Pos-alta hospitalária en Lepra en Ceará: limitación de actividad funcional, conciencia de riesgo y participación social

Caracterizar a limitação funcional, de atividade, consciência de risco, e restrição à participação social em pessoas atingidas pela hanseníase no pós-alta. Estudo seccional-descritivo com 69 residentes em Sobral, Ceará, com alta entre 2003 a 2005. Foram realizados exame físico dermato-neurológico, avaliação demográfica, de limitação funcional-atividade-consciência de risco e de restrição à participação social. Vinte (28,9%) apresentaram escores SALSA 19 e 20 e escore EHF zero. O maior escore EHF foi alcançado por dois participantes, com 25 e 28 na escala SALSA. Na escala de participação 37 (53,6%) não apresentaram restrição e tinham escore EHF zero. Dois (2,9%) com escore EHF zero tinham leve restrição e 1 (1,5%), grande restrição. Reafirma-se a potencialidade destas ferramentas para a atenção integral aos portadores.To characterize the functional limitation, activity limitation, risk conscience, and the social participation in people reached by hansen's disease in the post-MDT period. Cross-sectional, descriptive study, accomplished in 2006. Sixty-nine residents in Sobral that had discharge from MDT between 2003-2005 participated. The subjects were interviewed: demographic evaluation, dermato-neurological exams, evaluation of functional limitation-activity-risk conscience and the restriction in social participation. Twenty (28.9%) presented SALSA scores 19 and 20 and EHF score zero. The largest EHF score was reached by two participants, with scores 25 and 28 in the SALSA scale. In the participation scale 37 (53.6%) didn't present restriction and had EHF scores zero. Two (2.9%) with EHF score zero had mild restriction, and 1 (1.5%) severe restriction. This study reaffirms the potentiality of these tools for integral care of people reached.Caracterizar la limitación funcional de actividad, conciencia de riesgo y restricción a la participación social en personas atingidas por la lepra en el post-alta. Estudio seccional y descriptivo con 69 sitiados en Sobral, Ceará, con alta entre 2003 y 2005. Fueron hechos examen físico dermatológico y además neurológico, evaluación demográfica, de limitación funcional, actividad y conciencia de riesgo y de restricción a la participación social. Veinte (28,9%) presentaron escores SALSA 19 y 20 escore EHF cero. La mayor EHF fue alcanzada por dos participantes, con 25 y 28 años en la escala SALSA. En la categoría participación, 37 (53,6%) no presentaron restricción y tenían escore EHF cero. Dos (2,9%) con EHF cero tenían poca restricción y 1 (1,5%), gran restricción. Delante de eso, se afirma una vez más la potencialidad de éstas herramientas para la atención integral a los portadores

Tamarind (Tamarindus indica linn.) and Sweet Sorghum (Sorghum bicolor L.Moench): their Potential Utilization in Phytotherapy

The use of botanical extracts and essential oil in skin care has been increasing due to greater demand on the part of consumers to use natural ingredients. Tamarind and Sweet Sorghum really have   big potentials  for reaching the public and showcasing its benefits , thus this study could encourage growers to raise more Tamarind and Sweet Sorghum in their areas not only as  food but as a raw material in the production of natural products which are for health and wellness. Both Tamarind and Sweet Sorghum possess skin healing effect which may be attributed to their biologically active components. Tamarind  possess to have bioflavonoids and alkaloids which occur in its leaves, pulp and bark. The bark contains  tannin which are recommended for treatments of inflammation, ulceration and skin disease. Tamarind has  Tartaric acid that makes it possible for tamarind to works wonders on oily skin with pimples and on sun-damaged.  Sweet Sorghum on the other hand contains emulsion, a substance that can give a moisturizing effect on the skin. the majestic phytochemistry of Tamarind and Sweet Sorghum encouraged the researcher  to produce and test  the acceptability, efficacy and safety of different skin care products that are commonly needed by the community. The Tamarind Leaves soap was proven to be highly acceptable in terms of its color, odor, texture, hardness and overall appearance. Both the Tamarind soap and the Sweet Sorghum soap were safe and free from insoluble soap and fatty acid soap. The percent reduction of acne in using Tamarind soap, Sweet Sorghum and Commercial soap have similar effect on the tenth and twelve days of use. The initial means of the treatments ranges from 10.00 pustule to 2.00 pustule. After 12 days of treatment the mean decrease is zero or equivalent to 100% decrease in the number of acne. The result of this study maybe explained with the result on antibacterial property test ( against Staphylococcus A.) of Tamarind soap and Sweet Sorghum Soap. Tamarind soap with 8% extract was found to be most effective in reduction of pimples. The Tamarind shower gel and Sweet Sorghum shower gels were effective against Staphylococcus Aurous. Tamarind Bark Ointment was an effective anti – inflammatory agent particularly on swelling and redness as well as for wound healing. Tamarind scrub salt, shower gel  and liniment  were also highly acceptable and found to be safe and effective. Result on the acceptability of Sweet Sorghum natural products are comparable to the acceptability of Tamarind natural products.  The development of technology for the Production of Natural  Products from Tamarind and Sweet Sorghum is timely, considering the growing consciousness of consumers on safe, organic and healthy natural products. Likewise, this product diversification scheme can promote multi-uses and competitive of the Tamarind and Sweet Sorghum

