O armário: Fruiting phenology data for 4,462 plant taxa in Portugal (1926-2013).

Species phenology - the timing of key life events - is being altered by ongoing climate changes with yet underappreciated consequences for ecosystem stability. While flowering is generally occurring earlier, we know much less about other key processes such as the time of fruit ripening, largely due to the lack of comprehensive long-term datasets. Here we provide information on the exact date and site where seeds of 4,462 taxa were collected for the Index Seminum (seed exchange catalogue) of the Botanic Garden of the University of Coimbra, between 1926 and 2013. Seeds were collected from spontaneous and cultivated individuals across Portugal, including both native and introduced taxa. The database consists of 127,747 curated records with information on the species, or infraspecific taxa (including authority), and the day and site where seeds were collected. All records are georeferenced and provided with a confidence interval for the collection site. Taxonomy was first curated manually by in-house botanists and then harmonized according to the GBIF backbone taxonomy.

A strategy to digitise natural history collections with limited resources.

The present work is a contribution towards accelerating the digitisation process of natural history collections, usually a slow process. A two-stage process was developed at the herbarium of the University of Coimbra: (i) a new workflow was established to automatically create records in the herbarium master database with minimum information, while capturing digital images; (ii) these records are then used to populate a web-based crowdsourcing platform where citizens are involved in the transcription of specimen labels from the digital images. This approach simplifies and accelerates databasing, reduces specimen manipulation and promotes the involvement of citizens in the scientific goals of the herbarium. The novel features of this process are: (i) the validation method of the crowdsourcing contribution that ensures quality control, enabling the data to integrate the master database directly and (ii) the field-by-field integration in the master database enables immediate corrections to any record in the catalogue.

Risco de excesso de peso/gordura corporal e dislipidemias, associadas aos níveis de hemoglobina A2 / Risk of overweight/body fat and dyslipidemia, associated with the levels of hemoglobin A2

Objetivo: estimar o risco do excesso de peso/gordura corporal e dislipidemias, associados aos níveis de hemoglobina A2(HbA2) em população afrodescendente da Amazônia brasileira.Método: estudo analítico transversal,com 182 quilombolas de Trombetas, Pará Brasil, maiores de 20 anos; 41,7% homens e 58,3% mulheres. As variáveis do estudo foram: níveis de HbA2 <2,5%, 2,5-3,5% e >3,5% (variável dependente); medidas antropométricas (Índice de Massa Corporal-IMC, % de Gordura Corporal- BIA; circunferência da cintura ? CC), Colesterol e Triglicerídeo (variáveis independentes). Utilizaram-se médias de tendência central e dispersão, prevalência e teste de associação Qui-quadrado e Odds Ratio, entre as variáveis considerando, separadamente, grupos de acordo com HbA2, para a ocorrência de sobrepeso, excesso de gordura corporal, obesidade abdominal, hipercolesterolemia e hipertrigliceridemia, considerando positivo(?1) e negativo(<1), utilizando o nível de significância 5% (p?0,05). Resultados: para HbA2 <2,5% houve excesso de peso 69,0% sendo, estatisticamente, significante p valor(0,03), excesso de gordura 58,6%, obesidade abdominal 35,7%, hipertrigliceridemia 19,0% e hipercolesterolemia 57,1%. HbA2 2,5-3,5%, as maiores prevalências foram, excesso de peso e hipercolesterolemia (50,4% e 67,8% respectivamente); o risco aumentava para todas as morbidades exceto para hipercolesterolemia. Na HbA2 >3,5%,as maiores prevalências foram a obesidade abdominal e hipertrigliceridemia e os riscos foram menores para essas morbidades. Conclusão: o risco para o excesso de peso passou de 0,49 para 1,42 vezes de chance de ter essas morbidades, em relação aos níveis de concentração de HbA2 <2,5% e >3,5% respectivamente

Objective: estimate the risk of overweight/body fat and dyslipidemias, associated with levels of hemoglobin A2 (HbA2) population of African descents in the Brazilian Amazon. Method: study with 182 African descendent of Trombetas-Pará, more than 20 years, 41.7% men, 58.3% women. Variables: HbA2 categorized as <2.5%, from 2.5 to 3.5% and > 3.5% (low, normal and high, respectively), anthropometric measures (body mass index -BMI, Body Fat %-BIA, Abdominal fat - WC), cholesterol and triglyceride (independent variables). Analysis: means of central tendency and dispersion, prevalence and association test chi-square and the estimated risk (odds ratio) between the variables considering separately the groups according to the levels of HbA2 (dependent variable) for the occurrence of overweight, excess body fat, abdominal obesity, hypercholesterolemia and hypertriglyceridemia (independent variables), considering the positives(?1) ,negatives(<1). Statistical Package for the Social Sciences (SPSS) and in all tests was set the significance level of 5% (p ? 0.05). Results: HbA2 < 2.5% there were prevalence of overweight of 69.0% with a statistically significant p value (0.03), fat excess 58.6%, abdominal obesity 35,7%, hypertriglyceridemia 19.0% and hypercholesterolemia 57.1%. HbA2 2.5-3.5% the highest prevalence were overweight and hypercholesterolemia with 50.4% and 67.8% respectively, while the risk increased for all morbidities except for hypercholesterolemia. HbA2> 3.5%, the highest prevalence were abdominal obesity and hypertriglyceridemia and the risks were lower for these morbidities. Conclusion: however we note that the risk for being overweight increased from 0.49 to 1.42 times likely to have these illnesses when levels of HbA2 increased from <2.5% to> 3.5% respectively.

