Palacios: entre el brillo y la sombra

O tema proposto para edição de número 14 da Revista ARA FAU USP alude ao fato de que “gente é para brilhar”, a gerar uma série de interpretações sobre o que isto representa. Elegeu-se cotejar duas ações contrastantes no trato com os bens culturais, recém ocorridas no país: de um lado a implantação do Museus das Favelas paulistano na antiga sede do governo, conhecida por Palácio dos Campos Elíseos. A outra funda-se no tratamento golpista dispensado por grupo na Capital Federal, Brasília, ao tentar destruir patrimônio acolhido nos três principais edifícios representativos do poder. Cabe inquirir: o que, por que, para que, para quem, de quem, quem decide, como se preservam conjuntos públicos?The theme proposed for issue number 14 of the MAGAZINE ARA FAU USP alludes to the fact that "people are to shine", generating a series of interpretations about what it represent. Two contrasting actions are electing in dealing with cultural goods, recently occurred in the country: on the one hand the implementation of the Museum of the Favelas of São Paulo in the former government headquarters, the Palace Eliseo’s Camps. The other is basseting on the treatment of scammer dispensed by group in the Federal Capital, Brasilia, when trying to destroy heritage welcomed in the three main buildings representing power. It is worth asking: what, why, for whom, for whom, who decides and how public, local and international sets are preserved?El tema propuesto para el número 14 de la REVISTA ARA FAU USP alude al hecho de que "las personas deben brillar", generando una serie de interpretaciones sobre lo que esto representa. Dos acciones contrastantes fueron elegidas en el trato con bienes culturales, recientemente ocurridas en el país: por un lado la implementación de los Museos de las Favelas de São Paulo en la antigua sede del gobierno, el Palacio dos Campos Elíseos. El otro se basa en el tratamiento del estafador dispensado por grupo en la Capital Federal, Brasilia, al tratar de destruir el patrimonio acogido en los tres edificios principales que representan el poder. Vale la pena preguntarse: ¿qué, por qué, para quién, para quién, quién decide y cómo se preservan los conjuntos públicos, locales e internacionales

Calidad de vida de pacientes con enfermedad coronaria después de implementación de estrategias de planificación para adherencia a medicamentos

OBJECTIVE: to compare the general and specific health-related quality of life (HRQoL) between the Intervention (IG) and Control (CG) groups of coronary artery disease patients after the implementation of Action Planning and Coping Planning strategies for medication adherence and to verify the relationship between adherence and HRQoL. METHOD: this was a controlled and randomized study. RESULTS: the sample (n=115) was randomized into two groups, IG (n=59) and CG (n=56). Measures of medication adherence and general and specific HRQoL were obtained in the baseline and after two months of monitoring. CONCLUSION: the findings showed that the combination of intervention strategies - Action Planning and Coping Planning for medication adherence did not affect the HRQoL of coronary artery disease patients in outpatient monitoring.OBJETIVO: comparar la calidad de vida relacionada a la salud (CVRS) - general y específica de pacientes con enfermedad coronaria entre los grupos Intervención y Control después de la implementación de las estrategias de Planificación de Acción y de Enfrentamiento de Obstáculos para adherencia a medicamentos y verificar la relación entre adherencia y CVRS. MÉTODO: se trata de estudio controlado y aleatorio. RESULTADOS: la muestra (n=115) fue del tipo aleatorio en los grupos GI (n=59) y GC (n=56). Fueron obtenidas medidas de adherencia a medicamentos y de CVRS general y específica, en la fase inicial del estudio y después de dos meses de seguimiento. CONCLUSIÓN: los hallazgos evidenciaron que la combinación de estrategias de intervención - Planificación de Acción y de Enfrentamiento de Obstáculos para adherencia a medicamentos no influenció la CVRS de pacientes con enfermedad coronaria en seguimiento en ambulatorio.OBJETIVO: comparar a qualidade de vida relacionada à saúde - geral e específica - de pacientes coronariopatas entre os grupos Intervenção e Controle, após a implementação das estratégias de Planejamento de Ação e de Enfrentamento de Obstáculos para adesão medicamentosa e verificar a relação entre adesão e qualidade de vida, relacionada à saúde. MÉTODO: trata-se de estudo controlado e randomizado. RESULTADOS: a amostra (n=115) foi aleatorizada nos grupos Intervenção (n=59) e Controle (n=56). Foram obtidas medidas de adesão medicamentosa e de qualidade de vida relacionada à saúde geral e específica, na fase inicial do estudo e após dois meses de seguimento. CONCLUSÃO: os achados evidenciaram que a combinação de estratégias de intervenção - Planejamento de Ação e de Enfrentamento de Obstáculos para adesão medicamentosa não influenciou a qualidade de vida relacionada à saúde de pacientes coronariopatas em seguimento ambulatorial