Patrimônio histórico - Diagnóstico sobre as edificações na poligonal tombada de Cáceres-MT

Historic centers are living testimonies of past times, representing the identity of a social group at a given time. Cáceres-MT is a 243-year-old city, with a considerable historical and artistic heritage, being a fundamental concern with its conservation. The objective of the study was to carry out a survey and characterization in a sample area in the historic center of the city of Cáceres, pointing out the state of conservation and use of each of the buildings and making a market analysis on the value of some properties. The methodology adopted was descriptive, involving a qualitative approach, with data collection at the place to be researched, the research was carried out in 2020. A total of 191 properties were surveyed. Most buildings have residential use, representing 26.7%. Another type of use identified was the provision of services with a percentage of 26.18%. Commercial use represented 18.32%, the other categories together represented a total of 28.8%. Regarding the conservation of the properties, 97 were considered in good condition, 65 were fair, and 29 were bad. The appreciation of the historic center region is evident when considering the average value of the land of R$567.00/m2 in the historic center and R$ 135.00/m2 in the Cavalhada and Cohab Velha neighborhoods. It is concluded that several aspects must be considered concerning the historical asset, which contributes to its preservation.Los centros históricos son testimonios vivos de tiempos pasados, representando la identidad de un grupo social en un momento dado. Cáceres-MT es una ciudad de 243 años de antigüedad, con un importante patrimonio histórico-artístico, siendo una preocupación fundamental su conservación. El objetivo del estudio fue realizar un levantamiento y caracterización en un área muestral del centro histórico de la ciudad de Cáceres, señalando el estado de conservación y uso de cada una de las edificaciones y realizando un análisis de mercado sobre el valor de algunas propiedades La metodología adoptada fue descriptiva, involucrando un enfoque cualitativo, con recolección de datos en el lugar a ser investigado, la investigación fue realizada en el año 2020. Se encuestaron un total de 191 inmuebles. La mayoría de los edificios tienen uso residencial, representando el 26,7%. Otro tipo de uso identificado fue la prestación de servicios con un porcentaje del 26,18%. El uso comercial representó el 18,32%, las demás categorías juntas representaron un total del 28,8%. En cuanto a la conservación de los inmuebles, 97 se consideraron en buen estado, 65 en regular y 29 en mal estado. La valorización de la región del centro histórico es evidente cuando se considera el valor medio del suelo de R$567,00/m2 en el centro histórico y de R$ 135,00/m2 en los barrios Cavalhada y Cohab Velha. Se concluye que varios aspectos deben ser considerados en relación con el bien histórico, lo que contribuye a su preservación.Os centros históricos são testemunhos vivos de épocas passadas, representando a identidade de um grupo social em um determinado momento. Cáceres-MT é uma cidade de 243 anos, com um patrimônio histórico e artístico considerável, sendo fundamental a preocupação com a sua conservação. Sendo assim, o objetivo do presente estudo foi fazer um levantamento e caracterização em uma área amostral no centro histórico da cidade de Cáceres, apontando o estado de conservação e uso de cada uma das edificações e fazendo uma análise mercadológica sobre o valor de alguns imóveis. A metodologia adotada foi de caráter descritivo, envolvendo abordagem qualitativa, com levantamento de dados no local a ser pesquisado, a pesquisa foi realizada no ano de 2020. Foram levantados 191 imóveis no total. A maioria das edificações possui uso residencial representando 26,7%. Outro tipo de uso identificado foi a prestação de serviços com uma porcentagem de 26,18%. O uso comercial representou 18,32%, as outras categorias somadas representaram um total de 28,8%. Em relação à conservação dos imóveis, 97 foram considerados em bom estado de conservação, 65 regular e 29 ruim. A valorização da região do centro histórico tombado fica evidente ao considerar o valor médio de terrenos de R$567,00/m2 no centro histórico e de R$ 135,00/m2 nos Bairros Cavalhada e Cohab Velha. Conclui-se que vários são os aspectos que devem ser considerados em relação ao bem histórico, que contribui para a sua preservação

