Measuring adherence to inhaled control medication in patients with asthma: Comparison among an asthma app, patient self-report and physician assessment.

BACKGROUND: Previous studies have demonstrated the feasibility of using an asthma app to support medication management and adherence but failed to compare with other measures currently used in clinical practice. However, in a clinical setting, any additional adherence measurement must be evaluated in the context of both the patient and physician perspectives so that it can also help improve the process of shared decision making. Thus, we aimed to compare different measures of adherence to asthma control inhalers in clinical practice, namely through an app, patient self-report and physician assessment. METHODS: This study is a secondary analysis of three prospective multicentre observational studies with patients (≥13 years old) with persistent asthma recruited from 61 primary and secondary care centres in Portugal. Patients were invited to use the InspirerMundi app and register their inhaled medication. Adherence was measured by the app as the number of doses taken divided by the number of doses scheduled each day and two time points were considered for analysis: 1-week and 1-month. At baseline, patients and physicians independently assessed adherence to asthma control inhalers during the previous week using a Visual Analogue Scale (VAS 0-100). RESULTS: A total of 193 patients (72% female; median [P25-P75] age 28 [19-41] years old) were included in the analysis. Adherence measured by the app was lower (1 week: 31 [0-71]%; 1 month: 18 [0-48]%) than patient self-report (80 [60-95]) and physician assessment (82 [51-94]) (p < 0.001). A negligible non-significant correlation was found between the app and subjective measurements (ρ 0.118-0.156, p > 0.05). There was a moderate correlation between patient self-report and physician assessment (ρ = 0.596, p < 0.001). CONCLUSIONS: Adherence measured by the app was lower than that reported by the patient or the physician. This was expected as objective measurements are commonly lower than subjective evaluations, which tend to overestimate adherence. Nevertheless, the low adherence measured by the app may also be influenced by the use of the app itself and this needs to be considered in future studies.

Tracking pollutants in a municipal sewage network impairing the operation of a wastewater treatment plant.

This work provides a screening of organic contaminants and characterization of the dissolved organic matter in the sewer network until the municipal wastewater treatment plant (WWTP), identifying the network areas with a higher degree of contamination and their impact on the WWTP performance, particularly in the activated sludge reactor. Three monitoring campaigns were carried out at six selected locations of the sewage system (PVZ-1, PVZ-2, PS-F, PS-VC, CP-VC, and PS-T), influent (WWTPINF) and effluent (WWTPEFF) of the WWTP. Advanced analytical techniques were employed, namely excitation/emission matrix fluorescence-parallel factor analysis (EEM-PARAFAC), size exclusion chromatography with organic carbon detector (SEC-OCD), and liquid chromatography with high-resolution-mass spectrometric detection (LC-HRMS). EEM-PARAFAC showed higher fluorescence intensity for the protein-like component (C2), particularly at CP-VC (near seafood industries) associated with the presence of surfactants (~50 mg/L). SEC-OCD highlighted the WWTP efficiency in removing low molecular weight acids and neutrals. LC-HRMS tentatively identified 108 compounds of emerging concern (CEC) and similar detection patterns were obtained for all wastewater samples, except for PVZ-2 (lower detection), many of which occurred in the effluent. Eight CECs included on relevant Watch-Lists were detected in all WWTPEFF samples. Furthermore, 111 surfactants were detected, the classes more frequently found being alcohol ethoxylates (AEOs), nonylphenol polyethoxylates (NPEOs) and linear alkylbenzene sulphonates (LAS). The continuous presence of LAS and NPEOs allied to surfactants concentrations in the WWTPINF of 15-20 mg/L, with CP-VC location (linked with food industries) as an important contributor, explain the morphological changes in the activated sludge and high LAS content in the dewatered sludge, which may have impacted WWTP performance.

Mobile pre-hospital care reorganization during the COVID-19 pandemic: experience report.

OBJECTIVE: To describe the reorganization of Belo Horizonte's Mobile Emergency Care Service during the new coronavirus pandemic using the Plan Do-Check-Act quality tool. METHODS: Descriptive study, of the experience report type, on the reorganization of care in a mobile pre-hospital care service during the new coronavirus pandemic, from March to July 2020. The Plan-Do-Check-Act quality tool was applied for the process. RESULTS: Preparation of care protocol, meetings, training, addition of ambulances, hiring of professionals, and other actions were carried out, with subsequent evaluation and monitoring. When failures or new needs were identified, actions and changes were implemented while keeping monitoring and evaluation during the work routine. FINAL CONSIDERATIONS: The reorganization of the service through the construction of a protocol and using the Plan-Do-Check-Act as a management tool was essential to promote safe care for professionals and patients.

Bromate removal from water intended for human consumption by heterogeneous photocatalysis: Effect of major dissolved water constituents.

