The risk stratification of adverse neonatal outcomes in women with gestational diabetes (STRONG) study

Aims: To assess the risk of adverse neonatal outcomes in women with gestational diabetes (GDM) by identifying subgroups of women at higher risk to recognize the characteristics most associated with an excess of risk. Methods: Observational, retrospective, multicenter study involving consecutive women with GDM. To identify distinct and homogeneous subgroups of women at a higher risk, the RECursive Partitioning and AMalgamation (RECPAM) method was used. Overall, 2736 pregnancies complicated by GDM were analyzed. The main outcome measure was the occurrence of adverse neonatal outcomes in pregnancies complicated by GDM. Results: Among study participants (median age 36.8 years, pre-gestational BMI 24.8 kg/m2), six miscarriages, one neonatal death, but no maternal death was recorded. The occurrence of the cumulative adverse outcome (OR 2.48, 95% CI 1.59–3.87), large for gestational age (OR 3.99, 95% CI 2.40–6.63), fetal malformation (OR 2.66, 95% CI 1.00–7.18), and respiratory distress (OR 4.33, 95% CI 1.33–14.12) was associated with previous macrosomia. Large for gestational age was also associated with obesity (OR 1.46, 95% CI 1.00–2.15). Small for gestational age was associated with first trimester glucose levels (OR 1.96, 95% CI 1.04–3.69). Neonatal hypoglycemia was associated with overweight (OR 1.52, 95% CI 1.02–2.27) and obesity (OR 1.62, 95% CI 1.04–2.51). The RECPAM analysis identified high-risk subgroups mainly characterized by high pre-pregnancy BMI (OR 1.68, 95% CI 1.21–2.33 for obese; OR 1.38 95% CI 1.03–1.87 for overweight). Conclusions: A deep investigation on the factors associated with adverse neonatal outcomes requires a risk stratification. In particular, great attention must be paid to the prevention and treatment of obesity

Na mira do olhar: um exercício de análise da fotografia nas revistas ilustradas cariocas, na primeira metade do século XX

This article presents a historical approach for the analysis of photographic images, followed by the application of these theoretical and methodological considerations to a series of photographs issued in two popular magazines, published in the city of Rio de Janeiro between 1900 and 1960. Through the analysis of the photographic message, class behaviour codes are related to their social representations.Este artigo traz considerações sobre a análise histórica de imagens fotográficas, aplicando as propostas teórico-metodológicas apresentadas a uma série fotográfica composta pelas imagens de duas revistas ilustradas, Careta e O Cruzeiro, publicadas na cidade do Rio de Janeiro entre 1900 e 1960. Por meio da análise da mensagem fotográfica relaciona-se a elaboração dos códigos de comportamento de classe às suas representações sociais

A coleção fotográfica de Marcel Gautherot

Considering contemporary Anthropologys debate around photography, there is a\ud keen interest in the understanding of one of the most important open to public consultation\ud photographic collections on 20th Century Brazil, that of Frenchman Marcel Gautherot (1910-\ud 1996). The collection comprises around 25,000 photographs, purchased in 1999 by Instituto\ud Moreira Salles and kept in its fund in the city of Rio de Janeiro. The text comments on the\ud photographers work, linked to documentary projects under the patronage of institutions such as\ud the Musée de l´Homme in Paris, at the end of the 1930s, and both the National Historic and\ud Artistic Patrimony Service and the Brazilian Folklore Defence Campaign, in Brazil, between the\ud years of 1940 -1960. Such commitments and interests define important thematic groupings in\ud the production and organisation of his personal photographic archive. A discussion about criteria and technical procedures adopted by the photographer is attempted, detailing series\ud and visual narratives about Brazilian cultures density. With the photographs purchase by the\ud IMS, the oeuvres aesthetic quality, now as an institutional collection, is highlighted. The collections\ud manners of preservation and conservation, reproduction and circulation are redefined

High dose craniospinal irradiation as independent risk factor of permanent alopecia in childhood medulloblastoma survivors: cohort study and literature review

