90 research outputs found

    Challenges And Strategies To Strengthen Relationship Between Science And Politics Regarding Climate Change1,2

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    The socioenvironmental framework that characterizes contemporary societies shows that human impact on the environment is causing increasingly complex changes both in quantitative and qualitative terms. Therefore, while highlighting the complexity of the events and the need of dialogue among science, managers and society, it emphasizes the prevalence of an instrumental cognitive rationality, which generally disregards the interdisciplinary dimension of problems affecting and maintaining life in our planet. The main objective of this work is to analyze factors affecting the connection between science and politics and to overcome those obstacles, emphasizing triggering and mobilizing factors.19423524

    Produção integrada de manga no Estado do Piauí: documentos de referência.

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    Normas técnicas específicas (NTE PI-Manga); Grade de agroquímicos; Caderno de campo; Caderno de pós-colheita; Listas de verficação - Pomar e empacotadora; Lista de verficação - Pomar; Lista de verficação - Empacotadora; Comite Técnico para a produção integrada de manga no Estado do Piauí; Justificativa para a composição do comitê técnico; Relação de endereços; Relação das instituições colaboradoras.bitstream/item/37174/1/Doc106.pd

    O panorama do diabetes gestacional em uma maternidade dereferência: Informação e prevenção

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    Introduction: Gestational Diabetes Mellitus is a disease that offers complications to the mother/baby binomial. In order to deal with this it's necessary a multidisciplinary approach capable of including the mother when promoting health education. Objective: Conduct an action research in health education on the theme of gestational diabetes, quantify the prevalence of the disease, observe the degree of knowledge of pregnant women and collect opinions of the multidisciplinary health team on the subject. Methods: This is an observational study, with a qualitative and quantitative method, based on interviews with professionals and pregnant women, in addition to medical records analysis. Results: 6051 medical records were analyzed, of which 2254 were classified as “High risk” and 3797 as “Low risk”. There were 89 diagnoses of gestational diabetes, 88 classified as high-risk; therefore, the prevalence of the disease was 1.47% of all hospital admissions, with 3.9% being from the High-Risk sector. The average age diagnosed patients was 33.33 years, mainly within the age group of 30 to 39 years. After statistical calculation, a sample of 136 patients was defined for the application of questionnaires, in which it was found that 74.26% of these patients did not know how to answer any information in relation to the context of the disease, showing the need for the process of health education for these pregnant women. . Conclusion: The hospital's multidisciplinary team showed commitment to the context of gestational diabetes today, reinforcing the importance of patient care before and after delivery.Introdução: A Diabetes Mellitus Gestacional é uma doença que oferta complicações ao binômio mãe/bebê e que para seu acompanhamento necessita de uma atuação multiprofissional capaz de incluir a mãe ao promover educação em saúde. Objetivo: Realizar uma pesquisa-ação em educação em saúde acerca do tema diabetes gestacional, quantificar a prevalência da doença, observar o grau de conhecimento das gestantes e coletar opiniões da equipe multiprofissional em saúde sobre o tema. Métodos: Este é um estudo observacional, com método quali-quantitativo, a partir de entrevistas com os profissionais e com gestantes, além dos prontuários Resultados: Foram analisados 6051 prontuários, sendo 2254 classificados como “Alto risco” e 3797 como “Baixo risco”. Encontrou-se 89 diagnósticos de diabetes gestacional, sendo 88 inclusos em prontuários de alto risco; portanto, a prevalência da doença foi de 1,47% de todas as internações no hospital, sendo 3,9% do setor de Alto risco. A idade média de todas as pacientes diagnosticadas foi de 33,33 anos, sendo a maioria dentro da faixa etária de 30 a 39 anos. Após cálculo estatístico a partir dos prontuários, definiu-se amostra de 136 pacientes para aplicação de questionários, nos quais verificou-se que 74,26% dessas pacientes não sabiam responder quaisquer informações em relação ao contexto da doença, evidenciando a necessidade do processo de educação em saúde voltado para essas gestantes. Conclusão: A entrevista com a equipe multiprofissional do hospital mostrou engajamento ao contexto do diabetes gestacional na atualidade, reforçando a importância do cuidado ao paciente antes e após o parto

