Inequalities for eigenvalues of operators in divergence form on Riemannian manifolds isometrically immersed in Euclidean space

In this paper, we compute universal inequalities of eigenvalues of a large class of second-order elliptic differential operators in divergence form, that includes, e.g., the Laplace and Cheng-Yau operators, on a bounded domain in a complete Riemannian manifolds isometrically immersed in Euclidean space. A key step in order to obtain the sequence of our estimates is to get the right Yang-type first inequality. We also prove some inequalities for manifolds supporting some special functions and tensors.Comment: 15 pages. arXiv admin note: text overlap with arXiv:2206.0943

Substantive rationality of impression management:an analysis of corporate reports of JBS

Objective: To investigate the substantive rationality inherent to the practice of impression management (IM). Originality/value:Based on the taxonomy created by Merkl-Davies and Brennan (2011), it is analyzed: 1. the discussion under the sociological perspective; and 2. the actions of substantive rationality in the management of impressions that can manifest through actions of symbolic management. This study responds to the call of Merkl-Davies et al. (2011) by putting into practice an unconventional analytical model based on the use of the corporate reports (annual and sustainability) of the company JBS with special attention to the “Carne Fraca” [Weak Meat] Operation. Design/methodology/approach: A content analysis of the accounting narratives of JBS’ corporate reports between 2015 and 2018 was carried out.Findings: Accounting narratives suggest evidence of IM and substantive rationality. The preparers of the corporate reports used substantive rationality to legitimize the company’s actions, with the most significant manifestations of this practice in the 2017 report, the year of the “Carne Fraca” operation. The implications of this research lie in demonstrating evidence that guides companies regarding the use of accounting narratives to convince society of their actions as consistent with the structure of social rules and norms. Furthermore, we emphasize that the accounting narratives must be analyzed with caution since they can be elaborated under the influence of the manager’s opportunistic behavior.info:eu-repo/semantics/publishedVersio

CD47 expression is decreased in hematopoietic progenitor cells in patients with myelofibrosis

Myelofibrosis (MF) is characterized by increased circulating hematopoietic progenitor cells (HPCs), abnormal cytokine levels, and the survival advantage of neoplastic progenitors over their normal counterparts, which leads to progressive disappearance of polyclonal hematopoiesis. CD47 is a surface glycoprotein with many functions, such as acting as a phagocytosis inhibitor of the expressing cell, that is increased in normal hematopoietic stem and progenitor cells mobilized into the blood and several human cancer-initiating cells, such as in acute myeloid leukemia. We compared CD47 expression in hematopoietic stem and progenitor cells of patients with MF and controls and found it to be decreased in progenitors of MF. Exposure of control HPCs to the cytokines transforming growth factor β and stromal-derived factor 1, which are important regulators of hematopoietic stem cell cycling and are overexpressed in patients with MF, did not modulate CD47 expression

The healthcare in aging: the men's view

A cultura condiciona as representações de velhice e de gênero com reflexos nas percepções sobre a saúde, a doença e o cuidado. A interface entre esses fenômenos é objeto deste estudo, fundamentado na perspectiva da antropologia médica, que pretende investigar como os homens idosos da comunidade expressam e percebem a relação entre saúde, doença, masculinidade e envelhecimento, e como esses construtos se relacionam com os subsistemas de cuidado informal e profissional. Foram entrevistados 27 homens com 60 anos ou mais, residentes em Bambuí (MG) e assistidos pela Estratégia Saúde da Família, acerca de suas atividades cotidianas, sua saúde e suas formas de cuidado. O modelo de signos, significados e ações, utilizado na coleta e análise dos dados, permitiu reconhecer as maneiras típicas de pensar e agir de homens idosos em relação ao processo saúde-doença-cuidado, bem como suas interações e contradições junto aos setores profissional e informal do sistema de cuidado em saúde. A produção material e simbólica dos entrevistados demonstra a identidade masculina ligada ao conceito de saúde, o qual se vincula às relações sociais, que fundamentam o cuidado informal à saúde. Contrapondo-se a essa percepção está a visão de envelhecimento inexoravelmente relacionada à doença, em que se ancora o sistema profissional de cuidado. Assim, homens idosos restringem a procura por cuidados em saúde em parte pela própria construção sociocultural da masculinidade que renega a fragilidade, mas também porque as ações e os profissionais de saúde desconsideram as especificidades de gênero e o valor dado pelos homens idosos à independência funcional.Culture determines representations of old age and gender that influence the perceptions of health, illness and care. The interface between these phenomena is the object of this study, based on the perspective of medical anthropology, which aims to investigate how older men from community express and perceive the relationship between health, disease, aging and masculinity, and how these social constructs relate to subsystems informal and professional care. We interviewed 27 men aged 60 or older, living in Bambuí (MG) and assisted by the Family Health Strategy, about their daily activities, their health and their forms of healthcare. The model of signs, meanings and actions, used in the collection and analysis of data, allowed recognizing the typical ways of thinking and acting of older men in relation to the health-illness-care process, as well as their interactions and contradictions regarding to the professional and informal sectors of healthcare system. The material and symbolic production of the respondents shows that in general the male identity is linked to the concept of health, which is tied to the social relations that underlie the informal healthcare. Opposed to this perception is the aging view inexorably related to sickness, in which the professional care system is anchored. Thus, older men restrict their demand for healthcare in part because their own socio-cultural construction of masculinity denies the frailty, but also this is due to the health actions and health professionals that ignore the specificities of gender and the value of the functional independence to older men

