Multimodal therapeutic intervention program associated with photobiomodulation therapy for individuals with chronic nonspecific neck pain: protocol for a clinical trial.

BACKGROUND: Neck pain is a prevalent global musculoskeletal issue, significantly contributing to the loss of years of healthy life due to disability. Chronic nonspecific neck pain (CNNP) involves diverse symptoms impacting mobility and quality of life. While therapeutic exercises demonstrate efficacy, the role of photobiomodulation therapy (PBMT) remains uncertain. This study aims to assess the additional effects of PBMT within a multimodal therapeutic intervention for CNNP. METHODS: A randomized, two-arm, controlled, blind clinical trial follows CONSORT and SPIRIT guidelines. Participants diagnosed with CNNP will receive a stand-alone multimodal therapeutic intervention or the same program with additional PBMT. The primary outcomes will be assessed by the functional disability identified through applying the NDI (Neck Disability Index). Secondary outcomes will be pain intensity during rest and active neck movement, catastrophizing and kinesiophobia, functionality, and disability assessed at baseline, after 8 weeks, and at a 4-week follow-up. Both groups receive pain education before personalized interventions, including resistance exercises, neuromuscular activities, mobility, and body balance. The PBMT group undergoes low-level light therapy. Intention-to-treat analysis, using linear mixed models, employs data presented as mean, standard deviation, and differences with a 95% confidence interval. Non-normally distributed variables transform. Statistical significance is set at 5%. DISCUSSION: This study addresses a critical gap in understanding the combined effects of PBMT and therapeutic exercises for CNNP. The findings aim to guide clinicians, researchers, and CNNP sufferers through rigorous methodology and diverse outcome assessments, offering valuable insights into evidence-based practices for CNNP management. Data confidentiality is maintained throughout, ensuring participant privacy during statistical analysis. TRIAL REGISTRATION: Effects of adding photobiomodulation to a specific therapeutic exercise program for the treatment of individuals with chronic nonspecific neck pain, registration number: NCT05400473, on 2022-05-27.

Enhancing the implantation of mechanical circulatory support devices using computational simulations.

Introduction: Patients with end-stage heart failure (HF) may need mechanical circulatory support such as a left ventricular assist device (LVAD). However, there are a range of complications associated with LVAD including aortic regurgitation (AR) and thrombus formation. This study assesses whether the risk of developing aortic conditions can be minimised by optimising LVAD implantation technique. Methods: In this work, we evaluate the aortic flow patterns produced under different geometrical parameters for the anastomosis of the outflow graft (OG) to the aorta using computational fluid dynamics (CFD). A three-dimensional aortic model is created and the HeartMate III OG positioning is simulated by modifying (i) the distance from the anatomic ventriculo-arterial junction (AVJ) to the OG, (ii) the cardinal position around the aorta, and (iii) the angle between the aorta and the OG. The continuous LVAD flow and the remnant native cardiac cycle are used as inlet boundaries and the three-element Windkessel model is applied at the pressure outlets. Results: The analysis quantifies the impact of OG positioning on different haemodynamic parameters, including velocity, wall shear stress (WSS), pressure, vorticity and turbulent kinetic energy (TKE). We find that WSS on the aortic root (AoR) is around two times lower when the OG is attached to the coronal side of the aorta using an angle of 45° ± 10° at a distance of 55 mm. Discussion: The results show that the OG placement may significantly influence the haemodynamic patterns, demonstrating the potential application of CFD for optimising OG positioning to minimise the risk of cardiovascular complications after LVAD implantation.

Modernidade líquida e paradigma emergente: reflexões sobre estilo de vida dos estudantes de enfermagem / Liquid modernity and emerging paradigm: reflections on the lifestyle of nursing students / Modernidad líquida y paradigma emergente: reflexiones sobre el estilo de vida de los estudiantes de enfermería J

Objetivo: refletir sobre o estilo de vida dos estudantes de enfermagem no paradigma emergente da modernidade líquida. Conteúdo: ensaio reflexivo alicerçado em 20 artigos sobre o tema discutido criticamente em diálogo com os conceitos de paradigma emergente e modernidade líquida. A discussão se organizou em duas categorias: estilo de vida dos estudantes de enfermagem no contexto da modernidade líquida: da realidade social ao sofrimento psíquico; e estilo de vida dos estudantes de enfermagem e o paradigma emergente: dos paradigmas dominantes à individuação. Considerações finais: os tempos líquidos reverberam no estilo de vida e na saúde dos estudantes de enfermagem, agravando as doenças da pós-modernidade. Destaca-se a maneira como esses estudantes apreendem as dificuldades e o aprendizado que deduzem dessas oportunidades. O estilo de vida destes estudantes deve ponderar o alcance da perspectiva singular e profunda do ser inserido no paradigma emergente(AU)