Secondary healing strategy for difficult wound closure in invasive vulvar cancer: a pilot case-control study

OBJECTIVES: Despite the number of surgical advances and innovations in techniques over time, radical vulvectomy frequently results in substantial loss of tissue that cannot be primarily closed without tension, the mobilization of surrounding tissues or even the rotation of myocutaneous flaps. The aim of this study was to evaluate the feasibility of leaving the surgical vulvar open wound for secondary healing in situations where primary closure of the vulvar wound is not possible. METHODS: This case-control pilot study analyzed 16 women with a diagnosis of squamous cell carcinoma of the vulva who first underwent inguinofemoral lymphadenectomy, 6-week sessions of chemotherapy and 25 daily sessions of radiotherapy. Afterward, excision of the vulvar lesion with free margins was performed between January 2011 and July 2017. Twelve patients underwent primary closure of the wound (control), and in 4 patients, the surgical wound was left open for secondary healing by means of a hydrofiber (case). The inclusion criteria were a) FIGO-2009 stage II up to IIIC; b) squamous cell carcinoma; and c) no evidence of pelvic or extrapelvic disease or pelvic nodal involvement. The exclusion criteria were extrapelvic disease or pelvic nodal involvement, another primary cancer, or a poor clinical condition. ClinicalTrials.gov: NCT02067052. RESULTS: The mean age of the patients at the time of the intervention was 62.1. The distribution of the stages was as follows: II, n=6 (37 %); IIIA, n=1 (6%), IIIB, n=1 (6%) and IIIC, n=8 (51%). The mean operative time was 45 minutes. The hospital stay duration was 2 days. Full vulvar healing occurred after an average of 30 days in the control group and after an average of 50 days in the case group. CONCLUSION: A secondary healing strategy may be an option for the treatment of vulvar cancer in situations of non-extensive surgical wounds when primary closure of the wound is not possible

Electron paramagnetic resonance signature of point defects in neutron-irradiated hexagonal boron nitride

© 2018 American Physical Society. Hexagonal boron nitride (h-BN) is an attractive van der Waals material for studying fluorescent defects due to its large band gap. In this work, we demonstrate enhanced pink color due to neutron irradiation and perform electron paramagnetic resonance (EPR) measurements. The point defects are tentatively assigned to doubly occupied nitrogen vacancies with (S=1) and a zero-field splitting (D=1.2GHz). These defects are associated with a broad visible optical absorption band and a near-infrared photoluminescence band centered at ∼490 and 820 nm, respectively. The EPR signal intensities are strongly affected by thermal treatments in the temperature range between 600 °C and 800 °C, where also the irradiation-induced pink color is lost. Our results are important for understanding of point defects in h-BN and their deployment for quantum and integrated photonic applications

Biopsychosocial variables and attitudes towards treatment influence complicated hypertension

