Perfil do autor de descumprimento de medida protetiva de urgência no município de Curitiba (Paraná)entre janeiro de 2018 e junho de 2019

Despite advances concerning domestic and family violence against women, especially after the enactment of Law 11340/2006, Maria da Penha Law in Brazil, there is a long way to be traced by the government for mitigation of problems related to this topic. This paper used the literature of scientific review articles in order to create a consistent theoretical framework for understanding and, uses the observation of a Criminal Analysis Report, issued by the Coordination of Analysis and Strategic Planningin Paraná state of Brazil, which was to data source the police report Unified, we obtained information that has worked from the descriptive and inferential statistics, enabling demonstrate some features of the author of the protective measure of breach crime.Apesar dos avanços concernentes à violência doméstica e familiar contra a mulher, sobretudo após a promulgação da Lei 11340/2006, Lei Maria da Penha, observa-se um longo caminho a ser traçado pelo poder público para amenização dos problemas relativos ao tema. Este trabalho utilizou-se da revisão bibliográfica de artigos científicos, a fim de criar um referencial teórico consistente para o seu entendimento e, com a observação de um Relatório de Análise Criminal, emitido pela Coordenadoria de Análise e Planejamento Estratégico do Paraná, que teve como fonte de dados o Boletim de Ocorrência Unificado (BOU), obtiveram-se informações que foram trabalhadas a partir da estatística descritiva e inferencial, possibilitando comprovar algumas características do autor do crime de descumprimento de medida protetiva

Estudo dos fatores motivacionais e orientação de vida de universitários

Objetivo: investigar o nível de motivação acadêmica e o tipo de orientação de vida de universitários. Método: fizeram parte do estudo 119 acadêmicos do curso de Educação Física de uma instituição de ensino superior do estado do Paraná, sendo 77 (64,7%) do curso integral e 42 (35,3%) do curso noturno. Como instrumentos foram utilizados a Escala de Motivação Acadêmica e o Teste de Orientação de Vida. Para análise dos dados foram utilizados os testes Kolmogorov-Smirnov, alfa de Cronbach e Mann-Whitney (

Classifying radius fractures with X-ray and tomography imaging

INTRODUÇÃO: Este estudo avaliou a confiabilidade interobservador da radiografia simples versus tomografia computadorizada para as classificações Universal e AO em fraturas do rádio distal. PACIENTES e MÉTODOS: Cinco observadores classificaram 21 fraturas do rádio distal utilizando radiografias e tomografias independentemente. O índice Kappa foi utilizado para estabelecer o nível de concordância entre os observadores. RESULTADOS: A confiabilidade interobservador da classificação Universal foi moderada e a confiabilidade interobservador da classificação AO foi baixa. Reduzindo a clas-sificação AO a nove categorias e às três categorias básicas houve melhora do nível de confiabilidade para "moderado". Não houve diferença entre a confiabilidade interobservador da classificação Universal baseada em imagens radiográficas em comparação com a classificação Universal baseada em imagens tomográficas. A confiabilidade interobservador da classificação AO baseada em radiografias simples foi significativamente maior que a confiabilidade interobservador da classificação AO baseada apenas em tomografias computadorizadas. CONCLUSÃO: A partir destes dados, concluímos que classificar fraturas do rádio distal utilizando tomografias computadorizadas sem o auxílio das radiografias simples não traz benefício.INTRODUCTION: This study evaluated the interobserver reliability of plain radiograpy versus computed tomography (CT) for the Universal and AO classification systems for distal radius fractures. PATIENTS AND METHODS: Five observers classified 21 sets of distal radius fractures using plain radiographs and CT independently. Kappa statistics were used to establish a relative level of agreement between observers for both readings. RESULTS: Interobserver agreement was rated as moderate for the Universal classification and poor for the AO classification. Reducing the AO system to 9 categories and to its three main types reliability was raised to a "moderate" level. No difference was found for interobserver reliability between the Universal classification using plain radiographs and the Universal classification using computed tomography. Interobserver reliability of the AO classification system using plain radiographs was significantly higher than the interobserver reliability of the AO classification system using only computed tomography. CONCLUSION: From these data, we conclude that classification of distal radius fractures using CT scanning without plain radiographs is not beneficial

Desenvolvimento neuropsicomotor na infância e eventos obstétricos

Objective: Investigate and analyze the relationship between obstetric events and neuropsychomotor development in children aged 0 to 12 years. The research aims to contribute to understanding the impacts of these events on child development, providing insights that can guide obstetric practices, early interventions, and strategies for promoting health in childhood.Introduction: Contextualization and relevance of the study, addressing the importance of understanding the influence of obstetric events on neuropsychomotor child development. The need to explore this relationship is emphasized to inform obstetric practices and intervention strategies that promote healthy development in childhood. Methodology: Searches were conducted in the PubMed, Scielo, and Latindex databases using terms related to neuropsychomotor development and obstetric events. The DeCS terms used included "Neurology," "Growth and Development," "Child Development," "Obstetric Delivery," "Child Psychiatry," and "Adverse Birth Outcomes," combined with boolean operators AND and OR. Conclusion: The conclusion highlights the relationship between obstetric events and neuropsychomotor development. Understanding risk factors guides prevention and personalized interventions, addressing neonatal vulnerability. Evaluation and diagnosis are vital for adapted support, and therapeutic interventions drive progress. Emphasis on prevention, family support, research, and advocacy is crucial for inclusive environments and healthy development.Objetivo: Investigar e analisar a relação entre eventos obstétricos e o desenvolvimento neuropsicomotor em crianças de 0 a 12 anos. A pesquisa visa contribuir para a compreensão dos impactos desses eventos no desenvolvimento infantil, fornecendo insights que possam orientar práticas obstétricas, intervenções precoces e estratégias de promoção da saúde na infância. Introdução: Contextualização e relevância do estudo, abordando a importância de compreender a influência dos eventos obstétricos no desenvolvimento neuropsicomotor infantil. Destaca-se a necessidade de explorar essa relação para informar práticas obstétricas e estratégias de intervenção que promovam um desenvolvimento saudável na infância. Metodologia: Foram conduzidas buscas nas bases de dados PubMed, Scielo e Latindex usando termos relacionados ao desenvolvimento neuropsicomotor e eventos obstétricos. Os DeCs utilizados incluíram "Neurologia", "Crescimento e Desenvolvimento", "Desenvolvimento Infantil", "Parto Obstétrico", "Psiquiatria Infantil" e "Desfechos Adversos do Nascimento", combinados por operadores booleanos AND e OR. Conclusão: A conclusão destaca a relação entre eventos obstétricos e desenvolvimento neuropsicomotor. Entender fatores de risco guia prevenção e intervenções personalizadas, atendendo à vulnerabilidade neonatal. Avaliação e diagnóstico são vitais para suporte adaptado, e intervenções terapêuticas impulsionam o progresso. A ênfase em prevenção, suporte familiar, pesquisa e advocacia é crucial para ambientes inclusivos e o desenvolvimento saudável

