Benefits of a virtual environment program at the level of functional physical fitness in non-institutionalized elderly

Abstract in proceedings of the Fourth International Congress of CiiEM: Health, Well-Being and Ageing in the 21st Century, held at Egas Moniz’ University Campus in Monte de Caparica, Almada, from 3–5 June 2019.This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.info:eu-repo/semantics/publishedVersio

Project Stakeholder Management: A Case Study of a Brazilian Science Park

The stakeholder management has been a topic increasingly discussed in the literature about project management, though still existing, large gaps to be filled, especially in complex projects such as the implementation of science parks. Thus, in this paper is presented a case of a Brazilian Science Park which shows how the management team of the project identified key stakeholders and established strategies for engagement and collaboration that sought to increase their engagement, get resources and make use of specific capabilities that were required during the lifecycle of the project to the reaching of its goals

A REPRESENTAÇÃO CULTURAL NAS BRINCADEIRAS INFANTIS DE CRIANÇAS QUE VIVEM NO CAMPO, EM JI-PARANÁ/RO

The reflection presented in this text is part of a section of the research carried out during the Professional Master's degree in School Education, of the Graduate Program in School Education - Master and Professional Doctorate - PPGEEProf, completed in 2018. It was assumed that play is naturally present in childhood. Thus, we sought to observe the spontaneous play of children in the school environment and understand their cultural representation, whether they were and how they were considered in pedagogical practices with children aged four and five years. The research, with a qualitative approach, used participant observation for data collection, which was recorded in a logbook and photographic record. The observation was carried out in the mixed class of Preschool I and II, at the Municipal School of Early Childhood Education and Elementary School Professor Edson Lopes, located in the rural area in the municipality of Ji-Paraná/RO. The study was the class teacher and 16 children between four and five years of age. To analyze the data, we used the theoretical framework of Sociology of Childhood, having as main references Sarmento and Gouvea (2008), Abramowicz (2011), Faria and Finco (2011) and Corsaro (2011). The contributions of this area of study conceive the child as a subject, protagonist of history and socialization processes, pointing out the importance of children's interests in issues that directly affect them, that constitute culture, which produces culture and influence. The analysis shows that children's games are loaded with meaning and represent part of the children's daily experiences and that cultural practices are present inside and outside the community. On the other hand, the research showed that the teacher has not yet perceived the rich possibilities of observing children's cultures that can be considered in pedagogical practice with children. There is a need for continued training that guides the teaching gaze to the observation and listening of children.La reflexión presentada en este texto forma parte de un apartado de la investigación realizada durante el Máster Profesional en Educación Escolar, del Programa de Postgrado en Educación Escolar - Máster y Doctorado Profesional - PPGEE Profesional, finalizado en 2018. Se asumió que el juego está naturalmente presente en la infancia. Así, se buscó observar el juego espontáneo de los niños en el ambiente escolar y comprender su representación