Revie ⊕: the influence of a life review intervention including a positive, patient-centered approach towards enhancing the personal dignity of patients with advanced cancer-a study protocol for a feasibility study using a mixed method investigation.

It is generally recognized that existential concerns must be addressed to promote the dignity of patients with advanced cancer. A number of interventions have been developed in this regard, such as dignity therapy and other life review interventions (LRI). However, so far, none have focused on a positive approach or evaluated its effects on dignity and personal growth. This study aims to explore the feasibility of Revie ⊕, a life review intervention comprising a positive, patient-centered approach, and to determine potential changes of patients' sense of dignity, posttraumatic growth, and satisfaction with life. A mixed method study will be performed, which includes specialized nurses and 40 patients with advanced cancer in an ambulatory and in-patient setting of a Swiss university hospital. Quantitative methods involve a single group, pre- and post-intervention, and outcome measurements include the Patient Dignity Inventory, the Posttraumatic Growth Inventory, and the Satisfaction with Life Scale. Feasibility data relating to process, resource, and scientific elements of the trial will also be collected. A semi-directed interview will be used to collect qualitative data about the process and the participants' experiences of the intervention. In this way, enhanced quantitative-qualitative evidence can be drawn from outcome measures as well as individual, contextualized personal views, to help inform researchers about the plausibility of this complex intervention before testing its effectiveness in a subsequent full trial. Patient dignity is a goal of quality end-of-life care. To our knowledge, this is the first trial to evaluate the role of a life review intervention that is focused on personal growth and on changes relating to the experience of having cancer. This study will evaluate the feasibility of a novel intervention, Revie ⊕, which we hope will contribute to promote the dignity, personal growth, and overall life satisfaction of patients with advanced cancer. ISRCTN, ISRCTN12497093

Análise Do Desempenho Ambiental Das Usinas Sucroenergéticas Localizadas Na Bacia Hidrográfica Do Rio Mogi Guaçu

This article aims to analyze the environmental performance of the plants belonging to sugar energy plants of the River Mogi Guaçu Basin. With the identification of waste and byproducts generated at each stage of sugar and ethanol production process, were identified the potential impacts and carried out a quantitative estimation of the relative environmental impact of each waste/byproduct considering the dumping of these pollutants in water, soil and atmosphere. From this, it was evaluated through field research, the plants of the basin based on the destination given to twentyseven different waste/ byproducts. It was concluded that industrial sugar energy production presents greater environmental impact on waters (67.4%), followed by sand (22.6%) and air (10.7%). Based on scientific knowledge attested to date on the environmental impacts of each dump, also was concluded that the allocations of waste/byproducts of plants are on average 95% adequate. © 2016, Engenharia Sanitaria e Ambiental. All rights reserved.21357959

Impact of an Operating Room Nurse Preoperative Dialogue on Anxiety, Satisfaction and Early Postoperative Outcomes in Patients Undergoing Major Visceral Surgery-A Single Center, Open-Label, Randomized Controlled Trial.

Anxiety is common before surgery and known to negatively impact recovery from surgery. The aim of this study was to evaluate the impact of a preoperative nurse dialogue on a patient's anxiety, satisfaction and early postoperative outcomes. This 1:1 randomized controlled trial compared patients undergoing major visceral surgery after a semistructured preoperative nurse dialogue (interventional group: IG) to a control group (CG) without nursing intervention prior to surgery. Anxiety was measured with the autoevaluation scale State-Trait Anxiety Inventory (STAI, Y-form) pre and postoperatively. The European Organization for Research and Treatment of Cancer (EORTC) In-Patsat32 questionnaire was used to assess patient satisfaction at discharge. Further outcomes included postoperative pain (visual analogue scale: VAS 0-10), postoperative nausea and vomiting (PONV), opiate consumption and length of stay (LOS). Over a period of 6 months, 35 participants were randomized to either group with no drop-out or loss to follow-up (total n = 70). The median score of preoperative anxiety was 40 (IQR 33-55) in the IG vs. 61 (IQR 52-68) in the CG (p < 0.001). Postoperative anxiety levels were comparable 34 (IQR 25-46) vs. 32 (IQR 25-44) for IG and CG, respectively (p = 0.579). The IG did not present higher overall satisfaction (90 ± 15 vs. 82.9 ± 16, p = 0.057), and pain at Day 2 was similar (1.3 ± 1.7 vs. 2 ± 1.9, p = 0.077), while opiate consumption, PONV levels and LOS were comparable. A preoperative dialogue with a patient-centered approach helped to reduce preoperative anxiety in patients undergoing major visceral surgery

Automatic Counting of Aedes aegypti Eggs in Images of Ovitraps

Non

Abordagem metodológica das diversas dimensões da sustentabilidade em projetos de uma rede interamericana

Since its creation in 2004 this South American network of researchers (Strategic Monitoring of South American Regional Transformations - SMART) has been trying to face the challenges brought about the expectations ofimprovement on farmers' performance, the concerns on natural resources preservation and the legitim desires of social justice and equity In this sense, the network has chosen the analysis of the movements and their links (the territorial dynamics, regional transformations, mobility). This paper analyzes the approaches and tools used in the network's researches to deal with different dimensions of sustainability: the transdisciplinary approach, participative methods associated to modelling (simulation, multi agent models) and the political analysis based on the construction of scenarios. (Résumé d'auteur

