Coping with problems that impact on the health of a socially vulnerable community from the residents' perspective

This research aims to identify the strategies adopted by dwellers of a socially vulnerable community, characterized by social and economic inequality, to address the problems that interfere in the health conditions. A participant investigation anchored in hermeneutics was conducted through participatory diagnosis, with 31 residents of the Dende community, who were called vital informants. Data were collected from semi-structured interviews, street walking and focus groups. WebQDA software was adopted to support data analysis, based on content analysis in the thematic modality, which resulted in the following categories: "individual or small group actions", "partnerships between residents and social organizations" and "partnerships with public and private sectors". We considered that the condition of vulnerability motivated by a diversity of social determinants generates negative impacts on health, requiring planning and implementation of policies and actions geared to people's well-being. This reflects the relevance of the participatory diagnosis, which can be supported by people and Information and Communication Technologies to increase community participation in health promotion actions.Open access journalThis item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at [email protected]

Alternative treatment for post-herpetic neuralgia after lung transplantation. Case report

JUSTIFICATIVA E OBJETIVOS: A neuralgia pós-herpética (NPH) é a dor que permanece após o desaparecimento do episódio agudo de herpes zoster. O objetivo deste estudo foi relatar o tratamento da dor da NPH em paciente transplantado pulmonar. RELATO DO CASO: Paciente do sexo masculino, 73 anos, transplantado pulmonar há três anos, em uso de imunossupressores. Desenvolveu quadro de herpes zoster há um ano, com vesículas no oitavo espaço intercostal do hemitórax direito (HTD). O tratamento foi efetivo com ganciclovir; entretanto, o paciente evoluiu com dor em queimação, intensa, constante, com piora no último mês, com intensidade pela escala visual numérica (EVN) de 9, mesmo com uso de 600 mg/dia de gabapentina. Ao exame físico apresentava uma lesão avermelhada no HTD, hiperestésica. Foi instituído tratamento com gabapentina (900 mg), amitriptilina (25 mg), dipirona (8 g) e oxicodona (20 mg) ao dia. Feita a aplicação de laser de baixa intensidade (LBI) diariamente por uma semana, seguido de tratamento com amitriptilina tópica a 4%. A intensidade da dor diminuiu para 5. A frequência de aplicação do LBI diminuiu para uma vez a cada dois dias com melhora significativa com EVN entre 1 e 2. Teve alta hospitalar, com 25 mg/dia de amitriptilina oral e amitriptilina tópica a 4%. CONCLUSÃO: O uso do LBI e da amitriptilina tópica foi eficaz para remissão do quadro doloroso