Objective: to reflect on the lifestyle of nursing students in the emerging paradigm of liquid modernity. Content: reflective essay based on 20 articles on the subject critically discussed in dialogue with the concepts of emerging paradigm and liquid modernity. The discussion was organized into two categories: nursing students' lifestyle in the context of liquid modernity: from social reality to psychic suffering; and lifestyle of nursing students and the emerging paradigm: from dominant paradigms to individuation. Final considerations: liquid times reverberate in the lifestyle and health of nursing students, aggravating postmodern diseases. It is worth highlighting the way in which these students apprehend the difficulties and the learning they deduce from these opportunities. The lifestyle of these students must consider the scope of the singular and profound perspective of being inserted in the emerging paradigm(AU)

Objetivo: reflexionar sobre el estilo de vida de los estudiantes de enfermería bajo el prisma del paradigma emergente de la modernidad líquida. Contenido: ensayo reflexivo basado en 20 artículos sobre el tema, discutido críticamente en diálogo con los conceptos de paradigma emergente y modernidad líquida. La discusión se organizó en dos categorías: el estilo de vida de los estudiantes de enfermería en el contexto de la modernidad líquida: de la realidad social al sufrimiento psíquico; y estilo de vida de los estudiantes de enfermería y el paradigma emergente: de los paradigmas dominantes a la individuación. Consideraciones finales: los tiempos líquidos repercuten en el estilo de vida y la salud de los estudiantes de enfermería, agravando las enfermedades de la posmodernidad. Se destaca la forma cómo estos estudiantes entienden las dificultades y los aprendizajes que deducen de estas oportunidades. El estilo de vida de estos estudiantes debe considerar el alcance de la singular y profunda perspectiva de estar insertos en el paradigma emergente(AU)

Intervención psicológica corta para promoción del enfrentamiento de los estresores en la enseñanza universitaria / Intervenção psicológica breve para promoção do enfrentamento dos estressores no ensino superior / Brief psychologycal intervention for the promotion of ways to cope with stressors in higher education

O ingresso no Ensino Superior inclui estressores variados para o estudante e a literatura aponta a necessidade de intervenções para facilitar a adaptação à universidade. A oficina de vivências acadêmicas, uma intervenção psicológica breve (8 sessões) de base analítico-comportamental, buscou desenvolver repertórios para o enfrentamento dos estressores presentes no Ensino Superior. Participaram 9 acadêmicas de enfermagem, que após consentimento, responderam antes e após a participação na oficina: 1) o Self-Reporting Questionnaire, versão brasileira, um instrumento de triagem de sintomas relacionados a transtornos mentais comuns (TMC); e 2) a Escala de Bem-estar Psicológico (EBEP). Inicialmente, 88,9% das participantes apresentavam sintomas de TMC, e a média da EBEP foi 24,97 (DP=1,22). Após a intervenção, somente 22,2% das estudantes continuaram apresentando sintomas de TMC, e a média da EBEP aumentou para 29,34 (DP=1,17). As implicações dessa intervenção são discutidas tendo em vista os desafios enfrentados pela Psicologia Escolar e Educacional no Ensino Superior.

La entrada en la enseñanza universitaria incluye estresores variados para el estudiante y la literatura apunta la necesidad de intervenciones para facilitar la adaptación a la universidad. El taller de vivencias académicas, una intervención psicológica corta (8 sesiones) de base analítico-comportamental, buscó desarrollar repertorios para el enfrentamiento de los estresores presentes en la enseñanza universitaria. Participaron 9 académicas de enfermería que, tras consentimiento, respondieron antes y después la participación en el taller: 1) el Self-Reporting Questionnaire, versión brasileña, un instrumento de selección de síntomas relacionados a trastornos mentales comunes (TMC); y 2) la Escala de Buen-estar Psicológico (EBEP). Inicialmente, el 88,9% de las participantes presentaban síntomas de TMC, y el promedio de la EBEP fue 24,97 (DP=1,22). Tras la intervención, solamente el 22,2% de las estudiantes continuaron presentando síntomas de TMC, y el promedio de la EBEP aumentó para 29,34 (DP=1,17). Las implicaciones de esta intervención son discutidas teniendo en vista los desafíos enfrentados por la Psicología Escolar y Educacional en la enseñanza universitaria.

