ-AB: an Item Response Theory-based analysis

OBJETIVO Analisar a qualidade das variáveis do Programa de Melhoria do Acesso e da Qualidade da Atenção Básica para avaliar a coordenação na atenção básica do cuidado. MÉTODOS Estudo transversal baseado em dados de 17.202 equipes de atenção básica que participaram do Programa de Melhoria do Acesso e da Qualidade da Atenção Básica em 2012. Baseado na Teoria de Resposta ao Item, o Modelo de Resposta Gradual de Samejima foi utilizado para estimação do escore relacionado ao nível de coordenação. Os coeficientes alfa de Cronbach, Spearman e ponto bisserial foram utilizados para análise da consistência interna e da correlação entre os itens e de itens com o escore total. Foram avaliadas as suposições de unidimensionalidade e de independência local dos itens. Gráficos do tipo nuvem de palavras auxiliaram na interpretação dos níveis de coordenação. RESULTADOS Os itens do Programa com maior discriminação do nível de coordenação foram: existência de telefone/internet, fluxos institucionais de comunicação e ações de apoio matricial. A frequência de contato de especialistas com a atenção básica e prontuário eletrônico integrado exigiram maior nível de coordenação das equipes. O coeficiente alfa de Cronbach total 0,8018. Os itens fluxos institucional de comunicação e telefone/internet tiveram maior correlação com o escore total. Os escores de coordenação variaram entre -2,67 (mínimo) e 2,83 (máximo). Maior grau de comunicação, troca de informações, apoio matricial, cuidado no território e domicílio tiveram peso relevante nos níveis de coordenação. CONCLUSÕES A capacidade de disponibilizar a informação e a frequência de contato entre os profissionais são elementos importantes para o cuidado abrangente, contínuo e de qualidade.OBJECTIVE Analyze the quality of the National Program for Primary Care Access and Quality Improvement variables to evaluate the coordination of primary care. METHODS A cross-sectional study based on data from 17,202 primary care teams that participated in the National Program for Primary Care Access and Quality Improvement in 2012. Based on the Item Response Theory, Samejima’s Gradual Response Model was used to estimate the score related to the level of coordination. The Cronbach’s alpha and Spearman’ coefficients and the point-biserial correlation were used to analyze the internal consistency and the correlation between the items and between the items and the total score. We evaluated the assumptions of unidimensionality and local independence of the items. Cloud-type word charts aided in the interpretation of coordination levels. RESULTS The Program items with the greatest discrimination in coordination level were: telephone/Internet existence, institutional communication flows, and matrix support actions. The specialists’ contact frequency with the primary care and integrated electronic medical record required a greater level of coordination among the teams. The Cronbach’ alpha was 0.8018. The institutional communication flows and telephone/Internet items had a higher correlation with the total score. Coordination scores ranged from -2.67 (minimum) to 2.83 (maximum). More communication, information exchange, matrix support, health care in the territory and the domicile had a significant influence on the levels of coordination. CONCLUSIONS The ability to provide information and the frequency of contact among professionals are important elements for a comprehensive, continuous and high-quality care

Impact of intercropping on the photosynthetic activity of coffee

Conducting studies that assist in the evaluation of agroecosystems is essential for advancing biodiverse and sustainable agriculture. This study aimed to assess the impact of intercropping on the photosynthetic activity of Arabica coffee plants. The experiment was conducted in the municipality of Alegre, Espírito Santo, southeastern Brazil. Three coffee cropping systems were studied: Arabica coffee monoculture; Arabica coffee intercropped with Nanicon variety banana; and Arabica coffee intercropped with Nanicon variety banana and Juçara palm. The Arabica coffee variety used was Catuaí Vermelho IAC 44, planted in 1991, with a spacing of 3.0 m between rows and 2.0 m between holes, accommodating two plants per hole. In 2010, coffee trees underwent mid-height pruning (low-cutting pruning), and the Nanicon bananas were planted between rows with a spacing of 5.0 x 3.0 m. Three years later, palm seedlings were planted in the same rows as the banana plants, with a spacing of 5 x 3 m. Five experimental units were randomly selected for each cropping system. The evaluated variables included chlorophyll indexes (chlorophyll a, chlorophyll b, total chlorophyll, and chlorophyll a/b ratio) and gas exchange parameters (net CO2 assimilation rate, stomatal conductance, intercellular CO2 concentration, transpiration, intrinsic water use efficiency, instantaneous water use efficiency, and carboxylation efficiency). Regarding chlorophyll indexes, differences were observed only in chlorophyll b, with monoculture coffee displaying the highest values. In terms of gas exchange, intercropped coffee exhibited lower values of intrinsic and instantaneous water use efficiency, and higher values of stomatal conductance and transpiration. The highest net assimilation rate values were observed in coffee with banana intercropping, while the highest water use efficiency was found in coffee in monoculture. In summary, monoculture coffee showed the highest values for most of the variables related to photosynthetic activity, followed by Arabica coffee intercropped with banana, which stood out for achieving the highest net assimilation rate

Currículo e MST: conflitos de saberes e estratégias na produção de sujeitos

Este artigo trata dos conflitos em torno dos saberes disponibilizados nos currículos de duas escolas do Movimento dos Trabalhadores Rurais Sem Terra (MST) e das estratégias ali inscritas para a produção de sujeitos. Insere-se no campo do currículo na vertente pós-crítica, incorporando ferramentas conceituais dos Estudos Culturais e dos estudos de Michel Foucault. O argumento desenvolvido é o de que apesar de as relações de poder-saber forjadas no currículo das escolas investigadas serem marcadas pela presença predominante dos conhecimentos autorizados, há ali um esforço de ensinar outros saberes que contribuem para disponibilizar algumas posições de sujeito que são de importância estratégica para a produção do sujeito Sem Terra