Reference frames and rigid motions in relativity: Applications

The concept of rigid reference frame and of constricted spatial metric, given in the previous work [\emph{Class. Quantum Grav.} {\bf 21}, 3067,(2004)] are here applied to some specific space-times: In particular, the rigid rotating disc with constant angular velocity in Minkowski space-time is analyzed, a new approach to the Ehrenfest paradox is given as well as a new explanation of the Sagnac effect. Finally the anisotropy of the speed of light and its measurable consequences in a reference frame co-moving with the Earth are discussed.Comment: 13 pages, 1 figur

LOCALIZAÇÃO DE LARVAS L3 DE HELMINTOS GASTROINTESTINAIS DE OVINOS NAS PLANTAS FORRAGEIRAS: EFEITO DA ALTURA E DA ESPÉCIE VEGETAL

Dois experimentos foram desenvolvidos com o objetivo de avaliar o efeito da altura de espécies forrageiras perenes de verão e anuais de inverno na sobrevivência de larvas de vida livre de parasitos de ovinos. As áreas experimentais foram estabelecidas na Fazenda Experimental do Canguiri da Universidade Federal do Paraná e os experimentos realizados nos períodos de 24 de janeiro a 23 de fevereiro de 2001, para as gramíneas Tifton 85 (Cynodon sp.) e Paspalum (Paspalum paniculatum) e de 18 de agosto a 19 de setembro de 2001, para as gramíneas Aveia preta (Avena strigosa) e Azevém (Lolium multiflorum). O delineamento utilizado para os experimentos foi blocos ao acaso com oito tratamentos e quatro repetições. As gramíneas foram estabelecidas em parcelas de 3 x 3 m2 e manejadas para obtenção de quatro alturas as quais constituíram os tratamentos. Nos dois experimentos, as parcelas foram contaminadas com fezes frescas de ovinos resultando numa concentração de 2 x 106 ovos de helmintos por metro quadrado. Amostras de cada parcela foram coletadas 15 e 30 dias após a contaminação e enviadas ao Laboratório de Parasitologia Veterinária da UFPR para a quantificação de larvas em gramas de matéria seca (g. M.S.-1). No primeiro experimento para as gramíneas Tifton 85 e Paspalum foram recolhidas, nas duas coletas, 1,07 e 0,68 larvas.g MS-1(P>0,05), respectivamente, e no segundo experimento, para as gramíneas Aveia e Azevém, foram recolhidas, nas duas coletas, 49,39 e 76,11 larvas.g MS-1(P>0,05), respectivamente. Entre as alturas nos dois experimentos não foram observadas diferenças (P>0,05) no número médio de larvas recolhidas. As larvas localizaram-se no estrato inferior das plantas estendidas independente da espécie de gramínea tanto no verão quanto no inverno. Location of L3 larvae of gastrointestinal helminths of sheep in forage plants: effect of height and vegetal species Abstract Two experiments were developed at Experimental Station of Canguiri of Universidade Federal do Paraná, located in Pinhais, Paraná State, Brazil. The objective was to observe the surviving of exogenous larval phases of nematodes of sheep in different pasture plants, correlating them with the growth of plants and behavior over the year. The treatments were defined in casual blocks containing four different heights of plants and different dry matter offers. The parcels corresponded to 3m x 3m, contaminated artificially with 2 x 106 helminths eggs/m2. Were released two evaluations: in summer, from January to April 2001 with Cynodon (Tifton 85) and Paspalum paniculatum, both perennial summer pasture plants. In winter, from August to September 2001 with Lolium multiflorum and Avena strigosa, both annual winter plants. The evaluations were made every fifteen days for each treatment. Samples of pasture were collected and separated into superior and inferior fractions and sent for analysis to the Veterinary Parasitology Laboratory from UFPR for measurement of infective larvae per gram of dry matter (g. DM-1). In the first experiment, with Tifton and Paspalum were recovered, in two collections, 1,07 and 0,68 larvae. g DM.-1(P>0,05), respectively. In the second experiment, for Oat and Ryegrass were recovered, in two collections 49,39 and 76,11 larvae.g DM-1(P>0,05) respectively. Between the different heights studied was not observed any difference in the average of number of larvae recovered. The inferior part of the forage presented a higher amount of infective larvae, independently of forage species, plants height, in summer and winter

A novel scytalidium species : understand the cellulolytic system for biomass saccharification

In order to overcome the bottlenecks related to lignocellulosic-derived sugars, the search for more efficient enzymatic cocktails, containing a broad-spectrum of specific activities, relies on an important feature. This paper describes new enzyme activities derived from the novel strain of the Scytalidium genus isolated from the Amazonas rainforest. The production of the enzymatic cocktail was induced by delignifiedhydrothermal bagasse (DHB), and yeast extract was used to improve secretion activities, resulting in a positive influence on total cellulase activity. The enzymatic cocktail produced by this novel strain contains specific activities for biomass degradation, including FPAse, xylanase and β-glucosidase. Moreover, it is capable of hydrolyzing 62% of the alkaline pretreated bagasse, surpassing in 14% the hydrolytic capability achieved by the commercial cocktail Celluclast. To this extent, the strain described here emerges as a reliable alternative to other available enzymes and, consequently, amplification of available specific substrate activities3618597FUNDAÇÃO DE AMPARO À PESQUISA DO ESTADO DE SÃO PAULO - FAPESP2010/51309-