Spatial-temporal pattern of colorectal cancer mortality in a Northeastern Brazilian State.

Colorectal cancer (CRC) is one of the most common cancer types worldwide. Its increasing mortality trends, especially in emerging countries, are a concern. The aim of this study was to analyse mortality trends and spatial patterns of CRC in the state of Sergipe, Brazil, from 1990 to 2019. Trends were calculated using data from the Online Mortality Atlas and Joinpoint Regression Program 4.8.0.1. Spatial analyses were performed using the empirical Bayesian model and Moran indices calculated by TerraView 4.2.2 between 1990 to 1999, 2000 to 2009 and 2010 to 2019. A total of 1585 deaths were recorded during the study period, with 58.42% among females. Trends were increasing and constant for both sexes and all age groups studied. The highest mean annual percent change was 6.2 {95% Confidence interval (CI) 3.4;9.0} for males aged +65 years and 4.5 (95% CI 3.2;5.8) for females aged 50-64 years. There was positive spatial autocorrelation for both sexes in all periods studied when using the Moran index for Bayesian rates. In summary, a consistent trend of increasing colorectal cancer (CRC) mortality has been observed overall. Nevertheless, an altered spatial distribution among males has emerged over the studied period.

Cardiovascular Prognosis of Subclinical Chronic Obstructive Pulmonary Disease in Patients with Suspected or Confirmed Coronary Artery Disease.

Background: Chronic obstructive pulmonary disease (COPD) worsens prognosis in patients with coronary artery disease (CAD). However, the cardiovascular prognosis in patients with stable or mildly symptomatic COPD remains unclear. Here, we sought to determine the long-term cardiovascular events in patients with subclinical or early-stage COPD with concomitant CAD. Methods: This was a longitudinal analytical study involving 117 patients with suspected or established CAD who underwent assessment of pulmonary function by spirometry and who were followed up for six years (March 2015-January 2021). The patients were divided into two groups, one comprising COPD (n=44) and the other non-COPD (n=73) patients. Cox regression was used to evaluate the association between COPD and cardiovascular events, with adjustment for the established CAD risk factors, and the effect size was measured by the Cohen test. Results: COPD patients were older (p=0.028), had a greater frequency of diabetes (p=0.026), were more likely to be smokers (p<0.001), and had higher modified Medical Research Council scores (p<0.001). There was no difference between the groups regarding gender, body mass index, hypertension, dyslipidemia, family history of CAD, and type of angina. CAD frequency and the proportion of patients with severe and multivessel CAD were significantly higher among COPD than among non-COPD patients (all p<0.001). At six-year follow-up, patients with COPD were more likely to have experienced adverse cardiovascular events than those without COPD (p<0.001; effect size, 0.720). After adjusting for established CAD risk factors, COPD occurrence remained an independent predictor for long-term adverse cardiovascular events (OR: 5.13; 95% CI: 2.29-11.50; p<0.0001). Conclusion: COPD was associated with increased severity of coronary lesions and a greater number of adverse cardiovascular events in patients with suspected or confirmed CAD. COPD remained a predictor of long-term cardiovascular events in stable patients with subclinical or early-stage of COPD, independently of the established CAD risk factors.

Sequential Sampling Plans for Thrips (Thysanoptera: Thripidae) in Soybean Crops With Insecticide Applications Using Tractor or Airplane.

Sampling plans are an essential part of integrated pest management programs. Sequential sampling plans enable rapid and low-cost assessment of pest densities. Thrips are emerging pests in soybean crops, and the main method used in pest control is chemical. In soybean crops, insecticides are applied mainly using tractors or airplanes. Thus, this work aimed to determine sequential sampling plans for thrips in soybean crops with insecticide applications using a tractor or airplane. Data were collected in 56 soybean fields, and each field was 20 ha. Sampling plans were determined and validated. The lower (m0) and upper (m1) limits of the sequential sampling plans were: m0 = 1.72 and m1 = 3.43 (by tractor applications) and, m0 = 2.27 and m1 = 4.53 thrips. sample-1 (by airplane applications). The slope (S) and the lower (h0) and upper (h1) intercepts of the sequential sampling plans were: S = 2.42, h0 = -5.79, and h1 = 5.79 (by tractor applications) and, S = 3.19, h0 = -6.83, and h1 = 6.83 (by airplane applications). Sequential sampling plans allowed for correct decisions to be made in all situations using a maximum of 10 samples. The sequential plan reduced the sampling effort by over 87% compared to conventional sampling plans. Therefore, these control decision-making systems have proven feasible and advantageous for implementing integrated pest management programs for controlling thrips species in soybean crops.