cultural, si lo fueron y cómo fueron considerados en prácticas pedagógicas con niños de cuatro y cinco años. La investigación, con un enfoque cualitativo, utilizó la observación participante para la recolección de datos, que fue registrada en un cuaderno de bitácora y registro fotográfico. La observación fue realizada en la clase mixta de Preescolar I y II, en la Escuela Municipal de Educación Infantil y Escuela Primaria Profesor Edson Lopes, ubicada en la zona rural del municipio de Ji-Paraná/RO. El estudio fue el profesor de la clase y 16 niños entre cuatro y cinco años de edad. Para analizar los datos, se utilizó el marco teórico de sociología de la infancia, teniendo como referencias principales Sarmento y Gouvea (2008), Abramowicz (2011), Faria y Finco (2011) y Corsaro (2011). Los aportes de esta área de estudio conciben al niño como un sujeto, protagonista de la historia y de los procesos de socialización, señalando la importancia de los intereses de los niños en temas que les afectan directamente, que constituyen cultura, que produce cultura e influencia. El análisis muestra que los juegos infantiles están cargados de significado y representan parte de las experiencias cotidianas de los niños y que las prácticas culturales están presentes dentro y fuera de la comunidad. Por otro lado, la investigación mostró que el maestro aún no ha percibido las ricas posibilidades de observar las culturas de los niños que pueden ser consideradas en la práctica pedagógica con los niños. Es necesaria una formación continua que guíe la mirada didáctica hacia la observación y la escucha de los niños.A reflexão apresentada neste texto parte de um recorte da pesquisa realizada durante o Mestrado Profissional em Educação Escolar, do Programa de Pós-graduação em Educação Escolar – Mestrado e Doutorado Profissional – PPGEEProf, concluído em 2018. Partiu-se do princípio de que a brincadeira está naturalmente presente na infância. Com isso, buscou-se observar as brincadeiras espontâneas infantis no âmbito escolar e compreender a sua representação cultural, se eram e como eram consideradas nas práticas pedagógicas com crianças de quatro e cinco anos de idade. A pesquisa, de abordagem qualitativa, utilizou para a coleta de dados a observação participante, que foi registrada em diário de bordo e registro fotográfico. A observação foi realizada na turma mista de Pré-Escolar I e II, na Escola Municipal de Educação Infantil e Ensino Fundamental Professor Edson Lopes, localizada na área rural no município de Ji-Paraná/RO. Participaram da pesquisa a professora da turma e 16 crianças entre quatro e cinco anos de idade. Para analisar os dados utilizou-se o referencial teórico da Sociologia da Infância, tendo como principais referências Sarmento e Gouvea (2008), Abramowicz (2011), Faria e Finco (2011) e Corsaro (2011). As contribuições desta área de estudo concebem a criança como sujeito, protagonista da história e dos processos de socialização, apontando a importância dos interesses infantis em questões que diretamente lhes afetam, de que se constituem na cultura, que produz cultura e a influencia. A análise realizada aponta que as brincadeiras infantis são carregadas de sentido e representam parte das vivências cotidianas das crianças e que nelas estão presentes práticas culturais de dentro e de fora da comunidade. Por outro lado, a pesquisa evidenciou que ainda não foram percebidas pela professora as ricas possibilidades advindas da observação das culturas infantis que podem ser consideradas na prática pedagógica com as crianças. Observa-se a necessidade de formação continuada que oriente o olhar docente para a observação e a escuta das crianças