    Comparative Study of rK39 Leishmania Antigen for Serodiagnosis of Visceral Leishmaniasis: Systematic Review with Meta-Analysis

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    Visceral Leishmaniasis (VL) is a neglected tropical disease for which serodiagnostic tests are available, but not yet widely implemented in rural areas. The rK39 recombinant protein is derived from a kinesin-like protein of parasites belonging to the Leishmania donovani complex, and has been used in the last two decades for the serodiagnosis of VL. We present here a systematic review and meta-analysis of studies evaluating serologic assays (rK39 strip-test, rK39 ELISA, Direct Agglutination Test [DAT], Indirect Immunofluorescence test [IFAT] and ELISA with a promastigote antigen preparation [p-ELISA]) to diagnose VL to determine the accuracy of rK39 antigen in comparison to the use of other antigen preparations. Fourteen papers fulfilled the inclusion and exclusion selection criteria. The summarized sensitivity for the rK39-ELISA was 92% followed by IFAT 88% and p-ELISA 87%. The summarized specificity for the three diagnostic tests was 81%, 90%, and 77%. Studies comparing the rK39 strip test with DAT found a similar sensitivity (94%) and specificity (89%). However, the rK39 strip test was more specific than the IFAT and p-ELISA. In conclusion, we found the rK39 protein used either in a strip test or in an ELISA is a good choice for the serodiagnosis of VL

    Young [alpha/Fe]-enhanced stars discovered by CoRoT and APOGEE: What is their origin?

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    We report the discovery of a group of apparently young CoRoT red-giant stars exhibiting enhanced [_/Fe] abundance ratios (as determined from APOGEE spectra) with respect to solar values. Their existence is not explained by standard chemical evolution models of the Milky Way, and shows that the chemical-enrichment history of the Galactic disc is more complex. We find similar stars in previously published samples for which isochrone-ages could be reliably obtained, although in smaller relative numbers. This might explain why these stars have not previously received attention. The young [_/Fe]-rich stars are much more numerous in the CoRoT APOGEE (CoRoGEE) inner-field sample than in any other high-resolution sample available at present because only CoRoGEE can explore the inner-disc regions and provide ages for its field stars. The kinematic properties of the young [_/Fe]-rich stars are not clearly thick-disc like, despite their rather large distances from the Galactic mid-plane. Our tentative interpretation of these and previous intriguing observations in the Milky Way is that these stars were formed close to the end of the Galactic bar, near corotation – a region where gas can be kept inert for longer times than in other regions that are more frequently shocked by the passage of spiral arms. Moreover, this is where the mass return from older inner-disc stellar generations is expected to be highest (according to an inside-out disc-formation scenario), which additionally dilutes the in-situ gas. Other possibilities to explain these observations (e.g., a recent gas-accretion event) are also discussed

    Control of Visceral Leishmaniasis in Latin America—A Systematic Review

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    Visceral leishmaniasis is a vector-borne disease characterized by fever, spleen and liver enlargement, and low blood cell counts. In the Americas VL is zoonotic, with domestic dogs as main animal reservoirs, and is caused by the intracellular parasite Leishmania infantum (syn. Leishmania chagasi). Humans acquire the infection through the bite of an infected sand fly. The disease is potentially lethal if untreated. VL is reported from Mexico to Argentina, with recent trends showing a rapid spread in Brazil. Control measures directed against the canine reservoir and insect vectors have been unsuccessful, and early detection and treatment of human cases remains as the most important strategy to reduce case fatality. Well-designed studies evaluating diagnosis, treatment, and prevention/control interventions are scarce. The available scientific evidence reasonably supports the use of rapid diagnostic tests for the diagnosis of human disease. Properly designed randomized controlled trials following good clinical practices are needed to inform drug policy. Routine control strategies against the canine reservoirs and insect vectors are based on weak and conflicting evidence, and vector control strategies and vaccine development should constitute research priorities
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