Estrategia combinada de educación y cambios estructurales en CAPS

La calidad de atención brindada a personas con diabetes tipo 2 y factores de riesgo cardiovascular (DMT2 y FRCV}, en el nivel primario de atención, no alcanza metas de tratamiento capaces de prevenir el desarrollo y progresión de las complicaciones crónicas de la enfermedad.Área: Ciencias Sociales y Humana

Hamartoma mesenquiamal hepático m crianças: relato de dois casos.

Trabalho de Conclusão de Curso - Universidade Federal de Santa Catarina, Centro de Ciências da Saúde, Departamento de Pediatria, Curso de Medicina, Florianópolis, 200

Variação temporal da abundância de Osmundea pinnatifida (Hudson) Stackhouse e o seu impacto na comunidade algal

Dissertação de Mestrado, Biodiversidade e Biotecnologia Vegetal, 10 de Fevereiro de 2014, Universidade dos Açores.Nas ilhas dos Açores existe uma dominância de algas do complexo Laurencia no musgo intertidal, com predominância para os géneros Osmundea e Laurencia. São estruturantes das comunidades em que ocorrem, albergando uma variedade de espécies algais epífitas ou epilíticas. Particularmente comum sazonalmente é a espécie Osmundea pinnatifida (Hudson) Stackhouse, abundante na transição entre os níveis médio e infralitoral. Pretendeu-se com este estudo verificar o impacto da variação temporal de biomassa da O. pinnatifida no valor total da biomassa da comunidade algal em que se insere e avaliar se esta variação temporal é de alguma forma compensada com o aumento da abundância de outras espécies. Escolheram-se dois locais do nível médio do intertidal rochoso de São Miguel onde se marcaram 30 quadrados de 10 x 10cm com 100% de cobertura de O. pinnatifida. A amostragem consistiu na raspagem integral de 5 quadrados por local a cada dois meses. No laboratório procedeu-se à identificação espécies presentes e respectiva pesagem. Identificou-se um total de 83 taxa, englobando 50 Rhodophyta, 8 Heterokontophyta (Phaeophyceae), 20 Chlorophyta e 5 Cyanophyta. A análise da variação temporal da biomassa da comunidade algal, revelou que esta reflete, em parte, a variação sazonal da biomassa de O. pinnatifida. No entanto, a perda sazonal de biomassa desta espécie foi rapidamente compensada com o aumento da biomassa de outras espécies. Ou seja, a redução sazonal na abundância de O. pinnatifida foi acompanhada por alterações significativas da comunidade algal associada, compensando, em pouco tempo, o efeito da perda do principal constituinte do musgo. Esta complementaridade entre espécies resultou numa reduzida variação temporal da biomassa da comunidade. Os taxa que mais contribuíram para compensar a perda de biomassa de O. pinnatifida foram as crostas, as algas coralinas articuladas, Gymnogongrus griffithsiae e Gelidium pusillum, os quais, no seu conjunto, foram responsáveis por mais de 80% do total de recuperação de biomassa da comunidade algal na ausência de O. pinnatifida. O decréscimo verificado nos valores de biomassa de O. pinnatifida ao longo do tempo já era de esperar pois trata-se de uma espécie que têm variações sazonais. A recuperação da comunidade por outras espécies registada vai igualmente de acordo com o reportado por diversos autores. A componente florística encontrada não acrescenta adições à flora algal dos Açores. De salientar, no entanto, a presença de vários taxa considerados até ao momento raros na flora algal do arquipélago.ABSTRACT: In the Azores there is a dominance of Laurencia complex in intertidal algal turf, with a predominance of species belonging to the genera Osmundea and Laurencia. These species are generally associated and support a diverse assemblage of other organisms, including epiphytes or epilitic species. Osmundea pinnatifida (Hudson) Stackhouse is seasonally very abundant at the transition between the mid and lower shore levels. The aim of this study was to examine the temporal variation in the biomass of O. pinnatifida, how it affects the overall biomass of the algal community, and if the temporal variation in O. pinnatifidda is somehow compensated by an increasing abundance of other species. Two locations were chosen in the rocky intertidal of São Miguel and 30 quadrats with 10 x 10cm, macroscopically containing 100% coverage of O. pinnatifida, were marked. Sampling was done by scraping and chiseling 5 replicate quadrats per site every two months. In the laboratory, samples were sieved, species were identified and weighed. I identified a total of 83 taxa, comprising 50 Rhodophyta, 8 Heterokontophyta (Phaeophyceae), 20 Chlorophyta e 5 Cyanophyta. The analysis of the temporal variation in algal community biomass revealed that it reflects, in part, the seasonal variation of O. pinnatifida biomass. However, the seasonal loss of biomass of this species was quickly compensated by an increasing biomass of other species. That is, the seasonal decline in the abundance of O. pinnatifida was accompanied by significant changes in the associated algal community which compensated, in a short time, the loss of principal component of algal turf. This complementarity effect among species resulted in a reduced temporal variation in the overall community biomass. The taxa that contributed the most to compensate the loss of biomass of O. pinnatifida were crusts, articulated coralline algae, Gymnogongrus griffithsiae and Gelidium pusillum. Cumulatively, these four taxa were responsible for over 80% of the total biomass recovery of the algal community in the absence of O. pinnatifida. The decrease in biomass values of O. pinnatifida over time was to be expected because it is a species that has seasonal variations. Community recovery by other species was also in agreement with that reported by several other authors. The floristic component found did not add any species to the algal flora of the Azores. It is noteworthy the presence of multiple taxa identified in this study that are typically rare in algal flora of the islands

