Beachface and berm morphodynamics on a steep beach: Melides beach, Southwest Portugal.

The Melides beach, a sector of the Tróia-Sines Embayed Coast with 2.5km long, corresponds to a steep beach exposed to high-wave energy, with rapid erosion and accretion cycles related to winter storm incidence. The alongshore and cross-shore beach volume and width variability of the Melides beach were studied in detail using a survey methodology based on DGPS (Global Positioning System in Differential mode) and a Geographical Information System application. This survey methodology is based on a network of longitudinal and transversal DGPS profiles established on all subaerial beach. The three-dimension approach provided by DGPS methodology allowed a more robust description of the mean subaerial beach profile variations than bi-dimension studies provided by classical geodetic studies. The high match between alongshore patterns of the profile volumes variability before and after storm incidence in the Melides beach, suggests that the main factor that controls beach morphodynamics is the cross-shore sediment transport The seasonal cycle of erosion and accretion of the Melides beach seems to be triggered by variations in the wave incident energy (storm events). The incidence of a storm on January of 2008 led to significant shoreline shift with beachface retreat (24m) as well as, significant erosion of the frontal berm that experienced a decrease of width and volume. After the storm incidence the recovery of the pre-storm original conditions occurred during a period of fair-weather conditions through two stages: a first stage with increment of the frontal berm height (overtopping process) and recover of part of the beach width (by horizontal progradation of the berm) and a second stage, in which the frontal berm height continued to increase up to 5m, as well as the second berm that reached 6.5m

Interannual sub-aerial beach variability along a sector of the Tróia- Sines embayed coast

The comprehension of sub-aerial beach variability of sandy beaches is essential to describe and predict his behaviour after extreme events (e.g. storms). Around the world coastline beach monitoring plans are established in order to characterize the main morphodynamic changes at different spatial and temporal scales. Within this scope, four field surveys (19th to 28th May 2009; 30th October to 10th November 2009, 21th to 30th May 2010 and 14l to 21 April 2011), using a new coastal survey system named INSHORE system(Differential Global Positioning System) [1], were conducted along the Tróia-Sines embayed beach (INSHORE project -PTDC/AMB/73169/2006). The interannual variability of the sub-aerial beach topography along the Tróia-Sines embayed coast for the first three field surveys were analysed considering the DEM (Digital Elevation Model) analysis regarding the: alongshore coastline configuration; subaerial beach width; beach profile configuration and volumetric changes. The results points to the definition of eight main coastline sectors very similar to the results previously described by [2]. Although a general north-south increasing beach width trend can be observed, [3] one of these main sectors, Sector 6, presents a significant variation of the beach width and beach profile configuration. This sector was selected to describe the morphodynamic pattern responsible for the sediment accommodation (beach width, and profile configuration) during the studied period. The subtraction between the three DEMs points to the importance of the beach width variation that describes the landward or seaward subaerial beach displacement. Although this might affect the beach width, this variable should not be taken as the unique one to describe the shoreline change. In fact, this parameter does not describe the beach variability regarding the profile configuration (e.g. berm width and sediment accommodation). According to our results the volumetric changes are strictly related to the beach width variation but the profile configuration has a particular role in the final budget analysis. The proxies that were used (+2m, +3.4m and +4,3m MSL elevation contours) and the relation between the beach width and subaerial beach volume, has given high correlation values. These results proved that not only the MHW (mean high water) used by others authors [4] can be defined as a proxy to describe the shoreline evolution, but also other morphodynamic meaningful contour elevations can give reliable results

ATUAÇÃO DO PODER PÚBLICO NO MUNICÍPIO DE SÃO JOSÉ DE RIBAMAR/MARANHÃO: UMA ANÁLISE DAS ATIVIDADES DE ESPORTE E LAZER

O presente texto é resultado de um estudo sobre a política pública de esporte e lazer que a atual gestão de São José de Ribamar-MA vem adotando para este Município.Este trabalho é resultado parcial de uma pesquisa desenvolvida pela REDE CEDES/ UFMA sobre o esporte e o lazer no município de São José de Ribamar-MA. Através da investigação feita, comprovou-se que a mera realização de atividades esportivas não assegura a existência de uma política pública estruturada e consolidada.Rede CEDE

ATUAÇÃO DO PODER PÚBLICO NO MUNICÍPIO DE SÃO JOSÉ DE RIBAMAR/MARANHÃO: UMA ANÁLISE DAS ATIVIDADES DE ESPORTE E LAZER

Silvana Martins de Araujo et al . Atuação do poder público no Município de São José de Ribamar/Maranhão: uma análise das atividades de esporte e lazer. In: Lerson Fernando dos Santos Maia, Marcus Vinícius de Faria Oliveira e Maria Isabel Brandão de Souza Mendes. (Orgs) Poder público, terceiro setor e controle social: interfaces na construção de políticas de esporte e lazer. Natal, Rio Grande do Norte, 2007.Este trabalho é resultado parcial de uma pesquisa desenvolvida pela REDE CEDES/ UFMA sobre o esporte e o lazer no município de São José de Ribamar-MA. Através da investigação feita, comprovou-se que a mera realização de atividades esportivas não assegura a existência de uma política pública estruturada e consolidada.Rede CEDE

