Um levantamento de ferramentas da qualidade aplicadas para atender aos requisitos da ISO 22000 em panificadoras.

The objective of this article is to survey the quality tools used to meet the requirements of ISO 22000 in bakeries. This is a bibliographic research with a qualitative approach. The theme addresses the importance of implementing food safety management systems (FSMS) in bakeries, in order to generate competitive advantage and ensure safe food to consumers. The methodology used to carry out this research consists of a bibliographic survey and data analysis to expose the crossing of data through a table. The main results achieved with this work are the identification of different quality tools, which are used by authors to meet the requirements of the ISO 22000 standard and demonstrate that some tools can also be applied in different contexts, either totally or partially, and demonstrate that by meeting the requirements of the standard the organization generates competitive advantage through the improvement of its processes.O presente artigo tem como objetivo realizar um levantamento de ferramentas da qualidade utilizadas para atender aos requisitos da ISO 22000 em panificadoras. Trata-se de uma pesquisa bibliográfica, de abordagem qualitativa. A temática aborda a importância da implementação de sistemas de gestão de segurança de alimentos (SGSA) em panificadoras, a fim de gerar vantagem competitiva e garantir alimentos seguros ao consumidor. A metodologia utilizada para realização desta pesquisa consiste em realizar um levantamento bibliográfico e uma análise de dados para expor o cruzamento de dados através de um quadro. Os principais resultados alcançados com esse trabalho são a identificação de diferentes ferramentas da qualidade, que são utilizadas por autores para atender aos requisitos da norma ISO 22000 e demostrar que algumas ferramentas também podem ser aplicadas em diferentes contextos, seja de forma total ou parcial, e demonstra que ao atender aos requisitos da norma a organização gera vantagem competitiva através da melhora dos seus processos

Fatores que interferem na escolha de método contraceptivo no planejamento familiar

Objetivo: Apresentar as particularidades envolvidas nas escolhas de métodos contraceptivos por casais. Materiais e métodos: Revisão integrativa da literatura científica nacional. Utilizou-se os termos “planejamento familiar”, “gênero”, “homem ou masculino” e “mulher ou feminino”, combinados entre si. A busca foi realizada nas bases de dados SCIELO, BDEnf e Lilacs no período de maio a junho de 2019. Resultados: Fizeram parte deste estudo 10 artigos publicados entre 2008 e 2018, evidenciando que a falta de conhecimento masculino pode ser vista como um dos motivos para deixarem as escolhas de planejamento familiar e métodos contraceptivos para o grupo feminino, além da falta de orientação e diferença entre os gêneros. Os homens apresentam dificuldade de aceitação dos métodos contraceptivos masculinos e muitas vezes, mesmo sem procurar conhecimento, influenciam na escolha do método contraceptivo. Conclusões: O presente estudo permitiu observar e constatar diversos fatores relacionados a contracepção em diferentes visões de acordo com o gênero. Entre ambos os grupos, a mulher é quem possui maior conhecimento sobre a variedade de métodos disponíveis no mercado, todavia, a predominância masculina influencia na escolha do casal