[Health education actions for the prevention and control of dengue fever: a study at Icaraí, Caucaia, Ceará State, Brazil]. / Ações de educação em saúde para prevenção e controle da dengue: um estudo em Icaraí, Caucaia, Ceará

This study analyses education actions and their strategies for preventing and controlling dengue fever, highlighting constraints and difficulties. Conducted through a qualitative approach at the Primary Care Unit and 8 properties in Icaraí, Ceará State, Brazil, its 17 subjects are divided into groups: I (8 PCU users); II (4 Endemic Disease Control Agents); and III (5 healthcare practitioners). The data was collected through semi-structured interviews; participative observation and documentary analyses, using a hermeneutic dialectic analysis method. The findings indicate that health education actions are divergent, while transforming actions are ineffective in terms of impacts on the disease. Difficulties include: weak location-specific actions; educational messages whose contents are not tailored to their contexts; authoritarian and coercive strategies; absence of public policies; gaps between PCU and local population; stress on public health campaigns; practitioners who do not listen to the population and vice-versa; with technical expertise still prevailing over users. The evidence underscores the need for actions strengthening the possibilities of empowering the subjects, helping them become responsible for their own lives and citizenship construction processes.

Ações de educação em saúde para prevenção e controle da dengue: um estudo em Icaraí, Caucaia, Ceará / Health education actions for the prevention and control of dengue fever: a study at Icaraí, Caucaia, Ceará State, Brazil

O estudo analisa as ações educativas para prevenção e controle da dengue, as estratégias utilizadas nas ações educativas e aponta os limites/dificuldades. Abordagem qualitativa, desenvolvida na Unidade Básica de Saúde e oito imóveis em Icaraí-CE. Os sujeitos foram dezessete pessoas, distribuídas entre três grupos: I (oito usuários da UBS); II (quatro Agentes de Controle de Endemias); III (cinco profissionais de Saúde). As técnicas de coleta de dados: a entrevista semi-estruturada; a observação participante, a análise de documental. O método de análise foi hermenêutica dialética. Pode-se afirmar que as práticas educativas em saúde são divergentes, a ação transformadora é ineficaz para impactar a doença. Apontaram-se como dificuldades as fragilidade e ações pontuais; conteúdo das mensagens educativas descontextualizadas; estratégias autoritárias e coercitivas, ausência de políticas públicas, limites entre a UBS e a população; ênfase às campanhas sanitárias; os profissionais não ouvem a população e vice-versa; ainda predomina o saber técnico sobre o usuário. Evidencia a necessidade de ações que fortaleçam a possibilidade dos sujeitos terem o poder e a responsabilidade pela própria história e pelo processo de construção de sua cidadania.

This study analyses education actions and their strategies for preventing and controlling dengue fever, highlighting constraints and difficulties. Conducted through a qualitative approach at the Primary Care Unit and 8 properties in Icaraí, Ceará State, Brazil, its 17 subjects are divided into groups: I (8 PCU users); II (4 Endemic Disease Control Agents); and III (5 healthcare practitioners). The data was collected through semi-structured interviews; participative observation and documentary analyses, using a hermeneutic dialectic analysis method. The findings indicate that health education actions are divergent, while transforming actions are ineffective in terms of impacts on the disease. Difficulties include: weak location-specific actions; educational messages whose contents are not tailored to their contexts; authoritarian and coercive strategies; absence of public policies; gaps between PCU and local population; stress on public health campaigns; practitioners who do not listen to the population and vice-versa; with technical expertise still prevailing over users. The evidence underscores the need for actions strengthening the possibilities of empowering the subjects, helping them become responsible for their own lives and citizenship construction processes.

Correçäo anatômica da transposiçäo das grandes artérias pela técnica de Jatene usando a manobra de Lecompte e mantendo a cominaçäo interventricular: relato de caso / Anatomical correction of transposition of the great arteries by Jatene's technic using Lecomple manuver and maintaining the interventricular septal defect: report of a case

A correçäo anatômica de um caso de transposiçäo das grandes artérias com comunicaçäo interventricular (CIV) em um menino de 10 meses de idade, usando a técnica de Jatene é relatada. A CIV näo foi fechada e a manobra de Lecompte foi realizada. As razöes da escolha desta conduta säo discutidas. A técnica de Jatene com a manobra de Lecompte torna a operaçäo ainda mais racional. A associaçäo da técnica de Jatene com a manobra de Lecompte deixando a CIV aberta näo tinha sido publicada ainda no Brasil

Causas de óbito em cirurgia de revascularizaçäo do miocárdio / Causes of death in surgery of myocardial revascularization

É relatada a mortalidade cirúrgica na revascularizaçäo do miocárdio em diferentes etapas, entre outubro de 1972 e dezembro de 1984. A partir de 1980 esteve sempre igual ou inferior a 3%, sendo que em um dos Serviços chegou a 0,9% em 1983 e 1984. Säo analisados os fatores incrementadores do risco cirúrgico nesta experiência