Doação e transplantes de órgãos: Contribuições dos profissionais sobre o trabalho interprofissional nos programas

Objective: This study aimed to identify the contributions for improvement in the interprofessional working relationship pointed out by professionals involved in organ and tissue procurement and transplantation programs. Method: exploratory study with a quantiqualitative approach conducted over a period of 21 months, with the participation of health professionals invited to complete an online questionnaire on the Google form platform. After collection, the quantitative data were organized and analyzed descriptively, and the qualitative data were categorized and submitted to content analysis. Results: 130 health professionals participated in the study, 84% were female, of which 64% said they were white, between 41-59 years old, and 31% had worked for more than 15 years in the programs. The categories identified were: working conditions; appreciation of non-medical professionals; psychological support to professionals and funding for training of professionals pointed out as improvements in the work relationship in the programs. Conclusion: the study identified that working conditions and greater valorization of the interprofessional team allied to offering psychological support to professionals are necessary and important strategies, and may bring impacts on the satisfaction of professionals, on mental health, in addition to improvements in work processes, impacting transplantation rates.Objetivo: Com este estudo, objetivou-se identificar as contribuições de melhoria na relação de trabalho interprofissional apontadas por profissionais envolvidos nos programas de procura e de transplantação de órgãos e tecidos. Método: estudo exploratório com abordagem quanti-qualitativo realizado no período de 21 meses, com a participação de profissionais da área da saúde convidados a preencher um questionário online da plataforma de formulários do Google. Após a coleta, organizaram-se os dados quantitativos, analisando-os de maneira descritiva e, em categorias, os dados qualitativos, submetendo-os à análise de conteúdo. Resultados:participaram do estudo 130 profissionais de saúde, sendo 84% do gênero feminino, dos quais 64% se declararam de cor de pele branca; de faixa etária entre 41–59 anos, sendo que (31%) trabalhavam há mais de quinze anos nos programas. As categorias identificadas foram: condições de trabalho; valorização dos profissionais não médicos; suporte psicológico e financiamento para capacitação dos profissionais apontadas como melhorias na relação de trabalho nos programas. Conclusão: o estudo possibilitou identificar que na relação de trabalho as condições laborais e maior valorização da equipe interprofissional aliadas ao oferecimento de suporte psicológico aos profissionais são estratégias necessárias, podendo trazer impactos na satisfação dos profissionais, na saúde mental, além de melhorias nos processos de trabalho, impactando as taxas de transplantes.info:eu-repo/semantics/publishedVersio

The impact of social risk in a paediatric department

Introdução: Os maus tratos a crianças correspondem a qualquer acção ou omissão não acidental, que ameace a sua segurança, dignidade e correcto desenvolvimento biopsicossocial. Pretendeu-se avaliar o seu impacto no internamento de Pediatria. Metodologia: Estudo retrospectivo dos doentes internados no Serviço de Pediatria de um hospital terciário entre 1/10/10 e 30/09/11, sinalizados ao Núcleo Hospitalar de Apoio a Crianças e Jovens em Risco (NHACJR). Foi considerada alta clínica o momento em que o doente já não apresentava critérios clínicos para o internamento. Na avaliação do impacto económico foi considerado o valor do custo diário de assistência hospitalar (85,00€) referido no DR 1ªsérie, de Janeiro de 2009. Resultados: Num total de 1052 internamentos, foi solicitada avaliação ao NHACJR em 4,1% (43) dos episódios. Os lactentes representaram 53,5% das sinalizações. O desemprego verificou-se em 66% dos pais e 37,2% destes tinham completadoo 3º ciclo de ensino básico. O modelo de família nuclear foi identificado em 37,2% dos casos. A presença de indicadores de risco social sem evidência aparente de maus tratos ocorreu em 48,8%. A negligência foi identificada em 39,5% das crianças, seguida dos maus tratos físicos com 6,9%. Quatro internamentos foram por motivos exclusivamente sociais, com um tempo médio de internamento de 10,5 dias. Dez crianças com critérios clínicos de internamento vieram a ter adiamento da alta hospitalar por motivos sociais, com um prolongamento médio do tempo de internamento de 33,2 dias. Neste grupo de catorze casos ocorreram seis infecções nosocomiais, um traumatismo crânio-encefálico e o custo adicional estimado de assistência hospitalar foi de 31.790,00€. Comentários: O impacto das razões sociais no internamento em Pediatria não é negligenciável quer do ponto de vista clínico quer económico. Uma reflexão multidisciplinar sobre a necessidade de maior apoio social na comunidade revela-se necessária, tendo por base os direitos da criança hospitalizada e o contexto socioeconómico actual