CONHECIMENTOS, ATITUDES E PRÁTICA DE UNIVERSITÁRIAS SOBRE PREVENÇÃO DO CÂNCER DE COLO UTERINO

This study aimed to assess the knowledge, attitudes and practices of young university students about the prevention of cervical cancer. This is a cross-sectional, descriptive study using the CAP-type survey methodology (knowledge, attitudes and practice). The data collection instrument was a Google forms form. 105 university students from Design, Law, and Engineering courses participated in the study: environmental, civil, electrical, mechanical and production. Most academics are aware of the preventive examination, the influence of the human papillomavirus (HPV) in the development of cervical cancer and were aware of the prevention of the disease through immunization. Regarding attitudes towards the prevention of cervical cancer, it was evidenced that 12% of the participants seek a health professional when they experience any symptoms, 57% seek it every 1 year, and 31% have never taken the preventive. About the practice regarding the treatment performed after the preventive when necessary, 47% of the university students never needed to undergo treatment based on the result, 37% answered that they did not undergo treatment and 16% underwent any treatment. 28% of university students said they had completed the full treatment and 72% did not complete the treatment. It is concluded that in the university environment, it is essential to make the guidance on preventive care a daily practice, as it is represented by a young public with an active sexual life, making education in women's health necessary to improve the levels of knowledge, attitudes and practices in relation to prevention.Este estudio tuvo como objetivo evaluar los conocimientos, actitudes y prácticas de los estudiantes universitarios sobre la prevención del cáncer de cuello uterino. Se trata de un estudio descriptivo transversal que utiliza la metodología de encuesta de tipo CAP (conocimientos, actitudes y prácticas). La herramienta de recopilación de datos era una forma de formularios de Google. El estudio incluyó a 105 estudiantes universitarios en cursos de diseño, derecho e ingeniería: ambiental, civil, eléctrico, mecánico y de producción. La mayoría de los académicos son conscientes del examen preventivo, la influencia del VPH en el desarrollo del cáncer de cuello uterino y eran conscientes de la prevención de enfermedades a través de la inmunización. En cuanto a las actitudes hacia la prevención de la CC, se evidenció que 12% de los participantes buscan la unidad básica de salud cuando sienten síntomas, 57% buscan una periodicidad de 1 año y 31% nunca buscaron la UBS para hacer la prevención. En cuanto a la práctica de los participantes respecto al tratamiento realizado después del preventivo cuando fue necesario, 47% de los estudiantes universitarios nunca necesitaron hacer tratamiento a partir del resultado, y ese 37% respondió que no se sometió al tratamiento y 16% dijo que necesitaba hacer algún tratamiento. El 28% de los estudiantes universitarios declararon haber completado el tratamiento y el 72% no tenían el tratamiento completo. Se concluye que en el ambiente universitario, es necesario hacer de la práctica diaria la orientación sobre la atención preventiva.Este estudo teve o objetivo de avaliar conhecimentos, atitudes e práticas de jovens universitárias sobre a prevenção do câncer de colo uterino. Trata-se de um estudo transversal, descritivo utilizando a metodologia de inquérito do tipo CAP (conhecimentos, atitudes e prática). O instrumento de coleta de dados foi um formulário do Google forms. Participaram do estudo 105 estudantes universitárias dos cursos de Design, Direito, e das Engenharias: ambiental, civil, elétrica, mecânica e de produção. A maioria das acadêmicas têm conhecimento sobre o exame preventivo, a influência do Papilomavírus Humano (HPV) no desenvolvimento do câncer de colo uterino e tinham ciência da prevenção da doença através da imunização. Em relação as atitudes frente a prevenção do câncer de colo uterino, ficou evidenciado que 12% das participantes procuram um profissional de saúde quando sentem algum sintoma, 57% procuram com periodicidade de 1 ano, e 31% nunca fizeram o preventivo. Sobre a prática referente ao tratamento realizado após o preventivo quando necessário, 47% das universitárias nunca precisaram fazer tratamento a partir do resultado, 37% responderam que não realizaram o tratamento e 16% realizaram algum tratamento. 28% das universitárias afirmaram que fizeram o tratamento completo e 72% não fizeram o tratamento completo. Conclui-se que no ambiente universitário, é mister tornar prática cotidiana a orientação sobre cuidados preventivos, pois representa-se por um público jovem com vida sexual ativa, tornando-se necessária a educação em saúde da mulher para a melhoria dos níveis de conhecimentos, atitudes e práticas em relação à prevenção

Determination of the Drag Coefficient of an Autonomous Solar Lighting Column Using Wind Tunnel Simulation and Computational Analysis

The Sun is the largest source of energy available and many studies for the development of technologies capable of harnessing this energy are constantly being conducted. Among the technologies developed are photovoltaic solar panels that have many applications and among them are the autonomous solar lighting columns that have been growing in popularity especially in urban and industrial environments. These columns are installed in open regions and have their structure exposed to the mechanical actions imposed by the wind, so they need to be correctly designed to support them. There are aerodynamic variables that must be determined for the design of these columns, especially the drag coefficient, a property linked to the geometry  of a body, which represents its interaction with a flowing fluid. Due to the complexity of determining these variables, experimental methods are constantly used to obtain these values. Classically, wind tunnel simulations are used for this purpose, but they can be expensive and difficult to perform. Fluid dynamic computational analysis has been widely applied to replace physical analysis. In this work, the drag coefficient of an autonomous solar lighting column is determined by wind tunnel simulations and computational analysis. With the obtained results, a comparison is made to verify  the fidelity of the data obtained by computational means when compared to those obtained through the wind tunnel simulations. Keywords: Drag coefficient, Wind tunnel simulations, Computational Fluid Dynamic analysis, Autonomous solar lighting column

The therapeutic approach of the May-Thurner Syndrome without Deep Venous Thrombosis: a systematic review

