Arte como auxílio no desenvolvimento cognitivo da pessoa cega

Falar da arte como auxílio no desenvolvimento cognitivo da pessoa cega, nos leva a refletir sobre a importânciae entender como ocorre esse processo. Para a realização dessa pesquisa optei pela pesquisa qualitativa, envolvendo análise dos conteúdos obtidos através de uma oficina realizada com pessoas cegas da Associação dos cegos do Piauí – ACEP. Percebemos que ao transmitir o ensino de artes a pessoa cega, o seu desenvolvimento cognitivo é ampliado de forma significativa o que a permite pintar e utilizar as cores mesmo sem vê-las, não negamos que existem dificuldades, pois também a encontramos mais percebemos que existe a possibilidade de superação.  A base bibliográfica do trabalho seguiu parâmetros de Masini (2007), Barbosa (2006) que relatam como arte pode auxiliar no desenvolvimento cognitivo da pessoa cega, e de como o sistema háptico pode ser ampliado através da arte. Este trabalho permitiu uma melhor compreensão do modo de como a arte pode ajudar no desenvolvimento cognitivo da pessoa cega. O resultado desse trabalho mostrou que a pessoa cega tem o seu desenvolvimento cognitivo ampliado a partir do momento que ela começa a conhecer as cores e através desse conhecimento ela consegue realizar a pintura de uma tela, ampliado o seu tato e consequentemente a sua sensibilidade em sentir as cores e fazer uso delas e que a pintura vai muito além da visão. A tabela Feelipa criada em 2009 pela designer portuguesa Filipa Nogueira Pires que a partir das formas geométricas, foi primordial para a realização desse trabalho.

Mapping and Characterization of Physical-Natural Units in the Municipality of Massapê, Ceará

The research Mapping and Characterization of the Physical-Natural Units of the Municipality of Massap Cear aims to shed light on the geographical and environmental richness of the backcountry region of northeastern Brazil exploring the complexity of the northeastern hinterland In this way it covers the mapping of physical-natural units in the municipality of Massap in the state of Cear considering its importance for territorial planning and environmental management the characterization of the nature of the municipality allows the understanding of the dynamics and interactions between the environment and the human activities providing relevant data for preservation and sustainable development strategies It is concluded that the research contributes significantly to the integrated understanding of the geographic space in question providing valuable information for the reader s knowledge and for the preservation of its geodiversity and sustainable management of the regio

Exposição ao risco cardíaco por referencia e perimetria em indivíduos da cidade de João Pessoa

Objetivo: Analisar os fatores de exposição ao risco cardíaco (FERC) por referenda e perimetria em areas publicas para a atividade física na cidade de João Pessoa - PB. Metodobgja Estudo descritivo e transversal; amostra de 153 indivíduos, idade media 53,88±13,98anos. Resultados: Encontrou-se: 53,88% faixa etária (FE), 77,5% excesso de peso, 61,9% hereditariedade, 9,9% tabagismo, 19,6% intensidade do exercicio e atividade ocupacional, 52,2% hipercolesterolemia (HIP), 25,5% PA máxima p0,600.Coneliisoes: Os FERC prevalentes são a hereditariedade, HIP, FE, gênero (maior para o fem.), massa corporal, IMC e RCQ elevados e se associam

Analise do impacto do ICQ e cc sobre o risco cardíaco em pessoas com baixos níveis de atividade física

Objetivo: Analisar o impacto do índice cintura/quadril (ICQ) e circunferência da cintura (CC) sobre o risco cardíaco (RC). Material e Métodos: Estudo descritivo, transversal e quantitative, composto por uma amostra selecionada voluntariamente, na adesão as academias de ginástica de 75 mulheres (M) e 47 homens (H), media de 30,03+11,33 anos, medidos na antropometria em instrumentos calibrados. Utilizou-se SPSS 13,0 para descritiva e "t"de Student. Significancia 5% . Resultados: 42,6% e 23,4% dos H apresentam-se na faixa de RC alto e muito alto para ICQ e 40,9% e 18,2%, risco aumentado e muito aumentado para o CC, respectivamente; 28,0% e 61,3% das M apresentam-se na faixa de risco alto e muito alto para ICQ e 59,1% e 30,6%, risco aumentado e muito aumentado para o CC, respectivamente; p=0,000, diferentes entre gêneros e ICQ e CC sao de independentes (r=0,460). Conclusao: O ICQ e CC representam impacto no risco cardíaco e ambos os gêneros estão propensos a desenvolver distúrbios cardiovasculares