Saúde mental de profissionais de um serviço de atendimento móvel de urgência (samu) no contexto da pandemia covid-19 / Mental health of professionals of a mobile emergency care service (samu) in the context of the covid-19 pandemic / Mental health of professionals of a mobile emergency care service (samu) in the context of the covid-19 pandemic

Introdução: De modo geral a condição física e mental de um trabalhador está associada à sua atividade profissional e seu contexto laboral. Objetivo: Avaliar a prevalência e os fatores associados a Transtornos Mentais Comuns (TMC) no contexto da pandemia Covid-19 no ambiente de trabalho de uma equipe de atenção pré-hospitalar. Método: Trata-se de um estudo descritivo e quantitativo, do qual participaram 80 trabalhadores de atendimento pré-hospitalar, sem exclusão de categoria profissional, sendo eles participantes do Consórcio Intermunicipal de Saúde de uma região do interior paulista. Resultados: Por meio dos dados obtidos pelo instrumento Self Reporting Questionnaire - SRQ-20, foi possível verificar uma pontuação maior que 7, valor este que comprova sofrimento mental. Assim, foi identificado o nível de sofrimento mental em três categorias profissionais: enfermeiro, técnico de enfermagem e condutor de ambulância, havendo equivalência nas categorias de Enfermeiros e Técnicos de Enfermagem. Evidenciou-se que o fator se sentir nervoso, tenso ou preocupado foi uma característica comum em 94,12%, correspondendo a 32 profissionais. Essa análise aponta que apesar da natureza múltipla dos transtornos emocionais, o instrumento utilizado no estudo identificou fatores os quais, em conjunto, indicam características imprescindíveis para o rastreamento da saúde mental dos profissionais no âmbito de trabalho. Conclusão: Embora este estudo tenha sido realizado apenas com profissionais de atendimento préhospitalar, com uma amostra de conveniência, seus resultados podem direcionar campanhas com objetivos primordiais quanto aos cuidados de saúde dos profissionais expostos aos Transtornos Mentais Comuns nos ambientes de trabalho.

Introduction: In general, the physical and mental condition of a worker is associated with his professional activity and work context. Objective: To evaluate the prevalence and factors associated with Common Mental Disorders (CMD) in the context of the Covid-19 pandemic in the workplace of a pre-hospital care team. Method: This is a descriptive and quantitative study, in which 80 pre-hospital care workers participated, without exclusion of professional category, being participants of the Intermunicipal Health Consortium of a region of the interior of São Paulo. Results: Through the data obtained by the Self Reporting Questionnaire - SRQ-20, it was possible to verify a score greater than 7, a value that proves mental suffering. Thus, the level of mental suffering was identified in three professional categories: nurse, nursing technician and ambulance driver, with equivalence in the categories of Nurses and Nursing Technicians. It was evidenced that the factor to feel nervous, tense or worried was a common characteristic in 94.12%, corresponding to 32 professionals. This analysis points out that despite the multiple nature of emotional disorders, the instrument used in the study identified factors that, together, indicate essential characteristics for tracking the mental health of professionals in the workplace. Conclusion: Although this study was carried out only with pre-hospital care professionals, with a convenience sample, we its results can direct campaigns with primary objectives regarding the health care of professionals exposed to Common Mental Disorders in work environments.

Introducción: En general, la condición física y psíquica de un trabajador está asociada a su actividad profesional y su contexto laboral. Objetivo: Evaluar la prevalencia y factores asociados a los Trastornos Mentales Comunes (TMC) en el contexto de la pandemia de Covid19 en el ambiente laboral de un equipo de atención prehospitalaria. Método: Se trata de un estudio descriptivo y cuantitativo, en el que participaron 80 trabajadores de la atención prehospitalaria, sin exclusión de categoría profesional, participantes del Consorcio Intermunicipal de Salud de una región del interior de São Paulo. Resultados: A través de los datos obtenidos por el instrumento Self Reporting Questionnaire - SRQ-20, fue posible verificar una puntuación superior a 7, valor que prueba sufrimiento psíquico. Así, el nivel de sufrimiento psíquico fue identificado en tres categorías profesionales: enfermero, técnico de enfermería y conductor de ambulancia, con equivalencia en las categorías de Enfermeros y Técnicos de Enfermería. Se evidenció que el factor sentirse nervioso, tenso o preocupado fue una característica común en el 94,12%, correspondiente a 32 profesionales. Este análisis muestra que a pesar de la naturaleza múltiple de los trastornos emocionales, el instrumento utilizado en el estudio identificó factores que, en conjunto, indican características esenciales para el seguimiento de la salud mental de los profesionales en el lugar de trabajo. Conclusión: A pesar de que este estudio fue realizado solo con profesionales de atención prehospitalaria, con una muestra de conveniencia, sus resultados pueden orientar campañas con objetivos primarios sobre el cuidado de la salud de los profesionales expuestos a los Trastornos Mentales Comunes en el ambiente de trabajo.

Validation of the Brazilian Portuguese version of the Venous International Assessment Scale and proposal of revision.

OBJECTIVE: To validate the Brazilian Portuguese translation and analyze the cultural adaptation of the Venous International Assessment Scale. METHODS: Observational study by employing the Delphi technique and an equivalence evaluation by experts. The results were analyzed using item scores and by content validity index calculations of item, scale, and universal agreement. RESULTS: Three rounds of evaluation were necessary for consensus. Explanatory contents were incorporated into the original scale throughout the process, resulting in a new version: VIA Scale - Revised. This scale obtained a content validity index of 0.96 and a universal agreement of 0.78. In the cross-cultural adequacy analysis phase, a score of 0.77 was obtained. The majority (90.5%) of the participants judged the scale's decision support property as positive. CONCLUSION: The VIA Scale was validated and culturally adapted to the Brazilian Portuguese language, resulting in the VIA Scale - Revised (VIA-R).