Silencing mutant ataxin-3 rescues motor deficits and neuropathology in machado-joseph disease transgenic mice.

Machado-Joseph disease (MJD) or spinocerebellar ataxia type 3 (SCA3) is an autosomal dominantly-inherited neurodegenerative disorder caused by the over-repetition of a CAG codon in the MJD1 gene. This expansion translates into a polyglutamine tract that confers a toxic gain-of-function to the mutant protein - ataxin-3, leading to neurodegeneration in specific brain regions, with particular severity in the cerebellum. No treatment able to modify the disease progression is available. However, gene silencing by RNA interference has shown promising results. Therefore, in this study we investigated whether lentiviral-mediated allele-specific silencing of the mutant ataxin-3 gene, after disease onset, would rescue the motor behavior deficits and neuropathological features in a severely impaired transgenic mouse model of MJD. For this purpose, we injected lentiviral vectors encoding allele-specific silencing-sequences (shAtx3) into the cerebellum of diseased transgenic mice expressing the targeted C-variant of mutant ataxin-3 present in 70% of MJD patients. This variation permits to discriminate between the wild-type and mutant forms, maintaining the normal function of the wild-type allele and silencing only the mutant form. Quantitative analysis of rotarod performance, footprint and activity patterns revealed significant and robust alleviation of gait, balance (average 3-fold increase of rotarod test time), locomotor and exploratory activity impairments in shAtx3-injected mice, as compared to control ones injected with shGFP. An important improvement of neuropathology was also observed, regarding the number of intranuclear inclusions, calbindin and DARPP-32 immunoreactivity, fluorojade B and Golgi staining and molecular and granular layers thickness. These data demonstrate for the first time the efficacy of gene silencing in blocking the MJD-associated motor-behavior and neuropathological abnormalities after the onset of the disease, supporting the use of this strategy for therapy of MJD

Selection index as a priori information for using artificial neural networks to classify alfalfa genotypes.

The efficiency of a selection index generally depends on the quality of the variance matrixes, which demands controlled experiments. Using Artificial Neural Networks (ANNs) trained from a selection index is advantageous for selecting genotypes since an ANN has the capacity to classify genotypes in an automated way. We propose the use of ANNs for the selection of alfalfa genotypes, based on a selection index. Data were collected from 77 alfalfa genotypes evaluated based on nine traits from four cuttings. The traits were divided into forage yield and nutritive value groups. In order for the ANNs to learn the classification pattern, the Tai index was used, which allows secondary traits to be included in the index to improve the gains of the main traits. An index was established for each group of traits, and based on the index scores the genotypes were subdivided into four classes (optimal, good, medium, and bad). After testing different topologies, ANNs were established for each index, according to the apparent error rates. The chosen ANNs were efficient in classifying the genotypes since the highest apparent error rate reached 15%, meaning that the ANNs efficiently captured the data pattern. Considering the ANN classification for both groups of traits, there was a high degree of agreement with the classification obtained from the Tai index, as expected. Even in the cuttings where the ANNs presented the worst performance, their potential to classify alfalfa genotypes was clear, because the wrong classifications were placed in groups close to the correct ones. This ensured that the best genotypes did not run the risk of being discarded, since they would not classified in the group of bad genotypes. The ANNs that were developed have good potential for use in alfalfa breeding programs.On-line First

Realization of Rectangular Artificial Spin Ice and Direct Observation of High Energy Topology