O perfil semiológico do paciente portador de hemorragia digestiva alta

OBJETIVO: O seguinte estudo objetivou descrever a semiologia do paciente portador de hemorragia digestiva alta, considerando como determinante na avaliação de potencias focos hemorrágicos. METODOLOGIA: Foram realizadas buscas nas plataformas do SciELO, LILACS, PubMed, Scopus e Google Scholar,utilizando os descritores gastrointestinal bleeding, peptic ulcerous disease e varicose hemorrhage, sendo identificados 35 estudos, dos quais foram incluídos 13 artigos completos. Desses estudos, 5 avaliaram as principais etiologias, 2 o surgimento de novos testes diagnósticos, 2 analisaram os aspectos epidemiológicos e 1 a sintomatologia apresentada pelo acometimento da hemorragia digestiva alta. Observou-se inicialmente a abundâncias de informações conceituais sobre o sangramento, como um transtorno clínico comum, acompanhada de inúmeras manifestações, considerando que o foco hemorrágico pode ocorrer em qualquer porção do trato gastrointestinal. Neste estudo, todas as publicações eleitas apresentaram o quadro semiológico composto por algia abdominal, indícios de choque hipovolêmico e taquicardia, alguns exibiram quedas abruptas da pressão arterial, odinofagia, êmese, náuseas e estado ictérico. Os pacientes implicados, cronicamente, já manifestaram ocorrências prévias, devido ao caráter recidivante torna-se essencial investigar a existência de varizes, fístula aorto-entérica, angiodisplasia e doença ulcerosa. CONCLUSÃO: Elucida-se que a hemorragia digestiva alta representa a principal causa de sangramento do trato gastrointestinal, majoritamente manifesta-se como hematêmese ou melena e cursam com o quadro sintomatológico que auxilia na avaliação da gravidade deste e o embasamento de potenciais focos de sangramento e que contribuam para disseminação de informações e intervenções futuras

A evolução clínica do paciente portador de abscesso pulmonar: Clinical evolution of patients with lung abscess

Atualmente, com a era da antibioticoterapia e demais meios terapêuticos, o abscesso pulmonar decaiu em termos de morbimortalidade, mas ainda permanece como um desafio em termos diagnósticos e manejo clínico. O abscesso pulmonar corresponde a uma cavidade com pus no pulmão, envolvido por tecido inflamado e geralmente oriunda de uma infecção. O artigo objetivou descrever de modo narrativo a evolução clínica do portador de abscesso pulmonar, ressaltando os principais dados para a compreensão deste fenômeno. Um abscesso pulmonar é causado principalmente por bactérias existentes na boca ou garganta, a qual são aspiradas até os pulmões. A sintomatologia é inespecífica, abordando fadiga, inapetência, sudorese noturna, febre, perda ponderal e tosse com expectoração. O quadro clínico geralmente necessita do complemento de exames de imagem, principalmente a radiografia torácica para diagnóstic

Consistent patterns of common species across tropical tree communities

Trees structure the Earth’s most biodiverse ecosystem, tropical forests. The vast number of tree species presents a formidable challenge to understanding these forests, including their response to environmental change, as very little is known about most tropical tree species. A focus on the common species may circumvent this challenge. Here we investigate abundance patterns of common tree species using inventory data on 1,003,805 trees with trunk diameters of at least 10 cm across 1,568 locations1,2,3,4,5,6 in closed-canopy, structurally intact old-growth tropical forests in Africa, Amazonia and Southeast Asia. We estimate that 2.2%, 2.2% and 2.3% of species comprise 50% of the tropical trees in these regions, respectively. Extrapolating across all closed-canopy tropical forests, we estimate that just 1,053 species comprise half of Earth’s 800 billion tropical trees with trunk diameters of at least 10 cm. Despite differing biogeographic, climatic and anthropogenic histories7, we find notably consistent patterns of common species and species abundance distributions across the continents. This suggests that fundamental mechanisms of tree community assembly may apply to all tropical forests. Resampling analyses show that the most common species are likely to belong to a manageable list of known species, enabling targeted efforts to understand their ecology. Although they do not detract from the importance of rare species, our results open new opportunities to understand the world’s most diverse forests, including modelling their response to environmental change, by focusing on the common species that constitute the majority of their trees.Publisher PDFPeer reviewe

Photography-based taxonomy is inadequate, unnecessary, and potentially harmful for biological sciences