Clinical outcome of renal transplant patients after coronary stenting

OBJECTIVE: To assess the clinical outcome of renal transplant patients who developed coronary artery disease and were treated with coronary stenting (TCA-ST). METHODS: A total of 3,334 renal transplants were performed in our service - Hospital do Rim e Hipertensão - HRH (Kidney and Hypertension Hospital) from July, 1998 to November, 2004. During this period, 33 of the renal transplant patients underwent TCA-ST to treat 62 severe stenoses in 54 coronary arteries. A retrospective analysis was performed with renal transplant patients undergoing TCA-ST at HRH. The clinical events were registered using medical charts, medical visits and phone calls. RESULTS: During the 30-month clinical follow-up after TCA-ST, 67% of the patients remained asymptomatic, 18% presented stable angina, 6% presented acute coronary syndrome without ST-segment elevation (ACSWSTE), and 3% presented acute coronary syndrome with ST-segment elevation (ACSSTE). No strokes, CHF or cardiac deaths were observed. Three non-cardiac deaths occurred. A restenosis rate of 9% was observed, which is comparable to those found in studies on drug-eluting stents. CONCLUSION: In conclusion, renal transplant patients who developed CAD and were treated with coronary stenting had a low rate of in-stent restenosis, probably related to the immunosuppressive regimen given to prevent kidney rejection.OBJETIVO: Avaliar a evolução clínica de pacientes submetidos a transplante de rim, portadores de doença arterial coronariana, que foram tratados com implante de stent coronariano (ATC-ST). MÉTODOS: Entre julho de 1998 e novembro de 2004, foram realizados, no total, 3.334 transplantes de rim em nossa Instituição (Hospital do Rim e Hipertensão). Desse total, 33 pacientes previamente submetidos a transplante de rim fizeram ATC-ST para o tratamento de 62 estenoses graves em 54 artérias coronárias, nos quais foi realizada análise retrospectiva. O registro dos eventos clínicos foi feito por meio de análise do prontuário médico, consulta médica e ligações telefônicas. RESULTADOS: No seguimento clínico de 30 meses, após a ATC-ST, observou-se que 67% dos pacientes permaneceram assintomáticos, 18% dos pacientes apresentaram quadro de angina estável, 6% apresentaram síndrome coronariana aguda sem supra de ST e 3% apresentaram síndrome coronariana aguda com supra de ST. Não houve pacientes com acidente vascular cerebral, insuficiência cardíaca congestiva ou morte cardíaca. Houve três mortes não-cardíacas. Foi observado índice de reestenose de 9%, que é comparável ao dos estudos de stent farmacológico. CONCLUSÃO: Concluímos que pacientes submetidos a transplante de rim que desenvolveram doença arterial coronariana e que foram tratados com stent coronariano tiveram baixo porcentual de reestenose clínica, provavelmente relacionado ao regime de imunossupressão administrado para evitar rejeição renal.Universidade Federal de São Paulo (UNIFESP) Escola Paulista de Medicina Hospital do Rim e HipertensãoUNIFESP, EPM, Hospital do Rim e HipertensãoSciEL

O ACOLHIMENTO COMO MECANISMO DE IMPLEMENTAÇÃO DO CUIDADO DE ENFERMAGEM

This study analyses the “reception” process as a strategy for reorganization of nursing care in basic health services of Belo Horizonte. It uses a qualitative approach through semi-structured interviews and field observation applied to nursing professionals. Five nursing auxiliaries and five degree-nurses, from three health centers, were interviewed. The data pointed out the lack of qualification of nursing auxiliaries as to the proposals for reorganization of assistance. The importance of management for team integration was shown as crucial. One could notice that such practice signalizes the reorganization of the health work process, allowing the implementation of nursing care in direction of humanized assistance.O estudo analisa o processo do acolhimento como estratégia de reorganização da assistência de enfermagem nos serviços básicos de saúde de Belo Horizonte. Utiliza uma abordagem qualitativa através de entrevista semi-estruturada e observação em campo aplicada aos profissionais de enfermagem. Foram entrevistados cinco auxiliares de enfermagem e cinco enfermeiros de três centros de saúde. Os dados demonstraram insuficiente capacitação dos auxiliares em face das propostas de reorganização da assistência. Verificou-se a importância da gerência para a integração da equipe. Conclui-se que esta prática sinaliza a reorganização do processo de trabalho em saúde, permitindo a implementação da atenção de enfermagem em busca de uma assistência humanizada

