EDUCAÇÃO LIBERTÁRIA E TECNOLOGIAS SOCIAIS COMO FERRAMENTAS PARA A TRANSIÇÃO AGROECOLÓGICA

A pandemia do COVID-19, assim como diversas outras doenças e mazelas que afetam a sociedade de modo crescente, denunciam uma série de ações e modos de existir e relacionar-se com o meio e os seres que nele vivem, que não se sustentam. Diante desse cenário, fica evidente a urgência de pensarmos e agirmos de modo a controlar e suprimir tais mazelas. Sendo assim, o presente artigo tem como objetivo sistematizar as atividades pedagógicas e trocas de experiências compartilhadas em duas Interações Culturais e Humanísticas (ICHs) que tiveram como tema central a Transição Agroecológica. Assim, por meio das ICHs, um dos módulos que compõem todas as grades curriculares dos cursos do Setor Litoral da Universidade Federal do Paraná (UFPR Litoral), trabalhou-se com o tema da Transição Agroecológica. Tendo em vista o contexto em que vivemos, todos os encontros se deram de forma metapresencial, na modalidade conhecida como Ensino Remoto Emergencial (ERE). O propósito desses encontros foi reunir discentes, docentes, colaboradores e a comunidade não-acadêmica com comunidades (geralmente representadas por até três pessoas) que vivenciam esse processo de transição e, através dos círculos de cultura, expor e compartilhar suas experiências, de modo que essas sirvam de combustível para a transição social, ambiental, ética e econômica que a Terra e, principalmente os setores menos assistidos e favorecidos da sociedade, clamam.Palavras-chave: Agroecologia; espaços pedagógicos; instrumentos sociais; metodologias participativas

Analysis of familial incidence of non-syndromic cleft lip and palate in a Brazilian population

Background: The purpose of this study is to follow the familial incidence of non-syndromic or isolated cleft lip, with or without cleft palate (NSCL/P), and to analyze the relationships between the type of NSCL/P in the affected individual and his/her parent, looking at children in the first grade. Material and Methods: To investigate the familial incidence of NSCL/P we analyzed the records of 185 patients from 2004-2008, retrospectively. Detailed histories were collected regarding the familial incidence of NSCL/P. For the 185 individuals, the relationship between the type of NSCL/P and the sociodemographic and personal characteristics of the affected person and her/his cleft relatives was obtained. Results: The individuals were 42 carriers of CL, 109 with CLP (joined in one group) and 34 with CP (p<0.001). Of the total of participants, 65 (35.13%) presented a positive history of cleft in their families and 120 (64.86%) presented a negative history (p<0.001). There were differences between the cleft groups according to types of cleft and positive familial history (p<0.001). In both groups, the relatives with higher incidence of NSCL/P were cousins, with the same pattern of distribution between the two groups (p=0.175). Conclusions: Most frequently, fissures result from CL/CLP with no familial history. However, CL/CLP was found in familial cases and cousins were the relative type more likely to be affected

Contact center inteligente: o novo modelo de atendimento ao cliente

This study aims to analyze the problems and causes of dissatisfaction reasons consumers with the services offered by organizations and possible solutions of Information Technology (IT) can generate improvements in processes of Customer Service (CS) and therefore increase customer satisfaction. For this, the paper presents the concept of Customer Relationship Management (CRM), Omnichannel, Call and Contact Centers. For demonstrating the benefits of deploying an intelligent solution in the contact center to conduct a data analysis for diagnosis of consumer customer perspective on customer service and what are the impacts that generates satisfaction to an organization.Este estudo tem como objetivo analisar os problemas existentes e os motivos geradores de insatisfação dos consumidores perante os serviços oferecidos pelas organizações e as possíveis soluções de Tecnologia da Informação (TI) capazes de gerar melhorias nos processos de Serviço de Atendimento ao Cliente (SAC) e, portanto, aumentar a satisfação dos clientes. Para isto, o trabalho apresentará o conceito de Customer Relationship Management (CRM), Omnichannel, Call e Contact Centers. Para a comprovação dos benefícios da implantação de uma solução inteligente no Contact Center, será realizada uma análise de dados para diagnóstico à luz da perspectiva dos consumidores: quanto ao serviço de atendimento e quais são os impactos que a satisfação gera para as empresas

Tomographic study of Jaw bone changes in patients with bisphosphonate-related osteonecrosis

