A jardinagem como prática artística e como instrumento de intervenção para a reocupação do espaço público

Neste artigo, partindo da premissa de que o espaço interfere nas relações sociais, espera-se averiguar a proximidade entre o espaço urbano, a educação e as artes. Isso porque, quando há a possibilidade de se caminhar pelos lugares, tendo a real percepção do ambiente em que se vive, um olhar sensível ampliaria a possibilidade de transformação e a busca por melhorias através da arte. Por meio de exemplos de ação em arte-educação, serão apresentadas propostas para a transformação de espaços públicos, em especial os terrenos baldios, a partir do artivismo e da jardinagem como formas de expressão artística. Enfatiza-se, assim, a função da arte-educação e suas relações e influências com ambientes desprovidos de atividades culturais

Arte-ciência: processos criativos

Os nove artigos reunidos nesta obra apresentam, com abordagens plurais, uma visão multidisplicinar sobre arte, ciência e processos criativos. A coletânea engloba diversos trabalhos ligados ao âmbito das manifestações artísticas, da arquitetura e do design contemporâneos, além dos processos criativos inerentes ao ensino dessas linguagens. A diversidade de enfoques aqui verificada demonstra que, independentemente da área em se procede a transformação do conhecimento, há correlações possíveis de pensamentos e achados teóricos, refletindo o sistema de relação com o mundo e sua criação, em todas as direções

Indicações e contraindicações para o uso da ECMO em complicações do COVID-19 / Indications and contraindications for the use of ECMO in complications of COVID-19

A membrana de oxigenação extracorpórea (ECMO) é um dispositivo de assistência circulatória mecânica, de inserção percutânea ou central, de uso temporário. Além disso, é um tratamento de resgate caso a ventilação mecânica não consiga garantir as trocas gasosas adequadas, podendo ser realizado em pacientes acometidos pela COVID-19 com hipóxia severa, risco de vida ou danos aos órgãos. As contraindicações estão relacionadas a idade avançada, fragilidade, uso de ventilação mecânica prolongada, doenças pulmonares crônicas, insuficiência cardíaca e diabetes

Patients' perception regarding the influence of individual and social vulnerabilities on the adherence to tuberculosis treatment: a qualitative study

Background: Tuberculosis remains an important disease which mainly affects the majority of vulnerable individuals in society, who are subjected to poor living conditions and difficulties to access the services of public health. Under these circumstances, the present study aims to understand patients' perception in relation to the influence of individual and social vulnerabilities on the adherence to tuberculosis treatment. Methods: A qualitative descriptive cross sectional study was conducted in one large municipality at the state of Paraiba, Northeast of Brazil. The study subjects, who were residents of the study site, covered all tuberculosis cases diagnosed between March and June 2015. The sample was defined by the criteria of response saturation. All interviews were audio recorded, and data analysis was developed through the hermeneutic dialectic method and the theory of Generative Route Sense. The project was approved by the Research Ethics Committee of the University of Sao Paulo (USP). Results: A total of 13 individuals were interviewed and the responses were identified into two analytical categories: the difficulties they had and the enabling factors they could mention during their tuberculosis treatment. Patients brought up social exclusion as an obstacle to treatment adherence, which, along with stigmatization, weakened their link with family members and health professionals. Moreover, economic precariousness was a major hindrance to the maintenance of a proper diet and transportation access to health centers. However, social support and directly observed treatment helped to break down barriers of prejudice and to promote individual and family empowerment. Finally, patients also reported that their will to live and faith gave them the strength to continue with the treatment. Conclusions: According to patients in this study, social support and the strengthening of links with family members and health professionals may reduce social exclusion and other difficulties they face, thus encouraging them to the adhere to tuberculosis treatment.Univ Estadual Paraiba, Campina Grande, Paraiba, BrazilUniv Fed Rio Grande do Norte, Natal, RN, BrazilUniv Sao Paulo, Escola Enfermagem, Sao Paulo, SP, BrazilUniv Fed Sao Paulo, Escola Paulista Enfermagem, Sao Paulo, BrazilFac Santa Maria, Cajazeiras, Paraiba, BrazilUniv Fed Sao Paulo, Escola Paulista Enfermagem, Sao Paulo, BrazilWeb of Scienc

Low iodine diet does not improve the efficacy of radioiodine for the treatment of Graves' disease

ABSTRACT Objective: Consuming a low-iodine diet (LID) is a widely accepted practice before administering radioiodine ( 131 I) to evaluate and to treat thyroid disease. Although this procedure is well established for the management of patients with differentiated thyroid cancer, its use in patients with benign disease is unclear. So, we aimed to evaluate the influence of a LID on the outcome in patients with Graves' disease (GD) treated with 131 I. Subjects and methods: We evaluated 67 patients with GD who were divided into 2 groups: one group (n = 31) consumed a LID for 1-2 weeks, and the second group (n = 36) was instructed to maintain a regular diet (RD). Results: The LID group experienced a 23% decrease in urinary iodine after 1 week on the diet and a significant 42% decrease after 2 weeks on the diet. The majority (53%) of the patients in the LID group had urinary iodine levels that were consistent with deficient iodine intake. However, there was no difference in the rate of hyperthyroidism's cure between the LID and the RD groups 6 months after 131 I therapy. Furthermore, the therapeutic efficacy did not differ in patients with varying degrees of sufficient iodine intake (corresponding urinary iodine levels: < 10 μg/dL is deficient; 10-29.9 μg/dL is sufficient; and > 30 μg/dL is excessive). Conclusion: In the present study, we demonstrated that although a LID decreased urinary iodine levels, those levels corresponding with sufficient or a mild excess in iodine intake did not compromise the therapeutic efficacy of 131 I for the treatment of GD. Arch Endocrinol Metab. 2015;59(6):501-