An Imagined Story: Creation Times with 'The Renoir Girls'

Este artigo expõe aspectos de uma coleção, narrativa e a/r/tográfica, composta com as leituras estéticas e recriações coproduzidas com os sujeitos em contato com a obra Rosa e Azul (As Meninas Cahen d´Anvers), 1881, de Pierre-Auguste Renoir. Exponho aqui um recorte da pesquisa de mestrado, em processo, que propõe expor e refletir sobre como as imagens da arte são, potencialmente, abertas e recriadas temporalmente por meio dos processos de leituras estéticas e a partir das ações educativas em museus de arte.Este artículo expone aspectos de una colección, narrativa y a / r / tográfica, compuesta con lecturas estéticas y recreaciones coproducidas con los sujetos en contacto con la obra Rosa y Azul (Las niñas Cahen d' Anvers), 1881, de Pierre-Auguste Renoir. Presento aquí un extracto de la investigación del master, en proceso, que propone exponer y reflexionar sobre cómo las imágenes del arte son potencialmente abiertas y recreadas con el tiempo a través de los procesos de lectura estética y de acciones educativas en museos de arte.This  article exposes aspects of a collection, narrative and a /r/tography, composed of aesthetic readings and co-produced recreations with subjects in contact with Rosa and Azul work (The Cahen d´Anvers Girls), 1881, by Pierre-Auguste Renoir. I present here a framework of the master's research, in process, which proposes to expose and reflect on how art images are potentially open and recreated temporally through processes of aesthetic readings and with the educational actions in art museums

Magnetic resonance imaging and neuropsychological testing in the spectrum of normal aging

OBJECTIVE: To understand the relationships between brain structures and function (behavior and cognition) in healthy aging. METHOD: The study group was composed of 56 healthy elderly subjects who underwent neuropsychological assessment and quantitative magnetic resonance imaging. Cluster analysis classified the cohort into two groups, one (cluster 1) in which the magnetic resonance imaging metrics were more preserved (mean age: 66.4 years) and another (cluster 2) with less preserved markers of healthy brain tissue (mean age: 75.4 years). RESULTS: The subjects in cluster 2 (older group) had worse indices of interference in the Stroop test compared with the subjects in cluster 1 (younger group). Therefore, a simple test such as the Stroop test could differentiate groups of younger and older subjects based on magnetic resonance imaging metrics. CONCLUSION: These results are in agreement with the inhibitory control hypotheses regarding cognitive aging and may also be important in the interpretation of studies with other clinical groups, such as patients with dementia and mild cognitive impairment

Implementing an Electrocardiography Telediagnostic Service in Pernambuco, Brazil

In Brazil, cardiovascular diseases account for more than 10% of hospital admissions, and are considered a significant contributor to healthcare costs. One of the most frequently ordered diagnostic tests in the investigation of cardiovascular diseases is the 12-lead electrocardiogram (ECG). Cardiologists are not widely available to provide reports in small municipalities in Brazil, and eHealth services can be a feasible alternative to low resource environments. The use of tele-electrocardiography (Tele-ECG) can improve the management of patients and support decision making regarding referral to advanced medical centres. This study describes the implementation of a telediagnostic service for Tele-ECG in the state of Pernambuco, Brazil. The service was provided as a campaign in each community and was conducted by a team composed of a nurse and a technician from the university telehealth unit using a telehealth platform HealthNet, a laptop and a mobile digital electrocardiograph. In 2016, 34 visits were held to municipalities in Pernambuco, with 6,138 ECGs performed on patients from waiting lists, 63.5% of whom had never had an ECG, with 39.6%of the tests showing evidences of abnormal clinical situations and 0.1%) showing artefacts. The field interventions highlighted the contribution of telehealth as a feasible strategy to enhance access to care and reducing time to ECG reports, the need for patient transportation and costs for the Brazilian healthcare system, the Unified Health System. Considering the restricted budgets of the municipalities to acquire digital devices to perform ECGs and the shortage of specialised medical staff, the success of this field intervention increased the interest of public managers for telediagnostic services

Análise dos resultados dos cursos de especialização promovidos pelo PNBU face aos objetivos propostos

Analisa os relatórios dos cinco cursos de especialização para bibliotecários de instituições de ensino superior promovidos pelo Plano Nacional de Bibliotecas Universitárias, confrontando seus objetivos e resultados. Destaca as avaliações feitas pelos alunos e professores participantes dos cursos. Conclui que este tipo de curso constitui uma das melhores formas de educação continuada objetivando melhorar o desempenho dos bibliotecários universitários.Analyses the reports of five specialízation courses sponsored by the National Plan of University Libraries comparing their objectives and results. Points out the comments made by teachers and students and concludes that such a course represents an important effort to improve continuing education in order to achieve the best performance of academic librarians

Análise dos resultados dos cursos de especialização promovidos pelo PNBU face aos objetivos propostos

