PATRIMÔNIO CULTURAL COMO DIGNIDADE CULTURAL: DECLARAÇÃO SOBRE AS RESPONSABILIDADES DAS GERAÇÕES PRESENTES EM RELAÇÃO ÀS GERAÇÕES FUTURAS

Este artigo pretende analisar a relevância do patrimônio cultural por meio do pensamento do filósofo contemporâneo Hans Jonas à luz do Princípio Responsabilidade desdobrado a partir do Imperativo Categórico de Immanuel Kant, no que tange à dignidade da pessoa humana, ao instituir, em esfera internacional e nacionalmente. O meio ambiente cultural, interpretado pelo Direito Ambiental consagra um patrimônio cultural multifacetário e traz referência à identidade e à memória dos povos, uma vez que é um bem de interesse da coletividade e a salvaguarda de responsabilidade da humanidade em vista das futuras gerações, visando à sadia qualidade de vida. A ausência de um meio ambiente equilibrado interviria na dignidade humana, consequentemente, na dignidade cultural também

Tibiocalcaneal arthrodesis using an Ilizarov fixator

AbstractObjectiveTo evaluate the results of arthrodesis with Ilizarov fixator with tibiocalcaneana.MethodsWe studied 12 patients with a mean age of 35 years, and 9 (75%) men and 3 (25%) women, underwent arthrodesis tibiocalcaneana. The diagnosis in the preoperative talus infection. We used a modified surgical technique Reckling (6 patients) and the Ilizarov technique, modified by Catagni (6 patients). Patients were evaluated by the AOFAS scale research and patient satisfaction.ResultsUnion was achieved in 100% of cases. The mean time to healing was 6 months (range 4-12 months) and mean duration of external fixator removal was 9 months (range 4-13 months). Stretching was performed in 6 patients with an average of 4cm. The follow-up with Vancomycin lasted around 6 months. The average AOFAS score was 72.5 points (range 57 to 89 points). All patients were satisfied with the result.ConclusionDespite the small number of cases, arthrodesis tibiocalcaneana seemed to be a good solution for cases of complex pathologies of the talus, such as infection, resulting in bone healing, pain relief and patient satisfaction

Análise da paisagem na zona de amortecimento do Parque Nacional das Emas - Brasil

Located in the southwest of the state of Goiás, Brazil, the Emas National Park was created in 1961 and has a total area of 132,813 ha and a damping zone with 263,432 ha, that does not fulfil its ecological role because it is intensely occupied by agricultural activities. This article aims to analyze the different elements that compose the landscape in the damping zone of the National Park of Emas, indicating the most vulnerable areas and needing urgent actions of government institutions for its conservation. The study was developed from synthesis cartography and use of geotechnologies, with support in field research. In the landscape, plane relief predominates in plateaus (86% of the area), covered mainly by latosols (70.7%) and areas of water outcrop in hydromorphic soils (4.4% of the area). Currently, 63,7% of the damping zone is occupied by agribusiness, presenting environmental fragility of medium to high, being that 70.2% of the area is suitable for agriculture with simple conservation problems and 17.4% is suitable for agriculture with complex conservation problems, especially soil correction and creation of mechanisms for prevention and/or containment erosive processes. About 25% of the area still has preserved natural vegetation.Localizado no sudoeste do Estado de Goiás, o Parque Nacional das Emas foi criado no ano de 1961 e apresenta uma área total de 132.813 ha e uma Zona de Amortecimento com 263.432 ha, que não cumpre totalmente o seu papel ecológico por estar intensamente ocupada por atividades agropecuárias, dando ao parque um aspecto de “ilha” em meio a um mosaico de atividades agropecuárias. Visto a intensa ocupação agropecuária, este artigo apresenta como objetivo analisar os diferentes elementos que compõem a paisagem na Zona de Amortecimento do Parque Nacional das Emas, indicando as áreas mais vulneráveis e que necessitam de ações urgentes do poder público para a sua conservação. Atualmente, 63,7% da Zona de Amortecimento encontra-se ocupada pela agricultura capitalista, principalmente sobre os latossolos e relevos planos que predominam na região, apresentando fragilidade ambiental de média a alta. Cerca de 25% da área ainda apresenta vegetação natural conservada

