Alcíde Jubé (1896-1961) e a geografia escolar em Goiás

Esse artigo buscou reconstituir a trajetória pessoal e profissional de um geógrafo e professor goiano, Alcíde Celso Ramos Jubé nascido na Cidade de Goiás em 1896. Objetiva-se apresentar dados biográficos do autor e algumas das reflexões desenvolvidas em investigação anterior, quando analisou-se parte da obra produzida por Alcíde Jubé, estudioso da geografia e do estado de Goiás. Sua obra destinava-se ao ensino de geografia, em especial dos jovens da elite goiana no início do século XX. A pesquisa desenvolveu-se a partir da interpretação de documentos, registros escritos e fontes orais, relativos à biografia do autor e aos conhecimentos geográficos ensinados por ele. Busca-se apresentar as contribuições do professor Alcíde Jubé que se destacou pelo pioneirismo no ensino de Geografia no Lyceu de Goiás, na Cidade de Goiás, antiga capital do estado. E suas ideias e obras evidenciam influências da geografia clássica francesa e alemã na geografia escolar em Goiás.This article sought to rebuild the personal and professional trajectory of a geographer and teacher, Alcíde Celso Ramos Jubé who was born in Goiás City in 1896. The main objective is to present biographical data of the author and some of the reflections developed in previous research when we analyzed part of the work produced by Alcíde Jubé, who studied geography and Goiás state. His books were written for geography teaching, especially the young people from Goiás state elite in the early 20th century. The research developed from the interpretation of documents, written records and oral sources, related to the biography of the author and the geographical knowledge taught by him. The aim is to present the contributions of Teacher Alcíde Jubé, who stood out in pioneering Geography teaching at Lyceu of Goiás School, in Goiás City, the former capital of the state. And his ideas and works show influences of French and German classical geographies in the geography school in Goiás.Este artículo buscó reconstituir la trayectoria personal y profesional de un géografo y profesor goiano, Alcíde Celso Ramos Jubé, nacido en la Ciudad de Goiás en 1896. Se pretende presentar datos biográficos del autor y algunas de las reflexiones desarrolladas en investigación anterior, cuando se analizó parte de la obra producida por Alcíde Jubé, estudioso de la geografía y del estado de Goiás. La obra de Jubé se destinaba a la enseñanza de geografía, en particular de los jóvenes de la elite goiana a principios del siglo XX. La investigación se desarrolló a partir de la interpretación de documentos, registros escritos y fuentes orales, referentes a los conocimientos geográficos enseñados. Se busca presentar las contribuciones del profesor Alcíde Jubé que se destacó por el pionerismo en la enseñanza de Geografía en el Lyceu de Goiás, en la Ciudad de Goiás, antigua capital del estado. Y sus ideas y obras evidencian influencias de la geografía clásica francesa y alemana en la geografía escolar en Goiás.Cet article cherchait à reconstituer la trajectoire personnelle et professionnelle d'un géographe et professeur goiano, Alcíde Celso Ramos Jubé, né à Goiás en 1896. L'objectif est de présenter les données biographiques de l'auteur et quelques réflexions developpées dans une recherche précédente, lorsqu’une partie du travail produit par Alcíde Jubé, spécialiste de la géographie et de l’état de Goiás, a été analysée. Son oeuvre a été developée pour l’enseigment de la géographie aux jeunes de l’élite de la societé Goiana du debut du siècle XX. La recherche a été développée à partir de l’interprétation des documents, écrits et orales, par rapport aux contenu géographique enseigné. L’ objectif est de présenter les contributions du professeur Alcíde Jubé, pionnier de la géographie dans le Lyceu de Goiás, dans la ville de Goiás, l'ancienne capitale de l'État. Et ses idées et ses œuvres montrent les influences de la géographie classique française et allemande dans la géographie scolaire à Goiás

Crescimento inicial de espécies florestais para fins de uso múltiplo na região central de Minas Gerais / Initial growth of forest species for purposes of multiple use in the central region of Minas Gerais