Enrolling in Higher Education includes various stressors for the student and the literature points to the need for interventions to facilitate adaptation to university. The academic experiences workshop, a brief psychological intervention (8 sessions) based on behavioral analysis, sought to develop repertoires for coping with the stressors present in higher education. Nine nursing students participated after signing consent terms. They provide answers before and after participating in the workshop: 1) the Self-Reporting Questionnaire, Brazilian version, an instrument for screening symptoms related to common mental disorders (CMD); and 2) the Psychological Well-Being Scale (PBS). Initially, 88.9% of participants had symptoms of CMD, and the mean EBEP was 24.97 (SD=1.22). After the intervention, only 22.2% of the students continued to present symptoms of CMD, and the mean EBEP increased to 29.34 (SD=1.17). The implications of this intervention are discussed in view of the challenges faced by School and Educational Psychology in Higher Education.

Association between adherence to a home exercise program and central sensitization, pain intensity, and functionality in individuals with knee osteoarthritis.

OBJECTIVE: To analyze the association between adherence to a home exercise program and central sensitization, pain intensity, and functionality in individuals with knee osteoarthritis (KOA). METHODS: A cross-sectional study was conducted involving 57 individuals with KOA. Evaluations were performed using the Exercise Adherence Rating Scale (EARS), the numerical rating scale (NRPS), the International Knee Documentation Committee (IKDC), The Central Sensitization Inventory (CSI), and the 30 sec sit and stand test (30SSST). Histograms were created to determine the normality of the data. The Kolmogorov-Smirnov test was used to determine the normality of the data. Thus, Pearson's (r) and determination (R2) correlation coefficients were calculated to determine the strength of associations between variables. RESULTS: No significant association was found between adherence behavior or reasons for adherence and central sensitization symptoms, the intensity of pain on rest and movement, knee disability symptoms, and functionality. CONCLUSION: No significant association was identified between adherence to a home exercise program and central sensitization, pain intensity, and functionality in individuals with KOA.

The Baecke Habitual Physical Activity Questionnaire (BHPAQ): a valid internal structure of the instrument to assess healthy Brazilian adults.

OBJECTIVE: This study aimed to validate the internal structure of the Brazilian version of the Baecke Habitual Physical Activity Questionnaire. METHODS: A cross-sectional study was conducted with individuals over 18 years old of both sexes, with Brazilian Portuguese as their native language. The structure of the Baecke Habitual Physical Activity Questionnaire was tested by confirmatory factor analysis. The model fit was evaluated by the following indices: root mean square error of approximation, comparative fit index, Tucker-Lewis index, standardized root mean square residual, and χ²/degrees of freedom. We used the Akaike information criterion and Bayesian information criterion to compare different structures of the Baecke Habitual Physical Activity Questionnaire. RESULTS: A total of 241 individuals participated in this study. The original structure of the Baecke Habitual Physical Activity Questionnaire with 16 items and 3 domains was compared to a structure with 14 items and 3 domains. The internal structure of the Baecke Habitual Physical Activity Questionnaire with 14 items showed better fit indices and lower Akaike information criterion and Bayesian information criterion values. CONCLUSION: The best internal structure of the Brazilian version of the Baecke Habitual Physical Activity Questionnaire in adults presents 3 domains and 14 items.

Artritis reumatoide: una visión general / Rheumatoid arthritis: A general vision

Introducción: Se han investigado y descrito numerosos tipos de artritis con el fin de clasificarlos en artritis no inflamatoria (osteoartritis) y artritis inflamatoria causada por cristales de depósito (seudogota, enfermedad del fosfato de calcio básico y gota), por bacterias e infecciones virales (Staphylococcus aureus, Neisseria gonorrohae, complicaciones de la enfermedad de Lyme, Parvovirus y Enterovirus) o por procesos autoinmunes. Objetivo: Presentar una visión global de la artritis reumatoide, con énfasis en el diagnóstico, fisiopatología y biomarcadores diagnósticos, pronósticos y predictivos en la artritis reumatoide, con el fin de contribuir la mejor atención de pacientes con enfermedades crónicas. Método: Se realizó una búsqueda bibliográfica relacionada con las palabras clave "artritis reumatoide" y otras variables de artritis. Se recuperaron 76 documentos que las incluían, de ellos utilizamos 42 que fueron útiles para el objetivo de la investigación. Conclusiones: El primer paso para un manejo efectivo de la enfermedad es un diagnóstico temprano y correcto, relacionado con que varios signos y síntomas también están asociados con otras enfermedades. Se debe incluir para este objetivo las estrategias de prevención de enfermedades, así como los programas de detección de personas en riesgo de desarrollarlas como el caso de la artritis reumatoide y la información de la enfermedad proporcionada a la población que pueden mejorar significativamente los parámetros epidemiológicos(AU)

