9 research outputs found
Perfil dos gerentes de Atenção Primária à Saúde de municÃpios de pequeno porte do norte do Paraná, Brasil
Análise das práticas gerenciais na Atenção Primária à Saúde nos municÃpios de pequeno porte do norte do Paraná, Brasil
The importance of the altricial – precocial spectrum for social complexity in mammals and birds:A review
Various types of long-term stable relationships that individuals uphold, including cooperation and competition between group members, define social complexity in vertebrates. Numerous life history, physiological and cognitive traits have been shown to affect, or to be affected by, such social relationships. As such, differences in developmental modes, i.e. the ‘altricial-precocial’ spectrum, may play an important role in understanding the interspecific variation in occurrence of social interactions, but to what extent this is the case is unclear because the role of the developmental mode has not been studied directly in across-species studies of sociality. In other words, although there are studies on the effects of developmental mode on brain size, on the effects of brain size on cognition, and on the effects of cognition on social complexity, there are no studies directly investigating the link between developmental mode and social complexity. This is surprising because developmental differences play a significant role in the evolution of, for example, brain size, which is in turn considered an essential building block with respect to social complexity. Here, we compiled an overview of studies on various aspects of the complexity of social systems in altricial and precocial mammals and birds. Although systematic studies are scarce and do not allow for a quantitative comparison, we show that several forms of social relationships and cognitive abilities occur in species along the entire developmental spectrum. Based on the existing evidence it seems that differences in developmental modes play a minor role in whether or not individuals or species are able to meet the cognitive capabilities and requirements for maintaining complex social relationships. Given the scarcity of comparative studies and potential subtle differences, however, we suggest that future studies should consider developmental differences to determine whether our finding is general or whether some of the vast variation in social complexity across species can be explained by developmental mode. This would allow a more detailed assessment of the relative importance of developmental mode in the evolution of vertebrate social systems
OBSTRUCTIVE INSTEAD OF EXPECTED CENTRAL SLEEP APNEAS OCCUR IN SEVERE DIABETIC AUTONOMIC NEUROPATHY
DECREASED PERIPHERAL CHEMOSENSITIVITY TO CO2 PREVENTS CENTRAL SLEEP APNEA IN SEVERE DIABETIC AUTONOMIC NEUROPATHY
Relationships between voiding dysfunction and pripheral neuropathy in asymptomatic patients affected by diabetes mellitus type I: preliminary results
Relationships between voiding dysfunction and peripheral neuropathy in asymptomatic patients affected by diabetes mellitus type I: preliminary results.
Not just for fun! Social play as a springboard for adult social competence in human and non-human primates
Play is one of the most difficult behaviors to quantify and for this reason, its study has had a very rocky history. Social play is ephemeral, difficult to distinguish from the other so-called serious behaviors, not so frequent (especially in sexually mature subjects), fast, and complex to describe. Due to its multifaceted nature, it has often been considered as a wastebasket category that has included all kinds of the behaviors not showing any immediate, obvious goal. Yet, play is widespread across the whole primate order and can have a strong impact on the development of cognitive, psychological, and social skills of many species, including humans. Unlike functional behaviors that are specifically and economically performed to reduce uncertainty and to increase the opportunity to gain resources, play seems to introduce and increase uncertainty, creating new challenges for the animals. For this reason, social play has been hypothesized to be the engine of behavioral innovation in ontogeny. From the first mild and gentle interactions with the mother to the most sophisticated play fighting sessions and acrobatic action sequences with peers, play represents for juveniles (and not only for them!) a window onto the social and physical environment. In this review, I focus on social play and its relation to adult social competence. By playing, juveniles acquire competence to manage interactions with conspecifics, enlarge their social networks, and test their physical power and motor skills (i.e., long-term benefits). At the same time, I propose the view that play—due to its plastic and versatile nature—can be used in an opportunistic way, as a joker behavior, throughout life to strategically obtain short-term or immediate benefits. I put forward the hypothesis that, during ontogeny, the joker function of play can be modulated according to the differing inter-individual relationships present in the diverse societies, characterizing the primate order
Regular Wine Consumption in Chronic Heart Failure: Impact on Outcomes, Quality of Life, and Circulating Biomarkers
Background-Moderate, regular alcohol consumption is generally associated with a lower risk of cardiovascular events but data in patients with chronic heart failure are scarce. We evaluated the relations between wine consumption, health status, circulating biomarkers, and clinical outcomes in a large Italian population of patients with chronic heart failure enrolled in a multicenter clinical trial. Methods and Results-A brief questionnaire on dietary habits was administered at baseline to 6973 patients enrolled in the Gruppo Italiano per lo Studio della Sopravvivenza nell'Insufficienza Cardiaca-Heart Failure (GISSI-HF) trial. The relations between wine consumption, fatal and nonfatal clinical end points, quality of life, symptoms of depression, and circulating biomarkers of cardiac function and inflammation (in subsets of patients) were evaluated with simple and multivariable-adjusted statistical models. Almost 56% of the patients reported drinking at least 1 glass of wine per day. After adjustment, clinical outcomes were not significantly different in the predefined 4 groups of wine consumption. However, patients with more frequent wine consumption had a significantly better perception of health status (Kansas City Cardiomyopathy Questionnaire score, adjusted P<0.0001), less frequent symptoms of depression (Geriatric Depression Scale, adjusted P=0.01), and lower plasma levels of biomarkers of vascular inflammation (osteoprotegerin and C-terminal proendothelin-1, adjusted P<0.0001, and pentraxin-3, P=0.01) after adjusting for possible confounders. Conclusions-We show for the first time in a large cohort of patients with chronic heart failure that moderate wine consumption is associated with a better perceived and objective health status, lower prevalence of depression, and less vascular inflammation, but does not translate into more favorable clinical 4-year outcomes. Clinical Trial Registration-URL: http://www.clinicaltrials.gov. Unique identifier: NCT0033633