Controle de soja voluntária em áreas cultivadas com Crotalaria spectabilis

The presence of volunteer soybean plants in showy crotalaria (Crotalaria spectabilis) crops grown in the second crop has been common, thus necessitating the adoption of strategies for their management. The objective of this work was to evaluate the effectiveness and selectivity of the herbicides pyrithiobac-sodium and ethoxysulfuron applied isolated in post-emergence of showy crotalaria in order to control volunteer soybean. For this purpose, two field experiments were set up, one evaluating the feasibility of using the herbicide pyrithiobac-sodium and the other using ethoxysulfuron. In both experiments, a randomized completely block design was used, with treatments arranged in a 2x4+2 factorial scheme, with four replications. The first factor was allocated to the post-emergence application of herbicides at two distinct phenological stages V3 and 3 true leaves and V7 and 6 true leaves, respectively for soybean and showy crotalaria. In the second factor, increasing doses of herbicides were arranged, using doses 14.0; 22.4; 30.8; and 39.2 g ha-1 for pyrithiobac-sodium, and 18.0; 30.0; 42.0; and 54.0 g ha-1 for ethoxysulfuron. The additional treatments corresponded to an infested check and a weeded check. Visual control evaluations of volunteer soybean were carried out, as well as phytointoxication, stand, height and dry mass of shoots of showy crotalaria plants. According to the results obtained, pyrithiobac-sodium at a dose of 30.8 g ha-1, can be recommended for applications when volunteer soybean plants are in V3 and showy crotalaria plants with 3 true leaves, as well as the herbicide ethoxysulfuron in dose 18 g ha-1, can be recommended for applications when volunteer soybean plants are at V3 or V7 and showy crotalaria plants owns three true leaves. These two herbicides at the respective doses have the potential to be registered for use in areas where showy crotalaria is grown in succession to soybean crop.Tem sido comum a presença de plantas voluntárias de soja em lavouras de crotalária (Crotalaria spectabilis) cultivada em segunda safra, necessitando assim a adoção de estratégias para o seu manejo. Este trabalho teve como objetivo avaliar a eficácia e a seletividade dos herbicidas pyrithiobac-sodium e ethoxysulfuron aplicados isoladamente em pós-emergência da crotalária visando ao controle de soja voluntária. Para tanto, foram instalados dois experimentos a campo, um avaliando a viabilidade de uso do herbicida pyrithiobac-sodium e outro do ethoxysulfuron. Em ambos os experimentos foi utilizado o delineamento de blocos casualizados, estando os tratamentos dispostos em esquema fatorial 2x4+2, com quatro repetições. No primeiro fator alocou-se à aplicação em pós-emergência dos herbicidas em dois estádios fenológicos distintos V3 e 3 folhas verdadeiras e V7 e 6 folhas verdadeiras, respectivamente para a soja e a crotalária. No segundo fator foi disposto doses crescentes dos herbicidas, sendo utilizadas as doses 14,0; 22,4; 30,8; e 39,2 g ha-1 para pyrithiobac-sodium e 18,0; 30,0; 42,0; e 54,0 g ha-1 para ethoxysulfuron. Os tratamentos adicionais corresponderam a uma testemunha infestada e outra capinada. Foram realizadas avaliações de controle visual da soja voluntária, bem como da fitointoxicação, estande, altura e massa seca de parte aérea das plantas de crotalária. De acordo com os resultados obtidos, o pyrithiobac-sodium na dose de 30,8 g ha-1, pode ser recomendado para aplicações quando as plantas de soja voluntária estiverem em V3 e as plantas de crotalária com 3 folhas verdadeiras, bem como o herbicida ethoxysulfuron na dose 18 g ha-1, pode ser recomendado para aplicações quando as plantas de soja voluntária estiverem em V3 ou V7 e as plantas de crotalária com três folhas verdadeiras. Esses dois herbicidas nas respectivas doses apresentam potencial para serem registrados para uso em áreas de cultivo de crotalária em sucessão à cultura da soja

Acute kidney injury due to excessive and prolonged intramuscular injection of veterinary supplements containing vitamins A, D and E: A series of 16 cases

AbstractBackgroundDespite well-documented risks, injectable supplements containing high doses of vitamins are commonly used.ObjectivesTo describe acute kidney injury (AKI) as a complication of vitamin intoxication.MethodsOur series consisted of 16 patients with kidney complications resulting from the use of veterinary intramuscular injection supplements of vitamin A, D and E. The patients were admitted to two referral hospitals in Fortaleza (Brazil) between January 2010 and January 2015.ResultsPatients’ mean age was 28.3±8.9 years (19–53 years), and 11 (68.7%) were male. Main signs and symptoms upon admission were nausea (68.7%), vomiting (62.5%), weight loss (43.7%), epigastric pain (31.2%) and headache (31.2%). At hospital admission the mean laboratory values were: hemoglobin 10±2.0g/dL (6.1–14.2), leukocytes 10,542±4871/mm3 (4100–15,100), creatinine 3.9±5.2mg/dL (0.7–22) and urea 91±88mg/dL (22–306), respectively. Serum calcium was 12±2.2mg/dL (8.8–15.5), 24-h urine calcium was 575±329mg (10.7–1058), serum PTH was 55±141pg/mL (2–406), and serum vitamin D concentration was 135±75ng/mL (22–265). Using KDIGO criteria, AKI was diagnosed in 13 patients (81.2%), classified as stage 1 (n=3), stage 2 (n=3) or stage 3 (n=7). No deaths occurred in the study period.ConclusionsExcessive use of veterinary vitamin supplements containing high doses of vitamin A, D and E was associated with AKI. Hypercalcaemia, which was a common finding, appears to be a contributing factor to the development of this type of AKI

Navegando pelas obsessões e compulsões: estratégias para o manejo do TOC e melhoria da qualidade de vida dos pacientes