Manejo orgânico de pastagens com uso de termopotássio e termofosfato na região do Cerrado

The objective of this work was to evaluate the performance of the thermopotassium and thermophosphate agrominerals, as sources of P and K, in an organic pasture consortium of 'Marandu' Urochloa brizantha + Stylosanthes spp. in the Brazilian Cerrado. The organic management was compared with conventional farming using chemical fertilizers, during three years, in two adjacent experiments, one with and the other without previous growth of green manure (Crotalaria juncea). The management treatments were: conventional, with the application of 200 kg ha-1 potassium chloride, 260 kg ha-1 triple superphosphate, and 217 kg ha-1 urea; organic, with the application of 1.0 Mg ha-1 thermophosphate, 2.0 Mg ha-1 termopotassium, and 7.0 Mg ha-1 chicken manure; and control, without fertilizers. Soil fertility, dry mass production, and legume content in the pasture were evaluated. The experiment with green manure resulted in a significant increase in the soil-extractable contents of P and K and in pasture productivity. In the organic treatment, due to the slow release of agromineral nutrients, long-term effects are observed on the soil-extractable contents of P and K.O objetivo deste trabalho foi avaliar o desempenho dos agrominerais termopotássio e termofosfato, como fontes de P e K, em consórcio de pastagem orgânica de Urochloa brizantha 'Marandu' + Stylosanthes spp. no Cerrado brasileiro. O manejo orgânico foi comparado ao convencional com uso de fertilizantes químicos, durante três anos, em dois experimentos adjacentes, um com e outro sem cultivo prévio de adubo verde (Crotalaria juncea). Os tratamentos de manejo foram: convencional, com aplicação de 200 kg ha-1 de cloreto de potássio, 260 kg ha-1 de superfosfato triplo e 217 kg ha-1 de ureia; orgânico, com aplicação de 1,0 Mg ha-1 termopotássio, 2,0 Mg ha-1 termofosfato e 7,0 Mg ha-1 cama de frango; e controle, sem adubação. Foram avaliadas fertilidade do solo, produção de matéria seca e contribuição da leguminosa na pastagem. O experimento com adubação verde proporcionou aumento significativo nos teores de P e K extraíveis do solo e na produtividade da pastagem. No tratamento orgânico, devido à liberação lenta dos nutrientes dos agrominerais, são observados efeitos de longo prazo nos teores extraíveis de P e K do solo

Blastocystis subtypes in patients with diabetes mellitus from the Midwest region of Brazil

Blastocystis sp. is an enteric protist commonly found in human fecal samples. In Brazil, few studies have been developed, but none of them has explored the presence of Blastocystis in patients with diabetes mellitus. We evaluated the occurrence and molecular identification of Blastocystis sp. among patients with diabetes mellitus in the Midwest region, Goias State, Brazil. Genomic DNA was obtained from 175 fecal samples (99 from the diabetic group and 76 from the control group). PCR was performed using pan-Blastocystis primers from the SSU-rDNA gene. Microscopic examination revealed positivity of 12.1% and 7.9% for Blastocystis in diabetics and in controls, respectively. Amplification of Blastocystis DNA was observed in 34.4% (34 of 99) and 30.3% (23 of 76) from the diabetic and control groups, respectively. Phylogenetic analyses and BLAST searches revealed six subtypes among Blastocystis isolates in the diabetic group, represented by ST1 (38.2%), ST2 (11.8%), ST3 (35.3%), ST6 (2.9%), ST7 (2.9%) and ST8 (8.8%). In the control group, ST1 (21.8%), ST2 (21.8%), ST3 (43.5%), ST6 (4.4%) and ST8 (8.7%) were identified. This study is the first report regarding the occurrence and subtypes distribution of Blastocystis in patients with diabetes mellitus in Brazil. The results reinforce the potential risk of Blastocystis infection in patients with diabetes, in addition, it contributes to the understanding of the genetic diversity of this enigmatic organism

Arthroereisis with interference screw in flexible flatfoot, a comparison with the conventional surgical technique