Bisphosphonates (BP) are synthetic pyrophosphate-like substances with antiresorptive properties and specifically affect osteoclastic activity. In 2007, the American Association of Oral and Maxillofacial Surgeons (AAOMS) defined diagnostic criteria for Osteonecrosis of the Jaws Associated with Bisphosponates (BRONJ). BRONJ is mainly diagnosed by clinical features, but the detection of early bone changes by imaging may help prevent and better understand the disease. The objective of this study was to evaluate maxillary changes in CBCT in patients using BP. All included patients were diagnosed with osteonecrosis and received bisphosphonate drugs in the last ten years. All imaging examinations were obtained by I-CAT and 3D Accuitomo. The multiplanar reconstructions were analyzed by an examiner without knowledge of the clinical aspects and location of the lesions. The study sample consisted of 21 patients, the majority of the sample represented patients with cancer (76.2%), the other patients had osteoporosis (23.8%). Only four patients (19.04%) received alendronate, while intravenous bisphosphonates, such as zoledronate and pamidronate, represented the treatment of most of our sample. Most of our patients presented stage 1 and 2 MRONJ (85.7%), whose lesions were mainly observed in the mandible (52.4%). Fifty-seven percent of the patients had at least one bone change. In BRONJ, bone changes vary between exposed and non-exposed areas and one aspect of the study was: persistent extraction cavities in the BRONJ lesion region and high frequency of periodontal ligament space widening in areas that are not involved in BRONJ lesions. This reflects the very important role of dental and periodontal diseases in the pathophysiology of BRONJ. Thus, preventive measures should be prioritized for patients exposed to anti-resorptive drugs

Comparison between the IT-MAIS and MUSS questionnaires with video-recording for evaluation of children who may receive a cochlear implantation

There is a great difficulty in determining earlier on which children would benefit or not from cochlear implants, especially because of their young age, the responses they give are very subtle. AIM: To compare results obtained through video-recording of the interactions of children who may receive a cochlear implant with the results obtained through evaluation protocols. METHOD: Seven children, with an average age of 39.7 months, with profound hearing loss were selected for the study. IT-MAIS and MUSS questionnaires were given to their parents/guardians of these children and the results were compared with the observation of the video-recordings. RESULTS: It was possible to observe that the data is compatible with the auditory stages. However, the MUSS questionnaire data gathered during playful activities is very different . The questionnaire only takes into consideration the use of verbal language and therefore the majority of the evaluated children inevitably score low. CONCLUSION: Observing children play allows us to trace a better profile of linguistic behavior and aspects relative to language, that may presented differences in the questionnaire.Existe uma grande dificuldade para determinar precocemente crianças que se beneficiariam ou não com o implante coclear, até porque devido à pouca idade são muito sutis as respostas apresentadas. OBJETIVO: Comparar os resultados obtidos através da vídeo-gravação de situações de interação de crianças candidatas ao implante coclear com os resultados obtidos através de protocolos de avaliação. MÉTODO: Fizeram parte da amostra 7 crianças com idade média de 39,7 meses, portadores de perda auditiva neurossensorial profunda. Foram aplicados os questionários IT-MAIS e MUSS aos pais e os resultados foram comparados com a observação da vídeo-gravação destas crianças. RESULTADOS: Foi possível observar que os dados são compatíveis no que se refere às etapas auditivas. No entanto, no que se refere ao questionário MUSS, os dados obtidos na observação lúdica são bastante diferentes. O questionário leva em consideração apenas a uso da linguagem oral e, portanto, a maioria das crianças apresentou um escore muito baixo. CONCLUSÃO: A observação lúdica permitiu traçar um perfil mais amplo do comportamento lingüístico e de aspectos relativos à linguagem apresentando diferenças do questionário.919

Delay in diagnosis of oral cancer:a systematic review

Oral cancer represents a worldwide public health problem, being among the most prevalent, associated with high morbidity and mortality rates. This systematic review aimed to review the causes of the delayed diagnosis of oral cancer mainly in the elderly, in developed and developing countries. Search strategy was developed for MEDLINE databases (via PubMed), EMBASE, Web of Science, SCOPUS, and LILACS and for grey literature (Google Scholar, ProQuest and OpenGrey), without language or period restrictions. The risk of bias was assessed using instruments from the Joanna Briggs Institute and the quality of evidence according to the GRADE system. The search resulted in 14,473 records, of which only 13 met the eligibility criteria. The total sample was 1,705 participants, with a predominance of males. All studies included reported causes of delayed diagnosis of oral cancer related to the patient and five also reported causes related to health professionals. The scarce knowledge of the population was pointed out as the main cause of delayed diagnosis of this cancer. Regarding the risk of bias, ten studies were classified as low risk and three, as moderate risk. The quality of the evidence was very low for the outcome related to delayed diagnosis of oral cancer. Wide dissemination of information on oral cancer is needed, especially for the elderly, such as its initial signs and symptoms, in developed and developing countries. Further studies should be conducted to better understand the causes of delayed diagnosis of oral cancer in countries with different socioeconomic statuses