This study focuses on the influence of major dissolved constituents naturally found in waters intended for human consumption on bromate (BrO3-) reduction by heterogeneous photocatalysis. The individual and combined effect of chloride (Cl-), bicarbonate/carbonic acid (HCO3-/H2CO3), nitrate (NO3-), sulphate (SO42-) and humic acids (HAs) on BrO3- reduction was evaluated in synthetic waters (SWs). Additionally, freshwaters (FWs) from a drinking water treatment plant (DWTP) were tested and directly compared to SWs. Cl- was beneficial for contents in the range 0.47-1.4 mM, with negligible influence for lower and higher contents. NO3- had a null effect regardless of its content (0.024-0.81 mM). HCO3-/H2CO3 (0.061/0.45 mM), SO42- (0.12-2.6 mM) and HAs (0.11-1.0 mM C) had a negative effect in the tested contents. The BrO3- reduction rate was 2.8 times lower in SW with a mixture of water constituents compared to SW without constituents addition. This decline on BrO3- reduction rate corresponded to the sum of the individual species contribution and so there was no evidence of synergetic effects. By contrast, the use of FWs provided BrO3- reduction rates only slightly lower than that found for SW without constituents addition (∼1.2-fold), which can be attributed to: (i) the distinct characteristics of the organic matter of FWs (HAs, fulvic acids and humins with distinct molecular weights and functional groups) compared to that of SW (pure HAs), and/or (ii) the presence in FWs of other inorganics in addition to those here addressed. The heterogeneous TiO2 photocatalysis proved to be a promising process for BrO3- reduction in DWTPs.

Bioremediation of bezafibrate and paroxetine by microorganisms from estuarine sediment and activated sludge of an associated wastewater treatment plant.

The present work aimed to explore the potential of autochthonous microorganisms from an urban estuary and from activated sludge of an associated wastewater treatment plant (WWTP), for biodegradation of an antidepressant drug, paroxetine, and on a cholesterol-lowering agent, bezafibrate. These compounds were chosen as representatives of extensively used pharmaceuticals. Autochthonous microorganisms from the indicated sources were exposed to the target pharmaceuticals (1 mg/L) in co-metabolism with sodium acetate (500 mg/L) along a two-weeks period, for a total of 7 two-weeks periods (here referred as cycles). Exposures were carried out in batch mode, under different incubation conditions (agitation vs. static). Removal of pharmaceuticals was monitored at the end of each cycle, by analysing the culture medium. For paroxetine, fluoride ion release was also followed as an indicator of defluorination of the molecule. The structure of the bacterial communities was analysed by ARISA (Automated rRNA Intergenic Spacer Analysis), at the beginning of the experiment and at the end of the first and the last cycles to identify substantial changes associated with the time of exposure, the incubation conditions and the presence and type of pharmaceuticals. Incubation conditions affected not only the bacterial community structure, but also the biodegradation efficiency. At the beginning of the experiment, removal of target pharmaceuticals was found to be lower under agitation than under static conditions, but at the end of the experiment, results showed high removal of the pharmaceuticals from the culture medium (>97%) under both conditions, mainly by microbiological processes. For paroxetine, adsorption and abiotic processes also had an important influence on its removal, but defluorination only occurred in the presence of microorganisms. These results highlight that autochthonous microorganisms from estuarine sediments and WWTP sludge have high ability to remove the selected pharmaceuticals with relevant implications for the development of new bioremediation tools for environmental restoration.

Perfil de mulheres atendidas em hospital de alta complexidade devido a agressão por queimadura pelo parceiro / Profile of women attended at a high complexity hospital due to assumption due to burning by the partner / Perfil de mujeres atendidas a un hospital de alta complejidad por asunción por quemaduras por parte de la pareja

Objetivo: Descrever o perfil dos atendimentos a mulheres que foram agredidas pelo parceiro íntimo e sofreram queimaduras em hospital de referência em trauma, urgência e emergência do Estado de Minas Gerais. Método: estudo transversal, que analisou prontuários de 19 mulheres vítimas de agressão por queimadura realizadas pelo parceiro íntimo em um hospital de referência em trauma, urgência e emergência no período de 2016 a 2019. Resultados: A maioria das vítimas era parda, casada, com filhos, trabalhava informalmente e foi agredida na residência. O atendimento incluiu prioridade muito urgente/laranja, queimaduras graves de 2º grau, internação, procedimentos cirúrgicos, complicações e acompanhamento ambulatorial pós-alta. Conclusão: Os resultados indicam atendimentos de alta complexidade, o que implica necessidade de os serviços de saúde estabelecerem mecanismos de rastreamento e investigação da violência contra a mulher, bem como preparo da equipe, prevenindo agravamentos e oferecendo suporte adequado

Objective: To describe the epidemiological profile of women who suffered assault due to burns by their intimate partner and were treated at a referral hospital for trauma emergencies in the State of Minas Gerais, Brazil. Method: This cross-sectional study analyzed the medical records of 19 women who were victims of assault due to burns by their intimate partner from 2016 to 2019in a referral hospital for trauma emergencies in Minas Gerais. Results: Most victims were Brown, married, with children, worked informally, and were assaulted at home. Care included very urgent/orange priority treatment, severe second-degree burns, hospitalization, surgical procedures, complications, and post-discharge outpatient follow-up. Conclusion: Health services must establish mechanisms to track and investigate violence against women, preventing the worsening of their condition and offering adequate support. Professionals must be prepared at all levels of care and use surveillance and promotion strategies

