Câmara de Saúde Suplementar: apontamentos a partir das contribuições de Georg Simmel

The Private Health Insurance and Plans Advisory Committee is a social participation committee of the Private Health Insurance and Plans Regulatory Agency which includes representatives of different social groups with diverse interests. These groups are often in conflict in defense of their interests and goals. In this sense, as the Advisory Committee presents many conflicts, this theoretical study discusses how the contributions of Georg Simmel may be useful in understanding the dynamics of such instance as this author sees conflict as a form of social interaction that combines and synthesizes both approach and avoidance tendencies, consensus and dissent, producing a multiplicity of collective arrangements. This study concludes that Georg Simmel’s contributions can help in understanding this Advisory Committee by revealing that the conflicts that have occurred in this instance have integrating and differentiating functions. It also highlights the importance of the role of Regulatory Agency in the Advisory Committee, that is, the function of the regulatory agency can be understood from the perspective of Simmel as an “impartial” element that may be able to modify all the interacting conflicting situation as a conflict mediator seeking to defend public interests, the primary mission of the Regulatory Agency.A Câmara de Saúde Suplementar é uma instância de participação social da Agência Nacional de Saúde Suplementar que conta com representantes de diferentes grupos sociais de interesses diversos. Esses grupos muitas vezes entram em conflito em defesa de seus objetivos e interesses. Nesse sentido, como a câmara consiste em uma instância de muitos conflitos este estudo, de natureza teórico-conceitual, discute como as contribuições de Georg Simmel podem ser úteis à compreensão da sua dinâmica, uma vez que este autor considera o conflito como forma de interação social que combina e sintetiza, simultaneamente, tendências de aproximação e distanciamento, de consenso e dissenso, produzindo uma multiplicidade de arranjos coletivos. Conclui-se que os aportes simmelianos podem ajudar no entendimento da Câmara de Saúde Suplementar ao revelar que os conflitos ocorridos em tal instância possuem funções ao mesmo tempo integradoras e diferenciadoras. Também se ressalta a importância do papel da ANS na câmara, isto é, a função da agência reguladora pode ser compreendida a partir da perspectiva simmeliana como elemento “imparcial” que pode ser capaz de modificar toda a situação conflitante, interagindo como um mediador de conflitos em busca do alcance da defesa do interesse público, que constitui a missão precípua da agência

Mechanical properties of reciprocating thermally treated NiTi endodontic instruments / Propriedades mecânicas de instrumentos endodônticos de NiTi reciprocantes tratados termicamente

The aim of this study was to evaluate the flexibility, buckling resistance, dynamic cyclic fatigue resistance and roughness pattern of Reciproc R25 M-Wire (R25M), Reciproc Blue R25 (R25B) and WaveOne Gold Primary (WOGP) NiTi reciprocating instruments. Thirty-three R25M, 30 R25B e 30 WOGP, all with 25mm in length, were tested. The flexibility was determined by 45° bending tests according to the standard ANSI/ADA number 101 specification. To determine the buckling resistance an increasing axial load was applied to the instruments until the file underwent an elastic displacement of 1mm. A customized machine was used to perform the dynamic cyclic fatigue test measuring the time to fracture in a metallic stainless steel canal measuring 1.4 mm of diameter, 19 mm of total length, an angle of 86 degrees and 6 mm of curvature radius. The roughness was obtained using a profilometer. Results were analyzed using one-way ANOVA and Student-Newman-Keuls post-hoc test. Analysis were performed with the significance level (?) of 5%. The instruments presented the following order of flexibility: R25B > WOGP > R25M (P < 0.05); buckling resistance: R25M > R25B > WOGP (P < 0.05); and cyclic fatigue resistance: R25B > R25M > WOGP (P < 0.05). No differences were observed regarding the roughness pattern (P > 0.05). The R25B file presented superior flexibility and performance under fatigue tests. The R25M have higher buckling resistance. Instruments demonstrated similar characteristics of surface. 

