All this nonsense

Vadim Scherbakov reviews the play “Mozart ‘Don Juan’. General rehearsal”, conceived and staged by Dmitry Krymov at the Piotr Fomenko Workshop, in Moscou. For him, in addition to the deep discussion about the condition of the theatre, the spectator will be able to find in this play several other themes for reflection. The lightness of a bold improvisation and the complex design of the theatrical composition are responsible for the feeling of true artistic freedom that the work proposes.Vadim Scherbakov analisa o espetáculo “Mozart ‘Don Juan’. Ensaio geral” concebido e encenado por Dmitry Krymov no Estúdio Piotr Fomenko, em Moscou. Para ele, além da profunda discussão sobre a natureza do teatro, o espectador poderá encontrar nessa peça vários outros temas para reflexão. A leveza de uma improvisação arrojada e o complexo desenho da composição teatral são responsáveis pela sensação da verdadeira liberdade artística que a obra propõe

Occupational accidents among nursing professionals working in critical units of an emergency service

Objetivo: identificar a prevalência de acidentes ocupacionais entre profissionais de enfermagem atuantes em setores críticos de um pronto-socorro e apreender a vivência profissional dentre os acidentados. Métodos: pesquisa descritiva, transversal, realizada em duas etapas consecutivas, com 75 profissionais. A análise quantitativa foi realizada por estatística descritiva, enquanto os depoimentos foram processados no software IRaMuTeQ, analisados de acordo com a Classificação Hierárquica Descendente. Os achados foram fundamentados no método do Discurso do Sujeito Coletivo. Resultados: a prevalência geral de acidentes foi de 26,7%. Destes, 72,2% envolviam material perfurocortante e, em 84,2% deles, o sangue foi o principal agente biológico envolvido. Registraram-se três classes: "Vivenciando o Acidente Ocupacional"; "Condutas Pós-Exposição" e "Prevenção do Acidente Ocupacional". Conclusão: registrou-se alta taxa de profissionais acidentados, com maior prevalência entre aqueles de nível técnico. A vivência do acidente parece encontrar-se imageticamente ligada a momentos (antes, após e durante), causas, consequências e sentimentos.Objective: identify the prevalence of occupational accidents among nursing professionals working in critical units of an emergency service and understand the professional experience among the injured professionals. Methods: a descriptive cross-sectional study was conducted with 75 professionals, in two consecutive stages. A quantitative analysis was performed by descriptive statistics, and the participants' statements were processed in the IRaMuTeQ software, and analyzed according to the hierarchical descending classification. The findings were based on the collective subject discourse method. Results: the overall prevalence of accidents was 26.7%. Of these, 72.2% involved sharp materials and blood was the main biological agent involved in 84.2% of the accidents. Three classes were defined: "Experiencing an occupational accident"; "Post-exposure conduct" and "Occupational accident prevention". Conclusion: a high rate of injured professionals was observed, with a higher prevalence among those at a technical level. The experience of suffering an accident seems to be closely related to moments (before, after and during), causes, consequences and feelings.Objetivo: identificar la prevalencia de accidentes de trabajo entre los profesionales de enfermería activos en sectores críticos de una emergencia y comprender la experiencia profesional entre los heridos. Métodos: estudio descriptivo transversal, realizado en dos etapas consecutivas, con 75 profesionales. El análisis cuantitativo se realizó mediante estadística descriptiva, mientras que los informes fueron procesados en el software IRaMuTeQ, analizados de acuerdo a la Clasificación Jerárquica Descendente. Los hallazgos se basan en el método del Discurso del Sujeto Colectivo. Resultados: la prevalencia global de accidentes fue de 26,7%. De estos 72,2% fueron causados por objetos punzantes y en 84,2% la sangre era el principal agente biológica implicado. Tres clases fueron encontradas: "Experimentar Accidente de Trabajo"; "Post-Exposición Tuberías" y "Prevención de Accidentes de Trabajo". Conclusión: se grabó alta tasa de accidentes que se encuentran con mayor prevalencia entre las personas de nivel técnico. La experiencia del accidente parece estar vinculada a momentos (antes, durante y después) por imagen, las causas, las consecuencias y los sentimientos

The gut microbiome and metabolome of two riparian communities in the Amazon

During the last decades it has become increasingly clear that the microbes that live on and in humans are critical for health. The communities they form, termed microbiomes, are involved in fundamental processes such as the maturation and constant regulation of the immune system. Additionally, they constitute a strong defense barrier to invading pathogens, and are also intricately linked to nutrition. The parameters that affect the establishment and maintenance of these microbial communities are diverse, and include the genetic background, mode of birth, nutrition, hygiene, and host lifestyle in general. Here, we describe the characterization of the gut microbiome of individuals living in the Amazon, and the comparison of these microbial communities to those found in individuals from an urban, industrialized setting. Our results showed striking differences in microbial communities from these two types of populations. Additionally, we used high-throughput metabolomics to study the chemical ecology of the gut environment and found significant metabolic changes between the two populations. Although we cannot point out a single cause for the microbial and metabolic changes observed between Amazonian and urban individuals, they are likely to include dietary differences as well as diverse patterns of environmental exposure. To our knowledge, this is the first description of gut microbial and metabolic profiles in Amazonian populations, and it provides a starting point for thorough characterizations of the impact of individual environmental conditions on the human microbiome and metabolome