Describir el perfil de atención a mujeres que sufrieron agresión por quemaduras por parte de su pareja íntima, atendidas en un hospital de referencia para trauma, urgencia y emergencia en el estado de Minas Gerais (Brasil). Método: estudio transversal, que analizó las historias clínicas de 19 mujeres víctimas de agresión por quemaduras por parte de su pareja íntima atendidas en un hospital de referencia de trauma, urgencia y emergencia en Minas Gerais, en el periodo de 2016 a 2019. Resultados: La mayoría de las víctimas eran pardas, casadas, con hijos, trabajaban informalmente y fueron agredidas en su casa. La atención incluyó prioridad muy urgente/naranja, quemaduras graves de segundo grado, hospitalización, procedimientos quirúrgicos, complicaciones y seguimiento ambulatorio posterior al alta. Conclusión: Los resultados muestran una atención de alta complejidad, lo que requiere que los servicios de salud establezcan mecanismos para el seguimiento e investigación de la violencia contra la mujer, así como una mejor preparación de los profesionales para prevenir los agravamientos y ofrecer una adecuada asistencia

Mobile pre-hospital care reorganization during the COVID-19 pandemic: experience report / Reorganización de la atención prehospitalaria móvil en la pandemia de Covid-19: relato de vivencia / Reorganização da assistência pré-hospitalar móvel na pandemia de Covid-19: relato de experiência

ABSTRACT Objective: To describe the reorganization of Belo Horizonte's Mobile Emergency Care Service during the new coronavirus pandemic using the Plan Do-Check-Act quality tool. Methods: Descriptive study, of the experience report type, on the reorganization of care in a mobile pre-hospital care service during the new coronavirus pandemic, from March to July 2020. The Plan-Do-Check-Act quality tool was applied for the process. Results: Preparation of care protocol, meetings, training, addition of ambulances, hiring of professionals, and other actions were carried out, with subsequent evaluation and monitoring. When failures or new needs were identified, actions and changes were implemented while keeping monitoring and evaluation during the work routine. Final considerations: The reorganization of the service through the construction of a protocol and using the Plan-Do-Check-Act as a management tool was essential to promote safe care for professionals and patients.

RESUMEN Objetivo: Describir la reorganización del Servicio de Atención Móvil de Urgencia de Belo Horizonte durante la pandemia del nuevo coronavirus, utilizando la herramienta de calidad Plan-Do-Check-Act. Métodos: Estudio descriptivo, del tipo relato de vivencia, sobre la reorganización de la atención en un servicio de atención prehospitalaria móvil durante la pandemia del nuevo coronavirus, entre marzo a julio de 2020. Fue aplicada la herramienta de la calidad Plan-Do-Check-Act para conducción del proceso. Resultados: Elaboración de protocolo asistencial, reuniones, entrenamientos, incremento de ambulancias, contratación de profesionales y otras acciones fueron realizadas, con subsecuente evaluación y monitoreo. Al ser identificados fallos o nuevas necesidades, acciones y cambios fueron implementados manteniéndose el monitoreo y evaluación en la rutina laboral. Consideraciones finales: La reorganización del servicio por medio de la construcción de un protocolo y teniendo como herramienta de gestión el Plan-Do-Check-Act fue esencial para promover una atención segura a los profesionales y pacientes.

RESUMO Objetivo: Descrever a reorganização do Serviço de Atendimento Móvel de Urgência de Belo Horizonte durante a pandemia do novo coronavírus, utilizando a ferramenta de qualidade PlanDo-Check-Act. Métodos: Estudo descritivo, do tipo relato de experiência, sobre a reorganização da assistência num serviço de atendimento pré-hospitalar móvel durante a pandemia do novo coronavírus, no período de março a julho de 2020. Foi aplicada a ferramenta da qualidade Plan-Do-Check-Act para condução do processo. Resultados: Elaboração de protocolo assistencial, reuniões, treinamentos, acréscimo de ambulâncias, contratação de profissionais e outras ações foram realizadas, com subsequente avaliação e monitoramento. Ao serem identificadas falhas ou novas necessidades, ações e mudanças foram implementadas mantendo-se o monitoramento e avaliação na rotina do trabalho. Considerações finais: A reorganização do serviço por meio da construção de um protocolo e tendo como ferramenta de gestão o Plan-Do-Check-Act foi essencial para promover uma assistência segura aos profissionais e aos pacientes.

Megalopodidae (Insecta, Coleoptera): new occurrence and host plant records for Brazil

Abstract The Brazilian Megalopodidae fauna consists of 147 species from 11 genera, of which Mastostethus Lacordaire is the most diverse, representing about half of the species. Nevertheless, knowledge about species distributions and their relationships with host plants is still scarce. Since this group has endophytic immatures and bore into branches, they are economically important as they mainly damage Solanaceae species. Thus, this study sought to determine the Megalopodidae species that occur in forest fragments of southwestern and western Paraná and associate them with their host plants. For this purpose, we used material collected with Malaise traps and active manual sampling to determine associations with host plants. A total of 170 specimens of 11 species were sampled, of which Pseudhomalopterus carinatus Pic, 1920 was the most abundant and collected in all fragments. Four species were sampled exclusively through manual collections and associated with their host plants, all of which were new association records for Brazilian megalopodides. Mastostethus pantherinus Lacordaire, 1845 was associated with an Asteraceae for the first time. Additionally, Mastostethus minutusMonrós, 1947 is a new record for Brazil.