Chapter Management of Wine Aroma Compounds: Principal Basis and Future Perspectives

Wine’s aroma is defined by volatile and non-volatile compounds that contribute to its make-up. The complex variety of volatile compounds, coming from grapes, interact with other non-volatile substances of the wine as precursors of wine’s aroma, known as primary aromas, which give the aroma of the young wine. The volatile compounds present in the skin and in the grape juice change according to the grape variety. Most of wine volatile compounds responsible for aroma are linked to sugars and they initially form odorless glycosides. Through the process of hydrolysis, they are reverted into an aromatic form. Chemical reactions among these compounds occur during the fermentation and in the first months of a wine’s existence, triggering fast and multiple modifications in wine’s aroma at this point. As wine ages and matures, changes and development in aroma will continue to take place but at a slower and more gradual pace. The study of the compounds responsible for aroma and flavor, as well as their correlation with the wine quality, is ongoing. Improving the knowledge of wine aromatic compounds could increase the risk of its potential adulteration; however, consumers prefer wine for its natural origin, so this scenario is unlikely in the future

Perfil das puérperas adolescentes e seus conceptos atendidos na maternidade de referência em Abreu e Lima – Pernambuco

Objetivo: Descrever as características das mães adolescentes e seus conceptos atendidos em maternidade pública de Abreu e Lima- Pernambuco. Métodos: Estudo analítico. A amostra foi censitária no ano de 2017. Os parâmetros das variáveis quantitativas foram expressos por suas médias e desvios-padrão e medianas. Os parâmetros das variáveis qualitativas foram expressos por suas frequências. Foi utilizado teste para verificação de diferenças entre médias. Teste de correlação foi utilizado entre os parâmetros das variáveis maternas e dos recém-nascidos. Foi considerado p ≤ 0,05 para rejeição da hipótese de nulidade. O projeto foi aprovado pelo Comitê de Ética de Pesquisa em Seres Humanos. Resultados: A média das idades das adolescentes gestantes foi de 17,3±1,4 anos. Houve predomínio da cor parda, da condição de ser solteira e “do lar”. Setenta e seis (23,5%) apresentavam leucorreia, 13 (4,0%) eram portadoras sorológicas de sífilis e cinco (1,5%) apresentavam hipertensão arterial sistêmica. A média das idades gestacionais dessas adolescentes no término da gestação foi 39,2±1,5 semanas. A maioria dos conceptos foi encaminhada para o alojamento conjunto. Não foi observada correlação entre as características das gestantes e dos seus conceptos. Conclusões: O perfil das adolescentes grávidas atendidas é de jovens de 12 a 19 anos, com largo predomínio entre as de 15 a 19 anos, na sua maioria solteira, baixa escolaridade, parda, do lar, com prevalência importante de leucorreia e sífilis. Não foi observada relação entre as características das adolescentes e características dos seus conceptos

Emerging technologies to extract fucoxanthin from Undaria pinnatifida: microwave vs. ultrasound assisted extractions

