Reconhecimento fotográfico em fase investigatória e o Código de Processo Penal

O presente trabalho tem como escopo analisar as consequências processuais da utilização do reconhecimento fotográfico em fase investigatória, nos termos do Código de Processo Penal. Para tanto, analisar-se-á, em um primeiro momento, as provas no processo penal, desde a origem de sua conceituação até às formas como suas diversas acepções são utilizadas pela doutrina e, ainda, far-se-á um breve panorama dos meios de prova descritos no CPP, bem como dos princípios correlatos às provas no processo penal, quais sejam: princípio da autorresponsabilidade das partes, da aquisição/comunhão da prova, da oralidade, da verdade real, da liberdade probatória, do nemo tenetur se detegere, da presunção da inocência e da audiência contraditória. Posteriormente, proceder-se-á a análise do reconhecimento de pessoas e coisas e, mais aprofundadamente, do reconhecimento fotográfico e de sua relação com o artigo 226 do Código de Processo Penal. Por fim, falar-se-á acerca das consequências práticas do reconhecimento fotográfico com o estudo das falsas memórias e das posições do Supremo Tribunal Federal e do Superior Tribunal de Justiça.This paper aims to analyze the procedural consequences of the use of photographic recognition in the investigative phase, under the terms of the Criminal Procedure Code. In order to do so, it will be analyzed, at first, the evidence in criminal proceedings, from the origin of its conceptualization to the ways in which its various meanings are used by the doctrine and, also, a brief overview of the means of evidence described in the CPP, as well as the principles related to evidence in criminal proceedings, namely: principle of self-responsibility of the parties, the acquisition/communion of evidence, orality, the real truth, freedom of probation, nemo tenetur se detegere , the presumption of innocence and the contradictory hearing. Subsequently, an analysis will be made of the recognition of people and things and, in more depth, of the photographic recognition and its relationship with article 226 of the Code of Criminal Procedure. Finally, we will talk about the practical consequences of photographic recognition with the study of false memories and the positions of the Federal Supreme Court and the Superior Court of Justice

Transcultural adaptation of scales for treatment adherence in hemodialysis: Renal Adherence Behaviour Questionnaire(RABQ) and Renal Adherence Attitudes Questionnaire(RAAQ)

Treatment adherence in hemodialysis is important for guaranteeing better results for patients, but Brazil still lacks validated assessment tools for this purpose. The current study aimed to perform a cross-cultural adaptation of the Renal Adherence Behaviour Questionnaire (RABQ) and the Renal Adherence Attitudes Questionnaire (RAAQ). The two questionnaires were submitted to the following cross-cultural adaptation procedures: translation, back-translation, expert panel review, and pilot study. Changes were made in the items’ wording and application, which requires a face-to-face interview. It was not necessary to change the choices of answers. The Brazilian versions of the RABQ and RAAQ showed semantic and cultural equivalence to the original versions and are easy for the target population to understand. The two scales still require validity and reliability studies before use in the field.A aderência dos pacientes ao tratamento em hemodiálise é importante para o sucesso do tratamento, mas há carência de instrumentos de avaliação validados para o Brasil. Esta pesquisa visou à adaptação transcultural para o Brasil das escalas Renal Adherence Behaviour Questionnaire (RABQ) e Renal Adherence Attitudes Questionnaire (RAAQ), que avaliam os comportamentos e atitudes de aderência. Esses instrumentos foram submetidos aos procedimentos de adaptação transcultural: tradução, retradução, avaliação por comissão de especialistas e estudo piloto. Foram feitas modificações na redação dos itens e no formato de aplicação, que deve ser em entrevista face a face. Não foi necessário alterar as alternativas de respostas. As versões brasileiras das escalas RABQ e RAAQ apresentam equivalência semântica e cultural com as versões originais e foram redigidas de forma a facilitar sua compreensão pela população-alvo. As duas escalas necessitam ser submetidas a estudos de validade e fidedignidade para serem utilizadas

Can we use the questionnaire SNOT-22 as a predictor for the indication of surgical treatment in chronic rhinosinusitis?

Introduction: Chronic rhinosinusitis is a prevalent disease that has a negative impact on the lives of sufferers. SNOT-22 is considered the most appropriate questionnaire for assessing the quality of life of these patients and a very effective method of evaluating therapeutic interventionshowever it is not used as a tool for decision -making. Objective: To test the hypothesis that the SNOT-22 score can predict the outcome of surgical treatment. Methods: A retrospective, longitudinal and analytical study. We evaluated the medical records of patients with chronic rhinosinusitis that completed the SNOT-22 at the time of diagnosis. All the patients were consecutively receiving care at an otolaryngology service in Salvador, Bahia from August 2011 to June 2012. The outcomes of the surgical treatment of these patients were obtained from their medical records. The initial score was compared to a group of patients who were not referred for surgery. All the patients completed and signed a consent form. Results: Of the 88 patients with chronic rhinosinusitis, 26 had evolved to surgery over the last 3 years. The groups were homogeneous regarding gender and respiratory and medication allergies. The patients of the surgical group were 44.8 + 13.8 years old and the patients of the clinical group were 38.2 + 12.5 years old (p = 0.517). The average SNOT-22 score of the case group was 49 + 19 and the average score of the control group was 49 + 27 (p = 0.927). Conclusion: The SNOT-22 was unable to predict the outcome of surgical patients with chronic rhinosinusitis. (C) 2016 Associacao Brasileira de Otorrinolaringologia e Cirurgia Cervico-Facial. Published by Elsevier Editora Ltda.Escola Bahiana Med & Saude Publ Bahiana, Programa Posgrad, Salvador, BA, BrazilUniv Fed Bahia UFBA, Salvador, BA, BrazilInst Otorrinolaringol Otorrinos Associados INOOA, Salvador, BA, BrazilSanta Casa Sao Paulo, Otorrinolaringol, Sao Paulo, SP, BrazilUniv Porto, Bioet, Oporto, PortugalUniv Fed Sao Paulo UNIFESP, Programa Posgrad Otorrinolaringol, Sao Paulo, SP, BrazilUniv Fed Sao Paulo UNIFESP, Programa Posgrad Otorrinolaringol, Sao Paulo, SP, BrazilWeb of Scienc