Exercise Science Academic Programs and Research in Brazil

The International Journal of Exercise Science has enjoyed an association with several students and professionals from Brazil. In this invited editorial, professors from leading institutions in Brazil, Roberto Simão from Rio de Janeiro Federal University, and Jonato Prestes from the Federal University of São Carlos, share information regarding their programs relating to Exercise Science. They have provided information on academic components such as entrance requirements, progression through programs, and professional opportunities available to students following completion; as well as details regarding funding available to students to participate in research, collaboration, and specific research interests

Relation between cost of drug treatment and body mass index in people with type 2 diabetes in Latin America

Aims Despite the frequent association of obesity with type 2 diabetes (T2D), the effect of the former on the cost of drug treatment of the latest has not been specifically addressed. We studied the association of overweight/obesity on the cost of drug treatment of hyperglycemia, hypertension and dyslipidemia in a population with T2D. Methods This observational study utilized data from the QUALIDIAB database on 3,099 T2D patients seen in Diabetes Centers in Argentina, Chile, Colombia, Peru, and Venezuela. Data were grouped according to body mass index (BMI) as Normal (18.5BMI<25), Overweight (25BMI<30), and Obese (BMI30). Thereafter, we assessed clinical and metabolic data and cost of drug treatment in each category. Statistical analyses included group comparisons for continuous variables (parametric or non-parametric tests), Chi-square tests for differences between proportions, and multivariable regression analysis to assess the association between BMI and monthly cost of drug treatment. Results Although all groups showed comparable degree of glycometabolic control (FBG, HbA1c), we found significant differences in other metabolic control indicators. Total cost of drug treatment of hyperglycemia and associated cardiovascular risk factors (CVRF) increased significantly (p<0.001) with increment of BMI. Hyperglycemia treatment cost showed a significant increase concordant with BMI whereas hypertension and dyslipidemia did not. Despite different values and percentages of increase, this growing cost profile was reproduced in every participating country. BMI significantly and independently affected hyperglycemia treatment cost. Conclusions Our study shows for the first time that BMI significantly increases total expenditure on drugs for T2D and its associated CVRF treatment in Latin America.Fil: Elgart, Jorge Federico. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - la Plata. Centro de Endocrinología Experimental y Aplicada. Universidad Nacional de la Plata. Facultad de Ciencias Médicas. Centro de Endocrinología Experimental y Aplicada; ArgentinaFil: Prestes, Mariana. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - la Plata. Centro de Endocrinología Experimental y Aplicada. Universidad Nacional de la Plata. Facultad de Ciencias Médicas. Centro de Endocrinología Experimental y Aplicada; ArgentinaFil: Gonzalez, Lorena. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - la Plata. Centro de Endocrinología Experimental y Aplicada. Universidad Nacional de la Plata. Facultad de Ciencias Médicas. Centro de Endocrinología Experimental y Aplicada; ArgentinaFil: Rucci, Enzo. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - la Plata. Centro de Endocrinología Experimental y Aplicada. Universidad Nacional de la Plata. Facultad de Ciencias Médicas. Centro de Endocrinología Experimental y Aplicada; ArgentinaFil: Gagliardino, Juan Jose. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - la Plata. Centro de Endocrinología Experimental y Aplicada. Universidad Nacional de la Plata. Facultad de Ciencias Médicas. Centro de Endocrinología Experimental y Aplicada; Argentin

Sensitivity analysis of Repast computational ecology models with R/Repast

Computational ecology is an emerging interdisciplinary discipline founded mainly on modeling and simulation methods for studying ecological systems. Among the existing modeling formalisms, the individual-based modeling is particularly well suited for capturing the complex temporal and spatial dynamics as well as the nonlinearities arising in ecosystems, communities or populations due to individual variability. In addition, being a bottom up approach, it is useful for providing new insights on the local mechanisms which are generating some observed global dynamics. Of course no conclusions about model results could be taken seriously if they are based on a single model execution and they are not analyzed carefully. Therefore, a sound methodology should always be used for underpinning the interpretation of model results. The sensitivity analysis is a methodology for quantitatively assessing the effect of input uncertainty in the simulation output which should be incorporated compulsorily to every work based on in silico experimental setup. In this paper we present R/Repast a GNU R package for running and analyzing Repast Simphony models accompanied by two worked examples on how to perform global sensitivity analysis and how to interpret the results

The role played by exotic plants in urban ecosystems: comments on Spennemann, 2019

The article written by Dirk HR Spennemann, and published in the European Journal of Ecology, addresses the role played by a palm tree species native to the Canary Islands as food source for several frugivore species found in Australian cities. This palm tree bears fruit throughout the year; therefore, it is a reliable food source in winter and helps increasing wildlife support. Spennemann avoids the native versus exotic dogmatic simplism; instead, he assesses the palm tree species based on its positive environmental impact

Integrable Impurity Spin Ladder Systems

Two integrable spin ladder systems with different types of impurities are proposed. The impurities are introduced in such a way that the integrability of the models is not violated. The models are solved exactly and the Bethe ansatz equations as well as the energy eigenvalues are obtained. We show for both models that a phase transition between gapped and gapless spin excitations occurs at a critical value of the rung coupling J. In addition, the dependence of the impurities on this phase transition is determined explicitly. Remarkably, in one of the models a decreasing of the spin gap with increasing impurity strength is found.Comment: 11 pages, 3 eps figure