Macroalgae are an extensive resource for the obtention of bioactive compounds, mainly phenolic compounds, phlorotannins, and pigments. Fucoxanthin (Fx) is the most abundant pigment present in brown algae and has shown several useful bioactivities that can be used to fortify products in the food and cosmetic industries. Nevertheless, to date, there is still insufficient literature reporting on the extraction yield of Fx from U. pinnatifida species from green technologies. In this regard, the present study aims to optimize the extraction conditions to obtain the highest Fx yield from U. pinnatifida through emerging techniques, namely microwave-assisted extraction (MAE) and ultrasound-assisted extraction (UAE). These methods will be compared with the conventional methodologies of heat-assisted extraction (HAE) and Soxhlet-assisted extraction (SAE). According to our results, even though the extraction yield could be slightly higher when using MAE than UAE, the Fx concentration obtained from the alga was double when using UAE. Thus, the Fx ratio in the final extract reached values of 124.39 mg Fx/g E. However, the optimal conditions should also be considered since UAE needed 30 min to perform the extraction, whereas MAE was able to obtain 58.83 mg Fx/g E in only 3 min and 2 bar, meaning less energy expenditure and minimum cost function. To our knowledge, this study obtains the highest concentrations of Fx ever reported (58.83 mg Fx/g E for MAE and 124.39 mg Fx/g E for UAE), with low energy consumption and short times (3.00 min for MAE and 35.16 min for UAE). Any of these results could be selected for further experiments and proposed for industrial scaling-up.Ministerio de Ciencia e Innovación | Ref. RYC-2017-22891Ministerio de Ciencia e Innovación | Ref. FPU2016/06135Xunta de Galicia | Ref. ED431F 2020/12Xunta de Galicia | Ref. ED481A 2021/31

Estudo da demanda reprimida em Oftalmologia: hospital de Divinolândia/Unicamp

OBJECTIVE: To assess the waiting time for eye care identifying the number of patients with each complaint; to investigate how the waiting time may worsen the patient's condition; to check the screening of urgent cases for effectiveness; and to devise means of increasing the medical-surgical care capacity. METHODS: A retrospective descriptive survey was conducted using data obtained on 12 occasions during collaborative team visits to provide eyecare services. These initiatives were designed to decrease the waiting time and to treat urgent cases that occurred on each occasion; eyecare services were provided every Saturday, in the period from June to August 2006, in 16 cities of the region covered by Conderg (Consortium for the Development of the São João da Boa Vista Administrative Region). RESULTS: Referrals used 1,743 (87.1%) of the 2,000 places available. The most frequent diagnoses were refractive errors, with 683 cases, corresponding to 39.1% of the total, followed by cataracts, with 296 cases, corresponding to 20.9%. Of the 238 surgeries indicated, 54.6% were phakectomies. Thirty-five (2.0%) cases were considered urgent. CONCLUSION: The most common diagnoses made during the team visits to manage the excess demand for eyecare were refractive errors and cataracts, which, together, accounted for the majority of the cases. The Divinolândia Hospital has the necessary human and material resources to meet the demand left unattended by the local SUS network. Immediate referral of urgent cases by the primary units' screeners proved effective

Multiple hepatic metastases of cardiac angiosarcoma

The differential diagnosis of hepatic focal lesions is challenging because the etiology can be inflammatory, infectious, and even neoplastic. A rare cause of metastatic liver nodules is cardiac angiosarcoma. We report a case of this tumor, which was diagnosed only after autopsy. A 26-year-old Caucasian man was admitted for progressive dyspnea and cough over the past 3 weeks. Physical examination showed only hypophonetic heart sounds. Laboratory analysis demonstrated anemia and elevated inflammatory markers, despite normal biochemical parameters and liver function. Transthoracic echocardiography revealed massive pericardial effusion. Abdomen computed tomography (CT) showed multiple hepatic nodules, the largest of which measured 3 cm, but the percutaneous biopsy revealed only lobular necrosis and perisinusoidal fibrosis without granulomas or neoplastic cells. During hospitalization, the patient had fever and night sweats with weight loss, and empiric treatment for extrapulmonary tuberculosis associated with corticosteroids was initiated. The outpatient follow-up revealed complete improvement of the pericardial effusion, but maintenance of the liver lesions. After 2 months of hospital discharge, the patient was readmitted with hemorrhagic shock due to bleeding liver lesions, which were evidenced by CT. Embolization of the right hepatic artery was performed, but the patient soon died. The autopsy revealed a primary cardiac angiosarcoma with multiple hepatic metastases, rupture of the Glisson’s capsule and laceration of the liver. The case shows how important and difficult the diagnosis of focal liver lesions is, since it may result in an unexpected fatal outcom