Checklists for Assessing Skills of Children With Type 1 Diabetes on Insulin Injection Technique.

BACKGROUND: School-aged children often participate in type 1 diabetes (T1D) self-care tasks. Despite widespread discussion about the importance of developing self-care skills in childhood, few explain how the health care team should assess the skills of children with T1D when performing insulin injections. OBJECTIVE: We sought to assess content validity evidence in two checklists regarding injection technique performed by children. METHODS: Two checklists were designed based on a systematic review of the insulin injection technique. Experts in pediatric diabetes, health literacy, and diabetes education assessed the checklists regarding their clarity, objectivity, and relevance. Content validity was assessed using the content validity ratio (CVR). RESULTS: Eleven providers (72% nurses or physicians, professional experience 19.4 ± 10.1 years, 45% of specialists in endocrinology, and 18% in pediatrics) participated in the assessment. Experts considered items containing the word homogeneity inappropriate. Items related to the needle insertion angle and the skin fold did not reach the CVR critical value. The final version of the checklist for syringe injection comprised 22 items with CVR = 0.91, and the checklist for pen injection comprised 18 items with CVR = 0.87. CONCLUSIONS: The checklists presented clear, objective, and relevant content that assesses the skills of children with T1D for insulin injection. The checklists formally present the order of the technique and all the steps for insulin injection and allow a quantitative assessment of the operational skills of children. The developed instruments offer providers the possibility of continuous assessment of the progress of the pediatric clientele until they reach independence in diabetes self-care.

Validation of the Brazilian Portuguese version of the Venous International Assessment Scale and proposal of revision / Validación para el portugués de Brasil de la escala Venous International Assessment y propuesta de revisión / Validação para o português do Brasil da Escala Venous International Assessment e proposta de revisão

ABSTRACT Objective: To validate the Brazilian Portuguese translation and analyze the cultural adaptation of the Venous International Assessment Scale. Methods: Observational study by employing the Delphi technique and an equivalence evaluation by experts. The results were analyzed using item scores and by content validity index calculations of item, scale, and universal agreement. Results: Three rounds of evaluation were necessary for consensus. Explanatory contents were incorporated into the original scale throughout the process, resulting in a new version: VIA Scale - Revised. This scale obtained a content validity index of 0.96 and a universal agreement of 0.78. In the cross-cultural adequacy analysis phase, a score of 0.77 was obtained. The majority (90.5%) of the participants judged the scale's decision support property as positive. Conclusion: The VIA Scale was validated and culturally adapted to the Brazilian Portuguese language, resulting in the VIA Scale - Revised (VIA-R).

RESUMEN Objetivo: Validar traducción para el portugués brasileño y analizar la adaptación cultural de la Escala Venous International Assessment. Métodos: Estudio observacional dado por la aplicación de la técnica de Delphi y evaluación de la equivalencia por especialistas. Los resultados analizados mediante la calificación por ítem y cálculos de índices de validez de contenido de ítem, escala y concordancia universal. Resultados: Fueron necesarias tres rondas de evaluación para consenso. En el curso del proceso, fueron incorporados contenidos explicativos a la escala original, proponiéndose la Escala VIA - Revised. Esta obtuvo índice de validez de contenido de 0,96 y concordancia universal de 0,78. En el análisis de la adecuación transcultural, fue obtenido índice de 0,77. La mayoría (90,5%) de los participantes juzgó positivamente la propriedad de la escala de apoyo a la decisión. Conclusión: La Escala VIA fue validada y adaptada culturalmente al portugués brasileño, generando proposición de la Escala VIA - Revised (VIA-R).

RESUMO Objetivo: Validar a tradução para língua portuguesa do Brasil e analisar a adaptação cultural da Escala Venous International Assessment. Métodos: Estudo observacional dado pela aplicação da técnica de Delphi e avaliação da equivalência por especialistas. Os resultados foram analisados mediante a pontuação por item e cálculos de índices de validade de conteúdo de item, escala e concordância universal. Resultados: Foram necessárias três rodadas de avaliação para consenso. No decorrer do processo, foram incorporados conteúdos explicativos à escala original, propondo-se a Escala VIA - Revised. Esta obteve índice de validade de conteúdo de 0,96 e concordância universal de 0,78. Na etapa de análise da adequação transcultural, foi obtido índice de 0,77. A maioria (90,5%) dos participantes julgou de modo positivo a propriedade da escala de apoio à decisão. Conclusão: A Escala VIA foi validada e adaptada culturalmente para a língua portuguesa do Brasil, gerando proposição da Escala VIA - Revised (VIA-R).

Biological performance and oviposition preference of tomato pinworm Tuta absoluta when offered a range of Solanaceous host plants.