Megalopodidae (Insecta, Coleoptera): new occurrence and host plant records for Brazil

Abstract The Brazilian Megalopodidae fauna consists of 147 species from 11 genera, of which Mastostethus Lacordaire is the most diverse, representing about half of the species. Nevertheless, knowledge about species distributions and their relationships with host plants is still scarce. Since this group has endophytic immatures and bore into branches, they are economically important as they mainly damage Solanaceae species. Thus, this study sought to determine the Megalopodidae species that occur in forest fragments of southwestern and western Paraná and associate them with their host plants. For this purpose, we used material collected with Malaise traps and active manual sampling to determine associations with host plants. A total of 170 specimens of 11 species were sampled, of which Pseudhomalopterus carinatus Pic, 1920 was the most abundant and collected in all fragments. Four species were sampled exclusively through manual collections and associated with their host plants, all of which were new association records for Brazilian megalopodides. Mastostethus pantherinus Lacordaire, 1845 was associated with an Asteraceae for the first time. Additionally, Mastostethus minutusMonrós, 1947 is a new record for Brazil.

Megalopodidae (Insecta, Coleoptera): new occurrence and host plant records for Brazil

The Brazilian Megalopodidae fauna consists of 147 species from 11 genera, of which Mastostethus Lacordaire is the most diverse, representing about half of the species. Nevertheless, knowledge about species distributions and their relationships with host plants is still scarce. Since this group has endophytic immatures and bore into branches, they are economically important as they mainly damage Solanaceae species. Thus, this study sought to determine the Megalopodidae species that occur in forest fragments of southwestern and western Paraná and associate them with their host plants. For this purpose, we used material collected with Malaise traps and active manual sampling to determine associations with host plants. A total of 170 specimens of 11 species were sampled, of which Pseudhomalopterus carinatus Pic, 1920 was the most abundant and collected in all fragments. Four species were sampled exclusively through manual collections and associated with their host plants, all of which were new association records for Brazilian megalopodides. Mastostethus pantherinus Lacordaire, 1845 was associated with an Asteraceae for the first time. Additionally, Mastostethus minutus Monrós, 1947 is a new record for Brazil.(AU)

Out-of-hospital cardiac arrest: determinant factors for immediate survival after cardiopulmonary resuscitation.

OBJECTIVE: to analyze determinant factors for the immediate survival of persons who receive cardiopulmonary resuscitation from the advanced support units of the Mobile Emergency Medical Services (SAMU) of Belo Horizonte. METHOD: this is a retrospective, epidemiological study which analyzed 1,165 assistance forms, from the period 2008 - 2010. The collected data followed the Utstein style, being submitted to descriptive and analytical statistics with tests with levels of significance of 5%. RESULTS: the majority were male, the median age was 64 years, and the ambulance response time, nine minutes. Immediate survival was observed in 239 persons. An association was ascertained of this outcome with "cardiac arrest witnessed by persons trained in basic life support" (OR=3.49; p<0.05; CI 95%), "cardiac arrest witnessed by Mobile Emergency Medical Services teams" (OR=2.99; p<0.05; CI95%), "only the carry out of basic life support" (OR=0.142; p<0.05; CI95%), and "initial cardiac rhythm of asystole" (OR=0.33; p<0.05; CI 95%). CONCLUSION: early access to cardiopulmonary resuscitation was related to a favorable outcome, and the non-undertaking of advanced support, and asystole, were associated with worse outcomes. Basic and advanced life support techniques can alter survival in the event of cardiac arrest.

Quality of unprocessed cooled fresh coconut water manually extracted by street vendors / Qualidade de águas de coco não pasteurizadas, in natura, resfriadas, extraídas artesanalmente por ambulantes

Coconut water is a versatile beverage that is rich in nutrients, has few calories, and presents functional and therapeutic characteristics, improving the well-being and health of consumers. However, the growth of deteriorating microorganisms is facilitated by its water activity and high nutrient content; and when combined with improper handling, this product may become a carrier of foodborne diseases. Therefore, the objective of this work was to evaluate the quality of unprocessed cooled fresh coconut water manually extracted by street vendors. Twelve samples of coconut water were collected and subjected to physicochemical (total titratable acidity, pH, and total soluble solids) and microbiological (mesophilic, and psychrotrophic microorganisms, molds, yeasts, and thermotolerant and total coliforms) analyses. The physicochemical analysis showed variations of 4.3-5.4 for pH, 0.01-0.03 for total titratable acidity, and 2.8-6.3 for total soluble solids. The microbiological analysis showed high contamination in the samples by deteriorating microorganisms, with 58% of the samples contaminated with pathogenic microorganisms. Therefore, regular use of good hygiene practices for handling manually extracted coconut water is necessary to physicochemically and microbiologically standardize this product. Thus, ensuring the quality of the coconut water when it is manually extracted by street vendors and trade as an unprocessed, cooled, and fresh beverage and consequently minimize consumer's health risks.(AU)