Nasal reconstruction with paramedian frontal flap after cancer resection

Introduction: Basal cell carcinoma is the most frequent type of tumoral lesion of the skin, often affecting the nasal region. The resulting defects require the use of nasal reconstruction techniques. The first plastic surgery described is the nasal reconstruction, according to the Indian method. Over the centuries, it has been the object of several modifications by the biggest names in the specialty, culminating in the paramedian frontal flap. Case Report: A 62-year-old male patient went to the Plastic Surgery Service of the Federal Hospital of Ipanema, presenting an ulcerated, scaly lesion, occupying the entire lateral region of the nose with three years of evolution, suggesting at physical examination malignant skin tumor. It was performed cutaneous lesion excision and immediate reconstruction with a paramedian frontal flap and further refinement surgery. Conclusion: Due to its vascularization by the supratrochlear artery and texture similar to the nasal tissue, the paramedian frontal flap is the gold standard for the correction of significant nasal defects

Artificial neural networks for corn yield prediction and definition of site-specific crop management through soil properties

O entendimento dos fatores que influenciam a produtividade é essencial para o sucesso produtivo e para adoção de manejo diferenciado em sítios específicos. Na busca de alternativas para predizer a produtividade de grãos de milho a partir de atributos do solo, uma alternativa consiste no uso de redes neurais artificiais (RNAs). Diante disso, o presente estudo teve por objetivo avaliar a eficácia de adoção de atributos do solo por interface da análise de regressão, e das RNAs no estabelecimento de sítios de manejo diferenciado e predição da produtividade de grãos de milho, “segunda safra”, em solos de cerrado. Os dados foram obtidos em uma área de 41,76 ha, cultivada em 2010 e 2011. Apesar de demandar maior tempo de construção e processamento em relação à regressão linear, a adoção de RNAs permite melhor predição da produtividade de grãos. Em consonância ao estabelecimento de sítios específicos de manejo diferenciado do solo, a partir dos atributos teor de argila, capacidade de troca de cátions, matéria orgânica do solo e saturação de bases.The understanding of the factors influencing yield is essential for the crop success and adoption of site-specific management. The use of artificial neural networks (ANN) is an alternative of corn yield prediction from soil properties attributes. Thus, this study aimed to evaluate the effectiveness of adoption of soil properties by interface of the regression analysis, and ANNs in the establishment of site-specific management zones and prediction of corn yield, second crop in Cerrado’s soil. Data were collected in an area of 41.76 ha cropped in 2010 and 2011. The adoption of ANNs allows better corn yield prediction despite of higher demand of construction time and processing when compared to linear regression. In consonance to the soil site-specific establishment from clay content, exchange cation capacity, organic matter and base soil saturation

Potencial de um método acústico em quantificar as atividades de bovinos em pastejo

O objetivo deste trabalho foi avaliar o potencial de um método acústico de quantificação do tempo de pastejo, de ruminação e de outras atividades realizadas por novilhas de corte em pastagem natural. Para obter registros sonoros, novilhas foram equipadas com buçais que permitiam sustentar um gravador digital e um microfone ajustado à fronte. Os registros foram analisados em um programa de áudio. As atividades foram discriminadas, e suas durações foram quantificadas e comparadas a valores obtidos por método visual. O método acústico é eficiente em quantificar o tempo de pastejo, de ruminação e de outras atividades de bovinos em pastejo.The objective of this work was to evaluate the potential of an acoustic method for quantifying the duration of grazing, rumination, and other activities of beef heifers on natural pasture. To obtain sound recordings, heifers were fitted with a digital recorder and a microphone was mounted on the heifer’s forehead. The recordings were analyzed using audio software. Activities were discriminated, and their duration was quantified and compared with those obtained using a visual method. The acoustic method is efficient in quantifying the duration of grazing, rumination, and other activities of grazing cattle