The tomato pinworm Tuta absoluta (Lepidoptera: Gelechuidae) is native to South America and has now become the main tomato pest in Europe, Africa and Asia. The wide range of host plants attacked by this pest has been reported as one of the main reasons for the success of this important insect species. However, the information currently available on the biological performance of T. absoluta on Solanaceae has been obtained from a limited number of host species. The Solanaceae family is composed of thousands of species, many of which are potential hosts for T. absoluta. Our results showed that the highest oviposition rates occurred on cultivated tomato plants, potato and wild tomato. The lowest rates occurred on "gilo", "jurubeba", green pepper and pepper. The highest survival rates of the immature stages occurred on potato and the lowest on pepper, green pepper and "jurubeba". Female fertility, following infestation of the different plant species, was highest for insects that developed on tomato or potato and the lowest rates were seen on American black nightshade. The net reproductive rate and the intrinsic growth rate were highest on potato and tomato. Cluster analysis grouped tomato and potato as highly susceptible to attack, American black nightshade, juá, eggplant, gilo and wild tomato as moderately susceptible, whilst pepper, green pepper and jurubeba were categorized as resistant to T. absoluta. These results clearly demonstrate that the choice of solanaceous host plant species has a direct impact on the fitness parameters of the tomato pinworm as well as survival potential, dispersion and establishment at new sites. These results are important for the planning of integrated pest management strategies.

Investigating the Natural Mortality of Aphis gossypii (Hemiptera: Aphididae) on Cotton Crops in Tropical Regions Using Ecological Life Tables.

Studies on the natural factors contributing to pest regulation are fundamental to developing efficient integrated pest management programs. Chemical control is the main management method used for pests [e.g., Aphis gossypii (Glover)]. The studies of pest management with chemical control provide information that can be incorporated into integrated pest management programs to promote more sustainable pest control approaches. Here, we report the critical stages of A. gossypii and its abiotic and biotic natural mortality factors in cotton crops as a function of plant phenology using a life table. The critical stages of A. gossypii were the first and fourth instars. Together, the abiotic and biotic factors caused 94.31% of the mortality in the A. gossypii populations in cotton crops with plants in the vegetative, flowering, and fruiting stages. The key mortality factors were rainfall and predation. Syrphidae Allograpta exotica (Wiedemann) (Diptera: Syrphidae) and Chrysopidae Chrysoperla externa (Hagen) (Neuroptera: Chrysopidae) larvae, many Coccinellidae species Cycloneda sanguinea (L.) (Coleoptera: Coccinellidae), Eriopsis connexa (Germar) (Coleoptera: Coccinellidae), Harmonia axyridis (Pallas) (Coleoptera: Coccinellidae), Hippodamia convergens (Guérin-Meneville) (Coleoptera: Coccinellidae), Scymnus rubicundus (Erichson) (Coleoptera: Coccinellidae) and Stethorus punctillum (Weise) (Coleoptera: Coccinellidae), one Anthocoridae species Orius insidiosus (Say) (Hemiptera: Anthocoridae), and individuals from the Araneidae family were responsible for the predation of A. gossypii. The results obtained in this study provide support for the idea that efforts to preserve natural enemies (e.g., predators) and rainfall monitoring should be adapted due to their importance for the regulation of A. gossypii populations in all the phenological stages of cotton in tropical regions.

Infecções do trato urinário: uma revisão sobre as evidências científicas das principais plantas medicinais utilizadas na prática clínica / Urinary tract infections: a review on the scientific evidence of main medicinal plants used in clinical practice

As infecções do trato urinário (ITUs) afetam cerca de 150 milhões de pessoas por ano e caracterizam-se pela resposta do organismo a uma invasão e multiplicação bacteriana. O tratamento é realizado com antibióticos, mas, devido ao uso indiscriminado, tem-se observado o aumento de resistência bacteriana. Nesse contexto, as plantas medicinais são promissoras, pois possuem baixo custo e fácil acesso, e muitas possuem atividade antimicrobiana. Objetivou-se revisar as principais espécies utilizadas na prática clínica na prevenção e tratamento de ITUs. A utilização da fitoterapia para aliviar sintomas e diminuir a recorrência sintomática das ITUs é uma alternativa válida e promissora, destacando-se a espécie Vaccinium macrocarpon L. (cranberry). Porém, apesar dos avanços e do potencial dessas espécies, há ainda a necessidade de estudos sobre seus respectivos mecanismos de ação. Além disso, a capacitação dos profissionais de saúde para realizar uma prescrição correta, assertiva e segura é essencial.(AU)

Urinary tract infections (ITUs) affect about 150 million people each year and are characterized by the body's response to invasion and bacterial multiplication. Antibiotics are the main therapy used, but due to indiscriminate use, increased bacterial resistance has been observed. In this context, medicinal plants are a promising, low cost and easy access alternative. The aim of this study was to review the main species used in clinical practice in the prevention and treatment of UTIs. The use of herbal medicine to relieve symptoms and reduce symptomatic recurrence of UTIs is a valid and promising alternative, especially Vaccinium macrocarpon L. (cranberry) specie. However, despite the advances and potential of these species, it is necessary to establish their mechanisms of action. Still, the primary training of health professionals to make a correct, assertive and safe prescription is fundamental.(AU)

Practical Sampling Plan for Liriomyza huidobrensis (Diptera: Agromyzidae) in Tomato Crops.