Cidades Médias na Amazônia Legal: Araguaína/TO, Imperatriz/MA e Marabá/PA – indutoras de desenvolvimento e desigualdades

The cities of Araguaína / TO, Imperatriz / MA and Marabá / PA are part of the Legal Amazon, are characterized as medium-sized cities and are designated as regional capitals C by IBGE. Each of them is a reference in their respective intermediate and bordering geographic regions. The objective of the work is to demonstrate which the three locations, despite presenting strong economic and demographic growth, suffer from social and structural problems that reduce the quality of life of their population. For this purpose, secondary data from IBGE sources - Cities, Atlas of Human Development, Instituto Brazil, IPEADATA and Comex Stat were used, referring to demographic growth, exports, HDI, GDP, homicides, Cadastro Único, Bolsa Família, access to water, sewage collection and treatment. As a result, it is perceived that there is a demographic growth for the Amazon; therefore sanitation, homicides, and population data on the single registry present that the economical aspects have not been converted into social welfare. Thus, it can be conclude that the data induce the understanding even considering that economic growth, instrumental and substantive freedoms are still relegated and that one of the possibilities for overcoming lies in a more integrated perspective of the three cities in geographical and administrative terms.Las ciudades de Araguaína en Tocantins, Imperatriz en Maranhão y Marabá en Pará forman parte del Amazonas legal, se caracterizan como ciudades medias y son denominadas capitales regionales C por el IBGE (Instituto Brasileño de Geografía y Estadística). Cada una de ellas es referencia en sus respectivas regiones geográficas intermedias y limítrofes entre sí. El objetivo del trabajo es demostrar que las tres localidades, pese a que presentan crecimiento económico y demográfico fuerte, parecen problemas sociales y estructurales que disminuyen la calidad de vida en la población. Para este trabajo se utilizaron datos secundarios de las fuentes IBGE - ciudades atlas del desarrollo humano, instituto trata Brasil, IPEADATA y Comex stat, referentes al crecimiento demográfico, índices, IDH, PIB, homicidios, Registro único, programa "beca familia", acceso al agua, recolección y tratamiento del alcantarillado. Se adoptó la perspectiva Semana de desarrollo y se concluye que los datos inducen a la comprensión que todo el crecimiento económico las libertades instrumentales y las substantivas todavía permanecen relegadas, y que, y una de las posibilidades para superarla se encuentra en una visión más integrada de las tres ciudades en términos geográficos y administrativos.As cidades de Araguaína/TO, Imperatriz/MA e Marabá/PA fazem parte da chamada Amazônia Legal, caracterizam-se como cidades médias e são classificadas como capitais regionais C pelo IBGE. Cada uma delas é referência em suas respectivas regiões geográficas intermediárias e limítrofes entre si. O objetivo do trabalho é demonstrar que as três localidades, apesar de apresentarem crescimento econômico e demográfico forte, padecem de problemas sociais e estruturais que diminuem a qualidade de vida de sua população. Para tanto, utilizou-se de dados secundários das fontes IBGE – Cidades, Atlas do Desenvolvimento Humano, Instituto Trata Brasil, IPEADATA e Comex Stat referentes a crescimento demográfico, exportações, IDH, PIB, homicídios, Cadastro Único, Programa Bolsa Família, acesso à água, à coleta e ao tratamento de esgoto. Como resultado percebemos que há crescimento demográfico, econômico e de exportações, bem como renda per capita acima da média nacional, qualificando as cidades médias estudadas como efeitos promissores das políticas de desenvolvimento para a Amazônia; contudo os dados de saneamento básico, homicídios e população no cadastro único demonstram que os aspectos econômicos não se reverteram em bem-estar-social. Concluiu-se que os dados induzem à compreensão de que mesmo com todo crescimento econômico, as liberdades instrumentais e substantivas ainda permanecem relegadas e que uma das possibilidades de superação está num olhar mais integrado das três cidades em termos geográficos e administrativos

Gestão Social e os processos de tomada de decisão entre os Krahô

O trabalho é parte integrante do Projeto de Educação Escolar Indígena Krahô Bilingue e Intercultural financiado pelo Observatório da Educação OBEDUC/CAPES que tem como proposta a realização de pesquisas e intervenções na aldeia Manoel Alves, distante 295 Km da capital Palmas, no estado do Tocantins, a fim de subsidiar a construção de material pedagógico e políticas públicas adequadas a localidade. Especificamente, nosso trabalho visa verificar os mecanismos particulares de organização social e os processos de tomada de decisão desse grupo específico e verificar as similaridades dessa forma de gestão com a Gestão Social. Para tanto fizemos duas visitas a aldeia com a permanência de um total de 10 dias, realizando atividades do projeto geral e observações do cotidiano que permitissem visualizar seus modos de gerenciamento e estruturação social da aldeia, foram realizadas também entrevistas semi-estruturadas com lideranças indígenas políticas, religiosas e indivíduos sem qualquer papel de destaque social. Tivemos como resultado que a estruturação social dos Krahô segue um modelo transmitido por gerações que vislumbra uma organização estruturada de maneira a privilegiar processos democráticos de escolha dos caciques, alternância de poder entre os grupos, participação democrática nas reuniões diárias realizadas no pátio, porém com especificidades de sua cultura. Notamos que os elementos elencados como descritores da Gestão Social, entre eles, interesse bem compreendido, solidariedade, transparência, esfera pública, são percebidos na gestão dos indígenas, permitindo apontarmos algumas relações entre as formas de gestão. Inferimos que tanto as práticas sócio-políticas dos Krahô podem contribuir para nossa formação em Gestão Social, quanto os elementos apontados de formação dessa população podem contribuir aos gestores públicos e a própria comunidade em como pensar intervenções na aldeia, que se firmem a partir da dialogicidade do “pátio” dos Krahô