A água de coco é uma bebida bastante versátil, pois, além de apresentar grande riqueza nutricional e poucas calorias, tem características funcionais e terapêuticas, auxiliando no bem-estar e na saúde de seus consumidores. Porém, devido a sua atividade de água e nutrientes elevados, o crescimento de micro-organismos deteriorantes é facilitado e, com a manipulação inadequada do produto, a água de coco pode se tornar um veículo de doenças transmitidas por alimentos. Portanto, o presente trabalho objetivou avaliar a qualidade das águas de coco não pasteurizadas, in natura, resfriadas, extraídas artesanalmente por ambulantes. Para tanto, coletaram-se 12 amostras distintas de água de coco, as quais foram submetidas às análises físico-química (acidez total titulável, pH e sólidos solúveis) e microbiológica (micro-organismos mesófilos, psicrotróficos, bolores e leveduras, coliformes totais e termotolerantes). As análises físico-químicas demonstraram variações de 4,3-5,4 para o pH das amostras, de 0,01-0,03 para a acidez total titulável e de 2,8-6,3 para os sólidos solúveis totais. Quanto ao perfil microbiológico, verificou-se elevada contaminação por micro-organismos deteriorantes e 58% das amostras estavam contaminadas com micro-organismos patogênicos. Portanto, sugere-se aplicação regular de boas práticas de higiene e manipulação da água de coco artesanal para uma melhor padronização físico-química e microbiológica desse produto. Desse modo, garantindo melhor qualidade a essa bebida quando comercializada na forma não pasteurizada, in natura, resfriada, extraída artesanalmente por ambulantes e, consequentemente, minimizando os riscos à saúde de seus consumidores.(AU)

Quality of unprocessed cooled fresh coconut water manually extracted by street vendors / Qualidade de águas de coco não pasteurizadas, in natura, resfriadas, extraídas artesanalmente por ambulantes

Coconut water is a versatile beverage that is rich in nutrients, has few calories, and presents functional and therapeutic characteristics, improving the well-being and health of consumers. However, the growth of deteriorating microorganisms is facilitated by its water activity and high nutrient content; and when combined with improper handling, this product may become a carrier of foodborne diseases. Therefore, the objective of this work was to evaluate the quality of unprocessed cooled fresh coconut water manually extracted by street vendors. Twelve samples of coconut water were collected and subjected to physicochemical (total titratable acidity, pH, and total soluble solids) and microbiological (mesophilic, and psychrotrophic microorganisms, molds, yeasts, and thermotolerant and total coliforms) analyses. The physicochemical analysis showed variations of 4.3-5.4 for pH, 0.01-0.03 for total titratable acidity, and 2.8-6.3 for total soluble solids. The microbiological analysis showed high contamination in the samples by deteriorating microorganisms, with 58% of the samples contaminated with pathogenic microorganisms. Therefore, regular use of good hygiene practices for handling manually extracted coconut water is necessary to physicochemically and microbiologically standardize this product. Thus, ensuring the quality of the coconut water when it is manually extracted by street vendors and trade as an unprocessed, cooled, and fresh beverage and consequently minimize consumers health risks.(AU)

A água de coco é uma bebida bastante versátil, pois, além de apresentar grande riqueza nutricional e poucas calorias, tem características funcionais e terapêuticas, auxiliando no bem-estar e na saúde de seus consumidores. Porém, devido a sua atividade de água e nutrientes elevados, o crescimento de micro-organismos deteriorantes é facilitado e, com a manipulação inadequada do produto, a água de coco pode se tornar um veículo de doenças transmitidas por alimentos. Portanto, o presente trabalho objetivou avaliar a qualidade das águas de coco não pasteurizadas, in natura, resfriadas, extraídas artesanalmente por ambulantes. Para tanto, coletaram-se 12 amostras distintas de água de coco, as quais foram submetidas às análises físico-química (acidez total titulável, pH e sólidos solúveis) e microbiológica (micro-organismos mesófilos, psicrotróficos, bolores e leveduras, coliformes totais e termotolerantes). As análises físico-químicas demonstraram variações de 4,3-5,4 para o pH das amostras, de 0,01-0,03 para a acidez total titulável e de 2,8-6,3 para os sólidos solúveis totais. Quanto ao perfil microbiológico, verificou-se elevada contaminação por micro-organismos deteriorantes e 58% das amostras estavam contaminadas com micro-organismos patogênicos. Portanto, sugere-se aplicação regular de boas práticas de higiene e manipulação da água de coco artesanal para uma melhor padronização físico-química e microbiológica desse produto. Desse modo, garantindo melhor qualidade a essa bebida quando comercializada na forma não pasteurizada, in natura, resfriada, extraída artesanalmente por ambulantes e, consequentemente, minimizando os riscos à saúde de seus consumidores.(AU)