Effectiveness of different cellulose-based filtration materials against inhalation of SARS-CoV-2-like particles

The respiratory protection equipment (RPE) used by health professionals consists of an essential device to prevent infectious diseases, especially those caused by biological agents such as the coronavirus (SARS-CoV-2). The current epidemiological panorama is worrying, and the context of creation and production of the mask has emerged as an alternative to RPE to face the public health crisis worldwide. The aim of this work is to present a low-cost alternative as an FFP2-like filter for a reusable respirator face mask. This study presents the comparison of different cellulose-based filtering materials performed by retention testing, time saturation testing, aerosol penetration testing, nanoparticle (~140 nm) filtration testing, bacterial filtration efficiency (BFE), analysis of material morphology and usability. The reusable respirator face mask used in this study is an open-source innovation, using 3D printing. Cotton disc proved to be the best filter material for the reusable mask, with satisfactory results and a performance similar to that shown by the N95-type mask. The cotton disc ensured effectiveness over 6 h of use, and after that, the reusable respirator face mask (here, Delfi-TRON®) needed to be sanitized and replenished with a new cotton disc. Upon preliminary analyses of filtration efficiency, the selected filter was shown to be a low-cost biodegradable and biocompatible alternative.info:eu-repo/semantics/publishedVersio

Photo-induced electron transfer in supramolecular materials of titania nanostructures and cytochrome c

In the present paper, we report on the molecular interaction and photochemistry of TiO2 nanoparticles (NPs) and cytochrome c systems for understanding the effects of supramolecular organization and electron transfer by using two TiO2 structures: P25 TiO2 NPs and titanate nanotubes. The adsorption and reduction of cytochrome c heme iron promoted by photo-excited TiO2, arranged as P25 TiO2 NPs and as nanotubes, were characterized using electronic absorption spectroscopy, thermogravimetric analysis, and atomic force microscopy. In an aqueous buffered suspension (pH 8.0), the mass of cytochrome c adsorbed on the P25 TiO2 NP surface was 2.3 fold lower (0.75 μg m−2) than that adsorbed on the titanate nanotubes (1.75 μg m−2). Probably due to the high coverage of titanate nanotubes by adsorbed cytochrome c, the low amount of soluble remaining protein was not as efficiently photo-reduced by this nanostructure as it was by the P25 TiO2 NPs. Cytochrome c, which desorbed from both titanium materials, did not exhibit changes in its redox properties. In the presence of the TiO2 NPs, the photo-induced electron transfer from water to soluble cytochrome c heme iron was corroborated by the following findings: (i) identification by EPR of the hydroxyl radical production during the irradiation of an aqueous suspension of TiO2 NPs, (ii) impairment of a cytochrome c reduction by photo-excited TiO2 in the presence of dioxane, which affects the dielectric constant of the water, and (iii) change in the rate of TiO2-promoted cytochrome c reduction when water was replaced with D2O. The TiO2-promoted photo-reduction of cytochrome c was reverted by peroxides. Cytochrome c incorporated in the titanate nanotubes was also reversibly reduced under irradiation, as confirmed by EPR and UV-visible spectroscopy21974177426CONSELHO NACIONAL DE DESENVOLVIMENTO CIENTÍFICO E TECNOLÓGICO - CNPQCOORDENAÇÃO DE APERFEIÇOAMENTO DE PESSOAL DE NÍVEL SUPERIOR - CAPESFUNDAÇÃO DE AMPARO À PESQUISA DO ESTADO DE SÃO PAULO - FAPESP475235/2010-0; 2011/01541-0Sem informação2008/04849-0; 2009/15558-1; 2011/01541-

Collagen-Based Films Containing Liposome-Loaded Usnic Acid as Dressing for Dermal Burn Healing

The aim of this study was assess the effect of collagen-based films containing usnic acid as a wound dressing for dermal burn healing. Second-degree burn wounds were performed in forty-five Wistar rats, assigned into nine groups: COL—animals treated with collagen-based films; PHO—animals treated with collagen films containing empty liposomes; UAL—animals treated with collagen-based films containing usnic acid incorporated into liposomes. After 7, 14, and 21 days the animals were euthanized. On 7th day there was a moderate infiltration of neutrophils, in UAL, distributed throughout the burn wounds, whereas in COL and PHO, the severity of the reaction was slighter and still limited to the margins of the burn wounds. On the 14th day, the inflammatory reaction was less intense in UAL, with remarkable plasma cells infiltration. On the 21st day, there was reduction of the inflammation, which was predominantly composed of plasma cells in all groups, particularly in UAL. The use of the usnic acid provided more rapid substitution of type-III for type-I collagen on the 14th day, and improved the collagenization density on the 21st day. It was concluded that the use of reconstituted bovine type-I collagen-based films containing usnic acid improved burn healing process in rats