O presente trabalho teve por objetivo avaliar, a partir de uma revisão narrativa de literatura, como ocorre o manejo do Transtorno Obsessivo Compulsivo (TOC) e quais as ferramentas utilizadas para melhorar a qualidade de vida dessas pessoas. TOC é um transtorno genético e sua sintomatologia são compulsões e obsessões, acarretando vergonha, sentimento de culpa e isolamento do portador. O tratamento dessa patologia visa melhorar a qualidade de vida desses pacientes, por meio da diminuição dos sintomas e dos sentimentos depreciativos. A terapêutica que apresenta mais resultados é a terapia cognitiva comportamental, mas não é de fácil acesso, sendo prevalente na sociedade o tratamento medicamentoso, principalmente com o uso dos inibidores seletivos da recaptação de serotonina, quando não obtém uma resposta significativa na remissão dos sintomas pode-se optar por um inibidor não seletivo da recaptação de serotonina ou a antipsicóticos, podendo ou não associá-los. Percebe-se uma remissão maior de sintomas quando associada os dois tipos de terapêutica: medicamentoso e a terapia cognitivo comportamental

Checklist of the birds of Mato Grosso do Sul state, Brazil: diversity and conservation

Several phytogeographic regions (Cerrado, Pantanal, Atlantic Forest, Gran Chaco, and Chiquitano Dry Forests) converge in the state of Mato Grosso do Sul, Brazil, and influence regional biodiversity. Despite a list of birds in the state of Mato Grosso do Sul being published by Nunes et al. (2017), it is necessary to update and critically review avifauna records. In this study, we gathered the results of several records obtained from species lists and online data platforms of the 336 sites in this state over the last decades and grouped them into Main (Primary and Secondary) and Tertiary Lists. The avifauna of Mato Grosso do Sul is composed of 678 species, of which 643 (95%) have records proving their occurrence (Primary List), whereas 34 still lack documentation (Secondary List). The number of related species for Mato Grosso do Sul represents 34% of the Brazilian avifauna. Some species stand out for their unique occurrence in Mato Grosso do Sul, such as Melanerpes cactorum, Celeus lugubris, Phaethornis subochraceus, and Cantorchilus guarayanus, reflecting the influence of different phytogeographic regions of the Chaco and Chiquitano Dry Forests. Migrants represent 20% of the bird community occurring in the state, of which 93 species correspond to migrants from various regions of South America (south and west) and 40 to boreal migrants. Thirty-three species perform nomadic movements across the Pantanal Plain and other regions of the state. Thirty-one species are included in some conservation-threatened categories of global and/or national endangered species lists. Other 30 species are included in the near-threatened category at the global level and 23 at the national level. In addition, species typical of dry forests (in Serra da Bodoquena and Maciço do Urucum) and those from the Atlantic Forest in the south of the state deserve attention due to their restricted distribution and the high anthropogenic pressure on their habitat

Checklist of the birds of Mato Grosso do Sul state, Brazil: diversity and conservation

Several phytogeographic regions (Cerrado, Pantanal, Atlantic Forest, Gran Chaco, and Chiquitano Dry Forests) converge in the state of Mato Grosso do Sul, Brazil, and influence regional biodiversity. Despite a list of birds in the state of Mato Grosso do Sul being published by Nunes et al. (2017), it is necessary to update and critically review avifauna records. In this study, we gathered the results of several records obtained from species lists and online data platforms of the 336 sites in this state over the last decades and grouped them into Main (Primary and Secondary) and Tertiary Lists. The avifauna of Mato Grosso do Sul is composed of 678 species, of which 643 (95%) have records proving their occurrence (Primary List), whereas 34 still lack documentation (Secondary List). The number of related species for Mato Grosso do Sul represents 34% of the Brazilian avifauna. Some species stand out for their unique occurrence in Mato Grosso do Sul, such as Melanerpes cactorum, Celeus lugubris, Phaethornis subochraceus, and Cantorchilus guarayanus, reflecting the influence of different phytogeographic regions of the Chaco and Chiquitano Dry Forests. Migrants represent 20% of the bird community occurring in the state, of which 93 species correspond to migrants from various regions of South America (south and west) and 40 to boreal migrants. Thirty-three species perform nomadic movements across the Pantanal Plain and other regions of the state. Thirty-one species are included in some conservation-threatened categories of global and/or national endangered species lists. Other 30 species are included in the near-threatened category at the global level and 23 at the national level. In addition, species typical of dry forests (in Serra da Bodoquena and Maciço do Urucum) and those from the Atlantic Forest in the south of the state deserve attention due to their restricted distribution and the high anthropogenic pressure on their habitat

Erratum to: The study of cardiovascular risk in adolescents – ERICA: rationale, design and sample characteristics of a national survey examining cardiovascular risk factor profile in Brazilian adolescents

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