The pea leafminer, Liriomyza huidobrensis (Blanchard), is an important pest of tomato crops worldwide. Conventional sampling plans are the starting point for the development of pest control decision-making. The present study aimed to develop a conventional sampling plan for L. huidobrensis during the vegetative and reproductive stages of tomato (Solanum Lycopersicum L.). The best sampling unit for vegetative and reproductive stages of tomato crops was determined. The frequency distributions of L. huidobrensis densities in tomato crops were assessed, and the ideal number of samples to constitute the sampling plan was determined. The basal leaf of the middle section of the plant canopy was the best plant part for sampling. Pea leafminer densities were fitted to the negative binomial distribution with a common aggregation parameter (Kcommon = 0.7289) that represents all tomato fields. The sampling plan consists of 73 samples per field, irrespective of field size (1, 5, or 10 ha). Evaluations using this sampling plan were performed in 47 min, 1 h 9 min, and 1 h 25 min at a cost of US$1.74, US$2.54, and US$3.12 per sampling in fields of 1, 5, and 10 ha, respectively. The sampling plan developed in this study may lead to more well-informed decision-making for controlling L. huidobrensis in tomato fields up to 10 ha. Additionally, it is inexpensive (up to US$3.12 per sampling area), fast (up to 1 h 25 min per sampling area), and practical (it can be used in tomato crops at the vegetative and reproductive stages).

Factors and mass ratio analyses for Reactive Blue 19 dye decolorization using ozone: an experimental and analytical modelling approach / Análises de atributos e taxa mássica da descolorização do corante Azul Reativo 19 usando ozônio: modelagem experimental e analítica

ABSTRACT Dyes highly reduce sunlight penetration into the stream, and consequently affect photosynthesis and oxygen transfer into water bodies. An experimental and analytical modelling approach to Reactive Blue 19 (RB19) removal using ozone was carried out. For this purpose, factors and mass ratio analyses were assessed based on batch assays experiments. Removal efficiency increased from 64 to 94% when the dosage increased from 38.4 to 153.6 mg O3.L-1. Results showed that RB19 is more efficiently removed when initial pH is 7. The rate of RB19 removal decreased as the initial dye concentration increased. Kinetic studies showed that the ozonation of RB19 was a pseudo first-order reaction with respect to the dye, and the apparent rate constant declined logarithmically with the initial dye concentration. Mass ratio studies showed that, for the empirical analysis, the power law equation was adequate to describe mass ratio over time and the analytical analysis suggests that the process is influenced by mass transfer in the liquid film as well as in the bulk fluid.

RESUMO Os corantes reduzem significativamente a penetração da luz solar no corpo d'água e, consequentemente, afetam a fotossíntese e a transferência de oxigênio. Realizaram-se modelagens experimental e analítica da remoção do azul reativo 19 por ozônio. Para isso, avaliaram-se os atributos e a taxa mássica por ensaios em batelada. A eficiência de remoção foi de 64 para 94% quando a dose de ozônio aumentou de 38,4 para 153,6 mg O3.L-1. Os resultados mostraram que o azul reativo 19 é removido mais eficientemente em pH inicial da solução de 7. A taxa de remoção do azul reativo 19 reduziu à medida que a sua concentração inicial aumentou. Os estudos cinéticos mostraram que a ozonização do azul reativo 19 é uma reação de pseudoprimeira ordem em relação ao corante e a constante cinética aparente decai logaritmicamente com a concentração inicial de corante. A análise empírica indica que a taxa mássica ao longo do tempo pode ser descrita adequadamente por uma equação de potência, e os estudos analíticos sugerem que o processo é influenciado pela transferência de massa tanto no filme líquido quanto na massa líquida.

Caracterização de jovens livres de cárie / Characterization of caries-free young

O trabalho teve como objetivo caracterizar o perfil socioeconômico e hábitos alimentares e de higiene de jovens, com idade entre 18 e 24 anos, livres de cárie, beneficiando a odontologia no sentido de estudar dados relacionados à saúde e não a doença como já bem relatado na literatura. Através de exame clínico simples foram selecionados os alunos livres de cárie (88) que então responderam a um questionário com questões sobre o perfil socioeconômico da família, os hábitos alimentares, de higiene, de rotina ao consultório odontológico e incentivo dos responsáveis da infância até os dias atuais. O perfil socioeconômico mais prevalente foi entre os estratos A a B2, com o nível de escolaridade dos pais entre médio completo e pós-graduação. Em relação à água fluoretada e a informações sobre saúde bucal 93% responderam ter tido acesso. As escovações foram relatadas no mínimo de 1 a 3 vezes por dia, chegando até a 5 vezes. Os consultórios particulares foram os mais visitados, com um intervalo de 3 a 6 meses entre as consultas por motivo de prevenção. A escovação foi supervisionada pelos pais até os 7 anos de idade por 63,64% dos entrevistados. Desta forma, os dados colhidos durante esta pesquisa podem auxiliar na formação, reorientação ou adaptação de políticas públicas de saúde através da organização do serviço, planejamento de estratégias para os trabalhos principalmente de educação, atenção e prevenção em saúde bucal, trazendo benefícios não só a odontologia, mas à toda população(AU)