USO DE ESMOLOL NO INTRAOPERATÓRIO E NO PÓS-OPERATÓRIO DE CIRURGIAS NÃO CARDÍACAS: UMA REVISÃO INTEGRATIVA

Esmolol is a cardioselective antagonist of ultra short-acting ß1 receptor. It is effective in blunting responses to perioperative adrenergic stimuli, including tracheal intubation, intraoperative events caused by decreased anesthetic depth and tracheal extubation. Thus, it was the objective of this study to analyze in the national and international literature the effects of esmolol in the perioperative and postoperative period of noncardiac surgeries. This is an integrative review of literature carried out in the Virtual Health Library. The articles of the Latin American and Caribbean scientific and technical literature database (LILACS) and the Medical Literature Analysis and Retrieval System Online (MEDLINE) were selected. The results revealed that administration of esmolol brought benefits, not mentioning any malice with use, where in infusion this medication is more effective than bolus to control systolic blood pressure during endotracheal intubation and sternotomy, significantly reducing the need for anesthetic-analgesic, pain and incidence of NVP. Surveys also reported that esmolol had an opioid sparing effect in the intraoperative and immediate postoperative period in hypertensive patients undergoing laparoscopy. Esmolol in intravenous infusion reduced analgesic consumption both intraoperatively and postoperatively, reduced the visual analogue scale scores in the immediate postoperative period and extended the time for the first analgesia. Therefore, it was possible to verify that esmolol is a safe medication, with many advantages and with few adverse effects.El esmolol es un antagonista cardioselectivo del receptor ß1 de acción ultracorta. Es eficaz en las respuestas de embotamiento a los estímulos adrenérgicos perioperatorios, incluida la intubación traqueal, los eventos intraoperatorios causados por la disminución de la profundidad anestésica y la extubación traqueal. Así, el objetivo de este estudio fue analizar en la literatura nacional e internacional los efectos del esmolol en el periodo periopertario y postoperatorio de las cirugías no cardíacas. Se trata de una revisión integradora de la literatura realizada en la Biblioteca Virtual en Salud, y se seleccionan los artículos de la base de datos de la literatura científica y técnica de América Latina y el Caribe (LILACS) y del Sistema de Análisis y Recuperación de Literatura Médica en Línea (MEDLINE). Los resultados revelaron que la administración de esmolol trajo beneficios, y no se mencionó ninguna enfermedad con uso, donde en infusión este medicamento es más efectivo que en bolo para controlar la presión arterial sistólica durante la intubación endotraqueal y la esternotomía, reduciendo significativamente la necesidad de anestésico-analgésico, dolor e incidencia de PVN. La investigación también mostró que el esmolol tuvo un efecto ahorrador de opioides en el período intraoperatorio y postoperatorio inmediato en pacientes hipertensos sometidos a laparoscopia. El esmolol en infusión intravenosa redujo el consumo de analgésicos tanto intraoperatorios como postoperatorios, redujo las puntuaciones de la escala analógica visual en el postoperatorio inmediato y prolongó el tiempo para la primera analgesia. O esmolol é um antagonista cardiosseletivo do receptor ß1 de ação ultracurta. É eficaz no embotamento das respostas aos estímulos adrenérgicos perioperatórios, incluindo intubação traqueal, eventos intraoperatórios causados pela diminuição da profundidade anestésica e extubação traqueal. Desta maneira, foi objetivo deste estudo analisar na literatura nacional e internacional os efeitos do esmolol no período periopertaório e pós-operatório de cirurgias não cardíacas. Trata-se de uma revisão integrativa de literatura realizada na Biblioteca Virtual da Saúde, sendo selecionados os artigos da base de dados da literatura científica e técnica da América Latina e Caribe (LILACS) e do Medical Literature Analysis and Retrieval System Online (MEDLINE). Os resultados revelaram que administração de esmolol trouxe benefícios, não sendo mencionado nenhum maléficio com uso, onde em infusão essa medicação é mais eficaz que em bolus para controlar da pressão arterial sistólica durante a intubação endotraqueal e esternotomia, reduzindo significativamente a necessidade de anestésico-analgésico, dor e incidência de NVP. As pesquisas também meniconaram que o esmolol teve um efeito poupador de opióides no período intraoperatório e pós-operatório imediato em pacientes hipertensos submetidos à laparoscopia. Esmolol em infusão intravenosa reduziu o consumo de analgésicos tanto no intraoperatório quanto no pós-operatório, reduziu os escores da escala analógica visual no pós-operatório imediato e prolongou o tempo para a primeira analgesia. Portanto, foi possível constatar que o esmolol é uma medicação segura, com muitas vantagens e com poucos efeitos adversos. &nbsp