Effects of an early motor intervention program for the development of infants in residential shelters center

Objetivos: Verificar os efeitos de um programa de intervenção motora precoce no desenvolvimento motor de bebês de abrigos de Porto Alegre, entre 1 e 14 meses. Métodos: Ensaio clinico randomizado com 13 bebês no Grupo Interventivo (GI) e 12 bebês no Grupo Controle (GC). Os bebês foram avaliados pela Alberta Infant Motor Scale e o GI realizou dois meses de intervenção (perseguir objeto com os olhos, manipular brinquedos e controle postural). Resultados: Nas comparações intra grupos, o GC não apresentou diferença no seu desenvolvimento pré e pós intervenção. O GI teve aumento no percentual de normalidade e redução no atraso motor no pós intervenção. Nas comparações entre os grupos, houve significância na pré-intervenção, pois os bebês do GI eram mais atrasados. Na pós intervenção a diferença não permaneceu significativa devido à melhora acentuada no GI. Considerando as posturas, o GI obteve resultados significativos em prono, supino, sedestação, ortostase. O GC obteve significância apenas em ortostase, podendo ser justificada pela maior média de idade nesse grupo. Conclusão: Os bebês do GI melhoraram sua classificação no desenvolvimento motor.Aim: To assess the effects of an early motor intervention program in the motor development of babies in Porto Alegre shelters, between 1 and 14 months. Methods: Randomized clinical trial with 13 infants in the interventional group (IG) and 12 infants in the control group (CG). Alberta Infant Motor Scale (AIMS) assessed the babies and the GI held two months of intervention (to chase object, manipulate toys and postural control).Results: Not different from the pre motor development and post-intervention in the CG. GI had an increase in the percentage of normal and reduced motor delay. In the comparison between the groups, there was significance in the pre intervention, since the GI infants were more backward. In the post intervention, the difference did not remain significant due to the marked improvement in the GI. The GI also obtained significant results in the positions prone, supine, sedestation, orthostatic. The GC obtained significance only in orthostatic, and can be justified by the highest average age in this group. Conclusion: IG Babies improved their motor development rating

Liquid nitrogen fertilization on the yield and phenologic variables of narrow-row cotton

Slow-release liquid nitrogen fertilizer sources have been around since 1970. However, this technique is not widely used in the field, probably due to the low cost per ton of nitrogen in the solid form. This study aimed to evaluate the combination of the conventional and slow-release nitrogen fertilization on the yield and phenological variables in a narrow-row cotton crop. Treatments consisted of the combination of the nitrogen fertilizer applied as topdressing in solid form (via soil) and pulverized in the liquid form (via urea formaldehyde - UF): 0% of solid N + 0% of liquid N (0S0L); 100% of solid N + 0% of liquid N (100S0L); 75% of solid N + 25% of liquid N (75S25L); 50% of solid N + 50% of liquid N (50S50L); 25% of solid N + 75% of liquid N (25S75L); e 0% of solid N + 100% of liquid N (0S100L). The cotton crop was phenotypically evaluated at 35, 70, and 130 DAE (Days after emergence) and at the harvest time. The variation between the source of the solid nitrogen fertilizer applied to the soil (ammonium nitrate) and the liquid Nitrogen fertilizer applied by spraying (UF) affects the phenology, physiology, and yield components of the narrow-row cotton crop. The highest yield of the narrow-row cotton crop under the experimental conditions was achieved when 25% of the dose of the solid nitrogen fertilizer was applied as topdressing via soil, and 75% of the dose of the slow-release nitrogen fertilizer was sprayed. This technique provides higher profitability of the produced cotton in relation to the conventional application of the N solid fertilizer via soil

Preservation of Alpha-3 Neuronal Nicotinic Acetylcholine Receptor Expression in Sympathetic Ganglia After Brain Death