The question whether taxonomic descriptions naming new animal species without type specimen(s) deposited in collections should be accepted for publication by scientific journals and allowed by the Code has already been discussed in Zootaxa (Dubois & Nemésio 2007; Donegan 2008, 2009; Nemésio 2009a–b; Dubois 2009; Gentile & Snell 2009; Minelli 2009; Cianferoni & Bartolozzi 2016; Amorim et al. 2016). This question was again raised in a letter supported by 35 signatories published in the journal Nature (Pape et al. 2016) on 15 September 2016. On 25 September 2016, the following rebuttal (strictly limited to 300 words as per the editorial rules of Nature) was submitted to Nature, which on 18 October 2016 refused to publish it. As we think this problem is a very important one for zoological taxonomy, this text is published here exactly as submitted to Nature, followed by the list of the 493 taxonomists and collection-based researchers who signed it in the short time span from 20 September to 6 October 2016

The impact of surgical delay on resectability of colorectal cancer: An international prospective cohort study

AIM: The SARS-CoV-2 pandemic has provided a unique opportunity to explore the impact of surgical delays on cancer resectability. This study aimed to compare resectability for colorectal cancer patients undergoing delayed versus non-delayed surgery. METHODS: This was an international prospective cohort study of consecutive colorectal cancer patients with a decision for curative surgery (January-April 2020). Surgical delay was defined as an operation taking place more than 4 weeks after treatment decision, in a patient who did not receive neoadjuvant therapy. A subgroup analysis explored the effects of delay in elective patients only. The impact of longer delays was explored in a sensitivity analysis. The primary outcome was complete resection, defined as curative resection with an R0 margin. RESULTS: Overall, 5453 patients from 304 hospitals in 47 countries were included, of whom 6.6% (358/5453) did not receive their planned operation. Of the 4304 operated patients without neoadjuvant therapy, 40.5% (1744/4304) were delayed beyond 4 weeks. Delayed patients were more likely to be older, men, more comorbid, have higher body mass index and have rectal cancer and early stage disease. Delayed patients had higher unadjusted rates of complete resection (93.7% vs. 91.9%, P = 0.032) and lower rates of emergency surgery (4.5% vs. 22.5%, P < 0.001). After adjustment, delay was not associated with a lower rate of complete resection (OR 1.18, 95% CI 0.90-1.55, P = 0.224), which was consistent in elective patients only (OR 0.94, 95% CI 0.69-1.27, P = 0.672). Longer delays were not associated with poorer outcomes. CONCLUSION: One in 15 colorectal cancer patients did not receive their planned operation during the first wave of COVID-19. Surgical delay did not appear to compromise resectability, raising the hypothesis that any reduction in long-term survival attributable to delays is likely to be due to micro-metastatic disease

Rationale, study design, and analysis plan of the Alveolar Recruitment for ARDS Trial (ART): Study protocol for a randomized controlled trial

Background: Acute respiratory distress syndrome (ARDS) is associated with high in-hospital mortality. Alveolar recruitment followed by ventilation at optimal titrated PEEP may reduce ventilator-induced lung injury and improve oxygenation in patients with ARDS, but the effects on mortality and other clinical outcomes remain unknown. This article reports the rationale, study design, and analysis plan of the Alveolar Recruitment for ARDS Trial (ART). Methods/Design: ART is a pragmatic, multicenter, randomized (concealed), controlled trial, which aims to determine if maximum stepwise alveolar recruitment associated with PEEP titration is able to increase 28-day survival in patients with ARDS compared to conventional treatment (ARDSNet strategy). We will enroll adult patients with ARDS of less than 72 h duration. The intervention group will receive an alveolar recruitment maneuver, with stepwise increases of PEEP achieving 45 cmH(2)O and peak pressure of 60 cmH2O, followed by ventilation with optimal PEEP titrated according to the static compliance of the respiratory system. In the control group, mechanical ventilation will follow a conventional protocol (ARDSNet). In both groups, we will use controlled volume mode with low tidal volumes (4 to 6 mL/kg of predicted body weight) and targeting plateau pressure &lt;= 30 cmH2O. The primary outcome is 28-day survival, and the secondary outcomes are: length of ICU stay; length of hospital stay; pneumothorax requiring chest tube during first 7 days; barotrauma during first 7 days; mechanical ventilation-free days from days 1 to 28; ICU, in-hospital, and 6-month survival. ART is an event-guided trial planned to last until 520 events (deaths within 28 days) are observed. These events allow detection of a hazard ratio of 0.75, with 90% power and two-tailed type I error of 5%. All analysis will follow the intention-to-treat principle. Discussion: If the ART strategy with maximum recruitment and PEEP titration improves 28-day survival, this will represent a notable advance to the care of ARDS patients. Conversely, if the ART strategy is similar or inferior to the current evidence-based strategy (ARDSNet), this should also change current practice as many institutions routinely employ recruitment maneuvers and set PEEP levels according to some titration method.Hospital do Coracao (HCor) as part of the Program 'Hospitais de Excelencia a Servico do SUS (PROADI-SUS)'Brazilian Ministry of Healt