May-Thurner Syndrome is a clinical condition which causes a variety of vascular symptoms, resulting from pelvic and lower extremity venous flow obstruction caused by the compression of the iliac vein by overlying iliac artery. Treatment paradigms have changed as experience with endovascular modalities has evolved, making traditional surgical treatment strategies essentially obsolete and a endovascular treatment with angioplasty and stenting along selective thrombolysis has become the standard for symptomatic the syndrome. The objective of this present study is to show the therapeutic approach in treatment when there’s no presence of Deep Venous Thrombosis (DVT) symptoms. To accomplish this purpose, a systematic review of articles about May-Thurner Syndrome and its management therapies, published from January 1, 2005 to September 20, 2015, on PubMED and SCOPUS databases, was carried out. Search terms were “may-thurner syndrome” (medical subject headings [MeSH term]), “iliocaval compression syndrome” (MeSH), “cockett syndrome” (MeSH), “peripheral vascular diseases” (MeSH), and “treatment” (keyword). Of the 89 retrieved studies, 14 met the elegibility criteria. Retrieved studies covered that without correction of this syndrome, patients are at continued risk for recurrent deep vein thrombosis and post-thrombotic syndrome. Considering the therapy, systemic anticoagulation is the first component, and endovascular treatment appears to be superior to conventional surgical treatment. It should be the first line of therapy. Furthermore, there has been multiple advences in the recent years for chronic arterial occlusions using techniques such as blunt micro dissection, radiofrequency energy and laser. In the absence of deep venous trombosis, conservative treatments are preferred. To conclude, based on the review of the literature, a combination of conservative and endovascular therapy usually provides the best treatment in most cases. Thus, further researches must be done to advance in the matter of therapeutic of the non-DVT form of May-Thurner Syndrome.   Keywords: May-Thurner Syndrome, Iliocaval Compression Syndrome, Cockett Syndrome, Peripheral Vascular Disease, Treatment

PRICE BEHAVIOR ANALYSIS OF BRAZILIAN YERBA MATE EXPORTED TO URUGUAY BETWEEN 1997 AND 2018

The objective of this study was to evaluate price seasonality of the Brazilian Yerba mate exported to the Uruguayan market, serving as a basis for decision-making to the producers. For this purpose, we collected data on Brazilian yerba mate exports to Uruguay, available in the ALICE-WEB System, which, after deflation, were used to determine the Seasonal Index for different periods between 1997 and 2018 The results showed that the market for yerba mate does not present regular historical cycles, the prices of the Brazilian product in the Uruguayan market suffer constant  falls and increases. Nevertheless, it is possible to observe a long-term trend of increasing the real price of the product at an average rate of 0.33% per month. It is possible to conclude that the price of Brazilian yerba mate in the Uruguayan market was in the ascendancy until the beginning of 2015, when the Uruguayan Justice instituted an investigation to investigate the presence of cadmium and lead at levels above the allowed ones in the Brazilian product. At the end of the study period, there was a slight tendency  to recover prices, however, only new studies will be able to verify if the price of Brazilian yerba on the Uruguayan market will reach levels similar to those registered before the judicial embargo.Keywords: international trade; seasonality; competitiveness

