Formar melhor para um melhor cuidar

A formação surge como uma ajuda ao desenvolvimento humano, adoptando uma posição abrangente que inclui o aluno e o próprio professor (Kohlberg e Mayer, 1972), em que o resultado obtido é menos importante do que a disponibilidade gerada durante o percurso, para que o aluno possa continuar a evoluir ao longo da vida. Esta perspectiva desenvolvimentalista, antecipava já, a tendência actual que defende que a educação deve constituir para cada indivíduo uma forma de promover o máximo desenvolvimento das suas potencialidades, através de experiências de aprendizagem de complexidade crescente. A formação não é apenas uma instância de mediação das relações formador/formando ou equipa de formadores/grupo de formandos, mas uma instância de auto-mediação do formando com o seu mundo subjectivo, mediador do grupo de formação com as suas subjectividades, mediador do grupo com um projecto de acção através do qual ele se exterioriza (Correia, 1997: 25)

Rendimento e eficiência da fermentação alcoólica na produção de hidromel.

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Electromagnetic Scattering Analysis of Simple Targets Embedded in Planar Multilayer Structures: Remote Sensing Applications

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Antituberculosis chemoprophylaxis in a public hospital -study of 100 children

Abstract Objective: to evaluate the recommendations of the Brazilian National Tuberculosis Control Program for antituberculosis chemoprophylaxis in children and in special cases, such as very young children, BCG vaccinated children with a positive tuberculin skin test, and recent or current exposure to infected cases. Methods: a retrospective cross-sectional study of 100 children submitted to isoniazid chemoprophylaxis at a public hospital in Rio de Janeiro was carried out. The variables analyzed were gender, age, BCG vaccination, nutritional status, tuberculin skin test, tuberculin test conversion, source of tuberculous infection, adherence to preventive treatment, evolution to tuberculosis, and isoniazid side effects. Results: the study population consisted of 57 boys and 43 girls; 62% were younger than 5 years of age; previous BCG vaccination was reported in 92%, malnutrition in 28% and recent tuberculin test conversion in 9% of the cases. Parents were the source of infection in 60% of the cases. There was adherence to preventive treatment in 73%, chemoprophylaxis failure in 1%, and isoniazid side effects in 1% of the cases. Conclusion: control Program guidelines were followed strictly in 15% of the cases, including the 9 cases of recent tuberculin test conversion; 85% of the indications for chemoprophylaxis were associated with coverage of groups at high risk for developing the disease. J Pediatr (Rio J) 2000; 76(6): 413-20: tuberculosis, chemoprophylaxis, tuberculin test

Myelography in orange-spined-hairy-dwarf-porcupine (Sphiggurus villosus)

The myelography procedure is reported in an adult of the Sphiggurus villosus (hairy-tree-porcupine) species coming from the wild, in the region of Curitiba/PR. After proceeding with the examination, while the animal was under general anesthesia, there was a dorsal deviation of the contrast in the height of the seventh thoracic vertebra (T-7) caused by compression in the ventral region of the vertebra. This is suggestive of edema caused by intramedullary hemorrhage secondary to trauma suffered by the animal in the wild. Therefore, the use of myelography in Sphiggurus villosus (hairy-tree-porcupine) proved to be quite valid and efficient, presenting the advantages of greater precision to delimit and locate the lesion present in the vertebral column

Adubação verde como fonte de nitrogênio em sistemas orgânicos de produção: eficiência do uso de N e perdas por volatilização de amônia e N2O

os objetivos deste projeto são: 1. Quantificar a contribuição da FBN para as leguminosas e estimar a eficiência do uso do nitrogênio e o balanço total de N derivado de leguminosas para adubação verde; 2. Avaliar as perdas de N como NH3 e N2O derivados do uso de leguminosas para adubação verde

Rapid growth is a dominant predictor of hepcidin suppression and declining ferritin in Gambian infants.

Iron deficiency and iron deficiency anemia are highly prevalent in low-income countries, especially among young children. Hepcidin is the major regulator of systemic iron homeostasis. It controls dietary iron absorption, dictates whether absorbed iron is made available in circulation for erythropoiesis and other iron-demanding processes, and predicts response to oral iron supplementation. Understanding how hepcidin is itself regulated is therefore important, especially in young children. We investigated how changes in iron-related parameters, inflammation and infection status, seasonality, and growth influenced plasma hepcidin and ferritin concentrations during infancy using longitudinal data from two birth cohorts of infants in rural Gambia (n=114 and n=193). This setting is characterized by extreme seasonality, prevalent childhood anemia, undernutrition, and frequent infection. Plasma was collected from infants at birth and at regular intervals, up to 12 months of age. Hepcidin, ferritin and plasma iron concentrations declined markedly during infancy, with reciprocal increases in soluble transferrin receptor and transferrin concentrations, indicating declining iron stores and increasing tissue iron demand. In cross-sectional analyses at 5 and 12 months of age, we identified expected relationships of hepcidin with iron and inflammatory markers, but also observed significant negative associations between hepcidin and antecedent weight gain. Correspondingly, longitudinal fixed effects modeling demonstrated weight gain to be the most notable dynamic predictor of decreasing hepcidin and ferritin through infancy across both cohorts. Infants who grow rapidly in this setting are at particular risk of depletion of iron stores, but since hepcidin concentrations decrease with weight gain, they may also be the most responsive to oral iron interventions

Currents issues in cardiorespiratory care of patients with post-polio syndrome

ABSTRACT Post-polio syndrome (PPS) is a condition that affects polio survivors years after recovery from an initial acute attack of the poliomyelitis virus. Most often, polio survivors experience a gradual new weakening in muscles that were previously affected by the polio infection. The actual incidence of cardiovascular diseases (CVDs) in individuals suffering from PPS is not known. However, there is a reason to suspect that individuals with PPS might be at increased risk. Method A search for papers was made in the databases Bireme, Scielo and Pubmed with the following keywords: post polio syndrome, cardiorespiratory and rehabilitation in English, French and Spanish languages. Although we targeted only seek current studies on the topic in question, only the relevant (double-blind, randomized-controlled and consensus articles) were considered. Results and Discussion Certain features of PPS such as generalized fatigue, generalized and specific muscle weakness, joint and/or muscle pain may result in physical inactivity deconditioning obesity and dyslipidemia. Respiratory difficulties are common and may result in hypoxemia. Conclusion Only when evaluated and treated promptly, somE patients can obtain the full benefits of the use of respiratory muscles aids as far as quality of life is concerned