Acidente ocupacional entre profissionais de enfermagem atuantes em setores críticos de um pronto-socorro

Resumo Objetivo: Identificar a prevalência de acidentes ocupacionais entre profissionais de enfermagem atuantes em setores críticos de um pronto-socorro e apreender a vivência profissional dentre os acidentados. Métodos: Pesquisa descritiva, transversal, realizada em duas etapas consecutivas, com 75 profissionais. A análise quantitativa foi realizada por estatística descritiva, enquanto os depoimentos foram processados no software IRaMuTeQ, analisados de acordo com a Classificação Hierárquica Descendente. Os achados foram fundamentados no método do Discurso do Sujeito Coletivo. Resultados: A prevalência geral de acidentes foi de 26,7%. Destes, 72,2% envolviam material perfurocortante e, em 84,2% deles, o sangue foi o principal agente biológico envolvido. Registraram-se três classes: "Vivenciando o Acidente Ocupacional"; "Condutas Pós-Exposição" e "Prevenção do Acidente Ocupacional". Conclusão: Registrou-se alta taxa de profissionais acidentados, com maior prevalência entre aqueles de nível técnico. A vivência do acidente parece encontrar-se imageticamente ligada a momentos (antes, após e durante), causas, consequências e sentimentos

Factors associated with undernourishment among people 20 years old or over with HIV/AIDS, attending public health services in the São Paulo municipality, Brazil

<div><p>The study evaluated the nutritional status of 629 people living with HIV/AIDS attended at 12 specialized services of São Paulo's Municipal Health Department, Brazil. Data were obtained from medical records and through interviews during nutritional consultation. We used the classification criteria established by World Health Organization to assess malnourished individuals, a BMI < 18.5kg/m2. The prevalence of malnutrition in people with AIDS is 3.12 times that observed among people with HIV, and among people with co-infection it is 3.41 times that obtained among people without co-infection. This indicates how these conditions can harm the maintenance of the nutritional status, and shows that they demand a comprehensive understanding of the mechanisms involved in this phenomenon, as well as the development of strategies to improve the health care of individuals at nutritional risk.</p></div

Delayed childhood neurodevelopment and neurosensory alterations in the second year of life in a prospective cohort of ZIKV-exposed children

We report neurodevelopmental outcomes in 216 infants followed since the time of PCR-confirmed maternal Zika virus (ZIKV) infection in pregnancy during the Rio de Janeiro epidemic of 2015-2016 (refs. 1,2). Neurodevelopment was assessed by Bayley Scales of Infant and Toddler Development, third edition (Bayley-III; cognitive, language and motor domains) in 146 children and through neurodevelopment questionnaires/neurological examinations in 70 remaining children. Complete eye exams (n = 137) and hearing assessments (n = 114) were also performed. Below-average neurodevelopment and/or abnormal eye or hearing assessments were noted in 31.5% of children between 7 and 32 months of age. Among children assessed by Bayley-III, 12% scored below -2 s.d. (score &lt;70; a score of 100 ± 2 s.d. is the range) in at least one domain; and 28% scored between -1 and -2 s.d. in any domain (scores &lt;85-70). Language function was most affected, with 35% of 146 children below average. Improved neurodevelopmental outcomes were noted in female children, term babies, children with normal eye exams and maternal infection later in pregnancy (P = 0.01). We noted resolution of microcephaly with normal neurodevelopment in two of eight children, development of secondary microcephaly in two other children and autism spectrum disorder in three previously healthy children in the second year of life

Museus e seus arquivos: em busca de fontes para estudar os públicos Museums and their archives: in search of sources for researching audiences

Aborda a relevância dos arquivos históricos dos museus como fontes documentais para o desenvolvimento de estudos sobre os públicos. Analisa o processo de construção do conhecimento sobre a relação dos museus com os seus diversos visitantes e usuários, contextualizando o surgimento dos públicos como categoria de entendimento e objeto de estudo nas ciências sociais. Apresenta, como importante subsídio para as pesquisas nesta temática, o Guia de fontes primárias: o Museu Nacional - seu público no século XIX e no início do XX, elaborado por Luciana Sepúlveda Köptcke e Marcelle Pereira. O guia de fontes consiste em ferramenta de orientação capaz de expandir o significado dos fundos documentais, revelando a natureza e o grau de importância atribuídos aos diferentes públicos pela instituição.<br>The article explores to what extent historical archives at museums may serve as documental sources in developing audience research. It analyzes the process by which we construct our knowledge of the relation between museums and their different visitors and also contextualizes the emergence of 'audience' as a category and object of study by the social sciences. The article presents Luciana Sepúlveda Köptcke and Marcelle Pereira's Guia de fontes primárias: o Museu Nacional - seu público no século XIX e no início do XX (Guide of primary sources: the National Museum - its audience in the nineteenth and early twentieth centuries), a valuable research tool that can enhance the significance of documental fonds and reveal the nature and import assigned to different audiences by these institutions