Ansiedade e depressão em estudantes de medicina: estudo transversal

Introdução: A prevalência de depressão e ansiedade entre universitários vem aumentando nas faculdades de medicina, e o sexo feminino é apontado como um possível fator predisponente ao esgotamento mental. Este estudo visa elucidar fatores associados, bem como a prevalência de sintomas depressivos e ansiosos em estudantes de medicina, contribuindo no estabelecimento de medidas de prevenção e tratamento para futuros médicos. Métodos: Estudo transversal envolvendo 812 estudantes de medicina. Foram aplicados questionários sobre dados sociodemográficos, o Inventário de Depressão de Beck - (BDI-II) e o Inventário de Ansiedade de Beck – (BAI). A análise estatística foi realizada no programa SPSS 22. A normalidade foi testada pelo teste de Shapiro-Wilk e as correlações foram avaliadas pelo teste de correlação de Spearman. Resultados: Foi observada uma prevalência de 34,2% de depressão entre os estudantes, considerando sintomas leves, moderados e graves. Em relação à ansiedade, o nosso estudo observou a prevalência de 46,3%. Entre os participantes com ansiedade, 56,4% apresentaram sintomas de depressão, sendo 22,6% mulheres; 50,3% dos alunos com depressão apresentaram sintomas de ansiedade, sendo 19,6% mulheres. Após análise com regressão logística, os sintomas de depressão estiveram relacionados à ansiedade (OR: 4,3; IC95%: 2,6-6,8; p < 0,001) e ao sexo feminino (OR: 1,7; IC95%: 1,04-2,6; p = 0,0320). Os sintomas de ansiedade, após ajuste de regressão logística, estiveram associados à depressão (OR: 4,3; IC95%: 2,7-6,8; p < 0,001) e ao sexo feminino (OR: 1,6; IC95%: 1,04-2,4; p = 0,039). Conclusão: Neste estudo as estudantes do sexo feminino, foram mais propensas a desenvolver ansiedade e depressão. No entanto, mais estudos são necessários para determinar se esse fenômeno se deve a mecanismos fisiológicos femininos ou a fatores sociais e culturais da sociedade patriarcal.Introduction: The prevalence of depression and anxiety among university students is increasing in medical schools, and the female sex is indicated as a possible factor predisposing to mental exhaustion. In addition, the female sex is pointed out as a possible predisposing factor to mental exhaustion. The study aims to elucidate associated factors, as well as the prevalence of depressive and anxiety symptoms in medical students, to contribute to the establishment of prevention and treatment measures for future doctors. Methods: It was a cross-sectional study involving 812 medical students. A questionnaire on sociodemographic data, the Beck Depression Inventory - (BDI-II) and the Beck Anxiety Inventory - (BAI), were applied. Statistical analysis was performed using the SPSS 22 program. Normality was tested by the Shapiro-Wilk and correlations were evaluated by the Spearman correlation test. Results: A prevalence of 34.2% of depression was observed among students, considering mild, moderate, and severe symptoms. Regarding anxiety, our study observed a prevalence of 46.3%. Among the participants with anxiety, 56.4% had symptoms of depression: 22.6% were women; 50.3% of the students with depression had symptoms of anxiety, and 19.6% were women. After logistic regression analysis, symptoms of depression were related to anxiety (OR: 4.3; 95%CI: 2.6-6.8; p < 0.001) and female sex (OR: 1.7; 95%CI: 1.04-2.6; p = 0.0320). Anxiety symptoms, after logistic regression analysis, were associated with depression (OR: 4.3; 95%CI: 2.7-6.8; p < 0.001) and female sex (OR: 1.6; 95%CI: 1.04-2.4; p = 0.039). Conclusion: In this study, female students were more likely to develop anxiety and depression. However, further studies are needed to determine whether this phenomenon is due to female physiological mechanisms or social and cultural factors of patriarchal society

Empathic mediators for distance learning courses

Conferência Internacional realizada em Lisboa de 15-16 de novembro de 2018.Online distance learning introduces several challenges, such as the dependence of online tools, the asynchronous communication between teachers and students, and the lack of synchronous social engagement level that inclassroom teaching can leverage. The existence of an online tutor 24 hours/day would be an interesting asset to potentially work as an additional learning support tool. The Virtual Tutoring project aims at the development of solutions involving anthropomorphic 3D avatars that work as both virtual online tutors in the Moodle e-learning platform as well as coaches in a mobile application that interact empathically with the students by predicting their emotional state and selecting appropriate emotion regulation strategies. This paper presents the current status of the project, preliminary evaluations with students, and future developments.This work was developed in the context of the FCT project PTDC/IVC-PEC/3963/2014 with the support of the R&D units of his authors.info:eu-repo/semantics/publishedVersio

INFANT GROWTH DURING THE FIRST YEAR OF LIFE

Objective: The aim of this study was to describe and analyse the profile of growth in normal infants during the first year of life, including their patterns of weight and length, and the duration of breastfeeding. Methods: This is a retrospective cohort study conducted based on 85 records of infants who met the inclusion criteria. The total duration of breastfeeding was recorded along with weight and length at three ages: birth, 6 and 12 months. The data were analysed as Z-scores based on WHO (2006) using the software products MedCalc 12.0 and GraphPad Prism 6.0. Results: Although 76.5% of the infants showed a growth pattern compatible with WHO references at 12 months of age, the others presented as overweight as at risk of being overweight. A significant correlation was observed between birth weight and BMI Z-score at two ages: 6 months (r = 0.26; p = 0.01) and 12 months (r = 0.32; p = 0.002). A correlation between birth weight and length Z-score was also found at 6 months (r = 0.4034; p = 0.0001) and 12 months (r = 0.3309; p = 0.002). Birth length was also correlated with length Z-score at 6 months (r = 0.4829; p<0.0001) and 12 months (r = 0.3407; p = 0.0014). Breastfeeding duration did not show any correlation with anthropometric data at 6 and 12 months of age. Conclusion: The growth pattern of the sample during the first year of life was found to be appropriate or faster than normal. Growth pattern also seems to be influenced by anthropometric characteristics at birth, which does not depend on breastfeeding duration