ENSAIO COMPARATIVO DE CULTIVARES DE SOJA EM VOTUPORANGA, SP

A soja foi responsável pela formação de uma complexa estrutura de produção, armazenamento, processamento e de comercialização em todos os países onde é cultivada em larga escala. O trabalho foi desenvolvido em Votuporanga, SP, durante as safras de 2008/09 e 2009/10, e teve por objetivo avaliar a adaptação de diferentes cultivares de soja, as condições edafoclimáticas do Noroeste Paulista. O delineamento experimental utilizado foi blocos casualizados com 18 tratamentos no primeiro ano e 32 no segundo e quatro repetições. As parcelas experimentais foram compostas por quatro linhas de 5 m, com espaçamento de 0,45 m entre linhas. Os tratamentos constaram das seguintes cultivares na safra 2008/09: IAC 23; Embrapa 48; MG/BR 46 (Conquista); BRS 133; BRS 184; BRS 232; BRS Macota; BRS 245 RR; CD 202; CD 216; CD 214 RR; CD 219 RR; CD 225 RR; M-Soy 5942; NK 7059 RR; NK 7074 RR; NK 9074 RR; SYN 9078 e das seguintes cultivares na safra 2009/10: IAC 23; Embrapa 48; MG/BR 46 (Conquista); BRS 133; BRS 184; BRS 232; BRS Macota; BRS Invernada; BRS 245 RR; CD 202; CD 214 RR; CD 219 RR; CD 225 RR; CD 226 RR; M-Soy 5942; M-Soy 6101; M-Soy 7211 RR; M-Soy 7908 RR; NA 7321 RG; NK 3363; NK 7959 RR; NK 412113; SYN 9074 RR; P 98Y11 RR Fundacep 59 RR. Dentre as cultivares avaliadas nos dois anos de estudo, a CD 202 apresentou boa estabilidade de produção

Editorial

Todos os Encontros e dias de campo realizados ao lado dos agricultores, técnicos e empresas parceiras, têm sido uma estratégia muito promissora na busca de soluções mais sustentáveis para atividade agropecuária, principalmente, porque envolve os anseios de todos os atores que compõe o sistema de produçã

Surgical and percutaneous revascularization outcomes based on SYNTAX I, II, and residual scores: A long-term follow-up study

BACKGROUND: The objective of this study was to evaluate the association of SYNTAX scores I, II, and residual with cardiovascular outcomes of patients undergoing coronary artery bypass grafting (CABG) or percutaneous coronary intervention (PCI) and compare both procedures in a long-term follow-up. METHODS: This is a retrospective single-center study from the MASS registry at the Heart Institute of the University of São Paulo, Brazil in which 969 patients with stable coronary artery disease undergoing CABG (559) or PCI (410) were included. We assessed the SYNTAX scores I, II and residual in both interventions. Clinical endpoints were the first occurrence of a composite of overall death, myocardial infarction, stroke, or repeat revascularization (MACCE) and the total occurrence of each component of MACCE. RESULTS: In the CABG sample, SSI had a median of 23 (IQR 17-29.5), median SSII of 25.4 (IQR 19.2-32.8), and median rSS of 2 (IQR 0-6.5); in PCI SSI had a median of 14 (IQR 10-19.1), median SSII of 28.7 (IQR 23-34.2), and median rSS of 4.7 (IQR 0-9). Total of 174 events were documented and CABG patients had a lower rate of MACCE (15.6% vs. 21.2%; adjusted HR 1.98; 95% CI 1.13-3.47; P = 0.016) and repeat revascularization (3.8% vs. 11.5%; adjusted HR 4.35; CI 95% 1.74-10.85; P = 0.002) compared with PCI. No SYNTAX score tertile found a difference in death rate between procedures. In a multivariate analysis, the rSS was an independent predictor for MACCE (HR 1.04; 95% CI 1.01-1.06; P = 0.001). Regarding death, the only independent predictors were ejection fraction and renal function. CONCLUSION: Surgical revascularization resulted in a more complete revascularization and lower rates of major cardiac or cerebrovascular events in a long-term follow-up. Also, grading the incompleteness of revascularization through the residual SYNTAX score identified a higher event rate, suggesting that complete revascularization is associated with a better prognosis