The goal of this study was to evaluate if the immunohistochemical expression of alpha-3 neuronal nicotinic acetylcholine receptor subunit in sympathetic ganglia remains stable after brain death, determining the possible use of sympathetic thoracic ganglia from subjects after brain death as study group. The third left sympathetic ganglion was resected from patients divided in two groups: BD-organ donors after brain death and CON-patients submitted to sympathectomy for hyperhidrosis (control group). Immunohistochemical staining for alpha-3 neuronal nicotinic acetylcholine receptor subunit was performed; strong and weak expression areas were quantified in both groups. The BD group showed strong alpha-3 neuronal nicotinic acetylcholine receptor expression in 6.55% of the total area, whereas the CON group showed strong expression in 5.91% (p = 0.78). Weak expression was found in 6.47% of brain-dead subjects and in 7.23% of control subjects (p = 0.31). Brain death did not affect the results of the immunohistochemical analysis of sympathetic ganglia, and its use as study group is feasible

CONTRIBUIÇÕES DA SEMIOLOGIA FRENTE AOS PRINCIPAIS SINAIS E SINTOMAS DO PACIENTE COM CÂNCER DE PÂNCREAS NA ÓTICA MULTIPROFISSIONAL

Introduction: Cancer is a complex and multifaceted disease that can manifest in different parts of the body, causing abnormal and uncontrolled cell growth. Pancreatic cancer is a type of cancer that originates in the cells that form the pancreas, an organ located behind the stomach. Being a serious illness and presenting a significant diagnostic challenge. Objective: To identify the main symptoms and semiotic signs presented by patients with pancreatic cancer, in addition to analyzing the role of nursing in relation to the signs and symptoms of pancreatic cancer. Methodology: Descriptive bibliographic review and qualitative approach, with analysis of scientific literature that refers to the research object. Analysis and discussion of results: It is common for patients to feel abdominal pain, which can be felt in the upper abdomen or back, due to the pressure of the tumor on the nerves near the pancreas. Another common symptom is unexplained weight loss, which may be related to decreased appetite or difficulty digesting food. The identification of the main symptoms and semiotic signs in patients with pancreatic cancer is a crucial role played by the health team, particularly by the nursing professional. Conclusion: Early detection of pancreatic cancer is crucial to improving the chances of cure and prolonging the patient's life. Therefore, it is essential that the population is aware of the most common symptoms of the disease and seeks immediate medical attention if they have any concerns regarding their health.Introdução: O câncer é uma doença complexa e multifacetada que pode se manifestar em diferentes partes do corpo, ocasionando o crescimento anormal e descontrolado de células. O câncer de pâncreas é um tipo de câncer que tem origem nas células que formam o pâncreas, um órgão localizado atrás do estômago. Sendo uma enfermidade grave e que apresenta um desafio diagnóstico significativo Objetivo: Identificar os principais sintomas e sinais semiológicos apresentados por pacientes com câncer de pâncreas, ademais analisar o papel da enfermagem em relação aos sinais e sintomas do câncer pancreático. Metodologia: revisão bibliográfica de caráter descritivo e abordagem qualitativa, com análise de literaturas científicas que nos remetam ao objeto de pesquisa. Analise e discussão dos resultados: É comum que os pacientes sintam dor abdominal, que pode ser sentida na região superior do abdômen ou nas costas, devido à pressão do tumor nos nervos próximos ao pâncreas. Outro sintoma comum é a perda de peso inexplicável, que pode estar relacionada à diminuição do apetite ou à dificuldade em digerir os alimentos. A identificação dos principais sintomas e sinais semiológicos em pacientes com câncer de pâncreas é um papel crucial desempenhado pela equipe de saúde, em particular pelo profissional de enfermagem. Conclusão: A detecção precoce do câncer de pâncreas é fundamental para melhorar as chances de cura e prolongar a vida do paciente. Por isso, é essencial que a população esteja ciente dos sintomas mais comuns da doença e busque atendimento médico imediato se tiver qualquer preocupação em relação à saúde