Analyses the reports of five specialization courses sponsored by the National Plan of University Libraries comparing their objectives and results. Points out the comments made by teachers and students and concludes that such a course represents an important effort to improve continuing education in order to achieve the best performance of academic librarians.Analisa os relatórios dos cinco cursos de especialização para bibliotecários de instituições de ensino superior promovidos pelo Plano Nacional de Bibliotecas Universitárias, confrontando seus objetivos e resultados. Destaca as avaliações feitas pelos alunos e professores participantes dos cursos. Conclui que este tipo de curso constitui uma das melhores formas de educação continuada objetivando melhorar o desempenho dos bibliotecários universitário

AGE-RELATED CEREBRAL VENTRICULAR VOLUME CHANGES IN HEALTHY ELDERLY HUMANS

Normal aging is associated with morphological alte-rations in brain. Ventricular system is located deep inside brain and reflect the overall process of parenchymal atrophy. Once neurode-generative disorders course with more prominent dilatation of brain ventricles, to establish normative volumetric parameters from Brazi-lian healthy old individuals is necessary, and it may be an additional tool on differentiation from the normal to pathological. Objective: To investigate brain ventricular volume changes in Brazilian healthy el-derly people. Methods: Transversal study using magnetic resonance imaging (1.5T) of the brain from 21 elderly healthy volunteers (67À6 years old). Data were assessed with manual segmentation techni-que. Regions of interest were the brain ventricles and intracranial volumes. Old (60-69 years old, 15 women) and Older (69 years old) groups were created for analysis. Results: Volume of all ventricular compartments significantly increased (p.001) with age, with excep-tion of the fourth ventricle. The third and lateral ventricles increased between groups 2.1- and 2.8-fold, respectively. Mean total ventricular volume was 1.2À.4% of intracranial volume in Old and 3.2À1.8% in Ol-der group (p.001), which represents 15À6ml and 40À24ml (p=.001), respectively. We observed a moderate to strong positive correlation between ventricular volume and age, with the best correlation in the third ventricle (r=.710). Total intracranial volume diminished with age, but without statistical significance. Conclusions: Brain ventricles vo-lume increased significantly with age in healthy old individuals, with exception of the fourth ventricle

Investigation of stress, anxiety and depression in women with fibromyalgia: a comparative study

Introduction:Depression has emerged as the most prevalent mental disorder in patients with fibromyalgia. Stress, whose stages are alarm, resistance, near-exhaustion and exhaustion, constitutes a physical reaction to a threatening situation.Objective:To investigate the levels of stress, anxiety and depression in women with fibromyalgia, comparing them with those of healthy women.Patients and methods:Participants were 50 women, 25 with a diagnosis of fibromyalgia according to the criteria of the American College of Rheumatology, and 25 without this diagnosis, matched for age. Instruments used: Lipp Inventory of Stress Symptoms for Adults (LISS), State-Trait Anxiety Inventory (STAI) and Beck Depression Inventory (BDI).Results:The mean age was 49.36 years for the group with fibromyalgia (FM) and 49.20 years for the group without fibromyalgia (non-FM). FM showed a higher incidence of stress (96%) compared with non-FM (5%). The resistance phase was predominant in both groups, FM (42%) and non-FM (100%). In FM there was distribution of the four stages (alarm, resistance, near-exhaustion and exhaustion). The differences between phases in the analyzed groups were significant (p < 0.001). FM showed predominance of psychological symptoms (54%); non-FM did show the same frequency of psychological and physical/psychological (40%) symptoms. Symptoms of state and trait anxiety and of depression in FM were significantly higher, when compared with non-FM (p < 0.01).Conclusion:Stress index (96%), trait anxiety (over 50) and clinically relevant depression (greater than 20) in FM were relevant. The understanding of the emotional variables involved in fibromyalgia is important to define the therapeutic strategy.Introdução:A depressão tem se apresentado como o transtorno mental mais prevalente em pacientes com fibromialgia. O estresse, cujas fases são alarme, resistência, quase-exaustão e exaustão, constitui importante reação do organismo frente a uma situação ameaçadora.Objetivo:Investigar os índices de estresse, ansiedade e depressão em mulheres com fibromialgia, comparando-os com os de mulheres saudáveis.Pacientes e métodos:Participaram 50 mulheres, 25 com o diagnóstico de fibromialgia, segundo os critérios do American College of Rheumatology, e 25 sem o diagnóstico, pareadas por idade. Instrumentos utilizados: Inventário de Sintomas de Stress para Adultos de Lipp (ISSL), Inventário de Ansiedade Traço-Estado (IDATE) e Inventário de Depressão Beck (BDI).Resultados:Idade média de 49,36 anos para o grupo com fibromialgia (FM) e 49,20 anos para o grupo sem fibromialgia (não FM). O FM apresentou maior incidência de estresse (96%) quando comparado com o não FM (5%). A fase de resistência foi predominante nos dois grupos, FM (42%) e não FM (100%). No FM verificou-se distribuição nas quatro fases (alerta, resistência, quase-exaustão e exaustão). As diferenças entre as fases nos grupos analisados foram significativas (p<0,001). O FM apresentou predominância de sintomas psicológicos (54%), o não FM apresentou a mesma frequência de sintomas psicológico e físico/psicológico (40%). Os sintomas de ansiedade estado e traço e depressão do FM foram significativamente superiores, quando comparados com o não FM (p<0,01).Conclusão:Constatou-se índice de estresse (96%), traço de ansiedade (superior a 50) e depressão clinicamente (superior a 20) relevantes no FM. O entendimento das variáveis emocionais envolvidas na fibromialgia é importante na definição da terapêutica.Universidade Federal de São Paulo (UNIFESP)Universidade Federal de São Paulo (UNIFESP) Departamento de Ciências do Movimento HumanoUniversidade Federal de São Paulo (UNIFESP) Departamento de BiociênciasUniversidade Metropolitana de SantosUniversidade Federal de São Paulo (UNIFESP) Departamento de Saúde, Educação e SociedadeUNIFESP, Depto. de Ciências do Movimento HumanoUNIFESP, Depto. de BiociênciasUNIFESP, Depto. de Saúde, Educação e SociedadeSciEL