Multiple hepatic metastases of cardiac angiosarcoma

The differential diagnosis of hepatic focal lesions is challenging because the etiology can be inflammatory, infectious, and even neoplastic. A rare cause of metastatic liver nodules is cardiac angiosarcoma. We report a case of this tumor, which was diagnosed only after autopsy. A 26-year-old Caucasian man was admitted for progressive dyspnea and cough over the past 3 weeks. Physical examination showed only hypophonetic heart sounds. Laboratory analysis demonstrated anemia and elevated inflammatory markers, despite normal biochemical parameters and liver function. Transthoracic echocardiography revealed massive pericardial effusion. Abdomen computed tomography (CT) showed multiple hepatic nodules, the largest of which measured 3 cm, but the percutaneous biopsy revealed only lobular necrosis and perisinusoidal fibrosis without granulomas or neoplastic cells. During hospitalization, the patient had fever and night sweats with weight loss, and empiric treatment for extrapulmonary tuberculosis associated with corticosteroids was initiated. The outpatient follow-up revealed complete improvement of the pericardial effusion, but maintenance of the liver lesions. After 2 months of hospital discharge, the patient was readmitted with hemorrhagic shock due to bleeding liver lesions, which were evidenced by CT. Embolization of the right hepatic artery was performed, but the patient soon died. The autopsy revealed a primary cardiac angiosarcoma with multiple hepatic metastases, rupture of the Glisson’s capsule and laceration of the liver. The case shows how important and difficult the diagnosis of focal liver lesions is, since it may result in an unexpected fatal outcom

Text mining for the biocuration workflow

Molecular biology has become heavily dependent on biological knowledge encoded in expert curated biological databases. As the volume of biological literature increases, biocurators need help in keeping up with the literature; (semi-) automated aids for biocuration would seem to be an ideal application for natural language processing and text mining. However, to date, there have been few documented successes for improving biocuration throughput using text mining. Our initial investigations took place for the workshop on ‘Text Mining for the BioCuration Workflow’ at the third International Biocuration Conference (Berlin, 2009). We interviewed biocurators to obtain workflows from eight biological databases. This initial study revealed high-level commonalities, including (i) selection of documents for curation; (ii) indexing of documents with biologically relevant entities (e.g. genes); and (iii) detailed curation of specific relations (e.g. interactions); however, the detailed workflows also showed many variabilities. Following the workshop, we conducted a survey of biocurators. The survey identified biocurator priorities, including the handling of full text indexed with biological entities and support for the identification and prioritization of documents for curation. It also indicated that two-thirds of the biocuration teams had experimented with text mining and almost half were using text mining at that time. Analysis of our interviews and survey provide a set of requirements for the integration of text mining into the biocuration workflow. These can guide the identification of common needs across curated databases and encourage joint experimentation involving biocurators, text mining developers and the larger biomedical research community

Multiple hepatic metastases of cardiac angiosarcoma

The differential diagnosis of hepatic focal lesions is challenging because the etiology can be inflammatory, infectious, and even neoplastic. A rare cause of metastatic liver nodules is cardiac angiosarcoma. We report a case of this tumor, which was diagnosed only after autopsy. A 26-year-old Caucasian man was admitted for progressive dyspnea and cough over the past 3 weeks. Physical examination showed only hypophonetic heart sounds. Laboratory analysis demonstrated anemia and elevated inflammatory markers, despite normal biochemical parameters and liver function. Transthoracic echocardiography revealed massive pericardial effusion. Abdomen computed tomography (CT) showed multiple hepatic nodules, the largest of which measured 3 cm, but the percutaneous biopsy revealed only lobular necrosis and perisinusoidal fibrosis without granulomas or neoplastic cells. During hospitalization, the patient had fever and night sweats with weight loss, and empiric treatment for extrapulmonary tuberculosis associated with corticosteroids was initiated. The outpatient follow-up revealed complete improvement of the pericardial effusion, but maintenance of the liver lesions. After 2 months of hospital discharge, the patient was readmitted with hemorrhagic shock due to bleeding liver lesions, which were evidenced by CT. Embolization of the right hepatic artery was performed, but the patient soon died. The autopsy revealed a primary cardiac angiosarcoma with multiple hepatic metastases, rupture of the Glisson’s capsule and laceration of the liver. The case shows how important and difficult the diagnosis of focal liver lesions is, since it may result in an unexpected fatal outcom