Purpose Our aim was to determine the main risk factors related to the occurrence of permanent alopecia in childhood medulloblastoma (MB) survivors. Methods We retrospectively analyzed the clinical features of all consecutive MB survivors treated at our institute. We divided the patients into 3 groups depending on the craniospinal irradiation (CSI) dose received and defined permanent alopecia first in terms of the skin region affected (whole scalp and nape region), then on the basis of the toxicity degree (G). Any relationship between permanent alopecia and other characteristics was investigated by a univariate and multivariate analysis and Odds ratio (OR) with confidence interval (CI) was reported. Results We included 41 patients with a mean10-year follow-up. High dose CSI resulted as an independent factor leading to permanent hair loss in both groups: alopecia of the whole scalp (G1 p-value 0.030, G2 p-value 0.003) and of the nape region (G1 p-value 0.038, G2 p-value 0.006). The posterior cranial fossa (PCF) boost volume and dose were not significant factors at multivariate analysis neither in permanent hair loss of the whole scalp nor only in the nuchal region. Conclusion In pediatric patients with MB, the development of permanent alopecia seems to depend only on the CSI dose >= 36 Gy. Acute damage to the hair follicle is dose dependent, but in terms of late side effects, constant and homogeneous daily irradiation of a large volume may have a stronger effect than a higher but focal dose of radiotherapy

Dicionarização da língua brasileira de sinais: estudo comparativo iconográfico e lexical

A língua brasileira de sinais (Libras) utilizada pela comunidade surda no Brasil é uma língua de modalidade espaço-visual cuja representação gráfica comumente se dá por meio de imagens em dicionários impressos e em meio digital. No Brasil, o primeiro dicionário de língua de sinais de que se tem notícia é a Iconographia dos signaes dos surdos-mudos, que data de 1875. A partir da elaboração dessa obra, outras surgiram e foram se constituindo como materiais de referência para o ensino e o aprendizado da língua em questão. O presente trabalho objetiva, com base em dicionários de Libras que servem de referência, analisar e discutir a constituição histórica do gênero no Brasil a partir da identificação de características e fragilidades em relação à iconografia e à lexicografia de tais obras, fatores que podem interferir no ensino e no aprendizado dos sinais nos cursos de graduação. Do ponto de vista da abordagem do problema, esse estudo é qualitativo e caracteriza-se como documental. Foram selecionados cinco dicionários de Libras, pautando-se no critério da indicação bibliográfica em disciplinas de Libras em cursos de graduação. As categorias estabelecidas para a análise priorizaram a questão da representação das imagens (a iconografia) e os aspectos lexicais que as compõem. Por meio do estudo, observou-se que as obras analisadas apresentavam características bastante semelhantes em relação à apresentação, à constituição das imagens e aos aspectos lexicais, desafiando os profissionais que trabalham com esse gênero de ilustração

Ciência e tecnologia no Brasil Imperial Guilherme Schüch, Barão de Capanema (1824-1908) Science and technology in Imperial Brazil Guilherme Schüch, Baron of Capanema (1824-1908)

O engenheiro e naturalista Guilherme Schüch de Capanema foi, sem dúvida, um expoente da elite Imperial. Circulou por importantes espaços institucionais científicos e técnicos, tendo atuado de forma bastante significativa para a implementação de uma cultura técnico-científica no Brasil e o conseqüente fortalecimento da engenharia e dos engenheiros. Entretanto, Capanema ainda permanece, assim como quase todos os cientistas do Segundo Império, um "desconhecido mal conhecido". O presente trabalho, contudo, não se propõe fazer sua extensa biografia, mas analisar e ressaltar aspectos de sua obra, relacionandoos a sua formação universitária e a sua prática enquanto engenheiro e naturalista.<br>Guilherme Schüch de Capanema was a prominent member of the Brazilian imperial elite. He belonged to several important institutional loci giving his valuable contribution to the implementation of a technical-scientific culture in Brazil, and therefore to the strengthening of both the field of engineering and the engineers. However, Capanema still remains an .unknown not well known., as do the majority of the scientists of the Second Empire. This paper analyzes and stresses aspects of his professional and academic life, related to his university education, and to his practice as engineer and naturalist

Correction to: Screening of postpartum diabetes in women with gestational diabetes: high‑risk subgroups and areas for improvements—the STRONG observational study (Acta Diabetologica, (2021), 58, 9, (1187-1197), 10.1007/s00592-021-01707-9)

Authors would like to correct the error in their publication. Figure 3 contains a part in Italian language which is now removed. The collaborator author names were tagged only in the author group but missed to process in Acknowledgements section. The collaborator author names now updated as Study group in the Acknowledgements section. The original article has been corrected