Bloodstream infection by candida in patients with hematologic neoplasia: polyphasic taxonomy and antifungal susceptibility / Infecção sanguínea por candida em pacientes com neoplasia hematológica: taxonomia polifásica e suscetibilidade antifúngica

Bloodstream infection (BSI) by species of Candida has been identified as an important cause of death in patients with neutropenia who undergo chemotherapy for the treatment of hematologic malignancies This study aimed to verify the occurrence of bloodstream infections by Candida species in patients admitted to the haematology-oncology service of a public hospital specialized in the treatment of cancer in Northeast Brazil.  A total of 105 clinical samples from 62 patients with haematological malignancies were analyzed at the Laboratory of Medical Mycology at the Federal University of Pernambuco. Only 7 of 105 individuals were in the ICU environment. The mycological diagnosis was performed through automation (BACTEC 9120 / PHOENIX™), proteomic identification (MALDI-TOF MS) and molecular analysis (PCR). The antifungal susceptibility test followed the bloodstream infection recommendations of Clinical &amp; Laboratory Standards Institute. Among the samples studied, nine strains (8,57%) were of the genus Candida, being six C. tropicalis and three C. albicans. The isolates were completely susceptible to the antifungal agents tested. Deaths occurred in 66,6% of the cases. Patients with hematologic malignancies hospitalized in intensive care and the state of septic shock present a higher risk of occurrence of BSI by Candida and death by this opportunistic pathogen

Ocorrências de acidentes de trânsito atendidas pelo serviço de atendimento móvel de urgência em Belo Horizonte

O Servio de Atendimento Mvel de Urgncia de Belo Horizonte (SAMU/BH), implantado em 2003, conta com uma equipe de profissionais para atender as diversas situaes de urgncia/ emergncia, dentre esses atendimentos os acidentes de trnsito. Este estudo foi desenvolvido com o objetivo de descrever as ocorrncias de acidentes de trnsito atendidas pelo SAMU/BH/Minas Gerais, no ano de 2009. Para a coleta de dados foi realizado um estudo epidemiolgico, observacional de delineamento transversal sobre as ocorrncias destes acidentes atendidos pelas unidades de suporte avanado (USA). A pesquisa foi feita mediante a avaliao de 1295 fichas de atendimento pr-hospitalar (FAPH), nas quais houve relato de acidente de trnsito em 2009. O principal veculo envolvido foi motocicleta (319-24,7%) em seguida, os automveis (306-23,7%). A maioria dos atendimentos ocorreu no perodo noturno, a maior frequncia nos fins de semana: sbado (223) e domingo (214), com uma mdia de 70 atendimentos/ms. O maior percentual (902-69,7%) foi do sexo masculino, idade variando de 0 a 94 anos com destaque para a faixa etria mdia adulto jovem (20 a 39 anos). O tempo mdio da chegada ao local foi de 10 minutos. Das 1295 ocorrncias, 150 (11,6%) vtimas foram a bito, sendo esta chegada da ambulncia, durante o atendimento no local do acidente, durante o deslocamento ou durante a admisso no hospital. Pde-se perceber que um nmero elevado de vtimas (1030- 79,6%) manteve sobrevida. Os resultados comprovaram a eficincia de toda a equipe do SAMU e mostrou a importncia do seu papel exercido na sociedade

Comparison of the area of the pharynx during wakefulness and induced sleep in patients with Obstructive Sleep Apnea (OSA)

The study of obstructive sleep apnea (OSA) has received growing attention over the past years since various aspects have not been sufficiently established. Aim: To evaluate, with the use of magnetic resonance imaging (MRI), changes in the area of the pharynx during wakefulness and induced sleep in patients with OSA. Materials and Methods: A prospective study of thirty-two patients with a polysomnographic diagnosis of OSA. All patients were submitted to MR imaging in order to obtain high-definition anatomical sagittal sequences during wakefulness and during sleep induced with Propofol. An area was defined on the sagittal plane in the midline of the pharynx. This region was called pharyngeal midplane (PMP) area. Results: A significant difference in PMP area (mm(2)) was observed between wakefulness and induced sleep in each patient (p &lt; 0.000001). Conclusion: The patients with OSA suffer a significant reduction of 75,5 % in the area of the pharynx during induced sleep compared to wakefulness