Unilateral Renal Agenesis in Chilean-Flamingo (Phoenicopterus chilensis)

Background: Phoenicopterus chilensis is a South American wild bird classified a species near threatened in the National List of Endangered Species of the International Union for Conservation of Nature. With the increase of the contact between human population and wild animals, this species’ habitat is becoming increasingly vulnerable, with a declining population. Due to the importance of its conservation, the knowledge of abnormalities that affect this species becomes essential. This report aims to describe the first diagnosed case of unilateral renal agenesis in chilean-flamingo.Case: A captive male chilean-flamingo (Phoenicopterus chilensis) was found dead in its enclosure and then was referred at necropsy. The cause of death was the presence of tracheal fungal granuloma, caused by Aspergillus sp. Macroscopically, during the examination of the cellomatic cavity, the absence of the right kidney was noted, also evidencing the absence of the caudal renal vein. Emerging from the caudal division of the kidney was noted a blind-end renal vessel (Figure 1). For the histopathological examination, the remaining kidney was fixed in 10% formalin, processed by paraffin embedding technique and stained with Hematoxylin and Eosin (HE). When analyzing the left kidney parenchyma, preserved histological architecture was noted, without any changes in the tissue structures of the organ. Thus, no hypertrophy by compensatory mechanisms of the remaining kidney was observed (Figure 2).Discussion: Unilateral renal agenesis is a very rare congenital defect in dogs, cats and also in birds. It occurs in the complete absence of one of the kidneys, a situation with which the animal can live satisfactorily if there is a normal kidney to assume the functions. In association, ipsilateral ureteral agenesis and compensatory hypertrophy of the remaining kidney may occur. At the time of necropsy, due to the remaining kidney has normal size and within topographic limits, dorsally in contact with the pelvis and sinsacrum, the absence of compensatory hypertrophy was suspected, which was confirmed by histopathological examination. Clinical signs of unilateral renal agenesis, when present, are related to renal failure. The signs develop when the remaining kidney fails to fully absorb the other's functions and fails to maintain the organism's homeostasis. In the case of this report, the specimen showed no clinical signs related to renal agenesis, probably because was no functional compensation for the single kidney. This condition was only noticed after flamingo necropsy, who death because tracheal fungal granuloma, caused by Aspergillus sp. Other reported ways of diagnosing this malformation in animals while alive were imaging and abdominal cavity surgery. The etiopathogenesis of unilateral renal agenesis in animals is uncertain, however, the hereditary cause is commonly described in rats and small animals. It cannot be concluded that the same happened with the animal of this study due to the fact of lack of data regarding the parents and history of animal. It is concluded that in unilateral renal agenesis, the compensatory hypertrophy of the remaining kidney and any clinical symptoms may not be present. Necroscopic and complementary exams are essential to obtain the diagnosis of unilateral renal agenesis. Knowing that the chilean-flamingo is considered as a species near threatened of extinction, it is important to know the abnormalities that affect this species, because this information may be essential for conservation programs

Aptidão cardiorrespiratória em adolescentes de escolas públicas e particulares

Objective: To verify the association between sex with cardiorespiratory fitness (CF) of adolescents from public and private schools.Material and methods: study with adolescents from Curitiba (n = 349) and São José dos Pinhais (n = 418), Paraná, Brazil. Teenagers reported their sex and age. Body mass index and socioeconomic status were also considered. A 20-meter test evaluated the CF. Poisson regression tested the association between sex and CF.Results: public school students were more likely to be in the healthy zone of CF (PR: 1,769; 95% CI: 1,303 - 2,403; p = 0.001). Boys from private and public schools were more likely to be in the healthy zone than girls (PR: 2,926; 95% CI: 1,578 - 5,426; p = 0.001 and PR: 4,085; 95% CI: 2,632 - 6,340; p = 0.001, respectively).Conclusion: public school students were more likely to have low CF levels.Objetivo: verificar a associação do sexo com a aptidão cardiorrespiratória (AC) de adolescentes de escolas públicas e particulares.Materiais e métodos: estudo com adolescentes de Curitiba (n = 349) e São José dos Pinhais (n = 418), Paraná, Brasil. Sexo e idade foram reportados pelos adolescentes. Também foram considerados o estado nutricional e o nível socioeconômico. A AC foi determinada pelo teste de vai-e-vem de 20 metros. As associações foram testadas com a regressão de Poisson.Resultados: alunos de escolas públicas têm mais chances de estarem na zona saudável da AC (RP: 1,769; IC95%: 1,303 – 2,403; p = 0,001). Meninos de escolas particulares e públicas apresentaram mais chances de estarem na zona saudável em relação as meninas (RP: 2,926; IC95%: 1,578 – 5,426; p = 0,001 e RP: 4,085; IC95%: 2,632 – 6,340, p = 0,001, respectivamente).Conclusão: alunos de escolas públicas apresentaram maior probabilidade de estarem em níveis saudáveis de AC