Validação de indicadores de qualidade do cuidado cirúrgico no Sistema Único de Saúde

OBJETIVO: Validar um conjunto de indicadores para monitoramento da qualidade dos procedimentos cirúrgicos no Sistema Único de Saúde (SUS). MÉTODOS: Estudo de validação desenvolvido em 5 etapas: 1) revisão de literatura; 2) priorização de indicadores; 3) validação de conteúdo dos indicadores por método de consenso RAND/UCLA; 4) estudo piloto para análise da confiabilidade; e 5) desenvolvimento de instrutivo para tabulação dos indicadores de resultado para monitoramento via sistemas de informações oficiais. RESULTADOS: A partir da revisão de literatura, foram identificados 217 indicadores de qualidade cirúrgica. Os indicadores excluídos foram: indicadores baseados em evidências científicas inferiores a 1A, similares, específicos, que correspondiam a eventos sentinelas; e aqueles que não se aplicavam ao contexto do SUS. Foram submetidos ao consenso de especialistas 26 indicadores com alto nível de evidência científica. Foram validados 22 indicadores, dos quais 14 indicadores de processo e 8 indicadores de resultado com índice de validação de conteúdo ≥80%. Dos indicadores de processo validados, 6 foram considerados confiáveis substancialmente (Coeficiente de Kappa entre 0,6 e 0,8; p < 0,05) e 2 tiveram confiabilidade quase perfeita (coeficiente de Kappa > 0,8, p < 0,05), quando analisada a concordância interavaliador. Foi possível mensurar e estabelecer mecanismo de tabulação para TabWin para 7 indicadores de resultado. CONCLUSÃO: O estudo contribui com o desenvolvimento de um conjunto de indicadores cirúrgicos potencialmente eficazes para o monitoramento da qualidade do cuidado e segurança do paciente nos serviços hospitalares do SUS.OBJECTIVE: To validate a set of indicators for monitoring the quality of surgical procedures in the Unified Health System (SUS). METHODS: Validation study developed in 5 stages: 1) literature review; 2) prioritization of indicators; 3) content validation of indicators by RAND/UCLA consensus method; 4) pilot study for reliability analysis; and 5) development of instruction for tabulation of outcome indicators for monitoring via official information systems. RESULTS: From the literature review, 217 indicators of surgical quality were identified. The excluded indicators were: those based on scientific evidence lower than 1A, similar, specific, which corresponded to sentinel events; and those that did not apply to the SUS context. Twenty-six indicators with a high level of scientific evidence were submitted to expert consensus. Twenty-two indicators were validated, of which 14 process indicators and 8 outcome indicators with content validation index ≥80%. Of the validated process indicators, 6 were considered substantially reliable (Kappa coefficient between 0.6 and 0.8; p < 0.05) and 2 had almost perfect reliability (Kappa coefficient > 0.8, p < 0.05), when the inter-rater agreement was analyzed. One could measure and establish tabulation mechanism for TabWin for 7 outcome indicators. CONCLUSION: The study contributes to the development of a set of potentially effective surgical indicators for monitoring the quality of care and patient safety in SUS hospital services

A bibliometric analysis of research productivity on parasitic infections in children during the 15-year period / Uma análise bibliométrica da produtividade da investigação sobre infecções parasitárias em crianças durante o período de 15 anos

Parasitic infections in children (PIC) represent an important public health issue regarding that children are more vulnerable to these infections and its consequences. Many countries have neglected PIC in their health agendas and budgets, which has hindered scientific production about it. In this sense, bibliometric analyzes have been useful to identify the panorama of scientific production for many diseases and thus assist in decision-making. Thus, this review aims to analyze the brazilian and worldwide scientific production of PIC between 2006 and 2020. The terms “Parasitic diseases” and “Children” were used for search in Scopus database. The variables were organized and simple linear regression was applied using Graphpad Prism 7. Values of p<0.05 were considered statistically significant. was USA (18.5%), UK (8.9%) and Brazil (7.8%) were the countries that performed more scientific research on IPC. Among Brazil´s federal unities, São Paulo (34.3%), Rio de Janeiro (32%) and Minas Gerais (17.3%) published more scientific papers on PIC. The Brazilian research were mostly performed by public institutions, especially FIOCRUZ, USP and UFMG which published 19%, 16% and 10.6% of total Brazilian scientific production about PIC, respectively. There was a significant increase in scientific production about PIC over the 15 years analyzed, especially about schistosomiasis, giardiasis and trichuriasis. In addition, scientific journals from developed countries such as London School of Hygiene & Tropical Medicine and Plos Neglected Tropical Diseases were the main publishers of papers about PIC. Scientific production on PIC increased between 2006 and 2020 with participation of developed countries (USA and UK) and developing countries (Brazil). This increase in scientific production seems to be driven by the increase in studies on giardiasis, trichuriasis and especially schistosomiasis