The objective of this study was to characterize the socioeconomic profile and eating and hygiene habits of young people., aged 18 to 24 years old, caries-free, benefiting dentistry in order to study data related to health and not the disease as already reported in the literature. Through a simple clinical examination, caries-free students were selected (88), who then answered a questionnaire with questions about the family's socioeconomic profile, eating habits, hygiene, routine dental appointments, and indulcement of parents or guardians for childhood to the present day. The most prevalent socioeconomic profile was between the strata A and B2, with the level of schooling of the parents between full middle and postgraduate. Regarding fluoridated water and oral health information, 93% said they had access. Brushing has been reported at least 1 to 3 times a day, up to 5 times. Private practices were the most visited, with a 3-6 month interval between consultations due to prevention. Brushing was supervised by parents up to 7 years of age by 63.64% of the interviewees. Therefore, the data collected during this research can help in the formation, reorientation or adaptation of public health policies through the organization of the service, planning strategies for the work mainly education, attention and prevention in oral health, bringing benefits not only dentistry, but the entire population(AU)

Sequential sampling plans and economic injury levels for Empoasca kraemeri on common bean crops at different technological levels.

BACKGROUND: Empoasca kraemeri is an important pest on common bean crops at different technological levels. However, for this pest on this crop, economic injury levels have not yet been determined and plan for sequential sampling plans has not yet been developed. Thus, the objectives of this research were to develop E. kraemeri sequential sampling plans and to determine economic injury levels in the common bean at different crop technological levels. RESULTS: Common bean plants tolerate low attack intensities of this pest (up to 1 adult plant-1 ). However, with an increase in attacks, there is a reduction in grain production by the plants. The economic injury levels were 0.48, 0.39 and 0.35 adults sample-1 (leaf beating on a tray) for crops with low (1200 kg ha-1 ), medium (1800 kg ha-1 ) and high (2400 kg ha-1 ) technological levels, respectively. Sequential sampling plans and the standardized plan produced similar decisions. However, in these decisions there was a time saving of more than 60% compared with the standardized plan. CONCLUSION: All three economic injury levels determined and the sequential sampling plans developed in this study are suitable for incorporation into integrated management programs for common bean pests because they can be used by farmers operating at various technological levels to make adequate and rapid decisions. © 2017 Society of Chemical Industry.

Conhecimento de Libras pelos Médicos do Distrito Federal e Atendimento ao Paciente Surdo / Medical Doctors' Knowledge of Libras in the Federal District and Deaf Patient Health Care

RESUMO O ensino da Língua Brasileira de Sinais (Libras) nas escolas médicas é pouco difundido, e este cenário pode dificultar o atendimento de importante parcela da população: o paciente surdo. De acordo com o Instituto Brasileiro de Geografia e Estatística (IBGE), cerca de 24% da população brasileira tem algum tipo de deficiência, sendo parte de um grupo conhecido como vulneráveis. A surdez está entre as deficiências mais prevalentes, e no contexto do atendimento médico a dificuldade em atender integralmente o paciente surdo constitui um problema de saúde pública relevante, mas pouco abordado. O objetivo do presente estudo foi avaliar o conhecimento de Libras por médicos do Distrito Federal e sua percepção frente ao atendimento de pacientes surdos. Assim, foi realizado um estudo observacional transversal e descritivo com aplicação de questionários a 101 médicos escolhidos ao acaso, atuantes no Sistema Único de Saúde (SUS) no Distrito Federal. Foram entrevistados médicos de 24 especialidades, com idade média de 41 anos. Deles, 92,1% já atenderam um paciente surdo e 76,2% consideraram o conhecimento de Libras importante para sua prática médica, mas apenas um relatou conhecimento básico na língua. Quanto ao sentimento do médico no atendimento, houve predomínio de incerteza e desconforto. Um número significativo de médicos já realizou atendimento de pacientes surdos em sua prática profissional no SUS, e a maioria considerou o conhecimento de Libras relevante, especialmente os médicos com menos de 55 anos de idade. Possivelmente, o sentimento de desconforto no atendimento decorre do predominante desconhecimento da língua pelos médicos e da conseguinte dificuldade durante o atendimento. Destaca-se a importância da implantação ou ampliação do estudo de Libras antes ou durante a formação médica e dos demais cursos da área de saúde. A conscientização dos profissionais de saúde perante o atendimento integral do paciente surdo é um passo fundamental na implementação efetiva do ensino de Libras de forma especializada no ensino superior, resultando em maior confiança e qualidade na relação médico-paciente.

