Síndrome da Apneia Obstrutiva do Sono em pacientes atendidos na Saúde Pública

A síndrome da apneia obstrutiva do sono é uma condição crônica, com episódios recorrentes de colapso das vias aéreas superiores no sono, com distúrbios respiratórios e fragmentação do sono. Evidências confirmam a relação entre a síndrome e o desenvolvimento de doenças cardiovasculares, assim como idade, sexo e obesidade, como fatores de risco para o desenvolvimento do distúrbio. Este estudo tem como objetivo avaliar a prevalência da síndrome em pacientes da atenção primária à saúde e sua influência na morbidade dos indivíduos. O estudo utilizou amostra de 94 indivíduos de Minas Gerais. A Escala de Sonolência de Epworth e o Questionário de Berlim foram utilizados para analisar variáveis como peso, pressão arterial sistólica e circunferência do pescoço. Segundo a Escala de Epworth, a prevalência de sonolência diurna foi de 26,6%, enquanto no Questionário de Berlim foi de 60,7%. Não houve diferença significativa entre os resultados positivos do Questionário de Berlim nas variáveis. Usuários de serviços de atenção primária apresentaram alta prevalência para a síndrome. Isso destaca a necessidade de modificar a entrevista, incluindo perguntas sobre sono e ronco na abordagem inicial, bem como a aplicação de questionários. Com base em seus resultados, a doença é abordada, propondo mudanças no estilo de vida que minimizariam seus efeitos.AbstrAct Obstructive sleep apnea syndrome is a chronic condition, with recurrent episodes of upper airway collapse in sleep, with respiratory disorders and sleep fragmentation. Evidence confirms the relationship between the syndrome and the development of cardiovascular diseases, as well as age, gender and obesity, as risk factors for the disorder development. This study aims to evaluate the prevalence of the syndrome in patients from primary health care and its influence on the morbidity of individuals. The study used a sample of 94 individuals from Minas Gerais. The Epworth Sleepiness Scale and the Berlin Questionnaire were used to analyze variables such as weight, systolic blood pressure and neck circumference. According to the Epworth Scale, the prevalence of daytime sleepiness was 26.6%, while in the Berlin Questionnaire was 60.7%. There was no significant difference between the positive results of the Berlin Questionnaire in the variables. Users of primary care services had a high prevalence for the syndrome. This highlights the need to modify the interview, including sleep and snoring questions in the initial approach, as well as the application of questionnaires. Based on its results, the disease is addressed, proposing lifestyle changes that would minimize its effects

Pervasive gaps in Amazonian ecological research

Biodiversity loss is one of the main challenges of our time,1,2 and attempts to address it require a clear un derstanding of how ecological communities respond to environmental change across time and space.3,4 While the increasing availability of global databases on ecological communities has advanced our knowledge of biodiversity sensitivity to environmental changes,5–7 vast areas of the tropics remain understudied.8–11 In the American tropics, Amazonia stands out as the world’s most diverse rainforest and the primary source of Neotropical biodiversity,12 but it remains among the least known forests in America and is often underrepre sented in biodiversity databases.13–15 To worsen this situation, human-induced modifications16,17 may elim inate pieces of the Amazon’s biodiversity puzzle before we can use them to understand how ecological com munities are responding. To increase generalization and applicability of biodiversity knowledge,18,19 it is thus crucial to reduce biases in ecological research, particularly in regions projected to face the most pronounced environmental changes. We integrate ecological community metadata of 7,694 sampling sites for multiple or ganism groups in a machine learning model framework to map the research probability across the Brazilian Amazonia, while identifying the region’s vulnerability to environmental change. 15%–18% of the most ne glected areas in ecological research are expected to experience severe climate or land use changes by 2050. This means that unless we take immediate action, we will not be able to establish their current status, much less monitor how it is changing and what is being lostinfo:eu-repo/semantics/publishedVersio

Pervasive gaps in Amazonian ecological research

Biodiversity loss is one of the main challenges of our time,1,2 and attempts to address it require a clear understanding of how ecological communities respond to environmental change across time and space.3,4 While the increasing availability of global databases on ecological communities has advanced our knowledge of biodiversity sensitivity to environmental changes,5,6,7 vast areas of the tropics remain understudied.8,9,10,11 In the American tropics, Amazonia stands out as the world's most diverse rainforest and the primary source of Neotropical biodiversity,12 but it remains among the least known forests in America and is often underrepresented in biodiversity databases.13,14,15 To worsen this situation, human-induced modifications16,17 may eliminate pieces of the Amazon's biodiversity puzzle before we can use them to understand how ecological communities are responding. To increase generalization and applicability of biodiversity knowledge,18,19 it is thus crucial to reduce biases in ecological research, particularly in regions projected to face the most pronounced environmental changes. We integrate ecological community metadata of 7,694 sampling sites for multiple organism groups in a machine learning model framework to map the research probability across the Brazilian Amazonia, while identifying the region's vulnerability to environmental change. 15%–18% of the most neglected areas in ecological research are expected to experience severe climate or land use changes by 2050. This means that unless we take immediate action, we will not be able to establish their current status, much less monitor how it is changing and what is being lost

O controle jurisdicional do poder discricionário da administração pública

Palestra proferida no Seminário de Direito Administrativo do Triângulo Mineiro - Auditório da OAB, seccional de Uberlândia, 05 e 06 de agosto de 2010.Aborda o controle jurisdicional da discricionariedade da administração pública como meio de evitar abuso no exercício desse poder

Concurso público nas constituições brasileiras: aspectos relevantes

Trabalho originalmente publicado em: PIRES, Maria Coeli Simões; PINTO, Luciana Moraes Raso Sardinha (Coord.). Paulo Neves de Carvalho: suas lições por seus discípulos. Belo Horizonte: Fórum, 2012. p. 251-277

PORTA-ENXERTOS, CITOCININAS, RETARDANTES DE CRESCIMENTO E URACIL NA FERTILIDADE DE GEMAS DE VIDEIRAS APIRÊNICAS

The growth retardants Paclobutrazol (PBZ) and Cycocel (CCC) had been used, in spraying, associates or not with two cytokinins: Benziladenina (BAP) and Thidiazuron (TDZ), and a nitrogenous base, the Uracil, with the purpose of studying its effect in the bud fertility of the 'Superior Seedless', grafted on the 'Harmony' and IAC-766 'Campinas', and of the 'Crimson Seedless' and 'Thompson Seedless', grafted on the 'Harmony', in the conditions of the São Francisco Valley, Brazil. It was observed that the separately use of the products had not promoted significant differences in the studied of the bud fertility, but, the association of the growth retardants with the TDZ it induce the 'Thompson Seedless' to a bigger productivity, and that the expression of the bud fertility of the 'Seedless Superior' benefits on to being grafted on the 'Harmony' rootstock