Sense of continued teacher training for CEFAPRO in Mato Grosso: The performance as a (good) quality of education

Tencionamos explicitar como a formação está sendo significada na política de formação continuada de professores do Estado de Mato Grosso no governo de Pedro Taques. Pontuamos nossa ancoragem entre diferenças teóricas de Stephen Ball e Ernesto Laclau. A discussão empírica foca documentos que tratam da atuação do Centro de Formação e Aperfeiçoamento de Professores do Estado de Mato Grosso (CEFAPRO). Com a análise, revolvemos a articulação discursiva de demandas para a formação do professor no intuito de demonstrar o modo como mudanças na formação continuada são justificadas pela invenção da ausência da “boa” qualidade da educação nas escolas. Realçamos que a interpretação de que falta conhecimento a todos dispara a produção de sentidos de regulação e controle, instituindo a performatividade como uma lógica da formação de professores.Palavras-chave: CEFAPRO, política de formação de professores, performatividade.We intend to explain how the training is being signified in the policy of continuous training of teachers of the State of Mato Grosso under the government of Pedro Taques. We punctuate our anchorage between theoretical differences of Stephen Ball and Ernesto Laclau. The empirical discussion focuses on documents that deal with the work of the Center for Training and Improvement of Teachers of the State of Mato Grosso (CEFAPRO). With the analysis, we revolve the discursive articulation of demands for teacher training in order to demonstrate how changes in continuing education are justified by the invention of the absence of the “good” quality of education in schools. We emphasize that the interpretation of lack of knowledge to all triggers the production of meanings of regulation and control, instituting performativity as a logic of teacher training.Keywords: CEFAPRO, teacher training policy, performativity

Incidência familiar de aneurismas intracranianos Familiar incidence of intracranial aneurysms: report of four cases in two families

São relatados 4 casos de aneurismas cerebrais que ocorreram em duas famílias. A etiologia dos aneurismas intracranianos é discutida, principalmente no que se refere à ocorrência de aneurismas dentro de uma mesma família. A literatura pertinente é revista e são tecidos comentários sobre a validade estatística dessa associação.Four cases of intracranial aneurysms ocurring in two families are reported. The precise etiology of intracranial aneurysms is discussed in face of their familiar incidence. Other reports in the literature are analised and the problem is discussed together with the data provided in the previous reported cases

Incidência familiar de aneurismas intracranianos

São relatados 4 casos de aneurismas cerebrais que ocorreram em duas famílias. A etiologia dos aneurismas intracranianos é discutida, principalmente no que se refere à ocorrência de aneurismas dentro de uma mesma família. A literatura pertinente é revista e são tecidos comentários sobre a validade estatística dessa associação

Rotura traumática da aorta torácica: tratamento cirúrgico

No período de julho de 1986 a dezembro de 1995, foram operados 12 pacientes com rotura traumática da aorta torácica. Nove pacientes apresentavam rotura aguda da aorta e 3 rotura crônica. Em todos os pacientes a lesão localizava-se logo abaixo da emergência da artéria subclávia esquerda (istmo). Onze pacientes foram operados sob pinçamento aortico simples e em apenas 1 associamos shunt não heparinizado entre a artéria subclávia esquerda e a aorta descendente. O tempo médio de pinçamento aórtico foi de 33,2 minutos. Onze pacientes sobreviveram. Um paciente faleceu no pós-operatório imediato, devido a sangramento, e outro apresentou paresia de membros inferiores. Dez pacientes evoluíram sem complicações no pós-operatório. Concluímos que a correção da rotura traumática da aorta torácica, sob pinçamento aórtico simples, é técnica aceitável no tratamento cirúrgico desta lesão.From July 1986 to December 1995 twelve patients with traumatic rupture of the thoracic aorta were operated on. Nine patients had an acute injury and three had chronic injury. In all patients the lesion was located in the isthmus. Eleven patients were operated on with simple cross-clamp and in just one patient a shunt without heparin, between the left subclavian artery and thoracic aorta, was done. Medium aortic occlusion time was 33.2 minutes. Eleven patients are alive. There was one hospital death (8.3%) due to bleeding. One patient developed paresis of the lower limbs. Ten patients survived without complications. In our opinion the simple cross clamp technique is acceptable in the surgical repair of the traumatic rupture of the thoracic aorta

Brazilian consensus on frailty in older people: concepts, epidemiology and evaluation instruments

The aim of the present study was to describe the conceptual and operational definitions of the frailty syndrome recommended by the Brazilian Consensus on Frailty in Older People. In 2015, a task force consisting of Brazilian specialists on human aging conducted a bibliographical review on frailty among older people in Brazil and established a consensus on the main findings through periodic meetings. A total of 72 articles were included in the analysis, comprising one systematic review, two conceptual discussions, two methodological descriptions, four longitudinal studies focusing on mortality and worsening of the frailty profile, eight cross-cultural adaptation studies, and 55 cross-sectional or prevalence studies. Forty-five studies (62.5%) used the Cardiovascular Health Study (CHS) frailty scale, of which seven (15.2%) used unadjusted cut-off points for their samples and 17 (36.9%) modified at least one of the five items of the instrument. The prevalence of frailty varied between 6.7 and 74.1%. When the CHS frailty scale was used, the wide range of prevalence — from 8 to 49.3% — depended on the cut-off points used to classify changes in gait speed and handgrip strength, as well as the research setting. The studies were based on four major conceptual models of frailty. Frailty in older people represents a state of physiological vulnerability and should not be confused with disabilities or multi-morbidities. In the Brazilian population, the prevalence of frailty has not yet been adequately estimated, and the cut-off points of the items of the frailty scales should be adapted to the parameters of this population.</p