Quality of unprocessed cooled fresh coconut water manually extracted by street vendors / Qualidade de águas de coco não pasteurizadas, in natura, resfriadas, extraídas artesanalmente por ambulantes

Coconut water is a versatile beverage that is rich in nutrients, has few calories, and presents functional and therapeutic characteristics, improving the well-being and health of consumers. However, the growth of deteriorating microorganisms is facilitated by its water activity and high nutrient content; and when combined with improper handling, this product may become a carrier of foodborne diseases. Therefore, the objective of this work was to evaluate the quality of unprocessed cooled fresh coconut water manually extracted by street vendors. Twelve samples of coconut water were collected and subjected to physicochemical (total titratable acidity, pH, and total soluble solids) and microbiological (mesophilic, and psychrotrophic microorganisms, molds, yeasts, and thermotolerant and total coliforms) analyses. The physicochemical analysis showed variations of 4.3-5.4 for pH, 0.01-0.03 for total titratable acidity, and 2.8-6.3 for total soluble solids. The microbiological analysis showed high contamination in the samples by deteriorating microorganisms, with 58% of the samples contaminated with pathogenic microorganisms. Therefore, regular use of good hygiene practices for handling manually extracted coconut water is necessary to physicochemically and microbiologically standardize this product. Thus, ensuring the quality of the coconut water when it is manually extracted by street vendors and trade as an unprocessed, cooled, and fresh beverage and consequently minimize consumer’s health risks.

A água de coco é uma bebida bastante versátil, pois, além de apresentar grande riqueza nutricional e poucas calorias, tem características funcionais e terapêuticas, auxiliando no bem-estar e na saúde de seus consumidores. Porém, devido a sua atividade de água e nutrientes elevados, o crescimento de micro-organismos deteriorantes é facilitado e, com a manipulação inadequada do produto, a água de coco pode se tornar um veículo de doenças transmitidas por alimentos. Portanto, o presente trabalho objetivou avaliar a qualidade das águas de coco não pasteurizadas, in natura, resfriadas, extraídas artesanalmente por ambulantes. Para tanto, coletaram-se 12 amostras distintas de água de coco, as quais foram submetidas às análises físico-química (acidez total titulável, pH e sólidos solúveis) e microbiológica (micro-organismos mesófilos, psicrotróficos, bolores e leveduras, coliformes totais e termotolerantes). As análises físico-químicas demonstraram variações de 4,3-5,4 para o pH das amostras, de 0,01-0,03 para a acidez total titulável e de 2,8-6,3 para os sólidos solúveis totais. Quanto ao perfil microbiológico, verificou-se elevada contaminação por micro-organismos deteriorantes e 58% das amostras estavam contaminadas com micro-organismos patogênicos. Portanto, sugere-se aplicação regular de boas práticas de higiene e manipulação da água de coco artesanal para uma melhor padronização físico-química e microbiológica desse produto. Desse modo, garantindo melhor qualidade a essa bebida quando comercializada na forma não pasteurizada, in natura, resfriada, extraída artesanalmente por ambulantes e, consequentemente, minimizando os riscos à saúde de seus consumidores.

Microbiological, parasitic, microscopic, physical and chemical characterization of processed acai (Euterpe oleracea Mart) fruits

Acai (Euterpe oleracea Mart.) fruit consumption has been increasing in recent years. The increasing demand for this fruit increased concerns about its quality. Thus, the objective of this work was to assess the microbiological, parasitical, microscopic, physical and chemical characteristics of processed acai. Processed acai of 12 commercial establishments were subjected to microbiological analyses (aerobic mesophilic bacteria, molds, yeasts and total and thermotolerant coliform quantifications, Staphylococcus catalase positive test and search for Salmonella ssp.), search for parasites, microscopic analysis (search for light and heavy dirt) and physical and chemical characterization (titratable acidity, pH, total soluble solids °Brix, moisture content, ash, color). The samples had high amounts of aerobic mesophilic bacteria; 75% had total coliforms, molds and yeasts; 58.3% had Staphylococcus (catalase positive); and 8.33% had Salmonella spp. Moreover, the samples were not within the recommended microscopic standards, presenting foreign matter (sand and plastic). However, parasites were not found in the samples evaluated. The physical and chemical characteristics of the samples was within the criteria established by the Brazilian Ministry of Agriculture, Livestock and Food Supply (Regulation No 01 of January 7, 2000). The hygienic-sanitary conditions of the processed acai evaluated were unsatisfactory, compromising the harmlessness of this food and consequently, its safety for human health.(AU)

Microbiological, parasitic, microscopic, physical and chemical characterization of processed acai (Euterpe oleracea Mart) fruits