O objetivo do estudo foi avaliar o crescimento inicial de espécies florestais para fins de uso múltiplo e avaliar suas potencialidades para a região central de Minas Gerais. Para o estudo, foram utilizados experimentos com indivíduos das espécies de Mognos Africanos (Khaya ivorensis A. Chev., Khaya seneganlensis A. Juss), Cedro australiano (Toona ciliata M. Roem var. australis), Cedro indiano (Acrocarpus fraxinifolius Wight & Arn), Nim indiano (Azadirachta indica A. Juss), Paricá (Schizolobium amazonicum Huber ex. Ducke) e Jequitibá Rosa (Cariniana legalis (Martius) O. Kuntze), além de um povoamento de Khaya ivorensis pertencentes à Fazenda das Pedras, em Curvelo/MG. Foi realizada avaliação dos experimentos, nas idades 24, 36 e 48 meses, em que foram mensuradas à circunferência a 1,30 m de altura (cap) e estimada a altura total (H) de todos os indivíduos das áreas experimentais. No povoamento, foi realizado censo florestal nas mesmas idades, sendo também mensurada a cap e H de todos os indivíduos. O crescimento inicial das espécies foi avaliado por meio de gráficos mostrando as tendências de crescimento das variáveis H, diâmetro a 1,30 m de altura (dap) e Volume (V). A espécie Paricá apresentou o maior crescimento em dap e H ao longo dos anos de avaliação dos experimentos, seguida das espécies Khaya ivorensis, Cedro Australiano e Cedro Indiano. Os resultados de crescimento encontrados permitem indicar as espécies mais potenciais para fins de uso múltiplo na região central de Minas Gerais

CAUSAS DA ACENTUADA MORTALIDADE DE JOVENS DO SEXO MASCULINO POR FATORES EXTERNOS

É notável a prevalência dos óbitos referentes ao sexo masculino por causas externas. Diversos fatores estão associados a essa predominância desde fatores intrínsecos do ser homem até à utilização de meios para reafirmar sua masculinidade, seja pelo uso do álcool, abuso de velocidade no trânsito ou porte de armas. Objetivos: Comparar, na faixa etária dos 15 aos 29 anos, os dados de mortalidade por causas externas em ambos os sexos no período de 2003 a 2012 e definir essas principais causas externas assim como sua relação com a condição masculina. Metodologia: Pesquisa no departamento de informática do Sistema Único de Saúde do Brasil (DATASUS) e utilização de artigos científicos para comprovar levantamentos. Resultados: Pode-se constatar o quanto é discrepante a diferença da mortalidade de homens e mulheres. As principais causas do grande grupo do CID-10 percebidas consistem em acidentes de transporte, lesões voluntárias autoprovocadas, agressões e outras lesões acidentais. As causas externas representam mais de 77% das mortes na faixa etária avaliada entre os indivíduos do sexo masculino no Brasil. O grupo de jovens dos 15 aos 29 anos foi o de maior destaque. Além disso, o álcool teve grande relevância no sentido de também ser um fator agravante nos índices de mortalidade do sexo masculino. Conclusão: As causas alusivas a esta conjuntura consistem na busca pela reafirmação da masculinidade que advém, principalmente, de fatores que se relacionam com a era industrial, a alta tecnologia, o aumento da velocidade dos veículos, as condições socioeconômicas, a pobreza e a própria natureza humana

Tromboembolismo Pulmonar Agudo - revisão sistemática sobre o manejo da doença e novas perspectivas na intervenção cirúrgica em pacientes graves

O tromboembolismo pulmonar apresenta elevada morbimortalidade quando não diagnosticado e tratado rapidamente. Por apresentar um quadro clínico inespecífico, pode ser confundido com inúmeras patologias e, nesse sentido, para o seu devido diagnóstico, o TEP sempre deve ser considerado em pacientes com sintomas cardiorrespiratórios e portadores de fatores de risco. Dessa forma, a partir da suspeição clínica, tem-se intitulado inúmeros exames complementares que auxiliam na confirmação diagnóstica, sendo a angiotomografia computadorizada (angio-TC) considerada, atualmente, o padrão ouro. Contudo, outras ferramentas podem auxiliar no diagnóstico, como o escore de WELLs, a dosagem do Dímero-D e a ultrassonografia com doppler de membros inferiores. Ademais, a doença pode ser estratificada, a depender de sua gravidade, em TEP maciço, submaciço e leve; nesse sentido, a depender da estratificação, institui-se diferentes tratamentos. Atualmente, o TEP submaciço tem gerado inúmeras discussões, a respeito de qual tratamento instituir: um manejo intensivo - através de intervenção cirúrgica ou fibrinólise - ou conservador - mesmo tratamento do quadro leve de TEP. Entretanto, para o manejo do TEP maciço, tem-se ganhado espaço a intervenção cirúrgica, visto que em muitas circunstâncias há contraindicações no uso de fibrinólise como medida terapêutica. Por fim, para o TEP leve, recomenda-se a terapia de suporte e o uso de anticoagulantes orais

Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

Summary Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030

Prosthodontic outcomes of mandibular overdenture treatment with one or two implants: 4‐year results of a randomized clinical trial