FUNDAMENTO: A hipertensão complicada pode ser influenciada pelas características dos pacientes hipertensos. OBJETIVO: Associar a condição de hipertensão complicada com variáveis biossociais, tais como as atitudes e as crenças sobre a doença e o tratamento e o bem-estar subjetivo. MÉTODOS: Foram estudados 251 hipertensos não complicados (PAS &gt; 140 mmHg e/ou 90 < PAD < 110 mmHg para pacientes sem tratamento e PAD < 110 mmHg para pacientes com tratamento, sem lesões em órgãos-alvo e outras doenças) e 260 hipertensos complicados (PAD &gt; 110 mmHg com ou sem tratamento, com lesões em órgãos-alvo ou outras doenças). RESULTADOS: Os hipertensos complicados foram significativamente diferentes dos não complicados (p < 0,05) em relação a: 1 - Predomínio de homens, não brancos (53,0%), maior índice de massa corporal (29,5 ± 4,6 vs 28,5 ± 4,0 kg/m²), mais de 10 anos de doença (54,0%), realização de tratamento anterior (53,0%) e referência de tristeza em relação a sua vida como um todo (74,0%); 2 - Os hipertensos complicados nunca levam os remédios quando viajam (59,0%), nem os providenciam antes de acabarem (71,0%) e raramente seguem as orientações sobre alimentação (69,0%); 3 - Os hipertensos não complicados apontaram mais enxaqueca, dor articular e, entre as mulheres, presença de menopausa e tratamento de reposição hormonal; 4 - Dos que tinham a pressão controlada (< 140/90 mmHg), 61,9% eram hipertensos não complicados; e 5 - Os hipertensos complicados desconheciam que o tratamento pode evitar problemas renais e desconheciam ainda que a hipertensão também pode acometer pessoas jovens. CONCLUSÃO: Hipertensos complicados apresentaram mais características estruturais e psicossociais desfavoráveis, mais atitudes negativas frente ao tratamento e desconhecem a doença.BACKGROUND: Complicated hypertension can be influenced by the characteristics of hypertensive patients. OBJECTIVE: To associate the condition of complicated hypertension with biosocial variables such as attitudes and beliefs about the disease and treatment and subjective well-being. METHODS: We studied 251 uncomplicated hypertensive patients (SBP &gt; 140 mmHg and/or 90 < DBP < 110 mmHg for patients under no treatment and DBP <110mmHg for patients under treatment without target organ damage and other diseases) and 260 complicated hypertensive patients (DBP &gt; 110 mmHg with or without treatment, with target organ damage or other diseases). RESULTS: Complicated hypertensive patients were significantly different from uncomplicated ones (p <0.05) in relation to: 1 - Prevalence of men, not white (53.0%), higher body mass index (29.5 ± 4.6 vs 28.5 ± 4.0 kg/m²), over 10 years of disease (54.0%), completion of previous treatment (53.0%) and reports of sadness about life as a whole (74.0%) 2 - Complicated hypertensive patients never bring the drugs when they travel (59.0%), nor do they buy them before running out the drugs (71.0%) and rarely follow eating guidelines (69.0%) 3 - Uncomplicated hypertensive patients showed no more migraines, joint pain and, among women, menopausal status and hormone replacement therapy, and 4 - Of those who had pressure control (< 140/90 mmHg), 61.9% were uncomplicated hypertensive patients; and 5 - Complicated hypertensive patients were not aware that treatment can prevent kidney problems and they thought that young people do not have high blood pressure. CONCLUSION: Complicated hypertensive patients showed more negative structural and psychosocial characteristics, more negative attitudes towards treatment and are unaware of the disease

La Lepra en el municipio de Fortaleza, CE, Brasil: aspectos epidemiológicos y operacionales en menores de 15 años (1995-2006)