Introduction: Numerous types of arthritis have been investigated and described in order to classify them into non-inflammatory arthritis (osteoarthritis) and inflammatory arthritis caused by deposition crystals (pseudogout, basic calcium phosphate disease, gout), by bacteria and viral infections (Staphylococcus aureus, Neisseria gonorrohae, complications of Lyme disease, Parvovirus, Enterovirus) or autoimmune processes. Objective: research is to present aspects related to the management of Digital Ulcers (DU) in scleroderma based on the experience of different authors, establishing a basis on which future research studies can be designed and improve the patient's quality of life. Method: A bibliographic search related to the keywords rheumatoid arthritis and other arthritis variables was carried out, recovering 76 documents that included them, of which we used 42 that were useful for the objective that we proposed, exposing the most prominent data in the investigation. Conclusions: The first step for an effective management of the disease is an early and correct diagnosis, related to the fact that several signs and symptoms are also associated with other diseases, disease prevention strategies as well as prevention programs should be included for this objective. detection of people at risk of developing them, as in the case of rheumatoid arthritis, monographs of the disease provided to the population can significantly improve epidemiological parameters(AU)

The Baecke Habitual Physical Activity Questionnaire (BHPAQ): a valid internal structure of the instrument to assess healthy Brazilian adults

SUMMARY OBJECTIVE: This study aimed to validate the internal structure of the Brazilian version of the Baecke Habitual Physical Activity Questionnaire. METHODS: A cross-sectional study was conducted with individuals over 18 years old of both sexes, with Brazilian Portuguese as their native language. The structure of the Baecke Habitual Physical Activity Questionnaire was tested by confirmatory factor analysis. The model fit was evaluated by the following indices: root mean square error of approximation, comparative fit index, Tucker-Lewis index, standardized root mean square residual, and χ²/degrees of freedom. We used the Akaike information criterion and Bayesian information criterion to compare different structures of the Baecke Habitual Physical Activity Questionnaire. RESULTS: A total of 241 individuals participated in this study. The original structure of the Baecke Habitual Physical Activity Questionnaire with 16 items and 3 domains was compared to a structure with 14 items and 3 domains. The internal structure of the Baecke Habitual Physical Activity Questionnaire with 14 items showed better fit indices and lower Akaike information criterion and Bayesian information criterion values. CONCLUSION: The best internal structure of the Brazilian version of the Baecke Habitual Physical Activity Questionnaire in adults presents 3 domains and 14 items.

Adolescer in Time of COVID-19's Pandemic: Rationale and Construction Process of a Digital Intervention to Promote Adolescents' Positive Development.

The coronavirus pandemic has severely impacted children's and adolescents' lives due to policies and regulations implemented to slow the virus from spreading, which led to a loss of routine, structure, academic support, and social contacts. Literature also reports a lack of outdoor activity, inappropriate diet, and disruption of sleeping habits as affecting children's and adolescents' lifestyles and well-being. Remarkably, these consequent psychological, behavioral, and emotional changes can compromise their self-esteem, sense of self-efficacy, and self-concept, affecting their immune systems. These maladaptive coping strategies and associated effects may emerge as a failure to access some of the sources of support that might help them cope. Facing this crisis, we aimed at promoting well-being, growth, and the positive development of Portuguese adolescents through an intervention focused on positive coping strategies. We developed "Adolescer in time of COVID-19-A good practices Guide for adolescents in social distancing" as a digital document to be quickly disseminated online, answering the emergent needs of Portuguese youth between 13 and 18 years old during the COVID-19 pandemic. In this article, we present the rationale and process of construction of this intervention while living within a quarantine period, considering the restrictive measures adopted at the time.

Association of photobiomodulation therapy and therapeutic exercises in relation to pain intensity and neck disability in individuals with chronic neck pain: a systematic review of randomized trials.