Estimating the global conservation status of more than 15,000 Amazonian tree species

Estimates of extinction risk for Amazonian plant and animal species are rare and not often incorporated into land-use policy and conservation planning. We overlay spatial distribution models with historical and projected deforestation to show that at least 36% and up to 57% of all Amazonian tree species are likely to qualify as globally threatened under International Union for Conservation of Nature (IUCN) Red List criteria. If confirmed, these results would increase the number of threatened plant species on Earth by 22%. We show that the trends observed in Amazonia apply to trees throughout the tropics, and we predict thatmost of the world’s >40,000 tropical tree species now qualify as globally threatened. A gap analysis suggests that existing Amazonian protected areas and indigenous territories will protect viable populations of most threatened species if these areas suffer no further degradation, highlighting the key roles that protected areas, indigenous peoples, and improved governance can play in preventing large-scale extinctions in the tropics in this century

Statement of Second Brazilian Congress of Mechanical Ventilarion : part I

Resumo não disponíve

Clonal chromosomal mosaicism and loss of chromosome Y in elderly men increase vulnerability for SARS-CoV-2

The pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2, COVID-19) had an estimated overall case fatality ratio of 1.38% (pre-vaccination), being 53% higher in males and increasing exponentially with age. Among 9578 individuals diagnosed with COVID-19 in the SCOURGE study, we found 133 cases (1.42%) with detectable clonal mosaicism for chromosome alterations (mCA) and 226 males (5.08%) with acquired loss of chromosome Y (LOY). Individuals with clonal mosaic events (mCA and/or LOY) showed a 54% increase in the risk of COVID-19 lethality. LOY is associated with transcriptomic biomarkers of immune dysfunction, pro-coagulation activity and cardiovascular risk. Interferon-induced genes involved in the initial immune response to SARS-CoV-2 are also down-regulated in LOY. Thus, mCA and LOY underlie at least part of the sex-biased severity and mortality of COVID-19 in aging patients. Given its potential therapeutic and prognostic relevance, evaluation of clonal mosaicism should be implemented as biomarker of COVID-19 severity in elderly people. Among 9578 individuals diagnosed with COVID-19 in the SCOURGE study, individuals with clonal mosaic events (clonal mosaicism for chromosome alterations and/or loss of chromosome Y) showed an increased risk of COVID-19 lethality

Impact of COVID-19 on cardiovascular testing in the United States versus the rest of the world

Objectives: This study sought to quantify and compare the decline in volumes of cardiovascular procedures between the United States and non-US institutions during the early phase of the coronavirus disease-2019 (COVID-19) pandemic. Background: The COVID-19 pandemic has disrupted the care of many non-COVID-19 illnesses. Reductions in diagnostic cardiovascular testing around the world have led to concerns over the implications of reduced testing for cardiovascular disease (CVD) morbidity and mortality. Methods: Data were submitted to the INCAPS-COVID (International Atomic Energy Agency Non-Invasive Cardiology Protocols Study of COVID-19), a multinational registry comprising 909 institutions in 108 countries (including 155 facilities in 40 U.S. states), assessing the impact of the COVID-19 pandemic on volumes of diagnostic cardiovascular procedures. Data were obtained for April 2020 and compared with volumes of baseline procedures from March 2019. We compared laboratory characteristics, practices, and procedure volumes between U.S. and non-U.S. facilities and between U.S. geographic regions and identified factors associated with volume reduction in the United States. Results: Reductions in the volumes of procedures in the United States were similar to those in non-U.S. facilities (68% vs. 63%, respectively; p = 0.237), although U.S. facilities reported greater reductions in invasive coronary angiography (69% vs. 53%, respectively; p < 0.001). Significantly more U.S. facilities reported increased use of telehealth and patient screening measures than non-U.S. facilities, such as temperature checks, symptom screenings, and COVID-19 testing. Reductions in volumes of procedures differed between U.S. regions, with larger declines observed in the Northeast (76%) and Midwest (74%) than in the South (62%) and West (44%). Prevalence of COVID-19, staff redeployments, outpatient centers, and urban centers were associated with greater reductions in volume in U.S. facilities in a multivariable analysis. Conclusions: We observed marked reductions in U.S. cardiovascular testing in the early phase of the pandemic and significant variability between U.S. regions. The association between reductions of volumes and COVID-19 prevalence in the United States highlighted the need for proactive efforts to maintain access to cardiovascular testing in areas most affected by outbreaks of COVID-19 infection