Objective: To evaluate functional results of subtalar arthroereisis with non-conventional implants, as well as their clinical, radiographic, and functional results, comparing them with those of the conventional technique. Methods: Documentary research consisting of the analysis and review of medical records of six patients, with application of the Orthopaedic Foot and Ankle Score (AOFAS) and Short Form Health Survey 36 (SF-36) questionnaires and evaluation of pre-and postoperative radiographic results. Results: Patients achieved satisfactory clinical and functional results, indicated by an improvement in the pitch, kite, Giannestras, and Meary angles analyzed and by comparing the pre-and postoperative periods. There was also an improvement in the AOFAS and SF-36 questionnaire scores postoperatively, suggesting an evolution in the quality of life of patients studied. Conclusion: Subtalar arthroereisis is a non-invasive surgical procedure that contributes to the clinical improvement of patients. The use of interference screw showed good results, with the advantage of it being a low-cost implant when compared to the conventional ones, which makes the procedure more accessible. Level of Evidence III; Therapeutic Studies; Case control study

One or two ligatures inducing periodontitis are sufficient to cause fatty liver

Periodontitis is a chronic disease that due to an intense inflammatory response triggers systemic changes such as hepatic alterations. This study aimed to compare hepatic damage in rats that received experimental periodontitis at one or two periodontal sites with ligatures. Eighteen rats were separated into three groups: control, without ligature; periodontitis 1, with one ligature; and periodontitis 2, with two ligatures. The following parameters were assessed: gingival bleeding index, probing pocket depth, tooth mobility, alveolar bone loss, malondialdehyde (MDA) and myeloperoxidase (MPO) activity in periodontal tissue; histopathological evaluation of hepatic tissue (steatosis score); glutathione levels (GSH), MDA, MPO, cholesterol and triglycerides in the liver; and serum levels of alanine aminotransferase (ALT) and aspartate aminotransferase (AST). Periodontal evaluation data showed that the periodontitis model worked well. The groups with periodontitis did not differ significantly in relation to MPO activity and MDA levels in the gingival samples, but they were significantly different when compared with the control group. Steatosis was observed in the histological analysis of the groups with periodontitis, but between the periodontitis groups, two ligatures did not cause increase in steatosis score. The levels of GSH, MDA, total cholesterol and triglycerides in the hepatic tissue were not altered between groups with periodontitis, but they showed significant differences in comparison with the control group. The activity of MPO in hepatic tissue and serum levels of AST and ALT did not present significant difference among the three groups. In conclusion, our results demonstrated that one or two ligatures inducing periodontitis were both sufficient to cause fatty liver. Steatosis caused by two ligatures did not present larger extension and severity than steatosis caused by one ligature

Conhecimento do cirurgião-dentista sobre o manejo e tratamento de fratura radicular horizontal em Curitiba, Brasil Knowledge of dental practitioners on the management and treatment of horizontal root fracture in Curitiba, Brazil