In this letter, we have constructed and experimentally investigated frustrated arrays of dipoles forming two-dimensional artificial spin ices with different lattice parameters (rectangular arrays with horizontal and vertical lattice spacings denoted by $a$ and $b$ respectively). Arrays with three different ratios $\gamma =a/b = \sqrt{2}$, $\sqrt{3}$ and $\sqrt{4}$ are studied. Theoretical calculations of low-energy demagnetized configurations for these same parameters are also presented. Experimental data for demagnetized samples confirm most of the theoretical results. However, the highest energy topology (doubly-charged monopoles) does not emerge in our theoretical model, while they are seen in experiments for large enough $\gamma$. Our results also insinuate that magnetic monopoles may be almost free in rectangular lattices with a critical ratio $\gamma = \gamma_{c} = \sqrt{3}$, supporting previous theoretical predictions

Apreciação dos jogos por crianças e jovens em um festival de handebol

Nosso interesse pelo campo teórico da Praxiologia Motriz teve início no projeto de extensão universitária denominado “Ensinando e Aprendendo Handebol”, espaço no qual nos deparamos, já há quase 10 anos, com o desafio de ensinar handebol à crianças e jovens. Associados a este projeto de extensão, sentimos a necessidade de um grupo de pesquisa, no qual pudéssemos nos aprofundar nos estudos acerca da pedagogia dos esportes coletivos, surgindo, a partir do ano de 2009, o Núcleo de Estudos e Pesquisas das Abordagens Táticas dos Esportes Coletivos (NEPATEC).Departamento de Educación Físic

Identification of phenolic compounds in pomegranate (Punica Granatum) seeds and soybean (Glicine Max) oils and its stabilization by spray drying.

Pomegranate seed oil (PSO), even though highly sensitive to oxidation, has been extensively studied due to its bioactive potentials, assigned to the punicic acid, a polyunsaturated fatty acid, and several phenolic compounds. Combined with soybean oil (SO) we get an affordable product, rich in essential fatty acids. In this study we evaluate PSO and SO for phenolic and fatty acids compositions and encapsulate it by spray drying to increase its shelf life. Modified starch, maltodextrin and gum arabic are evaluated by a mixture design to get the better wall material composition. The content of punicic, a conjugated linolenic acid, and linoleic acids in PSO and SO were, respectively 75% and 54%. As expected, the phenolic acids were found at low concentration in PSO and SO, but in high content in pressing cake. The better response for spray drying process yield and oxidative stability were achieved at using modified starch and gum arabic at the same proportion as wall material.Food: the tree that sustains life

Validation of the rat model of prostate cancer: correlating seminal vesicle lesions with dorsolateral prostate lesions

Background/aim: Lesions in the seminal vesicle are described in the most used protocols for prostate cancer (PCa) induction. This study aimed to characterize the lesions of seminal vesicles associated with a protocol of PCa induction in rats to contribute to better characterization of this model. Materials and methods: Forty-five male Wistar Unilever rats were randomly divided into two control groups: CONT1 (n=10) and CONT2 (n=10); and two PCa-induced groups: IND1 (n=10) and IND2 (n=15), sacrificed at 35 and 61 weeks, respectively. Animals from the induced groups were exposed to a multistep protocol for PCa induction. Animals, seminal vesicles and dorsolateral prostate were weighed. Seminal vesicles and dorsolateral prostate were submitted to histopathological and immunohistochemical analysis. Results: Animals in which PCa was induced had a lower mean body weight when compared with the control animals (p<0.05). The relative mean seminal vesicle weight was higher in groups with PCa when compared with control groups (p<0.05). Although the differences were not statistically significant, animals from the IND2 group developed more lesions than animals from the IND1 and CONT2 groups. It is worth noting that the animals from group IND2 developed papillary adenomas and carcinomas in situ, which were not observed in any other group. Similar to observations in seminal vesicles, animals from group IND2 developed more dorsolateral prostate lesions than animals from the IND1 group (p<0.05). Conclusion: We observed that the longer the exposure to testosterone was, the greater was the incidence of preneoplastic and neoplastic lesions in both the seminal vesicle and the prostate, suggesting that testosterone exposure affects the spectrum of developed lesions