Objective: To assess the incidence of prosthodontic maintenance events and complications during 4 years of follow‐up after mandibular overdenture treatment with one or two implants. Methods: Participants received one or two implants inserted in the midline (1‐IOD group) or the lateral incisor‐canine area bilaterally (2‐IOD group). Implants were loaded with an early loading protocol after 3 weeks. Programmed recall visits were scheduled at the 6‐, 12‐, 36‐, and 48‐month follow‐ups and nonprogrammed visits in case of prosthodontic complaints. The type of maintenance was registered, and the final treatment outcome was classified as successful, surviving, unknown, dead, repair, or retreatment. Results: Forty‐seven participants, mean age 65.4 ± 8.6, 74.5% female, were included (1‐IOD = 23; 2‐IOD = 24) and 44 completed the 4‐year follow‐up. A total of 159 prosthodontic maintenance events occurred and 89 in unscheduled visits. The most common event was the need for minor modifications of the denture base due to sore spots in the oral mucosa (n = 56 in 31 patients), matrix activation (n = 54 in 34 patients), and overdenture fracture (n = 25 in 18 patients). A “successful” or “surviving” outcome could be attributed to 57.5% of cases, whereas 38.3% needed repair. No significant differences in the incidence of prosthodontic events or treatment outcomes were found between the two groups. Conclusions: Findings show that 1‐IODs perform similar to 2‐IODs when considering the incidence of fractures and the need for prosthodontic maintenance, including adjustments of the overdenture and the attachment system

Prosthodontic outcomes of mandibular overdenture treatment with one or two implants: 4-year results of a randomized clinical trial

Objective: To assess the incidence of prosthodontic maintenance events and complications during 4 years of follow-up after mandibular overdenture treatment with one or two implants. Methods: Participants received one or two implants inserted in the midline (1-IOD group) or the lateral incisor-canine area bilaterally (2-IOD group). Implants were loaded with an early loading protocol after 3 weeks. Programmed recall visits were scheduled at the 6-, 12-, 36-, and 48-month follow-ups and nonprogrammed visits in case of prosthodontic complaints. The type of maintenance was registered, and the final treatment outcome was classified as successful, surviving, unknown, dead, repair, or retreatment. Results: Forty-seven participants, mean age 65.4 ± 8.6, 74.5% female, were included (1-IOD = 23; 2-IOD = 24) and 44 completed the 4-year follow-up. A total of 159 prosthodontic maintenance events occurred and 89 in unscheduled visits. The most common event was the need for minor modifications of the denture base due to sore spots in the oral mucosa (n = 56 in 31 patients), matrix activation (n = 54 in 34 patients), and overdenture fracture (n = 25 in 18 patients). A "successful" or "surviving" outcome could be attributed to 57.5% of cases, whereas 38.3% needed repair. No significant differences in the incidence of prosthodontic events or treatment outcomes were found between the two groups. Conclusions: Findings show that 1-IODs perform similar to 2-IODs when considering the incidence of fractures and the need for prosthodontic maintenance, including adjustments of the overdenture and the attachment system.</p

Single versus two-implant mandibular overdentures using early-loaded titanium-zirconium implants with hydrophilic surface and ball attachments: 1-year randomized clinical trial.

OBJECTIVE This randomized clinical trial aimed to compare the outcomes of the mandibular overdenture retained by one (1-IOD) or two (2-IOD) implants. MATERIALS AND METHODS Participants received new complete dentures, were assessed at baseline and randomly assigned to groups. Early loaded single midline implant (1-IOD) or two implants in the canine regions bilaterally (2-IOD). Ball attachments were used for overdenture retention. Post-treatment outcomes (6- and 12-month follow-ups) included patient satisfaction, oral health-related quality of life measures, and chewing function. Data analysis included within- and between-group comparisons, and Generalized Estimating Equations. Both superiority and non-inferiority hypotheses were tested. RESULTS Forty-seven participants were included (1-IOD = 23; 2-IOD = 24). Significant improvements in OHIP-Edent were observed after insertion of new dentures and at the 1-year follow-up compared with baseline. No differences were found between the 1- and 2-IOD groups for the OHIP-Edent and QoLFAST scores. Patient satisfaction with the mandibular denture improved significantly from baseline to the 6-month follow-up and remained unaltered until 1 year, with no differences between groups. The magnitudes of treatment effect sizes were moderate to large for patient-reported outcomes. Progressive improvement in chewing function occurred in both groups. Non-inferiority testing based on a 15% non-inferiority margin showed inconclusive results for patient-reported outcomes, whilst chewing function in the 1-IOD group was concluded to be not inferior to the 2-IOD group. CONCLUSIONS Results support the use of both 1- and 2-IOD. The 1-IOD was also an acceptable alternative to the 2-IOD as a secondary option for the treatment of the edentulous mandible