Exercise is often pointed out as an effective form of treatment in the clinical management of chronic neck pain (CNP). However, due to its complex range of causal factors and great diversity of signs and symptoms, other resources such as photobiomodulation therapy (PBMT) have been routinely used for the treatment of CNP. The aim of this study was to systematically review the literature on the use of the association of PBMT and therapeutic exercises in relation to pain intensity and neck disability in individuals with CNP. PubMed, Medline (via Ovid), Embase (via Ovid), Cinahl (via Ebsco), and Central (via Cochrane library) databases were searched using the following terms: "laser," "low-level laser," "photobiomodulation," "light emitting diodes," "phototherapy," "exercise," "chronic neck pain." After verification and implementation of eligibility criteria, seven manuscripts were considered eligible for data analysis. These manuscripts had methodological quality between 5 and 8 points on the PEDro scale. Most studies used low infrared laser therapy to perform PBMT, with a wide range of parameters and energy density between 2 and 7 J/cm2 and a total treatment time between 2 and 6 weeks. Four studies showed significant benefits in terms of pain intensity at short-term follow-up and one at intermediate-term follow-up. However, only one showed a minimal clinically important change. No studies have shown significant improvement in disability. This review demonstrates that the association of PBMT with therapeutic exercises in general promotes significant benefits only for the intensity of pain. However, it does not seem to promote a minimally effective clinical difference in individuals with CNP.

Relação da dança com o cuidado em saúde: nexos com o estilo de vida e a saúde integral / Relationship of dance with health care: links with lifestyle and integral health

Objetiva-se analisar os significados atribuídos à dança pelas mães de crianças acometidas pelo câncer na relação com o estilo de vida e o cuidado em saúde. Estudo explicativo, qualitativo, realizado com mães de crianças com câncer, no momento da internação hospitalar para realização de quimioterapia, na pediatria do Instituto Nacional de Câncer José Alencar Gomes da Silva, Rio de Janeiro. Os dados foram coletados através de formulário de identificação e caracterização do estilo de vida, além de entrevista semiestruturada em profundidade, no período de fevereiro de 2019 até março de 2020. Optou-se pelo Interacionismo Simbólico, como base referencial, juntamente com a Grounded Theory, para a produção e análise dos dados. O estudo justifica-se por ser original e inédito, também, pela transmutação que a dança realizou nas mães de crianças com câncer, refletindo novas possibilidades para cuidar de si e para cuidar do outro. Emergiram dos dados os componentes correspondentes ao modelo paradigmático, a saber: "Percebendo situações diárias desafiantes à sobrevivência: entre o real e o ideal"; "Ressignificando a percepção do agravo estereotipado através de um espaço lúdico de criação"; "Repercutindo, por meio da experiência no espaço da dança, novas possibilidades para cuidar de si e para cuidar do outro". Como categoria central, o estudo revelou: "Transmutando a energia da mãe da criança com agravo oncológico através do simbólico da dança". O estudo aponta, assim, constructos explicativos que versam sobre o fenômeno dos significados atribuídos à dança pelas mães de criança com câncer com nexo ao estilo de vida e a saúde integral, haja vista as condições intervenientes, as estratégias de ação/interação e as consequências/resultados, que implicam no cuidado em enfermagem/ saúde.

The objective is to analyze the meanings attributed by mothers of children affected by cancer to dance, in relation to lifestyle and health care. explanatory, qualitative study, carried out with mothers of children with cancer, at the time of hospitalization for chemotherapy, in the pediatrics department of the José Alencar Gomes da Silva National Cancer Institute, Rio de Janeiro.The data were collected through a lifestyle identification and characterization form and in-depth semi-structured interviews, from February 2019 to March 2020. Symbolic Interactionism was chosen as the reference base and Grounded Theory for the production and analysis of Dice. The study is justified for being original and unpublished and for the transmutation that dance performed in the mothers of children with cancer, reflecting new possibilities for taking care of themselves and for taking care of others.The components corresponding to the paradigmatic model emerged from the data, namely: Perceiving daily situations challenging survival: Between the real and the ideal, Re- signifying the perception of stereotyped grievance through a playful space of creation, Echoing through the experience in the dance space, new possibilities to take care of yourself and to take care of others. As a central category, the study highlighted: Transmuting the energy of the child's mother with cancer through the symbolic of dance.The study thus points out explanatory constructs that deal with the phenomenon of meanings attributed to dance by mothers of children with cancer related to lifestyle and comprehensive health, given the intervening conditions, action/interaction strategies, and consequences/ results, which imply for nursing/health care.