Acai (Euterpe oleracea Mart.) fruit consumption has been increasing in recent years. The increasing demand for this fruit increased concerns about its quality. Thus, the objective of this work was to assess the microbiological, parasitical, microscopic, physical and chemical characteristics of processed acai. Processed acai of 12 commercial establishments were subjected to microbiological analyses (aerobic mesophilic bacteria, molds, yeasts and total and thermotolerant coliform quantifications, Staphylococcus catalase positive test and search for Salmonella ssp.), search for parasites, microscopic analysis (search for light and heavy dirt) and physical and chemical characterization (titratable acidity, pH, total soluble solids °Brix, moisture content, ash, color). The samples had high amounts of aerobic mesophilic bacteria; 75% had total coliforms, molds and yeasts; 58.3% had Staphylococcus (catalase positive); and 8.33% had Salmonella spp. Moreover, the samples were not within the recommended microscopic standards, presenting foreign matter (sand and plastic). However, parasites were not found in the samples evaluated. The physical and chemical characteristics of the samples was within the criteria established by the Brazilian Ministry of Agriculture, Livestock and Food Supply (Regulation No 01 of January 7, 2000). The hygienic-sanitary conditions of the processed acai evaluated were unsatisfactory, compromising the harmlessness of this food and consequently, its safety for human health.

Representações sociais de término de relacionamentos amorosos em músicas do sertanejo universitário / Social representations of romantic relationship breakups in country music songs / Representaciones sociales de conclusión de relaciones románticas en canciones del sertanejo universitário

Das etapas de um relacionamento amoroso, o término da relação constitui-se como uma das mais difíceis, e é, muitas vezes, expressa por meio de composições musicais que tratam dos sentimentos provenientes desse rompimento. Dentre os ritmos musicais que abordam esse tema, destaca-se o sertanejo universitário, cujas letras elucidam, em especial, relacionamentos amorosos descompromissados e de curta duração. Diante disso, a investigação das representações sociais difundidas por meio dessas letras se torna relevante para a compreensão do pensamento social acerca dos términos de relacionamentos amorosos. O objetivo deste estudo é investigar as representações sociais de término de relacionamentos amorosos e presentes em canções do estilo musical sertanejo universitário. Foram analisadas 211 letras musicais, submetidas à análise lexical no software ALCESTE. Os resultados e análises apontam diferentes sentimentos e comportamentos derivados desse rompimento afetivo, devido a distintos estágios vivenciados desse sofrimento, tanto por parte de quem rompeu a relação quanto de quem foi abandonado, trazendo elementos que vão desde dor, sofrimento, incerteza e desilusão até resignação, felicidade e satisfação com o fim da relação

When it comes to the stages of a romantic relationship, the breakup moment is one of the most difficult for people to experience, and is often expressed through musical compositions, which talk about feelings related to this rupture. Among the musical rhythms that talk about this theme one particularly stands out the Country & Western , whose lyrics elucidate, especially, love relationships and uncommitted short-lived. Therefore, the research of social representations disseminated through these lyrics is relevant to social understand about loving relationship breakups. The aim of this study was to investigate the social representations of romantic relationship breakups present in songs of the musical style called Country & Western. For this study, 211 lyrics were analyzed, submitted to lexical analysis in the ALCESTE software. The results and analysis demonstrate varied feelings and behaviors derived from this breakup, owing to the different stages of the suffering, experienced either by both, the one who terminated the relationship and who was abandoned, bringing elements ranging from pain, suffering, uncertainty and disappointment to resignation, happiness and satisfaction with the relationship which was terminated

En las etapas de una relación amorosa, el término de la relación es una de las experiencias más difíciles, y a menudo se expresa a través de composiciones musicales, que tratan sobre los sentimientos de esta interrupción. Entre los ritmos musicales que abordan este tema destaca el sertanejo universitario, cuyas letras tratan, especialmente, las relaciones amorosas sin compromiso y de corta duración. El propósito de este estudio fue investigar las representaciones sociales del término de las relaciones amorosas, presentes en canciones del estilo musical sertanejo universitario. Se analizaron 211 letras, presentada al análisis de léxico del software ALCESTE. Los resultados y los análisis muestran diferentes sentimientos y comportamientos derivados de este rompimiento afectivo, debido a las diferentes etapas experimentadas en ese sufrimiento, tanto por los que rompieron la relación, cuanto por quien fue abandonado, con elementos que van desde el dolor, el sufrimiento, la incertidumbre y la decepción, hasta la resignación, la felicidad y la satisfacción con el fin de la relación

Out-of-hospital cardiac arrest: determinant factors for immediate survival after cardiopulmonary resuscitation / Parada cardíaca extra-hospitalar: fatores determinantes da sobrevida imediata após manobras de ressuscitação cardiopulmonar / Parada cardíaca extrahospitalaria: factores determinantes de la sobrevida inmediata después de maniobras de resucitación cardiopulmonar

OBJECTIVE: to analyze determinant factors for the immediate survival of persons who receive cardiopulmonary resuscitation from the advanced support units of the Mobile Emergency Medical Services (SAMU) of Belo Horizonte. METHOD: this is a retrospective, epidemiological study which analyzed 1,165 assistance forms, from the period 2008 - 2010. The collected data followed the Utstein style, being submitted to descriptive and analytical statistics with tests with levels of significance of 5%. RESULTS: the majority were male, the median age was 64 years, and the ambulance response time, nine minutes. Immediate survival was observed in 239 persons. An association was ascertained of this outcome with "cardiac arrest witnessed by persons trained in basic life support" (OR=3.49; p<0.05; CI 95%), "cardiac arrest witnessed by Mobile Emergency Medical Services teams" (OR=2.99; p<0.05; CI95%), "only the carry out of basic life support" (OR=0.142; p<0.05; CI95%), and "initial cardiac rhythm of asystole" (OR=0.33; p<0.05; CI 95%). CONCLUSION: early access to cardiopulmonary resuscitation was related to a favorable outcome, and the non-undertaking of advanced support, and asystole, were associated with worse outcomes. Basic and advanced life support techniques can alter survival in the event of cardiac arrest. .