USO DE PRODUTOS FLORESTAIS NÃO MADEIREIROS COMO FÁRMACOS EM COMUNIDADES RURAIS NO MUNICÍPIO DE SANTARÉM-PA

The objective of the of the present study is to know the use of non - timber forest products as drugs by community members of the Ituquí Settlement, in the Lírio dos Vales and Poço Branco communities, aiming to contribute to future non - timber community forest management actions. The information was obtained through the application of a socio-economic questionnaire of a semi-structured nature. The results showed a high preference of the community to the use of natural resources produced in an artisan way. Twenty-six species were mentioned in the data collection, being 21 of vegetal origin and 5 species of animal origin. The species Hymenaea courbaril L. represents the greatest relation of importance for the community. The species Carapa guianensis and Copaifera langsdorffii were the most frequently mentioned by the community, representing the species most frequently used. The level of knowledge about plants for medicinal purposes showed that this type of product is part of the daily life of the community. The use of natural products presents itself as a viable solution and alternative to health problems.Keywords: Ethnobotanical; Community policies; Pharmacological potential.O objetivo do presente estudo é conhecer o uso de produtos florestais não madeireiros, como fármacos, por comunitários do Assentamento do Ituquí, nas comunidades Lírio dos Vales e Poço Branco, visando contribuir para futuras ações de manejo florestal comunitário não madeireiro. As informações foram obtidas através da aplicação de questionário socioeconômico de caráter semiestruturado. Os resultados obtidos mostraram grande preferência dos comunitários ao uso de recursos naturais produzidos de forma artesanal. Foram citadas 26 espécies na coleta de dados, sendo 21 de origem vegetal e cinco espécies de origem animal. A espécie Hymenaea courbaril L. representa a maior relação de importância para os comunitários. As espécies Carapa guianensis e Copaifera langsdorffii foram as mais citadas pelos comunitários, representando as espécies de uso mais frequente. O nível de conhecimento sobre plantas para fins medicinais mostrou que esse tipo de produto faz parte do cotidiano dos comunitários. O uso de produtos naturais se apresenta como uma solução e alternativa viável aos problemas de saúde.Palavras-chave: Etnobotânico, comunitários, potencial farmacológico

Spontaneous Bisphosphonate-related Osteonecrosis Associated with a Tooth that Had a Necrotic Pulp: A Case Report

This study reports the endodontic treatment performed in a patient who presented with spontaneous bone exposure in the mandible while using intravenous bisphosphonate medication (ZometaÒ, Novartis Pharmaceuticals Co., Basel, Switzerland). A 63-year-old female patient was referred to a private dental clinic at Fortaleza, Brazil. The patient reported that one year before, she had undergone chemotherapy for the treatment of lung cancer and associated bone metastasis. Among the medications administered was the zolendronic acid, with dosage of 4 mg every 21 days. In the oral exam, the presence of extensive bone exposure was observed in the lingual region near tooth 37. The patient reported severe pain on palpation in the region; in the pulpal sensitivity test with cold stimulus, there was an absence of pain, characteristic of pulp necrosis. Radiographically, no periapical lesion was observed. Thus, endodontic treatment was performed, and instrumentation with Reciproc R25 files in the mesial root canals and R40 in the distal canal was done, alongside with abundant 2.5% sodium hypochlorite irrigation. Interappointment medication with calcium hydroxide was maintained for 15 days. In the second session, there was the spontaneous detachment of the exposed cortical bone fragment. The root canals were filled with gutta-percha and Endosequence BC Sealer cement. After two years, complete tissue repair was observed, and the patient presented with normal periapical tissues and the tooth in masticatory function.   It may be concluded that a possible relationship between pulp and periapical infections and osteonecrosis exists in patients who use bisphosphonates

Smartphone-based photo analysis for the evaluation of anemia, jaundice and COVID-19

Anemia and jaundice are common health conditions that affect millions of children, adults, and the elderly worldwide. Recently, the pandemic caused by severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2), the virus that leads to COVID-19, has generated an extreme worldwide concern and a huge impact on public health, education, and economy, reaching all spheres of society. The development of techniques for non-invasive diagnosis and the use of mobile health (mHealth) is reaching more and more space. The analysis of a simple photograph by smartphone can allow an assessment of a person's health status. Image analysis techniques have advanced a lot in a short time. Analyses that were previously done manually, can now be done automatically by methods involving artificial intelligence. The use of smartphones, combined with machine learning techniques for image analysis (preprocessing, extraction of characteristics, classification, or regression), capable of providing predictions with high sensitivity and specificity, seems to be a trend. We presented in this review some highlights of the evaluation of anemia, jaundice, and COVID-19 by photo analysis, emphasizing the importance of using the smartphone, machine learning algorithms, and applications that are emerging rapidly. Soon, this will certainly be a reality. Also, these innovative methods will encourage the incorporation of mHealth technologies in telemedicine and the expansion of people's access to health services and early diagnosis