El objetivo es analizar los significados que las madres de niños afectados por cáncer atribuyen a la danza, en relación al estilo de vida y la atención a la salud. Estudio explicativo, cualitativo, realizado con madres de niños con cáncer, en el momento de la hospitalización por quimioterapia, en el departamento de pediatría del Instituto Nacional del Cáncer José Alencar Gomes da Silva, Río de Janeiro. Los datos fueron recogidos a través de un formulario de identificación y caracterización de estilos de vida y entrevistas semiestructuradas en profundidad, desde febrero de 2019 hasta marzo de 2020. Se eligió el Interaccionismo Simbólico como base de referencia y la Teoría Fundamentada para la producción y análisis de datos. El estudio se justifica por ser original e inédito y por la transmutación que la danza realiza en las madres de niños con cáncer, reflejando nuevas posibilidades de cuidarse a sí mismas y de cuidar a los demás. Los componentes correspondientes al modelo paradigmático emergieron de los datos, a saber: Percepción de situaciones cotidianas que desafían la supervivencia: Entre el real y el ideal, Re- significando la percepción del agravio estereotipado a través de un espacio lúdico de creación, Haciendo eco a través de la experiencia en el espacio de la danza, nuevas posibilidades para cuidarse y cuidar a los demás. Como categoría central, el estudio destacó: Transmutar la energía de la madre del niño con cáncer a través del simbólico de la danza. Así, el estudio señala constructos explicativos que abordan el fenómeno de los significados atribuidos a la danza por las madres de niños con cáncer relacionados con el estilo de vida y la salud integral, dadas las condiciones que intervienen, las estrategias de acción / interacción y las consecuencias / resultados que implican cuidados de enfermería/salud.

Self-Estimated functional inability because of pain questionnaire for workers: a reliability and construct validity study.

OBJECTIVE: The objective of this study was to investigate the reliability and construct validity of the Self-Estimated Functional Inability because of Pain questionnaire for workers in a sample of Brazilian workers with musculoskeletal pain. METHODS: This is a questionnaire validation study. Workers with musculoskeletal pain were included. Besides the Self-Estimated Functional Inability because of Pain questionnaire for workers, we used the following instruments to perform construct validity: the Work Ability Index and the Numerical Pain Rating Scale. A subsample answered the Self-Estimated Functional Inability because of Pain questionnaire for workers in two moments to calculate reliability by means of the intraclass correlation coefficient and internal consistency by means of the Cronbach's alpha. RESULTS: A total of 190 Brazilian workers were included. Regarding the construct validity, we observed a correlation with magnitude above 0.50 between the Self-Estimated Functional Inability because of Pain questionnaire for workers and the Numerical Pain Rating Scale, given that these two instruments have similarity in the construct, and correlations above 0.30 between the Self-Estimated Functional Inability because of Pain questionnaire for workers and the domains 2, 3, and 4 of the Work Ability Index. Regarding reliability, we observed adequate reliability (intraclass correlation coefficient=0.864) and internal consistency (Cronbach's alpha=0.807). CONCLUSION: The Self-Estimated Functional Inability because of Pain questionnaire for workers is a reliable and valid instrument to be used in Brazilian workers with musculoskeletal pain.

A reestruturação dos papéis de gênero e a criação das novas masculinidades / Restructuring of gender roles and creating new masculinities

OBJETIVO: Identificar a visão do homem cisgênero diante dos novos papéis de gênero na sociedade brasileira contemporânea e da construção das novas masculinidades. MÉTODO: Trata de uma pesquisa descritiva, quantitativa e corte transversal, composta por uma amostra de 38 universitários do sexo masculino, com idade igual ou superior a 18 anos, acadêmicos dos diversos cursos de uma universidade pública estadual da cidade de Montes Claros - MG. O instrumento utilizado foi um questionário semiestruturado contendo vinte e três perguntas fechadas. RESULTADOS: Foi possível identificar um maior retraimento por parte dos sujeitos pretos que, em sua maioria (62,5%), afirmam não falarem sobre sentimentos. A maior discrepância observada se relaciona com as áreas de estudo, sendo que acadêmicos do Centro de Ciências Sociais Aplicadas, Centro de Ciências Exatas e de Tecnologia e Centro de Ciências Biológicas e da Saúde afirmam ter dificuldade em ser e fazer o que desejam por receio da reação das pessoas, enquanto os do Cento de Ciências Humanas dizem nunca ter essa dificuldade, além de ser o único centro que quase nunca busca se informar sobre as novas construções sociais dos papéis de gênero. CONCLUSÃO: Os resultados obtidos evidenciam as diferenças promovidas pela área de estudo como mais influentes do que a raça ­ não ignorando sua influência­ e podem apontar um caminho para expandir os debates sobre papéis de gênero entre grupos de homens cisgênero, mesclando os debates de cada grupo a fim de encontrar o equilíbrio entre informação e posicionamento na sociedade.