Dermatophytosis Caused by Microsporum canis in a Free-Living Maned Wolf (Chrysocyon brachyurus).

Background: Chrysocyon brachyurus is a South American wild canid considered a species near threatened by the International Union for Conservation of Nature and is classified as vulnerable in the National List of Endangered Species. With the increase of the contact between domestic animals, human population and wild animals, there was a greater exposure of the maned wolf to pathogens. Due to the importance of its conservation, the knowledge of emerging infectious diseases that affect this species becomes essential. This report aims to describe the first diagnosed case of dermatophytosis caused by Microsporum canis in a maned wolf.Case: A free-living female maned wolf (Chrysocyon brachyurus), approximately 60 days old, was rescued with presence of alopecia, non-pruritic lesions, one of circular shape located in the nasal plane and the other with signs of scaling and crusts in the region of the left pina. The animal was active, in good general condition and without other significantchanges to clinical examination. Skin scraping was performed for mycological culture of both lesions. Fungal growth on Sabouraud’s agar identified Microsporum canis. Topical therapy with ketoconazole ointment and cleaning of lesions with 0.2% chlorhexidine was instituted. After 20 days of treatment, remission of clinical signs and repilation of affected areas were observed. New mycological cultures of both areas were carried out, which were negative for Microsporum canis.Discussion: Although Microsporum canis is described as causing dermatophytosis in several animal species, it has apparently not yet been reported in maned wolves. Microsporum canis is one of the most isolated zoophilic dermatophytes in domestic cats and is also cited in reports of symptomatic wild felids, such as tigers, in which it has been identified as either the only agent of infection or in association with Trichophyton mentagrophytes. The occurrence is also high in domestic dogs. In the wild canids, Microsporum gypseum has been described in the gray wolf, Trichophyton mentagrophytes in wild foxes, and Microsporum canis in red fox, among others. The finding of zoophilic and geophilic dermatophyte fungi in healthy, free-living and captive wild animals confirms their role as carriers, probable reservoirs and disseminators of these organisms in the environment, and the potential risk they represent as causes of zoonoses. Zoophilic dermatophytes are usually transmitted by contact between individuals and contaminated fomites. In the case of M. canis in the red fox the contact was an asymptomatic domestic cat. In the present case the transmission was not determined, since the animal was rescued from the wild. Regarding the age group, young animals are more susceptible to dermatophytes than adults, probably related to the greater immunity of adults due to previous contacts or even the immaturity of the immune system of the young. The dermatophytosis diagnosis is generally based on anamnesis, physical examination of the lesion, Wood’s lamp examination, microscopic skin scraping, fungal culture, or even histology and PCR tests. In the present case, the final diagnosis was based upon by fungal culture in Sabouraud agar, which allowed to identify the dermatophyte species and,thus, the possible source of infection. Dermatophyte infections can be treated with systemic or topical antifungal medications. Because it was a young animal, it was chosen in the present case only for topical use, which proved to be adequate, probably due to the action of the drug in the areas of alopecia skin and the improvement of the systemic condition of theanimal. Knowing that the maned wolf is considered as a vulnerable species, it is important to know the diseases that affect this species, in order to carry out, when necessary, disease monitoring programs, preventive and therapies, which is essential for its preservation.Keywords: wild animal, disease, skin, dermatophyte