ABSTRACT In medical schools, the teaching of Brazilian Sign Language (Libras) is limited and this scenario may result in difficulties when dealing with an important portion of the population: the deaf. According to the Brazilian Institute of Geography and Statistics (IBGE), nearly 24% of the Brazilian population has some kind of deficiency; belonging to what are known as vulnerable groups. Deafness is among the most prevalent deficiencies, and the medical practice being unable to attend a deaf patient is a public health problem that requires further discussion. The objective of the present study was to evaluate medical doctors' knowledge of Libras and their perception of attending to a deaf patient. A cross-sectional and descriptive study was designed and 101 medical doctors of the Brazilian Public Health System (Sistema Único de Saúde, SUS) were randomly chosen in the Federal District and answered a structured survey. We interviewed medical doctors with a mean age of 41 years from 24 different medical specialties. 92.1% of them had seen at least one deaf patient in their clinical practice. 76.2% of them considered the knowledge of Libras relevant to their practice, but only one declared basic knowledge of the language. Most of the medical doctors reported uncertainty and discomfort when attending a deaf patient. A significant number of doctors had already seen a deaf patient in their clinical practice, and most considered the knowledge of Libras important, especially those under the age of 55 years. The feeling of discomfort when dealing with a deaf patient possibly arises from not knowing Libras and being unable to communicate with the patient properly. We emphasize the importance of learning Libras before or during medical school and other health-related courses. Being aware that the deaf patient deserves full health assistance is fundamental, and it may improve specialized learning of Libras and consequently result in a better doctor-patient relationship.

Adsorção de Cd 2+, Ni 2+ e Zn 2+ em soluções aquosas usando anidrita e lama vermelha / Adsorption of Cd2+, Ni2+ and Zn2+ in aqueous solutions using anhydrite and red mud

RESUMO Vários minerais e resíduos industriais têm sido estudados para uso como adsorvente, entre eles a lama vermelha e a anidrita. A lama vermelha é um resíduo insolúvel gerado em grande quantidade durante o processamento da bauxita. A anidrita é um sulfato de cálcio (CaSO4) cristalizado sob a forma rômbica e usada como matéria-prima na indústria. Nesta investigação, a capacidade de adsorção de Cd2+, Ni2+ e Zn2+ pela anidrita e pela lama vermelha foi avaliada usando isotermas de adsorção de Langmuir e Freundlich. Os materiais empregados apresentaram adsorção ≥75±1% para todos os metais em soluções aquosas com concentração de 0,5 mmol.25 mL-1. As isotermas baseadas no modelo de Langmuir foram as mais apropriadas para descrever o fenômeno de remoção de Cd2+, Ni2+ e Zn2+ para a anidrita e a lama vermelha, com valores de capacidade máxima de adsorção de 0,47 e 0,51 mmol.g-1 para o Cd2+, 1,18 e 1,56 mmol.g-1 para o Ni2+ e 0,84 e 1,47 mmol.g-1 para o Zn2+, respectivamente. Esses valores foram superiores a outros valores exibidos por materiais empregados como adsorventes descritos em estudos prévios.

ABSTRACT Various minerals and industrial waste have been studied for use as an adsorbent, in particular the anhydrite and the red mud. The red mud is an insoluble residue that is generated in large quantities during the processing of bauxite. The anhydrite is a calcium sulfate (CaSO4), crystallized as a rhombic way, and used as raw material in the industry. In this study, the Cd2+, Ni2+ and Zn2+adsorption capacity by anhydrite and by red mud was evaluated using adsorption isotherms obtained by the Langmuir and Freundlich models. The materials used showed adsorption ≥75±1% for all metals in aqueous solutions with a concentration of 0.5 mmol.25 mL-1. The Langmuir isotherm was more appropriate to describe the phenomenon of Cd2+, Ni2+ and Zn2+ removal, with highest adsorption capacity at 0.47 and 0.51 mmol.g-1 for Cd2+, 1.18 and 1.56 mmol.g-1 for Ni2+, and 0.84 and 1.47 mmol.g-1 for Zn2+, respectively. These values were higher than those ones obtained for other materials described in previous studies.

Toxicity of new pyrethroid in pest insects Asciamonuste and Diaphania hyalinata, predator Solenopsis saevissima and stingless bee Tetragonisca angustula.

There is increasing demand for new products for vegetable pest management. Thus, the aim of this study was to assess the toxicity of pyrethroids with acid moiety modifications to measure the insecticidal activity of these compounds on the lepidopteran vegetable pests Diaphania hyalinata (L.) (Lepidoptera: Pyralidae) and Asciamonuste (Latreille) (Lepidoptera: Pieridae) and evaluate their selectivity for the predatory ant Solenopsis saevissima (F. Smith) (Hymenoptera: Formicidae) and pollinator Tetragonisca angustula (Latreille) (Hymenoptera: Apidae: Meliponinae). Racemic mixtures of five new pyrethroids (30 µg molecule mg-1 insect body weight) resulted in high (100%) and rapid (stable LD50 after 12 h) mortality in D. hyalinata and A. monuste. In A. monuste, the trans-pyrethroid [12] isomer showed similar toxicity to permethrin. For D. hyalinata, the trans-pyrethroid [9] isomer and cis-pyrethroid [10] isomer were as toxic as permethrin. Due to their low selectivity, these new pyrethroids should be applied on the basis of ecological selectivity principles to minimize impacts on nontarget organisms S. saevissima and T. angustula.