Estudo transversal que objetiva analisar a ocorrência de casos de hanseníase em menores de 15 anos de idade residentes no Município de Fortaleza e notificados no SINAN. Os indicadores epidemiológicos nesta população mostram hiperendemicidade. Operacionalmente observa-se a manutenção da concentração de atendimento em algumas unidades de referência, apesar de alguns avanços. Diagnóstico tardio, elevado grau de incapacidade no diagnóstico e baixo grau de avaliação de contatos registrados revelam a fragilidade das ações de controle. Ressalta-se a possibilidade de erro diagnóstico frente às características da infecção nesta população. A ocorrência de casos de hanseníase nesta população representa um indicador epidemiológico de grande relevância e sua análise amplia a discussão sobre problemas operacionais na rede de serviços de saúde.This is a sectional study that aims to analyze the occurrence of Hansen's disease cases in 15 year-old minors in the Municipality of Fortaleza and notified in SINAN. The epidemiological indicators in this population show hiperendemicity. In operational terms is observed the maintenance of the service concentration in some reference units, in spite of some progress. Late diagnosis, a high degree of incapacity in the diagnosis and low degree of evaluation of contacts registered reveal the fragility of the actions of control. This study emphasizes the possibility of error diagnostic front to the characteristics of the infection in this population. The occurrence of cases of leprosy in this population represents an epidemiologic indicator of great importance and its analysis extends the discussion on operational problems in the network of health services.Estudio transversal con el objetivo de analizar las ocurrencias de los casos de lepra en menores de 15 años de edad sitiados en la ciudad de Fortaleza y enterados en el SINAN. Los indicadores epidémicos en ésta población se presentaron hiperendémicos. En la operacinalización, se observa el mantenimiento de la concentración de atención en algunas unidades recomendables, a pesar de algunos avances. Diagnósticos muy tardes, gran grado de incapacidad en el diagnóstico y bajo grado de evaluación de contactos registrados, muestran la fragilidad de las acciones de control. Se resalta así la posibilidad de error de diagnóstico delante de las características de la infección en ésta población. La ocurrencia de casos de lepra en ésta población representa un indicador epidémico de gran importancia y su análisis amplia la discusión sobre los problemas operacionales en la red de servicios públicos.Edital MCT CNPq/MS SCTIE DECIT Departamento de Ciência e Tecnologia do Ministério da Saúd

UTILIZAÇÃO DE COPRODUTOS DO BIODIESEL NA ALIMENTAÇÃO DE AVES

Animal nutrition has evolved over the years, especially after the evolution of food processing techniques. With knowledge of the composition of the food it was possible to determine the energy value of the food, which contributed to improvements in the production system, since the information obtained helps feed formulations, aiming at more efficient animal production and economy. However, the grains (maize and soybean) traditionally used to compose diets suffer from price variations, so we have sought to expand and diversify through research new energy sources that from the nutritional point of view can contribute positively to the performance of animals and economically with the reduction of food costs. Glycerin and glycerol appear as an alternative ingredient because it has high energy value and can be used as a source of energy in poultry feed, without impairing performance and carcass characteristics. However, for its use to be carried out, knowing its physical-chemical composition becomes essential, since this ingredient is available on the market and does not present standardized nutritional values, which may influence the zootechnical results. Hence, the objective of this work is to present a literature review on the use of biodiesel co-products as an energy source in poultry diets about the performance and carcass quality characteristics.A nutrição animal tem evoluído ao longo dos anos, principalmente após a evolução nas técnicas de processamento dos alimentos. A partir do conhecimento da composição dos alimentos foi possível determinar o valor energético dos mesmos, que contribuiu para melhorias no sistema de produção, uma vez que as informações obtidas auxiliam nas formulações de rações, visando a produção animal e economia mais eficiente. Contudo, os grãos (milho e soja) tradicionalmente utilizados para compor as dietas sofrem com as variações de preço, por isso busca-se ampliar e diversificar através de pesquisas novas fontes energéticas que do ponto de vista nutricional possam contribuir positivamente para o desempenho dos animais e econômico com a redução dos custos com a alimentação. A glicerina e o glicerol, surge como um ingrediente alternativo por possuir alto valor energético, podendo ser utilizado como fonte de energia na alimentação de aves, sem prejudicar o desempenho e características de carcaça. No entanto, para que a sua utilização seja realizada, conhecer a sua composição físico-químicos se torna essencial, uma vez que este ingrediente se encontra disponível no mercado e não apresenta valores nutricionais padronizados, podendo influenciar nos resultados zootécnicos. Diante do exposto, objetivou-se com este trabalho dissertar através de revisão de literatura sobre o uso de coprodutos do biodiesel como fonte energética em dietas para aves sobre as características de desempenho e qualidade de carcaça