Introdução: A fratura radicular ocorre em uma frequência que varia de 2,5 a 8,7% dos traumas dentários. Objetivo: Avaliar o conhecimento do cirurgião dentista clínico geral da rede municipal de saúde de Curitiba (PR) a respeito de fratura radicular horizontal e comparar os resultados obtidos nesta investigação (grupo 2) com um estudo desenvolvido em 2009 (grupo 1). Material e métodos: Para a realização deste trabalho, um questionário (utilizado no estudo de 2009) sobre conduta e manejo da fratura radicular horizontal foi aplicado aos cirurgiões-dentistas. Os dados foram analisados por meio do teste χ2 e teste Z de diferença entre duas proporções. A amostra foi composta de 81 cirurgiões-dentistas (grupo 2) e 59 cirurgiões-dentistas (grupo 1). Resultados: Houve maior porcentagem de acerto para o grupo 1 quando comparado ao grupo 2, em relação à conduta na fratura radicular horizontal com ou sem deslocamento do terço coronário e quanto ao prognóstico do dente no que tange à posição da fratura. Não houve diferença estatisticamente significante entre grupos a respeito do tecido pulpar, com ou sem deslocamento dos terços. Sobre a permanência da contenção, houve maior acerto entre o grupo 2. AbstractIntroduction: The frequency of tooth fractures ranges from 2.5 to 8.7% in dental injuries. Objective: The objectives of this study were to evaluated the knowledge of general dental practitioners (GD), at the public dental care system, about the correct management of horizontal tooth fractures, in Curitiba (PR, Brazil) (group 2), and to compare the results with a preview study (group 1). Material and methods: The same questionnaire was applied to GD: in 2009 (group 1) and in the actual study (group 2). The data was analyzed using the χ2 test and the Z test for different proportions. The samples were 81 GDs (group 2) and 59 GDs (group 1). Results: Group 1 had more correct answers than group 2, concerning horizontal root fracture with or without crowded displacement, and prognosis related to the position of the fracture line. About the pulp tissue, with our without displacement, there was no statistic significant difference between both groups. When it comes to the splint permanence, group 2 had more correct answers.Introdução: A fratura radicular ocorre em uma frequência que varia de 2,5 a 8,7% dos traumas dentários. Objetivo: Avaliar o conhecimento do cirurgião dentista clínico geral da rede municipal de saúde de Curitiba (PR) a respeito de fratura radicular horizontal e comparar os resultados obtidos nesta investigação (grupo 2) com um estudo desenvolvido em 2009 (grupo 1). Material e métodos: Para a realização deste trabalho, um questionário (utilizado no estudo de 2009) sobre conduta e manejo da fratura radicular horizontal foi aplicado aos cirurgiões-dentistas. Os dados foram analisados por meio do teste χ2 e teste Z de diferença entre duas proporções. A amostra foi composta de 81 cirurgiões-dentistas (grupo 2) e 59 cirurgiões-dentistas (grupo 1). Resultados: Houve maior porcentagem de acerto para o grupo 1 quando comparado ao grupo 2, em relação à conduta na fratura radicular horizontal com ou sem deslocamento do terço coronário e quanto ao prognóstico do dente no que tange à posição da fratura. Não houve diferença estatisticamente significante entre grupos a respeito do tecido pulpar, com ou sem deslocamento dos terços. Sobre a permanência da contenção, houve maior acerto entre o grupo 2. AbstractIntroduction: The frequency of tooth fractures ranges from 2.5 to 8.7% in dental injuries. Objective: The objectives of this study were to evaluated the knowledge of general dental practitioners (GD), at the public dental care system, about the correct management of horizontal tooth fractures, in Curitiba (PR, Brazil) (group 2), and to compare the results with a preview study (group 1). Material and methods: The same questionnaire was applied to GD: in 2009 (group 1) and in the actual study (group 2). The data was analyzed using the χ2 test and the Z test for different proportions. The samples were 81 GDs (group 2) and 59 GDs (group 1). Results: Group 1 had more correct answers than group 2, concerning horizontal root fracture with or without crowded displacement, and prognosis related to the position of the fracture line. About the pulp tissue, with our without displacement, there was no statistic significant difference between both groups. When it comes to the splint permanence, group 2 had more correct answers

Evaluation of pressure parameters intra-abdominal and thoracic in patients submitted to abdominoplasty

INTRODUCTION: The abdomen is an important aesthetic and functional segment in the characterization of body contouring. The plication of the rectus abdominis may cause various problems to the patient such as increased intra-abdominal and thoracic pressure. Thus, this study aims to evaluate abdominal pressure and pulmonary parameters in patients undergoing abdominoplasty with liposuction. METHODS: This is a descriptive longitudinal prospective study. All patients underwent the lipoabdominoplasty with liposuction of flanks by the same senior plastic surgeon. The intra-abdominal pressure was measured by a device attached to indwelling urinary catheter of the patient and intra-thoracic pressure was measured by the ventilation device monitor. Measurements were made before and after plication and in Fowler's position. RESULTS: Mean surgery time was 4 hours and 08 minutes. Intra-abdominal pressure before and after plication of the rectus abdominis ranged from 2 to 11 cm H2O and 5-16 cm H2O, respectively. Intra-thoracic pressure before and after plication of the rectus abdominis ranged from 13 to 17 cm H2O and 14-18 cm H2O respectively. The intra-abdominal pressure in Fowler's position ranged from 6 to 23 cm H2O. The intra-thoracic pressure in Fowler's position ranged from 15 to 19 cm H2O. One case of small dehiscence, one case of seroma and one case of respiratory distress were observed. CONCLUSION: The results demonstrate that plication of the rectus abdominis increases intra-abdominal and pulmonary pressure without generating significant systemic changes