OBJETIVO: analisar fatores determinantes da sobrevida imediata de pessoas que receberam manobras de ressuscitação cardiopulmonar pelas equipes de suporte avançado do Serviço de Atendimento Móvel de Urgência, de Belo Horizonte. MÉTODO: trata-se de estudo epidemiológico, retrospectivo, no qual foram analisadas 1.165 fichas de atendimento, do período de 2008 a 2010. Os dados coletados seguiram o estilo Utstein, sendo submetidos à estatística descritiva e analítica com testes de nível de significância de 5%. RESULTADOS: a maioria era do sexo masculino, a mediana da idade foi de 64 anos e a do tempo de deslocamento, nove minutos. A sobrevida imediata foi observada em 239 pessoas. Verificou-se associação desse desfecho com a "parada cardiorrespiratória presenciada por pessoas treinadas em suporte básico de vida" (OR=3,49; p<0,05; IC95%), a "parada cardiorrespiratória presenciada por equipes do Serviço de Atendimento Móvel de Urgência" (OR=2,99; p<0,05; IC95%), "a realização de suporte básico de vida" (OR=0,142; p<0,05; IC95%), "o ritmo cardíaco inicial de assistolia" (OR=0,33; p<0,05; IC95%). CONCLUSÃO: o acesso precoce às manobras de ressuscitação cardiopulmonar foi relacionado a um desfecho favorável e a não realização de suporte avançado e a assistolia foram associadas a pior desfecho. Manobras de suporte básico e avançado podem alterar a sobrevida na parada cardiorrespiratória. .

OBJETIVO: analizar factores determinantes de la sobrevida inmediata de personas que recibieron maniobras de resucitación cardiopulmonar por los equipos de soporte avanzado del Servicio de Atención Móvil de Urgencia de Belo Horizonte. MÉTODO: se trata de estudio epidemiológico, retrospectivo en el cual fueron analizadas 1.165 fichas de atención, en el período de 2008 a 2010. Los datos recolectados siguieron el estilo Utstein, siendo sometidos a la estadística descriptiva y analítica con pruebas de nivel de significancia de 5%. RESULTADOS: la mayoría era del sexo masculino, la mediana de la edad fue de 64 años y el de tiempo de traslado, nueve minutos. La sobrevida inmediata fue observada en 239 personas. Se verificó asociación de ese resultado con la "parada cardiorrespiratoria presenciada por personas entrenadas en soporte básico de vida" (OR=3,49; p<0,05; IC95%), la "parada cardiorrespiratoria presenciada por equipos del Servicio de Atención Móvil de Urgencia" (OR=2,99; p<0,05; IC95%), "la realización de soporte básico de vida" (OR=0,142; p<0,05; IC95%), y "el ritmo cardíaco inicial de asistolia" (OR=0,33; p<0,05; IC95%). CONCLUSIÓN: el acceso precoz a las maniobras de resucitación cardiopulmonar fue relacionado a un resultado favorable y la no realización de soporte avanzado y asistolia fueron asociados a un resultado peor. Maniobras de soporte básico y avanzado pueden alterar la sobrevida en la PCR. .

Representações sociais do envelhecimento entre diferentes gerações no Brasil e na Itália / Social representations of aging between different generations in Brazil and Italy

As representações sociais do envelhecimento podem ser diferentes de acordo com a cultura. O objetivo deste estudo foi comparar as representações do envelhecimento no Brasil e na Itália. Participaram 360 sujeitos distribuídos igualmente entre as nacionalidades, sexo e grupo etário. O questionário apresentou questões fechadas e abertas. Os resultados indicam associação das variáveis sociais (sexo, grupo etário e contexto cultural) com duas representações de envelhecimento: uma, na qual as relações sociais e a atividade completam a ideia de um momento exitoso, em que experiência de vida produziu sabedoria diante da vida, e outra como um processo que, embora traga experiência e sabedoria, resulta em declínio, doenças, inatividade e incapacidades, indicando o fim da vida.

The social representations of aging may differ according to culture. The aim of this study was to compare the representations of aging in Brazil and in Italy. The participants were 360 subjects equally distributed between nationalities, sex and age group. The questionnaire presented closed and open ended questions. The results indicate the association of social variables (sex, age group and cultural context) with two representations of aging: one, where social relations and activity complete the idea of a successful moment in which life experience produced wisdom toward life, and another as a process that, although bring experience and wisdom, results in decline, illness, inactivity and incapacity, indicating the end of life.