OBJECTIVE: Identify the cisgender man's view before the new gender roles in contemporary Brazilian society and the construction of new masculinities. METHOD: This study is a descriptive, quantitative and cross-sectional analysis, composed of a sample of 38 male students aged 18 years or older from different courses at a public state university at Montes Claros, Minas Gerais, Brazil. The research was based on a semi-structured questionnaire containing twenty-three objective questions. RESULTS: It was possible identifying a greater return on the part of black individuals. Most of them (62.5%) affirm they usually don't talk about feelings. The biggest discrepancy was observed among students from different areas of study. Students from Social Sciences, Math and Technology and Health Sciences claim to have difficulties in being and doing what they want to because of people's reactions. On the other hand, students from Human Sciences said they have never had that difficulty, besides those students affirm they hardly ever seek information about the new social constructions of gender roles. CONCLUSION: Results obtained show area of study as more influential than race ­ not ignoring their influence - and may indicate an alternative to expand debates about gender roles among groups of cisgender men, mixing debates of each group in order to find a balance between information and its place in society.

Correlação de Ansiedade com a Presença de Lesões Cervicais Dentárias não Cariosas / Association between anxiety and the presence of non-carious dental cervical lesions

Objetivo: este estudo tem como objetivo avaliar a associação entre ansiedade, hábitos alimentares, parafuncionais, condições sistêmicas, hábitos de higiene oral em associação com a ansiedade de pacientes com lesões cervicais dentárias não cariosas (LCNCs) em uma população. Material e Métodos: por meio de um estudo quantitativo, observacional, 100 pacientes, obtidos por cálculo do tamanho da amostra, com presença de LCNCs, foram avaliados por exame clínico e cálculo amostral; entre 20 e 58 anos, com idade média de 37 anos. Os dados foram coletados por meio de um questionário elaborado por um pesquisador previamente calibrado, referente à avaliação médica, odontológica, de histórico social e de ansiedade. Após a obtenção dos dados, eles foram tabulados e submetidos à análise estatística pelo teste binomial exato de Fisher de duas proporções, adotando um nível de significância de 5%. Resultados: o consumo de bebida gaseificada (81,6%), frutas cítricas (76,3%), frequência de escovação dentária igual ou superior a três vezes ao dia (100%) e abrasividade do creme dental (100%) foram significativamente associados à presença de NCCL (p = 0,0001). Doença do refluxo gastrointestinal, xerostomia, bulimia e anorexia demonstraram associação negativa com o NCCL (p=1,000). A ansiedade não mostrou relação direta com a NCCL na população estudada (36,8%). Conclusão: assim, pode-se concluir que não houve associação direta entre a presença de lesões cervicais não cariosas e a ansiedade

Objective: This study evaluated the association between parafunctional anxiety, eating habits, systemic conditions and assessment of oral hygiene habits with dental non-carious cervical lesions (NCCL). Material and Methods: this quantitative, observational study included 100 patients between 20 and 58 years old (mean of 37 years) with NCCL evaluated by clinical examination and sample calculation. The data were collected with use of a questionnaire made by a previously calibrated researcher, which referred to medical, dental, social history and anxiety assessments. After obtaining the data they were tabulated and subjected to statistical analysis using Fisher's exact two-proportion binomial test, adopting a 5% significance level. Results: consumption of carbonated drinks (81.6%), citrus fruits (76.3%), tooth brushing frequency equal or higher than three times a day (100%) and abrasiveness of toothpaste (100%) were significantly associated with presence of NCCL (p=0.0001). Gastrointestinal reflux, xerostomia, bulimia and anorexia showed negative association with NCCL (p=1.000). Anxiety was not directly associated with NCCL in the study population (36.8%). Conclusion: there was no direct association between the presence of non-carious cervical lesions and anxiety

[High prevalence of beta hemolytic streptococci isolated from throat swabs in Buenos Aires]. / Aumento en la prevalencia de estreptococos beta hemoliticos en hisopados faríngeos en Buenos Aires.