Effects of Co-Contraction Training on Neuromuscular Outcomes of Elbow Flexors and Extensors: A Systematic Review and Meta-Analysis

Co-contraction training has been proposed to improve muscle strength in the absence of external equipment, yet it is needed to elucidate the effects of co-contraction training and its applicability. Thus, we synthesized the effects of co-contraction training on elbow muscle strength, myoelectric activity, and muscle thickness. We searched papers from MEDLINE via PubMed, Web of Science, Scopus and Embase databases. The inclusion criteria were studies comprising adults between 18-64 years old; investigating chronic effects of co-contraction training on elbow muscles; comparing pre- and post-intervention or control values; presenting any of the outcomes; randomized, quasi-experimental, pre- and post-design; in English. Seven studies met the inclusion criteria. We performed a systematic review and meta-analysis following PRISMA recommendations. We used the revised RoB 2, ROBINS-I to verify the level of evidence. We also included a questionnaire for biomechanical studies and GRADE analysis. We extracted data independently by two investigators, considering the characteristics of study, participants and training, outcomes, and results. We calculated the effect sizes for each outcome. The analysis was carried out by combining and dividing flexors and extensors in a subgroup analysis. Comparing the experimental vs. control group, our results showed that cocontraction training increased isometric strength (SMD=0.51 [0.19, 0.83]) and agonist myoelectric activity (SMD=0.54 [0.25, 0.83]). Comparing pre- vs. post-training, co-contraction training also improved isometric strength (SMD=1.28 [0.75, 1.81]); concentric elbow extensor strength (SMD=0.64 [0.01, 1.26]); and myoelectric activity (SMD=0.46 [0.18, 0.73]). No effect was observed for muscle thickness. The co-contraction training improves muscle performance without morphological changes

Basal cell carcinoma of the vulva: a case report of cutaneous neoplasia in a special area

Basal cell carcinoma (BCC) is the most common skin cancer1. Among the risk factors for its development are exposure to ionizing and non-ionizing radiation, some chemicals, and previous scars.2 However, the most important factor is exposure to ultraviolet radiation, which explains the higher incidence of this neoplasm in photo-exposed areas.1 BCC in unexposed areas is uncommon. The purpose of this report is to describe a case of recurrent BCC in the vulva, to demonstrate the importance of dermatological examination in unusual areas, and to report the application of Mohs micrographic surgery

Dysarthria in hereditary spastic paraplegia type 4

Objective: To describe the speech pattern of patients with hereditary Spastic Paraplegia type 4 (SPG4) and correlated it with their clinical data. Methods: Cross-sectional study was carried out in two university hospitals in Brazil. Two groups participated in the study: the case group (n = 28) with a confirmed genetic diagnosis for SPG4 and a control group (n = 17) matched for sex and age. The speech assessment of both groups included: speech task recording, acoustic analysis, and auditory-perceptual analysis. In addition, disease severity was assessed with the Spastic Paraplegia Rating Scale (SPRS). Results: In the auditory-perceptual analysis, 53.5% (n = 15) of individuals with SPG4 were dysarthric, with mild to moderate changes in the subsystems of phonation and articulation. On acoustic analysis, SPG4 subjects’ performances were worse in measurements related to breathing (maximum phonation time) and articulation (speech rate, articulation rate). The articulation variables (speech rate, articulation rate) are related to the age of onset of the first motor symptom. Conclusion: Dysarthria in SPG4 is frequent and mild, and it did not evolve in conjunction with more advanced motor diseases. This data suggest that diagnosed patients should be screened and referred for speech therapy evaluation and those pathophysiological mechanisms of speech involvement may differ from the length-dependent degeneration of the corticospinal tract

Adaptação transcultural de escalas de aderência ao tratamento em hemodiálise: Renal Adherence Behaviour Questionnaire (RABQ) e Renal Adherence Attitudes Questionnaire (RAAQ)

Resumo A aderência dos pacientes ao tratamento em hemodiálise é importante para o sucesso do tratamento, mas há carência de instrumentos de avaliação validados para o Brasil. Esta pesquisa visou à adaptação transcultural para o Brasil das escalas Renal Adherence Behaviour Questionnaire (RABQ) e Renal Adherence Attitudes Questionnaire (RAAQ), que avaliam os comportamentos e atitudes de aderência. Esses instrumentos foram submetidos aos procedimentos de adaptação transcultural: tradução, retradução, avaliação por comissão de especialistas e estudo piloto. Foram feitas modificações na redação dos itens e no formato de aplicação, que deve ser em entrevista face a face. Não foi necessário alterar as alternativas de respostas. As versões brasileiras das escalas RABQ e RAAQ apresentam equivalência semântica e cultural com as versões originais e foram redigidas de forma a facilitar sua compreensão pela população-alvo. As duas escalas necessitam ser submetidas a estudos de validade e fidedignidade para serem utilizadas