Relação da pressão plantar e amplitude de movimento de membros inferiores com o risco de quedas em idosas / Relación entre la presión plantar y la amplitud de los movimientos de los miembros inferiores y el riesgo de caídas en adultos mayores / Relation of plantar pressure and range of movement of the lower limbs with the risk of falls in older women

RESUMO Objetivou-se verificar a influência das variáveis de pressão plantar e amplitude de movimento (ADM) de quadril, joelho e tornozelo sobre o risco de quedas em idosas. Participaram 39 idosas, avaliando-se a Pressão Máxima e Média sobre a plataforma de baropodometria. Em seguida, realizou-se o teste Timed Up and Go (TUG) e posteriormente a avaliação da ADM de flexão de quadril e joelho e flexão plantar e dorsal de tornozelo por meio de um goniômetro. As variáveis baropodométricas (Pressão Máxima e Pressão Média) tenderam a influenciar os valores do TUG conforme valor do teste de hipótese (p=0,051), demonstrando correlação moderada (r=0,487), com destaque para a Pressão Máxima, que apresentou correlação significativa com o TUG (p<0,005). Entretanto, a ADM articular de quadril, joelho e tornozelo não apresentaram correlações significativas entre as variáveis baropodométricas e risco de quedas. Sobre a análise da associação entre o TUG, categorizado em baixo e médio risco de quedas, e as quedas, não foram observadas diferenças (p=0,475). O aumento da pressão máxima apresentou relação com o risco de quedas, mas a ADM de quadril, joelho e tornozelo não apresentaram relação sobre o risco de quedas e as variáveis baropodométricas na população investigada.

RESUMEN Se buscó evaluar la influencia de las variables de la presión plantar y la amplitud de los movimientos (ADM) de la cadera, rodilla y del tobillo en el riesgo de caídas en adultos mayores. Han participado del estudio 39 adultos mayores, de los que se evaluaron su presión máxima y media a través de la baropodometría. Además, se empleó la prueba Timed Up and Go (TUG) y la evaluación de la ADM de flexión de cadera y rodilla, y flexión plantar y dorsal del tobillo a través de un goniómetro. Las variables baropodométricas (presión máxima y media) presentaron influencias en los valores del TUG según el valor de la prueba de hipótesis (p=0,051), lo que demostró una moderada correlación (r=0,487), destacándose la presión máxima, que presentó una significativa correlación con el TUG (p<0,005). La ADM articular de la cadera, rodilla y del tobillo no ha presentado significativa correlación entre las variables baropodométricas y el riesgo de caídas. Acerca del análisis entre el TUG, caracterizado de bajo y mediano riesgo de caídas, y las caídas no se han observado diferencias (p=0,475). El aumento de la presión máxima presentó relación con el riesgo de caídas, sin embargo la ADM de la cadera, rodilla y del tobillo no presentó relaciones entre el riesgo de caídas y las variables baropodométricas evaluadas en los participantes.

ABSTRACT The aim of this study was to verify the influence of plantar pressure and range of motion of hip, knee and ankle variables with the risk of falls in older women. Thirty-nine older women participated, for which Maximum and Medium Pressure were evaluated using the baropodometry platform. Then, we performed the Timed Up and Go (TUG) test and subsequently the range of motion (ROM) evaluation of hip and knee flexion and dorsal and plantar ankle flexion through the use of a goniometer. Baropodometric variables (Maximum Pressure and Medium Pressure) showed a tendency to influence the values of the TUG according to the value of the hypothesis test (P = 0.051), demonstrating a moderate correlation (R = 0.487), with emphasis on the Maximum Pressure showing significant correlation with the TUG (P<0.005). However, the joint range of motion of hip, knee and ankle showed no significant correlations in the baropodometric variables and in the risk of falls. Concerning the analysis of the association between the TUG classified with low and medium risk of falls with the falls, no differences were found (P=0.475). The increase in maximum pressure showed a relation with the risk of falls, though the range of motion of hip, knee and ankle showed no relation to the risk of falls and the baropodometric variables in the researched population.

Active insecticides for Diaphania hyalinata selective for the natural enemy Solenopsis saevissima.

The objective of this study was to determine the toxicity of the nine synthetic dienamides against the insect pest Diaphania hyalinata (melonworm) and the selectivity of these substances for the predator Solenopsis saevissima (fire ant). Four bioassays were conducted. To begin with, the dienamides that caused high mortality of D. hyalinata have been selected. In the second bioassay the dose-mortality curves of the selected dienamides have been constructed. In the third bioassay, the survival curves for D. hyalinata and the elapsed time to kill 50% of their population have been determined. In the fourth biological test, the selectivity of the substances to the predator S. saevissima has been evaluated. The most active (2E,4E)-N-butylhexa-2,4-dienamide 3d has killed 95% of the melonworm, D. hyalinata, and less than 10% of the natural enemy S. saevissima. The results presented by this compound are superior to the outcome displayed by the commercial insecticide Malathion®. Three of the dienamides prepared in this manuscript have proven to be selective in killing the pest, but not the beneficial insect.