Beta hemolytic streptococci, particulary group A, are the most frequently isolated pathogens in cases of pharyngoamigdalitis. Other beta hemolytic streptococci also produce this pathology. An increase of positive cultures for group A streptococci was detected during 2004 in relation to previous years. The aim of this study was to determine the isolation rates of beta hemolytic streptococci groups A, C and G during a period of 5 years. Pharyngeal exudates were obtained from children (aged 6 months to 18 years) and adults. Swabs were cultured on Columbia agar plates containing 5% sheep blood. Lancefield grouping was performed using a latex immunoagglutination test. Group A beta hemolytic streptococci were isolated significantly more frequently from pediatric population than from adults. Groups A, C and G beta hemolytic streptococci were isolated significantly more frequently during 2004 than in previous years. Group G beta hemolytic was more prevalent in adult population than in patients less than 18 years of age. Among the isolated beta hemolytic streptococci, in adults and children, 18.9% and 5.8% were non-group A streptococci, respectively. Therefore special attention should be paid not only to group A beta hemolytic streptococci but also to other groups. Throat culture is the most reliable method for detecting the presence of the beta hemolytic streptococci and should also be indicated in adult patients.

Aumento en la prevalencia de estreptococos beta hemoliticos en hisopados faríngeos en Buenos Aires. / [High prevalence of beta hemolytic streptococci isolated from throat swabs in Buenos Aires]

Beta hemolytic streptococci, particulary group A, are the most frequently isolated pathogens in cases of pharyngoamigdalitis. Other beta hemolytic streptococci also produce this pathology. An increase of positive cultures for group A streptococci was detected during 2004 in relation to previous years. The aim of this study was to determine the isolation rates of beta hemolytic streptococci groups A, C and G during a period of 5 years. Pharyngeal exudates were obtained from children (aged 6 months to 18 years) and adults. Swabs were cultured on Columbia agar plates containing 5

sheep blood. Lancefield grouping was performed using a latex immunoagglutination test. Group A beta hemolytic streptococci were isolated significantly more frequently from pediatric population than from adults. Groups A, C and G beta hemolytic streptococci were isolated significantly more frequently during 2004 than in previous years. Group G beta hemolytic was more prevalent in adult population than in patients less than 18 years of age. Among the isolated beta hemolytic streptococci, in adults and children, 18.9

and 5.8

were non-group A streptococci, respectively. Therefore special attention should be paid not only to group A beta hemolytic streptococci but also to other groups. Throat culture is the most reliable method for detecting the presence of the beta hemolytic streptococci and should also be indicated in adult patients.

[Effect of thermal treatments on the chemical characteristics of mora crab meat (Homalaspis plana)]. / Efecto de tratamientos térmicos sobre las características químicas de carne de jaiba mora (Homalaspis plana).

Marine species muscles present non-proteins nitrogenated compounds, used as quality index. They are total volatile basis (NBVT), trimethylamine oxide (TMAO) and trimethylamine (TMA). pH is considered too as a quality index. The aim of this work was to evaluate these parameters in a fresh and canned marine product from the V region, corresponding to mora crab (Homalaspis plana). Fresh pincer meat from mora crab was extracted and kept in ice until theits analysis and thermal process of the canned product. A 3(2) statistical design was applied, considering two variables with 3 levels: 15, 30 y 45 minutes time levels: 80 degrees, 100 degrees y 121 degrees C temperature levels. Nine conditions of time-temperature were obtained. The thermal treatment caused an increase in pH and BVT. The TMA was increased since reduction of TMAO.

A prática educativa na consulta de enfermagem: um enfoque dialógico para a aprendizagem infantil / An education on health assessment: dialogical approach on childhood learning

Nesta dissertação o objeto de estudo focalizado foi o processo ensino-aprendizagem da criança escolar portadora de cateter venoso central de longa permanência, no espaço da consulta de enfermagem. Os objetivos propostos tiveram como metas analisar e discutir o processo ensino-aprendizagem inidvidual em saúde, na consulta de enfermagem da criança escolar que implantou um cateter venoso central de longa permanência. Pesquisa qualitativa descritiva do tipo estudo de caso, utilizando uma paroximação as idéias da Teoria Socio-cultural ou dos Processos Psicologicos Superiores de Vygotsky. Os sujeitos do estudo forma as crianças que implantaram o dispositivo e os enfermeiros que realizaram consulta de enfermagem com os mesmos...